2009 - 2010 LEGISLATURE
March 4, 2009 - Introduced by Representatives Bernard Schaber, Berceau, Clark,
Hraychuck, Pope-Roberts, Richards
and Seidel, cosponsored by Senators
Vinehout, Carpenter, Coggs, Erpenbach, Hansen, Lehman, Miller, Robson,
and Wirch. Referred to Committee on Health and Healthcare Reform.
AB111,1,2 1An Act to amend 149.12 (2) (c) and 149.14 (2) (a) of the statutes; relating to:
2the lifetime limit under the Health Insurance Risk-Sharing Plan.
Analysis by the Legislative Reference Bureau
The Health Insurance Risk-Sharing Plan (HIRSP), which is administered by
the HIRSP Authority, provides health insurance coverage for persons who are
covered under Medicare because they are disabled, persons who have tested positive
for human immunodeficiency virus (HIV), persons who have been refused coverage,
or coverage at an affordable price, in the private health insurance market because
of their mental or physical health condition, and persons who do not currently have
health insurance coverage but who were covered under certain types of health
insurance coverage (creditable coverage) for at least 18 months in the past. The
lifetime limit of benefits that HIRSP will provide to an individual who is covered
under HIRSP is $1,000,000. This bill retains $1,000,000 as the minimum lifetime
limit of benefits under HIRSP but allows the HIRSP Authority to increase that
lifetime limit.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
AB111, s. 1 3Section 1. 149.12 (2) (c) of the statutes is amended to read:
AB111,1,54 149.12 (2) (c) No person on whose behalf the plan has paid out $1,000,000 the
5lifetime limit under s. 149.14 (2) (a)
or more is eligible for coverage under the plan.
AB111, s. 2
1Section 2. 149.14 (2) (a) of the statutes is amended to read:
AB111,2,72 149.14 (2) (a) The plan shall provide every eligible person who is not eligible
3for Medicare with major medical expense coverage. Major medical expense coverage
4offered under the plan under this section shall pay an eligible person's covered
5expenses, subject to deductible, copayment, and coinsurance payments, up to a
6lifetime limit per covered individual of $1,000,000 per covered individual or a higher
7amount, as determined by the authority
AB111,2,88 (End)