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2011 - 2012 LEGISLATURE
February 7, 2012 - Introduced by Representatives Craig, Knilans, Wynn, August,
Knudson, Bernier, Farrow, Jacque, Kapenga, Kleefisch, Kooyenga, Kramer,
Kuglitsch, T. Larson, LeMahieu, Litjens, Nass, Spanbauer, Stroebel
and
Thiesfeldt, cosponsored by Senators Vukmir, Kedzie, Lasee, Lazich and
Galloway. Referred to Committee on Insurance.
AB530,1,2 1An Act to create 20.9265 and 601.46 (3) (k) of the statutes; relating to: reports
2on implementation of federal health reform.
Analysis by the Legislative Reference Bureau
On March 23, 2010, the federal government enacted the Patient Protection and
Affordable Care Act (PPACA), which, among other things, imposes requirements and
limitations on health insurance policies and health plans, requires the creation of
state-based health insurance exchanges through which individuals and small
employers can purchase insurance, changes the income eligibility criteria for
Medicaid (known as Medical Assistance in this state), and creates incentives for
improving access to health care. This bill requires agencies of the state to submit
annually to the legislature a report that describes the cost, since March 23, 2010, to
that agency of implementing PPACA and any federal moneys received after March
23, 2010, related to implementing PPACA, with the first report due by September 1,
2012. In addition, certain agencies must include certain information in their annual
reports for that year and in an analysis of any change in the information after March
23, 2010. The Department of Health Services must include the average spending per
recipient for Medical Assistance programs and the spending for Medical Assistance
programs as a percentage of the state budget. The Department of Safety and
Professional Services shall include the number of physicians practicing in the state.
The Office of the Commissioner of Insurance must include the number of insurance
companies that offer health care plans in the state. The bill also requires the
commissioner of insurance to include in his or her annual report to the legislature
a review of the effect the implementation of PPACA has on rates of health care plans

that are not issued through a governmental body. That review must include the
average rate for each health care plan.
For further information see the state fiscal estimate, which will be printed as
an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
AB530, s. 1 1Section 1. 20.9265 of the statutes is created to read:
AB530,2,3 220.9265 Federal health reform cost reports. (1) Definitions. In this
3section:
AB530,2,94 (a) "Agency" means an office, department, agency, institution of higher
5education, association, society, or other body in state government created or
6authorized to be created by the constitution or any law, which is entitled to expend
7moneys appropriated by law, including the legislature, the courts, and any authority
8created in subch. II of ch. 114 or subch. III of ch. 149 or in ch. 231, 233, 234, 238, or
9279.
AB530,2,1310 (b) "Medical Assistance program" includes any program operated under subch.
11IV of ch. 49, demonstration program operated under 42 USC 1315, and program
12operated under a waiver of federal law relating to medical assistance that is granted
13by the federal department of health and human services.
AB530,2,1614 (c) "Patient Protection and Affordable Care Act" means the federal Patient
15Protection and Affordable Care Act, P.L. 111-148, as amended by the federal Health
16Care and Education Reconciliation Act of 2010, P.L. 111-152.
AB530,3,2 17(2) Report required. By September 1, 2012, and annually thereafter, subject
18to sub. (3), each agency shall submit to the legislature in the manner provided under
19s. 13.172 (2) a report that describes the cost, since March 23, 2010, to that agency of
20implementing the Patient Protection and Affordable Care Act and any moneys

1received from the federal government after March 23, 2010, that are related to
2implementing the Patient Protection and Affordable Care Act.
AB530,3,7 3(3) Specific agency requirements. (a) In the report under sub. (2), the
4department of health services shall include the average spending per recipient for
5Medical Assistance programs, and the spending for Medical Assistance programs as
6a percentage of the state budget, for that year and in an analysis of any change in
7spending after March 23, 2010.
AB530,3,118 (b) In the report under sub. (2), the department of safety and professional
9services shall include the number of physicians practicing in the state in that year
10and in an analysis of any change in the number of physicians practicing after March
1123, 2010.
AB530,3,1512 (c) In the report under sub. (2), the office of the commissioner of insurance shall
13include the number of insurance companies that offer health care plans, as defined
14in s. 628.36 (2) (a) 1., in the state for that year and in an analysis of any change in
15the number of insurers after March 23, 2010.
AB530, s. 2 16Section 2. 601.46 (3) (k) of the statutes is created to read:
AB530,3,2117 601.46 (3) (k) A review of the effect the implementation of the Patient
18Protection and Affordable Care Act, as defined in s. 20.9265 (1) (c), has on rates of
19health care plans, as defined in s. 628.36 (2) (a) 1., whether offered inside or outside
20of any health insurance exchange, that are not issued through a governmental body.
21The review shall include the average rate for each health care plan.
AB530,3,2222 (End)
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