Amendment AA8-ASA1-AB100

AB100-ASA1-AA8,438,9 562.124 (2) If the board department authorizes on-track pari-mutuel wagering on snowmobile racing under sub. (1) (1m), the board department shall regulate the pari-mutuel wagering and shall promulgate all rules necessary to administer this section. The department may promulgate rules that require persons who conduct snowmobile racing to be licensed by the department and the department may charge a fee to any person licensed under this subsection to cover the costs of the department in regulating on-track pari-mutuel wagering on snowmobile racing. Through its rules, the board department shall do everything necessary to ensure the public interest and protect the integrity of the sport of snowmobile racing. If the department charges a fee to a person licensed under this subsection, the department shall deposit the moneys received in the appropriation account under s. 20.505 (8) (g).".

AB100-ASA1-AA8,438,10 1344. Page 1770, line 10: delete lines 10 to 13 and substitute:

AB100-ASA1-AA8,438,11 " Section 4675m. 563.052 of the statutes is repealed.".

AB100-ASA1-AA8,438,12 1345. Page 1770, line 24: after that line insert:

AB100-ASA1-AA8,438,13 " Section 4677m. 563.055 (2) (b) of the statutes is amended to read:

AB100-ASA1-AA8,438,15 563.055 (2) (b) Pays the charge for an unpaid draft established by the depository selection board state treasurer under s. 20.905 (2).".

AB100-ASA1-AA8,438,16 1346. Page 1798, line 21: after that line insert:

AB100-ASA1-AA8,438,18 " Section 4794m. 600.01 (2) (b) of the statutes, as affected by 1995 Wisconsin Act 289, is amended to read:

AB100-ASA1-AA8,438,20 600.01 (2) (b) Group or blanket insurance described in sub. (1) (b) 3. and 4. is not exempt from s. ss. 632.745, 632.747 or to 632.749 or ch. 633 or 635.".

AB100-ASA1-AA8,438,21 1347. Page 1798, line 21: after that line insert:

AB100-ASA1-AA8,438,22 " Section 4794c. 600.01 (1) (b) 9. of the statutes is created to read:

AB100-ASA1-AA8,439,2 600.01 (1) (b) 9. The publication and clearinghouse activities described in subd. 9. c., the association undertaking those activities, with respect to those activities, and the association's periodic publication resulting from and furthering those activities if all of the following apply:

AB100-ASA1-AA8,439,4 a. The publication and clearinghouse activities are undertaken by an association that is organized not for profit for religious and charitable purposes.

AB100-ASA1-AA8,439,6 b. The publication activities of the association are limited to subscribers who are members of the same church or religious denomination.

AB100-ASA1-AA8,439,11 c. The publication activities of the association function as an organizational clearinghouse that matches subscribers to the publications of the association who have financial, physical or medical needs and subscribers to the publications of the association who desire to financially assist with those needs and who have a present ability to pay.

AB100-ASA1-AA8,439,15 d. Although the association, through its publications, may suggest voluntary payment levels between subscribers described in subd. 9. c., the association and the subscribers do not assume any risk or make any promise of payment by the association or any subscribers.

AB100-ASA1-AA8,439,19 e. The association provides to each subscriber a written monthly statement that lists the total dollar amount of qualified needs submitted for publication in the previous month and the total dollar amount of qualified needs submitted that were actually published and assigned for payment.

AB100-ASA1-AA8,439,23 f. On or accompanying all written materials distributed by or on behalf of the association, including applications, guidelines, promotional or informational materials and periodic publications, the association provides the following written disclaimer:

AB100-ASA1-AA8,439,24 ATTENTION

AB100-ASA1-AA8,440,7 This publication is not issued by an insurance company, nor is it offered through an insurance company. This publication does not guarantee or promise that your medical bills will be published or assigned to others for payment. Whether anyone chooses to pay your medical bills is entirely voluntary. This publication should never be considered a substitute for an insurance policy. Whether or not you receive any payments for medical expenses, and whether or not this publication continues to operate, you are responsible for the payment of your own medical bills.

AB100-ASA1-AA8,440,9 g. No payments between subscribers described in subd. 9. c. are made through the association.".

AB100-ASA1-AA8,440,10 1348. Page 1799, line 8: after that line insert:

AB100-ASA1-AA8,440,11 " Section 4796m. 601.415 (4) of the statutes is repealed.".

AB100-ASA1-AA8,440,12 1349. Page 1800, line 18: after that line insert:

AB100-ASA1-AA8,440,13 " Section 4804b. 609.77 of the statutes is created to read:

AB100-ASA1-AA8,440,16 609.77 Coverage of breast reconstruction. Health maintenance organizations, limited service health organizations and preferred provider plans are subject to s. 632.895 (13).".

AB100-ASA1-AA8,440,17 1350. Page 1800, line 20: delete lines 20 and 21 and substitute:

AB100-ASA1-AA8,440,19 "609.78 Coverage of treatment for the correction of temporomandibular disorders. Health maintenance organizations,".

AB100-ASA1-AA8,440,21 1351. Page 1801, line 1: delete "services" and substitute "and ambulatory surgery center charges".

AB100-ASA1-AA8,440,22 1352. Page 1809, line 9: delete lines 9 to 13 and substitute:

AB100-ASA1-AA8,440,24 " Section 4830ec. 619.12 (2) (e) of the statutes, as affected by 1997 Wisconsin Act .... (this act), is renumbered 149.12 (2) (e) and amended to read:

AB100-ASA1-AA8,441,4 149.12 (2) (e) No person who is eligible for health care benefits creditable coverage, other than those benefits specified in s. 632.745 (11) (b) 1. to 12., that are is provided by an employer on a self-insured basis or through health insurance is eligible for coverage under the plan.

AB100-ASA1-AA8, s. 4830em Section 4830em. 619.12 (2) (e) 1. of the statutes is renumbered 619.12 (2) (e) and amended to read:

AB100-ASA1-AA8,441,10 619.12 (2) (e) Except as provided in subd. 2., no No person who is eligible for health care benefits, other than those benefits specified in s. 632.745 (11) (b) 1. to 12., that are provided by an employer on a self-insured basis or through health insurance is eligible for coverage under the plan.".

AB100-ASA1-AA8,441,11 1353. Page 1811, line 14: delete "(2) (a) 2." and substitute "(2) (a) 3.".

AB100-ASA1-AA8,441,12 1354. Page 1812, line 1: delete that line and substitute:

AB100-ASA1-AA8,441,14 "149.144 (title) Insurer Adjustments to insurer assessments and provider payment rates for".

AB100-ASA1-AA8,441,15 1355. Page 1812, line 12: delete "increase" and substitute "increase adjust".

AB100-ASA1-AA8,441,16 1356. Page 1812, line 14: delete "(2) (a) 2." and substitute "(2) (a) 3.".

AB100-ASA1-AA8,441,18 1357. Page 1812, line 14: delete "charges discount" and substitute "payment".

AB100-ASA1-AA8,441,19 1358. Page 1812, line 15: delete "(2) (a) 3." and substitute "(2) (a) 4.".

AB100-ASA1-AA8,441,21 1359. Page 1812, line 18: delete "the increase in the insurer" and substitute "any increase in insurer".

AB100-ASA1-AA8,441,22 1360. Page 1813, line 17: on lines 17 and 22, delete "(2) (a) 3. or (3)".

AB100-ASA1-AA8,442,2 1361. Page 1813, line 19: after "446" insert "and certified under s. 49.45 (2) (a) 11".

AB100-ASA1-AA8,442,3 1362. Page 1813, line 24: after "physician" insert "who is".

AB100-ASA1-AA8,442,5 1363. Page 1813, line 24: delete "when" and substitute "when if the service or article is".

AB100-ASA1-AA8,442,8 1364. Page 1813, line 25: after "state" insert "and who is certified under s. 49.45 (2) (a) 11. and if the service or article is provided by a provider certified under s. 49.45 (2) (a) 11.".

AB100-ASA1-AA8,442,9 1365. Page 1814, line 5: after "(intro.)" insert ", (a)".

AB100-ASA1-AA8,442,10 1366. Page 1814, line 7: after that line insert:

AB100-ASA1-AA8,442,13 "(a) Any charge for treatment for cosmetic purposes other than surgery for the repair or treatment of an injury or a congenital bodily defect. Breast reconstruction incident to a mastectomy shall not be considered treatment for cosmetic purposes.".

AB100-ASA1-AA8,442,15 1367. Page 1818, line 15: on lines 15 and 23, delete "board" and substitute "board department".

AB100-ASA1-AA8,442,16 1368. Page 1821, line 1: delete "by" and substitute "by".

AB100-ASA1-AA8,442,17 1369. Page 1821, line 16: delete lines 16 to 20 and substitute:

AB100-ASA1-AA8,442,19 " Section 4869m. 619.15 (3) (f) of the statutes, as created by 1997 Wisconsin Act .... (this act), is repealed.".

AB100-ASA1-AA8,442,20 1370. Page 1824, line 8: delete lines 8 to 11 and substitute:

AB100-ASA1-AA8,442,22 " Section 4891c. 619.165 (1) (d) of the statutes is renumbered 619.165 (1) (d) 1. and amended to read:

AB100-ASA1-AA8,443,3 619.165 (1) (d) 1. The Subject to subd. 2., the board shall establish and implement the method for determining the household income of an eligible person under par. (b).

AB100-ASA1-AA8, s. 4891r Section 4891r. 619.165 (1) (d) of the statutes, as affected by 1997 Wisconsin Act .... (this act), is renumbered 149.165 (3), and 149.165 (3) (a) and (b) (intro.), as renumbered, are amended to read:

AB100-ASA1-AA8,443,9 149.165 (3) (a) Subject to subd. 2., the board par. (b), the department shall establish and implement the method for determining the household income of an eligible person under par. (b) sub. (2).

AB100-ASA1-AA8,443,13 (b) (intro.) In determining household income under par. (b), the board sub. (2), the department shall consider information submitted by an eligible person on a completed federal profit or loss from farming form, schedule F, if all of the following apply:

AB100-ASA1-AA8, s. 4891m Section 4891m. 619.165 (1) (d) 2. of the statutes is created to read:

AB100-ASA1-AA8,443,17 619.165 (1) (d) 2. In determining household income under par. (b), the board shall consider information submitted by an eligible person on a completed federal profit or loss from farming form, schedule F, if all of the following apply:

AB100-ASA1-AA8,443,18 a. The person is a farmer, as defined in s. 102.04 (3).

AB100-ASA1-AA8,443,20 b. The person was not eligible to claim the homestead credit under subch. VIII of ch. 71 in the preceding taxable year.".

AB100-ASA1-AA8,443,21 1371. Page 1825, line 21: after that line insert:

AB100-ASA1-AA8,443,23 " Section 4910c. 628.34 (3) (a) of the statutes, as affected by 1995 Wisconsin Act 289, is amended to read:

AB100-ASA1-AA8,444,7 628.34 (3) (a) No insurer may unfairly discriminate among policyholders by charging different premiums or by offering different terms of coverage except on the basis of classifications related to the nature and the degree of the risk covered or the expenses involved, subject to ss. 632.365 and, 632.745 and 632.748. Rates are not unfairly discriminatory if they are averaged broadly among persons insured under a group, blanket or franchise policy, and terms are not unfairly discriminatory merely because they are more favorable than in a similar individual policy.

AB100-ASA1-AA8, s. 4910e Section 4910e. 628.34 (3) (b) of the statutes, as affected by 1995 Wisconsin Act 289, is amended to read:

AB100-ASA1-AA8,444,16 628.34 (3) (b) No insurer may refuse to insure or refuse to continue to insure, or limit the amount, extent or kind of coverage available to an individual, or charge an individual a different rate for the same coverage because of a mental or physical disability except when the refusal, limitation or rate differential is based on either sound actuarial principles supported by reliable data or actual or reasonably anticipated experience, subject to ss. 632.745, 632.747, 632.749, 635.09 and 635.26 632.746 to 632.7495.

AB100-ASA1-AA8, s. 4910g Section 4910g. 628.36 (2) (b) 1. of the statutes is amended to read:

AB100-ASA1-AA8,444,23 628.36 (2) (b) 1. Except for health maintenance organizations, preferred provider plans, and limited service health organizations and the small employer health insurance plan under subch. II of ch. 635, no health care plan may prevent any person covered under the plan from choosing freely among providers who have agreed to participate in the plan and abide by its terms, except by requiring the person covered to select primary providers to be used when reasonably possible.

AB100-ASA1-AA8, s. 4910i Section 4910i. 628.36 (2) (b) 3. of the statutes is amended to read:

AB100-ASA1-AA8,445,5 628.36 (2) (b) 3. Except as provided in subd. 4., no provider may be denied the opportunity to participate in a health care plan, other than a health maintenance organization, a limited service health organization, or a preferred provider plan or the small employer health insurance plan under subch. II of ch. 635, under the terms of the plan.

AB100-ASA1-AA8, s. 4910k Section 4910k. 628.36 (2) (b) 5. of the statutes is amended to read:

AB100-ASA1-AA8,445,11 628.36 (2) (b) 5. Except for the small employer health insurance plan under subch. II of ch. 635 to the extent determined by the small employer insurance board under s. 635.23 (1) (b), all All health care plans, including health maintenance organizations, limited service health organizations and preferred provider plans are subject to s. 632.87 (3).

AB100-ASA1-AA8, s. 4910m Section 4910m. 631.01 (4) of the statutes is amended to read:

AB100-ASA1-AA8,445,23 631.01 (4) Annuities and group policies for eleemosynary institutions. This chapter, and ch. 632 and the health insurance mandates under ch. 632 that apply to the plan under subch. II of ch. 635 do not apply to annuities or group policies that are provided on a basis as uniform nationally as state statutes permit to educational, scientific research, religious or charitable institutions organized without profit to any person, for the benefit of employes of such institutions. The commissioner may by order subject such contracts issued by a particular insurer to this chapter, or ch. 632 or the health insurance mandates under ch. 632 that apply to the plan under subch. II of ch. 635 or any portion of those provisions upon a finding, after a hearing, that the interests of Wisconsin insureds or creditors or the public of this state so require.".

AB100-ASA1-AA8,445,24 1372. Page 1826, line 3: delete lines 3 to 22 and substitute:

AB100-ASA1-AA8,446,1 " Section 4915m. 632.70 of the statutes is repealed.

AB100-ASA1-AA8, s. 4916m Section 4916m. 632.745 of the statutes, as affected by 1995 Wisconsin Acts 289 and 453, is repealed and recreated to read:

AB100-ASA1-AA8,446,5 632.745 Coverage requirements for group and individual health benefit plans; definitions. In this section and ss. 632.746 to 632.7495:

AB100-ASA1-AA8,446,8 (1) "Affiliation period" means the period which, under the terms of health insurance coverage offered by a health maintenance organization, must expire before the health insurance coverage becomes effective.

AB100-ASA1-AA8,446,10 (2) "Beneficiary" has the meaning given in section 3 (8) of the federal Employee Retirement Income Security Act of 1974.

AB100-ASA1-AA8,446,12 (3) "Bona fide association" means an association that satisfies all of the following:

AB100-ASA1-AA8,446,13 (a) The association has been actively in existence for at least 5 years.

AB100-ASA1-AA8,446,15 (b) The association has been formed and maintained in good faith for purposes other than obtaining insurance.

AB100-ASA1-AA8,446,18 (c) The association does not condition membership in the association on any health status-related factor of an individual, including an employe of an employer or a dependent of an employe.

AB100-ASA1-AA8,446,21 (d) The association makes health insurance coverage offered through the association available to all members, regardless of any health status-related factor of those members or individuals eligible for coverage through a member.

AB100-ASA1-AA8,446,23 (e) The association does not make health insurance coverage offered through the association available other than in connection with a member of the association.