LRBb2347/1
PJK:kmg:ijs
1997 - 1998 LEGISLATURE
ASSEMBLY AMENDMENT 8,
TO ASSEMBLY AMENDMENT 8,
TO ASSEMBLY SUBSTITUTE AMENDMENT 1,
TO 1997 ASSEMBLY BILL 100
September 16, 1997 - Offered by Representatives Lorge and Baumgart.
AB100-ASA1-AA8-AA8,1,5
3"116c. Page 101, line 3: increase the dollar amount for fiscal year 1997-98 by
4$435,600 and increase the dollar amount for fiscal year 1998-99 by $780,800 to
5increase funding for the purposes for which the appropriation is made.
AB100-ASA1-AA8-AA8,1,9
7116g. Page 101, line 9: increase the dollar amount for fiscal year 1997-98 by
8$47,300 and increase the dollar amount for fiscal year 1998-99 by $94,600 to
9increase funding for the purposes for which the appropriation is made.".
AB100-ASA1-AA8-AA8,2,8
7"346c. Page 269, line 22: delete the material beginning with that line and
8ending with page 270, line 4, and substitute:
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20.145
(7) (af)
Plan costs. The amounts in the schedule for paying a portion of
11the operating costs of the health insurance risk-sharing plan under subch. II of ch.
12619.".
AB100-ASA1-AA8-AA8,2,1915
20.145
(7) (g)
Premium and deductible reduction subsidy; insurer assessments
16and penalties. All moneys received from insurer assessments and penalties under
17s. 619.135
and under 1997 Wisconsin Act .... (this act), section 9127 (5xt), for
18subsidizing premium reductions under s. 619.165 and deductible reductions under
19s. 619.14 (5) (a).".".
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4"1083c. Page 1353, line 7: delete the material beginning with that line and
5ending with page 1358, line 11.".
AB100-ASA1-AA8-AA8,3,13
12"1348c. Page 1799, line 15: delete the material beginning with that line and
13ending with page 1800, line 18.".
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16"1352c. Page 1801, line 4: delete the material beginning with that line and
17ending with page 1825, line 21, and substitute:
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619.10
(2c) "Church plan" has the meaning given in section 3 (33) of the federal
21Employee Retirement Income Security Act of 1974.
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619.10
(2j) (a) Except as provided in par. (b), "creditable coverage" means
24coverage under any of the following:
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11. A group health plan.
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2. Health insurance.
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3. Part A or part B of title XVIII of the federal Social Security Act.
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4. Title XIX of the federal Social Security Act, except for coverage consisting
5solely of benefits under section 1928 of that act.
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5. Chapter 55 of title 10 of the United States Code.
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6. A medical care program of the federal Indian health service or of an
8American Indian tribal organization.
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7. A state health benefits risk pool.
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8. A health plan offered under chapter 89 of title 5 of the United States Code.
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9. A public health plan.
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10. A health coverage plan under section 5 (e) of the federal Peace Corps Act,
1322 USC 2504 (e).
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(b) "Creditable coverage" does not include coverage consisting solely of
15coverage of excepted benefits, as defined in section 2791 (c) of P.L.
104-191.
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619.10
(2t) "Eligible individual" means an individual for whom all of the
18following apply:
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(a) The aggregate of the individual's periods of creditable coverage is 18 months
20or more.
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(b) The individual's most recent period of creditable coverage was under a
22group health plan, governmental plan, federal governmental plan or church plan, or
23under any health insurance offered in connection with any of those plans.
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(c) The individual does not have creditable coverage and is not eligible for
25coverage under a group health plan, part A or part B of title XVIII of the federal Social
1Security Act or a state plan under title XIX of the federal Social Security Act or any
2successor program.
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(d) The individual's most recent period of creditable coverage was not
4terminated for any reason related to fraud or intentional misrepresentation of
5material fact or a failure to pay premiums.
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(e) If the individual was offered the option of continuation coverage under a
7federal continuation provision or similar state program, the individual elected the
8continuation coverage.
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(f) The individual has exhausted any continuation coverage under par. (e).
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619.10
(3c) "Federal continuation provision" means any of the following:
AB100-ASA1-AA8-AA8,5,1312(a) Section
4980B of the Internal Revenue Code of 1986, except for section
134980B (f) (1) of that code insofar as it relates to pediatric vaccines.
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(b) Part 6 of subtitle B of title I of the federal Employee Retirement Income
15Security Act of 1974, except for section 609 of that act.
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619.10
(3d) "Federal governmental plan" means a benefit program established
19or maintained for its employes by the government of the United States or by any
20agency or instrumentality of the government of the United States.
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619.10
(3g) "Governmental plan" has the meaning given under section 3 (32)
23of the federal Employee Retirement Income Security Act of 1974.
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619.10
(3j) "Group health plan" means any of the following:
