AB100-ASA1-AA8-AA8,16,11 7(4) Using the procedure under s. 227.24, the commissioner may promulgate
8rules under sub. (2) or (3) for the period before the effective date of any permanent
9rules promulgated under sub. (2) or (3), but not to exceed the period authorized under
10s. 227.24 (1) (c) and (2). Notwithstanding s. 227.24 (1) and (3), the commissioner is
11not required to make a finding of emergency.
AB100-ASA1-AA8-AA8,16,16 12(5) Notwithstanding sub. (2) (a) (intro.), the commissioner shall set premium
13rates, insurer assessments and provider discount rates for the period beginning on
14January 1, 1998, and ending on June 30, 1998, in the manner provided in subs. (1),
15(2) (a), (3) and (4). This subsection applies to policies in effect on January 1, 1998,
16as well as to policies issued or renewed on or after January 1, 1998.
AB100-ASA1-AA8-AA8, s. 4859cm 17Section 4859cm. 619.145 of the statutes is repealed.
AB100-ASA1-AA8-AA8, s. 4859mm 18Section 4859mm. 619.146 of the statutes is created to read:
AB100-ASA1-AA8-AA8,16,22 19619.146 Choice of coverage. (1) (a) Beginning on January 1, 1998, in
20addition to the coverage required under s. 619.14, the plan shall offer to all eligible
21persons a choice of coverage, as described in section 2744 (a) (1) (C) of P.L. 104-191.
22Any such choice of coverage shall be major medical expense coverage.
AB100-ASA1-AA8-AA8,17,623 (b) An eligible person may elect once each year, at the time and according to
24procedures established by the board, among the coverages offered under this section
25and s. 619.14. If an eligible person elects new coverage, any preexisting condition

1exclusion imposed under the new coverage is met to the extent that the eligible
2person has been previously and continuously covered under this subchapter. No
3preexisting condition exclusion may be imposed on an eligible person who elects new
4coverage if the person was an eligible individual when first covered under this
5subchapter and the person remained continuously covered under this subchapter up
6to the time of electing new coverage.
AB100-ASA1-AA8-AA8,17,10 7(2) (a) Except as specified by the board, the terms of coverage under s. 619.14,
8including deductible reductions under s. 619.14 (5) (a), do not apply to the coverage
9offered under this section. Premium reductions under s. 619.165 do not apply to the
10coverage offered under this section.
AB100-ASA1-AA8-AA8,17,1511 (b) The schedule of premiums for coverage under this section shall be
12promulgated by rule by the commissioner, as provided in s. 619.143. The rates for
13coverage under this section shall be set such that they differ from the rates for
14coverage under s. 619.14 by the same percentage as the percentage difference
15between the following:
AB100-ASA1-AA8-AA8,17,1816 1. The rate that a standard risk would be charged under an individual policy
17providing substantially the same coverage and deductibles as provided under s.
18619.14.
AB100-ASA1-AA8-AA8,17,2119 2. The rate that a standard risk would be charged under an individual policy
20providing substantially the same coverage and deductibles as the coverage offered
21under this section.
AB100-ASA1-AA8-AA8, s. 4862m 22Section 4862m. 619.15 (1) of the statutes is amended to read:
AB100-ASA1-AA8-AA8,18,1523 619.15 (1) The plan shall operate subject to the supervision and approval of a
24board of governors consisting of representatives of 2 participating insurers which are
25nonprofit corporations, representatives of 2 other participating insurers, 3 health

1care provider representatives, including one representative of the State Medical
2Society of Wisconsin, one representative of the Wisconsin Health and Hospital
3Association and one representative of an integrated multidisciplinary health
4system,
and 3 public members, including one representative of small businesses in
5the state,
appointed by the commissioner for staggered 3-year terms. In addition,
6the commissioner, or a designated representative from the office of the commissioner,
7and the chairperson of the standing committee of each house of the legislature with
8jurisdiction over insurance
shall be a member members of the board. The public
9members shall not be professionally affiliated with the practice of medicine, a
10hospital or an insurer. At least 2 of the public members shall be individuals
11reasonably expected to qualify for coverage under the plan or the parent or spouse
12of such an individual. The commissioner or the commissioner's representative shall
13be the chairperson of the board. Board members, except the commissioner or the
14commissioner's representative and the chairpersons of the standing committees,
15shall be compensated at the rate of $50 per diem plus actual and necessary expenses.
AB100-ASA1-AA8-AA8, s. 4863m 16Section 4863m. 619.15 (2) of the statutes is amended to read:
AB100-ASA1-AA8-AA8,18,2217 619.15 (2) Annually, the board shall make a report to the members of the plan
18and to the chief clerk of each house of the legislature, for distribution to the

19appropriate standing committees under s. 13.172 (3), and to the members of the plan
20summarizing the activities of the plan in the preceding calendar year. The annual
21report shall define the cost burden imposed by the plan on all policyholders in this
22state.
AB100-ASA1-AA8-AA8, s. 4863pm 23Section 4863pm. 619.15 (2m) of the statutes is created to read:
AB100-ASA1-AA8-AA8,19,3
1619.15 (2m) Annually, beginning in 1999, the board shall submit a report on
2or before June 30 to the legislature under s. 13.172 (2) and to the governor on the
3operation of the plan, including any recommendations for changes to the plan.
AB100-ASA1-AA8-AA8, s. 4867cm 4Section 4867cm. 619.15 (3) (c) of the statutes is amended to read:
AB100-ASA1-AA8-AA8,19,115 619.15 (3) (c) Collect assessments from all insurers to provide for claims paid
6under the plan and for administrative expenses incurred or estimated to be incurred
7during the period for which the assessment is made. The level of payments shall be
8established by the board as provided under s. 619.143. Assessment of the insurers
9shall occur at the end of each calendar year or other fiscal year end established by
10the board. Assessments are due and payable within 30 days of receipt by the insurer
11of the assessment notice.
AB100-ASA1-AA8-AA8, s. 4869cm 12Section 4869cm. 619.15 (3) (e) of the statutes is amended to read:
AB100-ASA1-AA8-AA8,19,1713 619.15 (3) (e) Establish for payment of covered expenses, a payment rate that
14is 10% less than the charges approved by the administering carrier for
15reimbursement of covered expenses under s. 619.14 (3). A provider of a covered
16service or article may not bill an eligible person who receives the service or article
17for any amount by which the charge is reduced under this paragraph.
AB100-ASA1-AA8-AA8, s. 4869mm 18Section 4869mm. 619.15 (3) (f) of the statutes is created to read:
AB100-ASA1-AA8-AA8,19,2019 619.15 (3) (f) In consultation with the office, establish a choice of coverage
20under s. 619.146.
AB100-ASA1-AA8-AA8, s. 4872mm 21Section 4872mm. 619.15 (4) (c) of the statutes is repealed.
AB100-ASA1-AA8-AA8, s. 4873mm 22Section 4873mm. 619.15 (4) (d) of the statutes is repealed.
AB100-ASA1-AA8-AA8, s. 4873pm 23Section 4873pm. 619.15 (4) (e) of the statutes is repealed.
AB100-ASA1-AA8-AA8, s. 4887cm 24Section 4887cm. 619.16 (3) (em) of the statutes is repealed.
AB100-ASA1-AA8-AA8, s. 4890c 25Section 4890c. 619.165 (1) (a) of the statutes is amended to read:
AB100-ASA1-AA8-AA8,20,4
1619.165 (1) (a) The Except as provided in s. 619.146 (2) (a), the board shall
2reduce the premiums established by the commissioner under s. 619.11 in conformity
3with ss. 619.14 (5) 619.143 and 619.17, for the eligible persons and in the manner set
4forth in pars. (b) to (d).
AB100-ASA1-AA8-AA8, s. 4891cm 5Section 4891cm. 619.165 (1) (d) of the statutes is renumbered 619.165 (1) (d)
61. and amended to read:
AB100-ASA1-AA8-AA8,20,97 619.165 (1) (d) 1. The Subject to subd. 2., the board shall establish and
8implement the method for determining the household income of an eligible person
9under par. (b).
AB100-ASA1-AA8-AA8, s. 4891mm 10Section 4891mm. 619.165 (1) (d) 2. of the statutes is created to read:
AB100-ASA1-AA8-AA8,20,1311 619.165 (1) (d) 2. In determining household income under par. (b), the board
12may consider information submitted by an eligible person on a completed federal
13profit or loss from farming form, schedule F, if all of the following apply:
AB100-ASA1-AA8-AA8,20,1414 a. The person is a farmer, as defined in s. 102.04 (3).
AB100-ASA1-AA8-AA8,20,1615 b. The person was not eligible to claim the homestead credit under subch. VIII
16of ch. 71 in the preceding taxable year.
AB100-ASA1-AA8-AA8, s. 4891rm 17Section 4891rm. 619.165 (3) of the statutes is amended to read:
AB100-ASA1-AA8-AA8,20,2018 619.165 (3) The commissioner shall forward to the board moneys received
19under s. 20.145 (7) (a) and (g) in an amount sufficient to reimburse the plan for
20premium reductions under sub. (1) and deductible reductions under s. 619.14 (5) (a).
AB100-ASA1-AA8-AA8, s. 4895c 21Section 4895c. 619.167 of the statutes is repealed.
AB100-ASA1-AA8-AA8, s. 4897m 22Section 4897m. 619.17 (1) of the statutes is amended to read:
AB100-ASA1-AA8-AA8,20,2423 619.17 (1) Subject to s. 619.14 (5) (a) ss. 619.143 and 619.146 (2) (b), a rating
24plan calculated in accordance with generally accepted actuarial principles.
AB100-ASA1-AA8-AA8, s. 4900m 25Section 4900m. 619.17 (4) (a) of the statutes is amended to read:
AB100-ASA1-AA8-AA8,21,2
1619.17 (4) (a) Cost containment provisions established by the commissioner by
2rule, including managed care requirements.
AB100-ASA1-AA8-AA8, s. 4901cm 3Section 4901cm. 619.175 of the statutes is amended to read:
AB100-ASA1-AA8-AA8,21,8 4619.175 Waiver or exemption from provisions prohibited. Except as
5provided in s. 619.13 (1) (a), the commissioner may not waive, or authorize the board
6to waive, any of the requirements of this subchapter or exempt, or authorize the
7board to exempt, an individual or a class of individuals from any of the requirements
8of this subchapter.".".
AB100-ASA1-AA8-AA8,21,9 915. Page 445, line 23: after that line insert:
AB100-ASA1-AA8-AA8,21,11 10"1371w. Page 1825, line 22: delete the material beginning with that line and
11ending with page 1826, line 2.".
AB100-ASA1-AA8-AA8,21,12 1216. Page 473, line 12: after that line insert:
AB100-ASA1-AA8-AA8,21,14 13"1373c. Page 1826, line 23: delete the material beginning with that line and
14ending with page 1827, line 5.".
AB100-ASA1-AA8-AA8,21,15 1517. Page 521, line 2: after that line insert:
AB100-ASA1-AA8-AA8,21,16 16"1455c. Page 1978, line 1: delete lines 1 to 9.".
AB100-ASA1-AA8-AA8,21,17 1718. Page 521, line 19: delete that line and substitute:
AB100-ASA1-AA8-AA8,21,18 18"1459c. Page 1982, line 6: delete lines 6 to 17.".
AB100-ASA1-AA8-AA8,21,19 1919. Page 525, line 15: after that line insert:
AB100-ASA1-AA8-AA8,21,21 20"1470c. Page 1987, line 18: delete the material beginning with that line and
21ending with page 1989, line 25.".
AB100-ASA1-AA8-AA8,21,22 2220. Page 525, line 15: after that line insert:
AB100-ASA1-AA8-AA8,21,23 23"1470h. Page 1990, line 25: after that line insert:
AB100-ASA1-AA8-AA8,22,12
1"(5mpx)Study on family coverage under the mandatory health insurance
2risk-sharing plan
. The office of the commissioner of insurance shall study the
3feasibility of providing family coverage under the mandatory health insurance
4risk-sharing plan under subchapter II of chapter 619 of the statutes, as affected by
5this act, for an individual who is eligible for coverage under that plan and for the
6members of the individual's family. The office shall also determine whether
7providing such a plan of family coverage would satisfy the requirements under the
8federal Health Insurance Portability and Accountability Act of 1996 to provide a
9choice of coverage. On or before April 1, 1998, the office shall report its findings,
10conclusions and recommendations to the appropriate standing committees in the
11manner provided under section 13.172 (3) of the statutes and to the joint committee
12on finance.".".
AB100-ASA1-AA8-AA8,22,13 1321. Page 525, line 15: after that line insert:
AB100-ASA1-AA8-AA8,22,14 14"1470j. Page 1991, line 1: before that line insert:
AB100-ASA1-AA8-AA8,22,24 15"(5xt) Collection of assessments and penalties. For each person who, before
16the effective date of this subsection, became eligible for and obtained coverage under
17the health insurance risk-sharing plan under subchapter II of chapter 619 of the
18statutes, as affected by this act, as a result of receiving a notice under section 619.12
19(1) (am), (b) or (c) of the statutes, the commissioner of insurance shall levy and collect
20the assessment specified in section 619.135 (1) (a) of the statutes and, if applicable,
21impose and collect the penalty specified in section 619.135 (1) (c) of the statutes. The
22commissioner shall credit all assessments and penalties collected under this
23subsection to the appropriation account under section 20.145 (7) (g) of the statutes,
24as affected by this act.".".
AB100-ASA1-AA8-AA8,23,1
122. Page 566, line 5: delete lines 5 to 16 and substitute:
AB100-ASA1-AA8-AA8,23,3 2"1637c. Page 2067, line 12: delete the material beginning with that line and
3ending with page 2068, line 7, and substitute:
AB100-ASA1-AA8-AA8,23,13 4"(1gmx)  Mandatory health insurance risk-sharing plan. The treatment of
5sections 20.145 (7) (af), (b) and (g), 619.10 (1m), (2c), (2j), (2t), (3c), (3d), (3g), (3j), (8j)
6and (9), 619.115, 619.12 (1) (intro.) and (2) (b) 2., (c), (d), (e) (by Section 4830km) and
7(f), 619.123, 619.13 (1) (a), (b), (c) and (d) and (2), 619.135 (2) and (3), 619.14 (2) (a),
8(3) (intro.), (4) (intro.), (4m) and (5) (title), (a), (d) and (e), 619.143, 619.145, 619.146,
9619.15 (1), (2), (2m), (3) (c), (e) and (f) and (4) (c), (d) and (e), 619.16 (3) (em), 619.165
10(1) (a) and (3), 619.167, 619.17 (1) and (4) (a) and 619.175 of the statutes, the
11renumbering and amendment of sections 619.14 (6) and 619.165 (1) (d) of the
12statutes, the creation of sections 619.14 (6) (b) and 619.165 (1) (d) 2. of the statutes
13and Sections 9127 (5xt) and 9327 (3m) of this act take effect on January 1, 1998.".".
AB100-ASA1-AA8-AA8,23,16 1423. Page 566, line 22: delete that line and substitute "111.91 (2) (n), 120.13 (2)
15(g) (by Section 2860f), 185.981 (4t) (by Section 3133m), 185.983 (1) (intro.) (by
16Section 3134m), 609.77, 609.78, 609.79, 619.14 (4) (a) and 632.895".
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