SB55-ASA1-AA1,1309,179
609.655
(4) (a) Upon completion of the 5 visits for outpatient services covered
10under sub. (3) (b), the medical director of the
managed care defined network plan and
11the clinician treating the dependent student shall review the dependent student's
12condition and determine whether it is appropriate to continue treatment of the
13dependent student's nervous or mental disorders or alcoholism or other drug abuse
14problems in reasonably close proximity to the school in which the student is enrolled.
15The review is not required if the dependent student is no longer enrolled in the school
16or if the coverage limits under the policy or certificate for treatment of nervous or
17mental disorders or alcoholism or other drug abuse problems have been exhausted.
SB55-ASA1-AA1,1310,219
609.655
(4) (b) Upon completion of the review under par. (a), the medical
20director of the
managed care defined network plan shall determine whether the
21policy or certificate will provide coverage of any further treatment for the dependent
22student's nervous or mental disorder or alcoholism or other drug abuse problems that
23is provided by a provider located in reasonably close proximity to the school in which
24the student is enrolled. If the dependent student disputes the medical director's
25determination, the dependent student may submit a written grievance under the
1managed care defined network plan's internal grievance procedure established
2under s. 632.83.
SB55-ASA1-AA1,1310,84
609.655
(5) (a) A policy or certificate issued by a
managed care defined network 5plan insurer is required to provide coverage for the services specified in sub. (3) only
6to the extent that the policy or certificate would have covered the service if it had been
7provided to the dependent student by a participating provider within the
8geographical service area of the
managed care defined network plan.
SB55-ASA1-AA1,1310,1410
609.655
(5) (b) Paragraph (a) does not permit a
managed care defined network 11plan to reimburse a provider for less than the full cost of the services provided or an
12amount negotiated with the provider, solely because the reimbursement rate for the
13service would have been less if provided by a participating provider within the
14geographical service area of the
managed care defined network plan.
SB55-ASA1-AA1,1310,18
16609.70 Chiropractic coverage. Limited service health organizations,
17preferred provider plans
, and
managed care defined network plans are subject to s.
18632.87 (3).
SB55-ASA1-AA1,1311,2
20609.75 Adopted children coverage. Limited service health organizations,
21preferred provider plans
, and
managed care defined network plans are subject to s.
22632.896. Coverage of health care services obtained by adopted children and children
23placed for adoption may be subject to any requirements that the limited service
24health organization, preferred provider plan
, or
managed care defined network plan
1imposes under s. 609.05 (2) and (3) on the coverage of health care services obtained
2by other enrollees.
SB55-ASA1-AA1,1311,6
4609.77 Coverage of breast reconstruction. Limited service health
5organizations, preferred provider plans
, and
managed care defined network plans
6are subject to s. 632.895 (13).
SB55-ASA1-AA1,1311,11
8609.78 Coverage of treatment for the correction of
9temporomandibular disorders. Limited service health organizations, preferred
10provider plans
, and
managed care
defined network plans are subject to s. 632.895
11(11).
SB55-ASA1-AA1,1311,16
13609.79 Coverage of hospital and ambulatory surgery center charges
14and anesthetics for dental care. Limited service health organizations, preferred
15provider plans
, and
managed care
defined network plans are subject to s. 632.895
16(12).
SB55-ASA1-AA1,1311,22
18609.80 Coverage of mammograms. Managed care Defined network plans
19are subject to s. 632.895 (8). Coverage of mammograms under s. 632.895 (8) may be
20subject to any requirements that the
managed care
defined network plan imposes
21under s. 609.05 (2) and (3) on the coverage of other health care services obtained by
22enrollees.
SB55-ASA1-AA1,1312,2
24609.81 Coverage related to HIV infection. Limited service health
25organizations, preferred provider plans
, and
managed care defined network plans
1are subject to s. 631.93.
Managed care
Defined network plans are subject to s.
2632.895 (9).
SB55-ASA1-AA1,1312,6
4609.82 Coverage without prior authorization for emergency medical
5condition treatment. Limited service health organizations, preferred provider
6plans
, and
managed care defined network plans are subject to s. 632.85.
SB55-ASA1-AA1,1312,10
8609.83 Coverage of drugs and devices. Limited service health
9organizations, preferred provider plans
, and
managed care defined network plans
10are subject to s. 632.853.
SB55-ASA1-AA1,1312,14
12609.84 Experimental treatment. Limited service health organizations,
13preferred provider plans
, and
managed care defined network plans are subject to s.
14632.855.
SB55-ASA1-AA1,1312,17
16609.88 Coverage of immunizations.
Managed care Defined network plans
17are subject to s. 632.895 (14).
SB55-ASA1-AA1,1312,21
19609.89 Written reason for coverage denial. Limited service health
20organizations, preferred provider plans
, and
managed care defined network plans
21are subject to s. 631.17.
SB55-ASA1-AA1,1312,25
23609.90 Restrictions related to domestic abuse. Limited service health
24organizations, preferred provider plans
, and
managed care defined network plans
25are subject to s. 631.95.".
SB55-ASA1-AA1,1313,4
3632.872 Prohibiting denial of payment for certain procedures. (1) In
4this section:
SB55-ASA1-AA1,1313,55
(a) "Disability insurance policy" has the meaning given in s. 632.895 (1) (a).
SB55-ASA1-AA1,1313,76
(b) "Medicare Part B" means the federal supplementary medical insurance
7program under
42 USC 1395j to
1395w-2.
SB55-ASA1-AA1,1313,13
8(2) An insurer may not deny payment under an individual or group disability
9insurance policy or a certificate of group disability insurance for a medical or surgical
10service or procedure on the basis that the service or procedure is an integral
11component of a 2nd medical or surgical service or procedure unless, under medicare
12Part B, payment for the first service or procedure is included in the payment for the
132nd service or procedure.".
SB55-ASA1-AA1,1313,2116
635.02
(2) "Case characteristics" means the demographic, actuarially based
17characteristics of the employees of a small employer, and the employer, if covered,
18such as age, sex,
and geographic location
and occupation, used by a small employer
19insurer to determine premium rates for a small employer. "Case characteristics"
20does not include loss or claim history, health status,
occupation, duration of coverage
, 21or other factors related to claim experience.
SB55-ASA1-AA1,1313,2323
635.02
(3e) "Eligible employee" has the meaning given in s. 632.745 (5) (a).
SB55-ASA1-AA1,1314,7
1635.02
(7) "Small employer" means, with respect to a calendar year and a plan
2year, an employer that employed an average of at least 2 but not more than 50
eligible 3employees on business days during the preceding calendar year, or that is reasonably
4expected to employ an average of at least 2 but not more than 50
eligible employees
5on business days during the current calendar year if the employer was not in
6existence during the preceding calendar year, and that employs at least 2
eligible 7employees on the first day of the plan year.
SB55-ASA1-AA1,1314,129
635.05
(2) (a) 2. An adjustment, not to exceed 15% per year, adjusted
10proportionally for rating periods of less than one year, for such rating factors as claim
11experience, health status
, occupation, and duration of coverage, determined in
12accordance with the small employer insurer's rate manual or rating procedures.
SB55-ASA1-AA1,1314,1514
635.05
(7) Specifying the manner in which rates must be published under s.
15635.12.
SB55-ASA1-AA1,1314,22
17635.12 Annual publication of rates. Every small employer insurer shall
18annually publish the small employer insurer's current new business premium rates.
19The rates shall be published in the manner and according to categories required by
20rule under s. 635.05 (7). New business premium rates for coverage under the health
21care coverage program under subch. X of ch. 40 shall be published as required under
22s. 40.98 (2) (d).".
SB55-ASA1-AA1,1315,5
1632.895
(14) (c) The coverage required under par. (b) may not be subject to any
2deductibles, copayments
, or coinsurance under the policy or plan. This paragraph
3applies to a
managed care defined network plan, as defined in s. 609.01
(3c) (1b), only
4with respect to appropriate and necessary immunizations provided by providers
5participating, as defined in s. 609.01 (3m), in the plan.
SB55-ASA1-AA1,1315,107
632.895
(14) (d) 3. A health care plan offered by a limited service health
8organization, as defined in s. 609.01 (3), or by a preferred provider plan, as defined
9in s. 609.01 (4), that is not a
managed care defined network plan, as defined in s.
10609.01
(3c) (1b).".
SB55-ASA1-AA1,1315,1613
704.07
(5) Carpet cleaning. (a) Notwithstanding subs. (1), (2) (a), and (3) (a),
14a landlord may deduct from a tenant's security deposit at the end of the tenant's
15tenancy carpet cleaning costs incurred by the landlord due to normal wear and tear
16of the carpet if all of the following apply:
SB55-ASA1-AA1,1315,1817
1. The landlord provided the tenant with a written document separate from the
18lease regarding the deduction for carpet cleaning costs.
SB55-ASA1-AA1,1315,1919
2. The document was entitled "Nonstandard Rental Provisions."
SB55-ASA1-AA1,1315,2020
3. The conditions required by rule under par. (b) are satisfied.
SB55-ASA1-AA1,1315,2421
(b) The department of agriculture, trade and consumer protection shall
22promulgate a rule that specifies conditions that must be satisfied in order for a
23landlord to deduct from a security deposit the carpet cleaning costs specified in par.
24(a).".
SB55-ASA1-AA1,1316,63
753.075
(2) (a) Any person who has served a total of 6 or more years as a
4supreme court justice, a court of appeals judge or a circuit judge
and who was not
5defeated at the most recent time that he or she sought election to a circuit court
6judgeship.
SB55-ASA1-AA1,1316,97
(b) Any person who was eligible to serve as a reserve judge before May 1, 1992
,
8and who was not defeated at the most recent time that he or she sought election to
9a circuit court judgeship.".
SB55-ASA1-AA1,1316,1412
704.90
(10) (c) Forfeitures under par. (a) shall be enforced by action on behalf
13of the state by the department of
justice agriculture, trade and consumer protection
14or by the district attorney of the county where the violation occurs.".
SB55-ASA1-AA1,1316,18
17710.20 Nudity prohibited on state-owned or state-managed land. (1) 18In this section:
SB55-ASA1-AA1,1316,2019
(a) "In public" means in a place where a person does not have a reasonable
20expectation of privacy.
SB55-ASA1-AA1,1316,2321
(b) "Nude" means not wearing a fully opaque covering over the genitals, pubic
22area, or buttocks or not wearing a fully opaque covering over the female breast below
23the top of the nipple.
SB55-ASA1-AA1,1316,2424
(c) "State agency" has the meaning given for "agency" in s. 16.70 (1).
SB55-ASA1-AA1,1317,2
1(2) No person may intentionally be nude in public on land that is owned,
2managed, supervised, or controlled by a state agency.
SB55-ASA1-AA1,1317,3
3(3) A person who violates sub. (2) shall forfeit not more than $1,000.".
SB55-ASA1-AA1,1317,146
758.19
(8) (a) From the appropriation under s. 20.625 (1) (c), the director of
7state courts shall reimburse counties up to 4 times each year for the actual expenses
8paid for interpreters required by circuit courts to assist persons with limited English
9proficiency under s. 885.38 (8) (a) 1. The amount of the reimbursement for mileage
10shall be 20 cents per mile going and returning from his or her residence if within the
11state; or, if without the state, from the point where he or she crosses the state
12boundary to the place of attendance, and returning by the usually traveled route
13between such points. The amount of the maximum hourly reimbursement for court
14interpreters shall be as follows:
SB55-ASA1-AA1,1317,1715
1. Forty dollars for the first hour and $20 for each additional 0.5 hour for
16qualified interpreters certified under the requirements and procedures approved by
17the supreme court.
SB55-ASA1-AA1,1317,1918
2. Thirty dollars for the first hour and $15 for each additional 0.5 hour for
19qualified interpreters, as defined in s. 885.38 (1) (c).
SB55-ASA1-AA1,1318,420
(b) To receive reimbursement under par. (a), a county must submit, on forms
21provided by the director of state courts, an accounting of the amount paid for
22expenses related to court interpreters that are eligible for reimbursement under par.
23(a). The forms must include expenses for the preceding 3-month period and must
24be submitted within 90 days after that 3-month period has ended. The director of
1state courts may not reimburse a county for any expenses related to court
2interpreters that are submitted after the 90-day period has ended. Reimbursement
3under par. (a) first applies to court interpreter expenses incurred on the effective date
4of this paragraph .... [revisor inserts date].".
SB55-ASA1-AA1,1318,18
7765.15 Fee to county clerk. Each county clerk shall receive as a fee for each
8license granted the sum of
$49.50, of which $24.50 shall become a part of the funds
9of the county, and $25
, which shall be paid into the state treasury.
The county shall
10use $20 of the amount that it retains from each license fee only for expenses incurred
11under s. 767.11. Each county board may increase the license fee
of $49.50 by any
12amount, which by up to $40, for a total fee not exceeding $65. The amount
by which
13the license fee is increased over $25 shall become a part of the funds of the county.
14The
clerk shall also receive a standard notary fee of 50 cents for each license granted
15which may be retained by the clerk if operating on a fee or part fee basis, but which
16otherwise shall become part of the funds of the county
may but is not required to use
17for expenses incurred under s. 767.11 any portion of the amount that it retains, if any,
18from each license fee.".
