Amendment AA1-ASA1-SB55

SB55-ASA1-AA1,1288,19 1725. Page 1173, line 1: delete "par. (b)" and substitute "pars. (b) and (c)".

SB55-ASA1-AA1,1288,20 1726. Page 1173, line 8: after that line insert:

SB55-ASA1-AA1,1288,21 " Section 3700d. 560.70 (7) (c) of the statutes is created to read:

SB55-ASA1-AA1,1288,24 560.70 (7) (c) In s. 560.798, "tax benefits" means the development zones capital investment credit under ss. 71.07 (2dm), 71.28 (1dm), and 71.47 (1dm) and the development zones credit under ss. 71.07 (2dx), 71.28 (1dx), and 71.47 (1dx).".

SB55-ASA1-AA1,1289,1 1727. Page 1175, line 24: after that line insert:

SB55-ASA1-AA1,1289,2 " Section 3708m. 560.798 of the statutes is created to read:

SB55-ASA1-AA1,1289,4 560.798 Agricultural development zones. (1) In this section, "rural municipality" means any of the following:

SB55-ASA1-AA1,1289,6 (a) A city, town, or village that is located in a county with a population density of less than 150 persons per square mile.

SB55-ASA1-AA1,1289,7 (b) A city, town, or village with a population of 6,000 or less.

SB55-ASA1-AA1,1289,12 (2) (a) The department shall designate 2 areas in the state as agricultural development zones. Each area must be located in a rural municipality. An agricultural business that is located in an agricultural development zone and that is certified by the department under sub. (3) is eligible for tax benefits as provided in sub. (3).

SB55-ASA1-AA1,1289,20 (b) The designation of an area as an agricultural development zone shall be in effect for 10 years from the time that the department first designates the area. However, not more than $5,000,000 in tax benefits may be claimed in an agricultural development zone. The department may change the boundaries of an agricultural development zone during the time that its designation is in effect. A change in the boundaries of an agricultural development zone does not affect the duration of the designation of the area or the maximum tax benefit amount that may be claimed in the agricultural development zone.

SB55-ASA1-AA1,1290,2 (3) (a) The department may certify for tax benefits in an agricultural development zone a new or expanding agricultural business that is located in the agricultural development zone. In determining whether to certify a business under this subsection, the department shall consider, among other things, the number of jobs that will be created or retained by the business.

SB55-ASA1-AA1,1290,7 (b) When the department certifies an agricultural business under this subsection, the department shall establish a limit on the amount of tax benefits that the business may claim. The department shall enter into an agreement with the business that specifies the limit on the amount of tax benefits that the business may claim and reporting requirements with which the business must comply.

SB55-ASA1-AA1,1290,9 (4) (a) The department of commerce shall notify the department of revenue of all the following:

SB55-ASA1-AA1,1290,10 1. An agricultural development zone's designation.

SB55-ASA1-AA1,1290,12 2. A business' certification and the limit on the amount of tax benefits that the business may claim.

SB55-ASA1-AA1,1290,13 3. The revocation of a business' certification.

SB55-ASA1-AA1,1290,16 (b) The department shall annually verify information submitted to the department under s. 71.07 (2dm) or (2dx), 71.28 (1dm) or (1dx), or 71.47 (1dm) or (1dx).

SB55-ASA1-AA1,1290,18 (5) The department shall promulgate rules for the operation of this section, including rules related to all the following:

SB55-ASA1-AA1,1290,19 (a) Criteria for designating an area as an agricultural development zone.

SB55-ASA1-AA1,1290,20 (b) Criteria for certifying a business for tax benefits.

SB55-ASA1-AA1,1290,22 (c) Standards for establishing the limit on the amount of tax benefits that a business may claim.

SB55-ASA1-AA1,1290,23 (d) Reporting requirements for certified businesses.

SB55-ASA1-AA1,1290,25 (e) The exchange of information between the department of commerce and the department of revenue.

SB55-ASA1-AA1,1291,1 (f) Reasons for revoking a business' certification.

SB55-ASA1-AA1,1291,3 (g) Standards for changing the boundaries of an agricultural development zone.".

SB55-ASA1-AA1,1291,9 1728. Page 1176, line 21: delete the material beginning with "The department" and ending with "zones." on line 23 and substitute "The department shall designate the city of Marshfield as a technology zone and may designate up to 2 more areas in the state as technology zones, for a total of 3 technology zones. The department may, with the approval of the joint committee on finance, designate up to 15 more areas in the state as technology zones, for a total of 18 technology zones.".

SB55-ASA1-AA1,1291,10 1729. Page 1176, line 23: delete "6" and substitute "15".

SB55-ASA1-AA1,1291,11 1730. Page 1177, line 3: delete "$3,000,000" and substitute "$5,000,000".

SB55-ASA1-AA1,1291,12 1731. Page 1180, line 15: after that line insert:

SB55-ASA1-AA1,1291,13 " Section 3734. 601.415 (13) of the statutes is created to read:

SB55-ASA1-AA1,1291,18 601.415 (13) Substantially similar health care benefits coverage rules. The commissioner shall promulgate the rules required under s. 111.70 (4) (cm) 8s. b. and (om), setting out a standardized summary of benefits provided under health care coverage policies and plans for use in determining benefit similarities and differences among policies and plans.".

SB55-ASA1-AA1,1291,19 1732. Page 1180, line 21: after that line insert:

SB55-ASA1-AA1,1291,20 " Section 3737m. 601.73 (2) (c) of the statutes is amended to read:

SB55-ASA1-AA1,1292,3 601.73 (2) (c) Default judgment. No plaintiff or complainant is entitled to a judgment by default in any proceeding in which process is served under this section and s. 601.72 until the expiration of 45 days after the date of mailing of the process under par. (b). If the proceeding is to foreclose or otherwise enforce a lien or security interest, the plaintiff or complainant is not entitled to a judgment by default under this paragraph until the expiration of 20 days after the date of mailing of the process under par. (b).".

SB55-ASA1-AA1,1292,4 1733. Page 1180, line 21: after that line insert:

SB55-ASA1-AA1,1292,5 " Section 3741d. 607.25 of the statutes is created to read:

SB55-ASA1-AA1,1292,18 607.25 Loan to general fund. No later than the first day of the 2nd month after the effective date of this section .... [revisor inserts date], the life fund shall make a loan of $850,000 to the general fund. Interest shall accrue on the principle balance at the average rate earned by the state on its deposits in the state investment fund during the period of the loan. The general fund shall repay the loan from moneys lapsed to the general fund from the appropriation under s. 20.515 (2) (a) at the end of the 2001-03 fiscal biennium, if any, and from moneys lapsed to the general fund from the appropriation under s. 20.515 (2) (g) in the amounts specified in s. 40.98 (6m). If the secretary of administration determines that the moneys lapsed from these appropriations will not be sufficient to repay the loan within a reasonable period of time, as determined by the secretary and the commissioner, the secretary shall transfer from the general fund to the life fund an amount sufficient to repay the loan.".

SB55-ASA1-AA1,1292,19 1734. Page 1180, line 21: after that line insert:

SB55-ASA1-AA1,1292,20 " Section 3741m. 609.795 of the statutes is created to read:

SB55-ASA1-AA1,1292,23 609.795 Prohibiting denial of payment for certain procedures. Limited service health organizations, preferred provider plans, and managed care plans are subject to s. 632.872.".

SB55-ASA1-AA1,1292,24 1735. Page 1180, line 21: after that line insert:

SB55-ASA1-AA1,1293,2 " Section 3741f. 609.10 (title) of the statutes, as affected by 1999 Wisconsin Act 9, is amended to read:

SB55-ASA1-AA1,1293,3 609.10 (title) Standard plan and point-of-service option plan required.

SB55-ASA1-AA1, s. 3741g Section 3741g. 609.10 (1) (ac) of the statutes, as created by 1999 Wisconsin Act 9, is repealed.

SB55-ASA1-AA1, s. 3741h Section 3741h. 609.10 (1) (am) of the statutes, as affected by 1999 Wisconsin Act 9, is amended to read:

SB55-ASA1-AA1,1293,12 609.10 (1) (am) Except as provided in subs. (2) to (4), an employer that offers any of its employees a health maintenance organization or a preferred provider plan that provides comprehensive health care services shall also offer the employees a standard plan that provides at least substantially equivalent coverage of health care expenses and a point-of-service option plan, as provided in pars. (b) and (c).

SB55-ASA1-AA1, s. 3741i Section 3741i. 609.10 (1) (c) of the statutes, as affected by 1999 Wisconsin Act 9, is amended to read:

SB55-ASA1-AA1,1293,19 609.10 (1) (c) The employer shall provide the employees adequate notice of the opportunity to enroll in the health care plans under par. (am) and shall provide the employees complete and understandable information concerning the differences among between the health maintenance organization or preferred provider plan, and the standard plan and the point-of-service option plan.

SB55-ASA1-AA1, s. 3741j Section 3741j. 609.10 (3) (intro.) and (a) of the statutes, as affected by 1999 Wisconsin Act 9, are consolidated, renumbered 609.10 (3) and amended to read:

SB55-ASA1-AA1,1293,23 609.10 (3) Subsection (1) does not apply to an employer that does any of the following: (a) Employs employs fewer than 25 full-time employees.

SB55-ASA1-AA1, s. 3741k Section 3741k. 609.10 (3) (b) of the statutes, as created by 1999 Wisconsin Act 9, is repealed.

SB55-ASA1-AA1, s. 3741L Section 3741L. 609.10 (6) of the statutes is repealed.

SB55-ASA1-AA1, s. 3741m Section 3741m. 609.20 (4) of the statutes, as affected by 1999 Wisconsin Act 9, is amended to read:

SB55-ASA1-AA1,1294,12 609.20 (4) To ensure that employees offered a health maintenance organization or a preferred provider plan that provides comprehensive services under s. 609.10 (1) (am) are given adequate notice of the opportunity to enroll, as well as complete and understandable information under s. 609.10 (1) (c) concerning the differences among between the health maintenance organization or preferred provider plan, and the standard plan and the point-of-service option plan, as defined in s. 609.10 (1) (ac), including differences among between providers available and differences resulting from special limitations or requirements imposed by an institutional provider because of its affiliation with a religious organization.".

SB55-ASA1-AA1,1294,13 1736. Page 1180, line 21: after that line insert:

SB55-ASA1-AA1,1294,14 " Section 3741amc. Chapter 609 (title) of the statutes is amended to read:

SB55-ASA1-AA1,1294,15 CHAPTER 609

SB55-ASA1-AA1,1294,16 MANAGED CARE Defined network PLANS

SB55-ASA1-AA1, s. 3741amg Section 3741amg. 609.01 (1d) of the statutes is amended to read:

SB55-ASA1-AA1,1294,20 609.01 (1d) "Enrollee" means, with respect to a managed care defined network plan, preferred provider plan, or limited service health organization, a person who is entitled to receive health care services under the plan.

SB55-ASA1-AA1, s. 3741amp Section 3741amp. 609.01 (3c) of the statutes is renumbered 609.01 (1b) and amended to read:

SB55-ASA1-AA1,1295,3 609.01 (1b) "Managed care Defined network plan" means a health benefit plan that requires an enrollee of the health benefit plan, or creates incentives, including financial incentives, for an enrollee of the health benefit plan, to use providers that are managed, owned, under contract with, or employed by the insurer offering the health benefit plan.

SB55-ASA1-AA1, s. 3741amt Section 3741amt. 609.01 (3m) of the statutes is amended to read:

SB55-ASA1-AA1,1295,9 609.01 (3m) "Participating" means, with respect to a physician or other provider, under contract with a managed care defined network plan, preferred provider plan, or limited service health organization to provide health care services, items or supplies to enrollees of the managed care defined network plan, preferred provider plan, or limited service health organization.

SB55-ASA1-AA1, s. 3741bmg Section 3741bmg. 609.01 (4) of the statutes is amended to read:

SB55-ASA1-AA1,1295,17 609.01 (4) "Preferred provider plan" means a health care plan offered by an organization established under ch. 185, 611, 613, or 614 or issued a certificate of authority under ch. 618 that makes available to its enrollees, without referral and for consideration other than predetermined periodic fixed payments, coverage of either comprehensive health care services or a limited range of health care services, regardless of whether the health care services are performed by participating or nonparticipating providers participating in the plan.

SB55-ASA1-AA1, s. 3741bmp Section 3741bmp. 609.01 (5) of the statutes is amended to read:

SB55-ASA1-AA1,1295,22 609.01 (5) "Primary provider" means a participating primary care physician, or other participating provider authorized by the managed care defined network plan, preferred provider plan, or limited service health organization to serve as a primary provider, who coordinates and may provide ongoing care to an enrollee.

SB55-ASA1-AA1, s. 3741bmt Section 3741bmt. 609.05 (1) of the statutes is amended to read:

SB55-ASA1-AA1,1296,3 609.05 (1) Except as provided in subs. (2) and (3), a limited service health organization, preferred provider plan, or managed care defined network plan shall permit its enrollees to choose freely among participating providers.

SB55-ASA1-AA1, s. 3741cmg Section 3741cmg. 609.05 (2) of the statutes is amended to read:

SB55-ASA1-AA1,1296,8 609.05 (2) Subject to s. 609.22 (4) and (4m), a limited service health organization, preferred provider plan, or managed care defined network plan may require an enrollee to designate a primary provider and to obtain health care services from the primary provider when reasonably possible.

SB55-ASA1-AA1, s. 3741cmp Section 3741cmp. 609.05 (3) of the statutes is amended to read:

SB55-ASA1-AA1,1296,14 609.05 (3) Except as provided in ss. 609.22 (4m), 609.65, and 609.655, a limited service health organization, preferred provider plan, or managed care defined network plan may require an enrollee to obtain a referral from the primary provider designated under sub. (2) to another participating provider prior to obtaining health care services from that participating provider.

SB55-ASA1-AA1, s. 3741cmr Section 3741cmr. 609.10 (5) of the statutes is amended to read:

SB55-ASA1-AA1,1296,18 609.10 (5) The commissioner may establish by rule standards in addition to those any established under s. 609.20 for what constitutes adequate notice and complete and understandable information under sub. (1) (c).

SB55-ASA1-AA1, s. 3741cmt Section 3741cmt. 609.17 of the statutes is amended to read:

SB55-ASA1-AA1,1296,25 609.17 Reports of disciplinary action. Every limited service health organization, preferred provider plan, and managed care defined network plan shall notify the medical examining board or appropriate affiliated credentialing board attached to the medical examining board of any disciplinary action taken against a participating provider who holds a license or certificate granted by the board or affiliated credentialing board.

SB55-ASA1-AA1, s. 3741dmg Section 3741dmg. 609.20 (title) of the statutes is amended to read:

SB55-ASA1-AA1,1297,3 609.20 (title) Rules for preferred provider and managed care defined network plans.

SB55-ASA1-AA1, s. 3741dmp Section 3741dmp. 609.20 (intro.) of the statutes is renumbered 609.20 (1m) (intro.) and amended to read:

SB55-ASA1-AA1,1297,8 609.20 (1m) (intro.) The commissioner shall may promulgate rules relating to preferred provider plans and managed care defined network plans for all any of the following purposes, as appropriate:

SB55-ASA1-AA1, s. 3741dmt Section 3741dmt. 609.20 (1) of the statutes is renumbered 609.20 (1m) (a).

SB55-ASA1-AA1, s. 3741emg Section 3741emg. 609.20 (2) of the statutes is renumbered 609.20 (1m) (b).

SB55-ASA1-AA1, s. 3741emp Section 3741emp. 609.20 (2m) of the statutes is created to read:

SB55-ASA1-AA1,1297,16 609.20 (2m) Any rule promulgated under this chapter shall recognize the differences between preferred provider plans and other types of defined network plans, take into account the fact that preferred provider plans provide coverage for the services of nonparticipating providers, and be appropriate to the type of plan to which the rule applies.

SB55-ASA1-AA1, s. 3741emt Section 3741emt. 609.20 (3) of the statutes, as affected by 1999 Wisconsin Act 9, is renumbered 609.20 (1m) (c).

SB55-ASA1-AA1, s. 3741fmg Section 3741fmg. 609.20 (4) of the statutes, as affected by 2001 Wisconsin Act 9, is renumbered 609.20 (1m) (d).