Amendment CA1-SSA1-SB55

SB55-SSA1-CA1,912,8 (2) (a) The department may, with the approval of the joint committee on finance, designate one area in the state as an agricultural development zone. The 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-SSA1-CA1,912,16 (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-SSA1-CA1,912,21 (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-SSA1-CA1,913,2 (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-SSA1-CA1,913,4 (4) (a) The department of commerce shall notify the department of revenue of all the following:

SB55-SSA1-CA1,913,5 1. An agricultural development zone's designation.

SB55-SSA1-CA1,913,7 2. A business' certification and the limit on the amount of tax benefits that the business may claim.

SB55-SSA1-CA1,913,8 3. The revocation of a business' certification.

SB55-SSA1-CA1,913,11 (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-SSA1-CA1,913,13 (5) The department shall promulgate rules for the operation of this section, including rules related to all the following:

SB55-SSA1-CA1,913,14 (a) Criteria for designating an area as an agricultural development zone.

SB55-SSA1-CA1,913,15 (b) Criteria for certifying a business for tax benefits.

SB55-SSA1-CA1,913,17 (c) Standards for establishing the limit on the amount of tax benefits that a business may claim.

SB55-SSA1-CA1,913,18 (d) Reporting requirements for certified businesses.

SB55-SSA1-CA1,913,20 (e) The exchange of information between the department of commerce and the department of revenue.

SB55-SSA1-CA1,913,21 (f) Reasons for revoking a business' certification.

SB55-SSA1-CA1,913,23 (g) Standards for changing the boundaries of an agricultural development zone.".

SB55-SSA1-CA1,913,24 1465. Page 1176, line 12: after that line insert:

SB55-SSA1-CA1,914,1 " Section 3710j. 560.80 (8) of the statutes is amended to read:

SB55-SSA1-CA1,914,4 560.80 (8) "Minority business" means a minority business, as defined in s. 560.036 (1) (e), business certified by the department under s. 560.036 (2) that has its principal place of business in this state.".

SB55-SSA1-CA1,914,7 1466. Page 1176, line 20: delete that line and substitute "under s. 71.07 (2di), (2dm), (2dx), or (3g), 71.28 (1di), (1dm), (1dx), or (3g), or 71.47 (1di), (1dm), (1dx), or (3g).".

SB55-SSA1-CA1,914,8 1467. Page 1176, line 21: delete lines 21 to 23 and substitute:

SB55-SSA1-CA1,914,11 "(2) (a) The department may, with the approval of the joint committee on finance, designate up to 8 areas in the state as technology zones. A business that is located in a technology zone and".

SB55-SSA1-CA1,914,12 1468. Page 1177, line 3: delete "$3,000,000" and substitute "$5,000,000".

SB55-SSA1-CA1,914,15 1469. Page 1178, line 17: delete that line and substitute "department under ss. 71.07 (2di), (2dm), (2dx), and (3g), 71.28 (1di), (1dm), (1dx), and (3g), and 71.47 (1di), (1dm), (1dx), and (3g).".

SB55-SSA1-CA1,914,16 1470. Page 1179, line 19: after that line insert:

SB55-SSA1-CA1,914,17 " Section 3713jm. 562.065 (4) of the statutes is amended to read:

SB55-SSA1-CA1,914,23 562.065 (4) Unclaimed prizes. Any A licensee under s. 562.05 (1) (b) shall pay to the department 50% of any winnings on a race which that are not claimed within 90 days after the end of the period authorized for racing in that year under s. 562.05 (9) shall be paid to the department. The department shall credit moneys received under this subsection to the appropriation accounts under ss. 20.455 (2) (g) and 20.505 (8) (g). The licensee may retain the remaining 50% of the winnings.".

SB55-SSA1-CA1,914,24 1471. Page 1180, line 21: after that line insert:

SB55-SSA1-CA1,915,1 " Section 3737m. 601.73 (2) (c) of the statutes is amended to read:

SB55-SSA1-CA1,915,8 601.73 (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-SSA1-CA1,915,9 1472. Page 1180, line 21: after that line insert:

SB55-SSA1-CA1,915,10 " Section 3741amc. Chapter 609 (title) of the statutes is amended to read:

SB55-SSA1-CA1,915,11 CHAPTER 609

SB55-SSA1-CA1,915,12 MANAGED CARE Defined network PLANS

SB55-SSA1-CA1, s. 3741amg Section 3741amg. 609.01 (1d) of the statutes is amended to read:

SB55-SSA1-CA1,915,16 609.01 (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-SSA1-CA1, s. 3741amp Section 3741amp. 609.01 (3c) of the statutes is renumbered 609.01 (1b) and amended to read:

SB55-SSA1-CA1,915,23 609.01 (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-SSA1-CA1, s. 3741amt Section 3741amt. 609.01 (3m) of the statutes is amended to read:

SB55-SSA1-CA1,916,5 609.01 (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-SSA1-CA1, s. 3741bmg Section 3741bmg. 609.01 (4) of the statutes is amended to read:

SB55-SSA1-CA1,916,13 609.01 (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-SSA1-CA1, s. 3741bmp Section 3741bmp. 609.01 (5) of the statutes is amended to read:

SB55-SSA1-CA1,916,18 609.01 (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-SSA1-CA1, s. 3741bmt Section 3741bmt. 609.05 (1) of the statutes is amended to read:

SB55-SSA1-CA1,916,22 609.05 (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-SSA1-CA1, s. 3741cmg Section 3741cmg. 609.05 (2) of the statutes is amended to read:

SB55-SSA1-CA1,917,2 609.05 (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-SSA1-CA1, s. 3741cmp Section 3741cmp. 609.05 (3) of the statutes is amended to read:

SB55-SSA1-CA1,917,8 609.05 (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-SSA1-CA1, s. 3741cmr Section 3741cmr. 609.10 (5) of the statutes is amended to read:

SB55-SSA1-CA1,917,12 609.10 (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-SSA1-CA1, s. 3741cmt Section 3741cmt. 609.17 of the statutes is amended to read:

SB55-SSA1-CA1,917,19 609.17 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-SSA1-CA1, s. 3741dmg Section 3741dmg. 609.20 (title) of the statutes is amended to read:

SB55-SSA1-CA1,917,22 609.20 (title) Rules for preferred provider and managed care defined network plans.

SB55-SSA1-CA1, s. 3741dmp Section 3741dmp. 609.20 (intro.) of the statutes is renumbered 609.20 (1m) (intro.) and amended to read:

SB55-SSA1-CA1,918,3 609.20 (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-SSA1-CA1, s. 3741dmt Section 3741dmt. 609.20 (1) of the statutes is renumbered 609.20 (1m) (a).

SB55-SSA1-CA1, s. 3741emg Section 3741emg. 609.20 (2) of the statutes is renumbered 609.20 (1m) (b).

SB55-SSA1-CA1, s. 3741emp Section 3741emp. 609.20 (2m) of the statutes is created to read:

SB55-SSA1-CA1,918,11 609.20 (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-SSA1-CA1, s. 3741emt Section 3741emt. 609.20 (3) of the statutes, as affected by 1999 Wisconsin Act 9, is renumbered 609.20 (1m) (c).

SB55-SSA1-CA1, s. 3741fmg Section 3741fmg. 609.20 (4) of the statutes, as affected by 2001 Wisconsin Act 9, is renumbered 609.20 (1m) (d).

SB55-SSA1-CA1, s. 3741fmp Section 3741fmp. 609.22 (1) of the statutes is amended to read:

SB55-SSA1-CA1,918,20 609.22 (1) Providers. A managed care defined network plan shall include a sufficient number, and sufficient types, of qualified providers to meet the anticipated needs of its enrollees, with respect to covered benefits, as appropriate to the type of plan and consistent with normal practices and standards in the geographic area.

SB55-SSA1-CA1, s. 3741fmt Section 3741fmt. 609.22 (2) of the statutes is amended to read:

SB55-SSA1-CA1,918,25 609.22 (2) Adequate choice. A managed care defined network plan that is not a preferred provider plan shall ensure that, with respect to covered benefits, each enrollee has adequate choice among participating providers and that the providers are accessible and qualified.

SB55-SSA1-CA1, s. 3741gmg Section 3741gmg. 609.22 (3) of the statutes is amended to read:

SB55-SSA1-CA1,919,9 609.22 (3) Primary provider selection. A managed care defined network plan that is not a preferred provider plan shall permit each enrollee to select his or her own primary provider from a list of participating primary care physicians and any other participating providers that are authorized by the managed care defined network plan to serve as primary providers. The list shall be updated on an ongoing basis and shall include a sufficient number of primary care physicians and any other participating providers authorized by the plan to serve as primary providers who are accepting new enrollees.

SB55-SSA1-CA1, s. 3741gmp Section 3741gmp. 609.22 (4) (a) 1. of the statutes is amended to read:

SB55-SSA1-CA1,919,16 609.22 (4) (a) 1. If a managed care defined network plan that is not a preferred provider plan requires a referral to a specialist for coverage of specialist services, the managed care defined network plan that is not a preferred provider plan shall establish a procedure by which an enrollee may apply for a standing referral to a specialist. The procedure must specify the criteria and conditions that must be met in order for an enrollee to obtain a standing referral.

SB55-SSA1-CA1, s. 3741gmt Section 3741gmt. 609.22 (4) (a) 2. of the statutes is amended to read:

SB55-SSA1-CA1,920,2 609.22 (4) (a) 2. A managed care defined network plan that is not a preferred provider plan may require the enrollee's primary provider to remain responsible for coordinating the care of an enrollee who receives a standing referral to a specialist. A managed care defined network plan that is not a preferred provider plan may restrict the specialist from making any secondary referrals without prior approval by the enrollee's primary provider. If an enrollee requests primary care services from a specialist to whom the enrollee has a standing referral, the specialist, in agreement with the enrollee and the enrollee's primary provider, may provide primary care services to the enrollee in accordance with procedures established by the managed care defined network plan that is not a preferred provider plan.

SB55-SSA1-CA1, s. 3741hmg Section 3741hmg. 609.22 (4) (a) 3. of the statutes is amended to read:

SB55-SSA1-CA1,920,7 609.22 (4) (a) 3. A managed care defined network plan that is not a preferred provider plan must include information regarding referral procedures in policies or certificates provided to enrollees and must provide such information to an enrollee or prospective enrollee upon request.

SB55-SSA1-CA1, s. 3741hmp Section 3741hmp. 609.22 (4m) (a) of the statutes is amended to read:

SB55-SSA1-CA1,920,17 609.22 (4m) (a) A managed care defined network plan that provides coverage of obstetric or gynecologic services may not require a female enrollee of the managed care defined network plan to obtain a referral for covered obstetric or gynecologic benefits provided by a participating provider who is a physician licensed under ch. 448 and who specializes in obstetrics and gynecology, regardless of whether the participating provider is the enrollee's primary provider. Notwithstanding sub. (4), the managed care defined network plan may not require the enrollee to obtain a standing referral under the procedure established under sub. (4) (a) for covered obstetric or gynecologic benefits.

SB55-SSA1-CA1, s. 3741hmt Section 3741hmt. 609.22 (4m) (b) (intro.) of the statutes is amended to read:

SB55-SSA1-CA1,920,20 609.22 (4m) (b) (intro.) A managed care defined network plan under par. (a) may not do any of the following:

SB55-SSA1-CA1, s. 3741img Section 3741img. 609.22 (4m) (c) of the statutes is amended to read:

SB55-SSA1-CA1,920,24 609.22 (4m) (c) A managed care defined network plan under par. (a) shall provide written notice of the requirement under par. (a) in every policy or group certificate issued by the managed care defined network plan.

SB55-SSA1-CA1, s. 3741imp Section 3741imp. 609.22 (5) of the statutes is amended to read:

SB55-SSA1-CA1,921,3 609.22 (5) Second opinions. A managed care defined network plan shall provide an enrollee with coverage for a 2nd opinion from another participating provider.

SB55-SSA1-CA1, s. 3741imt Section 3741imt. 609.22 (6) (intro.) of the statutes is amended to read:

SB55-SSA1-CA1,921,7 609.22 (6) Emergency care. (intro.) Notwithstanding s. 632.85, if a managed care defined network plan provides coverage of emergency services, with respect to covered benefits, the managed care defined network plan shall do all of the following:

SB55-SSA1-CA1, s. 3741jmg Section 3741jmg. 609.22 (7) of the statutes is amended to read:

SB55-SSA1-CA1,921,15 609.22 (7) Telephone access. A managed care defined network plan that is not a preferred provider plan shall provide telephone access for sufficient time during business and evening hours to ensure that enrollees have adequate access to routine health care services for which coverage is provided under the plan. A managed care defined network plan that is not a preferred provider plan shall provide 24-hour telephone access to the plan or to a participating provider for emergency care, or authorization for care, for which coverage is provided under the plan.