LRBa1471/1
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2007 - 2008 LEGISLATURE
ASSEMBLY AMENDMENT 1,
TO ASSEMBLY SUBSTITUTE AMENDMENT 1,
TO 2007 SENATE BILL 178
February 28, 2008 - Offered by Representative Hixson.
SB178-ASA1-AA1,1,107
40.51
(8) Every health care coverage plan offered by the state under sub. (6)
8shall comply with ss. 631.89, 631.90, 631.93 (2), 631.95, 632.72 (2), 632.746 (1) to (8)
9and (10), 632.747, 632.748, 632.83, 632.835, 632.85, 632.853, 632.855, 632.87 (3) to
10(5) (6), 632.895 (5m) and (8) to
(15) (16), and 632.896.
SB178-ASA1-AA1,2,3
140.51
(8m) Every health care coverage plan offered by the group insurance
2board under sub. (7) shall comply with ss. 631.95, 632.746 (1) to (8) and (10), 632.747,
3632.748, 632.83, 632.835, 632.85, 632.853, 632.855, and 632.895 (11) to
(15) (16).".
SB178-ASA1-AA1,2,138
66.0137
(4) Self-insured health plans. If a city, including a 1st class city, or
9a village provides health care benefits under its home rule power, or if a town
10provides health care benefits, to its officers and employees on a self-insured basis,
11the self-insured plan shall comply with ss. 49.493 (3) (d), 631.89, 631.90, 631.93 (2),
12632.746 (10) (a) 2. and (b) 2., 632.747 (3), 632.85, 632.853, 632.855, 632.87 (4)
and, 13(5),
and (6), 632.895 (9) to
(15)
(16), 632.896, and
767.25 (4m) (d) 767.513 (4).
SB178-ASA1-AA1,2,1615
111.91
(2) (n) The provision to employees of the health insurance coverage
16required under s. 632.895 (11) to (14)
, and (16).
SB178-ASA1-AA1,2,2219
120.13
(2) (g) Every self-insured plan under par. (b) shall comply with ss.
2049.493 (3) (d), 631.89, 631.90, 631.93 (2), 632.746 (10) (a) 2. and (b) 2., 632.747 (3),
21632.85, 632.853, 632.855, 632.87 (4)
and, (5),
and (6), 632.895 (9) to
(15)
(16), 632.896,
22and
767.25 (4m) (d) 767.513 (4).".
SB178-ASA1-AA1,3,63
185.981
(4t) A sickness care plan operated by a cooperative association is
4subject to ss. 252.14, 631.17, 631.89, 631.95, 632.72 (2), 632.745 to 632.749, 632.85,
5632.853, 632.855, 632.87 (2m), (3), (4),
and (5),
and (6), 632.895 (10) to
(15) (16), and
6632.897 (10) and chs. 149 and 155.
SB178-ASA1-AA1,3,159
185.983
(1) (intro.) Every such voluntary nonprofit sickness care plan shall be
10exempt from chs. 600 to 646, with the exception of ss. 601.04, 601.13, 601.31, 601.41,
11601.42, 601.43, 601.44, 601.45, 611.67, 619.04, 628.34 (10), 631.17, 631.89, 631.93,
12631.95, 632.72 (2), 632.745 to 632.749, 632.775, 632.79, 632.795, 632.85, 632.853,
13632.855, 632.87 (2m), (3), (4),
and (5),
and (6), 632.895 (5) and (9) to
(15) (16), 632.896,
14and 632.897 (10) and chs. 609, 630, 635, 645
, and 646, but the sponsoring association
15shall:
SB178-ASA1-AA1,3,18
17609.87 Coverage of treatment for autism spectrum disorders. Defined
18network plans are subject to s. 632.895 (16).
SB178-ASA1-AA1,3,2120
632.895
(16) Treatment for autism spectrum disorders. (a) In this subsection,
21"autism spectrum disorder" means any of the following:
SB178-ASA1-AA1,3,2222
1. Autism disorder.
SB178-ASA1-AA1,3,2323
2. Asperger's syndrome.
SB178-ASA1-AA1,3,2424
3. Pervasive developmental disorder not otherwise specified.
SB178-ASA1-AA1,4,4
1(b) Except as provided in par. (d), every disability insurance policy, and every
2self-insured health plan of the state or a county, city, town, village, or school district,
3shall provide coverage for an insured of treatment for an autism spectrum disorder
4if the treatment is provided by any of the following:
SB178-ASA1-AA1,4,55
1. A psychiatrist, as defined in s. 146.34 (1) (h).
SB178-ASA1-AA1,4,66
2. A person who practices psychology, as described in s. 455.01 (5).
SB178-ASA1-AA1,4,87
3. A social worker, as defined in s. 252.15 (1) (er), who is certified or licensed
8to practice psychotherapy, as defined in s. 457.01 (8m).
SB178-ASA1-AA1,4,109
4. A paraprofessional working under the supervision of a provider listed under
10subds. 1. to 3.
SB178-ASA1-AA1,4,1211
5. A professional working under the supervision of an outpatient mental health
12clinic certified under s. 51.038.
SB178-ASA1-AA1,4,1313
6. A speech-language pathologist, as defined in s. 459.20 (4).
SB178-ASA1-AA1,4,1614
(c) The coverage required under par. (b) may be subject to any limitations,
15exclusions, and cost-sharing provisions that apply generally under the disability
16insurance policy or self-insured health plan.
SB178-ASA1-AA1,4,1717
(d) This subsection does not apply to any of the following:
SB178-ASA1-AA1,4,1818
1. A disability insurance policy that covers only certain specified diseases.
SB178-ASA1-AA1,4,2119
2. A health care plan offered by a limited service health organization, as defined
20in s. 609.01 (3), or by a preferred provider plan, as defined in s. 609.01 (4), that is not
21a defined network plan, as defined in s. 609.01 (1b).
SB178-ASA1-AA1,4,2222
3. A long-term care insurance policy.
SB178-ASA1-AA1,4,2323
4. A medicare replacement policy or a medicare supplement policy.".
SB178-ASA1-AA1,5,4
2(1) Insurance coverage of autism treatment. The treatment of sections 40.51
3(8) and (8m), 66.0137 (4), 111.91 (2) (n), 120.13 (2) (g), 185.981 (4t), 185.983 (1)
4(intro.), 609.87, and 632.895 (16) of the statutes first applies to all of the following:
SB178-ASA1-AA1,5,85
(a) Except as provided in paragraphs (b) and (c
), disability insurance policies
6that are issued or renewed, and self-insured governmental or school district health
7plans that are established, extended, modified, or renewed, on the effective date of
8this paragraph.
SB178-ASA1-AA1,5,119
(b) Disability insurance policies covering employees who are affected by a
10collective bargaining agreement containing provisions inconsistent with this act
11that are issued or renewed on the earlier of the following:
SB178-ASA1-AA1,5,12
121. The day on which the collective bargaining agreement expires.
