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-AA1,2,23 235. Page 3, line 3: after that line insert:
SB178-ASA1-AA1,3,2
1" Section 2d. 185.981 (4t) of the statutes, as affected by 2007 Wisconsin Act 36,
2is amended to read:
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, s. 2f 7Section 2f. 185.983 (1) (intro.) of the statutes, as affected by 2007 Wisconsin
8Act 36
, is amended to read:
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, s. 2h 16Section 2h. 609.87 of the statutes is created to read:
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, s. 2m 19Section 2m. 632.895 (16) of the statutes is created to read:
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-AA1,4,24 246. Page 3, line 12: after that line insert:
SB178-ASA1-AA1,5,1
1" Section 4c. Initial applicability.
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.
SB178-ASA1-AA1,5,14 132. The day on which the collective bargaining agreement is extended, modified,
14or renewed.
SB178-ASA1-AA1,5,1815 (c) Self-insured governmental or school district health plans covering
16employees who are affected by a collective bargaining agreement containing
17provisions inconsistent with this act that are established, extended, modified, or
18renewed on the earlier of the following:
SB178-ASA1-AA1,5,19 191. The day on which the collective bargaining agreement expires.
SB178-ASA1-AA1,5,21 202. The day on which the collective bargaining agreement is extended, modified,
21or renewed.
SB178-ASA1-AA1, s. 5c 22Section 5c. Effective dates. This act takes effect on the day after publication,
23except as follows:
SB178-ASA1-AA1,6,2 24(1) Insurance coverage of autism treatment. The treatment of sections 40.51
25(8) and (8m), 66.0137 (4), 111.91 (2) (n), 120.13 (2) (g), 185.981 (4t), 185.983 (1)

1(intro.), 609.87, and 632.895 (16) of the statutes and Section 4c (1) of this act take
2effect on the first day of the 7th month beginning after publication.".
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