LRBb0651/1
ALL:all:pg
2007 - 2008 LEGISLATURE
SENATE AMENDMENT 2,
TO SENATE SUBSTITUTE AMENDMENT 1,
TO 2007 SENATE BILL 40
June 26, 2007 - Offered by Senator
Robson.
SB40-SSA1-SA2,1,4
4"
Section 733mr. 36.27 (3n) (b) 2. of the statutes is amended to read:
SB40-SSA1-SA2,1,75
36.27
(3n) (b) 2.
An Except as provided in subd. 2m., an unremarried surviving
6spouse of an eligible veteran. The remission under this subdivision applies only
7during the first 10 years after the veteran died.
SB40-SSA1-SA2,2,29
36.27
(3n) (b) 2m. An unremarried surviving spouse of an eligible veteran who
10had a child with the eligible veteran. The remission under this subdivision applies
11only until 10 years after the youngest child that the spouse had with the eligible
1veteran reaches or would have reached 18 years of age, or during the first 10 years
2after the veteran died, whichever is longer.".
SB40-SSA1-SA2,2,4
4"
Section 738mr. 38.24 (7) (b) 2. of the statutes is amended to read:
SB40-SSA1-SA2,2,75
38.24
(7) (b) 2.
An Except as provided in subd. 2m., an unremarried surviving
6spouse of an eligible veteran. The remission under this subdivision applies only
7during the first 10 years after the veteran died.
SB40-SSA1-SA2,2,139
38.24
(7) (b) 2m. An unremarried surviving spouse of an eligible veteran who
10had a child with the eligible veteran. The remission under this subdivision applies
11only until 10 years after the youngest child that the spouse had with the eligible
12veteran reaches or would have reached 18 years of age, or during the first 10 years
13after the veteran died, whichever is longer.".
SB40-SSA1-SA2,2,1916
40.51
(8) Every health care coverage plan offered by the state under sub. (6)
17shall comply with ss. 631.89, 631.90, 631.93 (2), 631.95, 632.72 (2), 632.746 (1) to (8)
18and (10), 632.747, 632.748, 632.83, 632.835, 632.85, 632.853, 632.855, 632.87 (3) to
19(6), 632.895 (5m) and (8) to
(14) (15), and 632.896.
SB40-SSA1-SA2,2,2321
40.51
(8m) Every health care coverage plan offered by the group insurance
22board under sub. (7) shall comply with ss. 631.95, 632.746 (1) to (8) and (10), 632.747,
23632.748, 632.83, 632.835, 632.85, 632.853, 632.855
, and 632.895 (11) to
(14) (15).".
SB40-SSA1-SA2,3,2
1"
Section 1545t. 49.45 (22) of the statutes is renumbered 49.45 (22) (intro.) and
2amended to read:
SB40-SSA1-SA2,3,63
49.45
(22) Medical assistance services provided by health maintenance
4organizations. (intro.) If the department contracts with health maintenance
5organizations for the provision of medical assistance it shall
give do all of the
6following:
SB40-SSA1-SA2,3,11
7(a) Give special consideration to health maintenance organizations that
8provide or that contract to provide comprehensive, specialized health care services
9to pregnant teenagers.
If the department contracts with health maintenance
10organizations for the provision of medical assistance, the department shall
11determine
SB40-SSA1-SA2,3,19
12(b) Determine which medical assistance recipients who have attained the age
13of 2 but have not attained the age of 6 and who are at risk for lead poisoning have
14not received lead screening from those health maintenance organizations
. The
15department shall and report annually to the appropriate standing committees of the
16legislature under s. 13.172 (3) on the percentage of medical assistance recipients
17under the age of 2 who received a lead screening test in that year provided by a health
18maintenance organization compared with the percentage that the department set as
19a goal for that year.
SB40-SSA1-SA2,3,2521
49.45
(22) (c) 1. Calculate that portion of any increase in the capitation rate
22paid to each health maintenance organization under this subsection after the
23effective date of this paragraph .... [revisor inserts date], if the increase is made to
24reflect increases in fee-for-service medical assistance payment rates to one or more
25class of providers.
SB40-SSA1-SA2,4,6
12. Require each health maintenance organization to increase its payments to
2any class of providers for services to medical assistance recipients in amounts that
3the department determines are consistent with both the purpose and intent of the
4fee-for-service rate increase and the objective of reducing unnecessary utilization
5through managed care, and to amend its contracts with service providers
6correspondingly.
SB40-SSA1-SA2,4,87
3. Conduct audits to ensure that health maintenance organizations comply
8with the requirement of this paragraph.".
SB40-SSA1-SA2,4,1611
66.0137
(4) Self-insured health plans. If a city, including a 1st class city, or
12a village provides health care benefits under its home rule power, or if a town
13provides health care benefits, to its officers and employees on a self-insured basis,
14the self-insured plan shall comply with ss. 49.493 (3) (d), 631.89, 631.90, 631.93 (2),
15632.746 (10) (a) 2. and (b) 2., 632.747 (3), 632.85, 632.853, 632.855, 632.87 (4), (5),
16and (6), 632.895 (9) to
(14) (15), 632.896
, and 767.513 (4).".
SB40-SSA1-SA2,4,2019
111.91
(2) (n) The provision to employees of the health insurance coverage
20required under s. 632.895 (11) to
(14) (15).".
SB40-SSA1-SA2,5,223
120.13
(2) (g) Every self-insured plan under par. (b) shall comply with ss.
2449.493 (3) (d), 631.89, 631.90, 631.93 (2), 632.746 (10) (a) 2. and (b) 2., 632.747 (3),
1632.85, 632.853, 632.855, 632.87 (4), (5), and (6), 632.895 (9) to
(14) (15), 632.896
, and
2767.513 (4).".
SB40-SSA1-SA2,5,85
185.981
(4t) A sickness care plan operated by a cooperative association is
6subject to ss. 252.14, 631.17, 631.89, 631.95, 632.72 (2), 632.745 to 632.749, 632.85,
7632.853, 632.855, 632.87 (2m), (3), (4), (5), and (6), 632.895 (10) to
(14) (15), and
8632.897 (10) and chs. 149 and 155.
SB40-SSA1-SA2,5,1610
185.983
(1) (intro.) Every such voluntary nonprofit sickness care plan shall be
11exempt from chs. 600 to 646, with the exception of ss. 601.04, 601.13, 601.31, 601.41,
12601.42, 601.43, 601.44, 601.45, 611.67, 619.04, 628.34 (10), 631.17, 631.89, 631.93,
13631.95, 632.72 (2), 632.745 to 632.749, 632.775, 632.79, 632.795, 632.85, 632.853,
14632.855, 632.87 (2m), (3), (4), (5), and (6), 632.895 (5) and (9) to
(14) (15), 632.896
, and
15632.897 (10) and chs. 609, 630, 635, 645
, and 646, but the sponsoring association
16shall:".
SB40-SSA1-SA2,5,20
19609.87 Coverage of treatment for autism spectrum disorders. Defined
20network plans are subject to s. 632.895 (15).".
SB40-SSA1-SA2,6,2
23632.726 Current procedural terminology code changes. (1) In this
24section, "current procedural terminology code" means a number established by the
1American Medical Association that a health care provider puts on a health insurance
2claim form to describe the services that he or she performed.
