AB210-ASA1,18,2423 (a) Standards relating to benefits for mothers and newborns. Section 2725 (42
24USC 300gg-25
).
AB210-ASA1,19,2
1(b) Required coverage for reconstructive surgery following mastectomies.
2Section 2727 (42 USC 300gg-27).
AB210-ASA1,19,43 (c) Coverage of dependent students on medically necessary leave of absence.
4Section 2728 (42 USC 300gg-28).
AB210-ASA1,19,55 (d) No lifetime limit or annual limits. Section 2711 (42 USC 300gg-11).
AB210-ASA1,19,66 (e) Prohibition on rescissions. Section 2712 (42 USC 300gg-12).
AB210-ASA1,19,87 (f) Prohibition on preexisting condition exclusions for under age 19. Section
82704 (42 USC 300gg-04), but only for enrollees who are under 19 years of age.
AB210-ASA1,19,99 (g) Coverage of preventive health services. Section 2713 (42 USC 300gg-13).
AB210-ASA1,19,1010 (h) Extension of dependent coverage. Section 2714 (42 USC 300gg-14).
AB210-ASA1,19,1111 (i) Provision of additional information. Section 2715A (42 USC 300gg-15a).
AB210-ASA1,19,1312 (j) Patient protections; choice of health care professional. Section 2719A (a) (42
13USC 300gg-19a
(a)).
AB210-ASA1,19,1714 (k) Patient protections; coverage of emergency services. Section 2719A (b) (42
15USC 300gg-19a
(b)). In addition, an insurer also shall comply with s. 632.85 and an
16insurer that provides coverage under a defined network plan also shall comply with
17s. 609.22 (6).
AB210-ASA1,19,19 18(2) Grandfathered health plans. A grandfathered health plan shall comply
19with all of the following provisions of the Public Health Service Act:
AB210-ASA1,19,2120 (a) Coverage of dependent students on medically necessary leave of absence.
21Section 2728 (42 USC 300gg-28).
AB210-ASA1,19,2322 (b) Patient protections; coverage of emergency services. Section 2719A (b) (42
23USC 300gg-19a
(b)).
AB210-ASA1,20,3
1(3) Self-insured governmental health plans. A self-insured governmental
2health plan shall comply with all of the following provisions of the Public Health
3Service Act:
AB210-ASA1,20,54 (a) Coverage of dependent students on medically necessary leave of absence.
5Section 2728 (42 USC 300gg-28).
AB210-ASA1,20,66 (b) Extension of dependent coverage. Section 2714 (42 USC 300gg-14).
AB210-ASA1,20,97 (c) Patient protections; coverage of emergency services. Section 2719A (b) (42
8USC 300gg-19a
(b)). In addition, a self-insured governmental health plan also shall
9comply with s. 632.85.
AB210-ASA1,20,12 10(4) Additional requirements for insurers. With respect to health insurance
11coverage that is issued or renewed on or after March 23, 2012, all of the following
12apply:
AB210-ASA1,20,1413 (a) Insurers. An insurer shall comply with all of the following provisions of the
14Public Health Service Act:
AB210-ASA1,20,1615 1. `Uniform explanation of coverage documents and standardization of
16definitions.' Section 2715 (42 USC 300gg-15).
AB210-ASA1,20,17172. `Ensuring the quality of care.' Section 2717 (42 USC 300gg-17).
AB210-ASA1,20,2018 (b) Grandfathered health plans. A grandfathered health plan shall comply
19with section 2717 of the Public Health Service Act (42 USC 300gg-17), relating to
20ensuring the quality of care.
AB210-ASA1,20,25 21(5) Application of section to grandfathered health plans. In addition to
22subs. (2) and (4) (b), this section applies to a grandfathered health plan, but only with
23respect to those provisions of the Public Health Service Act referred to in this section
24that apply to a grandfathered health plan under section 1251 of the Patient
25Protection and Affordable Care Act.
AB210-ASA1,21,9
1636.35 Applicability if federal law found unconstitutional or repealed.
2(1) Unconstitutional. (a) If the Patient Protection and Affordable Care Act is found
3by a final decision of a federal court of competent jurisdiction to be unconstitutional
4in its entirety and unenforceable in this state, and if all appeals are exhausted or the
5time for appeal expires, on and after the first day of the 3rd month beginning after
6the date on which all appeals are exhausted or the time for appeal expires s. 636.10
7does not apply, any rules promulgated or requirements established under s. 636.10
8are void and may not be enforced, and insurers and self-insured governmental
9health plans are exempt from all of the following provisions:
AB210-ASA1,21,1010 1. Section 625.13 (3).
AB210-ASA1,21,1111 2. Section 636.18.
AB210-ASA1,21,1312 3. Section 636.25, except for the extension of dependent coverage requirements
13described in s. 636.25 (1) (h) and (3) (b).
AB210-ASA1,21,1514 4. Chapter 625 with respect to small employer health insurance and group and
15blanket accident and sickness insurance offered in the individual market.
AB210-ASA1,21,2116 (b) If the Patient Protection and Affordable Care Act is found by a final decision
17of a federal court of competent jurisdiction to be unconstitutional in part and
18unenforceable in part in this state, and if all appeals are exhausted or the time for
19appeal expires, on and after the first day of the 3rd month beginning after the date
20on which all appeals are exhausted or the time for appeal expires all of the following
21apply:
AB210-ASA1,22,222 1. Insurers and self-insured governmental health plans are exempt from any
23provisions of the Public Health Service Act referred to in ss. 636.18 and 636.25 that
24correspond to the provisions of the Patient Protection and Affordable Care Act that

1are found to be unconstitutional, except for the extension of dependent coverage
2requirements described in s. 636.25 (1) (h) and (3) (b).
AB210-ASA1,22,63 2. Section 636.10 does not apply with respect to the provisions described in
4subd. 1. from which insurers and self-insured governmental health plans are
5exempt, and any rules promulgated or requirements established under s. 636.10
6with respect to those provisions are void and unenforceable.
AB210-ASA1,22,9 7(2) Repealed. If any provision of the Public Health Service Act referred to in
8this chapter is repealed, on and after the date on which the repeal is effective all of
9the following apply:
AB210-ASA1,22,1310 (a) Insurers and self-insured governmental health plans are exempt from the
11provision of the Public Health Service Act referred to in this chapter that is repealed,
12except for the extension of dependent coverage requirements described in s. 636.25
13(1) (h) and (3) (b).
AB210-ASA1,22,1714 (b) Section 636.10 does not apply with respect to any provision described in par.
15(a) from which insurers and self-insured governmental health plans are exempt, and
16any rules promulgated or requirements established under s. 636.10 with respect to
17the provision are void and unenforceable.
AB210-ASA1,22,18 18(3) Inapplicability. This section does not apply after January 1, 2020.
AB210-ASA1, s. 44 19Section 44. Nonstatutory provisions.
AB210-ASA1,22,2320 (1) Establishment of health benefit exchange. Any health benefit exchange
21established in this state under section 1311 (b) of the Patient Protection and
22Affordable Care Act, as defined in section 636.01 (7) of the statutes, as created by this
23act, must be established by legislation.
AB210-ASA1, s. 45 24Section 45 . Initial applicability.
AB210-ASA1,23,6
1(1) Miscellaneous coverage requirements. The treatment of sections 40.51
2(8) (by Section 2 ) and (8m) (by Section 4 ), 49.67 (3) (am) 2. b., 66.0137 (4) (by Section
37), 111.91 (2) (n) and (nm), 111.998 (2) (n), 120.13 (2) (g) (by Section 14), 185.983 (1)
4(intro.) (by Section 16 ), 609.755, 632.76 (2) (ac) 1., 2., 3. (intro.), and 4., 632.885,
5632.895 (15) (c) (intro.), and 636.25 (1), (2), (3), and (5) of the statutes first applies
6to all of the following:
AB210-ASA1,23,97 (a) Except as provided in paragraphs (b), (c ), and (d), disability insurance
8policies that are newly issued, and self-insured governmental or school district
9health plans that are newly established on the effective date of this paragraph.
AB210-ASA1,23,1310 (b) Except as provided in paragraph (d), disability insurance policies, and
11self-insured governmental or school district health plans, that are grandfathered
12health plans, as defined in section 636.01 (2) of the statutes, as created by this act,
13that are renewed, extended, or modified on the effective date of this paragraph.
AB210-ASA1,23,1814 (c) Except as provided in paragraph (d), disability insurance policies, and
15self-insured governmental or school district health plans, covering employees who
16are affected by a collective bargaining agreement containing provisions inconsistent
17with this act that are newly issued or newly established on the earlier of the
18following:
AB210-ASA1,23,19 191. The day on which the collective bargaining agreement expires.
AB210-ASA1,23,21 202. The day on which the collective bargaining agreement is extended, modified,
21or renewed.
AB210-ASA1,24,222 (d) Disability insurance policies, and self-insured governmental or school
23district health plans, that are grandfathered health plans, as defined in section
24636.01 (2) of the statutes, as created by this act, that cover employees who are
25affected by a collective bargaining agreement containing provisions inconsistent

1with this act, and that are renewed, extended, or modified on the earlier of the
2following:
AB210-ASA1,24,3 31. The day on which the collective bargaining agreement expires.
AB210-ASA1,24,5 42. The day on which the collective bargaining agreement is extended, modified,
5or renewed.
AB210-ASA1,24,146 (2) Internal and external appeals. The treatment of sections 40.51 (8) (by
7Section 1) (with respect to internal and external review procedures), 40.51 (8m) (by
8Section 3) (with respect to internal and external review procedures), 66.0137 (4) (by
9Section 6) (with respect to internal and external review procedures), 111.91 (2) (s),
10111.998 (2) (s), 120.13 (2) (g) (by Section 13) (with respect to internal and external
11review procedures), 185.983 (1) (intro.) (by Section 15) (with respect to internal and
12external review procedures), 600.01 (2) (b), 609.655 (4) (b), 632.83, 632.835, 636.12,
13and 636.15 of the statutes first applies to appeals filed on the effective date of this
14subsection.
AB210-ASA1, s. 46 15Section 46. Effective dates. This act takes effect on the day after publication,
16except as follows:
AB210-ASA1,24,2217 (1) Health insurance coverage provisions. The treatment of sections 40.51 (8)
18(by Section 2) and (8m) (by Section 4 ), 49.67 (3) (am) 2. b., 66.0137 (4) (by Section
197), 111.91 (2) (n) and (nm), 111.998 (2) (n), 120.13 (2) (g) (by Section 14), 185.983 (1)
20(intro.) (by Section 16 ), 609.755, 632.76 (2) (ac) 1., 2., 3. (intro.), and 4., 632.885,
21632.895 (15) (c) (intro.), 636.25, and 636.35 of the statutes and Section 45 (1) of this
22act take effect on the first day of the 6th month beginning after publication.
AB210-ASA1,25,223 (2) Individual and small group health insurance rating. The treatment of
24sections 601.465 (1m) (d), 625.02 (1), (1h), (1p), (2f), and (2s), 625.13 (1) and (3), and
25625.14 of the statutes, the renumbering and amendment of section 625.03 (1m) (e)

1of the statutes, and the creation of section 625.03 (1m) (e) 2. and 3. of the statutes take
2effect on September 1, 2011, or on the day after publication, whichever is later.
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