AB40-ASA1,1292,23 23(a) Definitions. In this subsection:
AB40-ASA1,1293,2
11. "Authority" means the Health Insurance Risk-Sharing Plan Authority
2under subchapter III of chapter 149 of the statutes.
AB40-ASA1,1293,3 32. "Board" means the board of directors of the authority.
AB40-ASA1,1293,4 43. "Commissioner" means the commissioner of insurance.
AB40-ASA1,1293,5 54. "Covered person" means a person who has coverage under the plan.
AB40-ASA1,1293,6 65. "Office" means the office of the commissioner of insurance.
AB40-ASA1,1293,8 76. "Plan" means the Health Insurance Risk-Sharing Plan under subchapter II
8of chapter 149 of the statutes.
AB40-ASA1,1293,11 9(b) Dissolution of the plan and authority. Notwithstanding any statute,
10administrative rule, or provision of a policy or contract or of the plan to the contrary,
11the plan and the authority shall be dissolved in accordance with the following:
AB40-ASA1,1293,12 121. `Coverage provisions.'
AB40-ASA1,1293,16 13a. New coverage under the plan may not be issued to any person after December
1431, 2013, except that new coverage under the plan that is funded under a contract
15with the federal department of health and human services may not be issued to any
16person after December 1, 2013.
AB40-ASA1,1293,24 17b. Coverage under the policies issued under the plan terminates on January
181, 2014, or on the date that any health insurance coverage that is accessed through
19an American health benefit exchange, as described in 42 USC 18031, in this state is
20effective, if later than January 1, 2014. At least 60 days before coverage terminates,
21the authority shall provide notice of the date on which coverage terminates to all
22covered persons, all insurers and providers that are affected by the termination of
23the coverage, the office, the legislative audit bureau, and the insurers described in
24subsection (1m) (b) 1.
AB40-ASA1,1294,9
1c. If coverage under the policies issued under the plan terminates on a date that
2is later than January 1, 2014, because no health insurance coverage that is accessed
3through an American health benefit exchange, as described in 42 USC 18031, in this
4state is effective on January 1, 2014, the authority may allow covered persons whose
5coverage under the plan is funded under a contract with the federal department of
6health and human services to elect to be covered, until coverage under the plan
7terminates, under the same coverage provided under the plan to covered persons
8whose coverage under the plan is not funded under a contract with the federal
9department of health and human services.
AB40-ASA1,1294,19 102. `Provider claims.' Providers of medical services and devices and prescription
11drugs to covered persons must file claims for payment no later than 90 days after the
12date coverage terminates under subdivision 1. b. Any claim filed after that date is
13not payable and may not be charged to the covered person who received the service,
14device, or drug. Except for copayments, coinsurance, or deductibles required under
15the plan, during the 90 days after the date coverage terminates under subdivision
161. b., consistent with section 149.14 (3) of the statutes and section 149.142 (2m) of the
17statutes, a provider may not bill a covered person who receives a covered service or
18article and shall accept as payment in full the payment rate determined under
19section 149.142 (1) of the statutes.
AB40-ASA1,1294,20 203. `Grievances and review.'
AB40-ASA1,1294,24 21a. Except for a grievance related to a prior authorization denial, a covered
22person must submit any grievance, in writing, no later than 180 days after the date
23coverage terminates under subdivision 1. b. or be barred from submitting the
24grievance.
AB40-ASA1,1295,6
1b. A covered person must submit any grievance related to a prior authorization
2denial no later than 45 days before the date on which coverage terminates under
3subdivision 1. b. or be barred from submitting the grievance, except that a grievance
4related to a prior authorization denial that meets the requirements for an expedited
5grievance must be submitted no later than the date on which coverage terminates
6under subdivision 1. b. or be barred.
AB40-ASA1,1295,11 7c. A covered person who submits a grievance after the date coverage terminates
8under subdivision 1. b. must request an independent review, if any, with respect to
9the grievance no later than 60 days after he or she receives notice of the disposition
10of the grievance or be barred from requesting an independent review with respect to
11the grievance.
AB40-ASA1,1295,17 124. `Payment of plan costs.' The authority shall pay plan costs incurred in 2013
13and all other costs associated with dissolving the plan that are incurred before
14administrative responsibility for the dissolution of the plan is transferred to the
15office under subdivision 8. The authority and the office shall make every effort to pay
16plan costs in accordance with, or as closely as possible to, the manner provided in
17section 149.143 of the statutes.
AB40-ASA1,1295,20 185. `Contracts.' The authority may extend any administrative contracts that are
19in effect into 2014, regardless of a contract's expiration date and without having to
20comply with the requirements under section 149.47 of the statutes for the extension.
AB40-ASA1,1295,23 216. `Report to legislature.' The authority shall submit a final report on plan
22operation to the legislature under section 13.172 of the statutes no later than
23September 30, 2013.
AB40-ASA1,1295,24 247. `Board responsibilities.' The board shall do all of the following:
AB40-ASA1,1296,8
1a. Develop a proposal, which shall be followed by the office, for the dispensation
2of the plan's cash assets after all financial obligations of the plan and authority are
3satisfied. To the extent feasible and practical, the proposal shall provide for the
4return of any remaining equity to the source from which derived, including insurers,
5providers, and covered persons. The proposal shall provide for alternative
6dispensations in the event that returning any remaining equity is not feasible or
7practical, such as using remaining cash assets in support of activities providing an
8indirect benefit to the insurers, providers, and covered persons.
AB40-ASA1,1296,10 9b. Dispose of the noncash assets of the authority as soon as possible after the
10administrative offices of the authority are closed.
AB40-ASA1,1296,14 11c. Make any other decisions and take any other actions necessary to effectively
12wind up the operations and affairs of the authority and plan and transfer
13responsibility to the office. All actions taken by the board must be consistent with
14the purpose of, and may not endanger the solvency of, the plan.
AB40-ASA1,1296,16 158. `Transfer to the office.' On the date that is 60 days after the date coverage
16under the plan terminates under subdivision 1. b., all of the following shall occur:
AB40-ASA1,1296,25 17a. Administrative responsibility for the dissolution of the plan is transferred
18to the office. The commissioner shall take any action necessary or advisable to wind
19up the affairs of the plan in accordance with the proposal developed by the board
20under subdivision 7. a. and shall notify the legislative audit bureau when the windup
21is completed and provide to the legislative audit bureau the final financial
22statements of the plan. For purposes of chapter 177 of the statutes, as affected by
23this act, the dissolution, and winding up of the affairs, of the plan shall be considered
24a dissolution of an insurer in accordance with section 645.44 of the statutes, except
25that a court order of dissolution is not required to effect the dissolution of the plan.
AB40-ASA1,1297,3
1b. All remaining cash assets of the plan, including the balance in the Health
2Insurance Risk-Sharing Plan fund, are transferred to the appropriation account
3under section 20.145 (5) (g) of the statutes, as created by this act.
AB40-ASA1,1297,5 4c. All tangible personal property, including records, of the authority not already
5disposed of by the board is transferred to the office.
AB40-ASA1,1297,11 6d. All contracts and agreements entered into by the board that are in effect are
7transferred to the office. The office shall carry out any contractual obligations under
8such a contract or agreement until the contract or agreement terminates or is
9modified or rescinded by the office to the extent allowed under the contract or
10agreement. The office may enter into such other contracts as are necessary to carry
11out the dissolution of the plan.
AB40-ASA1,1297,16 12e. Any matters pending with the authority or plan, including grievances and
13independent reviews, payment claims, subrogation claims, drug rebate claims, and
14legal actions or causes of action, are transferred to the office and all materials
15submitted to and actions taken by the office with respect to a pending matter are
16considered as having been submitted to or taken by the authority or plan.
AB40-ASA1,1297,17 179. `Health Insurance Risk-Sharing Plan advisory committee.'
AB40-ASA1,1297,21 18a. There is created, 60 days after the date coverage under the plan terminates
19under subdivision 1. b., a Health Insurance Risk-Sharing Plan advisory committee
20consisting of the commissioner, or his or her designee, and the other 13 members of
21the board holding office on the date the advisory committee is created.
AB40-ASA1,1297,24 22b. If a vacancy occurs on the Health Insurance Risk-Sharing Plan advisory
23committee, the governor shall appoint a successor, who must meet the same
24qualifications and criteria as the member who is being replaced.
AB40-ASA1,1298,4
1c. The Health Insurance Risk-Sharing Plan advisory committee shall advise
2and assist the office with its duties under subdivision 8. related to the dissolution and
3winding up of the plan. The office shall staff and provide funding for the Health
4Insurance Risk-Sharing Plan advisory committee.
AB40-ASA1,1298,7 5d. The Health Insurance Risk-Sharing Plan advisory committee shall
6terminate 60 days after the final audit of the plan is conducted by the legislative
7audit bureau under subdivision 11. b.
AB40-ASA1,1298,8 810. `Dissolution notice, claims, and updates.'
AB40-ASA1,1298,18 9a. On behalf of the commissioner, the authority shall provide notice of the plan's
10dissolution to all persons known, or reasonably expected from the plan's records, to
11have claims against the plan, including all covered persons. The notice shall be sent
12by first class mail to the last-known addresses at least 60 days before the date on
13which coverage terminates under subdivision 1. b. Notice to potential claimants of
14the plan shall require the claimants to file their claims, together with proofs of
15claims, within 90 days after the date on which coverage terminates under
16subdivision 1. b. The notice shall be consistent with any relevant terms of the policies
17under the plan and contracts and with section 645.47 (1) (a) of the statutes. The
18notice shall serve as final notice consistent with section 645.47 (3) of the statutes.
AB40-ASA1,1299,4 19b. Proofs of all claims must be filed with the office in the form provided by the
20office consistent with the proof of claim, as applicable, under section 645.62 of the
21statutes, on or before the last day for filing specified in the notice. For good cause
22shown, the office shall permit a claimant to make a late filing if the existence of the
23claim was not known to the claimant and the claimant files the claim within 30 days
24after learning of the claim, but not more than 210 days after the date on which
25coverage terminates under subdivision 1. b. Any such late claim that would have

1been payable under the policy under the plan if it had been filed timely and that was
2not covered by a succeeding insurer shall be permitted unless the claimant had
3actual notice of the termination of the plan or the notice was mailed to the claimant
4by first class mail at least 10 days before the insured event occurred.
AB40-ASA1,1299,7 5c. The commissioner shall provide periodic updates to the Health Insurance
6Risk-Sharing Plan advisory committee under subdivision 9. regarding the plan's
7dissolution, including, at a minimum, information about expenses and claims paid.
AB40-ASA1,1299,8 811. `Audits.' The legislative audit bureau shall do all of the following:
AB40-ASA1,1299,10 9a. Conduct its annual audit of the plan under section 13.94 (1) (dh) of the
10statutes for calendar year 2013 by June 30, 2014.
AB40-ASA1,1299,13 11b. Complete a final audit of the plan, after the termination of the plan in 2014,
12within 90 days after the office provides the final financial statements of the plan
13under subdivision 8. a.
AB40-ASA1,1299,18 14c. File copies of the reports of both audits with the distributees specified in
15section 13.94 (1) (b) of the statutes. The costs of the audits shall be paid from the
16funds of the authority or from the appropriation under section 20.145 (5) (g) or (k)
17of the statutes, as created by this act, or from any combination of those payment
18sources.
AB40-ASA1,1299,19 19(1m) Medicare supplement and replacement policy issuance.
AB40-ASA1,1299,20 20(a) Definitions. In this subsection:
AB40-ASA1,1299,21 211. "Medicare" has the meaning given in section 149.10 (7) of the statutes.
AB40-ASA1,1299,23 222. "Medicare replacement policy" has the meaning given in section 600.03 (28p)
23of the statutes.
AB40-ASA1,1299,25 243. "Medicare supplement policy" has the meaning given in section 600.03 (28r)
25of the statutes.
AB40-ASA1,1300,2
14. "Plan" means the Health Insurance Risk-Sharing Plan under subchapter II
2of chapter 149 of the statutes.
AB40-ASA1,1300,3 3(b) Time-limited guaranteed issue.
AB40-ASA1,1300,6 41. An insurer offering a Medicare supplement policy or a Medicare replacement
5policy in this state shall provide coverage under the policy to any individual who
6satisfies all of the following:
AB40-ASA1,1300,7 7a. The individual is eligible for Medicare.
AB40-ASA1,1300,8 8b. The individual had coverage under the plan.
AB40-ASA1,1300,10 9c. The individual's coverage under the plan terminated on the date specified in
10subsection (1L) (b) 1. b.
AB40-ASA1,1300,12 11d. The individual applies for coverage under the policy before the date that is
1263 days after the date specified in subsection (1L) (b) 1. b.
AB40-ASA1,1300,13 13e. The individual pays the premium for the coverage under the policy.
AB40-ASA1,1300,16 142. An insurer under subdivision 1. may not deny coverage to any individual who
15satisfies the criteria under subdivision 1. a. to e. on the basis of health status, receipt
16of health care, claims experience, or medical condition, including disability.
AB40-ASA1,1300,22 17(c) Notice of requirement. In addition to the requirement under subsection (1L)
18(b) 1. b. to provide notice to the insurers described in paragraph (b) 1. of the date on
19which coverage under the plan terminates, within 60 days after the effective date of
20this paragraph the Health Insurance Risk-Sharing Plan Authority under
21subchapter III of chapter 149 of the statutes shall provide notice to the insurers
22described in paragraph (b) 1. of the requirement under this subsection.
AB40-ASA1,9123 23Section 9123. Nonstatutory provisions; Investment Board.
AB40-ASA1,9124 24Section 9124. Nonstatutory provisions; Joint Committee on Finance.
AB40-ASA1,1301,14
1(1L) Out-of-home care for youths with individualized education programs.
2Of the amounts appropriated to the joint committee on finance under section 20.865
3(4) (a) of the statutes, $945,700 is allocated in fiscal year 2014-15 to supplement the
4appropriation accounts under sections 20.410 (3) (cd) and 20.437 (1) (b), (cx), and (dd)
5of the statutes for the purpose of providing funding for the out-of-home care of
6persons who are 18 years of age or older, but under 21 years of age, who were in
7out-of-home care prior to attaining 18 years of age, who are full-time students in
8good academic standing at a secondary school or its vocational or technical
9equivalent, and for whom an individualized education program under section
10115.787 of the statutes is in effect. The joint committee on finance may supplement
11those appropriation accounts from that allocation if legislation is enacted
12authorizing those persons to continue in out-of-home care under an order of the
13court assigned to exercise jurisdiction under chapters 48 and 938 of the statutes or
14under a voluntary agreement.
AB40-ASA1,9125 15Section 9125. Nonstatutory provisions; Judicial Commission.
AB40-ASA1,9126 16Section 9126. Nonstatutory provisions; Justice.
AB40-ASA1,1301,17 17(1) Biological specimen; legislative study and rules.
AB40-ASA1,1301,22 18(am) Joint legislative council study. The joint legislative council is requested
19to review all misdemeanor and felony provisions in statutes to determine if penalties
20are appropriate and if violations are outdated. The joint legislative council shall
21report any findings, conclusions, and recommendations by February 1, 2014, to the
22chief clerk of the senate and the chief clerk of the assembly.
AB40-ASA1,1302,2 23(b) Rules. The department of justice may, in rules it promulgates under section
24165.76 of the statutes, as affected by this act, bring the method to obtain or to submit
25a biological specimen in conformity with the act of Congress known as the Katie

1Sepich Enhanced DNA Collection Act of 2012 (HR-6014) to apply for nonsupplanting
2grant funding under that act.
AB40-ASA1,1302,3 3(2) Youth diversion grant reductions.
AB40-ASA1,1302,7 4(a) Notwithstanding the amount specified under section 165.987 (1) of the
5statutes, as affected by this act, the department of justice shall reduce the amount
6of money allocated under section 165.987 (1) of the statutes, as affected by this act,
7by $85,900 in each of fiscal years 2013-14 and 2014-15.
AB40-ASA1,1302,11 8(b) Notwithstanding the amount specified under section 165.987 (2) of the
9statutes, as affected by this act, the department of justice shall reduce the amount
10of money allocated under section 165.987 (2) of the statutes, as affected by this act,
11by $18,400 in each of fiscal years 2013-14 and 2014-15.
AB40-ASA1,1302,19 12(c) Notwithstanding the amounts specified under section 165.987 (3) of the
13statutes, as affected by this act, the department of justice shall reduce the amount
14of money allocated for each of the 4 contracts that are funded with moneys from the
15appropriation accounts under section 20.455 (2) (cr) and (kj) of the statutes, as
16affected by this act, by $25,650 in each of fiscal years 2013-14 and 2014-15 and shall
17reduce the amount of money allocated for the contract that is funded only with
18moneys from the appropriation account under section 20.455 (2) (kj) of the statutes,
19as affected by this act, by $18,100 in each of fiscal years 2013-14 and 2014-15.
AB40-ASA1,9127 20Section 9127. Nonstatutory provisions; Legislature.
AB40-ASA1,1303,2 21(1i) Rural schools task force. The joint legislative council is requested to
22establish a rural schools task force by August 1, 2013, to identify funding challenges
23faced by rural school districts, particularly with respect to transportation and
24technology issues. If established, the task force shall develop a long-term plan to

1address these issues, especially in the context of declining enrollments, and an aging
2population, and submit a report to the joint legislative council by April 1, 2014.
AB40-ASA1,1303,4 3(1q) Statements of scope of proposed rules published prior to effective date
4of 2011 Wisconsin Act 21.
AB40-ASA1,1303,12 5(a) Notwithstanding section 227.14 (4m) of the statutes, as affected by this act,
6if an agency's statement of the scope of a proposed rule under section 227.135 of the
7statutes was published in the Wisconsin Administrative Register prior to June 8,
82011, the notice required under section 227.14 (4m) of the statutes, as affected by this
9act, need not include an identifying number for the statement of scope for the
10proposed rule or the date of approval of the statement of scope for the proposed rule
11by the individual or body with policy-making powers over the subject matter of the
12proposed rule under section 227.135 (2) of the statutes.
AB40-ASA1,1303,19 13(b) Notwithstanding section 227.19 (2) of the statutes, as affected by this act,
14if an agency's statement of the scope of a proposed rule under section 227.135 of the
15statutes was published in the Wisconsin Administrative Register prior to June 8,
162011, the agency shall include in its notice under section 227.19 (2) of the statutes,
17as affected by this act, a statement of the date and issue number of the the register
18in which the statement of scope for the proposed rule was published, in lieu of a
19statement of the governor's date of approval of the proposed rule.
AB40-ASA1,1303,25 20(1r) Refunds for advance payments for printed Wisconsin administrative
21code and register.
Notwithstanding section 35.93 (7), 2011 stats., upon request, the
22department of administration shall refund to any person the pro rata share of any
23advance payment made by that person for printed copies of the Wisconsin
24administrative code or Wisconsin administrative register that were to be delivered
25to the person on or after the effective date of this subsection.
AB40-ASA1,1304,8
1(1z) Joint legislative council study on the use of global positioning systems
2and electronic monitoring.
The joint legislative council is requested to conduct a
3study on the effective and efficient use of global positioning systems and electronic
4monitoring technology for correctional purposes and for monitoring persons subject
5to a temporary restraining order or injunction under s. 813.12 or 813.125. If the joint
6legislative council conducts the study, it shall report its findings, conclusions, and
7recommendations to the legislature in the manner provided under section 13.172 (2)
8of the statutes by June 30, 2015.
AB40-ASA1,1304,14 9(2q) Legislative audit bureau analysis related to department of
10transportation engineering consultants.
The joint legislative audit committee is
11requested to direct the legislative audit bureau to conduct an analysis of the
12processes used by the department of transportation for the selection of consultants
13for transportation engineering services, the oversight of consultant work, and the
14payment of consultants for services.
AB40-ASA1,9128 15Section 9128. Nonstatutory provisions; Lieutenant Governor.
AB40-ASA1,9129 16Section 9129. Nonstatutory provisions; Local Government.
AB40-ASA1,1304,21 17(1e) Crime prevention funding board. Upon the creation of a crime prevention
18funding board, the initial members of the board specified under section 59.54 (28) (c)
19of the statutes, as created by this act, shall declare that they are serving on the board,
20or appoint their designees, not later than the first day of the 4th month beginning
21after a board is created.
AB40-ASA1,9130 22Section 9130. Nonstatutory provisions; Medical College of Wisconsin.
AB40-ASA1,9131 23Section 9131. Nonstatutory provisions; Military Affairs.
AB40-ASA1,9132 24Section 9132. Nonstatutory provisions; Natural Resources.
AB40-ASA1,1305,5
1(1c) Environmental repair fee. Notwithstanding section 25.46 (7) of the
2statutes, of the fees imposed under section 289.67 of the statutes that are allocated
3under section 25.46 (7) of the statutes for environmental management, $650,000 in
4fiscal year 2013-14 and $1,300,000 in fiscal year 2014-15 are instead allocated for
5nonpoint source water pollution abatement.
AB40-ASA1,1305,10 6(1L) Report concerning natural minor sources. No later than March 1, 2015,
7the department of natural resources shall submit a report to the joint committee on
8finance and to the standing committees of the assembly and senate with jurisdiction
9over environmental matters on the progress that the department has made in
10implementing section 285.60 (6) (c) 1. of the statutes, as created by this act.
AB40-ASA1,1305,20 11(2) Bonus deer hunting permit fee rules. The department of natural resources
12may use the procedure under section 227.24 of the statutes to promulgate rules
13under section 29.040 of the statutes, as created by this act. Notwithstanding section
14227.24 (1) (c) and (2) of the statutes, emergency rules promulgated under this
15subsection remain in effect until June 30, 2015, or the date on which permanent rules
16take effect, whichever is sooner. Notwithstanding section 227.24 (1) (a), (2) (b), and
17(3) of the statutes, the department is not required to provide evidence that
18promulgating a rule under this subsection as an emergency rule is necessary for the
19preservation of the public peace, health, safety, or welfare and is not required to
20provide a finding of emergency for a rule promulgated under this subsection.
AB40-ASA1,1306,2 21(2i) Payments to certain towns. In fiscal year 2013-14, the secretary of natural
22resources shall distribute $2,500,000 from the appropriation account under section
2320.370 (1) (mv) of the statutes, as affected by this act, to towns that were eligible to
24receive national forest income payments under section 59.25 (3) (rm), 2011 stats.,
25during the 2012-13 fiscal year. The secretary shall distribute the moneys to the

1towns according to the criteria required for the distribution of national forest income
2payments under section 59.25 (3) (rm), 2011 stats.
AB40-ASA1,1306,13 3(3) Deer management assistance program. The department of natural
4resources may use the procedure under section 227.24 of the statutes to promulgate
5rules under section 29.020 of the statutes, as created by this act. Notwithstanding
6section 227.24 (1) (c) and (2) of the statutes, emergency rules promulgated under this
7subsection remain in effect until June 30, 2015, or the date on which permanent rules
8take effect, whichever is sooner. Notwithstanding section 227.24 (1) (a), (2) (b), and
9(3) of the statutes, the department of natural resources is not required to provide
10evidence that promulgating rules under this subsection as emergency rules is
11necessary for the preservation of the public peace, health, safety, or welfare and is
12not required to provide a finding of emergency for rules promulgated under this
13subsection.
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