LRBa2169/1
TJD:all:jm
2013 - 2014 LEGISLATURE
SENATE AMENDMENT 1,
TO ASSEMBLY BILL 674
March 18, 2014 - Offered by Senator Erpenbach.
AB674-SA1,1,11 At the locations indicated, amend the bill as follows:
AB674-SA1,1,3 21. Page 1, line 6: after "agreement" insert "; and copayments, deductibles, or
3coinsurance for oral chemotherapy and injected or intravenous chemotherapy".
AB674-SA1,1,4 42. Page 2, line 1: before that line insert:
AB674-SA1,1,5 5" Section 1b. 40.51 (8) of the statutes is amended to read:
AB674-SA1,1,96 40.51 (8) Every health care coverage plan offered by the state under sub. (6)
7shall comply with ss. 631.89, 631.90, 631.93 (2), 631.95, 632.72 (2), 632.746 (1) to (8)
8and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855,
9632.867, 632.87 (3) to (6), 632.885, 632.89, 632.895 (5m) and (8) to (17), and 632.896.
AB674-SA1,1e 10Section 1e. 40.51 (8m) of the statutes is amended to read:
AB674-SA1,2,211 40.51 (8m) Every health care coverage plan offered by the group insurance
12board under sub. (7) shall comply with ss. 631.95, 632.746 (1) to (8) and (10), 632.747,

1632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855, 632.867, 632.885,
2632.89, and 632.895 (11) to (17).".
AB674-SA1,2,3 33. Page 2, line 1: delete " Section 1" and substitute "Section 1s".
AB674-SA1,2,4 44. Page 12, line 1: after that line insert:
AB674-SA1,2,5 5" Section 15c. 66.0137 (4) of the statutes is amended to read:
AB674-SA1,2,116 66.0137 (4) Self-insured health plans. If a city, including a 1st class city, or
7a village provides health care benefits under its home rule power, or if a town
8provides health care benefits, to its officers and employees on a self-insured basis,
9the self-insured plan shall comply with ss. 49.493 (3) (d), 631.89, 631.90, 631.93 (2),
10632.746 (10) (a) 2. and (b) 2., 632.747 (3), 632.798, 632.85, 632.853, 632.855, 632.867,
11632.87 (4), (5), and (6), 632.885, 632.89, 632.895 (9) to (17), 632.896, and 767.513 (4).
AB674-SA1,15g 12Section 15g. 120.13 (2) (g) of the statutes is amended to read:
AB674-SA1,2,1613 120.13 (2) (g) Every self-insured plan under par. (b) shall comply with ss.
1449.493 (3) (d), 631.89, 631.90, 631.93 (2), 632.746 (10) (a) 2. and (b) 2., 632.747 (3),
15632.798, 632.85, 632.853, 632.855, 632.867, 632.87 (4), (5), and (6), 632.885, 632.89,
16632.895 (9) to (17), 632.896, and 767.513 (4).
AB674-SA1,15n 17Section 15n. 185.983 (1) (intro.) of the statutes is amended to read:
AB674-SA1,3,218 185.983 (1) (intro.) Every voluntary nonprofit health care plan operated by a
19cooperative association organized under s. 185.981 shall be exempt from chs. 600 to
20646, with the exception of ss. 601.04, 601.13, 601.31, 601.41, 601.42, 601.43, 601.44,
21601.45, 611.26, 611.67, 619.04, 623.11, 623.12, 628.34 (10), 631.17, 631.89, 631.93,
22631.95, 632.72 (2), 632.745 to 632.749, 632.775, 632.79, 632.795, 632.798, 632.85,
23632.853, 632.855, 632.867, 632.87 (2), (2m), (3), (4), (5), and (6), 632.885, 632.89,

1632.895 (5) and (8) to (17), 632.896, and 632.897 (10) and chs. 609, 620, 630, 635, 645,
2and 646, but the sponsoring association shall:".
AB674-SA1,3,3 35. Page 12, line 8: after that line insert:
AB674-SA1,3,4 4" Section 16c. 609.837 of the statutes is created to read:
AB674-SA1,3,7 5609.837 Copayment equality for oral and injected chemotherapy.
6Limited service health organizations, preferred provider plans, and defined network
7plans are subject to s. 632.867.
AB674-SA1,16g 8Section 16g. 632.867 of the statutes is created to read:
AB674-SA1,3,9 9632.867 Oral and injected chemotherapy. (1) Definitions. In this section:
AB674-SA1,3,1210 (a) "Chemotherapy" means drugs and biologics that kill cancer cells directly,
11including antineoplastics, biologic response modifiers, hormone therapy, and
12monoclonal antibodies, and that are used to do any of the following:
AB674-SA1,3,1313 1. Cure a specific cancer.
AB674-SA1,3,1414 2. Control tumor growth when cure is not possible.
AB674-SA1,3,1515 3. Shrink tumors before surgery or radiation therapy.
AB674-SA1,3,1716 4. Destroy microscopic cancer cells that may be present after a tumor is
17removed by surgery to prevent a cancer recurrence.
AB674-SA1,3,1818 (b) "Disability insurance policy" has the meaning given in s. 632.895 (1) (a).
AB674-SA1,3,1919 (c) "Self-insured health plan" has the meaning given in s. 632.85 (1) (c).
AB674-SA1,4,2 20(2) Copayment, deductible, or coinsurance requirements; limitations. (a) A
21disability insurance policy that covers injected or intravenous chemotherapy and
22oral chemotherapy, or a self-insured health plan that covers injected or intravenous
23chemotherapy and oral chemotherapy, may not require a higher copayment,
24deductible, or coinsurance amount for oral chemotherapy than it requires for

1injected or intravenous chemotherapy, regardless of the formulation or benefit
2category determination by the policy or plan.
AB674-SA1,4,63 (b) A disability insurance policy or a self-insured health plan may not comply
4with par. (a) by increasing the copayment, deductible, or coinsurance amount
5required for injected or intravenous chemotherapy that is covered under the policy
6or plan.".
AB674-SA1,4,7 76. Page 13, line 2: after that line insert:
AB674-SA1,4,8 8" Section 19. Initial applicability.
AB674-SA1,4,11 9(1c) The treatment of sections 40.51 (8) and (8m), 66.0137 (4), 120.13 (2) (g),
10185.983 (1) (intro.), 609.837, and 632.867 of the statutes first applies to all of the
11following:
AB674-SA1,4,1512 (a) Except as provided in paragraphs (b) and (c), disability insurance policies
13that are issued or renewed, and governmental or school district self-insured health
14plans that are established, extended, modified, or renewed, on the effective date of
15this paragraph.
AB674-SA1,4,1816 (b) Disability insurance policies covering employees who are affected by a
17collective bargaining agreement containing provisions inconsistent with this act
18that are issued or renewed on the earlier of the following:
AB674-SA1,4,1919 1. The day on which the collective bargaining agreement expires.
AB674-SA1,4,2120 2. The day on which the collective bargaining agreement is extended, modified,
21or renewed.
AB674-SA1,5,222 (c) Governmental or school district self-insured health plans covering
23employees who are affected by a collective bargaining agreement containing

1provisions inconsistent with this act that are established, extended, modified, or
2renewed on the earlier of the following:
AB674-SA1,5,33 1. The day on which the collective bargaining agreement expires.
AB674-SA1,5,54 2. The day on which the collective bargaining agreement is extended, modified,
5or renewed.
AB674-SA1,20 6Section 20. Effective dates. This act takes effect on the day after publication,
7except as follows:
AB674-SA1,5,98 (1) The treatment of section 632.867 (2) (a) of the statutes takes effect on the
9first day of the 7th month beginning after publication.".
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