2013 - 2014 LEGISLATURE
SENATE AMENDMENT 4,
TO SENATE BILL 617
March 18, 2014 - Offered by Senator Erpenbach.
SB617-SA4,1,11 At the locations indicated, amend the bill as follows:
SB617-SA4,1,2 21. Page 1, line 7: delete "and".
SB617-SA4,1,4 32. Page 1, line 8: after "employment," insert "and copayments, deductibles, or
4coinsurance for oral chemotherapy and injected or intravenous chemotherapy,".
SB617-SA4,1,5 53. Page 3, line 23: after that line insert:
SB617-SA4,1,6 6" Section 1n. 40.51 (8) of the statutes is amended to read:
SB617-SA4,1,107 40.51 (8) Every health care coverage plan offered by the state under sub. (6)
8shall comply with ss. 631.89, 631.90, 631.93 (2), 631.95, 632.72 (2), 632.746 (1) to (8)
9and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855,
10632.867, 632.87 (3) to (6), 632.885, 632.89, 632.895 (5m) and (8) to (17), and 632.896.
SB617-SA4,1p 11Section 1p. 40.51 (8m) of the statutes is amended to read:
SB617-SA4,2,212 40.51 (8m) Every health care coverage plan offered by the group insurance
13board 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).
SB617-SA4,1r 3Section 1r. 66.0137 (4) of the statutes is amended to read:
SB617-SA4,2,94 66.0137 (4) Self-insured health plans. If a city, including a 1st class city, or
5a village provides health care benefits under its home rule power, or if a town
6provides health care benefits, to its officers and employees on a self-insured basis,
7the self-insured plan shall comply with ss. 49.493 (3) (d), 631.89, 631.90, 631.93 (2),
8632.746 (10) (a) 2. and (b) 2., 632.747 (3), 632.798, 632.85, 632.853, 632.855, 632.867,
9632.87 (4), (5), and (6), 632.885, 632.89, 632.895 (9) to (17), 632.896, and 767.513 (4).".
SB617-SA4,2,10 104. Page 8, line 25: after that line insert:
SB617-SA4,2,11 11" Section 15g. 120.13 (2) (g) of the statutes is amended to read:
SB617-SA4,2,1512 120.13 (2) (g) Every self-insured plan under par. (b) shall comply with ss.
1349.493 (3) (d), 631.89, 631.90, 631.93 (2), 632.746 (10) (a) 2. and (b) 2., 632.747 (3),
14632.798, 632.85, 632.853, 632.855, 632.867, 632.87 (4), (5), and (6), 632.885, 632.89,
15632.895 (9) to (17), 632.896, and 767.513 (4).
SB617-SA4,15h 16Section 15h. 185.983 (1) (intro.) of the statutes is amended to read:
SB617-SA4,2,2417 185.983 (1) (intro.) Every voluntary nonprofit health care plan operated by a
18cooperative association organized under s. 185.981 shall be exempt from chs. 600 to
19646, with the exception of ss. 601.04, 601.13, 601.31, 601.41, 601.42, 601.43, 601.44,
20601.45, 611.26, 611.67, 619.04, 623.11, 623.12, 628.34 (10), 631.17, 631.89, 631.93,
21631.95, 632.72 (2), 632.745 to 632.749, 632.775, 632.79, 632.795, 632.798, 632.85,
22632.853, 632.855, 632.867, 632.87 (2), (2m), (3), (4), (5), and (6), 632.885, 632.89,
23632.895 (5) and (8) to (17), 632.896, and 632.897 (10) and chs. 609, 620, 630, 635, 645,
24and 646, but the sponsoring association shall:
SB617-SA4,15p
1Section 15p. 609.837 of the statutes is created to read:
SB617-SA4,3,4 2609.837 Copayment equality for oral and injected chemotherapy.
3Limited service health organizations, preferred provider plans, and defined network
4plans are subject to s. 632.867.
SB617-SA4,15r 5Section 15r. 632.867 of the statutes is created to read:
SB617-SA4,3,6 6632.867 Oral and injected chemotherapy. (1) Definitions. In this section:
SB617-SA4,3,97 (a) "Chemotherapy" means drugs and biologics that kill cancer cells directly,
8including antineoplastics, biologic response modifiers, hormone therapy, and
9monoclonal antibodies, and that are used to do any of the following:
SB617-SA4,3,1010 1. Cure a specific cancer.
SB617-SA4,3,1111 2. Control tumor growth when cure is not possible.
SB617-SA4,3,1212 3. Shrink tumors before surgery or radiation therapy.
SB617-SA4,3,1413 4. Destroy microscopic cancer cells that may be present after a tumor is
14removed by surgery to prevent a cancer recurrence.
SB617-SA4,3,1515 (b) "Disability insurance policy" has the meaning given in s. 632.895 (1) (a).
SB617-SA4,3,1616 (c) "Self-insured health plan" has the meaning given in s. 632.85 (1) (c).
SB617-SA4,3,23 17(2) Copayment, deductible, or coinsurance requirements; limitations. (a) A
18disability insurance policy that covers injected or intravenous chemotherapy and
19oral chemotherapy, or a self-insured health plan that covers injected or intravenous
20chemotherapy and oral chemotherapy, may not require a higher copayment,
21deductible, or coinsurance amount for oral chemotherapy than it requires for
22injected or intravenous chemotherapy, regardless of the formulation or benefit
23category determination by the policy or plan.
SB617-SA4,4,224 (b) A disability insurance policy or a self-insured health plan may not comply
25with par. (a) by increasing the copayment, deductible, or coinsurance amount

1required for injected or intravenous chemotherapy that is covered under the policy
2or plan.".
SB617-SA4,4,3 35. Page 9, line 19: after that line insert:
SB617-SA4,4,4 4" Section 16n. Initial applicability.
SB617-SA4,4,7 5(1c) The treatment of sections 40.51 (8) and (8m), 66.0137 (4), 120.13 (2) (g),
6185.983 (1) (intro.), 609.837, and 632.867 of the statutes first applies to all of the
7following:
SB617-SA4,4,118 (a) Except as provided in paragraphs (b) and (c), disability insurance policies
9that are issued or renewed, and governmental or school district self-insured health
10plans that are established, extended, modified, or renewed, on the effective date of
11this paragraph.
SB617-SA4,4,1412 (b) Disability insurance policies covering employees who are affected by a
13collective bargaining agreement containing provisions inconsistent with this act
14that are issued or renewed on the earlier of the following:
SB617-SA4,4,1515 1. The day on which the collective bargaining agreement expires.
SB617-SA4,4,1716 2. The day on which the collective bargaining agreement is extended, modified,
17or renewed.
SB617-SA4,4,2118 (c) Governmental or school district self-insured health plans covering
19employees who are affected by a collective bargaining agreement containing
20provisions inconsistent with this act that are established, extended, modified, or
21renewed on the earlier of the following:
SB617-SA4,4,2222 1. The day on which the collective bargaining agreement expires.
SB617-SA4,4,2423 2. The day on which the collective bargaining agreement is extended, modified,
24or renewed.".
SB617-SA4,5,1
16. Page 9, line 23: after that line insert:
SB617-SA4,5,3 2"(1d) The treatment of section 632.867 (2) (a) of the statutes takes effect on the
3first day of the 7th month beginning after publication.".
Loading...
Loading...