AB64-SA3,13,18 13(2) Prohibition. For the purpose of setting rates or premiums for coverage
14under a group or individual disability insurance policy or a self-insured health plan
15and for the purpose of setting any deductibles, copayments, or coinsurance under a
16group or individual disability insurance policy or a self-insured health plan, the
17policy or plan may not consider whether an individual, including a dependent, who
18would be covered under the plan has a preexisting condition.
AB64-SA3,2219j 19Section 2219j. 632.746 (1) (a) of the statutes is renumbered 632.746 (1) and
20amended to read:
AB64-SA3,14,221 632.746 (1) Subject to subs. (2) and (3), an An insurer that offers a group health
22benefit plan may, with respect to a participant or beneficiary under the plan, not
23impose a preexisting condition exclusion only if the exclusion relates to a condition,
24whether physical or mental, regardless of the cause of the condition, for which
25medical advice, diagnosis, care or treatment was recommended or received within

1the 6-month period ending on the participant's or beneficiary's enrollment date
2under the plan
on a participant or beneficiary under the plan.
AB64-SA3,2219n 3Section 2219n. 632.746 (1) (b) of the statutes is repealed.
AB64-SA3,2219p 4Section 2219p. 632.746 (2) (a) of the statutes is amended to read:
AB64-SA3,14,75 632.746 (2) (a) An insurer offering a group health benefit plan may not treat
6genetic information as a preexisting condition under sub. (1) without a diagnosis of
7a condition related to the information
.
AB64-SA3,2219r 8Section 2219r. 632.746 (2) (c), (d) and (e) of the statutes are repealed.
AB64-SA3,2219t 9Section 2219t. 632.746 (3) (a) of the statutes is repealed.
AB64-SA3,2219v 10Section 2219v. 632.746 (3) (d) 1. of the statutes is renumbered 632.746 (3) (d).
AB64-SA3,2219x 11Section 2219x. 632.746 (3) (d) 2. and 3. of the statutes are repealed.
AB64-SA3,2219z 12Section 2219z. 632.746 (5) of the statutes is repealed.
AB64-SA3,2220b 13Section 2220b. 632.746 (8) (a) (intro.) of the statutes is amended to read:
AB64-SA3,14,1714 632.746 (8) (a) (intro.) A health maintenance organization that offers a group
15health benefit plan and that does not impose any preexisting condition exclusion
16under sub. (1)
with respect to a particular coverage option may impose an affiliation
17period for that coverage option, but only if all of the following apply:
AB64-SA3,2220d 18Section 2220d. 632.76 (2) (a) and (ac) 1. and 2. of the statutes are amended
19to read:
AB64-SA3,15,220 632.76 (2) (a) No claim for loss incurred or disability commencing after 2 years
21from the date of issue of the policy may be reduced or denied on the ground that a
22disease or physical condition existed prior to the effective date of coverage, unless the
23condition was excluded from coverage by name or specific description by a provision
24effective on the date of loss. This paragraph does not apply to a group health benefit
25plan, as defined in s. 632.745 (9), which is subject to s. 632.746 , a disability insurance

1policy, as defined in s. 632.895 (1) (a), or a self-insured health plan, as defined in s.
2632.85 (1) (c)
.
AB64-SA3,15,83 (ac) 1. Notwithstanding par. (a), no No claim or loss incurred or disability
4commencing after 12 months from the date of issue of under an individual disability
5insurance policy, as defined in s. 632.895 (1) (a), may be reduced or denied on the
6ground that a disease or physical condition existed prior to the effective date of
7coverage, unless the condition was excluded from coverage by name or specific
8description by a provision effective on the date of the loss
.
AB64-SA3,15,149 2. Except as provided in subd. 3., an An individual disability insurance policy,
10as defined in s. 632.895 (1) (a), other than a short-term policy subject to s. 632.7495
11(4) and (5),
may not define a preexisting condition more restrictively than a condition,
12whether physical or mental, regardless of the cause of the condition, for which
13medical advice, diagnosis, care, or treatment was recommended or received within
1412 months before the effective date of coverage
.
AB64-SA3,2220f 15Section 2220f. 632.76 (2) (ac) 3. of the statutes is repealed.
AB64-SA3,2 16Section 2. 632.795 (4) (a) of the statutes is amended to read:
AB64-SA3,16,317 632.795 (4) (a) An insurer subject to sub. (2) shall provide coverage under the
18same policy form and for the same premium as it originally offered in the most recent
19enrollment period, subject only to the medical underwriting used in that enrollment
20period. Unless otherwise prescribed by rule, the insurer may apply deductibles,
21preexisting condition limitations, waiting periods , or other limits only to the extent
22that they would have been applicable had coverage been extended at the time of the
23most recent enrollment period and with credit for the satisfaction or partial
24satisfaction of similar provisions under the liquidated insurer's policy or plan. The
25insurer may exclude coverage of claims that are payable by a solvent insurer under

1insolvency coverage required by the commissioner or by the insurance regulator of
2another jurisdiction. Coverage shall be effective on the date that the liquidated
3insurer's coverage terminates.
AB64-SA3,2220h 4Section 2220h. 632.897 (11) (a) of the statutes is amended to read:
AB64-SA3,16,135 632.897 (11) (a) Notwithstanding subs. (2) to (10), the commissioner may
6promulgate rules establishing standards requiring insurers to provide continuation
7of coverage for any individual covered at any time under a group policy who is a
8terminated insured or an eligible individual under any federal program that
9provides for a federal premium subsidy for individuals covered under continuation
10of coverage under a group policy, including rules governing election or extension of
11election periods, notice, rates, premiums, premium payment, application of
12preexisting condition exclusions,
election of alternative coverage, and status as an
13eligible individual, as defined in s. 149.10 (2t), 2011 stats.”.
AB64-SA3,16,14 1422. Page 1015, line 10: after that line insert:
AB64-SA3,16,20 15(5r) Extension of prescription drug assistance for elderly. The department
16of health services shall request from the federal secretary of health and human
17services any waiver of federal medicaid laws necessary to permit the department of
18health services to continue administering the program under section 49.688 of the
19statutes for 4 years from the date the waiver under this subsection is granted. The
20department shall implement any waiver received under this subsection.”.
AB64-SA3,16,21 2123. Page 1016, line 20: after that line insert:
AB64-SA3,17,3 22(7g) Increasing Medical Assistance reimbursement rates. The department
23of health services shall increase the reimbursement rates 12 percent under the
24Medical Assistance program for dates of service on and after January 1, 2017, for

1noninstitutional providers who are not personal care services providers, hospitals,
2nursing homes, or providers of services for which reimbursement is made on a basis
3other than a maximum fee schedule.”.
AB64-SA3,17,4 424. Page 1065, line 18: after that line insert:
AB64-SA3,17,5 5“(1e) Preexisting conditions.
AB64-SA3,17,126 (a) For policies and plans containing inconsistent provisions, the treatment of
7sections 40.51 (8), 40.51 (8m), 66.0137 (4), 120.13 (2) (g), 185.983 (1) (intro.), 609.847,
8625.12 (1) (a) and (e) and (2), 625.15 (1), 628.34 (3) (a), 632.728, 632.746 (1) (a) and
9(b), (2) (a), (c), (d), and (e), (3) (a) and (d) 1., 2. and 3., (5), and (8) (a) (intro.), 632.76
10(2) (a) and (ac) 1., 2., and 3., 632.795 (4) (a), and 632.897 (11) (a) of the statutes first
11applies to policy or plan years beginning on January 1 of the year following the year
12in which this paragraph takes effect, except as provided in paragraph (b).
AB64-SA3,17,2113 (b) For policies or plans that are affected by a collective bargaining agreement
14containing inconsistent provisions, the treatment of sections 40.51 (8), 40.51 (8m),
1566.0137 (4), 120.13 (2) (g), 185.983 (1) (intro.), 609.847, 625.12 (1) (a) and (e) and (2),
16625.15 (1), 628.34 (3) (a), 632.728, 632.746 (1) (a) and (b), (2) (a), (c), (d), and (e), (3)
17(a) and (d) 1., 2. and 3., (5), and (8) (a) (intro.), 632.76 (2) (a) and (ac) 1., 2., and 3.,
18632.795 (4) (a), and 632.897 (11) (a) of the statutes first applies to policy or plan years
19beginning on the effective date of this paragraph or on the day on which the collective
20bargaining agreement is newly established, extended, modified, or renewed,
21whichever is later.”.
AB64-SA3,17,22 2225. Page 1067, line 3: after that line insert:
AB64-SA3,17,24 23(3x) Levy limit exception. The treatment of section 66.0602 (3) (e) 10. of the
24statutes first applies to a levy that is imposed in December 2017.”.
AB64-SA3,18,1
126. Page 1071, line 13: after that line insert:
AB64-SA3,18,4 2“(13w) Additional household and care expenses tax credit. The treatment of
3sections 71.07 (8m) and 71.10 (4) (cs) of the statutes first applies to taxable years
4beginning on January 1, 2018.”.
AB64-SA3,18,5 527. Page 1080, line 17: after that line insert:
AB64-SA3,18,8 6(7g) Medicaid expansion. The treatment of sections 49.45 (23) (a) and 49.471
7(1) (cr), (4) (a) 4. b., and (4g) of the statutes take effect on January 1, 2018, or on the
8day after publication, whichever is later.”.
AB64-SA3,18,9 928. Page 1080, line 24: after that line insert:
AB64-SA3,18,15 10“(2e) Preexisting conditions. This act 40.51 (8), 40.51 (8m), 66.0137 (4), 120.13
11(2) (g), 185.983 (1) (intro.), 609.847, 625.12 (1) (a) and (e) and (2), 625.15 (1), 628.34
12(3) (a), 632.728, 632.746 (1) (a) and (b), (2) (a), (c), (d), and (e), (3) (a) and (d) 1., 2. and
133., (5), and (8) (a) (intro.), 632.76 (2) (a) and (ac) 1., 2., and 3., 632.795 (4) (a), and
14632.897 (11) (a) of the statutes and Section 9324 (1e) take effect on the first day of
15the 4th month beginning after publication.”.
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