AB620,4,3
1111.91
(2) (k) The provision to employes of the health insurance coverage of
2medically necessary formulas, foods and other products required under s. 632.895
3(11).
AB620, s. 8
4Section
8. 120.13 (2) (g) of the statutes is amended to read:
AB620,4,75
120.13
(2) (g) Every self-insured plan under par. (b) shall comply with ss.
649.493 (3) (d), 631.89, 631.90, 631.93 (2), 632.87 (4) and (5), 632.895 (9)
and (10) to
7(11), 632.896, 767.25 (4m) (d) and 767.51 (3m) (d).
AB620, s. 9
8Section
9. 185.981 (4t) of the statutes is amended to read:
AB620,4,119
185.981
(4t) A sickness care plan operated by a cooperative association is
10subject to ss. 252.14, 631.89, 632.72 (2), 632.87 (2m), (3), (4) and (5), 632.895 (10)
and
11(11) and 632.897 (10) and ch. 155.
AB620, s. 10
12Section
10. 185.983 (1) (intro.) of the statutes is amended to read:
AB620,4,1813
185.983
(1) (intro.) Every such voluntary nonprofit sickness care plan shall be
14exempt from chs. 600 to 646, with the exception of ss. 601.04, 601.13, 601.31, 601.41,
15601.42, 601.43, 601.44, 601.45, 611.67, 619.04, 628.34 (10), 631.89, 631.93, 632.72
16(2), 632.775, 632.79, 632.795, 632.87 (2m), (3), (4) and (5), 632.895 (5)
, and (9)
and
17(10) to (11), 632.896 and 632.897 (10), subch. II of ch. 619 and chs. 609, 630, 635, 645
18and 646, but the sponsoring association shall:
AB620, s. 11
19Section
11. 632.895 (11) of the statutes is created to read:
AB620,4,2520
632.895
(11) Medically necessary formulas and foods. (a) Except as provided
21in par. (b), every disability insurance policy, and every self-insured health plan of the
22state or a county, city, village, town or school district, shall provide coverage of any
23special medical formulas, specially formulated foods or other products that are
24prescribed by a physician licensed under ch. 448 as medically necessary for any of
25the following:
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11. The treatment of an infant or child with coverage under the policy or plan
2for any of the following:
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a. Phenylketonuria.
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b. Tyrosinemia.
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c. Homocystinuria.
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d. Maple syrup urine disease.
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e. Propionic acidemia.
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f. Methylmalonic acidemia.
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2. The protection of the fetus of a pregnant woman with coverage under the
10policy or plan who has phenylketonuria.
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(b) This subsection does not apply to any of the following:
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1. A disability insurance policy that covers only certain specified diseases.
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2. A health care plan offered by a limited service health organization, as defined
14in s. 609.01 (3).
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3. A medicare replacement policy, a medicare supplement policy or a long-term
16care insurance policy.
AB620,5,18
18(1) This act first applies to all of the following:
AB620,5,21
19(a) Except as provided in paragraph (b) and (c) , disability insurance policies
20that are issued or renewed, and self-insured health plans that are established,
21extended, modified or renewed, on the effective day of this paragraph.
AB620,5,24
22(b) Disability insurance policies covering employes who are affected by a
23collective bargaining agreement containing provisions inconsistent with this act
24that are issued or renewed on the earlier of the following:
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251. The day on which the collective bargaining agreement expires.
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12. The day on which the collective bargaining agreement is extended, modified
2or renewed.
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3(c) Self-insured health plans covering employes who are affected by a
4collective bargaining agreement containing provisions inconsistent with this act
5that are established, extended, modified or renewed on the earlier of the following:
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61. The day on which the collective bargaining agreement expires.
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72. The day on which the collective bargaining agreement is extended, modified
8or renewed.
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10(1)
This act takes effect on the first day of the 5th month beginning after
11publication.
