SB220, s. 7
4Section
7. 111.91 (2) (k) of the statutes is created to read:
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111.91
(2) (k) The provision to employes of the health insurance coverage
6required under s. 632.895 (11).
SB220, s. 8
7Section
8. 120.13 (2) (g) of the statutes is amended to read:
SB220,4,108
120.13
(2) (g) Every self-insured plan under par. (b) shall comply with ss.
949.493 (3) (d), 631.89, 631.90, 631.93 (2), 632.87 (4) and (5), 632.895 (9)
and (10) to
10(11), 632.896, 767.25 (4m) (d) and 767.51 (3m) (d).
SB220, s. 9
11Section
9. 185.981 (4t) of the statutes is amended to read:
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185.981
(4t) A sickness care plan operated by a cooperative association is
13subject to ss. 252.14, 631.89, 632.72 (2), 632.87 (2m), (3), (4) and (5), 632.895 (10)
and
14(11) and 632.897 (10) and ch. 155.
SB220, s. 10
15Section
10. 185.983 (1) (intro.) of the statutes is amended to read:
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185.983
(1) (intro.) Every such voluntary nonprofit sickness care plan shall be
17exempt from chs. 600 to 646, with the exception of ss. 601.04, 601.13, 601.31, 601.41,
18601.42, 601.43, 601.44, 601.45, 611.67, 619.04, 628.34 (10), 631.89, 631.93, 632.72
19(2), 632.775, 632.79, 632.795, 632.87 (2m), (3), (4) and (5), 632.895 (5)
, (9) and (10) 20and (9) to (11), 632.896 and 632.897 (10), subch. II of ch. 619 and chs. 609, 630, 635,
21645 and 646, but the sponsoring association shall:
SB220, s. 11
22Section
11. 632.89 (2) (a) 1. of the statutes is amended to read:
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632.89
(2) (a) 1.
A Except as provided in sub. (6), a group or blanket disability
24insurance policy issued by an insurer shall provide coverage of nervous and mental
1disorders and alcoholism and other drug abuse problems if required by and as
2provided in pars. (b) to (e).
SB220, s. 12
3Section
12. 632.89 (6) of the statutes is created to read:
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632.89
(6) Certain severe mental disorders. This section does not apply to
5coverage of the mental disorders listed in s. 632.895 (11) (b).
SB220, s. 13
6Section
13. 632.895 (11) of the statutes is created to read:
SB220,5,127
632.895
(11) Coverage of certain severe mental disorders. (a) 1. Every
8disability insurance policy, and every self-insured health plan of the state or a
9county, city, village, town or school district, that provides coverage of inpatient
10hospital services shall provide coverage of the usual and customary charges for the
11in-hospital medical treatment, including medication, of any disorder listed in par.
12(b).
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2. Every disability insurance policy, and every self-insured health plan of the
14state or a county, city, village, town or school district, that provides coverage of
15outpatient hospital services shall provide coverage of the usual and customary
16charges for the out-of-hospital medical treatment, including medication, of any
17disorder listed in par. (b).
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3. Every disability insurance policy, and every self-insured health plan of the
19state or a county, city, village, town or school district, that provides coverage of
20medical services provided by a day treatment program shall provide coverage of the
21usual and customary charges for medical services provided by a day treatment
22program, including medication, for the treatment of any disorder listed in par. (b).
SB220,5,2423
(b) A disability insurance policy or a self-insured health plan under par. (a)
24shall provide the coverage required under par. (a) for all of the following disorders:
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1. Schizophrenia.
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12. Bipolar disorder.
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3. Major depression with or without psychotic features.
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4. Panic disorder.
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5. Obsessive-compulsive disorder.
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(c) The coverage under par. (a) may not be subject to exclusions, limitations,
6copayments or deductibles that are not generally applicable to other conditions for
7which there is coverage under the policy or plan for inpatient or outpatient hospital
8services or medical services provided by a day treatment program.
SB220,6,99
(d) 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
12in s. 609.01 (3).
SB220,6,16
14(1) This act first applies to insurance policies that are issued or renewed, and
15self-insured health plans that are extended, modified or renewed under collective
16bargaining agreements, on the effective date of this subsection.
SB220,6,19
18(1)
This act takes effect on the first day of the 5th month beginning after
19publication.
