The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
AB15, s. 1
1Section 1. 40.51 (8) of the statutes, as affected by 1995 Wisconsin Act 289, is
2amended to read:
AB15,2,53 40.51 (8) Every health care coverage plan offered by the state under sub. (6)
4shall comply with ss. 631.89, 631.90, 631.93 (2), 632.72 (2), 632.745 (1) to (3) and (5),
5632.747, 632.87 (3) to (5), 632.895 (5m) and (8) to (10) (11) and 632.896.
AB15, s. 2 6Section 2. 40.51 (8m) of the statutes, as created by 1995 Wisconsin Act 289,
7is amended to read:
AB15,2,108 40.51 (8m) Every health care coverage plan offered by the group insurance
9board under sub. (7) shall comply with ss. 632.745 (1) to (3) and (5) and, 632.747 and
10632.895 (11)
.
AB15, s. 3 11Section 3. 60.23 (25) of the statutes, as affected by 1995 Wisconsin Act 289,
12is amended to read:
AB15,2,1613 60.23 (25) Self-insured health plans. Provide health care benefits to its
14officers and employes on a self-insured basis if the self-insured plan complies with
15ss. 631.89, 631.90, 631.93 (2), 632.745 (2), (3) and (5) (a) 2. and (b) 2., 632.747 (3),
16632.87 (4) and (5), 632.895 (9) and (11) and 632.896.
AB15, s. 4 17Section 4. 66.184 of the statutes, as affected by 1995 Wisconsin Act 289, is
18amended to read:
AB15,2,24 1966.184 Self-insured health plans. If a city, including a 1st class city, or a
20village provides health care benefits under its home rule power, or if a town provides
21health care benefits, to its officers and employes on a self-insured basis, the
22self-insured plan shall comply with ss. 49.493 (3) (d), 631.89, 631.90, 631.93 (2),
23632.745 (2), (3) and (5) (a) 2. and (b) 2., 632.747 (3), 632.87 (4) and (5), 632.895 (9) and
24(10)
to (11), 632.896, 767.25 (4m) (d) and 767.51 (3m) (d).
AB15, s. 5 25Section 5. 111.91 (2) (n) of the statutes is created to read:
AB15,3,2
1111.91 (2) (n) The provision to employes of the health insurance coverage
2required under s. 632.895 (11).
AB15, s. 6 3Section 6. 120.13 (2) (g) of the statutes, as affected by 1995 Wisconsin Act 289,
4is amended to read:
AB15,3,85 120.13 (2) (g) Every self-insured plan under par. (b) shall comply with ss.
649.493 (3) (d), 631.89, 631.90, 631.93 (2), 632.745 (2), (3) and (5) (a) 2. and (b) 2.,
7632.747 (3), 632.87 (4) and (5), 632.895 (9) and (10) to (11), 632.896, 767.25 (4m) (d)
8and 767.51 (3m) (d).
AB15, s. 7 9Section 7. 185.981 (4t) of the statutes, as affected by 1995 Wisconsin Act 289,
10is amended to read:
AB15,3,1311 185.981 (4t) A sickness care plan operated by a cooperative association is
12subject to ss. 252.14, 631.89, 632.72 (2), 632.745, 632.747, 632.749, 632.87 (2m), (3),
13(4) and (5), 632.895 (10) and (11) and 632.897 (10) and ch. 155.
AB15, s. 8 14Section 8. 185.983 (1) (intro.) of the statutes, as affected by 1995 Wisconsin
15Act 289
, is amended to read:
AB15,3,2116 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), 632.745, 632.747, 632.749, 632.775, 632.79, 632.795, 632.87 (2m), (3), (4) and (5),
20632.895 (5), (9) and (10) and (9) to (11), 632.896 and 632.897 (10), subch. II of ch. 619
21and chs. 609, 630, 635, 645 and 646, but the sponsoring association shall:
AB15, s. 9 22Section 9. 609.79 of the statutes is created to read:
AB15,3,25 23609.79 Coverage of breast reconstruction. Health maintenance
24organizations, limited service health organizations and preferred provider plans are
25subject to s. 632.895 (11).
AB15, s. 10
1Section 10. 619.14 (4) (a) of the statutes is amended to read:
AB15,4,52 619.14 (4) (a) Any charge for treatment for cosmetic purposes other than
3surgery for the repair or treatment of an injury or a congenital bodily defect. Breast
4reconstruction incident to a mastectomy shall not be considered treatment for
5cosmetic purposes.
AB15, s. 11 6Section 11. 632.895 (11) of the statutes is created to read:
AB15,4,107 632.895 (11) Breast reconstruction. (a) Every disability insurance policy,
8and every self-insured health plan of the state or a county, city, village, town or school
9district, that provides coverage of the surgical procedure known as a mastectomy
10shall provide coverage of breast reconstruction incident to a mastectomy.
AB15,4,1311 (b) The coverage required under par. (a) may be subject to any limitations,
12exclusions or cost-sharing provisions that apply generally under the disability
13insurance policy or self-insured health plan.
AB15, s. 12 14Section 12. Initial applicability.
AB15,4,1515 (1) This act first applies to all of the following:
AB15,4,1816 (a) Except as provided in paragraphs (b) and (c ), disability insurance policies
17that are issued or renewed, and self-insured health plans that are established,
18extended, modified or renewed, on the effective date of this paragraph.
AB15,4,2119 (b) Disability insurance policies covering employes who are affected by a
20collective bargaining agreement containing provisions inconsistent with this act
21that are issued or renewed on the earlier of the following:
AB15,4,22 221. The day on which the collective bargaining agreement expires.
AB15,4,24 232. The day on which the collective bargaining agreement is extended, modified
24or renewed.
AB15,5,3
1(c) Self-insured health plans covering employes who are affected by a collective
2bargaining agreement containing provisions inconsistent with this act that are
3established, extended, modified or renewed on the earlier of the following:
AB15,5,4 41. The day on which the collective bargaining agreement expires.
AB15,5,6 52. The day on which the collective bargaining agreement is extended, modified
6or renewed.
AB15, s. 13 7Section 13. Effective date.
AB15,5,98 (1) This act takes effect on the first day of the 5th month beginning after
9publication.
AB15,5,1010 (End)
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