AB362,3,107
120.13
(2) (g) Every self-insured plan under par. (b) shall comply with ss.
849.493 (3) (d), 631.89, 631.90, 631.93 (2), 632.746 (10) (a) 2. and (b) 2., 632.747 (3),
9632.85, 632.853, 632.855, 632.87 (4) and (5), 632.895 (9) to
(13) (14), 632.896, 767.25
10(4m) (d), 767.51 (3m) (d) and 767.62 (4) (b) 4.
AB362, s. 7
11Section
7. 185.981 (4t) of the statutes is amended to read:
AB362,3,1512
185.981
(4t) A sickness care plan operated by a cooperative association is
13subject to ss. 252.14, 631.89, 632.72 (2), 632.745 to 632.749, 632.85, 632.853, 632.855,
14632.87 (2m), (3), (4) and (5), 632.895 (10) to
(13)
(14) and 632.897 (10) and chs. 149
15and 155.
AB362, s. 8
16Section
8. 185.983 (1) (intro.) of the statutes is amended to read:
AB362,3,2217
185.983
(1) (intro.) Every such voluntary nonprofit sickness care plan shall be
18exempt from chs. 600 to 646, with the exception of ss. 601.04, 601.13, 601.31, 601.41,
19601.42, 601.43, 601.44, 601.45, 611.67, 619.04, 628.34 (10), 631.89, 631.93, 632.72
20(2), 632.745 to 632.749, 632.775, 632.79, 632.795, 632.85, 632.853, 632.855, 632.87
21(2m), (3), (4) and (5), 632.895 (5) and (9) to
(13)
(14), 632.896 and 632.897 (10) and
22chs. 609, 630, 635, 645 and 646, but the sponsoring association shall:
AB362, s. 9
23Section
9. 609.73 of the statutes is created to read:
AB362,3,25
24609.73 Coverage of contraceptive articles and services. Managed care
25plans are subject to s. 632.895 (14).
AB362, s. 10
1Section
10. 632.895 (14) of the statutes is created to read:
AB362,4,112
632.895
(14) Contraceptive articles and services. (a) In this subsection,
3"contraceptive article" means any drug, medicine, mixture, preparation, instrument,
4article or device of any nature that is approved by the federal food and drug
5administration for use to prevent a pregnancy and that is prescribed by a licensed
6health care provider for use to prevent a pregnancy, or any hormonal compound that
7is taken orally and that is approved by the federal food and drug administration for
8use to prevent a pregnancy. "Contraceptive article" does not include any drug,
9medicine, mixture, preparation, instrument, article or device of any nature
10prescribed for use in terminating the pregnancy of a woman who is known by the
11prescribing licensed health care provider to be pregnant.
AB362,4,1412
(b) Every disability insurance policy, and every self-insured health plan of a
13county, city, village or school district, that provides coverage of outpatient health care
14services shall provide coverage for all of the following:
AB362,4,1515
1. Contraceptive articles.
AB362,4,1716
2. Medical services, including counseling and physical examinations, for the
17prescription or use of a contraceptive article or of a procedure to prevent a pregnancy.
AB362,4,1818
3. Medical procedures performed to prevent a pregnancy.
AB362,4,2119
(c) Coverage under this subsection may be subject to exclusions or limitations,
20including copayments and deductibles, that apply generally to the benefits that are
21provided under the policy or plan.
AB362,4,2222
(d) This subsection does not apply to any of the following:
AB362,4,2323
1. A disability insurance policy that covers only certain specified diseases.
AB362,5,3
12. A health care plan offered by a limited service health organization, as defined
2in s. 609.01 (3), or by a preferred provider plan, as defined in s. 609.01 (4), that is not
3a managed care plan, as defined in s. 609.01 (3c).
AB362,5,54
3. A medicare replacement policy, a medicare supplement policy or a long-term
5care insurance policy.
AB362,5,77
(1) This act first applies to all of the following:
AB362,5,108
(a) Except as provided in paragraphs (b) and (c), disability insurance policies
9that are issued or renewed, and self-insured health plans that are established,
10extended, modified or renewed, on the effective date of this paragraph.
AB362,5,1311
(b) Disability insurance policies covering employes who are affected by a
12collective bargaining agreement containing provisions inconsistent with this act
13that are issued or renewed on the earlier of the following:
AB362,5,14
141. The day on which the collective bargaining agreement expires.
AB362,5,16
152. The day on which the collective bargaining agreement is extended, modified
16or renewed.
AB362,5,1917
(c) Self-insured health plans covering employes who are affected by a collective
18bargaining agreement containing provisions inconsistent with this act that are
19established, extended, modified or renewed on the earlier of the following:
AB362,5,20
201. The day on which the collective bargaining agreement expires.
AB362,5,22
212. The day on which the collective bargaining agreement is extended, modified
22or renewed.
AB362,6,2
1(1)
This act takes effect on the first day of the 6th month beginning after
2publication.