SB115,2,97
40.51
(8m) Every health care coverage plan offered by the group insurance
8board under sub. (7) shall comply with ss. 632.746 (1) to (8) and (10), 632.747,
9632.748, 632.85, 632.853, 632.855 and 632.895 (11) to
(13) (14).
SB115, s. 3
10Section
3. 60.23 (25) of the statutes is amended to read:
SB115,2,1411
60.23
(25) Self-insured health plans. Provide health care benefits to its
12officers and employes on a self-insured basis if the self-insured plan complies with
13ss. 631.89, 631.90, 631.93 (2), 632.746 (10) (a) 2. and (b) 2., 632.747 (3), 632.85,
14632.853, 632.855, 632.87 (4) and (5), 632.895 (9) and (11) to
(13) (14) and 632.896.
SB115, s. 4
15Section
4. 66.184 of the statutes is amended to read:
SB115,3,2
1666.184 Self-insured health plans. If a city, including a 1st class city, or a
17village provides health care benefits under its home rule power, or if a town provides
18health care benefits, to its officers and employes on a self-insured basis, the
19self-insured plan shall comply with ss. 49.493 (3) (d), 631.89, 631.90, 631.93 (2),
20632.746 (10) (a) 2. and (b) 2., 632.747 (3), 632.85, 632.853, 632.855, 632.87 (4) and (5),
1632.895 (9) to
(13) (14), 632.896, 767.25 (4m) (d), 767.51 (3m) (d) and 767.62 (4) (b)
24.
SB115, s. 5
3Section
5. 111.91 (2) (n) of the statutes is amended to read:
SB115,3,54
111.91
(2) (n) The provision to employes of the health insurance coverage
5required under s. 632.895 (11) to
(13) (14).
SB115, s. 6
6Section
6. 120.13 (2) (g) of the statutes is amended to read:
SB115,3,107
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.
SB115, s. 7
11Section
7. 185.981 (4t) of the statutes is amended to read:
SB115,3,1512
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.
SB115, s. 8
16Section
8. 185.983 (1) (intro.) of the statutes is amended to read:
SB115,3,2217
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:
SB115, s. 9
23Section
9. 609.87 of the statutes is created to read:
SB115,3,25
24609.87 Coverage of smoking cessation treatment. Managed care plans
25and preferred provider plans are subject to s. 632.895 (14).
SB115, s. 10
1Section
10. 632.895 (14) of the statutes is created to read:
SB115,4,42
632.895
(14) Smoking cessation treatment and medication. (a) In this
3subsection, "self-insured health plan" means a self-insured health plan of the state
4or a county, city, village, town or school district.
SB115,4,105
(b) 1. Subject to subd. 2. and except as provided in par. (e), every disability
6insurance policy and every self-insured health plan shall provide coverage of
7smoking cessation treatment that is provided in conformity with the
8recommendations set forth in Clinical Practice Guideline Number 18, Smoking
9Cessation, publication number 96-0692, published by the federal department of
10health and human services, agency for health care policy and research.
SB115,4,1211
2. A disability insurance policy or self-insured health plan is not required to
12cover a course of treatment specified in subd. 1. more than one time in a year.
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(c) Except as provided in par. (e), every disability insurance policy and every
14self-insured health plan shall provide coverage of all of the following medications
15prescribed for smoking cessation:
SB115,4,1616
1. Nicotine gum.
SB115,4,1717
2. Nicotine patch.
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3. Nicotine nasal spray.
SB115,4,1919
4. Nicotine inhaler.
SB115,4,2020
5. Zyban or its generic equivalent.
SB115,4,2321
(d) The coverage required under pars. (b) and (c) may be subject to any
22limitations, exclusions or cost-sharing provisions that apply generally under the
23disability insurance policy or self-insured health plan.
SB115,4,2424
(e) This subsection does not apply to any of the following:
SB115,5,2
11. A health care plan offered by a limited service health organization, as defined
2in s. 609.01 (3).
SB115,5,33
2. A disability insurance policy that covers only certain specified diseases.
SB115,5,55
(1) This act first applies to all of the following:
SB115,5,86
(a) Except as provided in paragraphs (b) and (c
), disability insurance policies
7that are issued or renewed, and self-insured health plans that are established,
8extended, modified or renewed, on the effective date of this paragraph.
SB115,5,119
(b) Disability insurance policies covering employes who are affected by a
10collective bargaining agreement containing provisions inconsistent with this act
11that are issued or renewed on the earlier of the following:
SB115,5,12
121. The day on which the collective bargaining agreement expires.
SB115,5,14
132. The day on which the collective bargaining agreement is extended, modified
14or renewed.
SB115,5,1715
(c) Self-insured health plans covering employes who are affected by a collective
16bargaining agreement containing provisions inconsistent with this act that are
17established, extended, modified or renewed on the earlier of the following:
SB115,5,18
181. The day on which the collective bargaining agreement expires.
SB115,5,20
192. The day on which the collective bargaining agreement is extended, modified
20or renewed.
SB115,5,2322
(1)
This act takes effect on the first day of the 6th month beginning after
23publication.
