AB210: Bill Text

AB210,21,3 (b) Coverage of preventive health services. Section 2713 (42 USC 300gg-13).

AB210,21,5 (c) Patient protections; coverage of emergency services. Section 2719A (b) (42 USC 300gg-19a (b)).

AB210,21,8 (3) Self-insured governmental health plans. A self-insured governmental health plan shall comply with all of the following provisions of the Public Health Service Act:

AB210,21,10 (a) Coverage of dependent students on medically necessary leave of absence. Section 2728 (42 USC 300gg-28).

AB210,21,11 (b) Extension of dependent coverage. Section 2714 (42 USC 300gg-14).

AB210,21,14 (c) Patient protections; coverage of emergency services. Section 2719A (b) (42 USC 300gg-19a (b)). In addition, a self-insured governmental health plan also shall comply with s. 632.85.

AB210,21,16 (4) Additional requirements. With respect to health insurance coverage that is issued or renewed on or after March 23, 2012, all of the following apply:

AB210,21,18 (a) Insurers. An insurer shall comply with all of the following provisions of the Public Health Service Act:

AB210,21,20 1. `Uniform explanation of coverage documents and standardization of definitions.' Section 2715 (42 USC 300gg-15).

AB210,21,21 2. `Ensuring the quality of care.' Section 2717 (42 USC 300gg-17).

AB210,21,24 (b) Grandfathered health plans. A grandfathered health plan shall comply with section 2717 of the Public Health Service Act (42 USC 300gg-17), relating to ensuring the quality of care.

AB210,22,5 (5) Application of section to grandfathered health plans. In addition to subs. (2) and (4) (b), this section applies to a grandfathered health plan, but only with respect to those provisions of the Public Health Service Act referred to in this section that apply to a grandfathered health plan under section 1251 of the Patient Protection and Affordable Care Act.

AB210,22,12 636.35 Applicability if federal law found unconstitutional. If the Patient Protection and Affordable Care Act is found by a final decision of a federal court of competent jurisdiction to be unconstitutional in its entirety and unenforceable in this state, and if all appeals are exhausted or the time for appeal expires, insurers and self-insured governmental health plans are exempt from all of the following provisions on and after the first day of the 3rd month beginning after the date on which all appeals are exhausted or the time for appeal expires:

AB210,22,13 (1) Section 625.13 (3).

AB210,22,14 (2) Section 636.18.

AB210,22,15 (3) Section 636.25, except for s. 636.25 (1) (h) and (3) (b).

AB210,22,17 (4) Chapter 625 with respect to small employer health insurance and group and blanket accident and sickness insurance offered in the individual market.

AB210, s. 44 Section 44 . Initial applicability.

AB210,22,24 (1) Miscellaneous coverage requirements. The treatment of sections 40.51 (8) (by Section 2 ) and (8m) (by Section 4 ), 49.67 (3) (am) 2. b., 66.0137 (4) (by Section 7), 111.91 (2) (n) and (nm), 111.998 (2) (n), 120.13 (2) (g) (by Section 14), 185.983 (1) (intro.) (by Section 16 ), 609.755, 632.76 (2) (ac) 1., 2., 3. (intro.), and 4., 632.885, 632.895 (15) (c) (intro.), and 636.25 (1), (2), (3), and (5) of the statutes first applies to all of the following:

AB210,23,3 (a) Except as provided in paragraphs (b), (c), and (d ), disability insurance policies that are newly issued, and self-insured governmental or school district health plans that are newly established on the effective date of this paragraph.

AB210,23,7 (b) Except as provided in paragraph (d), disability insurance policies, and self-insured governmental or school district health plans, that are grandfathered health plans, as defined in section 636.01 (2) of the statutes, as created by this act, that are renewed, extended, or modified on the effective date of this paragraph.

AB210,23,12 (c) Except as provided in paragraph (d), disability insurance policies, and self-insured governmental or school district health plans, covering employees who are affected by a collective bargaining agreement containing provisions inconsistent with this act that are newly issued or newly established on the earlier of the following:

AB210,23,13 1. The day on which the collective bargaining agreement expires.

AB210,23,15 2. The day on which the collective bargaining agreement is extended, modified, or renewed.

AB210,23,21 (d) Disability insurance policies, and self-insured governmental or school district health plans, that are grandfathered health plans, as defined in section 636.01 (2) of the statutes, as created by this act, that cover employees who are affected by a collective bargaining agreement containing provisions inconsistent with this act, and that are renewed, extended, or modified on the earlier of the following:

AB210,23,22 1. The day on which the collective bargaining agreement expires.

AB210,23,24 2. The day on which the collective bargaining agreement is extended, modified, or renewed.

AB210,24,9 (2) Internal and external appeals. The treatment of sections 40.51 (8) (by Section 1) (with respect to internal and external review procedures), 40.51 (8m) (by Section 3) (with respect to internal and external review procedures), 66.0137 (4) (by Section 6) (with respect to internal and external review procedures), 111.91 (2) (s), 111.998 (2) (s), 120.13 (2) (g) (by Section 13) (with respect to internal and external review procedures), 185.983 (1) (intro.) (by Section 15) (with respect to internal and external review procedures), 600.01 (2) (b), 609.655 (4) (b), 632.83, 632.835, 636.12, and 636.15 of the statutes first applies to appeals filed on the effective date of this subsection.

AB210, s. 45 Section 45. Effective dates. This act takes effect on the day after publication, except as follows:

AB210,24,17 (1) Health insurance coverage provisions. The treatment of sections 40.51 (8) (by Section 2) and (8m) (by Section 4 ), 49.67 (3) (am) 2. b., 66.0137 (4) (by Section 7), 111.91 (2) (n) and (nm), 111.998 (2) (n), 120.13 (2) (g) (by Section 14), 185.983 (1) (intro.) (by Section 16 ), 609.755, 632.76 (2) (ac) 1., 2., 3. (intro.), and 4., 632.885, 632.895 (15) (c) (intro.), 636.25, and 636.35 of the statutes and Section 44 (1) of this act take effect on the first day of the 6th month beginning after publication.

AB210,24,22 (2) Individual and small group health insurance rating. The treatment of sections 601.465 (1m) (d), 625.02 (1), (1h), (1p), (2f), and (2s), 625.13 (1) and (3), and 625.14 of the statutes, the renumbering and amendment of section 625.03 (1m) (e) of the statutes, and the creation of section 625.03 (1m) (e) 2. and 3. of the statutes take effect on September 1, 2011, or on the day after publication, whichever is later.

AB210,24,23 (End)