AB100-ASA1-AA1,436,13 1204. Page 1827, line 20: delete "$2,000 $7,000" and substitute "$2,000".

AB100-ASA1-AA1,436,14 1205. Page 1827, line 22: delete "$1,800 $6,300" and substitute "$1,800".

AB100-ASA1-AA1,436,15 1206. Page 1828, line 2: delete "$3,000 $7,000" and substitute "$3,000".

AB100-ASA1-AA1,436,16 1207. Page 1828, line 5: delete "$2,700 $6,300" and substitute "$2,700".

AB100-ASA1-AA1,436,17 1208. Page 1828, line 7: delete lines 7 to 24 and substitute:

AB100-ASA1-AA1,437,2 "632.895 (11) Treatment for the correction of temporomandibular disorders. (a) Every disability insurance policy, and every self-insured health plan of the state or a county, city, village, town or school district, that provides coverage of any diagnostic or surgical procedure involving a bone, joint, muscle or tissue shall provide coverage for diagnostic procedures and medically necessary surgical or nonsurgical treatment for the correction of temporomandibular disorders, including medically necessary surgery for the correction of functional deformities of the maxilla or mandible, if all of the following apply:

AB100-ASA1-AA1,437,4 1. The condition is caused by congenital, developmental or acquired deformity, disease or injury.

AB100-ASA1-AA1,437,7 2. Under the accepted standards of the profession of the health care provider rendering the service, the procedure or device is reasonable and appropriate for the diagnosis or treatment of the condition.

AB100-ASA1-AA1,437,9 3. The purpose of the procedure or device is to control or eliminate infection, pain, disease or dysfunction.

AB100-ASA1-AA1,437,11 (b) 1. The coverage required under this subsection for nonsurgical treatment includes coverage for prescribed intraoral splint therapy devices.

AB100-ASA1-AA1,437,13 2. The coverage required under this subsection does not include coverage for cosmetic or elective orthodontic care, periodontic care or general dental care.

AB100-ASA1-AA1,437,16 (c) The coverage required under this subsection may be subject to any limitations, exclusions or cost-sharing provisions that apply generally under the disability insurance policy or self-insured health plan.".

AB100-ASA1-AA1,437,17 1209. Page 1829, line 1: delete lines 1 to 5 and substitute:

AB100-ASA1-AA1,437,20 "632.895 (12) Hospital and ambulatory surgery center charges and anesthetics for dental care. (a) In this subsection, "ambulatory surgery center" has the meaning given in s. 49.45 (6r) (a) 1.

AB100-ASA1-AA1,438,2 (b) Every disability insurance policy, and every self-insured health plan of the state or a county, city, village, town or school district, shall cover hospital or ambulatory surgery center charges incurred, and anesthetics provided, in conjunction with dental care that is provided to a covered individual in a hospital or ambulatory surgery center, if any of the following applies:".

AB100-ASA1-AA1,438,3 1210. Page 1829, line 11: substitute "(c)" for "(b)".

AB100-ASA1-AA1,438,4 1211. Page 1829, line 11: delete "par. (a)" and substitute "this subsection".

AB100-ASA1-AA1,438,5 1212. Page 1829, line 13: after that line insert:

AB100-ASA1-AA1,438,7 " Section 4931m. 632.896 (4) of the statutes, as affected by 1995 Wisconsin Act 289, is amended to read:

AB100-ASA1-AA1,438,13 632.896 (4) Preexisting conditions. Notwithstanding ss. 632.745 (2) 632.746 and 632.76 (2) (a), a disability insurance policy that is subject to sub. (2) and that is in effect when a court makes a final order granting adoption or when the child is placed for adoption may not exclude or limit coverage of a disease or physical condition of the child on the ground that the disease or physical condition existed before coverage is required to begin under sub. (3).".

AB100-ASA1-AA1,438,14 1213. Page 1829, line 13: after that line insert:

AB100-ASA1-AA1,438,15 " Section 4930v. 632.895 (13) of the statutes is created to read:

AB100-ASA1-AA1,438,19 632.895 (13) Breast reconstruction. (a) Every disability insurance policy, and every self-insured health plan of the state or a county, city, village, town or school district, that provides coverage of the surgical procedure known as a mastectomy shall provide coverage of breast reconstruction incident to a mastectomy.

AB100-ASA1-AA1,438,22 (b) The coverage required under par. (a) may be subject to any limitations, exclusions or cost-sharing provisions that apply generally under the disability insurance policy or self-insured health plan.".

AB100-ASA1-AA1,438,24 1214. Page 1829, line 20: delete the material beginning with that line and ending with page 1830, line 13, and substitute:

AB100-ASA1-AA1,439,1 " Section 4932b. 632.898 of the statutes is repealed.

AB100-ASA1-AA1, s. 4932d Section 4932d. Subchapter I (title) of chapter 635 [precedes 635.01] of the statutes is repealed.

AB100-ASA1-AA1, s. 4932f Section 4932f. 635.01 of the statutes is amended to read:

AB100-ASA1-AA1,439,11 635.01 Scope. This subchapter chapter applies to all group health insurance plans, policies or certificates, written on risks or operations in this state, providing coverage for employes of a small employer, or employes of a small employer and the employer, and to individual health insurance policies, written on risks or operations in this state, providing coverage for employes of a small employer, or employes of a small employer and the employer when 3 or more are sold to or through a small employer.