1 | 1 | | LRB-5085/1 |
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2 | 2 | | JPC:emw |
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3 | 3 | | 2023 - 2024 LEGISLATURE |
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4 | 4 | | 2023 ASSEMBLY BILL 1198 |
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5 | 5 | | April 9, 2024 - Introduced by Representatives BARE, JOERS, PALMERI, CLANCY, |
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6 | 6 | | CONLEY, CONSIDINE, EMERSON, JACOBSON, MADISON, NOVAK, RATCLIFF, SHELTON |
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7 | 7 | | and SINICKI, cosponsored by Senators ROYS, LARSON and SPREITZER. Referred |
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8 | 8 | | to Committee on Insurance. |
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9 | 9 | | ***AUTHORS SUBJECT TO CHANGE*** |
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10 | 10 | | AN ACT to amend 632.895 (17) (b) 2. of the statutes; relating to: coverage of |
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11 | 11 | | sterilization procedures and patient education and counseling under health |
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12 | 12 | | insurance policies and plans. |
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13 | 13 | | Analysis by the Legislative Reference Bureau |
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14 | 14 | | Under current law, health insurance policies and self-insured governmental |
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15 | 15 | | health plans that provide coverage of outpatient health care services, preventive |
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16 | 16 | | treatments and services, or prescription drugs and devices are required to provide |
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17 | 17 | | coverage of certain contraceptives and related services, including outpatient |
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18 | 18 | | consultations, examinations, procedures, and medical services that are necessary to |
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19 | 19 | | prescribe, administer, maintain, or remove a contraceptive. This bill requires that |
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20 | 20 | | health insurance policies and self-insured governmental health plans that are |
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21 | 21 | | required to provide such contraceptive coverage under current law also provide |
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22 | 22 | | coverage for sterilization procedures and patient education and counseling. Health |
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23 | 23 | | insurance policies are referred to in the statutes as disability insurance policies. |
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24 | 24 | | This proposal may contain a health insurance mandate requiring a social and |
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25 | 25 | | financial impact report under s. 601.423, stats. |
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26 | 26 | | For further information see the state fiscal estimate, which will be printed as |
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27 | 27 | | an appendix to this bill. |
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28 | 28 | | The people of the state of Wisconsin, represented in senate and assembly, do |
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29 | 29 | | enact as follows: |
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32 | 32 | | 3 - 2 -2023 - 2024 Legislature LRB-5085/1 |
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33 | 33 | | JPC:emw |
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34 | 34 | | SECTION 1 ASSEMBLY BILL 1198 |
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35 | 35 | | SECTION 1. 632.895 (17) (b) 2. of the statutes is amended to read: |
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36 | 36 | | 632.895 (17) (b) 2. Outpatient consultations, examinations, procedures, and |
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37 | 37 | | medical services that are necessary to prescribe, administer, maintain, or remove a |
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38 | 38 | | contraceptive, if covered for any other drug benefits under the policy or plan |
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39 | 39 | | sterilization procedures, and patient education and counseling. |
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40 | 40 | | SECTION 2.0Initial applicability. |
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41 | 41 | | (1) For policies and plans containing provisions inconsistent with this act, this |
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42 | 42 | | act first applies to policy or plan years beginning on the effective date of this |
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43 | 43 | | subsection, except as provided in sub. (2). |
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44 | 44 | | (2) For policies and plans that are affected by a collective bargaining agreement |
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45 | 45 | | containing provisions inconsistent with this act, this act first applies to policy or plan |
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46 | 46 | | years beginning on the effective date of this subsection or on the day on which the |
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47 | 47 | | collective bargaining agreement is newly established, extended, modified, or |
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48 | 48 | | renewed, whichever is later. |
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49 | 49 | | SECTION 3.0Effective date. |
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50 | 50 | | (1) This act takes effect on the first day of the 4th month beginning after |
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51 | 51 | | publication. |
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52 | 52 | | (END) |
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