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