Wisconsin 2023-2024 Regular Session

Wisconsin Assembly Bill AB311 Compare Versions

Only one version of the bill is available at this time.

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1	1	LRB-2096/1
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3	3	2023 - 2024 LEGISLATURE
4	4	2023 ASSEMBLY BILL 311
5	5	June 9, 2023 - Introduced by Representatives WITTKE, RETTINGER, ARMSTRONG,
6	6	O'CONNOR and WICHGERS, cosponsored by Senators TESTIN and BALLWEG.
7	7	Referred to Committee on Insurance.
8	8	*AUTHORS SUBJECT TO CHANGE*
9	9	AN ACT to amend 448.95 (7) and 632.87 (1); and to create 632.87 (4s) of the
10	10	statutes; relating to: athletic training and coverage of the services of athletic
11	11	trainers under health insurance policies and plans.
12	12	Analysis by the Legislative Reference Bureau
13	13	Current law prohibits health insurance policies, plans, or contracts from
14	14	excluding coverage of the services of various types of health care providers within the
15	15	scope of their licenses, including chiropractors, dentists, optometrists, and nurse
16	16	practitioners, if those services are covered when provided by another type of health
17	17	care provider. This bill prohibits a health insurance policy, plan, or contract from
18	18	excluding or refusing to cover services provided by an athletic trainer within the
19	19	scope of the athletic trainer's license if the policy, plan, or contract covers those
20	20	services when provided by another type of health care provider. The bill also amends
21	21	the definition of “physical activity” for purposes of defining the scope of athletic
22	22	training to mean participation in exercise, sports, games, recreation, wellness,
23	23	fitness, or employment activities.
24	24	This proposal may contain a health insurance mandate requiring a social and
25	25	financial impact report under s. 601.423, stats.
26	26	For further information see the state fiscal estimate, which will be printed as
27	27	an appendix to this bill.
28	28	The people of the state of Wisconsin, represented in senate and assembly, do
29	29	enact as follows:
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32	32	3 - 2 -2023 - 2024 Legislature LRB-2096/1
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34	34	SECTION 1 ASSEMBLY BILL 311
35	35	SECTION 1. 448.95 (7) of the statutes is amended to read:
36	36	448.95 (7) “Physical activity" means vigorous participation in exercise, sports,
37	37	games, recreation, wellness, fitness, or employment activities.
38	38	SECTION 2. 632.87 (1) of the statutes is amended to read:
39	39	632.87 (1) No insurer may refuse to provide or pay for benefits for health care
40	40	services provided by a licensed health care professional on the ground that the
41	41	services were not rendered by a physician as defined in s. 990.01 (28), unless the
42	42	contract clearly excludes services by such practitioners, but no contract or plan may
43	43	exclude services in violation of sub. (2), (2m), (3), (4), (4m), (4s), (5), or (6).
44	44	SECTION 3. 632.87 (4s) of the statutes is created to read:
45	45	632.87 (4s) (a) In this subsection:
46	46	1. “Athletic trainer" means an individual who is licensed as an athletic trainer
47	47	under subch. VI of ch. 448.
48	48	2. “Health care provider" has the meaning given in s. 146.81 (1).
49	49	(b) No policy, plan, or contract may exclude or refuse to provide coverage for
50	50	services provided by an athletic trainer within the scope of the athletic trainer's
51	51	license if the policy, plan, or contract covers those services when provided by another
52	52	health care provider.
53	53	SECTION 4.0Initial applicability.
54	54	(1) For policies and plans containing provisions inconsistent with this act, the
55	55	act first applies to policy or plan years beginning on January 1 of the year following
56	56	the year in which this subsection takes effect, except as provided in sub. (2).
57	57	(2) For policies and plans that are affected by a collective bargaining agreement
58	58	containing provisions inconsistent with this act, this act first applies to policy or plan
59	59	years beginning on the effective date of this subsection or on the day on which the
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84	84	25 - 3 -2023 - 2024 Legislature
85	85	LRB-2096/1
86	86	JPC:kms&emw
87	87	SECTION 4
88	88	ASSEMBLY BILL 311
89	89	collective bargaining agreement is newly established, extended, modified, or
90	90	renewed, whichever is later.
91	91	SECTION 5.0Effective date.
92	92	(1) This act takes effect on the first day of the 4th month beginning after
93	93	publication.
94	94	(END)
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