Wisconsin 2023-2024 Regular Session

Wisconsin Assembly Bill AB427 Compare Versions

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

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3	3	2023 - 2024 LEGISLATURE
4	4	2023 ASSEMBLY BILL 427
5	5	September 19, 2023 - Introduced by Representatives SUBECK, JOERS, C. ANDERSON,
6	6	J. ANDERSON, BARE, CABRERA, CONLEY, CONSIDINE, DRAKE, EMERSON, OHNSTAD,
7	7	ORTIZ-VELEZ, PALMERI, RATCLIFF, SHELTON, STUBBS and JACOBSON, cosponsored
8	8	by Senators CARPENTER, LARSON, ROYS, SPREITZER and TAYLOR. Referred to
9	9	Committee on Health, Aging and Long-Term Care.
10	10	*AUTHORS SUBJECT TO CHANGE*
11	11	AN ACT to create 20.435 (1) (s), 25.17 (1) (xmm), 25.778 and 252.045 of the
12	12	statutes; relating to: purchasing and distributing vaccines, granting
13	13	rule-making authority, and making an appropriation.
14	14	Analysis by the Legislative Reference Bureau
15	15	Under this bill, the Department of Health Services must establish a program
16	16	that provides vaccines to individuals who are not eligible to receive the vaccines at
17	17	no cost from a federal program. Vaccines to which the bill applies are those
18	18	recommended by the Advisory Committee on Immunization Practices of the federal
19	19	Centers for Disease Control and Prevention and included in the program by the
20	20	secretary of health services. The bill requires DHS to estimate the costs associated
21	21	with providing vaccines and, in consultation with the commissioner of insurance,
22	22	assess each payer that covers vaccines an amount to pay for this program in
23	23	accordance with the estimate plus any reserves that DHS determines are prudent.
24	24	Employee benefit plan administrators, insurers, certain health coverage plans, and
25	25	self-insured governmental health plans are considered payers in the bill. The
26	26	amount the payer is assessed must be proportional to the number of individuals
27	27	whose health benefits are administered by or on behalf of that payer in the state. The
28	28	bill allows DHS to impose an additional assessment if a new vaccine is developed.
29	29	DHS must then purchase vaccines and distribute them to health care providers to
30	30	be administered to individuals who are not eligible to receive the vaccines at no cost
31	31	from a federal program.
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34	34	3 - 2 -2023 - 2024 Legislature LRB-4027/1
35	35	KMS:emw
36	36	ASSEMBLY BILL 427
37	37	For further information see the state and local fiscal estimate, which will be
38	38	printed as an appendix to this bill.
39	39	The people of the state of Wisconsin, represented in senate and assembly, do
40	40	enact as follows:
41	41	SECTION 1. 20.435 (1) (s) of the statutes is created to read:
42	42	20.435 (1) (s) Vaccine purchasing. From the vaccine purchase fund, all moneys
43	43	received from assessments for the purpose of purchasing vaccines under s. 252.045.
44	44	SECTION 2. 25.17 (1) (xmm) of the statutes is created to read:
45	45	25.17 (1) (xmm) Vaccine purchase fund (s. 25.778);
46	46	SECTION 3. 25.778 of the statutes is created to read:
47	47	25.778 Vaccine purchase fund. There is created a separate nonlapsible trust
48	48	fund designated as the vaccine purchase fund. The vaccine purchase fund shall
49	49	consist of all moneys that are received from assessments on payers under s. 252.045
50	50	(3).
51	51	SECTION 4. 252.045 of the statutes is created to read:
52	52	252.045 Purchase of vaccines. (1) In this section:
53	53	(a) “Health care provider” means a health care provider, as defined in s. 146.81
54	54	(1), who is authorized under chs. 440 to 480 to administer a vaccine.
55	55	(b) “Payer” means any of the following:
56	56	1. An administrator, as defined in s. 633.01 (1).
57	57	2. An insurer, as defined in s. 632.745 (15).
58	58	3. A health coverage plan described in s. 632.745 (11) (b) 1. to 12. or self-insured
59	59	health plan, as defined in s. 632.745 (24), that is not administered by an insurer or
60	60	administrator.
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81	81	LRB-4027/1
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83	83	SECTION 4
84	84	ASSEMBLY BILL 427
85	85	(c) “Vaccine” means any vaccine that is recommended by the advisory
86	86	committee on immunization practices of the federal centers for disease control and
87	87	prevention, or its successor, and that is included in the program under sub. (2) by the
88	88	secretary.
89	89	(2) The department shall establish a program to provide a vaccine to any
90	90	individual in this state who is not eligible to receive the vaccine at no cost from a
91	91	federal program. The department shall purchase vaccines and distribute the
92	92	vaccines to health care providers who participate in the program under this
93	93	subsection. The health care providers shall administer the vaccines to individuals
94	94	described under this subsection.
95	95	(3) The department shall estimate the costs associated with the program under
96	96	sub. (2). The department, in consultation with the commissioner of insurance, shall
97	97	assess no less frequently than annually each payer that covers vaccines an amount
98	98	that is proportional to the number of individuals whose health benefits are
99	99	administered by or on behalf of that payer in this state to pay for the program under
100	100	sub. (2) in accordance with the estimate plus any reserves that the department
101	101	determines are prudent for the program, including costs in the event of increased
102	102	need for vaccines. The department may impose an additional assessment under this
103	103	subsection if a new vaccine is developed.
104	104	(4) The department may promulgate any rules necessary to implement this
105	105	section.
106	106	(END)
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