Wisconsin 2023-2024 Regular Session

Wisconsin Assembly Bill AB787 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 787
5	5	December 8, 2023 - Introduced by Representatives J. ANDERSON, C. ANDERSON,
6	6	CLANCY, DRAKE, EMERSON, JACOBSON, JOERS, MADISON, MOORE OMOKUNDE,
7	7	ORTIZ-VELEZ, PALMERI, SHANKLAND, SHELTON, SNODGRASS, STUBBS and SUBECK,
8	8	cosponsored by Senators L. JOHNSON and SMITH. Referred to Committee on
9	9	Health, Aging and Long-Term Care.
10	10	*AUTHORS SUBJECT TO CHANGE*
11	11	AN ACT to create 146.901 of the statutes; relating to: limiting emergency care
12	12	hospital rates for uninsured patients.
13	13	Analysis by the Legislative Reference Bureau
14	14	This bill prohibits hospitals from charging uninsured patients whose family
15	15	income is less than 200 percent of the federal poverty line a rate for emergency
16	16	services that exceeds 115 percent of the allowable charges under the federal
17	17	Medicare program for those services. Under the bill, an “uninsured patient” is
18	18	defined as a hospital patient who is a resident of this state, is not covered under a
19	19	policy of health insurance, and is not a beneficiary under a public or private health
20	20	insurance, health benefit, or other health coverage program.
21	21	The people of the state of Wisconsin, represented in senate and assembly, do
22	22	enact as follows:
23	23	SECTION 1. 146.901 of the statutes is created to read:
24	24	146.901 Emergency service rates for the uninsured. (1) In this section:
25	25	(a) “Emergency services” means those services required to examine, treat, and
26	26	stabilize an emergency medical condition in accordance with 42 USC 1395dd.
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34	34	SECTION 1 ASSEMBLY BILL 787
35	35	(b) “Family income” means the sum of a family's annual earnings and cash
36	36	benefits from all sources before taxes, less payments made for child support.
37	37	(c) “Hospital” has the meaning given in s. 50.33 (2).
38	38	(d) “Medicare” has the meaning given in s. 146.903 (1) (f).
39	39	(e) “Uninsured patient" means a patient of a hospital who meets all of the
40	40	following criteria:
41	41	1. Is a resident of this state.
42	42	2. Is not covered under a policy of health insurance.
43	43	3. Is not a beneficiary under a public or private health insurance, health
44	44	benefit, or other health coverage program, including high deductible health
45	45	insurance plans, worker's compensation, accident liability insurance, or other
46	46	3rd-party liability.
47	47	(2) A hospital may not, for emergency services, charge an uninsured patient
48	48	whose family income is less than 200 percent of the federal poverty line, as defined
49	49	under 42 USC 9902 (2), a rate that exceeds 115 percent of the allowable charges
50	50	under Medicare for those services.
51	51	SECTION 2.0Initial applicability.
52	52	(1) This act first applies to charges for emergency services, as defined in s.
53	53	146.901 (1) (a), incurred on the effective date of this subsection.
54	54	(END)
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