Wisconsin 2023-2024 Regular Session

Wisconsin Senate Bill SB63 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 SENATE BILL 63
5	5	February 14, 2023 - Introduced by Senators S TROEBEL, BALLWEG, COWLES,
6	6	FELZKOWSKI, FEYEN, JAMES, MARKLEIN, QUINN and WANGGAARD, cosponsored by
7	7	Representatives BROOKS, GREEN, ARMSTRONG, DITTRICH, DONOVAN, DUCHOW,
8	8	EDMING, GUNDRUM, KITCHENS, KNODL, MACCO, MICHALSKI, O'CONNOR,
9	9	RETTINGER, ROZAR, SCHMIDT, SPIROS, SWEARINGEN and TITTL. Referred to
10	10	Committee on Insurance and Small Business.
11	11	AN ACT to amend 40.51 (8), 40.51 (8m), 66.0137 (4), 120.13 (2) (g) and 185.983
12	12	(1) (intro.); and to create 632.722 of the statutes; relating to: assignment of
13	13	dental benefits under health insurance.
14	14	Analysis by the Legislative Reference Bureau
15	15	This bill allows an individual insured under a health benefit plan that includes
16	16	coverage of dental services to assign reimbursement for dental and related services
17	17	directly to a dental provider. If reimbursement for dental care is assigned to a
18	18	provider of dental care, the bill requires the insurer to directly pay the provider the
19	19	amount of any claim under the same criteria and payment schedule under which it
20	20	would have reimbursed the insured.
21	21	The people of the state of Wisconsin, represented in senate and assembly, do
22	22	enact as follows:
23	23	SECTION 1. 40.51 (8) of the statutes is amended to read:
24	24	40.51 (8) Every health care coverage plan offered by the state under sub. (6)
25	25	shall comply with ss. 631.89, 631.90, 631.93 (2), 631.95, 632.72 (2), 632.722, 632.729,
26	26	632.746 (1) to (8) and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85,
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34	34	JPC:cjs
35	35	SECTION 1 SENATE BILL 63
36	36	632.853, 632.855, 632.861, 632.867, 632.87 (3) to (6), 632.885, 632.89, 632.895 (5m)
37	37	and (8) to (17), and 632.896.
38	38	SECTION 2. 40.51 (8m) of the statutes is amended to read:
39	39	40.51 (8m) Every health care coverage plan offered by the group insurance
40	40	board under sub. (7) shall comply with ss. 631.95, 632.722, 632.729, 632.746 (1) to
41	41	(8) and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855,
42	42	632.861, 632.867, 632.885, 632.89, and 632.895 (11) to (17).
43	43	SECTION 3. 66.0137 (4) of the statutes is amended to read:
44	44	66.0137 (4) SELF-INSURED HEALTH PLANS. If a city, including a 1st class city, or
45	45	a village provides health care benefits under its home rule power, or if a town
46	46	provides health care benefits, to its officers and employees on a self-insured basis,
47	47	the self-insured plan shall comply with ss. 49.493 (3) (d), 631.89, 631.90, 631.93 (2),
48	48	632.722, 632.729, 632.746 (10) (a) 2. and (b) 2., 632.747 (3), 632.798, 632.85, 632.853,
49	49	632.855, 632.861, 632.867, 632.87 (4) to (6), 632.885, 632.89, 632.895 (9) to (17),
50	50	632.896, and 767.513 (4).
51	51	SECTION 4. 120.13 (2) (g) of the statutes is amended to read:
52	52	120.13 (2) (g) Every self-insured plan under par. (b) shall comply with ss.
53	53	49.493 (3) (d), 631.89, 631.90, 631.93 (2), 632.722, 632.729, 632.746 (10) (a) 2. and (b)
54	54	2., 632.747 (3), 632.798, 632.85, 632.853, 632.855, 632.861, 632.867, 632.87 (4) to (6),
55	55	632.885, 632.89, 632.895 (9) to (17), 632.896, and 767.513 (4).
56	56	SECTION 5. 185.983 (1) (intro.) of the statutes is amended to read:
57	57	185.983 (1) (intro.) Every voluntary nonprofit health care plan operated by a
58	58	cooperative association organized under s. 185.981 shall be exempt from chs. 600 to
59	59	646, with the exception of ss. 601.04, 601.13, 601.31, 601.41, 601.42, 601.43, 601.44,
60	60	601.45, 611.26, 611.67, 619.04, 623.11, 623.12, 628.34 (10), 631.17, 631.89, 631.93,
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86	86	LRB-0440/1
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88	88	SECTION 5
89	89	SENATE BILL 63
90	90	631.95, 632.72 (2), 632.722, 632.729, 632.745 to 632.749, 632.775, 632.79, 632.795,
91	91	632.798, 632.85, 632.853, 632.855, 632.861, 632.867, 632.87 (2) to (6), 632.885,
92	92	632.89, 632.895 (5) and (8) to (17), 632.896, and 632.897 (10) and chs. 609, 620, 630,
93	93	635, 645, and 646, but the sponsoring association shall:
94	94	SECTION 6. 632.722 of the statutes is created to read:
95	95	632.722 Assignment of dental benefits. (1) An insured may assign the
96	96	right to receive reimbursement for dental care and related services under a health
97	97	benefit plan, as defined under s. 632.745 (11), directly to a provider of dental care or
98	98	related services.
99	99	(2) If the right to receive reimbursement for dental care and related services
100	100	is assigned to a provider of dental care or related services, the insurer shall directly
101	101	pay the provider the amount of any claim under the same criteria and payment
102	102	schedule under which the insurer would have reimbursed the insured.
103	103	(3) An insurer may require an assignment under this section to be documented
104	104	in writing. If an insurer receives a written assignment under this section, the insurer
105	105	shall send a copy of the written assignment to the provider to whom the assignment
106	106	is made.
107	107	SECTION 7.0Initial applicability.
108	108	(1) (a) For policies and plans containing provisions inconsistent with this act,
109	109	the act first applies to policy or plan years beginning on January 1 of the year
110	110	following the year in which this paragraph takes effect, except as provided in par. (b).
111	111	(b) For policies or plans that are affected by a collective bargaining agreement
112	112	containing provisions inconsistent with this act, this act first applies to policy or plan
113	113	years beginning on the effective date of this paragraph or on the day on which the
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139	139	SECTION 7 SENATE BILL 63
140	140	collective bargaining agreement is newly established, extended, modified, or
141	141	renewed, whichever is later.
142	142	SECTION 8.0Effective date.
143	143	(1) This act takes effect on the first day of the 4th month beginning after
144	144	publication.
145	145	(END)
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