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AB364,7,1212 53. Screenings for hepatitis B and bacteriuria for pregnant women.
AB364,7,1413 54. Screening for gonorrhea for pregnant and sexually active females 24 years
14of age or younger and females older than 24 years of age who are at risk for infection.
AB364,7,1715 55. Screening for chlamydia for pregnant and sexually active females 24 years
16of age and younger and females older than 24 years of age who are at risk for
17infection.
AB364,7,1918 56. Screening for syphilis for pregnant women and adults who are at high risk
19for infection.
AB364,7,2220 57. Human immunodeficiency virus screening for adults who have attained the
21age of 15 years but have not attained the age of 66 years and individuals at high risk
22of infection who are younger than 15 years of age or older than 65 years of age.
AB364,7,2323 58. All contraceptives and services in accordance with sub. (17).
AB364,7,2524 59. Any services not already specified under this paragraph having an A or B
25rating in current recommendations from the U.S. Preventive Services Task Force.
AB364,8,3
160. Any preventive services not already specified under this paragraph that are
2recommended by the federal health resources and services administration's Bright
3Futures project.
AB364,8,64 61. Any immunizations, not already specified under sub. (14), that are
5recommended and determined to be for routine use by the Advisory Committee on
6Immunization Practices.
AB364,8,97 (c) Subject to par. (d), no disability insurance policy and no self-insured health
8plan may subject the coverage of any of the preventive services under par. (b) to any
9deductibles, copayments, or coinsurance under the policy or plan.
AB364,8,1310 (d) 1. If an office visit and a preventive service specified under par. (b) are billed
11separately by the health care provider, the disability insurance policy or self-insured
12health plan may apply deductibles to and impose copayments or coinsurance on the
13office visit but not on the preventive service.
AB364,8,1614 2. If the primary reason for an office visit is not to obtain a preventive service,
15the disability insurance policy or self-insured health plan may apply deductibles to
16and impose copayments or coinsurance on the office visit.
AB364,8,2517 3. If a preventive service specified under par. (b) is provided by a health care
18provider that is outside the disability insurance policy's or self-insured health plan's
19network of providers, the policy or plan may apply deductibles to and impose
20copayments or coinsurance on the office visit and the preventive service. If a
21preventive service specified under par. (b) is provided by a health care provider that
22is outside the disability insurance policy's or self-insured health plan's network of
23providers because there is no available health care provider in the policy's or plan's
24network of providers that provides the preventive service, the policy or plan may not
25apply deductibles to or impose copayments or coinsurance on preventive service.
AB364,9,5
14. If multiple well-woman visits described under par. (b) 47. are required to
2fulfill all necessary preventive services and are in accordance with clinical
3recommendations, the disability insurance policy or self-insured health plan may
4not apply a deductible or impose a copayment or coinsurance to any of those
5well-woman visits.
AB364,7 6Section 7. 632.895 (14) (a) 1. i. and j. of the statutes are amended to read:
AB364,9,77 632.895 (14) (a) 1. i. Hepatitis A and B.
AB364,9,88 j. Varicella and herpes zoster.
AB364,8 9Section 8. 632.895 (14) (a) 1. k. to o. of the statutes are created to read:
AB364,9,1010 632.895 (14) (a) 1. k. Human papillomavirus.
AB364,9,1111 L. Meningococcal meningitis.
AB364,9,1212 m. Pneumococcal pneumonia.
AB364,9,1313 n. Influenza.
AB364,9,1414 o. Rotavirus.
AB364,9 15Section 9. 632.895 (14) (b) of the statutes is amended to read:
AB364,9,2116 632.895 (14) (b) Except as provided in par. (d), every disability insurance policy,
17and every self-insured health plan of the state or a county, city, town, village, or
18school district, that provides coverage for a dependent of the insured shall provide
19coverage of appropriate and necessary immunizations, from birth to the age of 6
20years,
for an insured or plan participant, including a dependent who is a child of the
21insured or plan participant.
AB364,10 22Section 10. 632.895 (14) (c) of the statutes is amended to read:
AB364,9,2523 632.895 (14) (c) The coverage required under par. (b) may not be subject to any
24deductibles, copayments, or coinsurance under the policy or plan. This paragraph
25applies to a defined network plan, as defined in s. 609.01 (1b), only with respect to

1appropriate and necessary immunizations provided by providers participating, as
2defined in s. 609.01 (3m), in the plan.
AB364,11 3Section 11. 632.895 (14) (d) 3. of the statutes is amended to read:
AB364,10,64 632.895 (14) (d) 3. A health care plan offered by a limited service health
5organization, as defined in s. 609.01 (3), or by a preferred provider plan, as defined
6in s. 609.01 (4), that is not a defined network plan, as defined in s. 609.01 (1b)
.
AB364,12 7Section 12. 632.895 (16m) (b) of the statutes is amended to read:
AB364,10,128 632.895 (16m) (b) The coverage required under this subsection may be subject
9to any limitations, or exclusions, or cost-sharing provisions that apply generally
10under the disability insurance policy or self-insured health plan. The coverage
11required under this subsection may not be subject to any deductibles, copayments,
12or coinsurance.
AB364,13 13Section 13. 632.895 (17) (b) 2. of the statutes is amended to read:
AB364,10,1814 632.895 (17) (b) 2. Outpatient consultations, examinations, procedures, and
15medical services that are necessary to prescribe, administer, maintain, or remove a
16contraceptive, if covered for any other drug benefits under the policy or plan
17sterilization procedures, and patient education and counseling for all females with
18reproductive capacity
.
AB364,14 19Section 14. 632.895 (17) (c) of the statutes is amended to read:
AB364,11,920 632.895 (17) (c) Coverage under par. (b) may be subject only to the exclusions,
21and limitations, or cost-sharing provisions that apply generally to the coverage of
22outpatient health care services, preventive treatments and services, or prescription
23drugs and devices that is provided under the policy or self-insured health plan. A
24disability insurance policy or self-insured health plan may not apply a deductible or
25impose a copayment or coinsurance to at least one of each type of contraceptive

1method approved by the federal food and drug administration for which coverage is
2required under this subsection. The disability insurance policy or self-insured
3health plan may apply reasonable medical management to a method of contraception
4to limit coverage under this subsection that is provided without being subject to a
5deductible, copayment, or coinsurance to prescription drugs without a brand name.
6The disability insurance policy or self-insured health plan may apply a deductible
7or impose a copayment or coinsurance for coverage of a contraceptive that is
8prescribed for a medical need if the services for the medical need would otherwise be
9subject to a deductible, copayment, or coinsurance.
AB364,15 10Section 15. Initial applicability.
AB364,11,1111 (1) Preventive services.
AB364,11,1412 (a) For policies and plans containing provisions inconsistent with this act, the
13act first applies to policy or plan years beginning on January 1 of the year following
14the year in which this paragraph takes effect, except as provided in paragraph (b).
AB364,11,1915 (b) For policies and plans that are affected by a collective bargaining agreement
16containing provisions inconsistent with this act, this act first applies to policy or plan
17years beginning on the effective date of this paragraph or on the day on which the
18collective bargaining agreement is newly established, extended, modified, or
19renewed, whichever is later.
AB364,16 20Section 16. Effective date.
AB364,11,2221 (1) This act takes effect on the first day of the 4th month beginning after
22publication.
AB364,11,2323 (End)
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