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LRB-3735/1
TJD:ahe
2017 - 2018 LEGISLATURE
June 29, 2017 - Introduced by Representatives Jagler, R. Brooks, Horlacher,
Hutton, Jacque, Knodl, Quinn, Ripp, Sanfelippo, Spiros and Tusler,
cosponsored by Senators Kapenga, Vukmir, Craig, Stroebel and Tiffany.
Referred to Committee on Insurance.
AB410,1,5 1An Act to repeal 13.0966 (1) (a); to renumber and amend 601.423 (2); to
2consolidate, renumber and amend
13.0966 (1) (intro.) and (b); to amend
313.0966 (2) (title), 13.0966 (2) (b), 13.0966 (2) (c) 1., 13.0966 (2) (c) 2. and 601.423
4(1) (bm); and to create 13.0966 (2) (c) (intro.) and 601.423 (2) (b) of the statutes;
5relating to: social and financial impact reports on health insurance mandates.
Analysis by the Legislative Reference Bureau
Generally, this bill clarifies the requirements regarding social and financial
impact reports that are required for bills and amendments containing health
insurance mandates. Current law requires the Legislative Reference Bureau to
submit a copy of a bill or amendment that requires a social and financial impact
report to the Office of the Commissioner of Insurance when the bill or amendment
is introduced. The bill clarifies, for amendments, that the LRB must submit a copy
of an offered amendment to OCI if the amendment creates or alters a health
insurance mandate.
Current law requires the commissioner of insurance to submit a report on the
social and financial impact of any health insurance mandate contained in a bill or
amendment, or, if the office decides not to submit the report, a written statement
explaining the reason for not preparing the report. Currently, the commissioner
must submit the report or written statement to the presiding officer of the house of
the legislature in which the bill or amendment is introduced. The bill requires OCI
to submit the report or written statement to the chief clerk of the house in which the

bill or amendment is introduced or offered within ten working days after receiving
a copy of the bill or amendment from the LRB. OCI is not required, however, to
prepare or submit a report or statement for an amendment that has failed adoption
or failed to be reported out of committee by the end of the next business day after
receiving a copy of the amendment.
The bill requires the chief clerk in the house in which the bill or amendment is
introduced or offered to ensure, by the end of the next business day after receiving
the report or written statement from OCI, that 1) the report or written statement is
printed as an appendix to the bill and distributed in the same manner as
amendments and 2) the report or written statement is made available to the public.
Current law similarly requires the report or written statement to be printed as an
appendix, distributed in the same manner as amendments, and made available to
the public.
Currently, a statute that requires a particular benefit design under an
insurance policy, plan, or contract for the treatment of a particular disease, condition,
or other health care need, for a particular type of health care treatment or service,
or for the provision of equipment, supplies, or drugs used in connection with a health
care treatment or service is a health insurance mandate for which a social and
financial impact report must be submitted. The bill clarifies that a statute that
imposes conditions on cost sharing under a policy, plan, or contract is also a health
insurance mandate for which a social and financial impact report must be submitted.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
AB410,1 1Section 1. 13.0966 (1) (intro.) and (b) of the statutes are consolidated,
2renumbered 13.0966 (1) and amended to read:
AB410,2,43 13.0966 (1) Definitions Definition. In this section : (b) “Office", “office” means
4the office of the commissioner of insurance.
AB410,2 5Section 2. 13.0966 (1) (a) of the statutes is repealed.
AB410,3 6Section 3. 13.0966 (2) (title) of the statutes is amended to read:
AB410,2,77 13.0966 (2) (title) Report on bills establishing health insurance mandates.
AB410,4 8Section 4. 13.0966 (2) (b) of the statutes is amended to read:
AB410,3,89 13.0966 (2) (b) When a bill that requires a report under s. 601.423 is introduced,
10the legislative reference bureau shall submit a copy of the bill to the office. When an
11amendment that creates or alters a health insurance mandate requiring a report

1under s. 601.423 is offered, the legislative reference bureau shall submit a copy of the
2amendment to the office.
The office shall prepare the report or, if the office decides
3not to prepare the report,
a written statement that explains the reason for not
4preparing the report
in accordance with s. 601.423. If the office prepares a written
5statement, the chairperson of a standing committee to which the bill has been
6referred, the presiding officer of either house of the legislature, either cochairperson
7of the joint committee on finance, or any other member of the legislature may request
8that the office prepare a report instead, in which case the office shall prepare a report.
AB410,5 9Section 5. 13.0966 (2) (c) (intro.) of the statutes is created to read:
AB410,3,1310 13.0966 (2) (c) (intro.) By the end of the next business day after receiving the
11report or written statement from the office under s. 601.423 (2), the chief clerk of the
12house in which the bill or amendment is introduced or offered shall ensure all of the
13following:
AB410,6 14Section 6. 13.0966 (2) (c) 1. of the statutes is amended to read:
AB410,3,1715 13.0966 (2) (c) 1. The report or written statement prepared under this section
16shall be s. 601.423 is printed as an appendix to the bill and shall be distributed in
17the same manner as amendments.
AB410,7 18Section 7. 13.0966 (2) (c) 2. of the statutes is amended to read:
AB410,3,2319 13.0966 (2) (c) 2. The report or written statement shall be distributed, and is
20made available to the public, before any vote is taken on the bill by either house of
21the legislature if the bill is not referred to a standing committee, or before any public
22hearing is held before any standing committee or, if no public hearing is held, before
23any vote is taken by the committee
.
AB410,8 24Section 8. 601.423 (1) (bm) of the statutes is amended to read:
AB410,4,5
1601.423 (1) (bm) Requires a particular benefit design or imposes conditions on
2cost sharing
under an insurance policy, plan, or contract for the treatment of a
3particular disease, condition, or other health care need, for a particular type of health
4care treatment or service, or for the provision of equipment, supplies, or drugs used
5in connection with a health care treatment or service.
AB410,9 6Section 9. 601.423 (2) of the statutes is renumbered 601.423 (2) (a) and
7amended to read:
AB410,4,148 601.423 (2) (a) The commissioner Subject to par. (b), the office shall, in the
9manner provided under s. 13.0966,
submit a report on the social and financial impact
10of any health insurance mandate contained in any bill or amendment affecting an
11insurance policy, plan, or contract, or, if the office decides not to submit a report, a
12written statement explaining the reason for not preparing the report, to the
13presiding officer chief clerk of that the house of the legislature in which the bill or
14amendment is introduced or offered.
AB410,10 15Section 10. 601.423 (2) (b) of the statutes is created to read:
AB410,4,1816 601.423 (2) (b) 1. The office shall submit the report or written statement for a
17bill within 10 working days after receiving the copy of the bill from the legislative
18reference bureau under s. 13.0966 (2) (b).
AB410,4,2419 2. The office shall submit the report or written statement within 10 working
20days after receiving a copy of the amendment from the legislative reference bureau
21under s. 13.0966 (2) (b). The office is not required to prepare or submit a report or
22written statement for an amendment if, by the end of the next business day after
23receiving a copy of the amendment from the legislative reference bureau, the
24amendment has failed adoption or failed to be reported out of committee.
AB410,4,2525 (End)
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