Wisconsin Legislature: Insurance

Preexisting conditions: coverage for individuals should certain requirements and prohibitions of the federal Patient Protection and Affordable Care Act become unenforceable - SB2

Prescription drug cost disclosure requirements for drug manufacturers and health insurers; reports and OCI duties - AB62

Prescription drug cost reporting by drug manufacturers, insurers, and hospitals; pharmacy benefit managers drug cost report and registration requirements; insurance policy cannot restrict or penalize pharmacy for informing insured of price differences of a drug or biological product [Sec. 2093-2095, 9123 (1)] - SB59

Prescription drug cost reporting by drug manufacturers, insurers, and hospitals; pharmacy benefit managers drug cost report and registration requirements; insurance policy cannot restrict or penalize pharmacy for informing insured of price differences of a drug or biological product [Sec. 2093-2095, 9123 (1); original bill only] - AB56

Public adjuster regulation and registration requirements - SB329

Public adjuster regulation and registration requirements [S.Amdt.1: further revisions] - AB357

Services by out-of-network provider during declared public health emergency in response to COVID-19 pandemic: requiring enrollee to pay more than in-network provider prohibited; conditions and OCI duties [Sec. 89] [A.Amdt.4: further revisions] - AB1038

Services by out-of-network provider during declared public health emergency in response to COVID-19 pandemic: requiring enrollee to pay more than in-network provider prohibited; conditions and OCI duties [Sec. 89] - SB932

Step therapy protocols for prescription drug coverage established [S.Sub.Amdt.1: further revisions] - SB26

BadgerCare Reform waiver re childless adults: implementation requirement repealed [Sec. 673, 674, 2264, 9119 (5)] - SB59

BadgerCare Reform waiver re childless adults: implementation requirement repealed [Sec. 673, 674, 2264, 9119 (5); original bill only] - AB56

Contraceptives: dispensing an extended supply required to be covered by health insurers - SB309

Contraceptives: dispensing an extended supply required to be covered by health insurers - AB330

COVID-19 diagnosis or suspected diagnosis: prohibited actions by insurers, pharmacy benefit managers, and self-insured health plans [Sec. 13, 14, 20, 75, 78, 91, 93-95] - AB1038

COVID-19 diagnosis or suspected diagnosis: prohibited actions by insurers, pharmacy benefit managers, and self-insured health plans [Sec. 13, 14, 20, 75, 78, 91, 93-95] - SB932

COVID-19 testing: health insurance policies required to cover without copayment or coinsurance [Sec. 92, 96] - AB1038

COVID-19 testing: health insurance policies required to cover without copayment or coinsurance [Sec. 92, 96] - SB932

Defined network plan or PP plan enrollee receiving services from health care provider not in the plan’s network: disclosure, notice, billing, and mediation requirements created; provider not in network but at an in-network facility and emergency services provisions - SB313

Defined network plan or PP plan enrollee receiving services from health care provider not in the plan’s network: disclosure, notice, billing, and mediation requirements created; provider not in network but at an in-network facility and emergency services provisions - AB329

Discounts for prompt payment of health care fees allowed - AB841

Discounts for prompt payment of health care fees allowed - SB763

Foster parent eligibility for MA under BadgerCare Plus, conditions set, DHS to request approval from DHHS - AB992

Health insurance premiums for surviving spouse and dependent children of law enforcement officer who dies in the line of duty: political subdivision and Marquette University required to pay, conditions set; reimbursement filed with PSC - AB300

Health insurance premiums for surviving spouse and dependent children of law enforcement officer who dies in the line of duty: political subdivision and Marquette University required to pay, conditions set; reimbursement filed with PSC [S.Sub.Amdt.2: further revisions, state and UW Board of Regents added as employers, fire fighters, and EMS practitioners added to covered spouses, report premiums to DOR for increase in county and municipal aid adjustments, PSC provision removed] - SB266

Health plan requirements re coverage of preventive services, essential health benefits, and individuals with preexisting conditions; benefit limits, rates, and OCI duties [Sec. 414, 415, 775, 1686, 1801, 2070-2076, 2079-2092, 2097-2108, 9323 (1), 9423 (2); original bill only] - AB56

Health plan requirements re coverage of preventive services, essential health benefits, and individuals with preexisting conditions; benefit limits, rates, and OCI duties - SB37

Health plan requirements re coverage of preventive services, essential health benefits, and individuals with preexisting conditions; benefit limits, rates, and OCI duties [Sec. 414, 415, 775, 1686, 1801, 2070-2076, 2079-2092, 2097-2108, 9323 (1), 9423 (2)] - SB59

Health savings accounts and medical savings accounts exempt from execution of judgment - SB488

Health savings accounts and medical savings accounts exempt from execution of judgment - AB541

Individual Medicare supplement policy: policyholder may cancel at any time - AB217

Individual Medicare supplement policy: policyholder may cancel at any time - SB615

Insulin: cost sharing under health insurance policies and plans capped; OCI report required - AB411

Insulin: cost sharing under health insurance policies and plans capped; OCI report required - SB340

Marijuana: recreational use and medical use permitted; excise tax, labor peace agreement, registry ID cards, compassion centers, operating a motor vehicle under the influence, fair employment law, insurance, UI, and public assistance provisions; DATCP, DHS, and DOR duties; JRCCP may report - SB377

Marijuana: recreational use and medical use permitted; excise tax, labor peace agreement, registry ID cards, compassion centers, operating a motor vehicle under the influence, fair employment law, insurance, UI, and public assistance provisions; DATCP, DHS, and DOR duties; JRCCP may report - AB220

Maternity and newborn care: disability insurance and governmental self-insured health plans required to cover essential health benefit specified by OCI - AB987

Medicaid expansion; DHS duties and BadgerCare Plus Core eliminated [Sec. 201, 652, 672, 699-702, 711, 9119 (4), 9419 (2); original bill only] - AB56

Medicaid expansion; DHS duties and BadgerCare Plus Core eliminated - AB394

Medicaid expansion; DHS duties and BadgerCare Plus Core eliminated - SB361

Medicaid expansion; DHS duties and BadgerCare Plus Core eliminated [Sec. 201, 652, 672, 699-702, 711, 9119 (4), 9419 (2)] - SB59

Medical care insurance for self-employed individuals: income tax subtraction modified; JSCTE appendix report - SB842

Medical care insurance for self-employed individuals: income tax subtraction modified; JSCTE appendix report - AB875

Medical care insurance premiums claimed by self-employed individuals for income tax purposes revised for nonresidents and part-year residents [Sec. 857-868, 882] - SB59

Medical care insurance premiums claimed by self-employed individuals for income tax purposes revised for nonresidents and part-year residents [Sec. 857-868, 882; deleted by A.Amdt.1 to A.Sub.Amdt.1] - AB56

Personal care services reimbursement under MA increased; eligibility for BadgerCare Plus and BadgerCare Plus Core expanded; DHS required to apply for Medicaid expansion - AB255

Pharmacy benefit manager regulation and registration with OCI established; audits of pharmacists or pharmacies requirements; insurance policy cannot restrict or penalize pharmacy for informing insured of price differences of prescribed drug or device; drug substitution, cost sharing limitation, and choice of provider provisions - AB114

Pharmacy benefit manager regulation and registration with OCI established; audits of pharmacists or pharmacies requirements; insurance policy cannot restrict or penalize pharmacy for informing insured of price differences of prescribed drug or device; drug substitution, cost sharing limitation, and choice of provider provisions - SB100

Postpartum women receiving substance abuse-related health services under BadgerCare Plus while pregnant: extend benefits for one year after last day of pregnancy - SB630

Postpartum women receiving substance abuse-related health services under BadgerCare Plus while pregnant: extend benefits for one year after last day of pregnancy - AB693

Preexisting conditions: coverage for individuals should certain requirements and prohibitions of the federal Patient Protection and Affordable Care Act become unenforceable - AB1

Preexisting conditions: coverage for individuals should certain requirements and prohibitions of the federal Patient Protection and Affordable Care Act become unenforceable - SB2

Prescription drug cost disclosure requirements for drug manufacturers and health insurers; reports and OCI duties - AB62

Prescription drug cost reporting by drug manufacturers, insurers, and hospitals; pharmacy benefit managers drug cost report and registration requirements; insurance policy cannot restrict or penalize pharmacy for informing insured of price differences of a drug or biological product [Sec. 2093-2095, 9123 (1)] - SB59

Prescription drug cost reporting by drug manufacturers, insurers, and hospitals; pharmacy benefit managers drug cost report and registration requirements; insurance policy cannot restrict or penalize pharmacy for informing insured of price differences of a drug or biological product [Sec. 2093-2095, 9123 (1); original bill only] - AB56

Prescription drug limits: health insurance policy or pharmacy benefit manager prohibited from imposing during the 2020 public health emergency, exception for controlled substances [Sec. 90, 97] - AB1038

Prescription drug limits: health insurance policy or pharmacy benefit manager prohibited from imposing during the 2020 public health emergency, exception for controlled substances [Sec. 90, 97] - SB932

Prescription drug payments: disability insurance policy required to apply to out-of-pocket maximum or other cost-sharing requirement - SB907

Savings account program in the MA program: eliminate DHS requirement to establish [Sec. 684; original bill only] - AB56

Savings account program in the MA program: eliminate DHS requirement to establish [Sec. 684] - SB59

SeniorCare to cover vaccinations recommended by the Centers for Disease Control and Prevention and approved for adults by DHS, conditions specified [Sec. 15-17] - SB932

SeniorCare to cover vaccinations recommended by the Centers for Disease Control and Prevention and approved for adults by DHS, conditions specified [Sec. 15-17] - AB1038

Services by out-of-network provider during declared public health emergency in response to COVID-19 pandemic: requiring enrollee to pay more than in-network provider prohibited; conditions and OCI duties [Sec. 89] [A.Amdt.4: further revisions] - AB1038

Services by out-of-network provider during declared public health emergency in response to COVID-19 pandemic: requiring enrollee to pay more than in-network provider prohibited; conditions and OCI duties [Sec. 89] - SB932

Short-term, limited-duration health insurance defined using the federal government’s definition - SB793

Short-term, limited-duration health insurance defined using the federal government’s definition - AB953

Step therapy protocols for prescription drug coverage established - AB24

Step therapy protocols for prescription drug coverage established [S.Sub.Amdt.1: further revisions] - SB26

Telehealth services, including audio-only telephone: insurers prohibited from denying coverage for services before set date; MA coverage from 2019 WisAct 56 provision - SB913

Vaccines for children: DHS program for purchasing and distribution; insurance provision - AB865

Wrongful imprisonment: claim provisions modified, Claims Board and DHS duties; health insurance coverage from GIB and temporary financial assistance; JSCTE appendix report - SB881

Certificate of self-insurance issued to a religious sect can be used in lieu of motor vehicle liability insurance re proof of financial responsibility and liability insurance requirements - AB140

Certificate of self-insurance issued to a religious sect can be used in lieu of motor vehicle liability insurance re proof of financial responsibility and liability insurance requirements - SB131

COVID-19 diagnosis or suspected diagnosis: prohibited actions by insurers, pharmacy benefit managers, and self-insured health plans [Sec. 13, 14, 20, 75, 78, 91, 93-95] - AB1038

COVID-19 diagnosis or suspected diagnosis: prohibited actions by insurers, pharmacy benefit managers, and self-insured health plans [Sec. 13, 14, 20, 75, 78, 91, 93-95] - SB932

COVID-19 testing: health insurance policies required to cover without copayment or coinsurance [Sec. 92, 96] - AB1038

COVID-19 testing: health insurance policies required to cover without copayment or coinsurance [Sec. 92, 96] - SB932

Crop insurance proceeds included in production gross receipts re manufacturing and agricultural tax credit - AB430

Crop insurance proceeds included in production gross receipts re manufacturing and agricultural tax credit - SB387

DATCP grants and programs: grazing coordinator position created; water stewardship certification grant program created; cooperate with USDA on crop insurance rebates for planting cover crops; producer-led watershed protection grant revisions; soil and water resource conservation grant allocation plan factors to consider; producer-led group eligible for DNR lake protection grants - SB715

DATCP grants and programs: grazing coordinator position created; water stewardship certification grant program created; cooperate with USDA on crop insurance rebates for planting cover crops; producer-led watershed protection grant revisions; soil and water resource conservation grant allocation plan factors to consider; producer-led group eligible for DNR lake protection grants - AB795

Family and medical leave law expanded and family and medical leave insurance program created; trust fund, income tax deduction, ordinance, and employer provisions; JSCTE appendix report - SB596

Family and medical leave law expanded and family and medical leave insurance program created; trust fund, income tax deduction, ordinance, and employer provisions; JSCTE appendix report - AB666

Flood insurance premiums: individual income tax deduction created, conditions specified; JSCTE appendix report - SB902

Flood insurance premiums: individual income tax deduction created, conditions specified; JSCTE appendix report - AB1020

Group long-term disability insurance and income continuation insurance plan: oversight transferred from GIB to Employee Trust Funds Board [Sec. 395-399, 401-404, 412, 417-419, 9113 (1); original bill only] - AB56

Group long-term disability insurance and income continuation insurance plan: oversight transferred from GIB to Employee Trust Funds Board [Sec. 395-399, 401-404, 412, 417-419, 9113 (1)] - SB59