April 9, 2024 - Introduced by Representatives Bare, Joers, Palmeri, Clancy, Conley, Considine, Emerson, Jacobson, Madison, Novak, Ratcliff, Shelton and Sinicki, cosponsored by Senators Roys, Larson and Spreitzer. Referred to Committee on Insurance.
AB1198,,22An Act to amend 632.895 (17) (b) 2. of the statutes; relating to: coverage of sterilization procedures and patient education and counseling under health insurance policies and plans. AB1198,,33Analysis by the Legislative Reference Bureau Under current law, health insurance policies and self-insured governmental health plans that provide coverage of outpatient health care services, preventive treatments and services, or prescription drugs and devices are required to provide coverage of certain contraceptives and related services, including outpatient consultations, examinations, procedures, and medical services that are necessary to prescribe, administer, maintain, or remove a contraceptive. This bill requires that health insurance policies and self-insured governmental health plans that are required to provide such contraceptive coverage under current law also provide coverage for sterilization procedures and patient education and counseling. Health insurance policies are referred to in the statutes as disability insurance policies.
This proposal may contain a health insurance mandate requiring a social and financial impact report under s. 601.423, stats.
For further information see the state fiscal estimate, which will be printed as an appendix to this bill.
AB1198,,44The people of the state of Wisconsin, represented in senate and assembly, do enact as follows: AB1198,15Section 1. 632.895 (17) (b) 2. of the statutes is amended to read: AB1198,,66632.895 (17) (b) 2. Outpatient consultations, examinations, procedures, and medical services that are necessary to prescribe, administer, maintain, or remove a contraceptive, if covered for any other drug benefits under the policy or plan sterilization procedures, and patient education and counseling. AB1198,27Section 2. Initial applicability. AB1198,,88(1) For policies and plans containing provisions inconsistent with this act, this act first applies to policy or plan years beginning on the effective date of this subsection, except as provided in sub. (2). AB1198,,99(2) For policies and plans that are affected by a collective bargaining agreement containing provisions inconsistent with this act, this act first applies to policy or plan years beginning on the effective date of this subsection or on the day on which the collective bargaining agreement is newly established, extended, modified, or renewed, whichever is later. AB1198,,1111(1) This act takes effect on the first day of the 4th month beginning after publication.
