Amendment AA10-ASA2-AB50

AB50-ASA2-AA10,20 Section 20. 185.983 (1) (intro.) of the statutes is amended to read:

AB50-ASA2-AA10,8,8 185.983 (1) (intro.) Every voluntary nonprofit health care plan operated by a cooperative association organized under s. 185.981 shall be exempt from chs. 600 to 646, with the exception of ss. 601.04, 601.13, 601.31, 601.41, 601.42, 601.43, 601.44, 601.45, 611.26, 611.67, 619.04, 623.11, 623.12, 628.34 (10), 631.17, 631.89, 631.93, 631.95, 632.72 (2), 632.722, 632.729, 632.745 to 632.749, 632.775, 632.79, 632.795, 632.798, 632.85, 632.853, 632.855, 632.861, 632.867, 632.87 (2) to (6) (7), 632.885, 632.89, 632.895 (5) and (8) to (17), 632.896, and 632.897 (10) and chs. 609, 620, 630, 635, 645, and 646, but the sponsoring association shall:

AB50-ASA2-AA10,21 Section 21. 609.713 of the statutes is created to read:

AB50-ASA2-AA10,8,12 609.713 Qualified treatment trainee coverage. Limited service health organizations, preferred provider plans, and defined network plans are subject to s. 632.87 (7).

AB50-ASA2-AA10,22 Section 22. 632.87 (7) of the statutes is created to read:

AB50-ASA2-AA10,8,14 632.87 (7) (a) In this subsection:

AB50-ASA2-AA10,8,15 1. “Health care provider” has the meaning given in s. 146.81 (1) (a) to (hp).

AB50-ASA2-AA10,8,17 2. “Qualified treatment trainee” has the meaning given in s. DHS 35.03 (17m), Wis. Adm. Code.

AB50-ASA2-AA10,8,22 (b) No policy, plan, or contract may exclude coverage for mental health or behavioral health treatment or services provided by a qualified treatment trainee within the scope of the qualified treatment trainee’s education and training if the policy, plan, or contract covers the mental health or behavioral health treatment or services when provided by another health care provider.

AB50-ASA2-AA10,9323 Section 9323. Initial applicability; Insurance.

AB50-ASA2-AA10,8,24 (1) Qualified treatment trainee coverage.

AB50-ASA2-AA10,9,5 (a) For policies and plans containing provisions inconsistent with these sections, the treatment of ss. 40.51 (8) and (8m), 66.0137 (4), 120.13 (2) (g), 185.983 (1) (intro.), 609.713, and 632.87 (7) first applies to policy or plan years beginning on January 1 of the year following the year in which this paragraph takes effect, except as provided in par. (b).

AB50-ASA2-AA10,9,11 (b) For policies and plans that are affected by a collective bargaining agreement containing provisions inconsistent with these sections, the treatment of ss. 40.51 (8) and (8m), 66.0137 (4), 120.13 (2) (g), 185.983 (1) (intro.), 609.713, and 632.87 (7) first applies to policy or plan years beginning on the effective date of this paragraph or on the day on which the collective bargaining agreement is entered into, extended, modified, or renewed, whichever is later.

AB50-ASA2-AA10,9423 Section 9423. Effective dates; Insurance.

AB50-ASA2-AA10,9,16 (1) Qualified treatment trainee coverage. The treatment of ss. 40.51 (8) and (8m), 66.0137 (4), 120.13 (2) (g), 185.983 (1) (intro.), 609.713, and 632.87 (7) and Section 9323 (1) of this act take effect on the first day of the 4th month beginning after publication.”.

AB50-ASA2-AA10,9,17 7. At the appropriate places, insert all of the following:

AB50-ASA2-AA10,9,18 “Section 23. 609.823 of the statutes is created to read:

AB50-ASA2-AA10,9,21 609.823 Coverage without prior authorization for inpatient mental health services. Limited service health organizations, preferred provider plans, and defined network plans are subject to s. 632.891.

AB50-ASA2-AA10,24 Section 24. 632.891 of the statutes is created to read:

AB50-ASA2-AA10,9,23 632.891 Coverage without prior authorization for inpatient mental health services. A disability insurance policy, as defined in s. 632.895 (1) (a), or self-insured health plan, as defined in s. 632.745 (24), that covers inpatient mental health services may not require prior authorization for the provision or coverage of those services.

AB50-ASA2-AA10,9323 Section 9323. Initial applicability; Insurance.

AB50-ASA2-AA10,10,6 (1) Inpatient mental health prior authorization.

AB50-ASA2-AA10,10,10 (a) For policies and plans containing provisions inconsistent with ss. 609.823 and 632.891, the treatment of ss. 609.823 and 632.891 first applies to policy or plan years beginning on January 1 of the year following the year in which this paragraph takes effect, except as provided in par. (b).

AB50-ASA2-AA10,10,16 (b) For policies and plans that are affected by a collective bargaining agreement containing provisions inconsistent with ss. 609.823 and 632.891, the treatment of ss. 609.823 and 632.891 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.

AB50-ASA2-AA10,9423 Section 9423. Effective dates; Insurance.

AB50-ASA2-AA10,10,20 (1) Inpatient mental health prior authorization. The treatment of ss. 609.823 and 632.891 and Section 9323 (1) of this act takes effect on the first day of the 4th month beginning after publication.”.

AB50-ASA2-AA10,10,21 8. At the appropriate places, insert all of the following:

AB50-ASA2-AA10,10,22 “Section 25. 46.48 (34) of the statutes is created to read:

AB50-ASA2-AA10,11,2 46.48 (34) Maternal and child health. The department may distribute not more than $800,000 in each fiscal year as grants to local and community-based organizations whose mission is to improve maternal and child health in this state.

AB50-ASA2-AA10,9219 Section 9219. Fiscal changes; Health Services.

AB50-ASA2-AA10,11,8 (1) Maternal and child health; grants to maintain certain programs. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (1) (b), the dollar amount for fiscal year 2025-26 is increased by $800,000 and the dollar amount for fiscal year 2026-27 is increased by $800,000 to fund grants under s. 46.48 (34).”.

AB50-ASA2-AA10,11,9 9. At the appropriate places, insert all of the following:

AB50-ASA2-AA10,11,10 “Section 26. 49.175 (1) (qm) of the statutes is amended to read:

AB50-ASA2-AA10,11,14 49.175 (1) (qm) Quality care for quality kids. For the child care quality improvement activities specified in ss. 49.155 (1g) and 49.257, $16,683,700 $46,529,700 in each fiscal year 2022-23. In fiscal year 2023-24, for such activities, $28,518,700. In fiscal year 2024-25, for such activities, $46,018,700.

AB50-ASA2-AA10,9206 Section 9206. Fiscal changes; Children and Families.

AB50-ASA2-AA10,11,22 (1) Early mental health consultation. In the schedule under s. 20.005 (3) for the appropriation to the department of children and families under s. 20.437 (1) (md), the dollar amount for fiscal year 2025-26 is increased by $511,000 to increase support for the early childhood health consultation program. In the schedule under s. 20.005 (3) for the appropriation to the department of children and families under s. 20.437 (1) (md), the dollar amount for fiscal year 2026-27 is increased by $511,000 to increase support for the early childhood health consultation program.”.

AB50-ASA2-AA10,11,23 (end)