Amendment SA4-SSA2-SB45

SB45-SSA2-SA4,198,8 (b) For policies and plans that are affected by a collective bargaining agreement containing provisions inconsistent with the treatment of ss. 609.714 and 632.87 (8), the treatment of ss. 609.714 and 632.87 (8) 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 newly established, extended, modified, or renewed, whichever is later.

SB45-SSA2-SA4,198,9 (9) Telehealth parity.

SB45-SSA2-SA4,198,13 (a) For policies and plans containing provisions inconsistent with the treatment of s. 632.871, the treatment of s. 632.871 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).

SB45-SSA2-SA4,198,18 (b) For policies and plans that are affected by a collective bargaining agreement containing provisions inconsistent with the treatment of s. 632.871, the treatment of s. 632.871 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 newly established, extended, modified, or renewed, whichever is later.

SB45-SSA2-SA4,198,19 (10) Coverage of emergency ambulance services.

SB45-SSA2-SA4,198,23 (a) For policies and plans containing provisions inconsistent with ss. 609.825 and 632.851, the treatment of ss. 609.825 and 632.851 first applies to policy or plan years beginning on the effective date of this paragraph, except as provided in par. (b).

SB45-SSA2-SA4,199,5 (b) For policies and plans that are affected by a collective bargaining agreement containing provisions inconsistent with ss. 609.825 and 632.851, the treatment of ss. 609.825 and 632.851 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.

SB45-SSA2-SA4,199,6 (11) Inpatient mental health prior authorization.

SB45-SSA2-SA4,199,10 (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).

SB45-SSA2-SA4,199,16 (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.

SB45-SSA2-SA4,199,17 (12) Special enrollment period for pregnancy.

SB45-SSA2-SA4,199,21 (a) For policies and plans containing provisions inconsistent with ss. 609.40 and 632.7498, the treatment of ss. 609.40 and 632.7498 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).

SB45-SSA2-SA4,200,3 (b) For policies and plans that are affected by a collective bargaining agreement containing provisions inconsistent with ss. 609.40 and 632.7498, the treatment of ss. 609.40 and 632.7498 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 newly established, extended, modified, or renewed, whichever is later.

SB45-SSA2-SA4,9423 Section 9423. Effective dates; Insurance.

SB45-SSA2-SA4,200,7 (1) Coverage of infertility services. The treatment of ss. 609.74 and 632.895 (15m) and Section 9323 (1) of this act take effect on the first day of the 4th month beginning after publication.

SB45-SSA2-SA4,200,14 (2) Coverage of individuals with preexisting conditions, essential health benefits, and preventive services. The treatment of ss. 632.728, 632.746 (1) (a) and (b), (2) (a), (c), (d), and (e), (3) (a) and (d) 1., 2., and 3., (5), and (8) (a) (intro.), 632.748 (2), 632.76 (2) (a) and (ac) 1. and 2., 632.795 (4) (a), 632.895 (8) (d), (13m), (14) (a) 1. i., j., and k. to o., (b), (c), and (d) 3., (14m), (16m) (b), and (17) (b) 2. and (c), and 632.897 (11) (a) and Section 9323 (2) of this act take effect on the first day of the 4th month beginning after publication.

SB45-SSA2-SA4,200,17 (3) Coverage of over-the-counter oral contraceptives. The treatment of s. 632.895 (17) (b) 1m. and Section 9323 (3) of this act take effect on the first day of the 4th month beginning after publication.

SB45-SSA2-SA4,200,21 (4) 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 (4) of this act take effect on the first day of the 4th month beginning after publication.

SB45-SSA2-SA4,200,24 (5) Dental therapist coverage. The treatment of ss. 609.718 and 632.87 (1), (4), and (4e) and Section 9323 (5) of this act take effect on the first day of the 4th month beginning after publication.

SB45-SSA2-SA4,201,4 (6) Cost-sharing cap on insulin. The treatment of ss. 609.83 and 632.895 (6) (title), the renumbering and amendment of s. 632.895 (6), and the creation of s. 632.895 (6) (b) and Section 9323 (6) take effect on the first day of the 4th month beginning after publication.

SB45-SSA2-SA4,201,7 (7) Application of manufacturer discounts. The treatment of s. 632.862 and Section 9323 (7) take effect on the first day of the 4th month beginning after publication.

SB45-SSA2-SA4,201,10 (8) Substance abuse counselor coverage. The treatment of ss. 609.714 and 632.87 (8) and Section 9323 (8) of this act take effect on the first day of the 4th month beginning after publication.

SB45-SSA2-SA4,201,14 (9) Prescription drug affordability review board. The treatment of ss. 15.07 (3) (bm) 7., 15.735, 601.78, 601.785, and 601.79 and subch. VI (title) of ch. 601 and Section 9123 (2) of this act take effect on the first day of the 7th month beginning after publication.

SB45-SSA2-SA4,201,17 (10) Coverage of emergency ambulance services. The treatment of ss. 609.825 and 632.851 and Section 9323 (10) of this act take effect on the first day of the 4th month beginning after publication.

SB45-SSA2-SA4,201,20 (11) Inpatient mental health prior authorization. The treatment of ss. 609.823 and 632.891 and Section 9323 (11) of this act take effect on the first day of the 4th month beginning after publication.

SB45-SSA2-SA4,201,23 (12) Special enrollment period for pregnancy. The treatment of ss. 609.40 and 632.7498 takes effect on the first day of the 4th month beginning after publication.”.

SB45-SSA2-SA4,201,24 3. At the appropriate places, insert all of the following:

SB45-SSA2-SA4,202,1 “Section 1. 250.15 (1) (c) of the statutes is created to read:

SB45-SSA2-SA4,202,4 250.15 (1) (c) “Health center look-alike” means a health care entity that is designated by the federal health resources and services administration as a federally qualified health center look-alike.

SB45-SSA2-SA4,2 Section 2. 250.15 (2) (bm) of the statutes is created to read:

SB45-SSA2-SA4,202,6 250.15 (2) (bm) To community health centers, $800,000.

SB45-SSA2-SA4,3 Section 3. 250.15 (2) (d) of the statutes is amended to read:

SB45-SSA2-SA4,202,9 250.15 (2) (d) Two million two hundred fifty thousand Three million dollars to free and charitable clinics.

SB45-SSA2-SA4,4 Section 4. 250.15 (2) (e) of the statutes is created to read:

SB45-SSA2-SA4,202,12 250.15 (2) (e) To health center look-alikes, $200,000. A grant awarded to a health center look-alike under this paragraph may not exceed $100,000.

SB45-SSA2-SA4,9219 Section 9219. Fiscal changes; Health Services.

SB45-SSA2-SA4,202,24 (1) Grants for community health centers. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (1) (fh), the dollar amount for fiscal year 2025-26 is increased by $1,750,000 to pay for grants to community health centers under s. 250.15 (2) (bm), grants to free and charitable clinics under s. 250.15 (2) (d), and grants to health center look- alikes under s. 250.15 (2) (e). In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (1) (fh), the dollar amount for fiscal year 2026-27 is increased by $1,750,000 to pay for grants to community health centers under s. 250.15 (2) (bm), grants to free and charitable clinics under s. 250.15 (2) (d), and grants to health center look-alikes under s. 250.15 (2) (e).”.

SB45-SSA2-SA4,203,1 4. At the appropriate places, insert all of the following:

SB45-SSA2-SA4,203,2 “Section 271. 49.46 (1) (a) 1m. of the statutes is amended to read:

SB45-SSA2-SA4,203,7 49.46 (1) (a) 1m. Any pregnant woman whose income does not exceed the standard of need under s. 49.19 (11) and whose pregnancy is medically verified. Eligibility continues to the last day of the month in which the 60th day or, if approved by the federal government, the 90th 365th day after the last day of the pregnancy falls.

SB45-SSA2-SA4,272 Section 272. 49.46 (1) (j) of the statutes is amended to read:

SB45-SSA2-SA4,203,13 49.46 (1) (j) An individual determined to be eligible for benefits under par. (a) 9. remains eligible for benefits under par. (a) 9. for the balance of the pregnancy and to the last day of the month in which the 60th day or, if approved by the federal government, the 90th 365th day after the last day of the pregnancy falls without regard to any change in the individual’s family income.

SB45-SSA2-SA4,273 Section 273. 49.47 (4) (ag) 2. of the statutes is amended to read:

SB45-SSA2-SA4,203,18 49.47 (4) (ag) 2. Pregnant and the woman’s pregnancy is medically verified. Eligibility continues to the last day of the month in which the 60th day or, if approved by the federal government, the 90th 365th day after the last day of the pregnancy falls.

SB45-SSA2-SA4,274 Section 274. 49.471 (6) (b) of the statutes is amended to read:

SB45-SSA2-SA4,204,2 49.471 (6) (b) A pregnant woman who is determined to be eligible for benefits under sub. (4) remains eligible for benefits under sub. (4) for the balance of the pregnancy and to the last day of the month in which the 60th day or, if approved by the federal government, the 90th 365th day after the last day of the pregnancy falls without regard to any change in the woman’s family income.

SB45-SSA2-SA4,275 Section 275. 49.471 (7) (b) 1. of the statutes is amended to read:

SB45-SSA2-SA4,204,15 49.471 (7) (b) 1. A pregnant woman whose family income exceeds 300 percent of the poverty line may become eligible for coverage under this section if the difference between the pregnant woman’s family income and the applicable income limit under sub. (4) (a) is obligated or expended for any member of the pregnant woman’s family for medical care or any other type of remedial care recognized under state law or for personal health insurance premiums or for both. Eligibility obtained under this subdivision continues without regard to any change in family income for the balance of the pregnancy and to the last day of the month in which the 60th day or, if approved by the federal government, the 90th 365th day after the last day of the woman’s pregnancy falls. Eligibility obtained by a pregnant woman under this subdivision extends to all pregnant women in the pregnant woman’s family.”.

SB45-SSA2-SA4,204,16 5. At the appropriate places, insert all of the following:

SB45-SSA2-SA4,204,17 “Section 276. 46.48 (10) of the statutes is created to read:

SB45-SSA2-SA4,204,23 46.48 (10) Hospital services grants. (a) The department shall distribute grants to eligible hospitals approved by the department of health services located in the western public health region of the state, as determined by the department of health services, to support creation of new or enhanced hospital department services targeted to alleviating hospital access challenges in the Chippewa Valley region following the hospital closures in Chippewa Falls and Eau Claire.

SB45-SSA2-SA4,205,1

SB45-SSA2-SA4,205,4 (b) A hospital is eligible for a grant under this subsection if it has either applied for, or possesses, approval of the department of health services as a hospital under ch. DHS 124, Wis. Adm. Code, at the time of grant award.”.

SB45-SSA2-SA4,205,5 (end)