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AB68-ASA2-AA2,121,1512 (16h) Medical Assistance reimbursement rate; emergency physician. For
13dates of service beginning on January 1, 2022, the department of health services
14shall increase by 36 percent the rates for emergency physician services under the
15Medical Assistance program.
AB68-ASA2-AA2,122,1516 (17h) Option to purchase publicly administered coverage. During the
172021-23 fiscal biennium, the department of health services, the office of the
18commissioner of insurance, or the department of health services in consultation with
19the office of the commissioner of insurance shall conduct an analysis and actuarial
20study of the creation of an option for individuals to purchase health coverage that is
21publicly provided or administered. The analysis under this subsection shall
22incorporate input from a variety of persons and entities, including consumers, that
23have an interest in health insurance and health coverage, including Medical
24Assistance program coverage, and an analysis of any other health care affordability
25initiatives. If the department of health services or the office of the commissioner of

1insurance determines that the option to purchase public coverage or any other health
2care affordability initiatives are feasible, the department or office may submit to the
3federal government any requests for a waiver of federal law or other federal approval
4necessary to implement the public coverage option or any other health care
5affordability initiatives. If the department of health services or office of the
6commissioner of insurance obtains the necessary federal approval or determines
7that no federal approval is necessary and if the department or office continues to
8determine that the option to purchase public coverage or any other health care
9affordability initiative is feasible, the department or office shall implement the
10option to purchase public coverage or other health care affordability initiative by
11January 1, 2025, or earlier if possible, except that if the commissioner of insurance
12determines the provisions of title I of the federal Patient Protection and Affordable
13Care Act, P.L. 111-148, are no longer enforceable, the department or office shall
14implement the public option or other affordability initiatives by January 1, 2022, or
15as soon as possible.
AB68-ASA2-AA2,122,2116 (18h) Addiction treatment platform. From the appropriation under s. 20.435
17(5) (a), the department of health services shall contract in fiscal year 2022-23 for the
18development of a substance use disorder treatment platform that allows for the
19comparison of substance use disorder treatment programs in the state. The
20department of health services may expend no more than $300,000 in fiscal year
212022-23 under this subsection.
AB68-ASA2-AA2,9123 22Section 9123. Nonstatutory provisions; Insurance.
AB68-ASA2-AA2,123,223 (1h) Prescription drug cost survey. The commissioner of insurance shall
24conduct a statistically valid survey of pharmacies in this state regarding whether the

1pharmacy agreed to not disclose that customer drug benefit cost sharing exceeds the
2cost of the dispensed drug.
AB68-ASA2-AA2,123,63 (2h) Public option health insurance plan. The office of the commissioner of
4insurance may expend from the appropriation under s. 20.145 (1) (a) in fiscal year
52021-22 not more than $900,000 for the development of a public option health
6insurance plan.
AB68-ASA2-AA2,123,207 (3h) Health insurance premium assistance program. The commissioner of
8insurance shall develop a program to provide, beginning no later than plan year
92024, health insurance premium assistance to any resident of this state who
10purchases a silver level plan on the exchange, as defined in s. 628.90 (1), and whose
11household income exceeds 133 percent of the poverty line before application of the
125 percent income disregard as described in 42 CFR 435.603 (d), but does not exceed
13250 percent of the poverty line. The assistance shall equal the difference between
14the lowest-cost silver level plan and lowest-cost bronze level plan in the individual's
15county of residence. The commissioner of insurance shall include a cost estimate of
16the program with the 2023-24 biennial budget submission for the office of the
17commissioner of insurance. In this subsection, “bronze level plan” means a plan
18described in 42 USC 18022 (d) (1) (A), “poverty line” means the poverty line as defined
19and revised annually under 42 USC 9902 (2) for a family the size of the individual's
20family, and “silver level plan” means a plan described in 42 USC 18022 (d) (1) (B).
AB68-ASA2-AA2,123,2321 (4h) Prescription drug purchasing entity. During the 2021-2023 fiscal
22biennium, the office of the commissioner of insurance shall conduct a study on the
23viability of creating or implementing a state prescription drug purchasing entity.
AB68-ASA2-AA2,123,2424 (5h) School district group health insurance task force.
AB68-ASA2-AA2,124,3
1(a) The commissioner of insurance shall establish a committee called the
2“School District Group Health Insurance Task Force.” The task force shall consist
3of the following members appointed by the governor:
AB68-ASA2-AA2,124,4 41. One representative from the office of the commissioner of insurance.
AB68-ASA2-AA2,124,5 52. One representative from the department of administration.
AB68-ASA2-AA2,124,6 63. One representative from the department of public instruction.
AB68-ASA2-AA2,124,7 74. One representative from the department of employee trust funds.
AB68-ASA2-AA2,124,8 85. One administrator of a school district.
AB68-ASA2-AA2,124,9 96. One business official of a school district.
AB68-ASA2-AA2,124,10 107. One member of a school board.
AB68-ASA2-AA2,124,11 118. One official of a public employee union.
AB68-ASA2-AA2,124,12 129. Three employees of public schools.
AB68-ASA2-AA2,124,13 1310. One representative of a health plan.
AB68-ASA2-AA2,124,1514 (b) The representative from the office of the commissioner of insurance shall
15be the chairperson of the task force.
AB68-ASA2-AA2,124,2316 (c) Based on consultation with the task force, and review of an actuarial report
17by the group insurance board following a study of the potential costs and savings to
18school districts and current plan participants if all Wisconsin school districts are
19required to participate in a group health insurance plan offered by the group
20insurance board of this act, the commissioner of insurance and the secretary of
21employee trust funds shall develop an implementation plan, which, if enacted, would
22require all school districts in this state to participate in a group health insurance
23program offered by the group insurance board by January 1, 2024.
AB68-ASA2-AA2,125,3
1(d) The commissioner of insurance and the secretary of employee trust funds
2shall submit the implementation plan to the governor and the joint committee of
3finance by December 31, 2022.
AB68-ASA2-AA2,125,104 (6h) Prescription drug importation program. The commissioner of insurance
5shall submit the first report required under s. 601.575 (5) by the next January 1 or
6July 1, whichever is earliest, that is at least 180 days after the date the prescription
7drug importation program is fully operational under s. 601.575 (4). The
8commissioner of insurance shall include in the first 3 reports submitted under s.
9601.575 (5) information on the implementation of the audit functions under s.
10601.575 (1) (n).
AB68-ASA2-AA2,125,1611 (7h) Staggered terms for board. Notwithstanding the length of terms
12specified for the members of the board under s. 15.735 (1) (b) to (e), 2 of the initial
13members shall be appointed for terms expiring on May 1, 2023; 2 of the initial
14members shall be appointed for terms expiring on May 1, 2024; 2 of the initial
15members shall be appointed for terms expiring on May 1, 2025; and 2 of the initial
16members shall be appointed for terms expiring on May 1, 2026.”.
AB68-ASA2-AA2,125,17 17108. Page 396, line 1: delete lines 1 to 3.
AB68-ASA2-AA2,125,18 18109. Page 397, line 12: after that line insert:
AB68-ASA2-AA2,125,22 19“(1h) Statements of guardians. The treatment of ss. 54.15 (8) (a) (intro.) (as
20it relates to any requirement for a statement as described under s. 54.15 (8) (a) 2m.)
21and 2m. and 54.26 first applies to petitions for guardianship filed on the first day of
22the 13th month beginning after the effective date of this subsection.
AB68-ASA2-AA2,9323 23Section 9323. Initial applicability; Insurance.
AB68-ASA2-AA2,125,2424 (1h) Application of manufacturer discounts.
AB68-ASA2-AA2,126,4
1(a) For policies and plans containing provisions inconsistent with the
2treatment of s. 632.862, the treatment of s. 632.862 first applies to policy or plan
3years beginning on January 1 of the year following the year in which this paragraph
4takes effect, except as provided in par. (b).
AB68-ASA2-AA2,126,95 (b) For policies or plans that are affected by a collective bargaining agreement
6containing provisions inconsistent with the treatment of s. 632.862, the treatment
7of s. 632.862 first applies to policy or plan years beginning on the effective date of this
8paragraph or on the day on which the collective bargaining agreement is newly
9established, extended, modified, or renewed, whichever is later.
AB68-ASA2-AA2,126,1010 (2h) Telehealth parity.
AB68-ASA2-AA2,126,1411 (a) For policies and plans containing provisions inconsistent with the
12treatment of s. 632.871, the treatment of s. 632.871 first applies to policy or plan
13years beginning on January 1 of the year following the year in which this paragraph
14takes effect, except as provided in par. (b).
AB68-ASA2-AA2,126,1915 (b) For policies and plans that are affected by a collective bargaining agreement
16containing provisions inconsistent with s. 632.871, the treatment of s. 632.871 first
17applies to policy or plan years beginning on the effective date of this paragraph or
18on the day on which the collective bargaining agreement is newly established,
19extended, modified, or renewed, whichever is later.
AB68-ASA2-AA2,126,2120 (3h) Coverage of individuals with preexisting conditions, essential health
21benefits, and preventive services.
AB68-ASA2-AA2,127,322 (a) For policies and plans containing provisions inconsistent with these
23sections, the treatment of ss. 632.728, 632.746 (1) (a) and (b), (2) (a), (c), (d), and (e),
24(3) (a) and (d) 1., 2., and 3., (5), and (8) (a) (intro.), 632.748 (2), 632.76 (2) (a) and (ac)
251. and 2., 632.795 (4) (a), 632.895 (8) (d), (13m), (14) (a) 1. i., j., and k. to o., (b), (c),

1and (d) 3., (14m), (16m) (b), and (17) (b) 2. and (c), and 632.897 (11) (a) first applies
2to policy or plan years beginning on January 1 of the year following the year in which
3this paragraph takes effect, except as provided in par. (b).
AB68-ASA2-AA2,127,114 (b) For policies and plans that are affected by a collective bargaining agreement
5containing provisions inconsistent with these sections, the treatment of ss. 632.728,
6632.746 (1) (a) and (b), (2) (a), (c), (d), and (e), (3) (a) and (d) 1., 2., and 3., (5), and (8)
7(a) (intro.), 632.748 (2), 632.76 (2) (a) and (ac) 1. and 2., 632.795 (4) (a), 632.895 (8)
8(d), (13m), (14) (a) 1. i., j., and k. to o., (b), (c), and (d) 3., (14m), (16m) (b), and (17)
9(b) 2. and (c), and 632.897 (11) (a) first applies to policy or plan years beginning on
10the effective date of this paragraph or on the day on which the collective bargaining
11agreement is entered into, extended, modified, or renewed, whichever is later.”.
AB68-ASA2-AA2,127,12 12110. Page 398, line 23: after that line insert:
AB68-ASA2-AA2,127,15 13“(2h) Medicaid expansion. The treatment of ss. 20.435 (4) (jw), 49.45 (2p), (23),
14and (23b) (title), (b), (c), and (e), 49.471 (1) (cr), (4) (a) 4. b. and 8. and (4g), and 49.686
15(3) (d) and Section 9119 (15h) of this act take effect on July 1, 2021.
AB68-ASA2-AA2,9423 16Section 9423. Effective dates; Insurance.
AB68-ASA2-AA2,128,217 (1h) Coverage of individuals with preexisting conditions, essential health
18benefits, and preventive services.
The treatment of ss. 40.51 (8) (by Section 180e)
19and (8m) (by Section 180h), 66.0137 (4) (by Section 238t), 120.13 (2) (g) (by Section
20351n), 185.983 (1) (intro.) (by Section 363m), 609.713, 609.847, 625.12 (1) (a) and (e)
21and (2), 625.15 (1), 628.34 (3) (a) (by Section 412m), 632.728, 632.746 (1) (a) and (b),
22(2) (a), (c), (d), and (e), (3) (a) and (d) 1., 2., and 3., (5), and (8) (a) (intro.), 632.748 (2),
23632.76 (2) (a) and (ac) 1. and 2., 632.795 (4) (a), 632.895 (8) (d), (13m), (14) (a) 1. i.,
24j., and k. to o., (b), (c), and (d) 3., (14m), (16m) (b), and (17) (b) 2. and (c), and 632.897

1(11) (a) and Section 9323 (3h) of this act take effect on the first day of the 4th month
2beginning after publication.
AB68-ASA2-AA2,128,53 (2h) Prescription drug affordability review board. The treatment of ss. 15.07
4(3) (bm) 7., 15.735, 601.78, 601.785, and 601.79 and subch. VI (title) of chap. 601
5takes effect on the first day of the 7th month after the day of publication.
AB68-ASA2-AA2,128,96 (3h) Cost-sharing cap for insulin. The treatment of ss. 609.83 (by Section
7412f) and 632.895 (6) (title), the renumbering and amendment of s. 632.895 (6), and
8the creation of s. 632.895 (6) (b) take effect on the first day of the 4th month beginning
9after publication.”.
This proposal may contain a health insurance mandate requiring a social and
financial impact report under s. 601.423, stats.
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