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AB50-ASA2-AA8,171,1515Section 310. 601.31 (1) (nv) of the statutes is created to read:
AB50-ASA2-AA8,171,1716601.31 (1) (nv) For issuing or renewing a license as a pharmaceutical
17representative under s. 632.863, an amount to be set by the commissioner by rule.
AB50-ASA2-AA8,31118Section 311. 632.863 of the statutes is created to read:
AB50-ASA2-AA8,171,2019632.863 Pharmaceutical representatives. (1) Definitions. In this
20section:
AB50-ASA2-AA8,171,2321(a) Health care professional means a physician or other health care
22practitioner who is licensed to provide health care services or to prescribe
23pharmaceutical or biologic products.
AB50-ASA2-AA8,172,2
1(b) Pharmaceutical means a medication that may legally be dispensed only
2with a valid prescription from a health care professional.
AB50-ASA2-AA8,172,53(c) Pharmaceutical representative means an individual who markets or
4promotes pharmaceuticals to health care professionals on behalf of a
5pharmaceutical manufacturer for compensation.
AB50-ASA2-AA8,172,136(2) Licensure. Beginning on the first day of the 12th month beginning after
7the effective date of this subsection .... [LRB inserts date], no individual may act as
8a pharmaceutical representative in this state without being licensed by the
9commissioner as a pharmaceutical representative under this subsection. In order
10to obtain a license under this subsection, the individual shall apply to the
11commissioner in the form and manner prescribed by the commissioner and shall
12pay the fee under s. 601.31 (1) (nv). The term of a license issued under this
13subsection is one year, and the license is renewable.
AB50-ASA2-AA8,172,1614(3) Display of license. A pharmaceutical representative licensed under sub.
15(2) shall display the pharmaceutical representatives license during each visit with
16a health care professional.
AB50-ASA2-AA8,172,2017(4) Enforcement. (a) Any individual who violates this section or any rules
18promulgated under this section shall be fined not less than $1,000 nor more than
19$3,000 for each offense. Each day of continued violation constitutes a separate
20offense.
AB50-ASA2-AA8,173,221(b) The commissioner may suspend or revoke the license of a pharmaceutical
22representative who violates this section or any rules promulgated under this
23section. A suspended or revoked license under this paragraph may not be

1reinstated until the pharmaceutical representative remedies all violations related
2to the suspension or revocation and pays all assessed penalties and fees.
AB50-ASA2-AA8,173,53(5) Rules. The commissioner shall promulgate rules to implement this
4section, including rules that require pharmaceutical representatives to complete
5continuing educational coursework as a condition of licensure..
AB50-ASA2-AA8,173,6663. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,173,77Section 312. 601.31 (1) (mv) of the statutes is created to read:
AB50-ASA2-AA8,173,108601.31 (1) (mv) For initial issuance or renewal of a license as a pharmacy
9benefit management broker or consultant under s. 628.495, amounts set by the
10commissioner by rule.
AB50-ASA2-AA8,31311Section 313. 628.495 of the statutes is created to read:
AB50-ASA2-AA8,173,1412628.495 Pharmacy benefit management broker and consultant
13licenses. (1) Definition. In this section, pharmacy benefit manager has the
14meaning given in s. 632.865 (1) (c).
AB50-ASA2-AA8,173,1915(2) License required. Beginning on the first day of the 12th month
16beginning after the effective date of this subsection .... [LRB inserts date], no
17individual may act as a pharmacy benefit management broker or consultant and no
18individual may act to procure the services of a pharmacy benefit manager on behalf
19of a client without being licensed by the commissioner under this section.
AB50-ASA2-AA8,173,2220(3) Rules. The commissioner may promulgate rules to establish criteria and
21procedures for initial licensure and renewal of licensure and to implement licensure
22under this section..
AB50-ASA2-AA8,173,232364. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,174,1
1Section 314. 632.865 (2m) of the statutes is created to read:
AB50-ASA2-AA8,174,52632.865 (2m) Fiduciary duty and disclosures to health benefit plan
3sponsors. (a) A pharmacy benefit manager owes a fiduciary duty to the health
4benefit plan sponsor to act according to the health benefit plan sponsors
5instructions and in the best interests of the health benefit plan sponsor.
AB50-ASA2-AA8,174,96(b) A pharmacy benefit manager shall annually provide, no later than the
7date and using the method prescribed by the commissioner by rule, the health
8benefit plan sponsor all of the following information from the previous calendar
9year:
AB50-ASA2-AA8,174,11101. The indirect profit received by the pharmacy benefit manager from owning
11any interest in a pharmacy or service provider.
AB50-ASA2-AA8,174,13122. Any payment made by the pharmacy benefit manager to a consultant or
13broker who works on behalf of the health benefit plan sponsor.
AB50-ASA2-AA8,174,17143. From the amounts received from all drug manufacturers, the amounts
15retained by the pharmacy benefit manager, and not passed through to the health
16benefit plan sponsor, that are related to the health benefit plan sponsors claims or
17bona fide service fees.
AB50-ASA2-AA8,174,22184. The amounts, including pharmacy access and audit recovery fees, received
19from all pharmacies that are in the pharmacy benefit managers network or have a
20contract to be in the network and, from these amounts, the amount retained by the
21pharmacy benefit manager and not passed through to the health benefit plan
22sponsor..
AB50-ASA2-AA8,174,232365. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,175,1
1Section 315. 609.74 of the statutes is created to read:
AB50-ASA2-AA8,175,32609.74 Coverage of infertility services. Defined network plans and
3preferred provider plans are subject to s. 632.895 (15m).
AB50-ASA2-AA8,3164Section 316. 632.895 (15m) of the statutes is created to read:
AB50-ASA2-AA8,175,55632.895 (15m) Coverage of infertility services. (a) In this subsection:
AB50-ASA2-AA8,175,1161. Diagnosis of and treatment for infertility means any recommended
7procedure or medication to treat infertility at the direction of a physician that is
8consistent with established, published, or approved medical practices or
9professional guidelines from the American College of Obstetricians and
10Gynecologists, or its successor organization, or the American Society for
11Reproductive Medicine, or its successor organization.
AB50-ASA2-AA8,175,13122. Infertility means a disease, condition, or status characterized by any of
13the following:
AB50-ASA2-AA8,175,1814a. The failure to establish a pregnancy or carry a pregnancy to a live birth
15after regular, unprotected sexual intercourse for, if the woman is under the age of
1635, no longer than 12 months or, if the woman is 35 years of age or older, no longer
17than 6 months, including any time during those 12 months or 6 months that the
18woman has a pregnancy that results in a miscarriage.
AB50-ASA2-AA8,175,2019b. An individuals inability to reproduce either as a single individual or with a
20partner without medical intervention.
AB50-ASA2-AA8,175,2221c. A physicians findings based on a patients medical, sexual, and
22reproductive history, age, physical findings, or diagnostic testing.
AB50-ASA2-AA8,176,2
13. Self-insured health plan means a self-insured health plan of the state or
2a county, city, village, town, or school district.
AB50-ASA2-AA8,176,934. Standard fertility preservation service means a procedure that is
4consistent with established medical practices or professional guidelines published
5by the American Society for Reproductive Medicine, or its successor organization, or
6the American Society of Clinical Oncology, or its successor organization, for a
7person who has a medical condition or is expected to undergo medication therapy,
8surgery, radiation, chemotherapy, or other medical treatment that is recognized by
9medical professionals to cause a risk of impairment to fertility.
AB50-ASA2-AA8,176,1710(b) Subject to pars. (c) to (e), every disability insurance policy and self-insured
11health plan that provides coverage for medical or hospital expenses shall cover
12diagnosis of and treatment for infertility and standard fertility preservation
13services. Coverage required under this paragraph includes at least 4 completed
14oocyte retrievals with unlimited embryo transfers, in accordance with the
15guidelines of the American Society for Reproductive Medicine, or its successor
16organization, and single embryo transfer when recommended and medically
17appropriate.
AB50-ASA2-AA8,176,1918(c) 1. A disability insurance policy or self-insured health plan may not do any
19of the following:
AB50-ASA2-AA8,176,2220a. Impose any exclusion, limitation, or other restriction on coverage required
21under par. (b) based on a covered individuals participation in fertility services
22provided by or to a 3rd party.
AB50-ASA2-AA8,177,323b. Impose any exclusion, limitation, or other restriction on coverage of

1medications that are required to be covered under par. (b) that are different from
2those imposed on any other prescription medications covered under the policy or
3plan.
AB50-ASA2-AA8,177,104c. Impose any exclusion, limitation, cost-sharing requirement, benefit
5maximum, waiting period, or other restriction on coverage that is required under
6par. (b) of diagnosis of and treatment for infertility and standard fertility
7preservation services that is different from an exclusion, limitation, cost-sharing
8requirement, benefit maximum, waiting period, or other restriction imposed on
9benefits for services that are covered by the policy or plan and that are not related to
10infertility.
AB50-ASA2-AA8,177,14112. A disability insurance policy or self-insured health plan shall provide
12coverage required under par. (b) to any covered individual under the policy or plan,
13including any covered spouse or nonspouse dependent, to the same extent as other
14pregnancy-related benefits covered under the policy or plan.
AB50-ASA2-AA8,177,2015(d) The commissioner, after consulting with the department of health services
16on appropriate treatment for infertility, shall promulgate any rules necessary to
17implement this subsection. Before the promulgation of rules, disability insurance
18policies and self-insured health plans are considered to comply with the coverage
19requirements of par. (b) if the coverage conforms to the standards of the American
20Society for Reproductive Medicine.
AB50-ASA2-AA8,177,2221(e) This subsection does not apply to a disability insurance policy that is
22described under s. 632.745 (11) (b) 1. to 12.
AB50-ASA2-AA8,932323Section 9323. Initial applicability; Insurance.
AB50-ASA2-AA8,178,1
1(1) Coverage of infertility services.
AB50-ASA2-AA8,178,52(a) For policies and plans containing provisions inconsistent with these
3sections, the treatment of ss. 609.74 and 632.895 (15m) first applies to policy or
4plan years beginning on January 1 of the year following the year in which this
5paragraph takes effect, except as provided in pars. (b) and (c).
AB50-ASA2-AA8,178,106(b) For policies and plans that have a term greater than one year and contain
7provisions inconsistent with these sections, the treatment of ss. 609.74 and 632.895
8(15m) first applies to policy or plan years beginning on January 1 of the year
9following the year in which the policy or plan is extended, modified, or renewed,
10whichever is later.
AB50-ASA2-AA8,178,1511(c) For policies and plans that are affected by a collective bargaining
12agreement containing provisions inconsistent with these sections, the treatment of
13ss. 609.74 and 632.895 (15m) first applies to policy or plan years beginning on the
14effective date of this paragraph or on the day on which the collective bargaining
15agreement is entered into, extended, modified, or renewed, whichever is later.
AB50-ASA2-AA8,942316Section 9423. Effective dates; Insurance.
AB50-ASA2-AA8,178,1917(1) Coverage of infertility services. The treatment of ss. 609.74 and
18632.895 (15m) and Section 9323 (1) of this act take effect on the first day of the 4th
19month beginning after publication..
AB50-ASA2-AA8,178,202066. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,178,2121Section 9219. Fiscal changes; Health Services.
AB50-ASA2-AA8,179,522(1) MyWisconsin ID - IT security. In the schedule under s. 20.005 (3) for the
23appropriation to the department of health services under s. 20.435 (1) (a), the dollar

1amount for fiscal year 2025-26 is increased by $1,432,400 to develop the
2MyWisconsin identification account management system. In the schedule under s.
320.005 (3) for the appropriation to the department of health services under s.
420.435 (1) (a), the dollar amount for fiscal year 2026-27 is increased by $477,500 to
5develop the MyWisconsin identification account management system..
AB50-ASA2-AA8,179,6667. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,179,77Section 317. 632.895 (17) (b) 1m. of the statutes is created to read:
AB50-ASA2-AA8,179,98632.895 (17) (b) 1m. Oral contraceptives that are lawfully furnished over the
9counter without a prescription.
AB50-ASA2-AA8,932310Section 9323. Initial applicability; Insurance.
AB50-ASA2-AA8,179,1111(1) Coverage of over-the-counter oral contraceptives.
AB50-ASA2-AA8,179,1512(a) For policies and plans containing provisions inconsistent with s. 632.895
13(17) (b) 1m., the treatment of s. 632.895 (17) (b) 1m. first applies to policy or plan
14years beginning on January 1 of the year following the year in which this paragraph
15takes effect, except as provided in par. (b).
AB50-ASA2-AA8,179,2016(b) For policies and plans that are affected by a collective bargaining
17agreement containing provisions inconsistent with s. 632.895 (17) (b) 1m., the
18treatment of s. 632.895 (17) (b) 1m. first applies to policy or plan years beginning on
19the effective date of this paragraph or on the day on which the collective bargaining
20agreement is newly established, extended, modified, or renewed, whichever is later.
AB50-ASA2-AA8,942321Section 9423. Effective dates; Insurance.
AB50-ASA2-AA8,179,2422(1) Coverage of over-the-counter oral contraceptives. The treatment
23of s. 632.895 (17) (b) 1m. and Section 9323 (1) of this act take effect on the first day
24of the 4th month beginning after publication..
AB50-ASA2-AA8,180,1
168. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,180,22Section 318. 46.74 of the statutes is created to read:
AB50-ASA2-AA8,180,5346.74 Grants for mobile dental clinics. The department shall award
4grants to community health centers, as defined in s. 250.15 (1) (a), to procure and
5operate mobile dental clinics.
AB50-ASA2-AA8,92196Section 9219. Fiscal changes; Health Services.
AB50-ASA2-AA8,180,137(1) Mobile dental clinic grants. In the schedule under s. 20.005 (3) for the
8appropriation to the department of health services under s. 20.435 (4) (b), the dollar
9amount for fiscal year 2026-27 is increased by $1,898,700 to fund grants to 3
10community health centers to enable them to each procure and operate a mobile
11dental clinic, and to reflect an increase in dental services utilization under the
12Medical Assistance program under subch. IV of ch. 49 resulting from the mobile
13dental clinics..
AB50-ASA2-AA8,180,141469. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,180,1515Section 319. 40.51 (8m) of the statutes is amended to read:
AB50-ASA2-AA8,180,191640.51 (8m) Every health care coverage plan offered by the group insurance
17board under sub. (7) shall comply with ss. 631.95, 632.722, 632.729, 632.746 (1) to
18(8) and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855,
19632.861, 632.867, 632.87 (4e), 632.885, 632.89, and 632.895 (11) to (17).
AB50-ASA2-AA8,32020Section 320. 609.718 of the statutes is created to read:
AB50-ASA2-AA8,180,2221609.718 Dental therapist coverage. Limited service health organizations,
22preferred provider plans, and defined network plans are subject to s. 632.87 (4e).
AB50-ASA2-AA8,32123Section 321. 632.87 (1) of the statutes is amended to read:
AB50-ASA2-AA8,181,5
1632.87 (1) No insurer may refuse to provide or pay for benefits for health care
2services provided by a licensed health care professional on the ground that the
3services were not rendered by a physician as defined in s. 990.01 (28), unless the
4contract clearly excludes services by such practitioners, but no contract or plan may
5exclude services in violation of sub. (2), (2m), (3), (4), (4e), (4m), (5), or (6).
AB50-ASA2-AA8,3226Section 322. 632.87 (4) of the statutes is amended to read:
AB50-ASA2-AA8,181,117632.87 (4) No policy, plan or contract may exclude coverage for diagnosis and
8treatment of a condition or complaint by a licensed dentist or dental therapist
9within the scope of the dentists or dental therapists license, if the policy, plan or
10contract covers diagnosis and treatment of the condition or complaint by another
11health care provider, as defined in s. 146.81 (1) (a) to (p).
AB50-ASA2-AA8,32312Section 323. 632.87 (4e) of the statutes is created to read:
AB50-ASA2-AA8,181,1413632.87 (4e) In this subsection, dental therapist means an individual
14licensed under s. 447.04 (1m).
AB50-ASA2-AA8,181,1915(b) No policy, plan, or contract may exclude coverage for dental services,
16treatments, or procedures provided by a dental therapist within the scope of the
17dental therapists license if the policy, plan, or contract covers the dental services,
18treatments, or procedures when provided by another health care provider, as
19defined in s. 146.81 (1) (a) to (hp).
AB50-ASA2-AA8,932320Section 9323. Initial applicability; Insurance.
AB50-ASA2-AA8,181,2121(1) Dental therapist coverage.
AB50-ASA2-AA8,182,222(a) For policies and plans containing provisions inconsistent with ss. 40.51
23(8m), 609.718, and 632.87 (1), (4), and (4e), the treatment of ss. 40.51 (8m), 609.718,
24and 632.87 (1), (4), and (4e) first applies to policy or plan years beginning on

1January 1 of the year following the year in which this paragraph takes effect, except
2as provided in par. (b).
AB50-ASA2-AA8,182,83(b) For policies and plans that are affected by a collective bargaining
4agreement containing provisions inconsistent with ss. 40.51 (8m), 609.718, and
5632.87 (1), (4), and (4e), the treatment of ss. 40.51 (8m), 609.718, and 632.87 (1), (4),
6and (4e) first applies to policy or plan years beginning on the effective date of this
7paragraph or on the day on which the collective bargaining agreement is entered
8into, extended, modified, or renewed, whichever is later.
AB50-ASA2-AA8,94239Section 9423. Effective dates; Insurance.
AB50-ASA2-AA8,182,1210(1) Dental therapist coverage. The treatment of ss. 40.51 (8m), 609.718,
11and 632.87 (1), (4), and (4e) and Section 9323 (1) of this act take effect on the first
12day of the 4th month beginning after publication..
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