This is the preview version of the Wisconsin State Legislature site.
Please see http://docs.legis.wisconsin.gov for the production version.
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..
AB50-ASA2-AA8,182,131370. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,182,1414Section 9219. Fiscal changes; Health Services.
AB50-ASA2-AA8,182,2015(1) Alzheimer's disease training and information grants. In the
16schedule under s. 20.005 (3) for the appropriation to the department of health
17services under s. 20.435 (1) (bg), the dollar amount for fiscal year 2025-26 is
18increased by $50,000 and the dollar amount for fiscal year 2026-27 is increased by
19$50,000 to increase funding for the Alzheimer's disease training and information
20grants..
AB50-ASA2-AA8,182,212171. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,182,2222Section 324. 40.51 (8) of the statutes is amended to read:
AB50-ASA2-AA8,183,42340.51 (8) Every health care coverage plan offered by the state under sub. (6)

1shall comply with ss. 631.89, 631.90, 631.93 (2), 631.95, 632.72 (2), 632.722,
2632.729, 632.746 (1) to (8) and (10), 632.747, 632.748, 632.798, 632.83, 632.835,
3632.85, 632.853, 632.855, 632.861, 632.867, 632.87 (3) to (6) (7), 632.885, 632.89,
4632.895 (5m) and (8) to (17), and 632.896.
AB50-ASA2-AA8,3255Section 325. 40.51 (8m) of the statutes is amended to read:
AB50-ASA2-AA8,183,9640.51 (8m) Every health care coverage plan offered by the group insurance
7board under sub. (7) shall comply with ss. 631.95, 632.722, 632.729, 632.746 (1) to
8(8) and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855,
9632.861, 632.867, 632.87 (7), 632.885, 632.89, and 632.895 (11) to (17).
AB50-ASA2-AA8,32610Section 326. 66.0137 (4) of the statutes is amended to read:
AB50-ASA2-AA8,183,171166.0137 (4) Self-insured health plans. If a city, including a 1st class city,
12or a village provides health care benefits under its home rule power, or if a town
13provides health care benefits, to its officers and employees on a self-insured basis,
14the self-insured plan shall comply with ss. 49.493 (3) (d), 631.89, 631.90, 631.93 (2),
15632.722, 632.729, 632.746 (10) (a) 2. and (b) 2., 632.747 (3), 632.798, 632.85,
16632.853, 632.855, 632.861, 632.867, 632.87 (4) to (6) (7), 632.885, 632.89, 632.895
17(9) to (17), 632.896, and 767.513 (4).
AB50-ASA2-AA8,32718Section 327. 120.13 (2) (g) of the statutes is amended to read:
AB50-ASA2-AA8,183,2219120.13 (2) (g) Every self-insured plan under par. (b) shall comply with ss.
2049.493 (3) (d), 631.89, 631.90, 631.93 (2), 632.722, 632.729, 632.746 (10) (a) 2. and
21(b) 2., 632.747 (3), 632.798, 632.85, 632.853, 632.855, 632.861, 632.867, 632.87 (4) to
22(6) (7), 632.885, 632.89, 632.895 (9) to (17), 632.896, and 767.513 (4).
AB50-ASA2-AA8,32823Section 328. 185.983 (1) (intro.) of the statutes is amended to read:
AB50-ASA2-AA8,184,724185.983 (1) (intro.) Every voluntary nonprofit health care plan operated by a

1cooperative association organized under s. 185.981 shall be exempt from chs. 600 to
2646, with the exception of ss. 601.04, 601.13, 601.31, 601.41, 601.42, 601.43, 601.44,
3601.45, 611.26, 611.67, 619.04, 623.11, 623.12, 628.34 (10), 631.17, 631.89, 631.93,
4631.95, 632.72 (2), 632.722, 632.729, 632.745 to 632.749, 632.775, 632.79, 632.795,
5632.798, 632.85, 632.853, 632.855, 632.861, 632.867, 632.87 (2) to (6) (7), 632.885,
6632.89, 632.895 (5) and (8) to (17), 632.896, and 632.897 (10) and chs. 609, 620, 630,
7635, 645, and 646, but the sponsoring association shall:
AB50-ASA2-AA8,3298Section 329. 609.713 of the statutes is created to read:
AB50-ASA2-AA8,184,119609.713 Qualified treatment trainee coverage. Limited service health
10organizations, preferred provider plans, and defined network plans are subject to s.
11632.87 (7).
AB50-ASA2-AA8,33012Section 330. 632.87 (7) of the statutes is created to read:
AB50-ASA2-AA8,184,1313632.87 (7) (a) In this subsection:
AB50-ASA2-AA8,184,14141. Health care provider has the meaning given in s. 146.81 (1) (a) to (hp).
AB50-ASA2-AA8,184,16152. Qualified treatment trainee has the meaning given in s. DHS 35.03
16(17m), Wis. Adm. Code.
AB50-ASA2-AA8,184,2117(b) No policy, plan, or contract may exclude coverage for mental health or
18behavioral health treatment or services provided by a qualified treatment trainee
19within the scope of the qualified treatment trainees education and training if the
20policy, plan, or contract covers the mental health or behavioral health treatment or
21services when provided by another health care provider.
AB50-ASA2-AA8,932322Section 9323. Initial applicability; Insurance.
AB50-ASA2-AA8,184,2323(1) Qualified treatment trainee coverage.
AB50-ASA2-AA8,185,424(a) For policies and plans containing provisions inconsistent with these

1sections, the treatment of ss. 40.51 (8) and (8m), 66.0137 (4), 120.13 (2) (g), 185.983
2(1) (intro.), 609.713, and 632.87 (7) first applies to policy or plan years beginning on
3January 1 of the year following the year in which this paragraph takes effect, except
4as provided in par. (b).
AB50-ASA2-AA8,185,105(b) For policies and plans that are affected by a collective bargaining
6agreement containing provisions inconsistent with these sections, the treatment of
7ss. 40.51 (8) and (8m), 66.0137 (4), 120.13 (2) (g), 185.983 (1) (intro.), 609.713, and
8632.87 (7) first applies to policy or plan years beginning on the effective date of this
9paragraph or on the day on which the collective bargaining agreement is entered
10into, extended, modified, or renewed, whichever is later.
AB50-ASA2-AA8,942311Section 9423. Effective dates; Insurance.
AB50-ASA2-AA8,185,1512(1) Qualified treatment trainee coverage. The treatment of ss. 40.51 (8)
13and (8m), 66.0137 (4), 120.13 (2) (g), 185.983 (1) (intro.), 609.713, and 632.87 (7) and
14Section 9323 (1) of this act take effect on the first day of the 4th month beginning
15after publication..
AB50-ASA2-AA8,185,161672. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,185,1717Section 331. 40.51 (8) of the statutes is amended to read:
AB50-ASA2-AA8,185,221840.51 (8) Every health care coverage plan offered by the state under sub. (6)
19shall comply with ss. 631.89, 631.90, 631.93 (2), 631.95, 632.72 (2), 632.722,
20632.729, 632.746 (1) to (8) and (10), 632.747, 632.748, 632.798, 632.83, 632.835,
21632.85, 632.853, 632.855, 632.861, 632.867, 632.87 (3) to (6) and (8), 632.885,
22632.89, 632.895 (5m) and (8) to (17), and 632.896.
AB50-ASA2-AA8,33223Section 332. 40.51 (8m) of the statutes is amended to read:
AB50-ASA2-AA8,186,4
140.51 (8m) Every health care coverage plan offered by the group insurance
2board under sub. (7) shall comply with ss. 631.95, 632.722, 632.729, 632.746 (1) to
3(8) and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855,
4632.861, 632.867, 632.87 (8), 632.885, 632.89, and 632.895 (11) to (17).
AB50-ASA2-AA8,3335Section 333. 66.0137 (4) of the statutes is amended to read:
AB50-ASA2-AA8,186,12666.0137 (4) Self-insured health plans. If a city, including a 1st class city,
7or a village provides health care benefits under its home rule power, or if a town
8provides health care benefits, to its officers and employees on a self-insured basis,
9the self-insured plan shall comply with ss. 49.493 (3) (d), 631.89, 631.90, 631.93 (2),
10632.722, 632.729, 632.746 (10) (a) 2. and (b) 2., 632.747 (3), 632.798, 632.85,
11632.853, 632.855, 632.861, 632.867, 632.87 (4) to (6) and (8), 632.885, 632.89,
12632.895 (9) to (17), 632.896, and 767.513 (4).
AB50-ASA2-AA8,33413Section 334. 120.13 (2) (g) of the statutes is amended to read:
AB50-ASA2-AA8,186,1714120.13 (2) (g) Every self-insured plan under par. (b) shall comply with ss.
1549.493 (3) (d), 631.89, 631.90, 631.93 (2), 632.722, 632.729, 632.746 (10) (a) 2. and
16(b) 2., 632.747 (3), 632.798, 632.85, 632.853, 632.855, 632.861, 632.867, 632.87 (4) to
17(6) and (8), 632.885, 632.89, 632.895 (9) to (17), 632.896, and 767.513 (4).
AB50-ASA2-AA8,33518Section 335. 185.983 (1) (intro.) of the statutes is amended to read:
AB50-ASA2-AA8,187,219185.983 (1) (intro.) Every voluntary nonprofit health care plan operated by a
20cooperative association organized under s. 185.981 shall be exempt from chs. 600 to
21646, with the exception of ss. 601.04, 601.13, 601.31, 601.41, 601.42, 601.43, 601.44,
22601.45, 611.26, 611.67, 619.04, 623.11, 623.12, 628.34 (10), 631.17, 631.89, 631.93,
23631.95, 632.72 (2), 632.722, 632.729, 632.745 to 632.749, 632.775, 632.79, 632.795,
24632.798, 632.85, 632.853, 632.855, 632.861, 632.867, 632.87 (2) to (6) and (8),

1632.885, 632.89, 632.895 (5) and (8) to (17), 632.896, and 632.897 (10) and chs. 609,
2620, 630, 635, 645, and 646, but the sponsoring association shall:
AB50-ASA2-AA8,3363Section 336. 609.714 of the statutes is created to read:
AB50-ASA2-AA8,187,64609.714 Substance abuse counselor coverage. Limited service health
5organizations, preferred provider plans, and defined network plans are subject to s.
6632.87 (8).
AB50-ASA2-AA8,3377Section 337. 632.87 (8) of the statutes is created to read:
AB50-ASA2-AA8,187,88632.87 (8) (a) In this subsection:
AB50-ASA2-AA8,187,991. Health care provider has the meaning given in s. 146.81 (1) (a) to (hp).
AB50-ASA2-AA8,187,11102. Substance abuse counselor means a substance abuse counselor certified
11under s. 440.88.
AB50-ASA2-AA8,187,1612(b) No policy, plan, or contract may exclude coverage for alcoholism or other
13drug abuse treatment or services provided by a substance abuse counselor within
14the scope of the substance abuse counselors education and training if the policy,
15plan, or contract covers the alcoholism or other drug abuse treatment or services
16when provided by another health care provider.
AB50-ASA2-AA8,932317Section 9323. Initial applicability; Insurance.
AB50-ASA2-AA8,187,1818(1) Substance abuse counselor coverage.
AB50-ASA2-AA8,188,219(a) For policies and plans containing provisions inconsistent with the
20treatment of ss. 40.51 (8) and (8m), 66.0137 (4), 120.13 (2) (g), 185.983 (1) (intro.),
21609.714, and 632.87 (8), the treatment of ss. 40.51 (8) and (8m), 66.0137 (4), 120.13
22(2) (g), 185.983 (1) (intro.), 609.714, and 632.87 (8) first applies to policy or plan

1years beginning on January 1 of the year following the year in which this paragraph
2takes effect, except as provided in par. (b).
AB50-ASA2-AA8,188,93(b) For policies and plans that are affected by a collective bargaining
4agreement containing provisions inconsistent with the treatment of ss. 40.51 (8)
5and (8m), 66.0137 (4), 120.13 (2) (g), 185.983 (1) (intro.), 609.714, and 632.87 (8), the
6treatment of ss. 40.51 (8) and (8m), 66.0137 (4), 120.13 (2) (g), 185.983 (1) (intro.),
7609.714, and 632.87 (8) first applies to policy or plan years beginning on the
8effective date of this paragraph or on the day on which the collective bargaining
9agreement is newly established, extended, modified, or renewed, whichever is later.
AB50-ASA2-AA8,942310Section 9423. Effective dates; Insurance.
AB50-ASA2-AA8,188,1411(1) Substance abuse counselor coverage. The treatment of ss. 40.51 (8)
12and (8m), 66.0137 (4), 120.13 (2) (g), 185.983 (1) (intro.), 609.714, and 632.87 (8) and
13Section 9323 (1) of this act take effect on the first day of the 4th month beginning
14after publication..
AB50-ASA2-AA8,188,151573. At the appropriate places, insert all of the following:
AB50-ASA2-AA8,188,1616Section 338. 40.51 (8) of the statutes is amended to read:
AB50-ASA2-AA8,188,211740.51 (8) Every health care coverage plan offered by the state under sub. (6)
18shall comply with ss. 631.89, 631.90, 631.93 (2), 631.95, 632.72 (2), 632.722,
19632.729, 632.746 (1) to (8) and (10), 632.747, 632.748, 632.798, 632.83, 632.835,
20632.85, 632.851, 632.853, 632.855, 632.861, 632.867, 632.87 (3) to (6), 632.885,
21632.89, 632.895 (5m) and (8) to (17), and 632.896.
AB50-ASA2-AA8,33922Section 339. 40.51 (8m) of the statutes is amended to read:
AB50-ASA2-AA8,189,32340.51 (8m) Every health care coverage plan offered by the group insurance

1board under sub. (7) shall comply with ss. 631.95, 632.722, 632.729, 632.746 (1) to
2(8) and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.851, 632.853,
3632.855, 632.861, 632.867, 632.885, 632.89, and 632.895 (11) to (17).
AB50-ASA2-AA8,3404Section 340. 66.0137 (4) of the statutes is amended to read:
AB50-ASA2-AA8,189,11566.0137 (4) Self-insured health plans. If a city, including a 1st class city,
6or a village provides health care benefits under its home rule power, or if a town
7provides health care benefits, to its officers and employees on a self-insured basis,
8the self-insured plan shall comply with ss. 49.493 (3) (d), 631.89, 631.90, 631.93 (2),
9632.722, 632.729, 632.746 (10) (a) 2. and (b) 2., 632.747 (3), 632.798, 632.85,
10632.851, 632.853, 632.855, 632.861, 632.867, 632.87 (4) to (6), 632.885, 632.89,
11632.895 (9) to (17), 632.896, and 767.513 (4).
AB50-ASA2-AA8,34112Section 341. 120.13 (2) (g) of the statutes is amended to read:
AB50-ASA2-AA8,189,1613120.13 (2) (g) Every self-insured plan under par. (b) shall comply with ss.
1449.493 (3) (d), 631.89, 631.90, 631.93 (2), 632.722, 632.729, 632.746 (10) (a) 2. and
15(b) 2., 632.747 (3), 632.798, 632.85, 632.851, 632.853, 632.855, 632.861, 632.867,
16632.87 (4) to (6), 632.885, 632.89, 632.895 (9) to (17), 632.896, and 767.513 (4).
AB50-ASA2-AA8,34217Section 342. 185.983 (1) (intro.) of the statutes is amended to read:
AB50-ASA2-AA8,190,218185.983 (1) (intro.) Every voluntary nonprofit health care plan operated by a
19cooperative association organized under s. 185.981 shall be exempt from chs. 600 to
20646, with the exception of ss. 601.04, 601.13, 601.31, 601.41, 601.42, 601.43, 601.44,
21601.45, 611.26, 611.67, 619.04, 623.11, 623.12, 628.34 (10), 631.17, 631.89, 631.93,
22631.95, 632.72 (2), 632.722, 632.729, 632.745 to 632.749, 632.775, 632.79, 632.795,
23632.798, 632.85, 632.851, 632.853, 632.855, 632.861, 632.867, 632.87 (2) to (6),

1632.885, 632.89, 632.895 (5) and (8) to (17), 632.896, and 632.897 (10) and chs. 609,
2620, 630, 635, 645, and 646, but the sponsoring association shall:
AB50-ASA2-AA8,3433Section 343. 609.825 of the statutes is created to read:
AB50-ASA2-AA8,190,54609.825 Coverage of emergency ambulance services. (1) In this
5section:
AB50-ASA2-AA8,190,66(a) Ambulance service provider has the meaning given in s. 256.01 (3).
AB50-ASA2-AA8,190,107(b) Self-insured governmental plan means a self-insured health plan of the
8state or a county, city, village, town, or school district that has a network of
9participating providers and imposes on enrollees in the self-insured health plan
10different requirements for using providers that are not participating providers.
AB50-ASA2-AA8,190,1511(2) A defined network plan, preferred provider plan, or self-insured
12governmental plan that provides coverage of emergency medical services shall
13cover emergency ambulance services provided by an ambulance service provider
14that is not a participating provider at a rate that is not lower than the greatest rate
15that is any of the following:
AB50-ASA2-AA8,190,1716(a) A rate that is set or approved by a local governmental entity in the
17jurisdiction in which the emergency ambulance services originated.
AB50-ASA2-AA8,190,2318(b) A rate that is 400 percent of the current published rate for the provided
19emergency ambulance services established by the federal centers for medicare and
20medicaid services under title XVIII of the federal Social Security Act, 42 USC 1395
21et seq., in the same geographic area or a rate that is equivalent to the rate billed by
22the ambulance service provider for emergency ambulance services provided,
23whichever is less.
AB50-ASA2-AA8,191,3
1(c) The contracted rate at which the defined network plan, preferred provider
2plan, or self-insured governmental plan would reimburse a participating
3ambulance service provider for the same emergency ambulance services.
AB50-ASA2-AA8,191,94(3) No defined network plan, preferred provider plan, or self-insured
5governmental plan may impose a cost-sharing amount on an enrollee for emergency
6ambulance services provided by an ambulance service provider that is not a
7participating provider at a rate that is greater than the requirements that would
8apply if the emergency ambulance services were provided by a participating
9ambulance service provider.
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