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2021 - 2022 LEGISLATURE
September 29, 2021 - Introduced by Representatives Hintz, Neubauer, Baldeh, L.
Myers
, Hebl, Pope, Emerson, Conley, Bowen, Stubbs, Spreitzer, Ohnstad,
Subeck, Anderson, Goyke, Vining and Hesselbein, cosponsored by Senators
Carpenter, Roys, Agard, L. Taylor and Johnson. Referred to Committee on
Constitution and Ethics.
AB584,1,3 1An Act to create 20.435 (1) (r), 25.17 (1) (xmm), 25.776 and 252.045 of the
2statutes; relating to: purchasing and distributing vaccines, granting
3rule-making authority, and making an appropriation.
Analysis by the Legislative Reference Bureau
Under this bill, the Department of Health Services must establish a program
that provides vaccines to individuals who are not eligible to receive a vaccine at no
cost from a federal program. Vaccines to which the bill applies are those
recommended by the Advisory Committee on Immunization Practices of the federal
Centers for Disease Control and Prevention and included in the program by the
secretary of health services. The bill requires DHS to estimate the costs associated
with providing vaccines and, in consultation with the commissioner of insurance,
assess each payer that covers vaccines an amount to pay for this program in
accordance with the estimate plus any reserves that DHS determines are prudent.
Administrators, insurers, certain health coverage plans, and self-insured
governmental health plans are considered payers in the bill. The amount the payer
is assessed must be proportional to the number of individuals whose health benefits
are administered by or on behalf of that payer in the state. The bill allows DHS to
impose an additional assessment if a new vaccine is developed. DHS must then
purchase vaccines and distribute them to health care providers to administer
vaccines to individuals who are not eligible to receive a vaccine at no cost from a
federal program.

For further information see the state and local fiscal estimate, which will be
printed as an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
AB584,1 1Section 1. 20.435 (1) (r) of the statutes is created to read:
AB584,2,32 20.435 (1) (r) Vaccine purchasing. From the vaccine purchase fund, all moneys
3received from assessments for the purpose of purchasing vaccines under s. 252.045.
AB584,2 4Section 2 . 25.17 (1) (xmm) of the statutes is created to read:
AB584,2,55 25.17 (1) (xmm) Vaccine purchase fund (s. 25.776);
AB584,3 6Section 3 . 25.776 of the statutes is created to read:
AB584,2,10 725.776 Vaccine purchase fund. There is created a separate nonlapsible trust
8fund designated as the vaccine purchase fund. The vaccine purchase fund shall
9consist of all moneys that are received from assessments on payers under s. 252.045
10(3).
AB584,4 11Section 4. 252.045 of the statutes is created to read:
AB584,2,12 12252.045 Purchase of vaccines. (1) In this section:
AB584,2,1413 (a) “Health care provider” means a health care provider, as defined in s. 146.81
14(1), who is authorized under chs. 440 to 480 to administer a vaccine.
AB584,2,1515 (b) “Payer” means any of the following:
AB584,2,1616 1. An administrator, as defined in s. 633.01 (1).
AB584,2,1717 2. An insurer, as defined in s. 632.745 (15).
AB584,2,2018 3. A health coverage plan described in s. 632.745 (11) (b) 1. to 12. or self-insured
19health plan, as defined in s. 632.745 (24), that is not administered by an insurer or
20administrator.
AB584,3,4
1(c) “Vaccine” means any vaccine that is recommended by the advisory
2committee on immunization practices of the federal centers for disease control and
3prevention, or its successor, and is included in the program under this section by the
4secretary.
AB584,3,10 5(2) The department shall establish a program to provide a vaccine to any
6individual in this state who is not eligible to receive a vaccine at no cost from a federal
7program. The department shall purchase vaccines described under this subsection
8and distribute the vaccines to health care providers who participate in the program
9under this section to administer vaccines to individuals described under this
10subsection.
AB584,3,19 11(3) The department shall estimate the costs associated with providing vaccines
12under sub. (2). The department, in consultation with the commissioner of insurance,
13shall assess no less frequently than annually each payer that covers vaccines an
14amount that is proportional to the number of individuals whose health benefits are
15administered by or on behalf of that payer in this state to pay for the program under
16this section in accordance with the estimate plus any reserves that the department
17determines are prudent for the program, including costs in the event of increased
18need for vaccines. The department may impose an additional assessment under this
19subsection if a new vaccine is developed.
AB584,3,21 20(4) The department may promulgate any rules necessary to implement this
21section.
AB584,3,2222 (End)
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