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LRB-3663/1
JPC&TJD:cjs&emw
2021 - 2022 LEGISLATURE
November 12, 2021 - Introduced by Representatives Stubbs, Cabrera, Hong,
Baldeh, Anderson, Andraca, Bowen, Brostoff, Conley, Considine,
Emerson, Haywood, Hebl, Hesselbein, B. Meyers, Neubauer, Ohnstad,
Pope, Shankland, Shelton, Sinicki, Snodgrass, Spreitzer, Subeck, Vining
and Vruwink, cosponsored by Senators Johnson, Agard, Roys, Bewley,
Erpenbach, Larson, Ringhand, Smith, Wirch and Carpenter. Referred to
Committee on Health.
AB697,1,4 1An Act to create 49.45 (30y), 49.46 (2) (b) 12e., 609.803 and 632.895 (15r) of the
2statutes; relating to: reimbursement of maternal mental health screenings
3under the Medical Assistance program and coverage of maternal mental health
4screenings by health policies and plans.
Analysis by the Legislative Reference Bureau
This bill requires the Department of Health Services to request any necessary
waiver of federal Medicaid law, amendment to the state Medical Assistance plan, or
other federal approval to allow Medical Assistance reimbursement for maternal
mental health screenings. The bill directs DHS to develop standards and best
practices for maternal mental health screenings in consultation with organizations
that work to improve maternal mental health and that are led by Black persons,
Indigenous persons, or people of color. The Medical Assistance program is a joint
state and federal program that provides health services to individuals who have
limited financial resources. Additionally, the bill requires health insurance policies
and self-insured governmental health plans to provide coverage of a maternal
mental health screening as described in the bill for each pregnancy.
This proposal may contain a health insurance mandate requiring a social and
financial impact report under s. 601.423, stats.

For further information see the state 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:
AB697,1 1Section 1. 49.45 (30y) of the statutes is created to read:
AB697,2,42 49.45 (30y) Maternal mental health screenings. (a) A maternal mental
3health screening under s. 49.46 (2) (b) 12e. that adheres to the standards in par. (b)
4provided to an individual is reimbursable under the Medical Assistance program.
AB697,2,85 (b) The department, in consultation with organizations that work to improve
6maternal mental health and that are led by Black persons, Indigenous persons, or
7people of color, shall develop standards and best practices for maternal mental
8health screenings.
AB697,2,149 (c) If the department determines that it is unable to implement this subsection
10without a state plan amendment or waiver of federal law, the department shall
11submit to the federal department of health and human services any state plan
12amendment or waiver of federal law necessary to implement this subsection. If the
13federal government disapproves the amendment or waiver request, the department
14is not required to implement this subsection.
AB697,2 15Section 2. 49.46 (2) (b) 12e. of the statutes is created to read:
AB697,2,1716 49.46 (2) (b) 12e. Subject to the requirements under s. 49.45 (30y), maternal
17mental health screenings.
AB697,3 18Section 3. 609.803 of the statutes is created to read:
AB697,2,21 19609.803 Maternal mental health screenings. Limited service health
20organizations, preferred provider plans, and defined network plans are subject to s.
21632.895 (15r).
AB697,4
1Section 4. 632.895 (15r) of the statutes is created to read:
AB697,3,52 632.895 (15r) Maternal mental health screening. Every disability insurance
3policy and self-insured health plan of the state or a county, city, village, town, or
4school district that provides maternity coverage shall cover a maternal mental
5health screening for each pregnancy as described in s. 49.46 (2) (b) 12e.
AB697,5 6Section 5 . Initial applicability.
AB697,3,97 (1) For policies and plans containing provisions inconsistent with s. 632.895
8(15r), the treatment of s. 632.895 (15r) first applies to policy or plan years beginning
9on the effective date of this subsection, except as provided in sub. (2).
AB697,3,1410 (2) For policies and plans that are affected by a collective bargaining agreement
11containing provisions inconsistent with s. 632.895 (15r), the treatment of s. 632.895
12(15r) first applies to policy or plan years beginning on the effective date of this
13subsection or on the day on which the collective bargaining agreement is newly
14established, extended, modified, or renewed, whichever is later.
AB697,3,1515 (End)
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