AB50,1384,1411457.20 (2) The renewal dates for certificates and licenses granted under this 12subchapter, other than training certificates and licenses or temporary certificates 13or licenses, are specified shall be as determined by the department under s. 440.08 14(2) (a). AB50,285615Section 2856. 457.22 (2) of the statutes is amended to read: AB50,1384,2216457.22 (2) The rules promulgated under sub. (1) may not require an 17individual to complete more than 30 hours of continuing education programs or 18courses of study in order to qualify for renewal per 2-year period. The appropriate 19section of the examining board may waive all or part of the requirements 20established in rules promulgated under this section if it determines that prolonged 21illness, disability, or other exceptional circumstances have prevented the individual 22from completing the requirements. AB50,285723Section 2857. 458.085 (3) of the statutes is amended to read: AB50,1385,2
1458.085 (3) Continuing education requirements for renewal of certificates 2issued individuals certified under this subchapter. AB50,28583Section 2858. 458.09 (3) of the statutes is amended to read: AB50,1385,134458.09 (3) The number of hours of attendance at and completion of continuing 5education programs or courses of study required under the rules promulgated 6under s. 458.085 (3) shall be reduced by one hour for each hour of attendance at and 7completion of, within the 2 years immediately preceding the date on which the 8renewal application is submitted current reporting period, continuing education 9programs or courses of study that the applicant has attended and completed in 10order to continue to qualify for employment as an assessor and that the department 11determines is substantially equivalent to attendance at and completion of 12continuing education programs or courses of study for certified general appraisers, 13certified residential appraisers or licensed appraisers, as appropriate. AB50,285914Section 2859. 458.11 of the statutes is amended to read: AB50,1386,1015458.11 Expiration and renewal. Renewal applications shall be submitted 16to the department on a form provided by the department on or before the applicable 17renewal date specified determined by the department under s. 440.08 (2) (a) and 18shall include the applicable renewal fee determined by the department under s. 19440.03 (9) (a). Renewal of an appraiser certificate automatically renews the 20individual’s appraiser license without payment of the renewal fee for the appraiser 21license or completion of any additional continuing education requirements that 22would otherwise be required for renewal of the appraiser license. Renewal 23applications shall be accompanied by proof of completion of the continuing
1education requirements in s. 458.13. Notwithstanding s. 458.06 (3) (b) 2. and (4) (b) 22., 1989 stats., and s. 458.08 (3) (b) 2. and (c) 2., 1991 stats., the department may not 3renew a certificate that was granted under s. 458.06 (3) or (4) before May 29, 1993, 4unless the holder of the certificate submits evidence satisfactory to the department 5that he or she has successfully completed the applicable educational requirements 6specified in rules promulgated under s. 458.085 (1) and the department may not 7renew a certificate that was granted under s. 458.08 (3) before May 29, 1993, unless 8the holder of the certificate submits evidence satisfactory to the department that he 9or she has successfully completed the applicable education and experience 10requirements specified in rules promulgated under s. 458.085 (1) and (2). AB50,286011Section 2860. 458.13 of the statutes is amended to read: AB50,1386,1612458.13 Continuing education requirements. At the time of renewal of a 13certificate issued under this subchapter, each applicant shall submit proof that, 14within the 2 years immediately preceding the date on which the renewal application 15is submitted, he or she has satisfied the continuing education requirements 16specified in the rules promulgated under s. 458.085 (3). AB50,286117Section 2861. 458.33 (5) of the statutes is amended to read: AB50,1386,2318458.33 (5) Renewals. A licensed appraisal management company shall 19submit a renewal application, along with the applicable renewal fee determined by 20the department under s. 440.03 (9) (a), but not to exceed $2,000, to the department 21on a form prescribed by the department by the applicable renewal date specified 22determined by the department under s. 440.08 (2) (a). A renewal under this 23subsection is subject to sub. (4). AB50,2862
1Section 2862. 459.09 (1) (intro.) of the statutes is amended to read: AB50,1387,42459.09 (1) (intro.) Each person issued a license under this subchapter shall, 3on or before the applicable renewal date specified determined by the department 4under s. 440.08 (2) (a), do all of the following: AB50,28635Section 2863. 459.09 (1) (b) of the statutes is amended to read: AB50,1387,126459.09 (1) (b) Submit with the renewal application proof that he or she 7completed, within the 2 years immediately preceding the date of his or her 8application, 20 hours of satisfied applicable continuing education programs or 9courses of study approved or required under requirements specified in rules 10promulgated under s. 459.095. This paragraph does not apply to an applicant for 11renewal of a license that expires on the first renewal date after the date on which 12the examining board initially granted the license. AB50,286413Section 2864. 459.095 (1) of the statutes is amended to read: AB50,1387,2114459.095 (1) Promulgate rules establishing continuing education requirements 15for individuals licensed under s. 459.09. The rules shall require the completion of 1620 hours per 2-year period in programs or courses of study approved under this 17subsection. The rules shall establish the criteria for approval of continuing 18education programs or courses of study required for renewal of a license under s. 19459.09 and for approval of the sponsors and cosponsors of continuing education 20programs or courses of study. The examining board shall, for up to a 2-year period, 21exempt new licensees from the requirements under this section. AB50,286522Section 2865. 459.24 (5) (intro.) of the statutes is amended to read: AB50,1388,423459.24 (5) Expiration and renewal. (intro.) The renewal dates for licenses
1granted under this subchapter, other than temporary licenses granted under sub. 2(6), are specified in shall be as determined by the department under s. 440.08 (2) 3(a). Renewal applications shall be submitted to the department on a form provided 4by the department and shall include all of the following: AB50,28665Section 2866. 459.24 (5) (b) of the statutes is amended to read: AB50,1388,116459.24 (5) (b) Proof that the applicant completed, within the 2 years 7immediately preceding the date of his or her application, 20 hours of satisfied 8continuing education programs or courses of study approved or required under 9requirements specified in rules promulgated under sub. (5m). This paragraph does 10not apply to an applicant for renewal of a license that expires on the first renewal 11date after the date on which the examining board initially granted the license. AB50,286712Section 2867. 459.24 (5m) (a) 1. of the statutes is amended to read: AB50,1388,2013459.24 (5m) (a) 1. Promulgate rules establishing continuing education 14requirements for individuals licensed under this subchapter. The rules shall 15require the completion of 20 hours in programs or courses of study approved under 16this subsection. The examining board shall, for up to a 2-year period, exempt new 17licensees from the requirements under this subdivision. The rules shall establish 18the criteria for approval of continuing education programs or courses of study 19required for renewal of a license under sub. (5) and the criteria for approval of the 20sponsors and cosponsors of continuing education programs or courses of study. AB50,286821Section 2868. 460.07 (2) (intro.) of the statutes is amended to read: AB50,1389,222460.07 (2) (intro.) Renewal applications shall be submitted to the department 23on a form provided by the department on or before the applicable renewal date
1specified determined by the department under s. 440.08 (2) (a) and shall include all 2of the following: AB50,28693Section 2869. 460.10 (1) (a) of the statutes is amended to read: AB50,1389,84460.10 (1) (a) Requirements and procedures for a license holder to complete 5continuing education programs or courses of study to qualify for renewal of his or 6her license. The rules promulgated under this paragraph may not require a license 7holder to complete more than 24 hours of continuing education programs or courses 8of study in order to qualify for renewal of his or her license per 2-year period. AB50,28709Section 2870. 462.04 of the statutes is amended to read: AB50,1389,2110462.04 Prescription or order required. A person who holds a license or 11limited X-ray machine operator permit under this chapter may not use diagnostic 12X-ray equipment on humans for diagnostic purposes unless authorized to do so by 13prescription or order of a physician licensed under s. 448.04 (1) (a), a naturopathic 14doctor licensed under s. 466.04 (1), a dentist who is licensed under s. 447.04 (1) or 15who holds a compact privilege under subch. II of ch. 447, a dental therapist licensed 16under s. 447.04 (1m), a podiatrist licensed under s. 448.63, a chiropractor licensed 17under s. 446.02, an advanced practice registered nurse certified licensed under s. 18441.16 (2) 441.09, a physician assistant who is licensed under s. 448.974 or who 19holds a compact privilege under subch. XIII of ch. 448, or, subject to s. 448.56 (7) (a), 20a physical therapist who is licensed under s. 448.53 or who holds a compact 21privilege under subch. XI of ch. 448. AB50,287122Section 2871. 462.05 (1) of the statutes is amended to read: AB50,1390,323462.05 (1) The renewal date for licenses and limited X-ray machine operator 24permits granted under this chapter is specified in shall be as determined by the
1department under s. 440.08 (2) (a). Renewal applications shall be submitted to the 2department on a form provided by the department and shall include the renewal fee 3determined by the department under s. 440.03 (9) (a). AB50,28724Section 2872. 466.04 (3) (a) (intro.) of the statutes is amended to read: AB50,1390,95466.04 (3) (a) (intro.) The renewal date for licenses granted under this chapter 6is specified shall be as determined by the department under s. 440.08 (2) (a). 7Renewal applications shall be submitted to the department on a form provided by 8the department. The application shall include all of the following in order for the 9license to be renewed: AB50,287310Section 2873. 470.045 (3) (b) of the statutes is amended to read: AB50,1390,1411470.045 (3) (b) The renewal date for certificates of authorization under this 12section is specified shall be as determined by the department under s. 440.08 (2) (a), 13and the renewal fee for such certificates is determined by the department under s. 14440.03 (9) (a). AB50,287415Section 2874. 470.07 of the statutes is amended to read: AB50,1390,2216470.07 Renewal of licenses. The renewal dates for licenses granted under 17this chapter are specified shall be as determined by the department under s. 440.08 18(2) (a). Renewal applications shall be submitted to the department on a form 19provided by the department and shall include the renewal fee determined by the 20department under s. 440.03 (9) (a) and evidence satisfactory to the appropriate 21section of the examining board that the applicant has completed any continuing 22education requirements specified in rules promulgated under s. 470.03 (2). AB50,287523Section 2875. 480.08 (5) of the statutes is amended to read: AB50,1391,9
1480.08 (5) Expiration and renewal. The renewal date for certificates 2granted under this chapter, other than temporary certificates granted under sub. 3(7), is specified shall be as determined by the department under s. 440.08 (2) (a), 4and the renewal fee for certificates granted under this chapter, other than 5temporary certificates granted under sub. (7), is determined by the department 6under s. 440.03 (9) (a). Renewal applications shall include evidence satisfactory to 7the department that the applicant holds a current permit issued under s. 77.52 (9). 8A renewal application for an auctioneer certificate shall be accompanied by proof of 9completion of continuing education requirements under sub. (6). AB50,287610Section 2876. 563.13 (4) of the statutes is amended to read: AB50,1391,1411563.13 (4) A $10 $20 license fee for each bingo occasion proposed to be 12conducted and $5 $10 for an annual license for the designated member responsible 13for the proper utilization of gross receipts. All moneys received under this 14subsection shall be credited to the appropriation account under s. 20.505 (8) (jn). AB50,287715Section 2877. 563.135 (1) (intro.) of the statutes is amended to read: AB50,1391,1916563.135 (1) (intro.) An application for a license to conduct bingo for an 17organization listed under s. 563.11 (1) (b) to (d) shall be accompanied by a $5 $10 18license fee and a sworn statement by the owner or operator of the organization that 19all of the following rules shall apply to bingo conducted by the organization: AB50,287820Section 2878. 563.80 (1) (intro.) and (b) of the statutes are consolidated, 21renumbered 563.80 (1) and amended to read: AB50,1392,222563.80 (1) An occupational tax is imposed on those gross receipts of any 23licensed organization which are derived from the conduct of bingo, in the following
1amounts: (b) Two amount of 2 percent of the gross receipts received by a licensed 2organization during a year that exceed $30,000. AB50,28793Section 2879. 563.80 (1) (a) of the statutes is repealed. AB50,28804Section 2880. 563.92 (2) of the statutes is amended to read: AB50,1392,145563.92 (2) The fee for a raffle license shall be $25 $50 and shall be remitted 6with the application. A raffle license shall be valid for 12 months and may be 7renewed as provided in s. 563.98 (1g). The department shall issue the license 8within 30 days after the filing of a complete application if the applicant qualifies 9under s. 563.907 and has not exceeded the limits of s. 563.91. The department shall 10notify the applicant within 15 days after it is filed if the raffle license application is 11incomplete or the application shall be considered complete. A complete license 12application that is not denied within 30 days after its filing shall be considered 13approved. All moneys received by the department under this subsection shall be 14credited to the appropriation account under s. 20.505 (8) (jn). AB50,288115Section 2881. 601.25 of the statutes is created to read: AB50,1392,1916601.25 Office of the public intervenor. (1) The office of the public 17intervenor shall assist individuals with insurance claims, policies, appeals, and 18other legal actions to pursue insurance coverage for medical procedures, 19prescription medications, and other health care services. AB50,1392,2420(2) The office of the public intervenor may levy an assessment on each insurer 21that is authorized to engage in the business of insurance in this state. The 22assessment levied under this subsection shall be based on the insurer’s premium 23volume for disability insurance policies, as defined in s. 632.895 (1) (a), written in 24this state. AB50,1393,2
1(3) The commissioner may provide by rule for the governance, duties, and 2administration of the office of the public intervenor. AB50,28823Section 2882. 601.31 (1) (mv) of the statutes is created to read: AB50,1393,64601.31 (1) (mv) For initial issuance or renewal of a license as a pharmacy 5benefit management broker or consultant under s. 628.495, amounts set by the 6commissioner by rule. AB50,28837Section 2883. 601.31 (1) (nv) of the statutes is created to read: AB50,1393,98601.31 (1) (nv) For issuing or renewing a license as a pharmaceutical 9representative under s. 632.863, an amount to be set by the commissioner by rule. AB50,288410Section 2884. 601.31 (1) (nw) of the statutes is created to read: AB50,1393,1311601.31 (1) (nw) For issuing or renewing a license as a pharmacy services 12administrative organization under s. 632.864, an amount to be set by the 13commissioner by rule. AB50,288514Section 2885. 601.41 (14) of the statutes is created to read: AB50,1393,2015601.41 (14) Value-based diabetes medication pilot project. The 16commissioner shall develop a pilot project to direct a pharmacy benefit manager, as 17defined in s. 632.865 (1) (c), and a pharmaceutical manufacturer to create a value-18based, sole-source arrangement to reduce the costs of prescription medication used 19to treat diabetes. The commissioner may promulgate rules to implement this 20subsection. AB50,288621Section 2886. 601.45 (1) of the statutes is amended to read: AB50,1394,622601.45 (1) Costs to be paid by examinees. The reasonable costs of 23examinations and audits under ss. 601.43, 601.44, 601.455, and 601.83 (5) (f) shall 24be paid by examinees except as provided in sub. (4), either on the basis of a system
1of billing for actual salaries and expenses of examiners and other apportionable 2expenses, including office overhead, or by a system of regular annual billings to 3cover the costs relating to a group of companies, or a combination of such systems, 4as the commissioner may by rule prescribe. Additional funding, if any, shall be 5governed by s. 601.32. The commissioner shall schedule annual hearings under s. 6601.41 (5) to review current problems in the area of examinations. AB50,28877Section 2887. 601.455 of the statutes is created to read: AB50,1394,98601.455 Fair claims processing, health insurance transparency, and 9claim denial rate audits. (1) Definitions. In this section: AB50,1394,1510(a) “Claim denial” means the refusal by an insurer to provide payment under 11a disability insurance policy for a service, treatment, or medication recommended 12by a health care provider. “Claim denial” includes the prospective refusal to pay for 13a service, treatment, or medication when a disability insurance policy requires 14advance approval before a prescribed medical service, treatment, or medication is 15provided. AB50,1394,1616(b) “Disability insurance policy” has the meaning given in s. 632.895 (1) (a). AB50,1394,1717(c) “Health care provider” has the meaning given in s. 146.81 (1) (a) to (p). AB50,1394,2018(2) Claims processing. (a) Insurers shall process each claim for a disability 19insurance policy within a time frame that is reasonable and prevents an undue 20delay in an insured’s care, taking into account the medical urgency of the claim. AB50,1394,2421(b) If an insurer determines additional information is needed to process a 22claim for a disability insurance policy, the insurer shall request the information 23from the insured within 5 business days of making the determination and shall 24provide at least 15 days for the insured to respond. AB50,1395,1
1(c) All claim denials shall include all of the following: AB50,1395,321. A specific and detailed explanation of the reason for the denial that cites 3the exact medical or policy basis for the denial. AB50,1395,642. A copy of or a publicly accessible link to any policy, coverage rules, clinical 5guidelines, or medical evidence relied upon in making the denial decision, with 6specific citation to the provision justifying the denial. AB50,1395,973. Additional documentation, medical rationale, or criteria that must be met 8or provided for approval of the claim, including alternative options available under 9the policy. AB50,1395,1210(d) If an insurer uses artificial intelligence or algorithmic decision-making in 11processing a claim for a disability insurance policy, the insurer must notify the 12insured in writing of that fact. The notice shall include all of the following: AB50,1395,15131. A disclosure that artificial intelligence or algorithmic decision-making was 14used at any stage in reviewing the claim, even if a human later reviewed the 15outcome. AB50,1395,18162. A detailed explanation of how the artificial intelligence or algorithmic 17decision-making reached its decision, including any factors the artificial 18intelligence or algorithmic decision-making weighed. AB50,1395,20193. A contact point for requesting a human review of the claim if the claim was 20denied. AB50,1395,2321(3) Independent review of denials. In addition to an insured’s right to an 22independent review under s. 632.835, as applicable, insureds have the right to 23request a review by the office of the public intervenor of any claim denial. AB50,1396,2
1(4) Prohibited practices. An insurer may not do any of the following with 2respect to a disability insurance policy: AB50,1396,33(a) Use vague or misleading policy terms to justify a claim denial. AB50,1396,44(b) Fail to provide a specific and comprehensible reason for a claim denial. AB50,1396,65(c) Cancel coverage under the policy after a claim is submitted due to alleged 6misstatements on the policy application. AB50,1396,87(d) Deny a claim based on hidden or ambiguous exclusions in a disability 8insurance policy. AB50,1396,99(e) Stall review of a claim to avoid timely payment. AB50,1396,1110(f) Reject a claim without reviewing all relevant medical records or consulting 11qualified experts. AB50,1396,1312(g) Fail to properly review or respond to an insured’s appeal in a timely 13manner. AB50,1396,1514(h) Allow non-physician personnel to determine whether care is medically 15necessary.
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