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632.895
(6) (b) 1. In this paragraph:
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a. “Cost sharing” means the total of any deductible, copayment, or coinsurance
9amounts imposed on a person covered under a policy or plan.
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b. “Self-insured health plan” has the meaning given in s. 632.85 (1) (c).
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2. Every disability insurance policy and self-insured health plan that covers
12insulin and imposes cost sharing on prescription drugs may not impose cost sharing
13on insulin in an amount that exceeds $50 for a one-month supply of insulin.
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3. Nothing in this paragraph prohibits a disability insurance policy or
15self-insured health plan from imposing cost sharing on insulin in an amount less
16than the amount specified under subd. 2. Nothing in this paragraph requires a
17disability insurance policy or self-insured health plan to impose any cost sharing on
18insulin.
SB111,2975
19Section 2975
. 632.895 (8) (d) of the statutes is amended to read:
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632.895
(8) (d) Coverage is required under this subsection despite whether the
21woman shows any symptoms of breast cancer. Except as provided in pars. (b), (c)
, and
22(e), coverage under this subsection may only be subject to exclusions and limitations,
23including
deductibles, copayments and restrictions on excessive charges, that are
24applied to other radiological examinations covered under the disability insurance
1policy.
Coverage under this subsection may not be subject to any deductibles,
2copayments, or coinsurance.
SB111,2976
3Section 2976
. 632.895 (13m) of the statutes is created to read:
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632.895
(13m) Preventive services. (a) In this section, “self-insured health
5plan” has the meaning given in s. 632.85 (1) (c).
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(b) Every disability insurance policy, except any disability insurance policy that
7is described in s. 632.745 (11) (b) 1. to 12., and every self-insured health plan shall
8provide coverage for all of the following preventive services:
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1. Mammography in accordance with sub. (8).
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2. Genetic breast cancer screening and counseling and preventive medication
11for adult women at high risk for breast cancer.
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3. Papanicolaou test for cancer screening for women 21 years of age or older
13with an intact cervix.
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4. Human papillomavirus testing for women who have attained the age of 30
15years but have not attained the age of 66 years.
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5. Colorectal cancer screening in accordance with sub. (16m).
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6. Annual tomography for lung cancer screening for adults who have attained
18the age of 55 years but have not attained the age of 80 years and who have health
19histories demonstrating a risk for lung cancer.
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7. Skin cancer screening for individuals who have attained the age of 10 years
21but have not attained the age of 22 years.
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8. Counseling for skin cancer prevention for adults who have attained the age
23of 18 years but have not attained the age of 25 years.
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9. Abdominal aortic aneurysm screening for men who have attained the age of
2565 years but have not attained the age of 75 years and who have ever smoked.
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110. Hypertension screening for adults and blood pressure testing for adults, for
2children under the age of 3 years who are at high risk for hypertension, and for
3children 3 years of age or older.
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11. Lipid disorder screening for minors 2 years of age or older, adults 20 years
5of age or older at high risk for lipid disorders, and all men 35 years of age or older.
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12. Aspirin therapy for cardiovascular health for adults who have attained the
7age of 55 years but have not attained the age of 80 years and for men who have
8attained the age of 45 years but have not attained the age of 55 years.
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13. Behavioral counseling for cardiovascular health for adults who are
10overweight or obese and who have risk factors for cardiovascular disease.
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14. Type II diabetes screening for adults with elevated blood pressure.
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15. Depression screening for minors 11 years of age or older and for adults when
13follow-up supports are available.
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16. Hepatitis B screening for minors at high risk for infection and adults at high
15risk for infection.
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17. Hepatitis C screening for adults at high risk for infection and onetime
17hepatitis C screening for adults born in any year from 1945 to 1965.
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18. Obesity screening and management for all minors and adults with a body
19mass index indicating obesity, counseling and behavioral interventions for obese
20minors who are 6 years of age or older, and referral for intervention for obesity for
21adults with a body mass index of 30 kilograms per square meter or higher.
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19. Osteoporosis screening for all women 65 years of age or older and for women
23at high risk for osteoporosis under the age of 65 years.