SB70-AA3,50,1410 632.895 (16m) (b) The coverage required under this subsection may be subject
11to any limitations, or exclusions , or cost-sharing provisions that apply generally
12under the disability insurance policy or self-insured health plan. The coverage
13required under this subsection may not be subject to any deductibles, copayments,
14or coinsurance.

SB70-AA3,50,2016 632.895 (17) (b) 2. Outpatient consultations, examinations, procedures, and
17medical services that are necessary to prescribe, administer, maintain, or remove a
18contraceptive, if covered for any other drug benefits under the policy or plan
19sterilization procedures, and patient education and counseling for all females with
20reproductive capacity.

SB70-AA3,51,1122 632.895 (17) (c) Coverage under par. (b) may be subject only to the exclusions,
23and limitations, or cost-sharing provisions that apply generally to the coverage of
24outpatient health care services, preventive treatments and services, or prescription
25drugs and devices that is provided under the policy or self-insured health plan. A

1disability insurance policy or self-insured health plan may not apply a deductible or
2impose a copayment or coinsurance to at least one of each type of contraceptive
3method approved by the federal food and drug administration for which coverage is
4required under this subsection. The disability insurance policy or self-insured
5health plan may apply reasonable medical management to a method of contraception
6to limit coverage under this subsection that is provided without being subject to a
7deductible, copayment, or coinsurance to prescription drugs without a brand name.
8The disability insurance policy or self-insured health plan may apply a deductible
9or impose a copayment or coinsurance for coverage of a contraceptive that is
10prescribed for a medical need if the services for the medical need would otherwise be
11subject to a deductible, copayment, or coinsurance.

SB70-AA3,51,2113 632.897 (11) (a) Notwithstanding subs. (2) to (10), the commissioner may
14promulgate rules establishing standards requiring insurers to provide continuation
15of coverage for any individual covered at any time under a group policy who is a
16terminated insured or an eligible individual under any federal program that
17provides for a federal premium subsidy for individuals covered under continuation
18of coverage under a group policy, including rules governing election or extension of
19election periods, notice, rates, premiums, premium payment, application of
20preexisting condition exclusions, election of alternative coverage, and status as an
21eligible individual, as defined in s. 149.10 (2t), 2011 stats.

SB70-AA3,52,7

1(a) For policies and plans containing provisions inconsistent with these
2sections, the treatment of ss. 632.728, 632.746 (1) (a) and (b), (2) (a), (c), (d), and (e),
3(3) (a) and (d) 1., 2., and 3., (5), and (8) (a) (intro.), 632.748 (2), 632.76 (2) (a) and (ac)
41. and 2., 632.795 (4) (a), 632.895 (8) (d), (13m), (14) (a) 1. i., j., and k. to o., (b), (c),
5and (d) 3., (14m), (16m) (b), and (17) (b) 2. and (c), and 632.897 (11) (a) first applies
6to policy or plan years beginning on January 1 of the year following the year in which
7this paragraph takes effect, except as provided in par. (b).

SB70-AA3,52,158 (b) For policies and plans that are affected by a collective bargaining agreement
9containing provisions inconsistent with these sections, the treatment of ss. 632.728,
10632.746 (1) (a) and (b), (2) (a), (c), (d), and (e), (3) (a) and (d) 1., 2., and 3., (5), and (8)
11(a) (intro.), 632.748 (2), 632.76 (2) (a) and (ac) 1. and 2., 632.795 (4) (a), 632.895 (8)
12(d), (13m), (14) (a) 1. i., j., and k. to o., (b), (c), and (d) 3., (14m), (16m) (b), and (17)
13(b) 2. and (c), and 632.897 (11) (a) first applies to policy or plan years beginning on
14the effective date of this paragraph or on the day on which the collective bargaining
15agreement is entered into, extended, modified, or renewed, whichever is later.

SB70-AA3,52,2317 (1v) Coverage of individuals with preexisting conditions, essential health
18benefits, and preventive services. The treatment of ss. 632.728, 632.746 (1) (a) and
19(b), (2) (a), (c), (d), and (e), (3) (a) and (d) 1., 2., and 3., (5), and (8) (a) (intro.), 632.748
20(2), 632.76 (2) (a) and (ac) 1. and 2., 632.795 (4) (a), 632.895 (8) (d), (13m), (14) (a) 1.
21i., j., and k. to o., (b), (c), and (d) 3., (14m), (16m) (b), and (17) (b) 2. and (c), and 632.897
22(11) (a) and Section 9323 (1u) of this act take effect on the first day of the 4th month
23beginning after publication.”.

SB70-AA3,53,82 609.20 (3) The commissioner may promulgate rules to establish minimum
3network time and distance standards and minimum network wait-time standards
4for defined network plans and preferred provider plans. In promulgating rules
5under this subsection, the commissioner shall consider standards adopted by the
6federal centers for medicare and medicaid services for qualified health plans, as
7defined in 42 USC 18021 (a), that are offered through the federal health insurance
8exchange established pursuant to 42 USC 18041 (c).”.

SB70-AA3,53,12 11609.045 Balance billing; emergency medical services. (1) Definitions.
12In this section:

SB70-AA3,53,1313 (a) “Emergency medical condition” means all of the following:

SB70-AA3,53,1714 1. A medical condition, including a mental health condition or substance use
15disorder condition, manifesting itself by acute symptoms of sufficient severity,
16including severe pain, such that the absence of immediate medical attention could
17reasonably be expected to result in any of the following:

SB70-AA3,53,1918 a. Placing the health of the individual or, with respect to a pregnant woman,
19the health of the woman or her unborn child, in serious jeopardy.

SB70-AA3,53,2020 b. Serious impairment of bodily function.

SB70-AA3,53,2121 c. Serious dysfunction of any bodily organ or part.

SB70-AA3,54,222 2. With respect to a pregnant woman who is having contractions, a medical
23condition for which there is inadequate time to safely transfer the pregnant woman

1to another hospital before delivery or for which the transfer may pose a threat to the
2health or safety of the pregnant woman or the unborn child.