AB1038,93
18Section 93
. 625.12 (2) of the statutes is amended to read:
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625.12
(2) Classification.
Risks Except as provided in s. 632.729, risks may
20be classified in any reasonable way for the establishment of rates and minimum
21premiums, except that no classifications may be based on race, color, creed or
22national origin, and classifications in automobile insurance may not be based on
23physical condition or developmental disability as defined in s. 51.01 (5). Subject to
24s. ss. 632.365
and 632.729, rates thus produced may be modified for individual risks
25in accordance with rating plans or schedules that establish reasonable standards for
1measuring probable variations in hazards, expenses, or both. Rates may also be
2modified for individual risks under s. 625.13 (2).
AB1038,94
3Section 94
. 628.34 (3) (a) of the statutes is amended to read:
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628.34
(3) (a) No insurer may unfairly discriminate among policyholders by
5charging different premiums or by offering different terms of coverage except on the
6basis of classifications related to the nature and the degree of the risk covered or the
7expenses involved, subject to ss. 632.365,
632.729, 632.746 and 632.748. Rates are
8not unfairly discriminatory if they are averaged broadly among persons insured
9under a group, blanket or franchise policy, and terms are not unfairly discriminatory
10merely because they are more favorable than in a similar individual policy.
AB1038,95
11Section 95
. 632.729 of the statutes is created to read:
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12632.729 Prohibiting discrimination based on COVID-19. (1) 13Definitions. In this section:
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(a) “COVID-19” means an infection caused by the SARS-CoV-2 coronavirus.
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(b) “Health benefit plan” has the meaning given in s. 632.745 (11).
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(c) “Pharmacy benefit manager” has the meaning given in s. 632.865 (1) (c).
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(d) “Self-insured health plan” has the meaning given in s. 632.85 (1) (c).
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18(2) Issuance or renewal. (a) An insurer that offers an individual or group
19health benefit plan, a pharmacy benefit manager, or a self-insured health plan may
20not establish rules for the eligibility of any individual to enroll, for the continued
21eligibility of any individual to remain enrolled, or for the renewal of coverage under
22the plan based on a current or past diagnosis or suspected diagnosis of COVID-19.
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(b) An insurer that offers a group health benefit plan, a pharmacy benefit
24manager, or a self-insured health plan may not establish rules for the eligibility of
25any employer or other group to enroll, for the continued eligibility of any employer
1or group to remain enrolled, or for the renewal of an employer's or group's coverage
2under the plan based on a current or past diagnosis or suspected diagnosis of
3COVID-19 of any employee or other member of the group.
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4(3) Cancellation. An insurer that offers an individual or group health benefit
5plan, a pharmacy benefit manager, or a self-insured health plan may not use as a
6basis for cancellation of coverage during a contract term a current or past diagnosis
7of COVID-19 or suspected diagnosis of COVID-19.
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8(4) Rates. An insurer that offers an individual or group health benefit plan,
9a pharmacy benefit manager, or a self-insured health plan may not use as a basis
10for setting rates for coverage a current or past diagnosis of COVID-19 or suspected
11diagnosis of COVID-19.
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12(5) Premium grace period. An insurer that offers an individual or group health
13benefit plan, a pharmacy benefit manager, or a self-insured health plan may not
14refuse to grant to an individual, employer, or other group a grace period for the
15payment of a premium based on an individual's, employee's, or group member's
16current or past diagnosis of COVID-19 or suspected diagnosis of COVID-19 if a
17grace period for payment of premium would generally be granted under the plan.
AB1038,96
18Section 96
. 632.895 (14g) of the statutes is created to read:
AB1038,58,2019
632.895
(14g) Coverage of COVID-19
testing. (a) In this subsection,
20“COVID-19” means an infection caused by the SARS-CoV-2 coronavirus.
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(b) Before March 13, 2021, every disability insurance policy, and every
22self-insured health plan of the state or of a county, city, town, village, or school
23district, that generally covers testing for infectious diseases shall provide coverage
24of testing for COVID-19 without imposing any copayment or coinsurance on the
25individual covered under the policy or plan.
AB1038,97
1Section
97. 632.895 (16v) of the statutes is created to read:
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632.895
(16v) Prohibiting coverage limitations on prescription drugs. (a)
3During the period covered by the state of emergency related to public health declared
4by the governor on March 12, 2020, by executive order 72, an insurer offering a
5disability insurance policy that covers prescription drugs, a self-insured health plan
6of the state or of a county, city, town, village, or school district that covers prescription
7drugs, or a pharmacy benefit manager acting on behalf of a policy or plan may not
8do any of the following in order to maintain coverage of a prescription drug:
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1. Require prior authorization for early refills of a prescription drug or
10otherwise restrict the period of time in which a prescription drug may be refilled.
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2. Impose a limit on the quantity of prescription drugs that may be obtained
12if the quantity is no more than a 90-day supply.
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(b) This subsection does not apply to a prescription drug that is a controlled
14substance, as defined in s. 961.01 (4).
AB1038,98
15Section 98
. 895.4801 of the statutes is created to read:
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16895.4801 Immunity for health care providers during COVID-19
17emergency. (1) Definitions. In this section:
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(a) “Health care professional” means an individual licensed, registered, or
19certified by the medical examining board under subch. II of ch. 448 or the board of
20nursing under ch. 441.
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(b) “Health care provider” has the meaning given in s. 146.38 (1) (b) and
22includes an adult family home, as defined in s. 50.01 (1).
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23(2) Immunity. Subject to sub. (3), any health care professional, health care
24provider, or employee, agent, or contractor of a health care professional or health care
25provider is immune from civil liability for the death of or injury to any individual or
1any damages caused by actions or omissions taken in providing services to address
2or in response to a 2019 novel coronavirus outbreak under circumstances that satisfy
3all of the following:
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(a) The action or omission is committed while the professional, provider,
5employee, agent, or contractor is providing services during the state of emergency
6declared under s. 323.10 on March 12, 2020, by executive order 72, relating to the
72019 novel coronavirus pandemic and for the 60 days following the date that the state
8of emergency terminates.