AB68,1564,15 (4) Disclosure of coverage of certain telehealth services. A disability insurance policy or self-insured health plan that covers a telehealth treatment or service that has no equivalent in-person treatment or service, such as remote patient monitoring, shall specify in policy or plan materials the coverage of that telehealth treatment or service.

AB68,2972 Section 2972. 632.895 (6) (title) of the statutes is amended to read:

AB68,1564,17 632.895 (6) (title) Equipment and supplies for treatment of diabetes; insulin.

AB68,2973 Section 2973 . 632.895 (6) of the statutes is renumbered 632.895 (6) (a) and amended to read:

AB68,1565,5 632.895 (6) (a) Every disability insurance policy which that provides coverage of expenses incurred for treatment of diabetes shall provide coverage for expenses incurred by the installation and use of an insulin infusion pump, coverage for all other equipment and supplies, including insulin or any other prescription medication, used in the treatment of diabetes, and coverage of diabetic self-management education programs. Coverage Except as provided in par. (b), coverage required under this subsection shall be subject to the same exclusions, limitations, deductibles, and coinsurance provisions of the policy as other covered expenses, except that insulin infusion pump coverage may be limited to the purchase of one pump per year and the insurer may require the insured to use a pump for 30 days before purchase.

AB68,2974 Section 2974 . 632.895 (6) (b) of the statutes is created to read:

AB68,1565,7 632.895 (6) (b) 1. In this paragraph:

AB68,1565,9 a. “Cost sharing” means the total of any deductible, copayment, or coinsurance amounts imposed on a person covered under a policy or plan.

AB68,1565,10 b. “Self-insured health plan” has the meaning given in s. 632.85 (1) (c).

AB68,1565,13 2. Every disability insurance policy and self-insured health plan that covers insulin and imposes cost sharing on prescription drugs may not impose cost sharing on insulin in an amount that exceeds $50 for a one-month supply of insulin.

AB68,1565,18 3. Nothing in this paragraph prohibits a disability insurance policy or self-insured health plan from imposing cost sharing on insulin in an amount less than the amount specified under subd. 2. Nothing in this paragraph requires a disability insurance policy or self-insured health plan to impose any cost sharing on insulin.

AB68,2975 Section 2975. 632.895 (8) (d) of the statutes is amended to read:

AB68,1566,2 632.895 (8) (d) Coverage is required under this subsection despite whether the woman shows any symptoms of breast cancer. Except as provided in pars. (b), (c), and (e), coverage under this subsection may only be subject to exclusions and limitations, including deductibles, copayments and restrictions on excessive charges, that are applied to other radiological examinations covered under the disability insurance policy. Coverage under this subsection may not be subject to any deductibles, copayments, or coinsurance.

AB68,2976 Section 2976. 632.895 (13m) of the statutes is created to read:

AB68,1566,5 632.895 (13m) Preventive services. (a) In this section, “self-insured health plan” has the meaning given in s. 632.85 (1) (c).

AB68,1566,8 (b) Every disability insurance policy, except any disability insurance policy that is described in s. 632.745 (11) (b) 1. to 12., and every self-insured health plan shall provide coverage for all of the following preventive services:

AB68,1566,9 1. Mammography in accordance with sub. (8).

AB68,1566,11 2. Genetic breast cancer screening and counseling and preventive medication for adult women at high risk for breast cancer.

AB68,1566,13 3. Papanicolaou test for cancer screening for women 21 years of age or older with an intact cervix.

AB68,1566,15 4. Human papillomavirus testing for women who have attained the age of 30 years but have not attained the age of 66 years.

AB68,1566,16 5. Colorectal cancer screening in accordance with sub. (16m).

AB68,1566,19 6. Annual tomography for lung cancer screening for adults who have attained the age of 55 years but have not attained the age of 80 years and who have health histories demonstrating a risk for lung cancer.

AB68,1566,21 7. Skin cancer screening for individuals who have attained the age of 10 years but have not attained the age of 22 years.

AB68,1566,23 8. Counseling for skin cancer prevention for adults who have attained the age of 18 years but have not attained the age of 25 years.

AB68,1566,25 9. Abdominal aortic aneurysm screening for men who have attained the age of 65 years but have not attained the age of 75 years and who have ever smoked.

AB68,1567,3 10. Hypertension screening for adults and blood pressure testing for adults, for children under the age of 3 years who are at high risk for hypertension, and for children 3 years of age or older.

AB68,1567,5 11. Lipid disorder screening for minors 2 years of age or older, adults 20 years of age or older at high risk for lipid disorders, and all men 35 years of age or older.

AB68,1567,8 12. Aspirin therapy for cardiovascular health for adults who have attained the age of 55 years but have not attained the age of 80 years and for men who have attained the age of 45 years but have not attained the age of 55 years.

AB68,1567,10 13. Behavioral counseling for cardiovascular health for adults who are overweight or obese and who have risk factors for cardiovascular disease.