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b. Ease in submitting insulin orders to manufacturers.
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c. Timeliness of receiving insulin orders from manufacturers.
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3. The commissioner may contract with a nonprofit entity to develop and
15conduct the surveys under subds. 1. and 2. and to evaluate the survey results.
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4. No later than July 1, 2026, the commissioner shall submit to the governor
17and the chief clerk of each house of the legislature, for distribution to the legislature
18under s. 13.172 (2), a report on the results of the surveys under subds. 1. and 2.
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19(9) Penalty. A manufacturer that violates this section may be required to
20forfeit not more than $200,000 per month of violation, with the maximum forfeiture
21increasing to $400,000 per month if the manufacturer continues to be in violation
22after 6 months and increasing to $600,000 per month if the manufacturer continues
23to be in violation after one year.
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24Section
148. 632.87 (8) of the statutes is created to read:
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632.87
(8) (a) In this subsection:
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11. “Health care provider” has the meaning given in s. 146.81 (1) (a) to (hp).
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2. “Substance abuse counselor” means a substance abuse counselor certified
3under s. 440.88.
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(b) No policy, plan, or contract may exclude coverage for alcoholism or other
5drug abuse treatment or services provided by a substance abuse counselor within the
6scope of the substance abuse counselor's education and training if the policy, plan,
7or contract covers the alcoholism or other drug abuse treatment or services when
8provided by another health care provider.
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9Section
149. 632.871 of the statutes is created to read:
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10632.871 Telehealth services. (1)
Definitions. In this section:
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(a) “Disability insurance policy” has the meaning given in s. 632.895 (1) (a).
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(b) “Self-insured health plan” means a self-insured health plan of the state or
13a county, city, village, town, or school district.
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(c) “Telehealth" means a practice of health care delivery, diagnosis,
15consultation, treatment, or transfer of medically relevant data by means of audio,
16video, or data communications that are used either during a patient visit or a
17consultation or are used to transfer medically relevant data about a patient.
18“Telehealth" does not include communications delivered solely by audio-only
19telephone, facsimile machine, or email unless specified otherwise by rule.
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20(2) Coverage denial prohibited. No disability insurance policy or self-insured
21health plan may deny coverage for a treatment or service provided through
22telehealth on the basis that the treatment or service is provided through telehealth
23if that treatment or service is covered by the disability insurance policy or
24self-insured health plan when provided in person. A disability insurance policy or
1self-insured health plan may limit coverage of treatments or services provided
2through telehealth to those treatments or services that are medically necessary.
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3(3) Certain limitations on telehealth prohibited. A disability insurance
4policy or self-insured health plan may not subject a treatment or service provided
5through telehealth for which coverage is required under sub. (2) to any of the
6following:
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(a) Any greater deductible, copayment, or coinsurance amount than would be
8applicable if the treatment or service is provided in person.
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(b) Any policy or calendar year or lifetime benefit limit or other maximum
10limitation that is not imposed on other treatments or services covered by the
11disability insurance policy or self-insured health plan that are not provided through
12telehealth.
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(c) Prior authorization requirements that are not required for the same
14treatment or service when provided in person.
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(d) Unique location requirements.
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16(4) Disclosure of coverage of certain telehealth services. A disability
17insurance policy or self-insured health plan that covers a telehealth treatment or
18service that has no equivalent in-person treatment or service, such as remote patient
19monitoring, shall specify in policy or plan materials the coverage of that telehealth
20treatment or service.
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21Section 9123.
Nonstatutory provisions; Insurance.
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(1)
Prescription drug importation program. The commissioner of insurance
23shall submit the first report required under s. 601.575 (5) by the next January 1 or
24July 1, whichever is earliest, that is at least 180 days after the date the prescription
25drug importation program is fully operational under s. 601.575 (4). The
1commissioner of insurance shall include in the first 3 reports submitted under s.
2601.575 (5) information on the implementation of the audit functions under s.
3601.575 (1) (n).
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(2)
Public option health insurance plan. The office of the commissioner of
5insurance may expend from the appropriation under s. 20.145 (1) (a) in fiscal year
62023-24 not more than $1,000,000 for the development of a public option health
7insurance plan.
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(3)
Prescription drug purchasing entity. During the 2023-2025 fiscal
9biennium, the office of the commissioner of insurance shall conduct a study on the
10viability of creating or implementing a state prescription drug purchasing entity.
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(1)
Telehealth parity.
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(a) For policies and plans containing provisions inconsistent with the
14treatment of s. 632.871, the treatment of s. 632.871 first applies to policy or plan
15years beginning on January 1 of the year following the year in which this paragraph
16takes effect, except as provided in par. (b
).