2023 - 2024 LEGISLATURE
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2023 ASSEMBLY BILL 296
May 25, 2023 - Introduced by Representatives MURSAU, ARMSTRONG, BEHNKE,
MURPHY, SHANKLAND and SUBECK, cosponsored by Senators JACQUE, MARKLEIN,
BALLWEG and NASS. Referred to Committee on Health, Aging and Long-Term
Care.
1 AN ACT to amend 40.51 (8), 40.51 (8m), 66.0137 (4), 120.13 (2) (g) and 185.983
2 (1) (intro.); and to create 632.851 of the statutes; relating to: requiring direct
3 reimbursement of emergency medical services under health insurance policies
4 and plans.
Analysis by the Legislative Reference Bureau
This bill requires any health benefit plan that provides coverage for any
emergency medical services to directly reimburse an emergency medical services
provider for all emergency medical services that are provided by the emergency
medical services provider and covered by the health benefit plan.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
5 SECTION 1. 40.51 (8) of the statutes is amended to read:
6 40.51 (8) Every health care coverage plan offered by the state under sub. (6)
7 shall comply with ss. 631.89, 631.90, 631.93 (2), 631.95, 632.72 (2), 632.729, 632.746
8 (1) to (8) and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.851,
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ASSEMBLY BILL 296 SECTION 1
1 632.853, 632.855, 632.861, 632.867, 632.87 (3) to (6), 632.885, 632.89, 632.895 (5m)
2 and (8) to (17), and 632.896.
3 SECTION 2. 40.51 (8m) of the statutes is amended to read:
4 40.51 (8m) Every health care coverage plan offered by the group insurance
5 board under sub. (7) shall comply with ss. 631.95, 632.729, 632.746 (1) to (8) and (10),
6 632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.851, 632.853, 632.855,
7 632.861, 632.867, 632.885, 632.89, and 632.895 (11) to (17).
8 SECTION 3. 66.0137 (4) of the statutes is amended to read:
9 66.0137 (4) SELF-INSURED HEALTH PLANS. If a city, including a 1st class city, or
10 a village provides health care benefits under its home rule power, or if a town
11 provides health care benefits, to its officers and employees on a self-insured basis,
12 the self-insured plan shall comply with ss. 49.493 (3) (d), 631.89, 631.90, 631.93 (2),
13 632.729, 632.746 (10) (a) 2. and (b) 2., 632.747 (3), 632.798, 632.85, 632.851, 632.853,
14 632.855, 632.861, 632.867, 632.87 (4) to (6), 632.885, 632.89, 632.895 (9) to (17),
15 632.896, and 767.513 (4).
16 SECTION 4. 120.13 (2) (g) of the statutes is amended to read:
17 120.13 (2) (g) Every self-insured plan under par. (b) shall comply with ss.
18 49.493 (3) (d), 631.89, 631.90, 631.93 (2), 632.729, 632.746 (10) (a) 2. and (b) 2.,
19 632.747 (3), 632.798, 632.85, 632.851, 632.853, 632.855, 632.861, 632.867, 632.87 (4)
20 to (6), 632.885, 632.89, 632.895 (9) to (17), 632.896, and 767.513 (4).
21 SECTION 5. 185.983 (1) (intro.) of the statutes is amended to read:
22 185.983 (1) (intro.) Every voluntary nonprofit health care plan operated by a
23 cooperative association organized under s. 185.981 shall be exempt from chs. 600 to
24 646, with the exception of ss. 601.04, 601.13, 601.31, 601.41, 601.42, 601.43, 601.44,
25 601.45, 611.26, 611.67, 619.04, 623.11, 623.12, 628.34 (10), 631.17, 631.89, 631.93,
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ASSEMBLY BILL 296 SECTION 5
1 631.95, 632.72 (2), 632.729, 632.745 to 632.749, 632.775, 632.79, 632.795, 632.798,
2 632.85, 632.851, 632.853, 632.855, 632.861, 632.867, 632.87 (2) to (6), 632.885,
3 632.89, 632.895 (5) and (8) to (17), 632.896, and 632.897 (10) and chs. 609, 620, 630,
4 635, 645, and 646, but the sponsoring association shall:
5 SECTION 6. 632.851 of the statutes is created to read:
6 632.851 Direct reimbursement of emergency medical services. (1) In
7 this section:
8 (a) “Emergency medical services provider” has the meaning given in s. 256.215
9 (1) (d).
10 (b) “Health benefit plan” has the meaning given in s. 632.745 (11).
11 (2) If a health benefit plan provides coverage for any emergency medical
12 services, the health benefit plan shall directly reimburse an emergency medical
13 services provider for all covered emergency medical services provided by the
14 emergency medical services provider.
15 SECTION 7.0Initial applicability.
16 (1) (a) For policies and plans containing provisions inconsistent with this act,
17 the act first applies to policy or plan years beginning on January 1 of the year
18 following the year in which this paragraph takes effect, except as provided in par. (b).
19 (b) For policies or plans that are affected by a collective bargaining agreement
20 containing provisions inconsistent with this act, this act first applies to policy or plan
21 years beginning on the effective date of this paragraph or on the day on which the
22 collective bargaining agreement is newly established, extended, modified, or
23 renewed, whichever is later.
24 SECTION 8.0Effective date.
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ASSEMBLY BILL 296 SECTION 8
1 (1) This act takes effect on the first day of the 4th month beginning after
2 publication.
3 (END)


Statutes affected:
Bill Text: 40.51(8), 40.51, 40.51(8m), 66.0137(4), 66.0137, 120.13(2)(g), 120.13, 185.983(1)(intro.), 185.983