SB375,7,117 632.89 (2) (a) Conditions covered. A group or blanket disability insurance
8policy issued by an insurer health benefit plan and a self-insured health plan shall
9provide coverage of nervous and mental disorders and alcoholism and other drug
10abuse problems if required by pars. (c) to (dm) and as provided in pars. (b) (c) to (e)
11(dm) and subs. (2p) and (3).

SB375,7,2016 632.89 (2) (c) Minimum coverage Coverage of inpatient hospital services. If a
17group or blanket disability insurance policy issued by an insurer health benefit plan
18or a self-insured health plan provides coverage of any inpatient hospital treatment,
19the policy plan shall provide coverage for inpatient hospital services for the
20treatment of conditions under par. (a) 1. as provided in subd. 2.

SB375,8,324 632.89 (2) (d) Minimum coverage Coverage of outpatient services. If a group or
25blanket disability insurance policy issued by an insurer health benefit plan or a

---

1self-insured health plan provides coverage of any outpatient treatment, the policy
2plan shall provide coverage for outpatient services for the treatment of conditions
3under par. (a) 1. as provided in subd. 2.

SB375,8,127 632.89 (2) (dm) Minimum coverage Coverage of transitional treatment
8arrangements. If a group or blanket disability insurance policy issued by an insurer
9health benefit plan or a self-insured health plan provides coverage of any inpatient
10hospital treatment or any outpatient treatment, the policy plan shall provide
11coverage for transitional treatment arrangements for the treatment of conditions
12under par. (a) 1. as provided in subd. 2.

SB375,8,1916 632.89 (5) (b) Exclusion Certain health care plans. This subsection section does
17not apply to a health care plan offered by a limited service health organization, as
18defined in s. 609.01 (3), or by a preferred provider plan, as defined in s. 609.01 (4),
19that is not a defined network plan, as defined in s. 609.01 (1b).

SB375,9,222 632.89 (2p) Additional required coverage of screenings. If a group health
23benefit plan, individual health benefit plan, or self-insured health plan that
24provides coverage for the treatment of nervous and mental disorders and alcoholism

---

1and other drug abuse problems would provide coverage of at least one annual
2physical examination, the plan shall provide coverage of all of the following:

SB375,9,53 (a) For an individual who has coverage under the plan, at least one annual
4screening for nervous and mental disorders and alcoholism and other drug abuse
5problems to determine the individual's need for treatment.

SB375,9,106 (b) For a female individual who has coverage under the plan, with respect to
7any pregnancy at least one screening during the pregnancy for prepartum
8depression and at least one screening within 6 months after a live birth, stillbirth,
9or miscarriage for postpartum depression to determine the individual's need for
10treatment.

SB375,9,1612 632.89 (3) Equal coverage requirement. (a) Group plans. A group health
13benefit plan or a self-insured health plan that provides coverage for the treatment
14of nervous and mental disorders and alcoholism and other drug abuse problems shall
15provide the same coverage for that treatment that it provides for the treatment of
16physical conditions.

SB375,9,2017 (b) Individual plans. If an individual health benefit plan provides coverage for
18the treatment of nervous or mental disorders or alcoholism or other drug abuse
19problems, the individual health benefit plan shall provide the same coverage for that
20treatment that it provides for the treatment of physical conditions.

SB375,9,2521 (c) All coverage components. The requirements under this subsection apply to
22all coverage-related components, including rates; exclusions and limitations;
23deductibles; copayments; coinsurance; annual and lifetime payment limits;
24out-of-pocket limits; out-of-network charges; day, visit, or appointment limits;
25duration or frequency of coverage; and medical necessity definitions.

SB375,10,33 632.89 (5) (title) Medicare exclusion Exclusions.

SB375,10,66 632.89 (5) (a) (title) Medicare.