LRB-1076/2
PJK:hmh&jld:rs
2001 - 2002 LEGISLATURE
April 11, 2001 - Introduced by Senators Moore, Plache, Burke, Rosenzweig,
Risser, Erpenbach
and George, cosponsored by Representatives Berceau,
Richards, Johnsrud, Colon, Wasserman, Sinicki, Hebl, Schooff, Pocan,
Young, Bock, Black, Carpenter, Krug, Miller, Turner, Boyle
and Travis.
Referred to Committee on Health, Utilities, Veterans and Military Affairs.
SB128,1,4 1An Act to amend 40.51 (8), 40.51 (8m), 60.23 (25), 66.0137 (4), 111.91 (2) (n),
2120.13 (2) (g), 185.981 (4t) and 185.983 (1) (intro.); and to create 609.73 and
3632.895 (15) of the statutes; relating to: requiring health insurance policies to
4cover contraceptive articles and services.
Analysis by the Legislative Reference Bureau
This bill requires every health insurance policy (called "disability insurance
policy" in the statutes), including managed care plans and health care plans offered
by the state, and every self-insured health plan of a school district, county, city, or
village, to provide coverage for contraceptive articles and services if the policy or plan
covers outpatient health care services, preventive treatments and services, or
prescription drugs and devices. Contraceptive articles include: any drug or device
that is approved by the federal food and drug administration (FDA), that is
prescribed by a licensed health care provider for use to prevent a pregnancy, and that
may not be obtained without such a prescription; and any hormonal compound that
is taken orally and that is approved by the FDA for use to prevent a pregnancy. A
contraceptive article, however, does not include any drug or device that is prescribed
for use in terminating the pregnancy of a woman who is known to be pregnant by the
prescribing health care provider. Contraceptive services include medical procedures
performed to prevent a pregnancy and physical examinations and medical
counseling for the prescription or use of a contraceptive article. Specifically excluded
from this coverage requirement are health insurance policies that cover only certain
specified diseases, limited service health care plans, medicare replacement and

supplement policies, and long-term care insurance policies. Deductibles and
copayments that apply generally to the policy or plan may apply to contraceptive
articles and services.
For further information see the state and local fiscal estimate, which will be
printed as an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
SB128, s. 1 1Section 1. 40.51 (8) of the statutes is amended to read:
SB128,2,52 40.51 (8) Every health care coverage plan offered by the state under sub. (6)
3shall comply with ss. 631.89, 631.90, 631.93 (2), 631.95, 632.72 (2), 632.746 (1) to (8)
4and (10), 632.747, 632.748, 632.83, 632.835, 632.85, 632.853, 632.855, 632.87 (3) to
5(5), 632.895 (5m) and (8) to (14) (15), and 632.896.
SB128, s. 2 6Section 2. 40.51 (8m) of the statutes is amended to read:
SB128,2,97 40.51 (8m) Every health care coverage plan offered by the group insurance
8board under sub. (7) shall comply with ss. 631.95, 632.746 (1) to (8) and (10), 632.747,
9632.748, 632.83, 632.835, 632.85, 632.853, 632.855, and 632.895 (11) to (14) (15).
SB128, s. 3 10Section 3. 60.23 (25) of the statutes is amended to read:
SB128,2,1411 60.23 (25) Self-insured health plans. Provide health care benefits to its
12officers and employees on a self-insured basis if the self-insured plan complies with
13ss. 631.89, 631.90, 631.93 (2), 632.746 (10) (a) 2. and (b) 2., 632.747 (3), 632.85,
14632.853, 632.855, 632.87 (4) and (5), 632.895 (9) and (11) to (14) (15), and 632.896.
SB128, s. 4 15Section 4. 66.0137 (4) of the statutes is amended to read:
SB128,3,216 66.0137 (4) Self-insured health plans. If a city, including a 1st class city, or
17a village provides health care benefits under its home rule power, or if a town
18provides health care benefits, to its officers and employees on a self-insured basis,
19the self-insured plan shall comply with ss. 49.493 (3) (d), 631.89, 631.90, 631.93 (2),

1632.746 (10) (a) 2. and (b) 2., 632.747 (3), 632.85, 632.853, 632.855, 632.87 (4) and (5),
2632.895 (9) to (14) (15), 632.896 , and 767.25 (4m) (d).
SB128, s. 5 3Section 5. 111.91 (2) (n) of the statutes is amended to read:
SB128,3,54 111.91 (2) (n) The provision to employees of the health insurance coverage
5required under s. 632.895 (11) to (14) (15).
SB128, s. 6 6Section 6. 120.13 (2) (g) of the statutes is amended to read:
SB128,3,107 120.13 (2) (g) Every self-insured plan under par. (b) shall comply with ss.
849.493 (3) (d), 631.89, 631.90, 631.93 (2), 632.746 (10) (a) 2. and (b) 2., 632.747 (3),
9632.85, 632.853, 632.855, 632.87 (4) and (5), 632.895 (9) to (14) (15), 632.896, and
10767.25 (4m) (d).
SB128, s. 7 11Section 7. 185.981 (4t) of the statutes is amended to read:
SB128,3,1512 185.981 (4t) A sickness care plan operated by a cooperative association is
13subject to ss. 252.14, 631.17, 631.89, 631.95, 632.72 (2), 632.745 to 632.749, 632.85,
14632.853, 632.855, 632.87 (2m), (3), (4), and (5), 632.895 (10) to (14) (15), and 632.897
15(10) and chs. 149 and 155.
SB128, s. 8 16Section 8. 185.983 (1) (intro.) of the statutes is amended to read:
SB128,3,2317 185.983 (1) (intro.) Every such voluntary nonprofit sickness care plan shall be
18exempt from chs. 600 to 646, with the exception of ss. 601.04, 601.13, 601.31, 601.41,
19601.42, 601.43, 601.44, 601.45, 611.67, 619.04, 628.34 (10), 631.17, 631.89, 631.93,
20631.95, 632.72 (2), 632.745 to 632.749, 632.775, 632.79, 632.795, 632.85, 632.853,
21632.855, 632.87 (2m), (3), (4), and (5), 632.895 (5) and (9) to (14) (15), 632.896 , and
22632.897 (10) and chs. 609, 630, 635, 645, and 646, but the sponsoring association
23shall:
SB128, s. 9 24Section 9. 609.73 of the statutes is created to read:
SB128,4,2
1609.73 Coverage of contraceptive articles and services. Managed care
2plans are subject to s. 632.895 (15).
SB128, s. 10 3Section 10. 632.895 (15) of the statutes is created to read:
SB128,4,44 632.895 (15) Contraceptive articles and services. (a) In this subsection:
SB128,4,55 1. "Contraceptive article" means any of the following:
SB128,4,136 a. A drug, medicine, mixture, preparation, instrument, article, or device of any
7nature that is approved by the federal food and drug administration for use to
8prevent a pregnancy, that is prescribed by a licensed health care provider for use to
9prevent a pregnancy, and that may not be obtained without a prescription from a
10licensed health care provider. "Contraceptive article" does not include any drug,
11medicine, mixture, preparation, instrument, article, or device of any nature
12prescribed for use in terminating the pregnancy of a woman who is known by the
13prescribing licensed health care provider to be pregnant.
SB128,4,1514 b. A hormonal compound that is taken orally and that is approved by the federal
15food and drug administration for use to prevent a pregnancy.
SB128,4,1716 2. "Religious employer" means an entity that satisfies all of the following
17criteria:
SB128,4,1818 a. The inculcation of religious values is the purpose of the entity.
SB128,4,2019 b. The entity employs primarily persons who share the religious tenets of the
20entity.
SB128,4,2221 c. The entity serves primarily persons who share the religious tenets of the
22entity.
SB128,4,2423 d. The entity is exempt from filing a federal annual information return under
24section 6033 (a) (2) (A) (i) and (iii) and (C) (i) of the Internal Revenue Code.
SB128,5,4
1(b) Every disability insurance policy, and every self-insured health plan of a
2county, city, village, or school district, that provides coverage of outpatient health
3care services, preventive treatments and services, or prescription drugs and devices
4shall provide coverage for all of the following:
SB128,5,55 1. Contraceptive articles.
SB128,5,76 2. Medical services, including counseling and physical examinations, for the
7prescription or use of a contraceptive article or of a procedure to prevent a pregnancy.
SB128,5,88 3. Medical procedures performed to prevent a pregnancy.
SB128,5,119 (c) Coverage under this subsection may be subject to exclusions or limitations,
10including copayments and deductibles, that apply generally to the benefits that are
11provided under the policy or self-insured health plan.
SB128,5,1212 (d) This subsection does not apply to any of the following:
SB128,5,1313 1. A disability insurance policy that covers only certain specified diseases.
SB128,5,1614 2. A health care plan offered by a limited service health organization, as defined
15in s. 609.01 (3), or by a preferred provider plan, as defined in s. 609.01 (4), that is not
16a managed care plan, as defined in s. 609.01 (3c).
SB128,5,1817 3. A medicare replacement policy, a medicare supplement policy, or a long-term
18care insurance policy.
SB128,6,219 4. A disability insurance policy that is issued to a religious employer, if the
20religious employer requests that the insurer issuing the policy not provide the
21coverage specified in par. (b) 1. to 3. on the basis that the articles and services covered
22are contrary to the religious employer's religious tenets. A religious employer that
23makes a request under this subdivision shall provide written notice to a prospective
24insured under the policy, prior to that person's coverage under the policy, that

1specifies the articles and services under par. (b) 1. to 3. that will not be covered on
2the basis of the employer's request.
SB128, s. 11 3Section 11. Initial applicability.
SB128,6,44 (1) This act first applies to all of the following:
SB128,6,75 (a) Except as provided in paragraphs (b) and (c), disability insurance policies
6that are issued or renewed, and self-insured health plans that are established,
7extended, modified, or renewed, on the effective date of this paragraph.
SB128,6,108 (b) Disability insurance policies covering employees who are affected by a
9collective bargaining agreement containing provisions inconsistent with this act
10that are issued or renewed on the earlier of the following:
SB128,6,11 111. The day on which the collective bargaining agreement expires.
SB128,6,13 122. The day on which the collective bargaining agreement is extended, modified,
13or renewed.
SB128,6,1614 (c) Self-insured health plans covering employees who are affected by a
15collective bargaining agreement containing provisions inconsistent with this act
16that are established, extended, modified, or renewed on the earlier of the following:
SB128,6,17 171. The day on which the collective bargaining agreement expires.
SB128,6,19 182. The day on which the collective bargaining agreement is extended, modified,
19or renewed.
SB128, s. 12 20Section 12. Effective date.
SB128,6,2221 (1) This act takes effect on the first day of the 6th month beginning after
22publication.
SB128,6,2323 (End)
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