Bulletin, October 24, 1997, Newly Enacted Legislation - 1997 Act 27

​Last Updated: October 29, 1997

Date: October 24, 1997
To: All Insurers Authorized to Write Insurance in Wisconsin
From: Josephine W. Musser, Commissioner of Insurance
Subject: Newly Enacted Legislation - 1997 Act 27

On Saturday, October 11, 1997, Governor Thompson signed Assembly Bill 100 as 1997 Wisconsin Act 27. Following, is a very brief summary of the provisions of the Budget Act which directly affect OCI and the insurance industry. You should review the bulletin and determine which laws apply to your company. You may obtain copies of Act 27 from Legislative Documents, 1 East Main Street, Madison, Wisconsin 53703, (608) 266-6400.

It is each insurer's responsibility to make sure that its policy forms are in compliance with the new laws. Insurers who previously submitted policy forms to this office with language to comply with the Health Insurance Portability and Accountability Act (HIPAA), and had such forms approved, are advised to review the new state laws carefully to determine if the policy forms are still in compliance with the new standards.

Mandated Benefits
Coverage Requirements for Group Health Benefit Plans
Coverage Requirements for Individual Health Benefit Plans
Small Employer Health Insurance
Other New Laws and Changes
Persons to Contact for Additional Information

MANDATED BENEFITS

Mental Health and AODA Services - s. 632.89(2) (a) 2, Wis. Stat.

Changed the mandate to allow claims for mental health and AODA services to be subject to deductibles that are generally applicable to other conditions covered under the policy.

Effective date - Group or blanket health insurance policies that are issued or renewed on or after March 1, 1998. There is an exception for policies issued pursuant to a collective bargaining agreement; the change applies to the earlier of the day on which the collective bargaining agreement expires or the day on which the collective bargaining agreement is extended, modified or renewed.

TMJ Coverage - ss. 609.78 and 632.895 (11), Wis. Stat.

Requires every group and individual disability insurance policy including HMOs, PPPs, and LSHOs and every self-insured county, municipality and school district health plan that provides coverage of any diagnostic or surgical procedure involving a bone, joint, muscle, or tissue, to provide coverage for diagnostic procedures and medically necessary surgical or non-surgical treatment (including prescribed intraoral splint therapy devices) for the correction of temporomandibular(TMJ) disorders.

Effective date - Health insurance policies that are issued or renewed on or after January 1, 1998. There is an exception for policies issued pursuant to a collective bargaining agreement; the change applies to the earlier of the day on which the collective bargaining agreement expires or the day on which the collective bargaining agreement is extended, modified or renewed.

Hospital and Ambulatory Surgery Center Charges and Anesthetics for Dental Care - ss. 609.79 and 632.895 (12), Wis. Stat.

Requires every group and individual disability insurance policy including HMOs, PPPs, and LSHOs and every self-insured county, municipality and school district health plan to cover hospital or ambulatory surgery center charges incurred and anesthetics provided in conjunction with dental care if any of the following applies:

1. the individual is a child under the age of 5
2. the individual has a chronic disability that meets all the conditions in s. 230.04(9r)(a) 2. a.,b., and c., Wis. Stat.
3. the individual has a medical condition that requires hospitalization or general anesthesia for dental care.

Effective date - Health insurance policies that are issued or renewed on or after January 1, 1998. There is an exception for policies issued pursuant to a collective bargaining agreement; the change applies to the earlier of the day on which the collective bargaining agreement expires or the day on which the collective bargaining agreement is extended, modified or renewed.

Breast Reconstruction - ss. 609.77 and 632.895 (13), Wis. Stat.

Requires every group and individual disability insurance policy including HMOs, PPPs, and LSHOs and every self-insured county, municipality and school district health plan that provide coverage for a mastectomy shall provide coverage of breast reconstruction of the affected tissue incident to a mastectomy.

Effective date - Health insurance policies that are issued or renewed on or after January 1, 1998. There is an exception for policies issued pursuant to a collective bargaining agreement; the change applies to the earlier of the day on which the collective bargaining agreement expires or the day on which the collective bargaining agreement is extended, modified or renewed.

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COVERAGE REQUIREMENTS FOR GROUP HEALTH BENEFIT PLANS

Only some of the requirements in Wisconsin Act 289, which applies to all size group health plans issued or renewed on or after May 1, 1997, conformed completely to the requirements of the federal Health Insurance Portability and Accountability Act (HIPAA). Wisconsin Act 27 repeals and recreates certain provisions of Act 289 and amends other requirements as noted below. Act 27 also includes new requirements relating to the coverage that is provided to all size groups. These requirements, which are effective October 14, 1997, and any administrative rules OCI promulgates or amends, are intended to bring the state's group health insurance laws into conformance with HIPAA. These requirements include the following:

Definitions - s. 632.745, Wis. Stat.(repealed and recreated)

It is strongly recommended that insurers review the many new and amended definitions listed in s. 632.745, Wis. Stat., that are used throughout ss. 632.746 to 632.7495, Wis. Stat. These include important definitions of "bona fide association," "creditable coverage," "eligible employe," "group health plan," and "group health benefit plan."

Preexisting condition; portability; restrictions; and special enrollment periods - s. 632.746, Wis. Stat. (newly created)

Preexisting Conditions - s. 632.746 (1) and (2), Wis. Stat.
(amends and replaces previous s. 632.745 (2), Wis. Stat.)

Note that the definition of a "preexisting condition" has been amended, effective October 14, 1997. An insurer that offers a group health benefit plan may impose a preexisting condition exclusion, only if the exclusion relates to a condition, whether physical or mental, regardless of the cause of the condition, for which medical advice, diagnosis, care or treatment was recommended or received within the 6-month period ending on the participant's or beneficiary's enrollment date under the plan. A preexisting condition exclusion may not extend beyond 12 months, or 18 months with respect to a late enrollee, after the participant's or beneficiary's enrollment date under the plan.

Insurers offering a group health benefit plan may not treat pregnancy as a preexisting condition (effective May 1, 1997), nor can they treat genetic information as a preexisting condition without a diagnosis of a condition related to the information.

Insurers are also restricted from imposing a preexisting condition exclusion with respect to an individual who is covered under creditable coverage on the last day of the 30-day period beginning with the day on which the individual is born, or with respect to an individual who is adopted or placed for adoption before attaining age 18, and who is covered under creditable coverage on the last day of the 30-day period beginning with the day on which the individual is adopted or placed for adoption. Such restrictions do not apply if the individual was not covered under any creditable coverage for at least 63 days.

Portability - s. 632.746 (3), Wis. Stat.
(amends and replaces previous s. 632.745 (3), Wis. Stat.)

An insurer must reduce a preexisting condition waiting period by the aggregate of the participant's or beneficiary's periods of creditable coverage on the individual's enrollment date under a group health benefit plan. Periods of creditable coverage after which the individual was not covered under any creditable coverage for a period of at least 63 days before enrollment in the group health plan or group health benefit plan may not be counted. Any waiting period or affiliation period for coverage under the group health plan or group health benefit plan may not be counted in determining the period before enrollment in the group health plan or group health benefit plan.

An insurer offering a group health benefit plan must count a period of creditable coverage without regard to the specific benefits for which the individual had coverage during the period, unless the insurer elects to reduce the preexisting condition waiting period by the amount of time the individual had prior creditable coverage within each of several classes or categories of benefits specified in interim regulations issued by the federal Department of Health and Human Services under HIPAA. These categories of benefits are limited to prescription drug, dental, vision, mental health, and substance abuse treatment.

This election must be made on a uniform basis for all participants and beneficiaries. Insurers electing the second option must count a period of creditable coverage with respect to any class or category of benefits if any level of benefits is covered within the class or category. Insurers must also prominently state in any disclosure statements concerning coverage and to each employer at the time of the offer or sale of coverage, that the insurer has elected the second option and what the effect of that election will be.

Certifications of Creditable Coverage - s. 632.746 (4), Wis. Stat.

Insurers that provide health benefit plan coverage shall provide a written certification of creditable coverage when an individual ceases to be covered under a health benefit plan, when an individual becomes covered under COBRA continuation coverage, and when an individual ceases to be covered under COBRA continuation. Insurers must also provide a certification upon the request of an individual that is made no later than 24 months after the date the individual's coverage ceases, or the date the individual's COBRA continuation begins or ceases, whichever is later. The certification must include information concerning the individual's period of creditable coverage; the coverage, if any, under COBRA; and the waiting period, if any, under the individual's health benefit plan.

Insurers Required to Provide Information - s. 632.746 (5), Wis. Stat.

Upon the request of an insurer or group health benefit plan that has elected to reduce the preexisting condition waiting period by the amount of time the individual had prior creditable coverage within each of several classes or categories of benefits, an insurer that has issued a certification of creditable coverage must promptly provide to the requesting insurer or group health benefit plan information concerning the coverage available within each of several classes or categories of benefits. The insurer providing the information may charge the requesting insurer or plan for the reasonable cost of disclosing the information.

Late Enrollment- s. 632.746 (6), Wis. Stat.
(amends and replaces previous s. 632.747 (2), Wis. Stat.)

Insurers offering a group health benefit plan must permit an employe, or a participant's or employe's dependent, who is not enrolled but who is eligible for coverage, to enroll for coverage if all the following apply:

1. The employe or dependent was covered under a group health plan or had health insurance coverage at the time coverage was previously offered to the employe or dependent.
2. The employe or dependent stated in writing at the time coverage was previously offered that having other coverage was the reason the individual was declining coverage under the insurer's group health benefit plan. This applies only if the insurer required such a statement and provided the employe with notice of the requirement and the consequences of the requirement at the time coverage was previously offered.
3. The employe or dependent is currently covered under the other coverage, or the employe or participant requests enrollment under the group health benefit plan no later than 30 days after the date on which the other coverage is exhausted or terminated.

Special Enrollment Periods - s. 632.746 (7), Wis. Stat.

An insurer offering a group health benefit plan, shall provide for a special enrollment period during which:

1. A person who marries an individual and who is otherwise eligible for coverage may be enrolled under the plan as a dependent of the individual.
2. A person who is born to, adopted by or placed for adoption with an individual may be enrolled under the plan as a dependent of the individual.
3. A person who has met any waiting period under the plan, who is eligible to be enrolled under the plan, and who failed to enroll during a previous enrollment period, or the individual's spouse, or both, may be enrolled under the plan,

if all of the following apply:

1. The group health benefit plan makes coverage available for dependents of participants under the plan.
2. The individual is a participant under the plan, or the individual has met any waiting period under the plan, and is eligible to enroll under the plan, but failed to enroll during a previous enrollment period.
3. A person becomes a dependent of the individual through marriage, birth, adoption or placement for adoption.

The special enrollment period shall be not less than 30 days and shall begin on the date dependent coverage is made available under the group health benefit plan, or the date of the marriage, birth, adoption, or placement for adoption, whichever is later.

If an individual enrolls a dependent during a special enrollment period, coverage for a person who becomes a dependent through marriage shall become effective no later than the first day of the first month beginning after the date on which the completed request for enrollment is received. Coverage for a person who becomes a dependent through birth shall become effective the date of birth. Coverage for a person who becomes a dependent through adoption or placement for adoption shall become effective on the date of adoption or placement for adoption.

Restrictions on Health Maintenance Organizations - s. 632.746 (8), Wis. Stat.

An HMO that offers a group health benefit plan without a preexisting condition exclusion may impose an affiliation period only if the affiliation period is applied uniformly without regard to any health status-related factors, and does not exceed 2 months, or 3 months with respect to a late enrollee. An affiliation period shall begin on the enrollment date and run concurrently with any waiting period under the health benefit plan. An HMO that imposes an affiliation period is not required to provide health care benefits during the period. If benefits are provided during the affiliation period, an HMO may not charge a premium for the coverage.

Minimum Participation and Employer Contribution
Requirements -s. 632.746 (9), Wis. Stat.,
(amends and replaces previous s. 632.745 (4), Wis. Stat.)

Except as noted below, the requirements used by an insurer in determining whether to provide coverage under a group health benefit plan to an employer, including requirements for minimum participation and minimum employer contributions, must be applied uniformly among all employers that apply for or receive coverage from the insurer.

Insurers may do the following:

1. Vary minimum participation or employer contribution requirements only by the size of the employer group.
2. Increase the minimum participation or employer contribution requirements once per calendar year only if the requirements are applied uniformly to all employers applying for coverage and to all renewing employers effective on the date of renewal.
3. Establish separate participation or employer contribution requirements that uniformly apply to all employers that provide a choice of coverage to employes or their dependents unless limited by rule. Insurers may also establish separate uniform requirements based on the number or type of choice of coverage provided by the employer.

Except as allowed above, an insurer may vary the requirements used in determining whether to provide coverage to a large employer, but only if the requirements are applied uniformly among all large employers that have the same number of eligible employes.

In applying minimum participation requirements, an insurer may not count eligible employes who have other creditable coverage, except when the creditable coverage is provided under another health benefit plan that is sponsored by that employer.

Underwriting Restrictions - s. 632.746 (10), Wis. Stat.
(amends and replaces previous s. 632.745 (5), Wis. Stat.)

An insurer that offers a group health benefit plan to an employer, must offer coverage to all of the eligible employes and their dependents. Insurers may not offer coverage to only certain individuals in the group or to only part of the group, except for an eligible employe who has not yet satisfied a waiting period, if any.

An insurer may not modify an employer's coverage or the coverage of an eligible employe or dependent, through the use of riders or endorsements, to restrict or exclude coverage for certain diseases or medical conditions otherwise covered by the group health benefit plan.

Employe Becomes Eligible After Commencement of Coverage - s. 632.747, Wis. Stat. (amended)

Unless otherwise permitted by rule, an insurer that provides coverage under a group health benefit plan must provide coverage to eligible employes and their dependents who become eligible for coverage after the commencement of the employer's coverage, regardless of their health conditions or claims experience, if the employe has satisfied any applicable waiting period and the employer agrees to pay the premium required for coverage of the employe under the plan.

Prohibiting Discrimination - s. 632.748, Wis. Stat. (newly created)

An insurer may not establish rules for the eligibility of any individual to enroll or remain enrolled under a group health benefit plan that are based on any of the following factors:

1. Health status
2. Medical condition, including both physical and mental illnesses
3. Claims experience
4. Receipt of health care
5. Medical history
6. Genetic information
7. Evidence of insurability, including conditions arising out of acts of domestic violence
8. Disability

Rules for eligibility to enroll under a group health benefit plan include rules defining any applicable waiting periods for enrollment.

An insurer may not require an individual to pay, on the basis of any health status-related factor, a premium or contribution that is greater than the premium or contribution for a similarly situated individual enrolled under the plan.

Contract Termination and Renewability - s. 632.749, Wis. Stat. (repealed and recreated)

Except as otherwise permitted below, an insurer that offers a group health benefit plan must renew such coverage or continue such coverage in force at the option of the employer and, if applicable, plan sponsor. An insurer may modify a group health benefit plan issued in the large group market at the time of renewal.

An insurer may nonrenew or discontinue a group health benefit plan only for the following reasons:

1. Nonpayment of premium
2. Fraud
3. Failure to meet minimum participation or employer contribution requirements
4. The insurer ceases to offer coverage in the market in which the group health benefit plan is included.
5. In the case of network plans, there is no longer an enrollee under the plan who resides, lives or works in the service area.
6. In the case where coverage is provided through a bona fide association, the employer ceases to be a member of the association on which the coverage is based. Coverage must be terminated uniformly without regard to any health status-related factor of any covered individual.

An insurer may discontinue offering a particular type of group health benefit plan in either the small or large group market if all the following apply:

1. The insurer provides notice of the discontinuance to each employer and plan sponsor, and to the participants and beneficiaries who have such coverage at least 90 days before the date coverage will be discontinued.
2. The insurer offers to each employer or plan sponsor the option to purchase from among all of the other group health benefit plans that the insurer offers in the market in which the discontinued plan is included. However, in the large group market, the insurer must offer each employer or plan sponsor the option to purchase one other group health benefit plan that the insurer offers in the large group market.
3. The insurer must act uniformly without regard to any health status-related factor of any covered participants or beneficiaries who may become eligible for coverage.

An insurer may discontinue offering in this state all group health benefit plans in the large or small group market, or in both, only if all the following apply:

1. The insurer provides notice of the discontinuance to the commissioner, to each employer and plan sponsor, and to the participants and beneficiaries who have such coverage in this state at least 180 days before the date coverage will be discontinued.
2. All group health benefit plans issued or delivered for issuance in this state in the affected market are discontinued and coverage under such plans is not renewed.
3. The insurer does not issue or deliver for issuance in this state any group health benefit plan in the affected market before 5 years after the day on which the last group health benefit plan is discontinued.

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COVERAGE REQUIREMENTS FOR INDIVIDUAL HEALTH BENEFIT PLANS

Guaranteed Renewability of Individual Health Insurance Coverage - s. 632.7495, Wis. Stat. (newly created)

Except as otherwise permitted below, an insurer that provides individual health benefit plan coverage must renew such coverage or continue such coverage in force at the option of the insured individual and, if applicable, the association through which the individual has coverage. An insurer may modify an individual health benefit plan coverage policy form at the time of renewal, as long as the modification is consistent with state law and effective on a uniform basis among all individuals with coverage under that policy form.

An insurer may nonrenew or discontinue the individual health benefit plan coverage of an individual only for the following reasons:

1. Nonpayment of premium
2. Fraud
3. The insurer ceases to offer individual health benefit plan coverage.
4. In the case of network plans, the individual no longer resides, lives or works in service area. Coverage must be terminated uniformly without regard to any health status-related factor of any covered individual.
5. In the case where coverage is provided through a bona fide association, the individual ceases to be a member of the association on which the coverage is based. Coverage must be terminated uniformly without regard to any health status-related factor of any covered individual.
6. The individual is eligible for Medicare and the commissioner by rule permits coverage to be terminated.

An insurer may discontinue offering a particular type of individual health benefit plan coverage in this state if all the following apply:

1. The insurer provides notice of the discontinuance to each individual for whom the insurer provides coverage of this type, and if applicable, the association through which the individual has coverage at least 90 days before the date coverage will be discontinued.
2. The insurer offers to each individual for whom the insurer provides coverage of this type, and if applicable, the association through which the individual has coverage the option to purchase any other type of individual health insurance coverage that the insurer offers for individuals.
3. The insurer must act uniformly without regard to any health status-related factor of individuals who may become eligible for coverage.

An insurer may discontinue offering in this state individual health benefit plan coverage only if all the following apply:

1. The insurer provides notice of the discontinuance to the commissioner, and to each individual for whom the insurer provides individual health benefit plan coverage in this state and, if applicable, to the association through which the individual has coverage at least 180 days before the date coverage will be discontinued.
2. All individual health benefit plan coverage issued or delivered for issuance in this state is discontinued and coverage under such plans is not renewed.
3. The insurer does not issue or deliver for issuance in this state any individual health benefit plan coverage before 5 years after the day on which the last individual health benefit plan coverage is discontinued.

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SMALL EMPLOYER HEALTH INSURANCE

There are a number of changes to the small employer group laws as a result of Wisconsin Act 27. These changes bring small employer group laws into conformance with the requirements of the federal Health Insurance Portability and Accountability Act (HIPAA). These changes include the following:

Definitions - s. 635.02, Wis. Stat. (amended)

A number of definitions have been added, repealed, and/or amended. The most important change is to the definition of a "small employer" [s. 635.02 (7)]. A "small employer" is an employer that employs an average of at least 2 but not more than 50 employes on business days during the preceding calendar year, or that is reasonably expected to employ at least 2 but not more than 50 employes on business days during the current calendar year if the employer was not in existence during the preceding calendar year and employs at least 2 employes on the first day of the plan year. Note that this definition no longer uses the term "eligible employes."

Disclosure of rating factors and renewability provisions - s. 635.11, Wis. Stat. (amended)

In addition to disclosing information concerning rating factors and renewability provisions to a small employer, an insurer must now also provide information, as part of its solicitation and sales materials, and upon the request of a small employer, information concerning the policy's preexisting condition exclusions, and the benefits and premiums under all other health insurance coverage that the insurer offers, for which the small employer is qualified. This information must be provided by the insurer in a manner that is understandable to the small employer, and must be sufficient to reasonably inform the small employer of the small employer's rights and obligations under the health insurance coverage.

SubCh II of Ch. 635 - Small Employer Health Insurance Plan (repealed)

The provisions establishing the Basic Health Benefit Plan and the requirements that insurers actively market the plan to small employers have been repealed. All small employer provisions or portions of provisions relating to or referencing the Basic Health Benefit Plan have been repealed. Small employer insurers may no longer issue a Basic Health Benefit Plan.

Issuance of coverage in small group market - s. 635.19, Wis. Stat. (newly created)

This new provision requires small employer insurers that offer group health benefit plans in the small group market to accept any small employer in the state that applies for such coverage, and to accept any eligible individual who applies for enrollment during the period in which the individual first becomes eligible to enroll under the terms of the group health benefit plan. An insurer may not have restrictions on who it determines to be an eligible individual that are inconsistent with ss. 632.746 and 632.748, Wis. Stat.

Small employer insurers may establish minimum participation and employer contribution rules and requirements for the offering of a group health benefit plan in the small group market.

A small employer insurer that offers a group health benefit plan in the small group market through a network plan may limit the small employers that may apply for such coverage to those with eligible individuals who reside, live or work in the service area of the network plan.

A small employer insurer may also deny small employers coverage if it can demonstrate to OCI that it either does not have the capacity to deliver services adequately to additional groups (network plans) or does not have the financial reserves necessary to underwrite additional coverage. A small employer insurer that denies coverage in such instances may not offer coverage in the small group market for 180 days or until the insurer demonstrates to OCI that it has sufficient financial reserves to underwrite additional coverage, whichever is later.

A small employer insurer is not required to accept any small employer in the state that applies for such coverage if the insurer's group health benefit plan is offered in the small group market only through one or more bona fide associations and certain conditions are met.

The commissioner may by rule permit other exceptions to the guaranteed acceptance requirement in instances where coverage is nonrenewed or discontinued for reasons specified under s. 632.749(2)(a)or(b), Wis. Stat.

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OTHER NEW LAWS AND CHANGES

HIRSP - Chs. 619 and 149, Wis. Stat.

The Act has a major impact on HIRSP. Sections 149.10 - 149.18 transfers administrative responsibility for the HIRSP program to the Department of Health and Family Services (DHFS) and directs the use of Medicaid reimbursement principles for HIRSP policyholders.

HIRSP becomes the alternative mechanism under section 2744 of HIPAA and will provide a choice of plans. There will be a change to the lifetime maximum coverage, and a modification to premiums. Section 619.14(6)(b) establishes portability provisions for eligible individuals as defined in s. 619.10(2t), with creditable coverage. These individuals will not be subject to the HIRSP plan waiting period for pre-existing conditions. Current HIRSP policyholders who are eligible individuals will not be subject to the pre-existing condition limitation on or after the effective date.

Effective date - The new requirement for eligible individuals and portability is effective October 14, 1997, while the transfer to DHFS is effective January 1, 1998.

Office of Health Care Information - ss. 15.735 (2), 15.737 and Ch. 153, Wis. Stat.

The Budget Act transfers OHCI functions to DHFS.

Effective date - January 1, 1998.

Frivolous Actions - s. 227.487, Wis. Stat.

Allows state agencies to assess a $500 forfeiture for frivolous actions.

Effective date - October 14, 1997

HIV Insurance Subsidies - s. 252.16, Wis. Stat.

Expands HIV insurance subsidies from continuation to all health insurance, including HIRSP.

Effective date - October 14, 1997

Exemption from Chs. 600-646 - s. 600.01 (1) (b) 9., Wis. Stat.

Exempts from the insurance laws, the publication activity of associations which function as an organizational clearinghouse that matches subscribers to the publications of the association who have needs, and subscribers to the publications of the association who desire to financially assist those needs.

Effective date - October 14, 1997

Other changes:

The following changes are effective for health insurance policies that are issued or renewed on or after January 1, 1998. There is an exception for policies issued pursuant to a collective bargaining agreement; the change applies to the earlier of the day on which the collective bargaining agreement expires or the day on which the collective bargaining agreement is extended, modified or renewed.

Section 185.981 (4t), Wis. Stat., is amended to state a sickness care plan operated by a cooperative association is also subject to s. 632.895 (11) to (13) and chapter 149, Wis. Stat.

Section 609.77, Wis. Stat., states that health maintenance organizations, limited service health organizations and preferred provider plans are subject to s. 632.895 (13), Wis. Stat.

Section 609.78, Wis. Stat., states that health maintenance organizations, limited service health organizations and preferred provider plans are subject to s. 632.895 (11), Wis. Stat.

Section 609.79, Wis. Stat., states that health maintenance organizations, limited service health organizations and preferred provider plans are subject to s. 632.895 (12), Wis. Stat.

The following changes are effective October 14, 1997:

Section 628.34(3)(a), Wis. Stat., is amended to reference s. 632.748.

Section 628.34(3)(b), Wis. Stat., is amended to reference only ss. 632.746 to 632.7495.

Section 632.755, Wis. Stat., is amended to add early intervention services where ever public assistance is mentioned.

Section 632.76, Wis. Stat., is amended to reference s. 632.746.

Section 632.896 (4), Wis. Stat., is amended to reference s. 632.746.

Section 632.897 (10) (am)2., Wis. Stat., is amended to reference the Department of Workforce Development and the county child support agency.

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PERSONS TO CONTACT FOR ADDITIONAL INFORMATION

If you have questions, please put them in writing and address them to the appropriate contact person listed below: