SB 1163 Wisconsin Senate · 2025-2026 Regular Session

Relating to: prior authorization transparency, exemptions from prior authorization requirements, and granting rule-making authority. (FE)

This bill requires health care plans to publicly disclose which medical services require prior authorization and the specific rules governing those requirements. It mandates that these lists be posted on websites in plain language without requiring users to create accounts, and it sets standards for how clinical review criteria must be developed and updated. The legislation also grants the state insurance commissioner authority to create rules for certain limited service health organizations and includes provisions to prevent claims denials when prior authorization requirements were not in effect at the time of service.
Bill status failed 1 of 4 stages cleared
Introduction
Mar 2026
Committee Review
Floor Vote
Governor
Introduced Mar 19, 2026 Last action Mar 30, 2026
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Mar 19, 2026
Introduced
Introduced by Senators Roys, Larson, Ratcliff and Smith; cosponsored by Representatives Prado, Clancy, Madison, McCarville, Sinicki, Tenorio and Subeck
upper
4 primary · 0 co-sponsors

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