Healthcare

failed · Wisconsin · Senate Mar 23, 2026

SB 796: Relating to: mandatory participation in the Wisconsin Health Information Organization. (FE)

SB 796 creates a mandatory system requiring insurers, healthcare administrators, and certain government programs (like Medical Assistance) to submit health claims data to a centralized Wisconsin Health Information Organization. It mandates data be provided in machine-readable format within six months of the law's effective date, with standardized reporting schedules. The data organization must analyze and publicly report on healthcare costs, quality, and effectiveness in plain language, while the state may use the data for policy decisions. This bill directly affects healthcare providers, insurers, and government health programs by establishing new data collection requirements and reporting standards.

Topics ✓ HealthcareSupports HealthcareMandatory data reporting for cost/quality analysis aims to improve healthcare transparency and efficiency, supporting systemic improvements in healthcare delivery and decision-making.85% confidence

Tags Data Reporting

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failed · Wisconsin · Senate Mar 23, 2026

SB 756: Relating to: coverage of sterilization procedures and patient education and counseling under health insurance policies and plans. (FE)

SB 756 requires health insurance plans in Wisconsin to cover sterilization procedures (such as vasectomies or tubal ligations) and associated patient education/counseling if the plan already covers other contraceptive services. This applies to all health insurance policies and plans that provide contraceptive coverage under existing rules. The bill amends Wisconsin Statute 632.895 to explicitly include sterilization under the same coverage requirements as other contraceptives. It takes effect for new policy years beginning in 2026.

Topics ✓ HealthcareSupports HealthcareMandates coverage of sterilization procedures under existing contraceptive coverage, expanding reproductive health access without additional patient cost.95% confidence

Sub-Topics Insurance

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failed · Wisconsin · Assembly Mar 23, 2026

AB 702: Relating to: income tax credit for in vitro fertilization medical expenses. (FE)

AB 702 creates a new income tax credit for individuals incurring unreimbursed medical expenses related to in vitro fertilization (IVF), directly affecting those who pay for IVF consultations, procedures, or prescribed drugs out-of-pocket. The credit allows a maximum $5,000 annual reduction against state income tax for eligible individuals with adjusted gross income under $100,000 (single) or $200,000 (joint filers). It excludes expenses covered by insurance, travel, lodging, or health savings accounts, and prohibits claiming the same expenses under other tax provisions. The credit must be claimed using forms provided by the state tax department when filing annual returns.

Topics ✓ Budget & TaxesSupports Budget & TaxesProvides tax credit reducing state tax burden for middle-income earners ($100k/$200k AGI) on IVF expenses, aligning with tax relief for middle/lower income.95% confidence ✓ HealthcareSupports HealthcareCreates tax credit for unreimbursed IVF medical expenses, expanding access to fertility healthcare services for low-to-moderate income individuals.95% confidence

Sub-Topics Income Tax Tax Credits

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failed · Wisconsin · Assembly Mar 23, 2026

AB 801: Relating to: mandatory participation in the Wisconsin Health Information Organization. (FE)

AB 801 establishes a mandatory "all-payer claims database" requiring insurers, healthcare administrators, and managed care organizations (including those serving Medicaid recipients) to submit health claims data in machine-readable format. It mandates data submission within six months of the law's effective date, with standardized electronic reporting and annual submission schedules. The data organization must analyze and publicly report on healthcare costs, quality, and effectiveness in plain language, while restricting data sharing to purposes like public health research or policy decisions. The bill repeals prior requirements and creates new provisions to standardize data collection, reporting, and transparency for the Wisconsin Health Information Organization.

Topics ✓ HealthcareSupports HealthcareMandates data collection for healthcare cost/quality analysis, enabling transparency and policy improvements in healthcare services.85% confidence

Sub-Topics Medicaid Public Health

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failed · Wisconsin · Assembly Mar 23, 2026

AB 775: Relating to: cost-sharing cap on epinephrine delivery systems under health insurance policies and plans. (FE)

AB 775 limits out-of-pocket costs for epinephrine delivery systems (like EpiPens) under specific health insurance plans. It caps cost-sharing at $60 for two doses of these devices, applying to disability insurance policies and self-insured health plans covering government entities (such as state agencies, schools, or local governments). Insurers cannot charge more than $60 per two-dose supply regardless of the device type, though they may charge less. The law takes effect for plan years beginning after its publication date.

Topics ✓ HealthcareSupports HealthcareCaps out-of-pocket costs for epinephrine devices at $60, improving patient access to essential emergency treatment without financial barriers.95% confidence

Sub-Topics Insurance Prescription Drugs

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failed · Wisconsin · Senate Mar 23, 2026

SB 711: Relating to: coverage and reimbursement of emergency ambulance services under health insurance policies and plans. (FE)

SB 711 requires health insurance plans (including preferred provider plans and self-insured government plans) to cover emergency ambulance services provided by non-participating ambulance providers at specific rates. It mandates payment at the lowest of: (1) a mutually agreed rate, (2) a local government-set rate, or (3) 350% of the Medicare rate for the same area. The bill also requires insurers to pay ambulance providers directly within 30 days for clean claims, prohibits billing patients for extra costs beyond standard copays/deductibles, and excludes air ambulance services from coverage. This directly affects health insurance plans, ambulance providers, and patients receiving emergency ambulance care.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for emergency ambulance services, sets fair payment rates, and prohibits patient billing, expanding access and protecting patient rights in healthcare coverage.95% confidence

Sub-Topics Insurance Medicare

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failed · Wisconsin · Senate Mar 23, 2026

SB 764: Relating to: cost-sharing cap on epinephrine delivery systems under health insurance policies and plans. (FE)

SB 764 sets a $60 annual cap on out-of-pocket costs for two doses of epinephrine delivery systems (like EpiPens) under health insurance policies and self-insured plans. It directly affects people with severe allergies who rely on these devices and their insurers. The bill requires coverage for medically necessary epinephrine delivery systems with cost-sharing limited to $60 for two doses, regardless of device type, while allowing plans to charge less or nothing. This applies to disability insurance policies, state/local government health plans, and all health insurance plans covering these devices. The law takes effect four months after publication, with transitional rules for existing policies and collective bargaining agreements.

Topics ✓ HealthcareSupports HealthcareBill caps out-of-pocket costs for epinephrine delivery systems at $60 annually, improving patient access to essential allergy treatment and reducing financial barriers under insurance coverage.95% confidence

Sub-Topics Insurance Prescription Drugs

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failed · Wisconsin · Assembly Mar 23, 2026

AB 776: Relating to: veterans mental health services and making an appropriation. (FE)

AB 776 allocates $5 million in state funds to expand veterans' access to mental health services. It requires the Department of Veterans Affairs to promote community-based mental health care and provide grants to organizations offering these services to veterans, including emergency crisis support. The bill streamlines implementation by allowing the department to issue emergency rules without standard public notice requirements. This directly affects veterans seeking mental health care and the community organizations delivering these services. The legislation creates new statutory provisions (45.49) to formalize this program.

Topics ✓ Budget & TaxesSupports Budget & TaxesBill allocates $5M state funds for veterans' mental health services, directly increasing budgetary spending on essential programs as required by appropriation language.95% confidence ✓ HealthcareSupports HealthcareAllocates $5M to expand veterans' mental health services, funds community care grants, and streamlines crisis support access, directly advancing mental health care funding and access.95% confidence ✓ VeteransSupports VeteransAllocates $5M for veterans' mental health services, funds community-based care expansion, and streamlines implementation for improved access.95% confidence

Sub-Topics Appropriations Mental Health Veteran Education Veteran Healthcare Veteran Mental Health

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failed · Wisconsin · Senate Mar 23, 2026

SB 757: Relating to: coverage of tests for sexually transmitted diseases by health insurance policies and plans. (FE)

This bill requires health insurance plans covering state or local government employees (including disability insurance and self-insured health plans) to cover FDA-approved home test kits for sexually transmitted diseases, including HIV, when medically necessary and ordered by a healthcare provider. It defines "home test kits" as self-collection products meeting CDC/FDA standards (like CLIA waivers or FDA approval) for use outside clinical settings. Coverage must include all associated lab processing costs for qualifying kits. The law applies to government-affiliated health plans, effective 4 months after publication.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for FDA-approved STI home tests, expanding access to preventive care without patient cost barriers per medical necessity.95% confidence

Sub-Topics Insurance

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failed · Wisconsin · Senate Mar 23, 2026

SB 703: Relating to: plan sponsors’ right to access claims data.

SB 703 requires health insurers, administrators, and pharmacy benefit managers (PBMs) to provide large employer plan sponsors (those covering 50+ employees) with full access to their health claims data. Plan sponsors own this data and can request specific details - like itemized billing for high-cost claims ($25,000+ medical, $10,000+ pharmacy), payment histories, pharmacy rebates, and administrative fees - within 7 business days of a written request. Insurers and PBMs must deliver this data electronically in usable formats, and cannot sell the data without the plan sponsor’s and individual’s permission. The bill directly affects large employers managing health benefits and the companies providing those benefits, ensuring transparency in how claims data is handled and shared.

Topics ✓ HealthcareSupports HealthcareRequires insurers/PBMs to provide large employers full access to health claims data for cost transparency and management, enhancing employer plan oversight and potentially reducing costs for covered employees.90% confidence

Sub-Topics Prescription Drugs

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