Healthcare (Insurance)

failed · Wisconsin · Assembly Mar 23, 2026

AB 755: Relating to: coverage of sterilization procedures and patient education and counseling under health insurance policies and plans. (FE)

AB 755 requires health insurance plans to cover sterilization procedures and related patient education/counseling services, just like other contraceptive benefits. This directly affects health insurers and patients seeking these specific reproductive health services. The bill amends existing law to explicitly include sterilization procedures and counseling under the same coverage requirements applied to other contraceptive services. It applies to new policy years beginning after the effective date, with some exceptions for collective bargaining agreements.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for sterilization procedures and counseling, expanding reproductive health access under existing contraceptive benefit rules.95% confidence

Sub-Topics Insurance Women's Health

Track

failed · Wisconsin · Assembly Mar 23, 2026

AB 720: Relating to: coverage and reimbursement of emergency ambulance services under health insurance policies and plans. (FE)

AB 720 requires health insurance plans - including defined network plans, preferred provider plans, and government self-insured plans - to cover emergency ambulance services provided by non-participating ambulance providers. It mandates payment at the lowest of three rates: a mutually agreed rate, a local governmental rate, or 350% of the Medicare rate for the same area. Plans must pay ambulance providers directly within 30 days for clean claims, cannot impose additional costs on enrollees beyond standard cost-sharing, and must provide clear explanations for denied claims. The bill excludes air ambulance services and applies to all health insurance plans covering emergency medical services.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for non-participating ambulance services with payment standards, expanding access to emergency care without patient cost barriers.90% confidence

Sub-Topics Insurance Medicare

Track

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

Track

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

Track

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

Track

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

Track

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

Track

failed · Wisconsin · Assembly Mar 23, 2026

AB 8: Relating to: agreements for direct primary care.

Assembly Bill 8 establishes a legal framework for "direct primary care agreements" between health care providers and patients. These agreements allow patients or their employers to pay a direct subscription fee for a defined set of primary care services, rather than billing an insurer on a fee-for-service basis for those specific services. The bill outlines criteria for valid agreements, including requirements for written contracts, clear disclosures that these are not health insurance, and rules regarding termination and patient selection. It prohibits providers from declining or terminating an agreement solely based on a patient's health status or other protected characteristics.

Topics ✓ HealthcareSupports HealthcareEstablishes legal framework for direct primary care subscriptions, improving patient access to primary services without insurance, aligning with access-focused healthcare support.85% confidence

Sub-Topics Insurance Primary Care

Track

failed · Wisconsin · Assembly Mar 23, 2026

AB 220: Relating to: discrimination in employment, housing, public accommodations, education, insurance coverage, national guard, jury duty, and adoption and in the receipt of mental health or vocational rehabilitation services.

Assembly Bill 220 seeks to expand anti-discrimination protections across various aspects of life. The bill proposes to amend numerous state statutes to prohibit discrimination based on gender identity, gender expression, and sexual orientation. This would directly affect individuals in areas such as employment, housing, public accommodations, education, insurance coverage, and adoption. Key provisions include requiring government contractors not to discriminate on these grounds, while clarifying that affirmative action requirements may not apply to these new protected characteristics in certain contracts.

Topics ✓ HealthcareSupports HealthcareProhibits discrimination in insurance coverage, expanding access to healthcare services for protected groups under anti-discrimination provisions.90% confidence ✓ HousingSupports HousingBill explicitly prohibits housing discrimination based on gender identity/expression/orientation, directly preventing housing discrimination as per topic indicators.90% confidence ✓ Labor & EmploymentSupports Labor & EmploymentExpands anti-discrimination protections in employment based on gender identity/expression, directly strengthening workers' rights against bias in hiring and workplace treatment.95% confidence

Sub-Topics Insurance Mental Health Employment Discrimination

Track

failed · Wisconsin · Assembly Mar 23, 2026

AB 542: Relating to: dental provider network rental by insurance plans.

AB 542 requires dental insurance plans (like defined network plans or preferred provider plans) that rent their provider networks to disclose this practice to dentists. Specifically, insurers must notify dentists in writing or electronically within 45 days if their network is rented to another entity, including the name of the renting entity. The bill also mandates that any entity renting a dental network must honor the original contract terms (such as discounted rates) between the insurer and the dentist. This directly affects dentists, insurers, and third-party entities that rent dental provider networks, ensuring transparency and protecting contractual obligations.

Topics ✓ HealthcareSupports HealthcareRequires insurers to disclose network rentals to dentists and maintain original contract terms, protecting provider access and rates under dental insurance coverage.95% confidence

Sub-Topics Insurance

Track