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Wisconsin: SB174

Coverage of individuals with preexisting conditions and benefit limits under health plans.

Topics

No topics available

Bill Information

MAHA Approved

Summary

This bill establishes comprehensive health insurance protections that would take effect if federal Affordable Care Act (ACA) provisions are no longer enforceable. The bill requires all health benefit plans in the state to accept individuals and employers for coverage regardless of preexisting conditions, with enrollment restricted to specific open and special enrollment periods. Premium rates can only be varied based on four factors: family coverage status, geographic rating area, age (with rates limited to a 3:1 ratio), and tobacco use (with rates limited to a 1.5:1 ratio). The bill explicitly prohibits health plans from imposing preexisting condition exclusions.

Introduced

04/03/2025

In Committee

04/03/2025

Dead

03/23/2026

Sponsors

André Jacque

Republican Senator (WI)

Steve Nass

Republican Senator (WI)

Melissa Ratcliff

Democratic Senator (WI)

Mark Spreitzer

Democratic Senator (WI)

Benjamin Franklin

Republican Representative (WI)

Elijah Behnke

Republican Representative (WI)

Lindee Brill

Republican Representative (WI)

Tara Johnson

Democratic Representative (WI)

Dean Kaufert

Republican Representative (WI)

Rob Kreibich

Republican Representative (WI)

Lisa Subeck

Democratic Representative (WI)

Jeff Mursau

Republican Representative (WI)

Activity

03/23/2026

Failed to pass pursuant to Senate Joint Resolution 1

03/19/2026

Representative J. Jacobson added as a cosponsor

02/10/2026

Senator Habush Sinykin added as a coauthor

02/04/2026

Public hearing held

02/04/2026

Senate Insurance, Housing, Rural Issues and Forestry Public Hearing (09:30:00 2/4/2026 300 Southeast)

04/24/2025

Commissioner of Insurance report received pursuant to s.601.423(2), Wisconsin Statutes

04/10/2025

Representative Udell added as a cosponsor

04/03/2025

Read first time and referred to Committee on Insurance, Housing, Rural Issues and Forestry

04/03/2025

Introduced

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