WI AB1153

Department of Health Services must request federal approval to allow individuals with incomes above BadgerCare eligibility limits to purchase coverage through the program, with premiums similar to state managed care rates and a minimum 87% actuarial value

Small employers with 50 or fewer employees would be eligible to purchase BadgerCare coverage for their group members under the program

DHS must develop a basic health plan complying with the Affordable Care Act for individuals with household incomes up to 200% of the federal poverty level

Office of the Commissioner of Insurance must establish and operate a state-based health insurance exchange to replace Wisconsin's current use of the federally facilitated exchange (HealthCare.gov)

DHS must submit a report to the legislature by March 1, 2027 on the federal waiver request status and results of actuarial and economic analyses