Loading chat...

WI AB184

Bill

Status

Introduced

4/15/2025

Primary Sponsor

Benjamin Franklin

Click for details

Origin

State Assembly

2025-2026 Regular Session

AI Summary

  • Requires all individual and group health benefit plans to accept every applicant regardless of preexisting conditions, with enrollment restricted to open or special enrollment periods

  • Limits premium rate variations for individual/small employer market plans to only four factors: individual vs. family coverage, geographic rating area, age (max 3:1 ratio for adults), and tobacco use (max 1.5:1 ratio)

  • Prohibits health benefit plans and self-insured governmental plans from imposing preexisting condition exclusions or annual/lifetime dollar limits on benefits

  • Mandates a statewide open enrollment period of no longer than 45 days and requires special enrollment periods for qualifying life events under federal law

  • Provisions take effect only if the federal Affordable Care Act's corresponding requirements become unenforceable or no longer preempt state law; plans currently exempt from ACA provisions remain exempt from corresponding state requirements

Legislative Description

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

Last Action

Senator Habush Sinykin added as a cosponsor

2/10/2026

Committee Referrals

Insurance4/15/2025

Full Bill Text

No bill text available