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WI AB263
Bill
Status
5/19/2025
Primary Sponsor
Cindi Duchow
Click for details
AI Summary
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Requires health insurance policies and self-insured health plans to cover diagnostic breast examinations and supplemental breast screening examinations for individuals at increased risk of breast cancer or with dense breast tissue
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Covered screening technologies include breast MRI, breast ultrasound, breast tomosynthesis, contrast-enhanced mammography, and diagnostic mammography, following National Comprehensive Cancer Network guidelines
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Prohibits insurers from imposing cost-sharing (copays, deductibles) on supplemental breast screening or diagnostic breast examinations, with an exception to preserve health savings account eligibility under federal tax law
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Extends coverage requirements to Wisconsin's Medical Assistance (Medicaid) program and self-insured governmental health plans offered by cities, villages, towns, and school districts
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Takes effect on the first day of the 4th month after publication, applying to policy years beginning January 1 of the following year
Legislative Description
Coverage of breast cancer screenings by the Medical Assistance program and health insurance policies and plans. (FE)
Last Action
Laid on the table
2/19/2026