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WI AB263

Bill

Status

Introduced

5/19/2025

Primary Sponsor

Cindi Duchow

Click for details

Origin

State Assembly

2025-2026 Regular Session

AI Summary

  • 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

  • Covered screening technologies include breast MRI, breast ultrasound, breast tomosynthesis, contrast-enhanced mammography, and diagnostic mammography, following National Comprehensive Cancer Network guidelines

  • 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

  • Extends coverage requirements to Wisconsin's Medical Assistance (Medicaid) program and self-insured governmental health plans offered by cities, villages, towns, and school districts

  • 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

Committee Referrals

Rules2/18/2026
State Affairs2/12/2026
Rules1/21/2026
Health, Aging and Long-Term Care5/19/2025

Full Bill Text

No bill text available