WI AB402

Requires disability insurance policies and governmental self-insured health plans to cover maternity and newborn care as an essential health benefit, with specific benefits determined by the Commissioner of Insurance through rulemaking

Mandates no or limited cost-sharing requirements for maternity and newborn care coverage

Prohibits insurers from making coverage decisions, reimbursement rates, or benefit designs that discriminate against individuals based on disability or expected length of life

Requires the Commissioner to survey employer-sponsored coverage to ensure mandated benefits match those typically offered by employers, with periodic updates to address coverage gaps

When maternity or newborn care benefits overlap with other mandated coverage requirements, insurers must provide whichever option offers more comprehensive coverage to the insured