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WI AB8

Bill

Status

Introduced

2/6/2025

Primary Sponsor

Cindi Duchow

Click for details

Origin

State Assembly

2025-2026 Regular Session

AI Summary

  • Exempts valid direct primary care agreements from state insurance law regulation, establishing that these subscription-based contracts between health care providers and patients (or their employers) are not considered health insurance

  • Requires valid agreements to be in writing, specify the subscription fee and duration, describe covered primary care services, prohibit fee-for-service billing to insurers for included services, and include prominent disclaimers that the agreement is not health insurance

  • Prohibits providers from declining or terminating agreements based solely on a patient's health status, and bars discrimination based on race, color, national origin, religion, sex, disability, age, sexual orientation, or gender identity

  • Limits permissible reasons for provider termination to nonpayment, repeated failure to follow treatment plans, patient fraud, abusive behavior, practice closure, or dysfunctional provider-patient relationships

  • Preserves regulatory authority of the Department of Safety and Professional Services, Department of Agriculture, Trade and Consumer Protection, and the Office of the Commissioner of Insurance over contracts that do not meet the valid agreement criteria

Legislative Description

Agreements for direct primary care.

Last Action

Laid on the table

5/13/2025

Committee Referrals

Rules3/17/2025
Health, Aging and Long-Term Care2/6/2025

Full Bill Text

No bill text available