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WI AB819
Bill
Status
Introduced
1/6/2026
Primary Sponsor
Clint Moses
Click for details
AI Summary
- Creates an exemption allowing health care providers to offer prompt payment discounts of up to 15% on coinsurance and deductibles to insured patients, which is currently prohibited under Wisconsin law
- Requires discounts to be offered uniformly regardless of the patient's insurance company or reason for seeking care, and the discount amount must reasonably relate to collection costs avoided
- Mandates providers notify insurers of their discount policy by posting it on their website, but prohibits public advertising of the discount unless required by law
- Prohibits providers from shifting discount costs to other payers, including the discount in third-party payer agreements, or offering discounts before services are scheduled
- Preserves existing provider-insurer contract terms and does not authorize discounts that conflict with federal anti-kickback statutes (42 USC 1320a-7b and 42 USC 1320a-7a)
Legislative Description
Allowing discounts for prompt payment of health care fees.
Last Action
Representative Subeck added as a coauthor
2/26/2026
Committee Referrals
Rules2/4/2026
Insurance1/6/2026
Full Bill Text
No bill text available