WI SB174

Requires all individual and group health benefit plans to accept every applicant regardless of preexisting conditions, with enrollment restricted to open or special enrollment periods

Limits premium rate variations for individual, small employer, and self-insured governmental plans to four factors only: individual vs. family coverage, geographic rating area, age (capped at 3:1 ratio for adults), and tobacco use (capped at 1.5:1 ratio)

Prohibits health benefit plans and self-insured governmental plans from imposing preexisting condition exclusions or establishing annual or lifetime dollar limits on benefits

Mandates a statewide open enrollment period of no longer than 45 days and requires special enrollment periods for qualifying life events defined under federal law

Applies only if federal Affordable Care Act provisions under 42 USC 300gg to 300gg-4 and 300gg-11 become unenforceable or no longer preempt state law, with exemptions mirroring those under the ACA