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WI SB4

Bill

Status

Vetoed

8/11/2025

Primary Sponsor

Rachael Cabral-Guevara

Click for details

Origin

Senate

2025-2026 Regular Session

AI Summary

  • Creates a legal framework for direct primary care agreements, which are subscription-based contracts between health care providers and patients (or their employers) for primary care services at a set fee

  • Requires valid agreements to be in writing, signed by both parties, specify services and fees, and prominently disclose that the agreement is not health insurance and may not satisfy federal coverage requirements

  • Prohibits providers from declining or terminating agreements solely based on a patient's health status, but allows termination for nonpayment, patient fraud, abusive behavior, or failure to follow treatment plans

  • Exempts valid direct primary care agreements from regulation as insurance under Wisconsin insurance law

  • 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

Report vetoed by the Governor on 8-8-2025

8/11/2025

Committee Referrals

Rules4/24/2025
Health1/24/2025

Full Bill Text

No bill text available