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WI SB401
Bill
Status
8/25/2025
Primary Sponsor
Kelda Roys
Click for details
AI Summary
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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
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Mandates the commissioner survey employer-sponsored coverage to ensure required benefits match those typically offered by employers, and requires no or limited cost-sharing for maternity and newborn care
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Prohibits insurers from making coverage decisions, setting reimbursement rates, or designing benefits that discriminate against individuals based on disability or expected length of life
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Requires periodic updates by the commissioner to address gaps in coverage access, and mandates that when overlapping coverage requirements exist, the more comprehensive coverage applies
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Exempts certain disability insurance policies described in s. 632.745 (11) (b) 1. to 12. from these requirements
Legislative Description
Coverage of maternity and newborn care under health insurance policies and plans and granting rule-making authority.
Last Action
Representative J. Jacobson added as a cosponsor
1/9/2026