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WI SB765
Bill
Status
12/12/2025
Primary Sponsor
Dianne Hesselbein
Click for details
AI Summary
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Prohibits insurers, pharmacy benefit managers, and utilization review organizations from requiring step therapy protocols for drugs prescribed to treat metastatic cancer or cancer-associated conditions
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Qualifying drugs must meet three criteria: FDA-approved, consistent with best practices for treating metastatic cancer, and supported by peer-reviewed evidence-based research
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Defines "metastatic cancer" as cancer that has spread from the primary site to nearby tissues, lymph nodes, or other body areas
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Defines "cancer-associated condition" as any symptom or side effect of metastatic cancer or its treatment that a health care provider determines would further jeopardize patient health if untreated
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Amends Wisconsin Statutes section 632.866, which currently regulates step therapy protocols and requires insurers to provide exception request processes
Legislative Description
Prohibiting step therapy protocols for certain cancer drugs.
Last Action
Read first time and referred to Committee on Insurance, Housing, Rural Issues and Forestry
12/12/2025