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WI SB765

Bill

Status

Introduced

12/12/2025

Primary Sponsor

Dianne Hesselbein

Click for details

Origin

Senate

2025-2026 Regular Session

AI Summary

  • 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

  • Qualifying drugs must meet three criteria: FDA-approved, consistent with best practices for treating metastatic cancer, and supported by peer-reviewed evidence-based research

  • Defines "metastatic cancer" as cancer that has spread from the primary site to nearby tissues, lymph nodes, or other body areas

  • 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

  • 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

Committee Referrals

Insurance, Housing, Rural Issues and Forestry12/12/2025

Full Bill Text

No bill text available