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WI SB413

WI SB413
Coverage of breast cancer screenings by the Medical Assistance program and health insurance policies and plans.


summary

Introduced
06/10/2021
In Committee
06/10/2021
Crossed Over
Passed
Dead
03/15/2022

Introduced Session

2021-2022 Regular Session

Bill Summary

An Act to amend 40.51 (8m), 66.0137 (4), 120.13 (2) (g), 609.80 and 632.895 (8) (d); and to create 49.46 (2) (b) 6. n., 632.895 (8) (a) 4. and 632.895 (8) (am) of the statutes; Relating to: coverage of breast cancer screenings by the Medical Assistance program and health insurance policies and plans.

AI Summary

This bill aims to expand the coverage of breast cancer screenings under the Medical Assistance program and health insurance policies and plans in Wisconsin. It amends existing laws to require coverage of essential breast screenings beyond just mammography, such as breast ultrasound or magnetic resonance imaging, for individuals with dense breast tissue, higher risk factors for breast cancer, or when a healthcare provider deems them medically necessary. The bill also limits the cost-sharing amount that can be imposed on individuals for these additional screenings. The new requirements will apply to both private health insurance policies and self-insured health plans, and will take effect on the first day of the fourth month following the bill's publication.

Committee Categories

Health and Social Services

Sponsors (19)

Last Action

Failed to pass pursuant to Senate Joint Resolution 1 (on 03/15/2022)

bill text


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bill summary

Document Type Source Location Created
State Bill Page https://docs.legis.wisconsin.gov/2021/proposals/reg/sen/bill/sb413 06/11/2021
SB413 ROCP for Committee on Health https://docs.legis.wisconsin.gov/2021/related/records/senate/health/1640899.pdf 10/15/2021
Fiscal Note - SB413: Health Insurance Mandate Report https://docs.legis.wisconsin.gov/2021/related/fe/sb413/sb413_inins.pdf 06/18/2021
BillText https://docs.legis.wisconsin.gov/document/proposaltext/2021/REG/SB413.pdf 06/11/2021
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