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Bill > SB264

WI SB264

WI SB264
Coverage of breast cancer screenings by the Medical Assistance program and health insurance policies and plans. (FE)

summary

Introduced
05/20/2025
In Committee
02/18/2026
Crossed Over
10/14/2025
Passed
02/26/2026
Dead

Introduced Session

2025-2026 Regular Session

Bill Summary

AN ACT to renumber 632.895 (8) (a) 1.; to renumber and amend 632.895 (8) (d); to amend 40.51 (8m), 66.0137 (4), 120.13 (2) (g) and 609.80; to create 49.46 (2) (b) 6. n., 632.895 (8) (a) 1b., 632.895 (8) (a) 1f., 632.895 (8) (a) 1k., 632.895 (8) (a) 1s., 632.895 (8) (a) 1w., 632.895 (8) (a) 5., 632.895 (8) (a) 6., 632.895 (8) (am), 632.895 (8) (d) 2. and 632.895 (8) (d) 3. 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 expands coverage for breast cancer screenings under Wisconsin's Medical Assistance program and various health insurance policies and plans. It defines several types of breast imaging, including breast magnetic resonance imaging, breast tomosynthesis, breast ultrasound, and diagnostic mammography, and establishes that "diagnostic breast examinations" using these methods are covered. Furthermore, it mandates coverage for "supplemental breast screening examinations" for individuals at increased risk of breast cancer or with dense breast tissue, as determined by national guidelines or specific imaging classifications. The bill also clarifies that these screenings are covered regardless of whether symptoms are present and prohibits cost-sharing for diagnostic breast examinations and the first supplemental screening per policy year, with subsequent supplemental screenings subject to standard cost-sharing rules. Importantly, it includes provisions to ensure compliance with federal laws regarding health savings accounts for high-deductible health plans.

Committee Categories

Government Affairs, Health and Social Services

Sponsors (58)

Rachael Cabral-Guevara (R)*,  Tim Carpenter (D)*,  Kristin Dassler-Alfheim (D)*,  Dora Drake (D)*,  Jodi Habush Sinykin (D)*,  Dianne Hesselbein (D)*,  Jesse James (R)*,  LaTonya Johnson (D)*,  Sarah Keyeski (D)*,  Chris Larson (D)*,  Steve Nass (R)*,  Melissa Ratcliff (D)*,  Kelda Roys (D)*,  Mark Spreitzer (D)*,  Jamie Wall (D)*,  Clint Anderson (D),  Deb Andraca (D),  Margaret Arney (D),  Mike Bare (D),  Elijah Behnke (R),  Brienne Brown (D),  Ryan Clancy (D),  Karen DeSanto (D),  Ben DeSmidt (D),  Barbara Dittrich (R),  Robert Donovan (R),  Cindi Duchow (R),  Joan Fitzgerald (D),  Benjamin Franklin (R),  Joy Goeben (R),  Rick Gundrum (R),  Nate Gustafson (R),  Andrew Hysell (D),  Alex Joers (D),  Tara Johnson (D),  Karen Kirsch (D),  Rob Kreibich (R),  Dave Maxey (R),  Vincent Miresse (D),  Supreme Moore Omokunde (D),  Jeff Mursau (R),  Amanda Nedweski (R),  Greta Neubauer (D),  Adam Neylon (R),  Jerry O'Connor (R),  Sylvia Ortiz-Velez (D),  Lori Palmeri (D),  Pricilla Prado (D),  Joe Sheehan (D),  Lee Snodgrass (D),  Ryan Spaude (D),  David Steffen (R),  Angela Stroud (D),  Shelia Stubbs (D),  Lisa Subeck (D),  Ron Tusler (R),  Randy Udell (D),  Robyn Vining (D), 

Last Action

Report correctly enrolled (on 02/26/2026)
(1 Companion Bills)

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