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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
03/19/2026
Dead
Signed/Enacted/Adopted
03/19/2026

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 mandates that disability insurance policies and self-insured health plans, which are types of health coverage, must cover diagnostic breast examinations, including those using magnetic resonance imaging, tomosynthesis, ultrasound, or diagnostic mammography, to evaluate abnormalities. Furthermore, for individuals at increased risk of breast cancer or with dense breast tissue, these plans must cover supplemental breast screening examinations, such as MRI or ultrasound, to proactively screen for cancer. The bill also clarifies that these screenings should be covered without imposing cost-sharing, like deductibles or copayments, for diagnostic exams and the first supplemental screening per year, with some exceptions for high-deductible health plans to maintain their tax-advantaged status. This legislation aims to improve early detection of breast cancer by ensuring broader and more accessible screening options for Wisconsin residents.

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

Published 3-20-2026 (on 03/19/2026)
(1 Companion Bills)

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