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WI AB402
WI AB402Coverage of maternity and newborn care under health insurance policies and plans and granting rule-making authority.
summary
Introduced
08/29/2025
08/29/2025
In Committee
08/29/2025
08/29/2025
Crossed Over
Passed
Dead
Introduced Session
2025-2026 Regular Session
Bill Summary
This bill requires certain health insurance policies, referred to in the bill as disability insurance policies, and governmental self-insured health plans to cover the essential health benefit of maternity and newborn care, as specified by the commissioner of insurance by rule. The bill specifies a list of requirements that the commissioner must follow when establishing the maternity and newborn care benefit, including certain limitations on cost sharing. If the maternity or newborn care benefit specified by the commissioner is also subject to its own mandated coverage requirement under current law, the bill requires the disability insurance policy or self-insured health plan to provide coverage under whichever requirement provides the insured or plan participant with more comprehensive coverage. This proposal may contain a health insurance mandate requiring a social and financial impact report under s. 601.423, stats.
AI Summary
This bill requires disability insurance policies and self-insured health plans to provide coverage for maternity and newborn care as an essential health benefit, with specific guidelines to be established by the insurance commissioner. The commissioner must conduct a survey of typical employer-sponsored coverage to determine the scope of benefits, ensuring that the coverage is comparable to standard employer plans. The bill mandates that these benefits be provided with minimal or no cost-sharing and prohibits discriminatory coverage decisions based on disability or expected length of life. If multiple coverage requirements exist, the plan must provide the most comprehensive coverage for maternity and newborn care. The commissioner is also required to periodically update the benefits to address potential gaps in coverage. The bill allows insurers to provide benefits beyond the essential health benefit requirement and includes some exemptions for certain types of disability insurance policies. This legislation aims to standardize and improve maternity and newborn care coverage across disability insurance policies and self-insured health plans in Wisconsin.
Committee Categories
Health and Social Services
Sponsors (46)
Clint Anderson (D)*,
Deb Andraca (D)*,
Mike Bare (D)*,
Brienne Brown (D)*,
Ryan Clancy (D)*,
Karen DeSanto (D)*,
Ben DeSmidt (D)*,
Jodene Emerson (D)*,
Joan Fitzgerald (D)*,
Russell Goodwin (D)*,
Kalan Haywood (D)*,
Francesca Hong (D)*,
Alex Joers (D)*,
Tara Johnson (D)*,
Karen Kirsch (D)*,
Darrin Madison (D)*,
Maureen McCarville (D)*,
Vincent Miresse (D)*,
Supreme Moore Omokunde (D)*,
Greta Neubauer (D)*,
Lori Palmeri (D)*,
Christian Phelps (D)*,
Pricilla Prado (D)*,
Ann Roe (D)*,
Joe Sheehan (D)*,
Christine Sinicki (D)*,
Lee Snodgrass (D)*,
Angela Stroud (D)*,
Shelia Stubbs (D)*,
Lisa Subeck (D)*,
Sequanna Taylor (D)*,
Angelito Tenorio (D)*,
Randy Udell (D)*,
Robyn Vining (D)*,
Tim Carpenter (D),
Dora Drake (D),
Jodi Habush Sinykin (D),
Dianne Hesselbein (D),
LaTonya Johnson (D),
Sarah Keyeski (D),
Chris Larson (D),
Melissa Ratcliff (D),
Kelda Roys (D),
Mark Spreitzer (D),
Jamie Wall (D),
Bob Wirch (D),
Last Action
Representative J. Jacobson added as a coauthor (on 01/08/2026)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://docs.legis.wisconsin.gov/2025/proposals/reg/asm/bill/ab402 |
| Fiscal Note - AB402: Health Insurance Mandate Report | https://docs.legis.wisconsin.gov/2025/related/fe/ab402/ab402_inins.pdf |
| BillText | https://docs.legis.wisconsin.gov/document/proposaltext/2025/REG/AB402.pdf |
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