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WI SB764
WI SB764Cost-sharing cap on epinephrine delivery systems under health insurance policies and plans. (FE)
summary
Introduced
12/12/2025
12/12/2025
In Committee
12/12/2025
12/12/2025
Crossed Over
Passed
Dead
Introduced Session
2025-2026 Regular Session
Bill Summary
This bill prevents every health insurance policy and every self-insured governmental health plan that covers medically necessary epinephrine delivery systems from imposing cost sharing in an amount that exceeds $60 for two doses of the epinephrine delivery system, regardless of the type of epinephrine delivery system. The bill defines “epinephrine delivery system” to mean a device that is approved by the federal Food and Drug Administration, that contains a premeasured dose of epinephrine, and that is used to administer epinephrine into the human body to prevent or treat a life-threatening allergic reaction. Health insurance policies are referred to in the bill as disability insurance policies. For further information see the state fiscal estimate, which will be printed as an appendix to this bill. This proposal may contain a health insurance mandate requiring a social and financial impact report under s. 601.423, stats. LRB-5531/1 EKL:amn&skw 2025 - 2026 Legislature SENATE BILL 764
AI Summary
This bill requires health insurance policies and self-insured governmental health plans to limit cost-sharing for epinephrine delivery systems (EDS) to a maximum of $60 for two doses, regardless of the specific type of device. An epinephrine delivery system is defined as a federally FDA-approved device containing a premeasured dose of epinephrine used to prevent or treat life-threatening allergic reactions. The bill specifies that while insurers must not charge more than $60 for two doses, they are not required to charge this amount and can choose to charge less or even provide the devices at no cost. The legislation will apply to new policy or plan years beginning on or after the effective date, with special provisions for policies governed by existing collective bargaining agreements that may need to be renegotiated. The bill will take effect on the first day of the fourth month following its publication, giving insurers time to adjust their policies to comply with the new cost-sharing limits.
Committee Categories
Agriculture and Natural Resources
Sponsors (23)
Dianne Hesselbein (D)*,
LaTonya Johnson (D)*,
Melissa Ratcliff (D)*,
Kelda Roys (D)*,
Mark Spreitzer (D)*,
Jamie Wall (D)*,
Clint Anderson (D),
Margaret Arney (D),
Mike Bare (D),
Ryan Clancy (D),
Ben DeSmidt (D),
Alex Joers (D),
Darrin Madison (D),
Lori Palmeri (D),
Christian Phelps (D),
Ann Roe (D),
Christine Sinicki (D),
Ryan Spaude (D),
Angela Stroud (D),
Shelia Stubbs (D),
Lisa Subeck (D),
Angelito Tenorio (D),
Randy Udell (D),
Last Action
Fiscal estimate received (on 12/16/2025)
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/sen/bill/sb764 |
| Fiscal Note - SB764: Health Insurance Mandate Report | https://docs.legis.wisconsin.gov/2025/related/fe/sb764/sb764_inins.pdf |
| Fiscal Note - SB764: Fiscal Estimate From OCI | https://docs.legis.wisconsin.gov/2025/related/fe/sb764/sb764_oci.pdf |
| BillText | https://docs.legis.wisconsin.gov/document/proposaltext/2025/REG/SB764.pdf |
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