summary
Introduced
01/27/2026
01/27/2026
In Committee
01/27/2026
01/27/2026
Crossed Over
Passed
Dead
Introduced Session
2025-2026 Regular Session
Bill Summary
This bill prohibits every health insurance policy and governmental self- insured health plan that covers insulin and imposes cost sharing on prescription drugs from imposing cost sharing on insulin in an amount that exceeds $35 for a one-month supply. Current law requires every health insurance policy that provides coverage of expenses incurred for treatment of diabetes to provide coverage for specified expenses and items, including insulin. The required coverage under current law for certain diabetes treatments other than insulin infusion pumps is subject to the same exclusions, limitations, deductibles, and coinsurance provisions of the policy as other covered expenses. The bill’s cost-sharing limitation on insulin supersedes the specification that the exclusions, limitations, deductibles, and coinsurance are the same as for other coverage. This proposal may contain a health insurance mandate requiring a social and financial impact report under s. 601.423, stats. LRB-6167/1 KMS:skw 2025 - 2026 Legislature SENATE BILL 901
AI Summary
This bill mandates that all health insurance policies and government-run self-insured health plans (which are plans where an employer, rather than an insurance company, directly pays for healthcare costs) that cover insulin and have cost-sharing requirements for prescription drugs cannot charge more than $35 for a one-month supply of insulin, regardless of the original cost of the drug. This provision overrides existing rules that allowed these plans to apply the same deductibles, copayments, and coinsurance (collectively known as "cost sharing") to insulin as they do to other covered medical expenses. The bill also clarifies that plans can choose to charge less than $35 or no cost sharing at all for insulin.
Committee Categories
Agriculture and Natural Resources
Sponsors (25)
Kristin Dassler-Alfheim (D)*,
Dianne Hesselbein (D)*,
Brad Pfaff (D)*,
Melissa Ratcliff (D)*,
Kelda Roys (D)*,
Jeff Smith (D)*,
Mark Spreitzer (D)*,
Jamie Wall (D)*,
Bob Wirch (D)*,
Margaret Arney (D),
Jill Billings (D),
Ryan Clancy (D),
Ben DeSmidt (D),
Russell Goodwin (D),
Alex Joers (D),
Vincent Miresse (D),
Supreme Moore Omokunde (D),
Greta Neubauer (D),
Pricilla Prado (D),
Ann Roe (D),
Christine Sinicki (D),
Lee Snodgrass (D),
Ryan Spaude (D),
Shelia Stubbs (D),
Randy Udell (D),
Last Action
Representative Sheehan added as a cosponsor (on 02/20/2026)
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/sen/bill/sb901 |
| Fiscal Note - SB901: Health Insurance Mandate Report | https://docs.legis.wisconsin.gov/2025/related/fe/sb901/sb901_inins.pdf |
| BillText | https://docs.legis.wisconsin.gov/document/proposaltext/2025/REG/SB901.pdf |
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