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Wisconsin Bill: SB 174

Relating to: coverage of individuals with preexisting conditions and benefit limits under health plans.

Topics

Health Freedom

Bill Information

MAHA Approved

Summary

This bill establishes comprehensive health insurance protections that would take effect if federal Affordable Care Act (ACA) provisions are no longer enforceable. The bill requires all health benefit plans in the state to accept individuals and employers for coverage regardless of preexisting conditions, with enrollment restricted to specific open and special enrollment periods. Premium rates can only be varied based on four factors: family coverage status, geographic rating area, age (with rates limited to a 3:1 ratio), and tobacco use (with rates limited to a 1.5:1 ratio). The bill explicitly prohibits health plans from imposing preexisting condition exclusions.

Introduced

04/03/2025

In Committee

02/04/2026

Passed

Pending

Sponsors

André Jacque

André Jacque

Republican Senator (WI)

Steve Nass

Steve Nass

Republican Senator (WI)

Melissa Ratcliff

Melissa Ratcliff

Democratic Senator (WI)

Mark Spreitzer

Mark Spreitzer

Democratic Senator (WI)

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