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AB1086 • 2025

reimbursement of maternal mental health screenings under the Medical Assistance program and coverage of maternal mental health screenings by health insurance policies and plans

reimbursement of maternal mental health screenings under the Medical Assistance program and coverage of maternal mental health screenings by health insurance policies and plans

Healthcare
Did Not Pass

The latest official action shows that this bill did not move forward in that session.

Sponsor
Representatives Stubbs, Madison, Joers, Moore Omokunde, Goodwin, Ortiz-Velez, Arney, Hong, Clancy, DeSmidt, Sinicki and Palmeri, cosponsored by Senators L. Johnson, Roys, Wirch, Ratcliff, Hesselbein, Spreitzer and Larson
Last action
2026-03-23
Official status
A - Health, Aging and Long-Term Care
Effective date
Not listed

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

reimbursement of maternal mental health screenings under the Medical Assistance program and coverage of maternal mental health screenings by health insurance policies and plans

reimbursement of maternal mental health screenings under the Medical Assistance program and coverage of maternal mental health screenings by health insurance policies and plans Status: A - Health, Aging and Long-Term Care

What This Bill Does

  • reimbursement of maternal mental health screenings under the Medical Assistance program and coverage of maternal mental health screenings by health insurance policies and plans Status: A - Health, Aging and Long-Term Care

Limits and Unknowns

  • This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Bill History

  1. 2026-03-23 Asm.

    Failed to pass pursuant to Senate Joint Resolution 1

  2. 2026-03-19 Asm.

    Representative Subeck added as a coauthor

  3. 2026-03-18 Asm.

    Representative Anderson added as a coauthor

  4. 2026-03-05 Asm.

    Representative Sheehan added as a coauthor

  5. 2026-02-26 Asm.

    Introduced by Representatives Stubbs , Madison , Joers , Moore Omokunde , Goodwin , Ortiz-Velez , Arney , Hong , Clancy , DeSmidt , Sinicki and Palmeri ; cosponsored by Senators L. Johnson , Roys , Wirch , Ratcliff , Hesselbein , Spreitzer and Larson

  6. 2026-02-26 Asm.

    Read first time and referred to Committee on Health, Aging and Long-Term Care

Official Summary Text

reimbursement of maternal mental health screenings under the Medical Assistance program and coverage of maternal mental health screenings by health insurance policies and plans
Status: A - Health, Aging and Long-Term Care

Current Bill Text

Read the full stored bill text
Wisconsin Legislature: AB1086: Bill Text

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Proposal Text
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AB1086: Bill Text

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2025 - 2026 LEGISLATURE
LRB-0533/1
KMS:klm
2025 ASSEMBLY BILL 1086
February 26, 2026 - Introduced by Representatives
Stubbs
,
Madison
,
Joers
,
Moore Omokunde
,
Goodwin
,
Ortiz-Velez
,
Arney
,
Hong
,
Clancy
,
DeSmidt
,
Sinicki
and
Palmeri
, cosponsored by Senators
L. Johnson
,
Roys
,
Wirch
,
Ratcliff
,
Hesselbein
,
Spreitzer
and
Larson
. Referred to Committee on Health, Aging and Long-Term Care.
AB1086,1,4
1
An Act

to create
49.45 (30y), 49.46 (2) (b) 12e., 609.803 and 632.895 (15r) of the
2
statutes;
relating to:
reimbursement of maternal mental health screenings
3
under the Medical Assistance program and coverage of maternal mental
4
health screenings by health insurance policies and plans.
Analysis by the Legislative Reference Bureau
This bill requires the Department of Health Services to request any necessary waiver of federal Medicaid law or amendment to the state Medical Assistance plan to allow Medical Assistance reimbursement for maternal mental health screenings. The bill directs DHS to develop standards and best practices for maternal mental health screenings in consultation with organizations that work to improve maternal mental health and that are led by Black persons, Indigenous persons, or other persons of color. The bill provides that maternal mental health screenings may be provided by a licensed midwife, a licensed nurse-midwife, or any other licensed health care provider who may provide the maternal mental health screening within the provider’s scope of practice. The Medical Assistance program is a joint state and federal program that provides health services to individuals who have limited financial resources. Additionally, the bill requires health insurance policies and self-insured governmental health plans to provide coverage of a maternal mental health screening as described in the bill for each pregnancy.
This proposal may contain a health insurance mandate requiring a social and financial impact report under s. 601.423, stats.
For further information see the state fiscal estimate, which will be printed as an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:
AB1086,1
1
Section
1
.
49.45 (30y) of the statutes is created to read:
AB1086,2,4
2
49.45
(30y)

Maternal mental health screenings.
(a) A maternal mental
3
health screening under s. 49.46 (2) (b) 12e. that adheres to the standards in par. (b)
4
provided to an individual is reimbursable under the Medical Assistance program.
AB1086,2,8
5
(b) 1. The department, in consultation with organizations that work to
6
improve maternal mental health and that are led by Black persons, Indigenous
7
persons, or other persons of color, shall develop standards and best practices for
8
maternal mental health screenings.
AB1086,2,13
9
2. Maternal mental health screenings may be provided by a licensed midwife,
10
as defined in s. 440.9805 (2), a person licensed to engage in the practice of nurse-
11
midwifery under s. 441.15, or any other licensed health care provider who may
12
provide the maternal mental health screening consistent with the provider’s scope
13
of practice.
AB1086,2,19
14
(c) If the department determines that it is unable to implement this
15
subsection without a state plan amendment or waiver of federal law, the
16
department shall submit to the federal department of health and human services
17
any state plan amendment or waiver of federal law necessary to implement this
18
subsection. If the federal government disapproves the amendment or waiver
19
request, the department is not required to implement this subsection.
AB1086,2
1
Section

2
.
49.45 (30y) (b) 2. of the statutes, as created by 2025 Wisconsin Act
2
.... (this act), is amended to read:
AB1086,3,9
3
49.45
(30y)
(b) 2. Maternal mental health screenings may be provided by a
4
licensed midwife, as defined in s. 440.9805 (2),
a person licensed to engage in the
5
practice of nurse-midwifery under s. 441.15

an individual who is licensed as an
6
advanced practice registered nurse and possesses a certified nurse-midwife
7
specialty designation under s. 441.09
, or any other licensed health care provider
8
who may provide the maternal mental health screening consistent with the
9
provider’s scope of practice.
AB1086,3
10
Section
3
.
49.46 (2) (b) 12e. of the statutes is created to read:
AB1086,3,12
11
49.46
(2)
(b) 12e. Subject to the requirements under s. 49.45 (30y), maternal
12
mental health screenings.
AB1086,4
13
Section
4
.
609.803 of the statutes is created to read:
AB1086,3,16
14
609.803

Maternal mental health screenings.
Limited service health
15
organizations, preferred provider plans, and defined network plans are subject to s.
16
632.895 (15r).
AB1086,5
17
Section
5
.
632.895 (15r) of the statutes is created to read:
AB1086,3,21
18
632.895
(15r)

Maternal mental health screening.
Every disability
19
insurance policy and self-insured health plan of the state or a county, city, village,
20
town, or school district that provides maternity coverage shall cover a maternal
21
mental health screening for each pregnancy as described in s. 49.46 (2) (b) 12e.
AB1086,6
22
Section
6
. Initial applicability.
AB1086,4,2
23
(
1
) For policies and plans containing provisions inconsistent with s. 632.895
1
(15r), the treatment of s. 632.895 (15r) first applies to policy or plan years beginning
2
on the effective date of this subsection, except as provided in sub. (
2
).
AB1086,4,7
3
(
2
) For policies and plans that are affected by a collective bargaining
4
agreement containing provisions inconsistent with s. 632.895 (15r), the treatment
5
of s. 632.895 (15r) first applies to policy or plan years beginning on the effective date
6
of this subsection or on the day on which the collective bargaining agreement is
7
newly established, extended, modified, or renewed, whichever is later.
AB1086,7
8
Section

7
. Effective dates.
This act takes effect on the day after
9
publication, except as follows:
AB1086,4,10
10
(
1
)

The amendment of s. 49.45 (30y) (b) 2. takes effect on September 1, 2026.
AB1086,4,11
11
(end)

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