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Wisconsin Legislature: SB1066: Bill Text
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SB1066: Bill Text
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2025 - 2026 LEGISLATURE
LRB-6459/1
EKL:cdc
2025 SENATE BILL 1066
February 26, 2026 - Introduced by Senators
Roys
,
Larson
and
Spreitzer
, cosponsored by Representatives
Tenorio
,
Cruz
,
Clancy
,
Madison
,
McCarville
,
Miresse
,
Rivera-Wagner
,
Sinicki
and
Udell
. Referred to Committee on Utilities, Technology and Tourism.
SB1066,1,3
1
An Act
to create
609.825 and 632.852 of the statutes;
relating to:
use of
2
artificial intelligence to deny prior authorization for medical necessity or
3
experimental status.
Analysis by the Legislative Reference Bureau
This bill provides that a health insurance policy or self-insured governmental health plan may not use artificial intelligence to deny a prior authorization for medical necessity or experimental status. Rather, under the bill, a licensed health care provider who is an individual must review a prior authorization that involves medical necessity or experimental status before the policy or plan may deny the prior authorization.
The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:
SB1066,1
4
Section
1
.
609.825 of the statutes is created to read:
SB1066,1,7
5
609.825 Human review of prior authorization for medical necessity or
6
experimental status.
Limited service health organizations, preferred provider
7
plans, and defined network plans are subject to s. 632.852.
SB1066,2
1
Section
2
.
632.852 of the statutes is created to read:
SB1066,2,9
2
632.852 Human review of prior authorization for medical necessity or
3
experimental status.
A disability insurance policy, as defined in s. 632.895 (1)
4
(a), or a self-insured health plan, as defined in s. 632.85 (1) (c), may not use artificial
5
intelligence to deny a prior authorization for medical necessity or experimental
6
status. An appropriate licensed health care provider who is an individual shall
7
review a prior authorization that involves medical necessity or experimental status
8
before the disability insurance policy or self-insured health plan may deny the prior
9
authorization.
SB1066,3
10
Section
3
. Initial applicability.
SB1066,2,13
11
(
1
) For policies and plans containing provisions inconsistent with s. 632.852,
12
the treatment of s. 632.852 first applies to policy or plan years beginning on the
13
effective date of this subsection, except as provided in sub. (
2
).
SB1066,2,18
14
(
2
) For policies and plans that are affected by a collective bargaining
15
agreement containing provisions inconsistent with s. 632.852, the treatment of s.
16
632.872 first applies to policy or plan years beginning on the effective date of this
17
subsection or on the day on which the collective bargaining agreement is newly
18
established, extended, modified, or renewed, whichever is later.
SB1066,4
19
Section
4
. Effective date.
SB1066,2,21
20
(
1
) This act takes effect on the first day of the 4th month beginning after
21
publication.
SB1066,2,22
22
(end)
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true
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section
true
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