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Wisconsin Legislature: SB1096: Bill Text
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SB1096: Bill Text
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2025 - 2026 LEGISLATURE
LRB-5061/1
MIM:ajk&klm
2025 SENATE BILL 1096
March 4, 2026 - Introduced by Senators
Roys
and
Larson
, cosponsored by Representatives
Brown
,
Clancy
and
Kirsch
. Referred to Committee on Government Operations, Labor and Economic Development.
SB1096,1,7
1
An Act
to renumber and amend
40.515 (3);
to amend
20.515 (1) (tm), 40.03
2
(6) (k), 40.04 (12), 40.51 (1) and 40.515 (1);
to create
20.515 (1) (g), 20.515 (1)
3
(gm), 20.515 (1) (h), 20.515 (1) (i), 40.03 (6) (km), 40.03 (6) (kp), 40.04 (13),
4
40.04 (14), 40.515 (1m), 40.515 (3) (b), 40.515 (3) (c) and 40.516 of the statutes;
5
relating to:
allowing private individuals, families, and private employers to
6
elect health care coverage through plans offered by the Group Insurance
7
Board, granting rule-making authority, and making an appropriation.
Analysis by the Legislative Reference Bureau
This bill allows an individual or family in this state that is not otherwise eligible to enroll in a group health insurance plan offered by the Group Insurance Board to enroll in any health care coverage plan offered to state employees if the individual or family meets certain conditions and pays the full cost of the required premiums. The bill also allows a private employer, including a nonprofit entity or union, located in this state to elect to have its employees who reside in this state receive any health care coverage under any health care coverage plan offered to state employees if the employer meets certain conditions and pays the full cost of the required premiums.
Under current law, GIB, which is attached to the Department of Employee Trust Funds, is required to contract on behalf of the state for the purpose of providing health care coverage to state employees and for the purpose of offering health care coverage to other nonstate public sector employers such as school boards and municipalities. Nonstate public employers may currently provide health care coverage for their employees through plans offered by GIB.
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:
SB1096,1
1
Section
1
.
20.515 (1) (g) of the statutes is created to read:
SB1096,2,5
2
20.515
(1)
(g)
Benefit and coverage payments; private individuals.
All moneys
3
received from individuals under s. 40.516 (1) (a) who elect coverage under any
4
health care coverage plan offered under s. 40.51 (6) for the payment of benefits and
5
the cost of administering benefits for those individuals.
SB1096,2
6
Section
2
.
20.515 (1) (gm) of the statutes is created to read:
SB1096,2,11
7
20.515
(1)
(gm)
Benefit and coverage payments; private employers.
All moneys
8
received from private employers under s. 40.516 (2) (b) 1. who elect to provide
9
coverage to their employees under any health care coverage plan offered under s.
10
40.51 (6) for the payment of benefits and the cost of administering benefits for
11
employees of those private employers.
SB1096,3
12
Section
3
.
20.515 (1) (h) of the statutes is created to read:
SB1096,3,2
13
20.515
(1)
(h)
Health savings account plan; private individuals.
All moneys
14
received from individuals under s. 40.515 (3) (b) relating to the establishment and
15
operation of health savings accounts under s. 40.515 (1m) for individuals who elect
16
coverage under s. 40.516 (1) and who select a high-deductible health plan, to be
1
used for the payment of expenses related to health savings accounts for such
2
individuals.
SB1096,4
3
Section
4
.
20.515 (1) (i) of the statutes is created to read:
SB1096,3,9
4
20.515
(1)
(i)
Health savings account plan; private employers.
All moneys
5
received from private employers under s. 40.515 (3) (c) relating to the establishment
6
and operation of health savings accounts under s. 40.515 (1m) for private employers
7
who elect coverage for their employees under s. 40.516 (2) and whose employees
8
select a high-deductible health plan, to be used for the payment of expenses related
9
to health savings accounts for such employees of private employers.
SB1096,5
10
Section
5
.
20.515 (1) (tm) of the statutes is amended to read:
SB1096,3,14
11
20.515
(1)
(tm)
Health savings account plan.
All moneys deposited in the
12
public employee trust fund relating to the establishment and operation of health
13
savings accounts under s. 40.515
(1)
to be used for the payment of expenses relating
14
to health savings accounts
for state employees
.
SB1096,6
15
Section
6
.
40.03 (6) (k) of the statutes is amended to read:
SB1096,3,18
16
40.03
(6)
(k) Shall establish health savings accounts for state employees who
17
select a high-deductible health plan under s. 40.515
(1)
for their health care
18
coverage plan.
SB1096,7
19
Section
7
.
40.03 (6) (km) of the statutes is created to read:
SB1096,3,22
20
40.03
(6)
(km) Shall establish health savings accounts for individuals who
21
select a high-deductible health plan under s. 40.515 (1m) for their health care
22
coverage plan.
SB1096,8
23
Section
8
.
40.03 (6) (kp) of the statutes is created to read:
SB1096,4,2
24
40.03
(6)
(kp) Shall establish health savings accounts for individuals whose
1
private employers elect to offer coverage under s. 40.516 (2) and who select a high-
2
deductible health plan under s. 40.515 (1m) for their health care coverage plan.
SB1096,9
3
Section
9
.
40.04 (12) of the statutes is amended to read:
SB1096,4,7
4
40.04
(12)
The department shall establish and maintain a separate account
5
in the fund to which shall be credited all moneys received from employees and
6
employers in connection with health savings accounts established
for state
7
employees
under s. 40.515
(1)
.
SB1096,10
8
Section
10
.
40.04 (13) of the statutes is created to read:
SB1096,4,12
9
40.04
(13)
The department shall establish and maintain a separate account to
10
which shall be credited all moneys received under s. 40.515 (3) (b) in connection
11
with health savings accounts established under s. 40.515 (1m) for individuals who
12
elect coverage under s. 40.516 (1) and who select a high-deductible health plan.
SB1096,11
13
Section
11
.
40.04 (14) of the statutes is created to read:
SB1096,4,18
14
40.04
(14)
The department shall establish and maintain a separate account to
15
which shall be credited all moneys received under s. 40.515 (3) (c) in connection
16
with health savings accounts established under s. 40.515 (1m) for employees of
17
private employers who elect coverage for their employees under s. 40.516 (2) and
18
whose employees select a high-deductible health plan.
SB1096,12
19
Section
12
.
40.51 (1) of the statutes is amended to read:
SB1096,5,2
20
40.51
(1)
The procedures and provisions pertaining to enrollment, premium
21
transmitted and coverage of eligible employees
, individuals who elect coverage
22
under s. 40.516 (1), private employers that elect coverage for their employees under
23
s. 40.516 (2), and employees of private employers that elect coverage under s. 40.516
1
(2)
for health care benefits shall be established by contract or rule except as
2
otherwise specifically provided by this chapter.
SB1096,13
3
Section
13
.
40.515 (1) of the statutes is amended to read:
SB1096,5,13
4
40.515
(1)
In addition to the health care coverage plans offered under s. 40.51
5
(6), beginning on January 1, 2015, the group insurance board shall offer to all state
6
employees the option of receiving health care coverage through a high-deductible
7
health plan and the establishment of a health savings account. Under this option,
8
each
state
employee shall receive health care coverage through a high-deductible
9
health plan. The state shall make contributions into each
state
employee’s health
10
savings account in an amount specified by the administrator of the division of
11
personnel management in the department of administration under s. 40.05 (4) (ah)
12
4. In designing a high-deductible health plan, the group insurance board shall
13
ensure that the plan may be used in conjunction with a health savings account.
SB1096,14
14
Section
14
.
40.515 (1m) of the statutes is created to read:
SB1096,5,23
15
40.515
(1m)
Beginning on January 1 following the effective date of this
16
subsection .... [LRB inserts date], the group insurance board shall offer to all
17
individuals who are eligible to elect coverage under s. 40.516 (1) or who receive
18
coverage through a private employer under s. 40.516 (2) the option of receiving
19
health care coverage through a high-deductible health plan under sub. (1) and the
20
establishment of a health savings account. The state may not make any
21
contribution to a health savings account on behalf of an individual who elects
22
coverage under s. 40.516 (1) or who receives coverage through a private employer
23
under s. 40.516 (2).
SB1096,15
1
Section
15
.
40.515 (3) of the statutes is renumbered 40.515 (3) (a) and
2
amended to read:
SB1096,6,8
3
40.515
(3)
(a) The group insurance board may collect fees from state agencies
4
to pay all administrative costs relating to the establishment and operation of health
5
savings accounts established
for state employees
under
this section
sub. (1)
. The
6
group insurance board shall develop a methodology for determining each state
7
agency’s share of the administrative costs. Moneys collected under this
subsection
8
paragraph
shall be credited to the appropriation account under s. 20.515 (1) (tm).
SB1096,16
9
Section
16
.
40.515 (3) (b) of the statutes is created to read:
SB1096,6,17
10
40.515
(3)
(b) The group insurance board shall collect fees from individuals to
11
pay all administrative costs relating to the establishment and operation of health
12
savings accounts established under sub. (1m) for individuals who elect coverage
13
under s. 40.516 (1) and who select a high-deductible health plan. The group
14
insurance board shall develop a methodology for determining the share of the
15
administrative costs related to those individuals and each individual’s share of the
16
administrative costs. Moneys collected under this paragraph shall be credited to
17
the appropriation account under s. 20.515 (1) (h).
SB1096,17
18
Section
17
.
40.515 (3) (c) of the statutes is created to read:
SB1096,7,3
19
40.515
(3)
(c) The group insurance board shall collect fees from private
20
employers to pay all administrative costs relating to the establishment and
21
operation of health savings accounts established under sub. (1m) for employees of
22
private employers who receive coverage under s. 40.516 (2) and who select a high-
23
deductible health plan. The group insurance board shall develop a methodology for
24
determining the share of the administrative costs related to those private employers
1
and each private employer’s share of the administrative costs. Moneys collected
2
under this paragraph shall be credited to the appropriation account under s. 20.515
3
(1) (i).
SB1096,18
4
Section
18
.
40.516 of the statutes is created to read:
SB1096,7,10
5
40.516
Health care coverage for private individuals.
(1)
In this
6
subsection, “individual” includes a family. Beginning on January 1 following the
7
effective date of this subsection .... [LRB inserts date], any individual in this state
8
who is not otherwise eligible for health care coverage under this subchapter may
9
elect coverage under any health care coverage plan offered under s. 40.51 (6) or
10
40.515 (1m), subject to all of the following conditions:
SB1096,7,13
11
(a) The individual pays to the department the full cost of the required
12
premiums for the health care coverage. All moneys collected under this paragraph
13
shall be deposited in the appropriation account under s. 20.515 (1) (g).
SB1096,7,14
14
(b) The individual signs a one-year agreement for health care coverage.
SB1096,7,17
15
(c) If the individual terminates health care coverage under this section before
16
the expiration of the agreement under par. (b), the individual may not receive
17
health care coverage under this section for one year following the termination date.
SB1096,7,19
18
(
2
) (a) In this subsection, “private employer” means any person who is not an
19
employer, as defined in s. 40.02 (28).
SB1096,7,24
20
(b) Beginning on January 1 following the effective date of this paragraph ....
21
[LRB inserts date], a private employer located in this state may elect coverage for
22
the private employer’s employees who reside in this state under any health care
23
coverage plan offered under s. 40.51 (6) or 40.515 (1m), subject to all of the following
24
conditions:
SB1096,8,4
1
1. The private employer pays to the department the full cost of the required
2
premiums for the private employer’s employees who elect the health care coverage.
3
All moneys collected under this subdivision shall be deposited in the appropriation
4
account under s. 20.515 (1) (gm).
SB1096,8,5
5
2. The private employer signs a two-year agreement for health care coverage.
SB1096,8,9
6
3. If the private employer terminates its health care coverage contract under
7
this section before the expiration of the agreement under par. (b), the employer may
8
not receive health care coverage for its employees under this paragraph for one year
9
following the termination date.
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