Read the full stored bill text
Wisconsin Legislature: SB251: Bill Text
Skip navigation
Home
Documents
Senate
Assembly
Committees
Service Agencies
Docs
Options
Help
2025 Biennium
Statutes
Admin. Rules
Indices
Miscellaneous
Archives
Home
Bill, Rule, and Appointment Histories
Senators
Representatives
Committees
Text of Introduced Proposals
Amendment Text
Acts
Veto Messages
Enrolled Bills
Votes
Assembly and Senate Floor Calendars
Schedule of Committee Activities
Assembly and Senate Journals
Committee Records (ROCPs)
Legislative Rules
All Session-Related Documents
Subject Index to Acts
Subject Index to Legislation
Subject Index to Journals
Author Index to Legislation
Subject Index to Clearinghouse Rules
Miscellaneous Budget Documents
Executive Orders
Rulings of the Chair
Wisconsin Supreme Court Rules
Opinions of the Attorney General
Town Law Forms
Law
Districts
Session
Drafting Files
Feeds
Preferences
Show tree
Hide tree
Feedback
Help
Home
Senate Home
Senators
Committees
Session
Chief Clerk
Sergeant at Arms
Civics Education
Human Resources
Assembly Home
Representatives
Committees
Session
Chief Clerk
Sergeant at Arms
Human Resources
Schedule
Joint
Senate
Assembly
Study
Legislative Audit Bureau
Legislative Council
Legislative Fiscal Bureau
Legislative Human Resources Office
Legislative Reference Bureau
Legislative Technology Services Bureau
Menu
»
2025
»
Related Documents
»
Proposal Text
»
SB251: Bill Text
Up
Up
2025 - 2026 LEGISLATURE
LRB-2917/1
JPC:cjs&skw
2025 SENATE BILL 251
May 9, 2025 - Introduced by Senators
Dassler-Alfheim
,
Keyeski
,
Drake
,
Hesselbein
,
L. Johnson
,
Larson
,
Ratcliff
,
Roys
,
Spreitzer
and
Wirch
, cosponsored by Representatives
Snodgrass
,
Mayadev
,
McCarville
,
Anderson
,
Andraca
,
Arney
,
Bare
,
Brown
,
Clancy
,
DeSmidt
,
Emerson
,
Fitzgerald
,
J. Jacobson
,
Joers
,
Johnson
,
Madison
,
Miresse
,
Moore Omokunde
,
Neubauer
,
Ortiz-Velez
,
Palmeri
,
Phelps
,
Prado
,
Roe
,
Sheehan
,
Spaude
,
Stroud
,
Stubbs
,
Subeck
,
Tenorio
and
Udell
. Referred to Committee on Health.
SB251,1,3
1
An Act
to create
609.835 and 632.895 (16g) of the statutes;
relating to:
cost-
2
sharing caps on prescription drugs and medical supplies to treat asthma
3
under health insurance policies and plans.
Analysis by the Legislative Reference Bureau
This bill requires health insurance policies and plans that provide coverage of prescription drugs to cover prescription drugs and related medical supplies for the treatment of asthma. This bill provides that “related medical supplies” includes asthma inhalers and other medical supply items necessary to effectively and appropriately administer a prescription drug prescribed to treat asthma. This bill requires policies and plans to limit the amount of any enrollee cost-sharing for the coverage provided in the bill to no more than $25 per one-month supply for each prescription drug prescribed to treat asthma and to no more than $50 per month for all related medical supplies. Cost-sharing may not increase with the number of conditions for which an enrollee is treated. Further, the coverage provided in the bill may not be subject to any deductible. However, the bill provides that the limitations on cost-sharing and deductibles do not apply to the extent that the limitations would result in ineligibility for a health savings account under the federal Internal Revenue Code.
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:
SB251,1
1
Section
1
.
609.835 of the statutes is created to read:
SB251,2,4
2
609.835 Coverage of prescription drugs and medical supplies to treat
3
asthma.
Limited service health organizations, preferred provider plans, and
4
defined network plans are subject to s. 632.895 (16g).
SB251,2
5
Section
2
.
632.895 (16g) of the statutes is created to read:
SB251,2,9
6
632.895
(16g)
Coverage of prescription drugs and medical supplies to
7
treat asthma
. (a) In this subsection, “related medical supplies” includes asthma
8
inhalers and other medical supply items necessary to effectively and appropriately
9
administer a prescription drug prescribed to treat asthma.
SB251,2,13
10
(b) Subject to par. (c), every disability insurance policy and every self-insured
11
health plan of the state or of a county, city, town, village, or school district that
12
provides coverage of prescription drugs shall cover prescription drugs and related
13
medical supplies for the treatment of asthma.
SB251,2,20
14
(c) A disability insurance policy or self-insured health plan of the state or of a
15
county, city, town, village, or school district to which par. (b) applies shall limit the
16
amount of any enrollee cost-sharing to no more than $25 per one-month supply for
17
each prescription drug prescribed to treat asthma and to no more than $50 per
18
month for all related medical supplies. The cost-sharing limitations under this
19
paragraph may not increase with the number of conditions for which an enrollee is
20
treated. Coverage under this subsection may not be subject to any deductible.
SB251,3,9
1
(d) If, under federal law, application of par. (c) would result in ineligibility for
2
a health savings account under section
22
3 of the Internal Revenue Code, par. (c)
3
shall apply to a health-savings-account-qualified high deductible health plan with
4
respect to the deductible of such a plan only after the enrollee has satisfied the
5
minimum deductible under section
22
3 of the Internal Revenue Code, except with
6
respect to items or services that are preventive care pursuant to section
22
3 (c) (2)
7
(C) of the Internal Revenue Code, in which case par. (c) shall apply regardless of
8
whether the minimum deductible under section
22
3 of the Internal Revenue Code
9
has been satisfied.
SB251,3
10
Section
3
. Initial applicability.
SB251,3,13
11
(
1
)
For policies and plans containing provisions inconsistent with this act, this
12
act first applies to policy or plan years beginning on the effective date of this
13
subsection, except as provided in sub. (
2
).
SB251,3,18
14
(
2
)
For policies and plans that are affected by a collective bargaining
15
agreement containing provisions inconsistent with this act, this act first applies to
16
policy or plan years beginning on the effective date of this subsection or on the day
17
on which the collective bargaining agreement is newly established, extended,
18
modified, or renewed, whichever is later.
SB251,4
19
Section
4
. Effective date.
SB251,3,21
20
(
1
)
This act takes effect on the first day of the 4th month beginning after
21
publication.
SB251,3,22
22
(end)
Down
Down
/2025/related/proposals/sb251
true
proposaltext
/2025/related/proposals/sb251
proposaltext/2025/REG/SB251
proposaltext/2025/REG/SB251
section
true
Menu
»
2025
»
Related Documents
»
Proposal Text
»
SB251: Bill Text
×
Details for
PDF view
Link
(Permanent link)
Bookmark this location
View toggle
Go to top of document
Search in this chapter
Search in this section
Search in this agency
Search in this chapter group
Search in this chapter
Search in this section
Cross references for section
Acts affecting this section
References to this
1970 Statutes Annotations
Appellate Court Citations
Administrative Code Index
Reference lines
Clear highlighting