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SB264 • 2025

coverage of breast cancer screenings by the Medical Assistance program and health insurance policies and plans

coverage of breast cancer screenings by the Medical Assistance program and health insurance policies and plans

Healthcare
Enacted

This bill passed the Legislature and reached final enactment based on the latest official action.

Sponsor
Senators Cabral-Guevara, James, L. Johnson, Carpenter, Dassler-Alfheim, Drake, Habush Sinykin, Hesselbein, Keyeski, Larson, Nass, Ratcliff, Roys, Spreitzer and Wall, cosponsored by Representatives Duchow, Nedweski, Gustafson, Subeck, Anderson, Andraca, Arney, Bare, Behnke, Brown, Clancy, DeSanto, DeSmidt, Dittrich, Donovan, Fitzgerald, Franklin, Goeben, Gundrum, Hysell, Joers, Johnson, Kirsch, Kreibich, Maxey, Miresse, Moore Omokunde, Mursau, Neubauer, Neylon, O'Connor, Ortiz-Velez, Prado, Sheehan, Snodgrass, Spaude, Steffen, Stroud, Stubbs, Tusler, Udell, Vining and Palmeri
Last action
2026-03-19
Official status
S - Enacted into law
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.

coverage of breast cancer screenings by the Medical Assistance program and health insurance policies and plans

coverage of breast cancer screenings by the Medical Assistance program and health insurance policies and plans Status: S - Enacted into law

What This Bill Does

  • coverage of breast cancer screenings by the Medical Assistance program and health insurance policies and plans Status: S - Enacted into law

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. 2026-03-19 Sen.

    Report approved by the Governor on 3-19-2026. 2025 Wisconsin Act 103

  2. 2026-03-19 Sen.

    Published 3-20-2026

  3. 2026-03-18 Sen.

    Presented to the Governor on 3-18-2026

  4. 2026-02-26 Sen.

    Report correctly enrolled

  5. 2026-02-23 Sen.

    Received from Assembly concurred in

  6. 2026-02-19 Asm.

    Read a second time

  7. 2026-02-19 Asm.

    Representatives Moses , Phelps , Doyle and Taylor added as cosponsors

  8. 2026-02-19 Asm.

    Ordered to a third reading

  9. 2026-02-19 Asm.

    Rules suspended

  10. 2026-02-19 Asm.

    Read a third time and concurred in, Ayes 96, Noes 0

  11. 2026-02-19 Asm.

    Ordered immediately messaged

  12. 2026-02-18 Asm.

    Representative Tenorio added as a cosponsor

  13. 2026-02-18 Asm.

    Representative Roe added as a cosponsor

  14. 2026-02-18 Asm.

    Withdrawn from committee on State Affairs and referred to committee on Rules

  15. 2026-02-18 Asm.

    Made a special order of business at 11:13 AM on 2-19-2026 pursuant to Assembly Resolution 14

  16. 2026-02-17 Asm.

    Representative Haywood added as a cosponsor

  17. 2026-02-12 Asm.

    Withdrawn from committee on Assembly Organization and referred to committee on State Affairs pursuant to Assembly Rule 42 (3)(c)

  18. 2026-02-12 Asm.

    Representative McGuire added as a cosponsor

  19. 2026-02-05 Asm.

    Representative Armstrong added as a cosponsor

  20. 2026-01-23 Asm.

    Representative Melotik added as a cosponsor

  21. 2025-11-25 Asm.

    Representative Tranel added as a cosponsor

  22. 2025-11-24 Asm.

    Representative B. Jacobson added as a cosponsor

  23. 2025-11-19 Asm.

    Read first time and referred to committee on Assembly Organization

  24. 2025-11-04 Asm.

    Representative Billings added as a cosponsor

  25. 2025-10-28 Asm.

    Representative Snyder added as a cosponsor

  26. 2025-10-24 Asm.

    Representative Kitchens added as a cosponsor

  27. 2025-10-16 Asm.

    Representative McCarville added as a cosponsor

  28. 2025-10-15 Asm.

    Representatives Madison and Kaufert added as cosponsors

  29. 2025-10-14 Sen.

    Representative Goodwin added as a cosponsor

  30. 2025-10-14 Sen.

    Read a second time

  31. 2025-10-14 Sen.

    Senate Amendment 1 adopted

  32. 2025-10-14 Sen.

    Ordered to a third reading

  33. 2025-10-14 Sen.

    Rules suspended to give bill its third reading

  34. 2025-10-14 Sen.

    Read a third time and passed, Ayes 32, Noes 1

  35. 2025-10-14 Sen.

    Ordered immediately messaged

  36. 2025-10-14 Asm.

    Received from Senate

  37. 2025-10-13 Sen.

    Placed on calendar 10-14-2025 pursuant to Senate Rule 18(1)

  38. 2025-10-09 Sen.

    Senate Amendment 1 offered by Senator Cabral-Guevara

  39. 2025-08-06 Sen.

    Representative Mayadev added as a cosponsor

  40. 2025-08-04 Sen.

    Fiscal estimate received

  41. 2025-08-04 Sen.

    Representative J. Jacobson added as a cosponsor

  42. 2025-07-21 Sen.

    Senator Wirch added as a coauthor

  43. 2025-07-02 Sen.

    Representative Rivera-Wagner added as a cosponsor

  44. 2025-06-20 Sen.

    Representative Sinicki added as a cosponsor

  45. 2025-06-11 Sen.

    Senator Pfaff added as a coauthor

  46. 2025-06-11 Sen.

    Representative Emerson added as a cosponsor

  47. 2025-06-02 Sen.

    Executive action taken

  48. 2025-06-02 Sen.

    Representative Krug added as a cosponsor

  49. 2025-06-02 Sen.

    Report passage recommended by Committee on Health , Ayes 5, Noes 0

  50. 2025-06-02 Sen.

    Available for scheduling

  51. 2025-05-28 Sen.

    Public hearing held

  52. 2025-05-28 Sen.

    Senator Smith added as a coauthor

  53. 2025-05-27 Sen.

    Commissioner of Insurance report received pursuant to s.601.423(2), Wisconsin Statutes

  54. 2025-05-27 Sen.

    Fiscal estimate received

  55. 2025-05-20 Sen.

    Introduced by Senators Cabral-Guevara , James , L. Johnson , Carpenter , Dassler-Alfheim , Drake , Habush Sinykin , Hesselbein , Keyeski , Larson , Nass , Ratcliff , Roys , Spreitzer and Wall ; cosponsored by Representatives Duchow , Nedweski , Gustafson , Subeck , Anderson , Andraca , Arney , Bare , Behnke , Brown , Clancy , DeSanto , DeSmidt , Dittrich , Donovan , Fitzgerald , Franklin , Goeben , Gundrum , Hysell , Joers , Johnson , Kirsch , Kreibich , Maxey , Miresse , Moore Omokunde , Mursau , Neubauer , Neylon , O'Connor , Ortiz-Velez , Prado , Sheehan , Snodgrass , Spaude , Steffen , Stroud , Stubbs , Tusler , Udell , Vining and Palmeri

  56. 2025-05-20 Sen.

    Read first time and referred to Committee on Health

Official Summary Text

coverage of breast cancer screenings by the Medical Assistance program and health insurance policies and plans
Status: S - Enacted into law

Current Bill Text

Read the full stored bill text
Wisconsin Legislature: SB264: Bill Text

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SB264: Bill Text

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2025 - 2026 LEGISLATURE
LRB-3021/1
JPC&SWB:cdc
2025 SENATE BILL 264
May 20, 2025 - Introduced by Senators
Cabral-Guevara
,
James
,
L. Johnson
,
Carpenter
,
Dassler-Alfheim
,
Drake
,
Habush Sinykin
,
Hesselbein
,
Keyeski
,
Larson
,
Nass
,
Ratcliff
,
Roys
,
Spreitzer
and
Wall
, cosponsored by Representatives
Duchow
,
Nedweski
,
Gustafson
,
Subeck
,
Anderson
,
Andraca
,
Arney
,
Bare
,
Behnke
,
Brown
,
Clancy
,
DeSanto
,
DeSmidt
,
Dittrich
,
Donovan
,
Fitzgerald
,
Franklin
,
Goeben
,
Gundrum
,
Hysell
,
Joers
,
Johnson
,
Kirsch
,
Kreibich
,
Maxey
,
Miresse
,
Moore Omokunde
,
Mursau
,
Neubauer
,
Neylon
,
O'Connor
,
Ortiz-Velez
,
Prado
,
Sheehan
,
Snodgrass
,
Spaude
,
Steffen
,
Stroud
,
Stubbs
,
Tusler
,
Udell
,
Vining
and
Palmeri
. Referred to Committee on Health.
SB264,1,7
1
An Act

to renumber
632.895 (8) (a) 1.;
to renumber and amend
632.895 (8)
2
(d);
to amend
40.51 (8m), 66.0137 (4), 120.13 (2) (g) and 609.80;
to create

3
49.46 (2) (b) 6. n., 632.895 (8) (a) 1b., 632.895 (8) (a) 1f., 632.895 (8) (a) 1k.,
4
632.895 (8) (a) 1p., 632.895 (8) (a) 1s., 632.895 (8) (a) 1w., 632.895 (8) (a) 5.,
5
632.895 (8) (a) 6., 632.895 (8) (am), 632.895 (8) (d) 2. and 632.895 (8) (d) 3. of
6
the statutes;
relating to:
coverage of breast cancer screenings by the Medical
7
Assistance program and health insurance policies and plans.
Analysis by the Legislative Reference Bureau
This bill requires health insurance policies to provide coverage for diagnostic breast examinations and for supplemental breast screening examinations for an individual who is at increased risk of breast cancer, as determined in accordance with the most recent applicable guidelines of the National Comprehensive Cancer Network, or has heterogeneously or extremely dense breast tissue, as defined by the Breast Imaging-Reporting and Data System established by the American College of Radiology. Health insurance policies are referred to in the statutes as disability insurance policies. Self-insured governmental health plans are also required to provide the coverage specified in the bill. The bill also requires coverage of those breast screenings by the Medical Assistance program, which is the state-administered Medicaid program that is jointly funded by the state and federal governments and that provides health services to individuals with limited financial resources.
Under the bill, health insurance policies may not charge a cost-sharing amount for a supplemental breast screening examination or diagnostic breast examination. The limitation on cost-sharing does not apply to the extent that the limitation would result in ineligibility for a health savings account under the federal Internal Revenue Code.
Health insurance policies are required under current law to cover two mammographic breast examinations to screen for breast cancer for a woman from ages 45 to 49 if certain criteria are satisfied. Health insurance policies must currently cover annual mammograms for a woman once she attains the age of 50. The coverage required under current law is required whether or not the woman shows any symptoms of breast cancer and may be subject to only the same exclusions and limitations, including cost sharing, that apply to other radiological examinations under the policy. The bill does not change or eliminate the current coverage requirements for mammograms, except that preferred provider plans are explicitly included in the current law and the bill’s requirements.
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:
SB264,1
1
Section

1
.
40.51 (8m) of the statutes is amended to read:
SB264,2,5
2
40.51
(8m)
Every health care coverage plan offered by the group insurance
3
board under sub. (7) shall comply with ss. 631.95, 632.722, 632.729, 632.746 (1) to
4
(8) and (10), 632.747, 632.748, 632.798, 632.83, 632.835, 632.85, 632.853, 632.855,
5
632.861, 632.867, 632.885, 632.89, and 632.895
(8) and
(11) to (17).
SB264,2
6
Section
2
.
49.46 (2) (b) 6. n. of the statutes is created to read:
SB264,2,8
7
49.46
(2)
(b) 6. n. Breast screenings for which coverage is required under s.
8
632.895 (8) (am).
SB264,3
1
Section

3
.
66.0137 (4) of the statutes is amended to read:
SB264,3,8
2
66.0137
(4)

Self-insured health plans.
If a city, including a 1st class city,
3
or a village provides health care benefits under its home rule power, or if a town
4
provides health care benefits, to its officers and employees on a self-insured basis,
5
the self-insured plan shall comply with ss. 49.493 (3) (d), 631.89, 631.90, 631.93 (2),
6
632.722, 632.729, 632.746 (10) (a) 2. and (b) 2., 632.747 (3), 632.798, 632.85,
7
632.853, 632.855, 632.861, 632.867, 632.87 (4) to (6), 632.885, 632.89, 632.895
(9)

8
(8)
to (17), 632.896, and 767.513 (4).
SB264,4
9
Section

4
.
120.13 (2) (g) of the statutes is amended to read:
SB264,3,13
10
120.13
(2)
(g) Every self-insured plan under par. (b) shall comply with ss.
11
49.493 (3) (d), 631.89, 631.90, 631.93 (2), 632.722, 632.729, 632.746 (10) (a) 2. and
12
(b) 2., 632.747 (3), 632.798, 632.85, 632.853, 632.855, 632.861, 632.867, 632.87 (4) to
13
(6), 632.885, 632.89, 632.895
(9)

(8)
to (17), 632.896, and 767.513 (4).
SB264,5
14
Section
5
.
609.80 of the statutes is amended to read:
SB264,3,19
15
609.80

Coverage of mammograms.
Defined network plans
and preferred
16
provider plans
are subject to s. 632.895 (8). Coverage of mammograms under s.
17
632.895 (8) may be subject to any requirements that the defined network plan
or
18
preferred provider plan
imposes under s. 609.05 (2) and (3) on the coverage of other
19
health care services obtained by enrollees.
SB264,6
20
Section
6
.
632.895 (8) (a) 1. of the statutes is renumbered 632.895 (8) (a) 1y.
SB264,7
21
Section
7
.
632.895 (8) (a) 1b. of the statutes is created to read:
SB264,3,24
22
632.895
(8)
(a) 1b. “Breast magnetic resonance imaging” means a diagnostic
23
tool that uses a powerful magnetic field, radio waves, and a computer to produce
24
detailed pictures of the structures within the breast.
SB264,8
1
Section
8
.
632.895 (8) (a) 1f. of the statutes is created to read:
SB264,4,3
2
632.895
(8)
(a) 1f. “Breast tomosynthesis” means a procedure that uses X-rays
3
to take a series of pictures of the inside of the breast from many different angles.
SB264,9
4
Section
9
.
632.895 (8) (a) 1k. of the statutes is created to read:
SB264,4,6
5
632.895
(8)
(a) 1k. “Breast ultrasound” means a noninvasive diagnostic tool
6
that uses high-frequency sound.
SB264,10
7
Section

10
.
632.895 (8) (a) 1p. of the statutes is created to read:
SB264,4,10
8
632.895
(8)
(a) 1p. “Contrast-enhanced mammography” means a breast
9
imaging technique that combines standard mammography with an intravenous
10
injection of iodinated contrast material.
SB264,11
11
Section
11
.
632.895 (8) (a) 1s. of the statutes is created to read:
SB264,4,18
12
632.895
(8)
(a) 1s. “Diagnostic breast examination” means a medically
13
necessary and appropriate examination of the breast, including an examination
14
using breast magnetic resonance imaging, breast ultrasound, breast tomosynthesis,
15
contrast-enhanced mammography, diagnostic mammography, and any other
16
technology as determined in accordance with the most recent applicable guidelines
17
of the National Comprehensive Cancer Network that is used to evaluate any of the
18
following:
SB264,4,20
19
a. An abnormality seen or suspected from a screening examination for breast
20
cancer.
SB264,4,22
21
b. An abnormality that is detected by a health care provider or patient by
22
another means of examination.
SB264,12
23
Section
12
.
632.895 (8) (a) 1w. of the statutes is created to read:
SB264,5,2
1
632.895
(8)
(a) 1w. “Diagnostic mammography” means a diagnostic tool that
2
uses X-rays and is designed to evaluate an abnormality in the breast.
SB264,13
3
Section
13
.
632.895 (8) (a) 5. of the statutes is created to read:
SB264,5,5
4
632.895
(8)
(a) 5. “Self-insured health plan” has the meaning given in s.
5
632.745 (24).
SB264,14
6
Section
14
.
632.895 (8) (a) 6. of the statutes is created to read:
SB264,5,15
7
632.895
(8)
(a) 6. “Supplemental breast screening examination” means a
8
medically necessary and appropriate examination of the breast, including an
9
examination using breast magnetic resonance imaging, breast ultrasound, breast
10
tomosynthesis, contrast-enhanced mammography, and any other technology as
11
determined in accordance with the most recent applicable guidelines of the
12
National Comprehensive Cancer Network that is used to screen for breast cancer
13
when there is no abnormality seen or suspected, based on personal or family
14
medical history or additional factors that may increase an individual’s risk of breast
15
cancer.
SB264,15
16
Section
15
.
632.895 (8) (am) of the statutes is created to read:
SB264,5,18
17
632.895
(8)
(am) 1. Every disability insurance policy and self-insured health
18
plan shall provide coverage of diagnostic breast examinations.
SB264,6,2
19
2. Every disability insurance policy and self-insured health plan shall provide
20
coverage to an individual who is at increased risk of breast cancer, as determined in
21
accordance with the most recent applicable guidelines of the National
22
Comprehensive Cancer Network, or has heterogeneously or extremely dense breast
23
tissue, as defined by the Breast Imaging-Reporting and Data System established by
1
the American College of Radiology, for supplemental breast screening
2
examinations.
SB264,16
3
Section
16
.
632.895 (8) (d) of the statutes is renumbered 632.895 (8) (d) 1.
4
and amended to read:
SB264,6,10
5
632.895
(8)
(d) 1. Coverage is required under this subsection despite whether
6
the woman shows any symptoms of breast cancer. Except as provided in
subds. 2.
7
and 3. and
pars. (b), (c) and (e), coverage under this subsection may only be subject
8
to exclusions and limitations, including deductibles, copayments and restrictions on
9
excessive charges, that are applied to other radiological examinations covered under
10
the disability insurance policy.
SB264,17
11
Section
17
.
632.895 (8) (d) 2. of the statutes is created to read:
SB264,6,14
12
632.895 (8) (d) 2. A disability insurance policy or self-insured health plan may
13
not impose on a covered individual a cost-sharing amount for a supplemental breast
14
screening examination or diagnostic breast examination.
SB264,18
15
Section
18
.
632.895 (8) (d) 3. of the statutes is created to read:
SB264,7,2
16
632.895
(8)
(d) 3. If, under federal law, application of this paragraph would
17
result in ineligibility for a health savings account under section 223 of the Internal
18
Revenue Code, this paragraph shall apply to a health-savings-account-qualified
19
high deductible health plan with respect to the deductible of such a plan only after
20
the enrollee has satisfied the minimum deductible under section 223 of the Internal
21
Revenue Code, except with respect to items or services that are preventive care
22
pursuant to section
223
(c) (2) (C) of the Internal Revenue Code, in which case this
1
paragraph shall apply regardless of whether the minimum deductible under section
2
22
3 of the Internal Revenue Code has been satisfied.
SB264,19
3
Section
19
. Initial applicability.
SB264,7,6
4
(
1
) For policies and plans containing provisions inconsistent with this act, the
5
act first applies to policy or plan years beginning on January 1 of the year following
6
the year in which this subsection takes effect, except as provided in sub. (2).
SB264,7,11
7
(
2
) For policies and plans that are affected by a collective bargaining
8
agreement containing provisions inconsistent with this act, this act first applies to
9
policy or plan years beginning on the effective date of this subsection or on the day
10
on which the collective bargaining agreement is newly established, extended,
11
modified, or renewed, whichever is later.
SB264,20
12
Section
20
. Effective date.

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