Wisconsin 2025-2026 Regular Session

Wisconsin Assembly Bill AB1087

Introduced
2/26/26  
Refer
2/26/26  

Caption

An Act to amend 40.51 (8), 40.51 (8m), 66.0137 (4), 120.13 (2) (g) and 185.983 (1) (intro.); to create 609.40 and 632.7498 of the statutes; Relating to: special enrollment period for pregnancy.

Impact

If enacted, AB1087 will modify existing regulations surrounding health coverage plans, particularly affecting the enrollment process for pregnant individuals. This bill aims to facilitate better access to healthcare for pregnant individuals, thereby improving the overall healthcare outcomes for mothers and their children. The provisions outlined in the bill would apply to all health benefit plans and self-insured governmental health plans, establishing a more inclusive process for pregnant individuals to secure health coverage without facing restrictions tied to traditional enrollment periods.

Summary

Assembly Bill 1087 introduces a special enrollment period for pregnant individuals, allowing them to enroll in health insurance plans at any time during their pregnancy. The bill is designed to ensure that eligible individuals, along with those related to them, can gain access to health coverage that begins no later than the first day of the month in which they receive medical verification of their pregnancy. Moreover, the bill mandates that insurers notify individuals of this special enrollment period when they are initially offered the chance to enroll in the plan.

Contention

Though there are no explicit points of contention documented in the discussions surrounding AB1087, it is typical for bills related to healthcare to face scrutiny regarding their potential economic impact on insurance providers as well as possible pushback regarding changes in enrollment regulations. Stakeholders, including healthcare organizations and insurance companies, could have differing views on how the bill alters existing practices, potentially leading to debates over cost implications and the administrative burden associated with implementing these changes.

Companion Bills

WI SB1103

Crossfiled An Act to amend 40.51 (8), 40.51 (8m), 66.0137 (4), 120.13 (2) (g) and 185.983 (1) (intro.); to create 609.40 and 632.7498 of the statutes; Relating to: special enrollment period for pregnancy.

Previously Filed As

WI SB1103

Special enrollment period for pregnancy.

WI SB794

Health Insurance - Special Enrollment Period for Pregnancy - Coverage Effective Date

WI HF606

A bill for an act relating to certain health insurance policies, contracts, and plans and a special enrollment period for pregnant women.(See HF 2415.)

WI HF2415

A bill for an act relating to certain health insurance policies, contracts, and plans and a special enrollment period for pregnant women.(Formerly HF 606.)

WI HB2083

Pregnant qualified individuals; Va. Health Benefit Exchange to establish special enrollment period.

WI AB2122

Infractions: warrants and penalties.

WI AB100

An act to amend the Budget Act of 2023 (Chapters 12, 38, and 189 of the Statutes of 2023) by amending Items 5227-122-0001 and 7502-495 of Section 2.

WI SB521

Health Insurance - Material Changes to Provider Networks - Notification and Special Enrollment Period

WI HB684

Health Insurance - Material Changes to Provider Networks - Notification and Special Enrollment Period

WI HB245

An Act to amend and reenact ยงยง 16.1-123.1, 16.1-241, 19.2-183, and 19.2-186 of the Code of Virginia, relating to jurisdiction of district courts in felony cases; specialty dockets; Behavioral Health Docket Act.

Similar Bills

No similar bills found.