Wisconsin 2025-2026 Regular Session

Wisconsin Senate Bill SB401

Introduced
8/25/25  
Refer
8/25/25  

Caption

An Act to create 632.895 (14m) of the statutes; Relating to: coverage of maternity and newborn care under health insurance policies and plans and granting rule-making authority.

Impact

The introduction of SB401 has potential implications for state healthcare laws, significantly altering how maternity and newborn care is covered by various insurance products. By establishing a requirement for coverage in these critical areas, the bill is designed to reduce financial burdens on families and ensure better access to necessary health services. It requires the commissioner to consider existing coverage trends when setting the required benefits to align them with industry standards, which may, in turn, promote healthier outcomes for expectant mothers and newborns throughout the state.

Summary

Senate Bill 401 mandates that specific health insurance policies and self-insured health plans cover essential maternity and newborn care. This coverage includes a variety of benefits, items, and services that the insurance commissioner will define by rule. The bill aims to standardize the coverage of maternity and newborn care, ensuring it is comprehensive and equitable across the various insurance offerings. The scope of this legislation is focused primarily on disability insurance policies provided by employers and governmental entities, thereby impacting a significant portion of insured individuals within the state.

Contention

While SB401 aims to improve healthcare access, there are points of contention regarding the potential economic impact on insurance providers and self-insured plans. Critics argue that mandatory coverage could lead to increased premiums, as insurers may need to raise prices to compensate for the expanded coverage. Additionally, there may be concerns about the administrative burden of complying with the new regulations and the implications of cost-sharing limitations that could affect the overall sustainability of insurance models. Balancing comprehensive care coverage with financial viability for insurers is expected to be a critical area of debate as the bill progresses.

Companion Bills

WI AB402

Crossfiled An Act to create 632.895 (14m) of the statutes; Relating to: coverage of maternity and newborn care under health insurance policies and plans and granting rule-making authority.

Previously Filed As

WI AB402

Coverage of maternity and newborn care under health insurance policies and plans and granting rule-making authority.

WI SB566

Coverage of infertility services under health policies and plans and granting rule-making authority. (FE)

WI AB568

Coverage of infertility services under health policies and plans and granting rule-making authority. (FE)

WI SB927

Pet insurance and granting rule-making authority.

WI AB949

Pet insurance and granting rule-making authority.

WI SB1096

Allowing private individuals, families, and private employers to elect health care coverage through plans offered by the Group Insurance Board, granting rule-making authority, and making an appropriation. (FE)

WI H3586

Health insurance coverage

WI AB720

Coverage and reimbursement of emergency ambulance services under health insurance policies and plans. (FE)

WI SB711

Coverage and reimbursement of emergency ambulance services under health insurance policies and plans. (FE)

WI SB342

Coverage of treatment for mental health or substance use disorders under health insurance policies and plans.

Similar Bills

No similar bills found.