AB 1214 Wisconsin Assembly · 2025-2026 Regular Session

Relating to: prior authorization for treatment of severe misalignment or malocclusion of teeth under health insurance policies and plans.

This bill requires health insurance plans and self-insured programs to stop using the Salzmann Evaluation Index alone when deciding whether to cover treatment for severe misalignment or malocclusion of teeth. It directly affects dental coverage under disability insurance policies, self-insured plans, limited service health organizations, preferred provider plans, and defined network plans. The law mandates that these plans must consider additional factors beyond the index when making prior authorization decisions for orthodontic treatments. The changes apply to policy years starting after the law takes effect, with specific timing for plans affected by collective bargaining agreements.
Bill status failed 1 of 4 stages cleared
Introduction
Mar 2026
Committee Review
Floor Vote
Governor
Introduced Mar 19, 2026 Last action Mar 23, 2026
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Mar 19, 2026
Introduced
Introduced by Representatives Joers, Bare, Brown, Clancy, DeSmidt, Hysell, Sinicki and Stubbs; cosponsored by Senators Hesselbein, Larson and Ratcliff
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8 primary · 0 co-sponsors

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