AB 1217 Wisconsin Assembly · 2025-2026 Regular Session

Relating to: prior authorization transparency, exemptions from prior authorization requirements, and granting rule-making authority. (FE)

This bill requires health care plans to publicly disclose their prior authorization requirements on their websites in plain language, making it easier for patients and providers to understand which services need approval before being covered. It mandates that plans maintain complete lists of required authorizations, including when rules began and ended, and ensures clinical review criteria are based on nationally recognized, evidence-based standards. The legislation also grants the state insurance commissioner authority to create rules regarding prior authorization exemptions and establishes protections against claim denials when prior authorization rules change after services are already provided.
Bill status failed 1 of 4 stages cleared
Introduction
Mar 2026
Committee Review
Floor Vote
Governor
Introduced Mar 19, 2026 Last action Mar 30, 2026
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Mar 19, 2026
Introduced
Introduced by Representatives Prado, Clancy, Madison, McCarville, Sinicki and Tenorio; cosponsored by Senators Roys, Larson, Ratcliff and Smith
lower
6 primary · 0 co-sponsors

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