SB 4 Wisconsin Senate · 2025-2026 Regular Session

Relating to: agreements for direct primary care.

SB 4 establishes legal requirements for direct primary care agreements in Wisconsin. It defines these contracts as written arrangements between healthcare providers and patients (or employers) where providers offer ongoing primary care services for a fixed subscription fee. Key provisions mandate that agreements must detail specific services, specify the fee, allow termination with written notice, and be signed by both parties. The bill was vetoed by the Governor on August 11, 2025, preventing it from becoming law.
Bill status vetoed 4 of 5 stages cleared
Introduction
Jan 2025
Committee Review
Feb 2025
Senate Passage
Mar 2025
Assembly Passage
May 2025
Vetoed
Aug 2025
Introduced Jan 24, 2025 Vetoed Aug 11, 2025
Maddy AI version diff · 1 comparison

What changed between versions

Bill Text Text as Enrolled · 2 edits
MINOR
The bill text was converted from a draft version to the final enacted law, changing the title from 'Senate Bill 4' to '2025 Wisconsin Act'. The substantive policy content regarding direct primary care agreements, including definitions, validity criteria, and provider obligations, remains unchanged.
TECHNICAL

The document title was updated to reflect its status as an enacted law ('2025 Wisconsin Act') rather than a pending bill.

Minor formatting and punctuation adjustments were made to the text, such as adding an asterisk to 'patient's legal representative' and correcting line breaks.

Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
31
Key actions
3
Committee
1
Amendments
2
Aug 11, 2025
Vetoed
Report vetoed by the Governor on 8-8-2025
upper
May 13, 2025
Lower · Passed
Read a third time and concurred in
lower
Mar 18, 2025
Upper · Passed
Read a third time and passed, Ayes 18, Noes 14
upper
Mar 18, 2025
Amended
Senate Amendment 1 rejected, Ayes 18, Noes 14
upper
Mar 18, 2025
Introduced
Senate Amendment 1 offered by Senators Spreitzer, Ratcliff, Carpenter, Dassler-Alfheim, Roys, Pfaff, Smith, Drake, Habush Sinykin, Hesselbein, L. Johnson, Keyeski, Larson and Wall
upper
Feb 21, 2025
Upper · Passed
Report passage recommended by Committee on Health, Ayes 3, Noes 2
upper
Jan 24, 2025
Introduced
Introduced by Senators Cabral-Guevara, Kapenga, Nass and Testin; cosponsored by Representatives Duchow, Brooks, Armstrong, Dittrich, Hurd, Murphy, O'Connor, Rodriguez and Wichgers
upper
4 primary · 0 co-sponsors

Sponsors