Bills · 2025-2026 Regular Session
Relating to: utilization management controls for antipsychotic prescription drugs under the Medical Assistance program. (FE)
Drugs Drunken driving Health services department of — Health Medical assistance Medical education United states — Food and drug administration
- Introduced, stopped here
- Passes Assembly, not reached
- Passes Senate, not reached
- Governor signs, not reached
- Law, not reached
Unfamiliar terms? Glossary
What this bill does
Plain-language analysis by the nonpartisan Legislative Reference Bureau
This bill prohibits the Department of Health Services from imposing any utilization management controls for prescription drugs under the Medical Assistance program that are approved by the federal Food and Drug Administration and are classified as antipsychotic. Utilization management controls are formal techniques used by a health carrier or prescription drug utilization management entity that are designed to evaluate prescription drug medical necessity, appropriateness, efficacy, or efficiency. Currently, DHS administers the Medical Assistance program, which is a joint federal and state program that provides health services to individuals who have limited financial resources.
What it would cost
Fiscal estimates filed by state agencies, as official PDFs
Sponsors
Registered lobbying interests · 11
Organizations that registered lobbying activity on this bill with the Wisconsin Ethics Commission. Registration means interest, not a position for or against. Official record
- Alliance of Health Insurers, U.A.
- Coalition of Wisconsin Aging Groups
- Lundbeck Pharmaceuticals LLC
- Medical College of Wisconsin
- National Alliance on Mental Illness Wisconsin
- Otsuka America Pharmaceutical, Inc.
- Pharmacy Society of Wisconsin
- Wisconsin Academy of Family Physicians
- Wisconsin Association of Health Plans
- Wisconsin Nurses Association
- Wisconsin Psychiatric Association
Full history
- Feb 24, 2025 · Assembly
Introduced by Representatives Novak, Gundrum, B. Jacobson, Mursau, Sortwell, Steffen and Tittl; cosponsored by Senators James, Cabral-Guevara and Wanggaard
- Feb 24, 2025 · Assembly
Read first time and referred to Committee on Health, Aging and Long-Term Care
- Apr 4, 2025 · Assembly
Fiscal estimate received
- May 15, 2025 · Assembly
Assembly Substitute Amendment 1 offered by Representative Novak
- Aug 28, 2025 · Assembly
Assembly Substitute Amendment 2 offered by Representative Novak
- Sep 9, 2025 · Assembly
Representative Subeck added as a coauthor
- Oct 15, 2025 · Assembly
Public hearing held
- Oct 29, 2025 · Assembly
Fiscal estimate received
- Mar 23, 2026 · Assembly
Failed to pass pursuant to Senate Joint Resolution 1