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Bills · 2025-2026 Regular Session

SB 264

Became law Official bill text Atom feed

Relating to: coverage of breast cancer screenings by the Medical Assistance program and health insurance policies and plans. (FE)

Disease Insurance — Health Medical assistance Women

  1. Introduced, completed
  2. Passes Senate, completed
  3. Passes Assembly, completed
  4. Governor signs, completed
  5. Law, completed

Unfamiliar terms? Glossary

What this bill does

Plain-language analysis by the nonpartisan Legislative Reference Bureau

This bill requires health insurance policies to provide coverage for diagnostic breast examinations and for supplemental breast screening examinations for an individual who is at increased risk of breast cancer, as determined in accordance with the most recent applicable guidelines of the National Comprehensive Cancer Network, or has heterogeneously or extremely dense breast tissue, as defined by the Breast Imaging-Reporting and Data System established by the American College of Radiology. Health insurance policies are referred to in the statutes as disability insurance policies. Self-insured governmental health plans are also required to provide the coverage specified in the bill. The bill also requires coverage of those breast screenings by the Medical Assistance program, which is the state-administered Medicaid program that is jointly funded by the state and federal governments and that provides health services to individuals with limited financial resources.

Under the bill, health insurance policies may not charge a cost-sharing amount for a supplemental breast screening examination or diagnostic breast examination. The limitation on cost-sharing does not apply to the extent that the limitation would result in ineligibility for a health savings account under the federal Internal Revenue Code.

Health insurance policies are required under current law to cover two mammographic breast examinations to screen for breast cancer for a woman from ages 45 to 49 if certain criteria are satisfied. Health insurance policies must currently cover annual mammograms for a woman once she attains the age of 50. The coverage required under current law is required whether or not the woman shows any symptoms of breast cancer and may be subject to only the same exclusions and limitations, including cost sharing, that apply to other radiological examinations under the policy. The bill does not change or eliminate the current coverage requirements for mammograms, except that preferred provider plans are explicitly included in the current law and the bill’s requirements.

This proposal may contain a health insurance mandate requiring a social and financial impact report under s. 601.423, stats.

What it would cost

Fiscal estimates filed by state agencies, as official PDFs

Sponsors

Introduced by: Cabral-Guevara (R) , Carpenter (D) , Dassler-Alfheim (D) , Drake (D) , Habush Sinykin (D) , Hesselbein (D) , James (R) , Keyeski (D) , L. Johnson (D) , Larson (D) , Nass (R) , Ratcliff (D) , Roys (D) , Spreitzer (D) , Wall (D)

67 cosponsors

Anderson (D) , Andraca (D) , Armstrong (R) , Arney (D) , B. Jacobson (R) , Bare (D) , Behnke (R) , Billings (D) , Brown (D) , Clancy (D) , DeSanto (D) , DeSmidt (D) , Dittrich (R) , Donovan (R) , Duchow (R) , Emerson (D) , Fitzgerald (D) , Franklin (R) , Goeben (R) , Goodwin (D) , Gundrum (R) , Gustafson (R) , Haywood (D) , Hysell (D) , J. Jacobson (D) , Joers (D) , Johnson (D) , Kirsch (D) , Kitchens (R) , Kreibich (R) , Krug (R) , Madison and Kaufert , Maxey (R) , Mayadev (D) , McCarville (D) , McGuire (D) , Melotik (R) , Miresse (D) , Moore Omokunde (D) , Moses, Phelps, Doyle and Taylor , Mursau (R) , Nedweski (R) , Neubauer (D) , Neylon (R) , O'Connor (R) , Ortiz-Velez (D) , Palmeri (D) , Pfaff (D) , Prado (D) , Rivera-Wagner (D) , Roe (D) , Sheehan (D) , Sinicki (D) , Smith (D) , Snodgrass (D) , Snyder (R) , Spaude (D) , Steffen (R) , Stroud (D) , Stubbs (D) , Subeck (D) , Tenorio (D) , Tranel (R) , Tusler (R) , Udell (D) , Vining (D) , Wirch (D)

Registered lobbying interests · 21

Organizations that registered lobbying activity on this bill with the Wisconsin Ethics Commission. Registration means interest, not a position for or against. Official record

Votes

Senate: Report passage recommended by Committee on Health, Ayes 5, Noes 0

Passed 5–0 Jun 2, 2025 official source full page

No individual roll call was recorded for this vote. Committee votes and some older sessions record totals only.

Senate: PASSAGE

Passed 32–1 Oct 14, 2025 official source full page

Nay · 1

Assembly: CONCURRENCE

Passed 96–0 Feb 19, 2026 official source full page

Aye · 96

Not voting · 3

Full history

  1. May 20, 2025 · Senate

    Introduced by Senators Cabral-Guevara, James, L. Johnson, Carpenter, Dassler-Alfheim, Drake, Habush Sinykin, Hesselbein, Keyeski, Larson, Nass, Ratcliff, Roys, Spreitzer and Wall; cosponsored by Representatives Duchow, Nedweski, Gustafson, Subeck, Anderson, Andraca, Arney, Bare, Behnke, Brown, Clancy, DeSanto, DeSmidt, Dittrich, Donovan, Fitzgerald, Franklin, Goeben, Gundrum, Hysell, Joers, Johnson, Kirsch, Kreibich, Maxey, Miresse, Moore Omokunde, Mursau, Neubauer, Neylon, O'Connor, Ortiz-Velez, Prado, Sheehan, Snodgrass, Spaude, Steffen, Stroud, Stubbs, Tusler, Udell, Vining and Palmeri

  2. May 20, 2025 · Senate

    Read first time and referred to Committee on Health

  3. May 27, 2025 · Senate

    Commissioner of Insurance report received pursuant to s.601.423(2), Wisconsin Statutes

  4. May 27, 2025 · Senate

    Fiscal estimate received

  5. May 28, 2025 · Senate

    Public hearing held

  6. May 28, 2025 · Senate

    Senator Smith added as a coauthor

  7. Jun 2, 2025 · Senate

    Executive action taken

  8. Jun 2, 2025 · Senate

    Representative Krug added as a cosponsor

  9. Jun 2, 2025 · Senate

    Report passage recommended by Committee on Health, Ayes 5, Noes 0

  10. Jun 2, 2025 · Senate

    Available for scheduling

  11. Jun 11, 2025 · Senate

    Senator Pfaff added as a coauthor

  12. Jun 11, 2025 · Senate

    Representative Emerson added as a cosponsor

  13. Jun 20, 2025 · Senate

    Representative Sinicki added as a cosponsor

  14. Jul 2, 2025 · Senate

    Representative Rivera-Wagner added as a cosponsor

  15. Jul 21, 2025 · Senate

    Senator Wirch added as a coauthor

  16. Aug 4, 2025 · Senate

    Fiscal estimate received

  17. Aug 4, 2025 · Senate

    Representative J. Jacobson added as a cosponsor

  18. Aug 6, 2025 · Senate

    Representative Mayadev added as a cosponsor

  19. Oct 9, 2025 · Senate

    Senate Amendment 1 offered by Senator Cabral-Guevara

  20. Oct 13, 2025 · Senate

    Placed on calendar 10-14-2025 pursuant to Senate Rule 18(1)

  21. Oct 14, 2025 · Senate

    Representative Goodwin added as a cosponsor

  22. Oct 14, 2025 · Senate

    Read a second time

  23. Oct 14, 2025 · Senate

    Senate Amendment 1 adopted

  24. Oct 14, 2025 · Senate

    Ordered to a third reading

  25. Oct 14, 2025 · Senate

    Rules suspended to give bill its third reading

  26. Oct 14, 2025 · Senate

    Read a third time and passed, Ayes 32, Noes 1

  27. Oct 14, 2025 · Senate

    Ordered immediately messaged

  28. Oct 14, 2025 · Assembly

    Received from Senate

  29. Oct 15, 2025 · Assembly

    Representatives Madison and Kaufert added as cosponsors

  30. Oct 16, 2025 · Assembly

    Representative McCarville added as a cosponsor

  31. Oct 24, 2025 · Assembly

    Representative Kitchens added as a cosponsor

  32. Oct 28, 2025 · Assembly

    Representative Snyder added as a cosponsor

  33. Nov 4, 2025 · Assembly

    Representative Billings added as a cosponsor

  34. Nov 19, 2025 · Assembly

    Read first time and referred to committee on Assembly Organization

  35. Nov 24, 2025 · Assembly

    Representative B. Jacobson added as a cosponsor

  36. Nov 25, 2025 · Assembly

    Representative Tranel added as a cosponsor

  37. Jan 23, 2026 · Assembly

    Representative Melotik added as a cosponsor

  38. Feb 5, 2026 · Assembly

    Representative Armstrong added as a cosponsor

  39. Feb 12, 2026 · Assembly

    Withdrawn from committee on Assembly Organization and referred to committee on State Affairs pursuant to Assembly Rule 42 (3)(c)

  40. Feb 12, 2026 · Assembly

    Representative McGuire added as a cosponsor

  41. Feb 17, 2026 · Assembly

    Representative Haywood added as a cosponsor

  42. Feb 18, 2026 · Assembly

    Representative Tenorio added as a cosponsor

  43. Feb 18, 2026 · Assembly

    Representative Roe added as a cosponsor

  44. Feb 18, 2026 · Assembly

    Withdrawn from committee on State Affairs and referred to committee on Rules

  45. Feb 18, 2026 · Assembly

    Made a special order of business at 11:13 AM on 2-19-2026 pursuant to Assembly Resolution 14

  46. Feb 19, 2026 · Assembly

    Read a second time

  47. Feb 19, 2026 · Assembly

    Representatives Moses, Phelps, Doyle and Taylor added as cosponsors

  48. Feb 19, 2026 · Assembly

    Ordered to a third reading

  49. Feb 19, 2026 · Assembly

    Rules suspended

  50. Feb 19, 2026 · Assembly

    Read a third time and concurred in, Ayes 96, Noes 0

  51. Feb 19, 2026 · Assembly

    Ordered immediately messaged

  52. Feb 23, 2026 · Senate

    Received from Assembly concurred in

  53. Feb 26, 2026 · Senate

    Report correctly enrolled

  54. Mar 18, 2026 · Senate

    Presented to the Governor on 3-18-2026

  55. Mar 19, 2026 · Senate

    Report approved by the Governor on 3-19-2026. 2025 Wisconsin Act 103

  56. Mar 19, 2026 · Senate

    Published 3-20-2026