WI| The Wisconsin Office of the Commissioner of Insurance April 20, 2026 Bulletin announces and explains new health insurance laws affecting breast cancer screening benefits and certain administrative provisions. It describes 2025 Wisconsin Act 103, which expands and clarifies mandated coverage under Wis. Stat. § 632.895 (8) by defining “supplemental breast screening examination” and “diagnostic breast examination,” requiring no cost‑sharing for diagnostic breast exams, and prohibiting cost‑sharing on the first supplemental breast screening exam each policy year for individuals at increased risk or with dense breast tissue, effective for policy or plan years beginning January 1, 2027. The bulletin also summarizes 2025 Wisconsin Act 122, an omnibus insurance law that removes a statutory deadline so OCI can continue to seek future federal 1332 waiver extensions for the Wisconsin Healthcare Stability Plan beyond 2028, and clarifies statutory definitions and background‑check requirements distinguishing individual navigators (natural persons) from navigator entities, with related technical updates across multiple navigator statutes.
Key Changes:
- 2025 Wisconsin Act 103: Breast Cancer Screening
- 2025 Wisconsin Act 122: Insurance Omnibus Changes (Navigator Update)