Wisconsin 2025 Regular Session Status: To Executive Bipartisan · 3 R · 2 D cosponsors

SB 183 — Relating to: reimbursement of emergency services under the Medical Assistance program when a patient is not transported, reporting on changes to the scope of practice of emergency medical responders and emergency medical services practitioners, and eligibility for the expenditure restraint incentive program. (FE)

Last action — Published 10-22-2025

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed Senate
  4. ✓
    Passed Assembly
  5. 5
    To Executive
  6. 6
    Enacted

This bill has been sent to the executive. Introduced April 14, 2025. It awaits signature.

Next likely step: the executive signs it into law or issues a veto.

Prognosis

Likely to advance 90% · high confidence

Where this bill stands today.

Odds of enactment

Moderate

How often bills like it became law.

  • To Executive

    Current position in the legislative process.

  • 28 sponsors

    1 primary, 27 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (3 R · 2 D) — cross-party backing.

  • Cleared a recorded vote

    Passed 2 recorded votes so far.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Summary

An Act to amend 79.05 (2) (c); to create 256.04 (3) of the statutes;

Bill Text

What changed in the latest version

110 added · 10 removed

Plain-language change summary

The recent amendment to SB 183 updates the reimbursement rate for non-transport ambulance services under the Medical Assistance program, setting a maximum allowable rate of $175. This change is important because it ensures that ambulance services can be better compensated for their efforts, even when patients are not transported to a hospital. Adjusting this rate may help maintain the financial viability of emergency medical services, which is crucial for communities relying on immediate care.

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- 2026 LEGISLATURE LRBa0322/1 SWB:ads&skw SENATE AMENDMENT 1, TO SENATE BILL 183 August 14, 2025 - Offered by SenatARKLEIN .
- 2026 LEGISLATURE LRB-2520/1 JPC/SWB/KP:cjs SENATE BILL 183 April 14, 2025 - Introduced by SenatoARKLEIN , AMES, PFAFF, PREITZER and T ESTI, cosponsored by RepresentativesURTZ, IMMERMAN , UMMERFIELD , D ITTRICH, DONOVAN , DUCHOW , FRANKLIN, G REEN, GUSTAFSON , KAUFERT , K ITCHENS, KREIBICH, MAXEY, MELOTIK, MOSES, MURSAU , O'ONNOR , ORTIZ- V ELEZ, PIWOWARCZYK , STEFFEN , SUBECK, V ANDERM EER and N EDWESKI .
At the locations indicated, amend the bill as follows:
Referred to Committee on Health.
1.
A N A CT to amend 79.05 (2) (c);
Page 4, line 14:
to create 256.04 (3) of the statutes;
delete the material beginning with XfeeY and ending with X(bls-emergency)Y on line 17 and substitute Xreimbursement rate under the Medical Assistance program to a maximum allowable reimbursement rate of $175Y.
relating to:
(END )
reimbursement of emergency services under the Medical Assistance program when a patient is not transported, reporting on changes to the scope of practice of emergency medical responders and emergency medical services practitioners, and eligibility for the expenditure restraint incentive program.
Analysis by the Legislative Reference Bureau Medical Assistance reimbursement for nontransport ambulance services Under current law, the Department of Health Services uses a standardized coding system, which is known as the Healthcare Common Procedure Coding System (HCPCS) and produced by the federal Centers for Medicare and Medicaid Services, to describe certain products, supplies, and services for those submitting claims for reimbursement under the Medical Assistance program.
The Medical Assistance program is a joint state and federal program that provides health services to individuals who have limited financial resources.
This bill directs DHS to change, for dates of service beginning with January 1, 2027, the current maximum reimbursement allowed under the Medical Assistance program for services provided under HCPCS code A0998, often referenced as “ambulance response and treatment, no transport,” from the current maximum allowable fee to - 2026 Legislature - 2 - LRB-2520/1 JPC/SWB/KP:cjs SENATE BILL 183 SECTION 1 a rate that matches the maximum allowable rate for reimbursement of services provided under HCPCS code A0429, often referenced with a description of “ambulance service, basic life support, emergency transport (bls-emergency).” Report on scope of practice changes The bill requires the Emergency Medical Services Board, in consultation with DHS and the Technical College System Board, to annually submit a report to the legislature on state and national changes to the scope of practice of emergency medical responders, emergency medical services practitioners, or any equivalent practitioners in other jurisdictions and how those scope of practice changes may affect training for emergency medical responders and emergency medical services practitioners in this state.
Expenditure restraint incentive program The bill also excludes expenditures of amounts levied for fees apportioned to each municipality operating a joint fire department or joint emergency medical services district that are exempt from local levy limits from being considered in determining eligibility for an expenditure restraint incentive program payment.
Under current law, a municipality is eligible to receive an expenditure restraint incentive program payment if its property tax levy is greater than 5 mills and if the annual increase in its municipal budget, subject to certain exceptions, is less than the sum of factors based on inflation and the increased value of property in the municipality as a result of new construction.
For further information see the state and local fiscal estimate, which will be printed as an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:
SECTION 1.
79.05 (2) (c) of the statutes is amended to read:
79.05 (2) (c) Its municipal budget;
exclusive of principal and interest on long- term debt and exclusive of revenue sharing payments under s.
66.0305, payments of premiums under s.
66.0137 (5) (c) 1.
and 1m., expenditures of amounts levied under s.
66.0602 (3) (h), revenues generated from a tax imposed under s.
77.701, payments received under s.
79.038, expenditures of payments due to the termination of a tax incremental district under s.
79.096 (3), recycling fee payments under s.
289.645, expenditures of grant payments under s.
16.297 (1m), unreimbursed expenses - 2026 Legislature - 3 - LRB-2520/1 JPC/SWB/KP:cjs SENATE BILL 183 SECTION 1 related to an emergency declared under s.
323.10, expenditures from moneys received pursuant to P.L.
111-5, grants received from the state or federal government for the purpose of providing law enforcement, fire protection, or emergency medical services, and expenditures made pursuant to a purchasing agreement with a school district whereby the municipality makes purchases on behalf of the school district;
for the year of the statement under s.
79.015 increased over its municipal budget as adjusted under sub.
(6);
exclusive of principal and interest on long-term debt and exclusive of revenue sharing payments under s.
66.0305, payments of premiums under s.
66.0137 (5) (c) 1.
and 1m., expenditures of amounts levied under s.
66.0602 (3) (h), revenues generated from a tax imposed under s.
77.701, payments received under s.
79.038, expenditures of payments due to the termination of a tax incremental district under s.
79.096 (3), recycling fee payments under s.
289.645, expenditures of grant payments under s.
Show all 52 changed rows (12 more)
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16.297 (1m), unreimbursed expenses related to an emergency declared under s.
323.10, expenditures from moneys received pursuant to P.L.
111-5, grants received from the state or federal government for the purpose of providing law enforcement, fire protection, or emergency medical services, and expenditures made pursuant to a purchasing agreement with a school district whereby the municipality makes purchases on behalf of the school district;
for the year before that year by less than the sum of the inflation factor and the valuation factor, rounded to the nearest 0.10 percent.
S ECTION 2.
256.04 (3) of the statutes is created to read:
256.04 (3) Annually, no later than September 15, in consultation with the - 2026 Legislature - 4 - LRB-2520/1 JPC/SWB/KP:cjs SENATE BILL 183 SECTION 2 department of health services and the technical college system board, submit a report to the chief clerk of each house of the legislature for distribution to the legislature under s.
13.172 (2) on state and national changes to the scope of practice of emergency medical responders, emergency medical services practitioners, or any equivalent practitioners in other jurisdictions and how those scope of practice changes may affect training for emergency medical responders and emergency medical services practitioners in this state.
S ECTION 3.
Nonstatutory provisions.
(1) MEDICAL ASSISTANCE REIMBURSEMENT RATES FOR NONTRANSPORT AMBULANCE SERVICES .
For dates of service beginning with January 1, 2027, the department of health services shall increase reimbursement rates for services provided and reimbursable under the healthcare common procedure coding system code A0998 with a description of “ambulance response and treatment, no transport” from the current maximum allowable fee to a rate that matches the maximum allowable rate for reimbursement of services provided under healthcare common procedure coding system code A0429 with a description of “ambulance service, basic life support, emergency transport (bls-emergency).” (END)
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Action History

  1. Published 10-22-2025

  2. Report approved by the Governor on 10-21-2025. 2025 Wisconsin Act 36

  3. Presented to the Governor on 10-16-2025 by directive of the President, pursuant to Senate Rule 44m (3)

  4. Report correctly enrolled

  5. Representative J. Jacobson added as a cosponsor

  6. Received from Assembly concurred in

  7. Ordered immediately messaged

  8. Read a third time and concurred in

  9. Rules suspended

  10. Ordered to a third reading

  11. Decision of the Chair upheld, Ayes 53, Noes 43

  12. Decision of the Chair appealed

  13. Point of order that Assembly Amendment 1 not germane under Assembly Rule 54 (3)(f) well taken

  14. Assembly Amendment 1 offered by Representative Joers

  15. Read a second time

  16. Rules suspended to withdraw from Senate message and take up

  17. Read

  18. Received from Senate

  19. Ordered immediately messaged

  20. Read a third time and passed

  21. Rules suspended to give bill its third reading

  22. Ordered to a third reading

  23. Senate Amendment 1 adopted

  24. Read a second time

  25. Representative Miresse added as a cosponsor

  26. Senator Ratcliff added as a coauthor

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

  28. Representative Udell added as a cosponsor

  29. Senate Amendment 1 offered by Senator Marklein

  30. Representative Palmeri added as a cosponsor

  31. Available for scheduling

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

  33. Executive action taken

  34. Fiscal estimate received

  35. Representative Stroud added as a cosponsor

  36. Representative Andraca added as a cosponsor

  37. Public hearing held

  38. Fiscal estimate received

  39. Fiscal estimate received

  40. Senator Habush Sinykin added as a coauthor

  41. Senator Drake added as a coauthor

  42. Representative Madison added as a cosponsor

  43. Read first time and referred to Committee on Health

  44. Introduced by Senators Marklein, James, Pfaff, Spreitzer and Testin; cosponsored by Representatives Kurtz, Zimmerman, Summerfield, Dittrich, Donovan, Duchow, Franklin, Green, Gustafson, Kaufert, Kitchens, Kreibich, Maxey, Melotik, Moses, Mursau, O'Connor, Ortiz-Velez, Piwowarczyk, Steffen, Subeck, VanderMeer and Nedweski

Sponsors

  • Kurtz · Cosponsor
  • Zimmerman · Cosponsor
  • Summerfield · Cosponsor
  • Dittrich · Cosponsor
  • Donovan · Cosponsor
  • Duchow · Cosponsor
  • Franklin · Cosponsor
  • Green · Cosponsor
  • Gustafson · Cosponsor
  • Kaufert · Cosponsor
  • Kitchens · Cosponsor
  • Kreibich · Cosponsor
  • Maxey · Cosponsor
  • Melotik · Cosponsor
  • Moses · Cosponsor
  • Mursau · Cosponsor
  • O'Connor · Cosponsor
  • Ortiz-Velez · Cosponsor
  • Piwowarczyk · Cosponsor
  • Steffen · Cosponsor
  • Subeck · Cosponsor
  • VanderMeer · Cosponsor
  • Nedweski · Cosponsor
  • Howard Marklein · Primary
  • Jesse James · Cosponsor
  • Brad Pfaff · Cosponsor
  • Mark Spreitzer · Cosponsor
  • Patrick Testin · Cosponsor

Sponsorship breakdown

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1 sponsors · 27 co-sponsors · 104 not signed on · 41 voted No

Sponsors (1)

Co-sponsors (27)

  • Kurtz
  • Zimmerman
  • Summerfield
  • Dittrich
  • Donovan
  • Duchow
  • Franklin
  • Green
  • Gustafson
  • Kaufert
  • Kitchens
  • Kreibich
  • Maxey
  • Melotik
  • Moses
  • Mursau
  • O'Connor
  • Ortiz-Velez
  • Piwowarczyk
  • Steffen
  • Subeck
  • VanderMeer
  • Nedweski
  • James, Jesse Republican
  • Pfaff, Brad Democrat
  • Spreitzer, Mark Democrat
  • Testin, Patrick Republican

Not signed on (104)

104 members have not signed on to this bill.

Show all 104 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Decision of the Chair upheld

Passed 53 Yea · 43 Nay · 3 Other
Party YeaNayPresentNot Voting
Republican 52001
Democrat 04102
Unaffiliated 1200
Total 534303
% of votes cast 54%43%0%3%
How each member voted (99)
Member Party Vote
JOHNSON — Nay
MOORE OMOKUNDE — Nay
SPEAKER — Yea
Anderson, Clinton Democrat Nay
Andraca, Deb Democrat Nay
Arney, Margaret Democrat Nay
Bare, Mike Democrat Nay
Billings, Jill Democrat Nay
Brown, Brienne Democrat Nay
Clancy, Ryan Democrat Not Voting
Cruz, Angelina Democrat Nay
DeSanto, Karen Democrat Nay
DeSmidt, Ben Democrat Nay
Doyle, Steve Democrat Nay
Emerson, Jodi Democrat Nay
Fitzgerald, Joan Democrat Nay
Goodwin, Russell Democrat Nay
Haywood, Kalan Democrat Nay
Hong, Francesca Democrat Nay
Hysell, Andrew Democrat Nay
Jacobson, Jenna Democrat Nay
Joers, Alex Democrat Nay
Kirsch, Karen Democrat Nay
Madison, Darrin Democrat Nay
Mayadev, Renuka Democrat Nay
McCarville, Maureen Democrat Nay
McGuire, Tip Democrat Nay
Miresse, Vincent Democrat Nay
Neubauer, Greta Democrat Nay
Ortiz-Velez, Sylvia Democrat Nay
Palmeri, Lori Democrat Nay
Phelps, Christian Democrat Nay
Prado, Priscilla Democrat Nay
Rivera-Wagner, Amaad Democrat Nay
Roe, Ann Democrat Nay
Sheehan, Joe Democrat Nay
Sinicki, Christine Democrat Nay
Snodgrass, Lee Democrat Nay
Spaude, Ryan Democrat Nay
Stroud, Angela Democrat Nay
Stubbs, Shelia Democrat Nay
Subeck, Lisa Democrat Nay
Taylor, Sequanna Democrat Nay
Tenorio, Angelito Democrat Nay
Udell, Randy Democrat Nay
Vining, Robyn Democrat Not Voting
Allen, Scott Republican Yea
Armstrong, David Republican Yea
August, Tyler Republican Yea
Behnke, Elijah Republican Yea
Born, Mark Republican Yea
Brill, Lindee Republican Yea
Brooks, Robert Republican Yea
Callahan, Calvin Republican Yea
Dallman, Alex Republican Yea
Dittrich, Barbara Republican Yea
Donovan, Bob Republican Yea
Duchow, Cindi Republican Yea
Franklin, Benjamin Republican Yea
Goeben, Joy Republican Yea
Green, Chanz Republican Yea
Gundrum, Rick Republican Yea
Gustafson, Nate Republican Yea
Hurd, Karen Republican Yea
Jacobson, Brent Republican Yea
Kaufert, Dean Republican Yea
Kitchens, Joel Republican Yea
Knodl, Daniel Republican Yea
Kreibich, Rob Republican Yea
Krug, Scott Republican Yea
Kurtz, Tony Republican Yea
Maxey, Dave Republican Yea
Melotik, Paul Republican Yea
Moses, Clint Republican Yea
Murphy, David Republican Yea
Mursau, Jeffrey Republican Not Voting
Nedweski, Amanda Republican Yea
Neylon, Adam Republican Yea
Novak, Todd Republican Yea
O'Connor, Jerry Republican Yea
Penterman, William Republican Yea
Petersen, Kevin Republican Yea
Piwowarczyk, Jim Republican Yea
Pronschinske, Treig Republican Yea
Rodriguez, Jessie Republican Yea
Snyder, Patrick Republican Yea
Sortwell, Shae Republican Yea
Spiros, John Republican Yea
Steffen, David Republican Yea
Summerfield, Rob Republican Yea
Swearingen, Rob Republican Yea
Tittl, Paul Republican Yea
Tranel, Travis Republican Yea
Tucker, Duke Republican Yea
Tusler, Ron Republican Yea
VanderMeer, Nancy Republican Yea
Wichgers, Chuck Republican Yea
Wittke, Robert Republican Yea
Zimmerman, Shannon Republican Yea

Official roll call →

Subjects

public-safety healthcare health-insurance
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Frequently asked questions

What does SB 183 do?
An Act to amend 79.05 (2) (c); to create 256.04 (3) of the statutes;
Who sponsors SB 183?
SB 183 is sponsored by Kurtz, Zimmerman, Summerfield, Dittrich, Donovan, Duchow, Franklin, Green, Gustafson, Kaufert, Kitchens, Kreibich, Maxey, Melotik, Moses, Mursau, O'Connor, Ortiz-Velez, Piwowarczyk, Steffen, Subeck, VanderMeer, Nedweski, Marklein, Howard (Republican), James, Jesse (Republican), Pfaff, Brad (Democrat), Spreitzer, Mark (Democrat), and Testin, Patrick (Republican).
What is the current status of SB 183?
This bill has been sent to the executive. Introduced April 14, 2025. It awaits signature.
Where can I track SB 183?
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