Wisconsin 2025 Regular Session Status: Introduced Bipartisan · 5 R · 3 D cosponsors

SB 373 — Relating to: prior authorization for coverage of physical therapy, occupational therapy, speech therapy, chiropractic services, and other services under health plans.

Last action — Failed to pass pursuant to Senate Joint Resolution 1

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

This bill has been introduced in the Senate. Introduced July 16, 2025. It must pass committee before a floor vote.

Next likely step: a committee referral and hearing.

Prognosis

Advancing 54% · moderate confidence

Where this bill stands today.

Odds of enactment

Low

How often bills like it became law.

  • Introduced

    Current position in the legislative process.

  • 25 sponsors

    1 primary, 24 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (5 R · 3 D) — cross-party backing.

  • Cleared a recorded vote

    Passed 1 recorded vote 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 632.85 (title) and 632.85 (3); to create 632.85 (1) (d) and 632.851 of the statutes;

Bill Text

How this bill changes current law

8 changes Share ↗

Compared against current U.S. Code AI-generated reading aid — verify against the official bill.

The bill amends existing laws to prohibit prior authorization requirements for specific therapy services and establishes new regulations regarding health plans' management of these services.

  • Wis. Stat. § 632.85 (title)

    Coverage without prior authorization for treatment of an emergency medical condition. → Coverage without prior authorization for treatment of an emergency medical condition; other conditions.

    Updates the title to include additional coverage conditions beyond emergency medical care.

  • Wis. Stat. § 632.85 (1)

    (d) "Urgent health care service" means a health care service for which the application of the time for making a nonexpedited request for prior authorization, in the opinion of a physician or other health care provider with knowledge of the covered person’s medical condition, could seriously jeopardize the life or health of the covered person or subject the covered person to severe pain.

    Defines 'urgent health care service', establishing criteria for urgent care requiring prioritization in authorization.

  • Wis. Stat. § 632.85 (3)

    A health care plan or a self-insured health plan that is required to provide the coverage under sub. (2) may not require prior authorization for the provision or coverage of the emergency medical services specified in sub. (2). → A health care plan or a self-insured health plan that is required to provide the coverage under sub. (2) may not require prior authorization for the provision or coverage of the emergency medical services specified in sub. (2), any covered service that is incidental to a covered surgical service and determined by the covered person’s physician or other health care provider to be medically necessary, or any covered health care service that is an urgent health care service.

    Expands the prohibition on prior authorization to include services incidental to surgical services and urgent health care services.

  • Wis. Stat. § 632.851

    Prior authorization; general; physical, occupational, speech therapy and chiropractic care. (2)(a) A health benefit plan or self-insured health plan that uses prior authorization procedures may not do any of the following: (a) Require prior authorization for the first 12 physical therapy, occupational therapy, speech therapy, or chiropractic visits with no duration of care limitation.

    Prohibits prior authorization for the first 12 visits of specified therapies, making access easier.

  • Wis. Stat. § 632.851

    (2)(b) Require prior authorization for any physical therapy, occupational therapy, or chiropractic care for the nonpharmacologic management of pain provided to individuals with chronic pain for the first 90 days of treatment not to exceed a frequency of twice per week per service.

    Ensures that individuals with chronic pain can receive necessary therapy without prior authorization for a specified period.

  • Wis. Stat. § 632.851

    (3)(c) When a copay or coinsurance is required, impose copayment and coinsurance amounts on covered individuals for the services that are equivalent to copayment and coinsurance amounts imposed on covered individuals for primary care services under the plan.

    Aligns cost-sharing structures for therapy services with those of primary care.

  • Wis. Stat. § 632.851

    (4) Every health benefit plan or self-insured health plan, when requested to authorize coverage following completion of the initial 12 visits... shall issue a decision on reauthorization within 3 business days of receiving the request.

    Creates a timeline for health plans to make reauthorization decisions, improving efficiency and transparency.

  • Wis. Stat. § 632.851

    (5)(a) Provide to any licensed health care provider upon request all medical evidence-based policy information that accompanies the algorithms that are used to manage coverage.

    Mandates transparency in utilization review processes by providing providers with policy information.

Action History

  1. Failed to pass pursuant to Senate Joint Resolution 1

  2. Available for scheduling

  3. Report passage recommended by Committee on Insurance, Housing, Rural Issues and Forestry, Ayes 5, Noes 0

  4. Executive action taken

  5. Representatives Andraca and Sinicki added as cosponsors

  6. Representative Moses added as a cosponsor

  7. Representative Melotik added as a cosponsor

  8. Representative Maxey added as a cosponsor

  9. Senator Larson added as a coauthor

  10. Representative Vining added as a cosponsor

  11. Public hearing held

  12. Representative Steffen added as a cosponsor

  13. Representative Anderson added as a cosponsor

  14. Representative Stubbs added as a cosponsor

  15. Representative Fitzgerald added as a cosponsor

  16. Representatives Ortiz-Velez and Dittrich added as cosponsors

  17. Representative J. Jacobson added as a cosponsor

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

  19. Representative Phelps added as a cosponsor

  20. Representative Billings added as a cosponsor

  21. Read first time and referred to Committee on Insurance, Housing, Rural Issues and Forestry

  22. Introduced by Senators Tomczyk, Feyen, James, Nass, Testin, Dassler-Alfheim, Keyeski and Ratcliff; cosponsored by Representatives Wittke, Allen, Behnke, Brooks, Duchow, Franklin, Kreibich, Krug, Mursau, Tittl, Wichgers, Hysell, Joers, Madison, Miresse, Subeck and Udell

Sponsors

  • Wittke · Cosponsor
  • Allen · Cosponsor
  • Behnke · Cosponsor
  • Brooks · Cosponsor
  • Duchow · Cosponsor
  • Franklin · Cosponsor
  • Kreibich · Cosponsor
  • Krug · Cosponsor
  • Mursau · Cosponsor
  • Tittl · Cosponsor
  • Wichgers · Cosponsor
  • Hysell · Cosponsor
  • Joers · Cosponsor
  • Madison · Cosponsor
  • Miresse · Cosponsor
  • Subeck · Cosponsor
  • Udell · Cosponsor
  • Cory Tomczyk · Primary
  • Dan Feyen · Cosponsor
  • Jesse James · Cosponsor
  • Steve Nass · Cosponsor
  • Patrick Testin · Cosponsor
  • Kristin Dassler-Alfheim · Cosponsor
  • Sarah Keyeski · Cosponsor
  • Melissa Ratcliff · Cosponsor

Sponsorship breakdown

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1 sponsors · 24 co-sponsors · 107 not signed on

Sponsors (1)

Co-sponsors (24)

Not signed on (107)

107 members have not signed on to this bill.

Show all 107 →

"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

Subjects

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Frequently asked questions

What does SB 373 do?
An Act to amend 632.85 (title) and 632.85 (3); to create 632.85 (1) (d) and 632.851 of the statutes;
Who sponsors SB 373?
SB 373 is sponsored by Wittke, Allen, Behnke, Brooks, Duchow, Franklin, Kreibich, Krug, Mursau, Tittl, Wichgers, Hysell, Joers, Madison, Miresse, Subeck, Udell, Tomczyk, Cory (Republican), Feyen, Dan (Republican), James, Jesse (Republican), Nass, Steve (Republican), Testin, Patrick (Republican), Dassler-Alfheim, Kristin (Democrat), Keyeski, Sarah (Democrat), and Ratcliff, Melissa (Democrat).
What is the current status of SB 373?
This bill has been introduced in the Senate. Introduced July 16, 2025. It must pass committee before a floor vote.
Where can I track SB 373?
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