Last Updated: April 25, 2017
The Office of the Commissioner of Insurance is required by law (s. 601.423, Wis. Stat.) to prepare a report on the social and financial impact of any health insurance mandate contained in any proposed legislation affecting an insurance policy, plan, or contract. The report prepared by the Commissioner shall assess, to the extent possible, the following social and financial impact factors relevant to the particular health insurance mandate:
- The portion of the state's residents who use the treatment or service covered by the proposed mandate and the extent to which it is used.
- The availability of insurance coverage for the treatment or service.
- The number of persons who would be eligible for coverage under the health insurance mandate and the availability of insurance coverage without the mandate.
- Whether the mandate may increase or decrease the cost of treatment or the service covered by the mandate.
- Whether the mandate would increase the use of the treatment or service covered by the mandate and whether any increased use would substitute for a more expensive treatment or service.
- The impact of the mandate on total costs of health care in the state.
- Whether the mandate would increase administrative costs to insurance companies and the premium costs to policyholders.
The following social and financial impact reports were prepared by the Commissioner's office.
January 2017 Special Session AB 6/SB 6 (JR7)—Relating to authorizing the director of the Office of Educational Opportunity in the University of Wisconsin System to contract for the operation of a recovery charter school, insurance coverage of mental health treatment provided by a recovery charter school, and making appropriations.
Social and Finanical Impact Report Dated March 7, 2017
SB 70—Relating to mandatory insurance coverage of insureds' children until the age of 27.
Social and Financial Impact Report Dated December 14, 2010
SB 163—Relating to health insurance coverage of colorectal cancer screening.
Social and Financial Impact Report Dated December 14, 2010
AB 512—Relating to health insurance coverage of nervous and mental disorders, alcoholism, and other drug abuse problems.
Social and Financial Impact Report Dated April 12, 2010
SB 3—Relating to health insurance coverage of treatment for autism spectrum disorders.
Social and Financial Impact Report Dated September 29, 2009
SB 27—Relating to requiring health insurance coverage of hearing aids and cochlear implants for persons under 18 years of age.
Social and Financial Impact Report Dated April 24, 2009
SB 178—Requires every disability insurance policy (with some exceptions) and every self-insured health plan of the state or a county, city, town, village, or school district to provide coverage of treatment for an autism spectrum disorder.
Social and Financial Impact Report Dated June 6, 2008
SB 154—Requires every disability insurance policy providing coverage to Wisconsin residents to continue coverage for a dependent student who loses full-time status due to a medical leave of absence.
Social and Financial Impact Report Dated August 2, 2007
AB 280—Requires every disability insurance policy providing coverage to Wisconsin residents to continue coverage for a dependent student who loses full-time status due to a medical leave of absence.
Social and Financial Impact Report Dated August 2, 2007
SB 288/AB 617—Prohibits a health care plan from denying coverage for a health care service, item, or drug administered in a cancer clinical trial if the service, item, or drug would have been covered had it not been administered in a clinical trial and if the clinical trial meets certain requirements.
Social and Financial Impact Report Dated November 1, 2005
SB 128/AB 252—Increases the minimum dollar amounts that must be covered for inpatient, outpatient, and transitional treatment related to mental health and AODA treatment in group health insurance plans and certain individual health benefit plans.
Social and Financial Impact Report Dated September 16, 2005
AB 362—Proposes changes to the current statutory requirement for coverage of prescription drug medication used in the treatment of diabetes, referred to as the Diabetes mandate.
Social and Financial Impact Report Dated August 18, 2003
AB 364—Requires health care plans that provide coverage of prescription medication to provide off-label coverage of a drug, and services related to administering the drug that is prescribed by a physician for treating cancer.
Social and Financial Impact Report Dated July 31, 2003
SB 72—Increases the minimum dollar amounts that must be covered for inpatient, outpatient, transitional treatment related to mental health and AODA treatment in group health insurance plans and certain individual health benefit plans.
Social and Financial Impact Report Dated July 8, 2003
Follow-up to Social and Financial Impact Report Dated January 21, 2004
SB 157—Expands coverage for services related to mental health and AODA treatment in group health insurance plans and certain individual health benefit plans.
Social and Financial Impact Report Dated October 16, 2001
SB 128—Health insurance coverage of contraceptive articles and services
Social and Financial Impact Report Dated August 7, 2001
SB 136—Immunizations
Social and Financial Impact Report Dated April 7, 2000
SB 308—Mental health parity
Social and Financial Impact Report Dated March 23, 2000
AB 264 & SB 115—Requires health insurance coverage of smoking cessation treatment and medications
Social and Financial Impact Report Dated March 16, 2000