Summary of Assembly Bill 1110 (Session 2025, Wisconsin)
Note: The provided materials emphasize title, sponsors, and procedural history but do not include the full text of the bill. The summary below reflects the bill’s stated purpose in its title and the typical scope of related provisions, with clear notes where details are not specified in the available information.
1) Purpose and Intent
- Primary aim: Relate to fertility treatment rights, reimbursement of fertility treatments under the Medical Assistance program, and requiring insurance coverage for fertility treatments.
- In short, the bill seeks to:
- Establish or clarify rights related to fertility treatment for individuals or couples.
- Clarify or mandate reimbursement of fertility treatments under Wisconsin’s Medical Assistance (MA) program.
- Require insurance coverage for fertility treatments.
Without the full text, the precise definitions (e.g., who has rights, what treatments are covered, and under what circumstances) and the exact scope (state employees, state programs, private insurance, etc.) cannot be confirmed here.
2) Key Provisions and Changes (as implied by the title)
Given the title, the bill likely addresses the following areas:
Fertility Treatment Rights
- Establishes or reinforces patient rights related to access to fertility treatments.
- May specify non-discrimination in access to fertility services on the basis of marital status, sexual orientation, or other protected characteristics.
- Could include patient-friendly provisions such as informed consent, privacy protections, and reasonable accommodations.
Medicaid (Medical Assistance) Reimbursement
- Modifies how fertility treatments are reimbursed under the MA program.
- Could expand eligible fertility services under MA, specify coverage limits, prior authorization requirements, or timelines for reimbursement.
- May address cost-sharing, parity with other medical services, or guidance for MA providers.
Insurance Coverage for Fertility Treatments
- Establishes requirements for private or group health insurance plans to cover fertility treatments.
- Potentially sets minimum coverage standards, applicable services (e.g., in vitro fertilization, intrauterine insemination, infertility evaluations, fertility preservation), and tolerance for exclusions.
- May outline exemptions or waivers for small employers or religious employers, as allowed by law, and any transition timelines.
Important caveat: The exact services covered, limitations, exclusions, and implementation details (e.g., effective dates, grace periods) depend on the enacted text of the bill.
3) Who/What Would Be Affected
- Individuals and couples seeking fertility treatment:
- Potentially broader access to covered services and clearer rights within the state.
- Patients enrolled in Wisconsin’s Medical Assistance program:
- Possible changes to which fertility treatments are reimbursed and at what level.
- Insurance policyholders and plans:
- Private and group health insurance plans may be required to cover specified fertility treatments.
- Health care providers and clinics:
- Providers offering fertility services may see changes in reimbursement processes, consent requirements, and administrative obligations.
- Employers and insurers:
- Depending on exemptions, small employers or faith-based organizations might face specified obligations or accommodations.
4) Procedural and Timeline Aspects
- Introduced and Co-authored (2026):
- Introduced by a broad coalition of representatives.
- Co-sponsored by multiple legislators from both chambers.
- Committee Referral:
- Referred to the Assembly Committee on Health, Aging and Long-Term Care for consideration.
- Status:
- The record shows activity in March 2026, with efforts to advance through the legislative process; at one point a path via Senate Joint Resolution 1 is noted, but the current status would need an official updated briefing to confirm final disposition.
- Effective Dates:
- Specific effective dates, transition rules, and applicability (e.g., prospective vs. retroactive coverage) depend on the enacted text.
5) Additional Observations
- The lobbying and public reporting sections indicate no principal lobbying activity reported for this bill to date, though multiple sponsors are listed.
- The bill’s scope combines patient rights, Medicaid reimbursement policy, and health insurance requirements, suggesting a broad reform of fertility treatment access and coverage.
6) What to Look For in the Full Text
When the bill’s full text is available, readers should examine:
- Definitions (e.g., “fertility treatments,” “coverage,” “Medicaid,” “insured individual”).
- Specific services covered under MA and by private insurance.
- Any annual or lifetime caps, deductibles, copayments, and prior authorization rules.
- Parity with other medical treatments (non-discrimination in access and coverage).
- Exemptions (religious, small employers) and safe harbors.
- Implementation timeline (effective date, transition periods, rulemaking authority).
If you can provide the full bill text or an official summary, I can refine this into a more detailed, line-by-line analysis.
