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Bill

AB 1121

Relating to: health insurance coverage of prosthetic limbs and custom orthotic braces. (FE)

2025-2026 Regular Session Introduced by Brienne Brown and 16 co-sponsors

Failed Wisconsin bill would have expanded health insurance coverage for prosthetic limbs and custom orthotic braces to reduce patient costs.

Failed to pass pursuant to Senate Joint Resolution 1
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WeVote Research Nonpartisan
Bill Summary · AB 1121

Legislative bill overview

AB 1121 would have expanded health insurance coverage requirements for prosthetic limbs and custom orthotic braces in Wisconsin. The bill aimed to ensure these medical devices receive more comprehensive insurance coverage, potentially reducing out-of-pocket costs for patients who need them.

Why is this important

Prosthetic limbs and custom orthotic braces are expensive medical devices—often costing thousands to tens of thousands of dollars—that many patients cannot afford without insurance coverage. Expanding coverage could improve mobility and quality of life for individuals with limb loss or orthopedic conditions while reducing the financial barriers to accessing these necessary devices.

Potential points of contention

  • Insurance premium increases: Broader coverage mandates typically require insurers to adjust premiums, which could increase costs for all policyholders, particularly those in small group markets or individual plans
  • Coverage definitions and limits: Determining what qualifies as "medically necessary" and establishing appropriate coverage limits (frequency of replacement, customization levels) can be contentious between patient advocates, insurers, and medical providers
  • Cost-benefit analysis: Disagreement over whether expanded coverage represents fiscally responsible healthcare spending versus unnecessary mandates that drive up overall healthcare costs in the state

Compiled from official sources — confirm details with the bill’s official record.

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