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Bill

SB 1044

Relating to: health insurance coverage of vaccines if recommended by certain organizations and consideration of recommendations of certain organizations regarding the state immunization program vaccination schedule.

2025-2026 Regular Session Introduced by Kristin Dassler-Alfheim and 5 co-sponsors

Wisconsin bill mandates health insurance vaccine coverage for recommendations from major health organizations and aligns state immunization schedules with national public health guidance.

Failed to pass pursuant to Senate Joint Resolution 1
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Bill Summary · SB 1044

Legislative bill overview

SB 1044 would require Wisconsin health insurance plans to cover vaccines recommended by major health organizations (such as the CDC and WHO) and directs the state to consider recommendations from these organizations when updating Wisconsin's immunization program schedule. The bill aims to align state vaccination policy with nationally recognized medical guidance.

Why is this important

Vaccine coverage gaps can create barriers to immunization, potentially affecting public health outcomes. By mandating insurance coverage and standardizing schedule recommendations, the bill seeks to increase vaccination rates and disease prevention across the state. This also addresses situations where individual insurers might exclude vaccines that public health authorities deem important.

Potential points of contention

  • Scope of "certain organizations": The bill's reference to "certain organizations" is vague—clarification is needed on which organizations qualify (CDC, WHO, ACIP, etc.) and whether all their recommendations automatically apply
  • Cost and insurance premiums: Expanded vaccine coverage mandates could increase insurance costs, potentially raising premiums for consumers and employers
  • State autonomy vs. federal alignment: Some stakeholders may argue the bill surrenders Wisconsin's ability to make independent public health decisions by automatically deferring to national organizations' recommendations
  • Implementation timeline: Unclear whether existing plans must immediately comply or if there's a transition period for insurers to adjust coverage

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

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