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AB 1091

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 Deb Andraca and 16 co-sponsors

The bill would require health insurers to cover vaccines recommended by specified organizations and require the state immunization schedule to consider those recommendations.

Failed to pass pursuant to Senate Joint Resolution 1
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Bill Summary · AB 1091

Summary of AB 1091 (Wisconsin) — Session 2025

Note: Information below is based on the bill’s title and available action/history details provided. Where specifics are not yet disclosed in the provided text, the summary notes the general intent and potential impact inferred from the title and sponsor actions.

1) Purpose and Intent

  • AB 1091 relates to health insurance coverage of vaccines when vaccines are recommended by certain organizations, and to the consideration of recommendations from those organizations regarding the state immunization program vaccination schedule.
  • In short, the bill appears designed to:
    • Ensure health insurance plans cover vaccines that are recommended by specified organizations.
    • Establish or require that the state immunization program’s vaccination schedule consider recommendations from those organizations.

2) Key Provisions and Changes (as implied by the title)

  • Health insurance coverage for vaccines:
    • If a vaccine is recommended by certain organizations, health insurers would be required to cover that vaccine.
    • This may include provisions related to cost-sharing (deductibles, copays, coinsurance) and coverage limits, aligning with common public health insurance coverage mandates for recommended vaccines.
  • Immunization program schedule:
    • The state immunization program vaccination schedule would be obligated to take into account the recommendations of the same organizations.
    • This could influence the timing and inclusion of vaccines in the official schedule used for public health recommendations and possibly public payer guidance.
  • The bill is described as “Relating to” both insurance coverage and schedule consideration, suggesting a linked approach to vaccine recommendations and their practical implementation.

3) Affected Parties and Stakeholders

  • Individuals:
    • Wisconsin residents with private or public health insurance who receive vaccines recommended by the specified organizations.
  • Health insurers and plans:
    • Private health insurance carriers and potentially state-based plans subject to Wisconsin law that would be required to cover vaccines deemed recommended by the specified organizations.
  • State immunization program:
    • The Wisconsin Department of Health Services or its immunization program, which would adjust or align its vaccination schedule based on the recommendations.
  • Healthcare providers:
    • Providers administering vaccines could experience coverage-related billing changes and guidance on which vaccines are mandated for coverage.

4) Procedural and Timeline Considerations

  • Introduction and sponsorship:
    • Introduced March 13, 2026, with multiple sponsors in the Assembly and Senate.
    • Co-authors include a broad slate of representatives and senators, indicating bipartisan or broad legislative interest.
  • Legislative process status (as of the provided information):
    • Read first time and referred to the Committee on Health, Aging and Long-Term Care on March 13, 2026.
    • No reported lobbying activity data from principals in the current session, per the provided notes.
  • Potential milestones (typical in Wisconsin:
    • Committee hearings and votes.
    • Floor votes in Assembly and Senate.
    • Possible amendments before moving to the governor for signing.
    • If passed, effective dates would be specified in the bill’s text (not provided here).

5) Additional Notes

  • The exact organizations referred to in the bill title are not specified in the provided excerpt. Details on which organizations’ vaccine recommendations trigger coverage mandates and schedule considerations would be in the full bill text.
  • Dollar amounts, specific vaccine lists, carve-outs, and enforcement mechanisms are not included in the available information and would be critical to a complete understanding once the bill text is reviewed.

If you’d like, I can tailor this summary further once the full bill language is available, including explicit definitions (which organizations, which vaccines, coverage standards, exemptions, enforcement, and effective dates).

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

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