Bill
AB 432
Overview: AB 432 is a Wisconsin state bill that aims to increase transparency and regulation of prior authorization requirements under health insurance plans.Purpose and Intent: Th
Overview: AB 432 is a Wisconsin state bill that aims to increase transparency and regulation of prior authorization requirements under health insurance plans.
Purpose and Intent: The main goal of AB 432 is to address concerns about the administrative burden and potential delays caused by prior authorization requirements imposed by health insurers. The bill seeks to provide more clarity and consistency around these requirements to improve patient access to necessary medical services.
Key Provisions:
- Requires health insurers to publicly disclose all prior authorization criteria and clinical review criteria
- Mandates insurers to respond to prior authorization requests within specified timelines
- Prohibits insurers from requiring prior authorization for certain common medical services
- Allows healthcare providers to request an expedited review of prior authorization denials
Affected Parties and Impacts: The primary beneficiaries of AB 432 are patients who rely on health insurance coverage, as they may experience faster and more transparent access to necessary medical care. Healthcare providers may also benefit from reduced administrative workload and improved ability to advocate for their patients. Health insurers may face increased regulatory oversight and potential financial penalties for non-compliance.
Procedural and Timeline Considerations: AB 432 was introduced in February 2025 and is currently in the legislative process, with Representative Palmeri recently added as a coauthor. The bill's next steps include committee hearings and potential floor votes in the Wisconsin legislature.
Compiled from official sources — confirm details with the bill’s official record.
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