Wisconsin AB1225: An Act to repeal 20.435 (4) (bb), 49.45 (3) (c), 49.45 (22), 49.45 (56) (c), 49.45 (59), 49.665 (4g) (c) and 50.38 (7) (b), (c), (f) and (g); to renumber and amend 49.45 (26g) (a); to amend 20.435 (4) (xc), 49.45 (2) (b) 2., 49.45 (3) (e) 11., 49.45 (3) (em), 49.45 (9) and 49.45 (24k) (a) 2.; to create 20.435 (1) (dw), 20.435 (4) (bb), 46.93, 49.45 (2) (a) 2m., 49.45 (2) (a) 2s., 49.45 (2) (a) 3m., 49.45 (2) (a) 25., 49.45 (3) (cm), 49.45 (24d), 49.45 (26g) (ab), 49.459 and 49.46 (2) (b) 18m. of the statutes; Relating to: direct payments for Medical Assistance, Medical Assistance reimbursement rates, care coordination services under the Medical Assistance program, grants for community primary care and outreach, and making an appropriation. (FE)

What the bill says

To amend 20.435 (4) (xc), 49.45 (2) (b) 2., 49.45 (3) (e) 11., 49.45 4(3) (em), 49.45 (9) and 49.45 (24k) (a) 2.; to create 20.435 (1) (dw), 20.435 (4) 5(bb), 46.93, 49.45 (2) (a) 2m., 49.45 (2) (a) 2s., 49.45 (2) (a) 3m., 49.45 (2) (a) 25., 649.45 (3) (cm), 49.45 (24d), 49.45 (26g) (ab), 49.459 and 49.46 (2) (b) 18m. of the 7statutes; relating to: direct payments for Medical Assistance, Medical 8Assistance reimbursement rates, care coordination services under the Medical 9Assistance program, grants for community primary care and outreach, and 10making an appropriation…

From the introduced text, March 19, 2026:

to amend 20.435 (4) (xc), 49.45 (2) (b) 2., 49.45 (3) (e) 11., 49.45 4(3) (em), 49.45 (9) and 49.45 (24k) (a) 2.; to create 20.435 (1) (dw), 20.435 (4) 5(bb), 46.93, 49.45 (2) (a) 2m., 49.45 (2) (a) 2s., 49.45 (2) (a) 3m., 49.45 (2) (a) 25., 649.45 (3) (cm), 49.45 (24d), 49.45 (26g) (ab), 49.459 and 49.46 (2) (b) 18m. of the 7statutes; relating to: direct payments for Medical Assistance, Medical 8Assistance reimbursement rates, care coordination services under the Medical 9Assistance program, grants for community primary care and outreach, and 10making an appropriation. Analysis by the Legislative Reference Bureau This bill prohibits the Department of Health Services from entering into or renewing a contract with managed care organizations for the provision of Medical Assistance, prohibits DHS from entering into or renewing a contract to shift the risk for Medical Assistance costs to health care providers or other entities, requires DHS to maintain a statewide network of Medical Assistance providers, and directs DHS to pay providers directly, on a fee-for-service basis, for services provided to Medical Assistance recipients. The prohibitions on managed care and risk-shifting contracts do not apply to contracts between DHS and counties that operate managed care organizations for the Family Care, Family Care Partnership, and Program for All-Inclusive Care for the Elderly (PACE) programs, and the …