Relating to: prior authorization transparency, exemptions from prior authorization requirements, and granting rule-making authority. (FE)

Summary

The measure adds new disclosure requirements so that any health‑care coverage plan must keep an up‑to‑date, publicly accessible list of services that need prior authorization, written in plain language. It also creates exemptions for limited‑service health organizations, preferred‑provider and defined‑network plans, and for voluntary nonprofit cooperative plans, while giving the health commissioner rule‑making power over these rules. The changes affect state‑run, group‑board, self‑insured municipal, and private health plans across Wisconsin.

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