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Wisconsin Senate Bill 1127 Establishes Statutory Fertility Treatment Rights and Mandates Insurance Coverage

Original title: An Act to create 49.45 (30t), 49.46 (2) (b) 17m., 253.18, 609.756 and 632.895 (15h) of the statutes; Relating to: fertility treatment rights, reimbursement of fertility treatments under the Medical Assistance program, and requiring insurance coverage for fertility treatments. (FE)

Last action · March 23, 2026: Failed to pass pursuant to Senate Joint Resolution 1Sponsors: Kelda Roys and 18 others

Introduced
Committee
Floor Vote
Passed
Law

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Public stanceCommunity reactions are separate from the official record and reporting.

What This Bill Proposed

This bill establishes statutory rights for individuals to receive fertility treatments, for providers to offer them, and for insurers to cover them, while requiring health insurance policies and self-insured governmental plans that cover obstetrics to also cover fertility treatments regardless of an infertility diagnosis. Additionally, the bill mandates that the Department of Health Services seek federal approval to provide reimbursement for these fertility treatments.

Why it matters

Enforcement provisions allow both the attorney general and affected individuals, entities, or health care providers to initiate civil actions for alleged violations of these established statutory rights.

Background
  • Medical Assistance is a joint federal and state program providing healthcare to individuals with limited financial resources, commonly referred to as Medicaid. context
  • The bill failed to pass during the 2025-2026 legislative session pursuant to Senate Joint Resolution 1. context

Who It Would Have Affected

Groups the bill's text would have affected, as described in the record. Being affected is not a position for or against it.

Directly affected

Individuals seeking fertility treatment

Individuals gain statutory rights to receive treatments, make decisions about reproductive genetic material, and access insurance coverage regardless of an infertility diagnosis.

Directly affected

Health care providers

Providers receive statutory rights to deliver fertility services and are protected from penalties or reimbursement reductions by insurers for discussing or providing treatments.

Directly affected

Health insurance issuers

Insurers providing obstetrics coverage are mandated to cover fertility treatments under specific standards and provide written notices to enrollees.

Directly affected

Department of Health Services

The department is required to request federal waivers or state plan amendments to enable Medical Assistance reimbursement for fertility treatments.

Key Facts

  • The bill establishes statutory rights for individuals to receive fertility treatments and make decisions regarding reproductive genetic material.
  • Health care providers are granted statutory rights to provide fertility treatments and enter contractual agreements without prohibition or impediment.
  • Health insurance policies and self-insured governmental plans that provide obstetrics coverage must also provide coverage for fertility treatments.
  • Fertility treatment coverage must be provided regardless of whether an individual has received an infertility diagnosis.
Show all 7 facts
  • Health plans are prohibited from penalizing or reducing reimbursements to health care providers who discuss or provide fertility treatments.
  • The Department of Health Services must request any necessary federal waivers or state plan amendments to allow Medical Assistance reimbursement for covered fertility treatments.
  • The attorney general and affected individuals or health care providers may commence civil actions to enforce rights under the bill.

Frequently Asked Questions

Do I need an infertility diagnosis to qualify for insurance coverage under this bill?
No, the bill explicitly requires that coverage of fertility treatments must be provided regardless of whether the individual has been diagnosed with infertility.
Can the state Medical Assistance program reimburse these fertility treatments?
The bill requires the Department of Health Services to request any necessary federal waivers or state plan amendments to allow reimbursement for covered fertility treatments.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

This bill did not become law - Failed in the Senate.

Procedural history

3 actions
  1. Mar 23, 2026Senate
    Failed to pass pursuant to Senate Joint Resolution 1
  2. Mar 19, 2026SenateIntroduced
    Read first time and referred to Committee on Insurance, Housing, Rural Issues and Forestry
  3. Mar 19, 2026SenateIntroduced
    Introduced by Senators Roys, Ratcliff, Hesselbein, Spreitzer and Larson; cosponsored by Representatives Emerson, Sinicki, Miresse, Bare, Joers, Taylor, Andraca, Clancy, Neubauer, DeSmidt, Palmeri, Goodwin, Madison and Anderson

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Show 14 more sponsors
EmersonSenatePrimary sponsorNo profile match
SinickiSenatePrimary sponsorNo profile match
MiresseSenatePrimary sponsorNo profile match
BareSenatePrimary sponsorNo profile match
JoersSenatePrimary sponsorNo profile match
TaylorSenatePrimary sponsorNo profile match
AndracaSenatePrimary sponsorNo profile match
ClancySenatePrimary sponsorNo profile match
NeubauerSenatePrimary sponsorNo profile match
DeSmidtSenatePrimary sponsorNo profile match
PalmeriSenatePrimary sponsorNo profile match
GoodwinSenatePrimary sponsorNo profile match
MadisonSenatePrimary sponsorNo profile match
AndersonSenatePrimary sponsorNo profile match

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift95% confidence

Mandated Fertility Coverage Regardless of Infertility Diagnosis

The legislation introduces a requirement that health plans cover fertility treatments regardless of whether a patient has received a formal infertility diagnosis.

Connected Entities

Kelda Roys, Miresse, Melissa Ratcliff and 18 more
PersonKelda Roys“Wisconsin State Senator who sponsored SB 1127”Map →
PersonMiresse“Wisconsin Representative who cosponsored SB 1127”Map →
PersonMelissa Ratcliff“Wisconsin State Senator who sponsored SB 1127”Map →
PersonAndraca“Wisconsin Representative who cosponsored SB 1127”Map →
PersonJoers“Wisconsin Representative who cosponsored SB 1127”Map →
PersonDeSmidt“Wisconsin Representative who cosponsored SB 1127”Map →
PersonClancy“Wisconsin Representative who cosponsored SB 1127”Map →
PersonEmerson“Wisconsin Representative who cosponsored SB 1127”Map →
PersonMadison“Wisconsin Representative who cosponsored SB 1127”Map →
PersonSinicki“Wisconsin Representative who cosponsored SB 1127”Map →
OrganizationDepartment of Health Services“State agency required to request federal waivers or plan amendments for Medical ”Map →
PersonDianne Hesselbein“Wisconsin State Senator who sponsored SB 1127”Map →
PersonBare“Wisconsin Representative who cosponsored SB 1127”Map →
PersonChris Larson“Wisconsin State Senator who sponsored SB 1127”Map →
PersonAnderson“Wisconsin Representative who cosponsored SB 1127”Map →
PersonGoodwin“Wisconsin Representative who cosponsored SB 1127”Map →
PersonNeubauer“Wisconsin Representative who cosponsored SB 1127”Map →
PersonTaylor“Wisconsin Representative who cosponsored SB 1127”Map →
OrganizationAmerican Society for Reproductive Medicine“Provider of medical guidelines referenced for widely accepted and evidence-based”Map →
PersonMark Spreitzer“Wisconsin State Senator who sponsored SB 1127”Map →
PersonPalmeri“Wisconsin Representative who cosponsored SB 1127”Map →

Sources

Open source document

docs.legis.wisconsin.gov

Analysis Score

0–100
  • Significance20
    Lowered because this bill did not pass (its text scored 75)
  • Controversy80
    Intensity of disagreement among stakeholders
  • Entertainment10
    Compellingness for a non-policy-wonk reader
  • Buzz40
    Current news / social attention level

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