Scott Allen, Wisconsin State Representative for 82nd District | Facebook
Scott Allen, Wisconsin State Representative for 82nd District | Facebook
According to the Wisconsin State Legislature's official website, the bill was described as follows: "prior authorization for coverage of physical therapy, occupational therapy, speech therapy, chiropractic services, and other services under health plans".
The following is our breakdown, based on the actual bill text, and may include interpretation to clarify its provisions.
In essence, this bill amends and creates statutes related to the prior authorization of specific health care services, including physical therapy, occupational therapy, speech therapy, and chiropractic services under health plans. It prohibits health plans from requiring prior authorization for an individual's first 12 visits for these therapies, imposing no limitation on care duration, and for nonpharmacologic pain management for chronic pain for the first 90 days of treatment, with a cap of two visits per week per service. The bill mandates health plans to communicate clearly any denials of coverage and to ensure copayments for such services align with those for primary care. If a decision on reauthorization is not made within three business days of a request, the authorization is deemed granted. Additionally, it requires utilization review organizations to provide healthcare providers with all evidence-based policy information used to determine coverage and to conduct reviews with Wisconsin-licensed providers. The bill also stipulates that no prior authorization is needed for services incidental to a medically necessary surgical procedure or urgent health care services.
The bill was co-authored by Sen. Cory Tomczyk (Republican-29th District), Rep. Elijah R. Behnke (Republican-6th District), Rep. Robert Brooks (Republican-59th District), Rep. Cindi Duchow (Republican-97th District), and Rep. Benjamin Franklin (Republican-88th District). It was co-sponsored by Sen. Kristin Dassler-Alfheim (Democrat-18th District), Sen. Dan Feyen (Republican-20th District), and Sen. Jesse L. James (Republican-23rd District), along with 18 other co-sponsors.
Scott Allen has co-authored or authored another 70 bills since the beginning of the 2025 session, with none of them being enacted.
Allen graduated from the University of Wisconsin-Milwaukee in 1989 with a BA.
Allen, a Republican, was elected to the Wisconsin State Assembly in 2025 to represent the state's 82nd Assembly district, replacing previous state representative Chuck Wichgers.
In Wisconsin, the legislative process starts when a senator, constituent, group, or agency proposes an idea for a bill. After drafting, the bill is introduced, numbered, and referred to a committee for review and public input. If approved, it moves through three readings and votes in both the Senate and Assembly. Once both chambers pass the same version, the bill goes to the governor, who can sign it, veto it, or let it become law without a signature. Only a small share of bills introduced each session ultimately become law. You can learn more about the Wisconsin legislative process here.
| Bill Number | Date Introduced | Short Description |
|---|---|---|
| AB368 | 07/17/2025 | Prior authorization for coverage of physical therapy, occupational therapy, speech therapy, chiropractic services, and other services under health plans |
| AB320 | 07/08/2025 | Increasing certain court fees and surcharges and indexing those amounts for inflation. (FE) |
| AB248 | 05/08/2025 | Vacancies in appointive state offices |
| AB225 | 04/23/2025 | Determination of where a defendant resides or does substantial business for purposes of venue |
| AB216 | 04/23/2025 | The amount and distribution of the real estate transfer fee, grants under the land information program, real property recording notification systems, and making an appropriation. (FE) |
| AB183 | 04/15/2025 | Standard industrial classification codes for linen supply and industrial launderers and modifying the manufacturing and agriculture tax credit. (FE) |
| AB148 | 03/17/2025 | Interpreter action by telephone or live audiovisual means in civil or criminal proceedings |
| AB104 | 03/05/2025 | Prohibiting gender transition medical intervention for individuals under 18 years of age |
| AB89 | 02/28/2025 | Theft crimes and providing a penalty. (FE) |
| AB86 | 02/28/2025 | Imposing the penalty of life imprisonment for the crime of child trafficking and providing a penalty. (FE) |
| AB84 | 02/28/2025 | Prostitution crime surcharge and making an appropriation. (FE) |
| AB81 | 02/28/2025 | Excluding expenditures funded by referenda from shared costs for the purpose of determining equalization aid for school districts. (FE) |
| AB69 | 02/24/2025 | The sales and use tax exemption for electricity and natural gas sold for residential use. (FE) |
| AB67 | 02/24/2025 | Venue for actions in which there is a governmental party |
| AB65 | 02/24/2025 | Entering certain places with intent to commit battery and providing a penalty |
| AB60 | 02/24/2025 | Referendum questions for certain referenda that affect property taxes. (FE) |
| AB55 | 02/24/2025 | Possession of a firearm on school grounds by school employees and fees for licenses to carry a concealed weapon. (FE) |
| AB40 | 02/17/2025 | School safety grants and making an appropriation. (FE) |
| AB39 | 02/17/2025 | Requiring state employees to perform their work at the offices of their employer |
| AB37 | 02/17/2025 | Personalized registration plate fees for gold star family special registration plates. (FE) |
| AB20 | 02/06/2025 | Allowing certain married persons to claim the earned income tax credit when filing a separate return. (FE) |
| AB19 | 02/06/2025 | Increased penalties for crimes against adults at risk; restraining orders for adults at risk; freezing assets of a defendant charged with financial exploitation of an adult at risk; sexual assault of an adult at risk; and providing a penalty |
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