Wisconsin Senate Bill 174, introduced in 2025 by Senator André Jacque and 11 bipartisan co-sponsors, kicks in only if the federal Affordable Care Act (ACA) stops applying or is no longer enforceable. It would then require Wisconsin health plans to: accept everyone (individuals and employers) for coverage regardless of preexisting conditions; limit how much premiums can vary (only by age, tobacco use, family size, and location); ban exclusions for preexisting conditions; and prohibit annual or lifetime benefit caps. Enrollment would be limited to open periods (at least 45 days statewide) and special qualifying events. Plans exempt from ACA rules stay exempt here, too.

Why It Matters to the Make America Healthy Again Movement

The Make America Healthy Again (MAHA) Movement supports this bill as a Pro-MAHA safeguard because it protects Wisconsinites from losing coverage for preexisting conditions if federal ACA rules vanish. By ensuring guaranteed issue and no exclusions, it prevents people with health challenges from being denied insurance, aligning with MAHA’s mission to make healthcare accessible while the movement tackles the root causes of chronic disease. This contingency plan supports MAHA's vision of a safety net that lets everyone seek care without fear, bridging gaps until broader reforms reduce illness through nutrition and prevention.