The Ticker

Enacted 2025 Wisconsin Act 103 on March 19, 2026. The law mandates coverage of the first diagnostic breast examination in a policy year without cost-sharing by all governmental self-insured health plans, small group health plans, and individual market health insurers operating in Wisconsin. Subsequent breast screening examinations may be covered with cost sharing.

Announces the shift to Schedule III under the Controlled Substances Act for marijuana-based products approved by the Food and Drug Administration or regulated under state medical marijuana licensing in Schedule III. The Justice Department and Drug Enforcement Administration have also initiated a hearing process on the potential rescheduling of marijuana from Schedule I to Schedule III. A hearing on the potential rulemaking is scheduled for June 29.

Implements new guidelines for insurance carriers on the use of aerial imagery. Carriers should not use solely aerial imagery to evaluate the condition of a property; they must inform homeowners if any action regarding their policy is taken due to aerial imagery; and they must ensure any imagery used to inform decisions is recent and accurate. Employing low-resolution, out-of-focus, blurry, or outdated imagery to justify decisions may be judged as an unfair claims practice in violation of Tennessee law, the Department of Commerce & Insurance warns.

Has been authorized by the Centers for Medicare & Medicaid Services to shift to a state-based exchange on the federal platform for individual health insurance. The state Insurance Department will take over plan management, consumer assistance, and public engagement responsibilities, while still relying on HealthCare.gov for Oklahoman eligibility and enrollment for 2026 and 2027. The state previously filed a letter of intent with CMS on moving to a fully state-managed marketplace, including eligibility and enrollment, in 2028.

Settles dwelling rate case with North Carolina insurance companies. Insurers in the state initially requested an average statewide 68.3% increase in dwelling policy rates over two years; after negotiations, they accepted a 5% average statewide increase annually over the next two years, with the first increase on Oct. 1, 2026, and the second on Oct. 1, 2027.

Enacts legislation to further regulate pharmacy benefit managers (PBMs) in the state. Among other measures, the Kansas Consumer Prescription Protection and Accountability Act requires PBMs to provide health plans with all drug rebates and prohibits spread pricing, the practice of charging a health plan a higher amount than it reimbursed a pharmacy for a prescription and keeping the remaining amount.