The bill passed 87-10 with only Republican lawmakers voting against. (Photo by Baylor Spears/Wisconsin Examiner)

The Wisconsin State Assembly, in a departure from prior floor debates this session, passed several widely bipartisan bills related to health care, including one to exempt direct primary care services from insurance laws and another to allow pharmacist to prescribe birth control.

AB 43 would allow pharmacists to prescribe certain birth control, including the pill and contraceptive patches, to patients 18 and older as a way of making it easier to access. Currently, Wisconsin patients have to make an appointment with a doctor or advanced practice nurse and answer a mandatory list of questions regarding their health before a doctor could prescribe birth control. Once a physician determines it safe, patients can take a prescription to a pharmacy to be filled. 

Under the bill, pharmacists would have to give patients a self-assessment questionnaire and do blood pressure screening. If there are any “red flags,” then a pharmacist would need to refer  patients to see a physician.

Rep. Joel Kitchens (R-Sturgeon Bay) said during a press conference ahead of the session that the process included in the bill is “much more rigorous” than when women get birth control online. He said it would also help women with family planning, noting that about half of pregnancies in Wisconsin are unplanned each year.

“These women are unlikely to finish school, and it will severely affect their potential earnings throughout their lives…” Kitchens said. “Birth control is 99.9% effective when it’s used according to directions and regularly. The lack of access is the biggest reason that it sometimes fails. Women will leave home for a couple of days and forget about it, or they can’t make an appointment with their doctor, and this bill is going to help with all of that.” 

This is the fourth time the Assembly has passed a similar bill. Last session, it passed a Senate committee but it never came for a floor vote. 

Kitchens said he thinks there is a “good chance the Senate will pass it this time.” 

Rep. Jessie Rodriguez (R-Oak Creek) said in a statement that the policy “will increase access to contraceptives, particularly for women who live in rural areas, where many Wisconsinites live closer to their pharmacy than they do to their doctor’s office,” and urged her Senate colleagues to take up the bill. 

“This is a good bill that will make for greater access to contraception. I have voted for this proposal four sessions in a row. I urge the Senate to follow our lead,” Rodriguez said. 

The bill passed 87-10 with only Republican lawmakers voting against. 

Primary care insurance exemption

SB 4 would exempt direct primary care, which is a health care model where patients pay a monthly or annual fee to a physician or practice for access to primary care services, from insurance laws. Advocates have said that clarifying that insurance law doesn’t apply to direct primary care doctors would encourage more providers to opt in to this model.

Bill author Rep. Cindi Duchow (R-Town of Delafield) said at a press conference that direct primary care “is not insurance.” 

“It’s a private contract you have with the doctor, then you have insurance for something catastrophic — if you need to have surgery or you have a heart attack, you have insurance to cover that — but this is just for your everyday needs, and it’s more one-on-one, and you have more personal experiences with the doctors,” Duchow said. 

Rep. Robyn Vining  (D-Wauwatosa) expressed concerns about the bill, noting that it is missing nondiscrimination language and that she would be voting against it.

“[This] is getting us nowhere helpful,” Vining said. 

The nondiscrimination language, Vining referenced, was in relation to prohibiting discrimination on the basis of “gender identity.” Conservative organizations had lobbied against the bill last session due to the inclusion of that language and it never received a vote in the Senate.

Vining expressed concerns that Evers might veto the bill without the nondiscrimination language. 

Rep. Lisa Subeck (D-Madison) said she had similar concerns but would be voting for it. 

“I think it is a good bill, and it does something that is important, but I do it knowing that I wish the bill could be stronger,” Subeck said. 

The Assembly concurred in SB 4 in a voice vote. The Senate passed the bill in March, and it will now head to Evers’ desk.

Lawmakers also concurred in SB 14, a bill to require written informed consent from a patient when a hospital performs a pelvic examination for educational purposes on a patient while the patient is under general anesthesia or otherwise unconscious. The bill was advocated for by Sarah Wright, a teacher who was subjected to a nonconsensual pelvic exam while she was undergoing abdominal surgery in Madison in 2009. 

Subeck said it is a “horrifying” story that Wright has shared every legislative session. 

“[Wright] was unconscious. There was no medical need for a pelvic exam and medical students were brought in to do public exams in order to learn the procedure because it’s easy as to learn on an unconscious individual,” Subeck said. “This is tantamount to sexual assault. This is not giving consent. This is assuming consent from somebody who is unconscious.” 

Subeck noted in a statement that lawmakers have been working on the legislation for over a decade. 

“It has taken far too long, but we are finally honoring her bravery by putting an end to this disturbing and unethical practice,” Subeck said in a statement. “Patients entrust medical professionals with their care at their most vulnerable moments. That trust must never be violated. Performing a medically unnecessary and invasive exam without consent is not only a breach of ethics — it is a violation that can feel indistinguishable from sexual assault.”

Rep. Joy Goeben (R-Hobart) noted that one study found that over 80% of medical students at major training hospitals reported performing pelvic exams on anaesthetized patients, but only 17% said that the patients were informed, while nearly half reported that the patients were rarely or never explicitly told so. 

“I am really thankful for the bipartisan support,” Goeben said. 

Assembly Minority Leader Greta Neubauer (D-Racine) said in a statement ahead of the session that the bills were a sign that lawmakers could work across partisan lines, but said they could do more. 

“It is possible to come together to pass good, bipartisan bills that will move our state forward — but we know that there is so much work left to be done,” Neubauer said. “Just last week, Republicans on the Joint Finance Committee cut proposals by [Evers] that would have lowered costs for working families and cut taxes for the majority of Wisconsinites. Removing these critical proposals from consideration and preventing future discussion is ridiculous, and on top of this, the GOP has refused to have public hearings, let alone votes, on popular and bipartisan legislation that would move our state forward.”

Ahead of the floor session, Assembly Speaker Robin Vos (R-Rochester) told reporters that work on the budget is on hold until legislative leaders meet in person with Evers. Republican lawmakers are seeking a tax cut in the budget. 

“Our preferred option [is] to be able to get an agreed upon tax cut so that we know we have X dollars to invest in schools and health care and all the other things that are important,” Vos said. “It’s pretty hard for us to move forward… I think we’re kind of on pause until we hear back from Gov. Evers.”

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Assembly Minority Leader Greta Neubauer is joining the DLCC board. Neubauer takes questions from reporters alongside Senate Minority Leader Dianne Hesselbein in Jan. 2025. (Photo by Baylor Spears/Wisconsin Examiner)

Wisconsin Assembly Minority Leader Greta Neubauer is joining the Board of Directors for the Democratic Legislative Campaign Committee (DLCC) — the national organization dedicated to electing Democrats to state legislatures.

The Racine Democrat, who has been in the Legislature since 2018 and has led Assembly Democrats since 2021, joins the board as Wisconsin Democrats seek majorities in both chambers for the first time in many years in 2026.

Neubauer said DLCC President Heather Williams asked her to join the board and it’s a sign of the organization’s “deep commitment” to Wisconsin and understanding that a trifecta could be possible in 2026. 

“They want to be a part of helping us flip this state blue,” Neubauer said. “DLCC of course is focused on the national strategy of supporting democratic legislatures to win majorities in legislative chambers. They have had great success in the last few years… so I’m excited to be part of that national strategy work.” 

Williams said in a statement that “all eyes should be on the states in 2025” and Neubauer is a leader to watch. 

“As state Democrats continue to overperform in special elections and counter the chaos in Washington, we are laying the foundation for Democratic success up and down the ticket,” Williams said. “Our board members represent some of the sharpest minds in politics, and I’m excited to partner with them to build our plan for victory for cycles to come.” 

In the past, the DLCC has invested in helping Wisconsin Democrats win and outlined strategies for winning targeted seats.

Neubauer said it has been helpful getting to know leaders in other states where Democrats have successfully flipped control of their legislative chambers including Michigan, Minnesota, Pennsylvania. She said she has learned a lot from those leaders and is trying to bring those lessons back to Democrats in Wisconsin, especially when it comes to preparing to be in the majority. 

“When we do win, we want to take advantage of the opportunity and pass policy that is going to materially improve people’s lives very quickly, so that’s been really helpful to me to speak with them about how they prepared to govern, how they worked with their caucuses,” Neubauer said, adding that Democrats have 10 new Assembly members this year and hope to grow that number now that the Legislature has passed new maps that no longer overwhelmingly favor Republicans. “The level of program that we run during the campaign cycle, the amount of money we need to raise and candidates we’re supporting has grown significantly since we got the fair maps. I’m getting all sorts of advice from those leaders both about governing and about effectively campaigning, winning majorities.” 

When it comes to its targets for 2025-26, Wisconsin is one of five of the DLCC’s “battleground” states where legislative majorities are determined by the slimmest of margins. 

New legislative maps were put in place last year by the state Legislature and Gov. Tony Evers after the Wisconsin Supreme Court ruled the old maps were an unconstitutional gerrymander. Democrats in Wisconsin haven’t held a legislative majority in the Senate or Assembly since 2010, and under the old maps, Senate Republicans were able to win two-thirds of the seats, while Republicans held a 64-35 majority.

Under the new maps, Democrats in 2024 were able to pick up 10 Assembly seats and now hold 45 of 99 seats. They also added four Senate seats and now hold 15 seats out of 33 in that chamber.

Wisconsin’s 2026 elections will be the first time that control of the Senate will be in play as only half of the body was up in the last election and Assembly Democrats will again be working to try to win a majority.

“It is absolutely doable, but it is going to take quite a bit of work,” Neubauer said. 

Democratic lawmakers, she said, are taking a few approaches to getting things done for voters ahead of the next elections. This includes working across the aisle in the budget process to get investment into programs that Wisconsinites rely on, including child care and public schools and ensuring “Republican attacks on our rights and freedoms are not successful” by upholding the governor’s veto. 

Neubauer said her party is also “focused on that long-term vision and communicating what we will do when we have a Democratic trifecta — how we will change the state, how we will make Wisconsin a place where everyone has the ability to thrive, wants to live, raise a family, retire.” She noted that Democrats introduced a package of bills in January to address prescription drug access, ensure students have access to food in school and help improve housing, but Republicans haven’t shown interest in them. 

“We have a big and deep policy agenda that we’ve been working on for over a decade that we are ready to implement, and so we just have to get out and communicate about it,” Neubauer said. “And that of course looks like fanning out across the state, both in districts we represent and other communities, and talking about the work that we need to get done.” 

Neubauer said they are going to continue to work to lower costs, especially as “Trump engages in reckless, irresponsible trade wars and weakens the economy for no good reason.” She said state legislatures are essential in pushing back on his agenda.

The first part of Trump’s term in office could have an effect on Wisconsin Democrats’ chances as well, Neubauer said. 

“We have a number of Republican legislators who have really tried to position themselves as being moderate. They go home to their districts and they emphasize the bipartisan proposals that they’ve signed on to or tried to get passed, but what they don’t talk about is their voting record being in line with Republican leadership almost 100% of the time,” Neubauer said. 

Neubauer said that Wisconsin Republicans haven’t distanced themselves from Trump’s  agenda. 

“The first several months of the legislative session here in Wisconsin, we saw Republicans focused on culture wars rather than lowering costs for working families, making their lives easier, investing in our schools — the things that we all hear about when we run into our constituents at the grocery store,” Neubauer said. “Republicans are going to have to answer for Donald Trump and his attacks on Wisconsin families next year, and that is going to be difficult for them to do in extremely purple districts.”

Wisconsin’s gubernatorial election is also coming up in November 2026. Evers hasn’t said whether he’ll run for a third term, saying he’ll likely decide after the next budget is done. Republican Josh Schoemann, who serves as the county executive of Washington, is the first candidate to announce his campaign.

“We’re all eagerly awaiting that decision,” Neubauer said of Evers’ choice whether to make a re-election bid. “[I] always look forward to working with the governor.”

Neubauer is one of seven legislative leaders joining the DLCC board alongside California Speaker of the Assembly Robert Rivas, Colorado Senate President James Coleman, Illinois Speaker Pro Tempore Kam Buckner, Michigan Senate Majority Leader Winnie Brinks, Oregon Speaker of the House Julie Fahey and Virginia Speaker of the House Don Scott. 

New York Senate President Pro Tempore and Majority Leader Andrea Stewart-Cousins, who also serves as the DLCC chair, said in a statement that she is thrilled Neubauer is joining. 

“There has never been a more important time to ensure we have battle-tested, experienced leaders at the helm of Democratic strategy in the states as Donald Trump upends Washington and our economy,” Stewart-Cousins said, adding that Neubauer “embodies the diverse expertise needed to drive and elevate our strategy to build durable state power through the end of the decade.”

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When the Wisconsin Legislature returns to work in January, Republicans will still be in charge but will have the narrowest majorities since taking control in 2011. That’s giving Democrats, including Gov. Tony Evers, optimism that both sides will be able to work together better than they have since Evers took office six years ago.

Both sides are eyeing the state’s massive budget surplus, which sits at more than $4 billion. What to do with that money will drive debate over the next two-year budget, which will be written in 2025, while questions hang in the air about whether Evers plans to run for a third term in 2026 and how the state will interact with President-elect Donald Trump’s administration.

Here is a look at some of the biggest pending issues:

New dynamic in the Legislature

Democrats gained seats in the November election because of redrawn maps ordered by the Wisconsin Supreme Court. The Republican majority now sits at 54-45 in the Assembly and 18-15 in the Senate. Democrats have 10 more seats in the Assembly than last session and four more in the Senate and are hopeful about gaining the majority after the 2026 election.

“We have already seen a shift in the Capitol due to the new maps,” Assembly Democratic Minority Leader Greta Neubauer told The Associated Press.

She and other Democrats predict it will lead to more pressure from rank-and-file Republicans in competitive districts to move to the middle and compromise with Democrats.

“Everybody understands, at least at this point, that we need to work together, pull together,” Republican Senate Majority Leader Devin LeMahieu told the AP. “And it’s important to get some things done.”

Pushing back against Trump

Democrats say they have been talking with Evers and Democratic Attorney General Josh Kaul about how Wisconsin can push back against the incoming Trump administration’s plans for mass deportations. But Democrats say they are also looking at other ways the state can fight Trump’s policies on issues like abortion and LGBTQ+ rights.

“We’re worried about a lot of the things that former and future President Trump might do, especially when it comes to deportation and immigration,” Senate Democratic Minority Leader Dianne Hesselbein said.

Republican Assembly Speaker Robin Vos said he would support Trump’s efforts to deport people who are in the country illegally and commit crimes.

Republicans prioritize cutting taxes. Democrats are open

Republicans passed a $3.5 billion tax cut that Evers gutted to just $175 million with his veto in the last budget. With another large surplus, Republicans say they want to try again.

“People struggling to pay their bills,” LeMahieu said. “We heard that in our local races. And so we want to help help help families out there. We have the money to do it. And that’s going to be our number one priority.”

Both he and Vos said they would like a tax cut of around $2 billion.

Democrats say that they aren’t opposed to cutting taxes, but that they want it to be targeted to helping the middle and lower classes and families.

“We are not interested in tax cuts that primarily benefit rich Wisconsinites or corporations,” Neubauer said. “But we are certainly open to tax cuts that help those who are struggling to make ends meet.”

K-12 education funding

The state superintendent of schools, Jill Underly, proposed spending more than $4 billion on K-12 schools in her budget proposal, which is subject to legislative approval. That’s almost certainly not going to happen, both Republicans and Democrats said.

“We’re not going to spend $4 billion on education, I can guarantee you that right now,” LeMahieu said.

While Democrats say they are prioritizing education funding, “I don’t think we’re going to be able to match that,” Hesselbein said of the $4 billion request.

Universities of Wisconsin

Leaders of the cash-strapped Universities of Wisconsin have asked for $855 million in additional funding in the next budget, nearly an 11% increase. System President Jay Rothman says schools need the money to stave off tuition increases, cover raises, subsidize tuition, and keep two-year branch campuses open in the face of declining enrollment and flat state aid.

Evers has promised to include the request in his budget, but Republican leaders said they would not approve that much, and Democrats also said it was a goal that was unlikely to be met.

LeMahieu and Vos both said UW would not get what it wants.

“We’re going to need to see some substantial change in how they’re doing their programing,” LeMahieu said. “We can’t just keep spending more and more on a system that’s educating less and less people.”

Marijuana, health care and other priorities

Vos said he intends to create a state-level task force to improve government efficiency, similar to what Trump created at the national level dubbed DOGE. He also supports passing a bill that would allow for the processing of absentee ballots the day before Election Day, a measure that’s had bipartisan support in the past but failed to pass.

Democrats say they will continue to push for ways to expand and reduce costs for child care, health care for new mothers and prescription drugs. Both Republicans and Democrats say they want to do more to create affordable housing. The future of the state’s land stewardship program also hangs in in the balance after the state Supreme Court said Republicans were illegally blocking funding of projects.

Democrats also say they hope to revive efforts to legalize medical marijuana, an effort that was backed by some Republicans but that failed to pass last session.

LeMahieu predicted the slimmer Republican majorities will make it more difficult for any marijuana bill to pass because some lawmakers “are dead set against it.”

Wisconsin Watch is a nonprofit and nonpartisan newsroom. Subscribe to our newsletter to get our investigative stories and Friday news roundup. This story is published in partnership with The Associated Press.

Wisconsin Legislature’s tight Republican majority sparks hope for bipartisan cooperation is a post from Wisconsin Watch, a non-profit investigative news site covering Wisconsin since 2009. Please consider making a contribution to support our journalism.