Gov. Tony Evers signed SB 23, now 2025 Wisconsin Act 102 on Wednesday, officially making Wisconsin the 49th state to provide a year of coverage for postpartum mothers on Medicaid. 

“It’s been a long time coming, but I’m darn proud we got it done,” Evers, who signed the bill at Children’s Hospital in Milwaukee, said in a statement. 

Evers first proposed Wisconsin submit a waiver to the federal government to extend Medicaid coverage from 60 days to 12 months in his 2019 state budget, but years of legislative gridlock on the issue made Wisconsin the second to last state to make the change. 

According to KFF, the Medicaid program pays for about four in 10 births in the U.S. and federal law had required states to provide Medicaid coverage for postpartum mothers through 60 days. The American Rescue Plan Act gave states the option to extend Medicaid postpartum coverage to 12 months, and most states took steps towards expansion.

“We knew from the get-go that getting this passed was an uphill battle, but we also weren’t going to let partisanship or politics stop us from continuing our work to build support for this important proposal, because we know just how high the stakes are,” Evers said in a statement. 

Assembly Speaker Robin Vos (R-Rochester), who is retiring, was the main reason for the hold up. Articulating his opposition to the expansion, which he previously refused to bring to the floor, he said he was opposed to expanding “welfare.” A group of Republican lawmakers, including lead authors Sen. Jesse James (R-Thorp) and Rep. Patrick Snyder (R-Weston), lobbied for Vos to let the bill through as Democratic lawmakers applied pressure through procedural moves to try and force votes on the legislation. A breakthrough came the night before Assembly lawmakers’ final regular floor session this year. 

The bill passed in the Assembly 95-1. It passed the Senate 32-1. Rep. Shae Sortwell (R-Two Rivers) and Sen. Chris Kapenga (Delafield) were the sole opposing votes.

The expanded coverage, which will be available starting on July 1, means low-income mothers on Medicaid and their babies, who automatically get a year of coverage, will have Medicaid coverage for the same length of time. The only state in the U.S. left that has not implemented the expansion is Arkansas. 

According to the Wisconsin Department of Health Services, about half of pregnancy-related deaths occur in the postpartum period and 95% of those deaths are preventable. Black mothers are more than twice as likely as their white, non-Hispanic peers to die from complications of pregnancy and childbirth.

“Research has shown us that expanding postpartum coverage leads to improved maternal and birth outcomes, thanks to more folks being able to access the care they need when they need it — and without breaking the bank,” Evers said. “Now more than ever, we should be working to make healthcare more affordable and more accessible, not making it more expensive and harder for folks — including new moms and families — to get the care they need.”

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Eight Republican state Assembly lawmakers announced at 9:45 p.m. Wednesday that gridlock is ending on bills to provide a year of Medicaid coverage to postpartum mothers and ensure cancer screenings for women with a high risk of breast cancer, and both will receive a vote in the Assembly this week. 

The bills had been held up this legislative session despite widespread bipartisan support due to opposition from Assembly Speaker Robin Vos (R-Rochester), who once said he didn’t want to expand “welfare” in relation to the postpartum coverage and said recent federal changes made changes on breast cancer screening coverage unnecessary. He declined to comment to the Wisconsin Examiner on what changed his mind. 

Vos was not at the press conference led by Rep. Todd Novak (R-Dodgeville) and seven other Assembly Republicans, who represent purple districts across the state and had been advocating for the bills.

“It hasn’t been fun,” Novak said about the process. “I truly appreciate a caucus who is willing to listen to us bring the stories from our district… and get them to a point where they are willing to take a vote tomorrow.”

The lawmakers said that they sent a letter to Vos on Feb. 3 urging him to allow for a vote on the bill. The letter stated that the measure aligns with “core Republican priorities” including “protecting life and supporting families,” “fiscal responsibility” and “reducing government dependency.”

SB 23 would extend Medicaid coverage for postpartum mothers to a year. Wisconsin is one of two states in the U.S. that has not taken the federal extension, which was first offered to states five years ago in the American Rescue Plan Act.

People in Wisconsin are typically only eligible for Medicaid coverage if they make up to 100% of the federal poverty level, but pregnant women can receive Medicaid coverage if they have an annual income of up to 306% of the federal poverty level. Currently in Wisconsin, a newborn whose mother is a Medicaid recipient receives a year of coverage, but mothers risk losing their coverage after 60 days if they don’t otherwise qualify for Medicaid.

The bill passed the Senate in April 2025 on a 32-1 vote. It also previously passed the Senate in 2023-24 legislative session, but died in the Assembly.

SB 264 would require health insurance policies to provide coverage for diagnostic breast examinations and for supplemental breast screening examinations for an individual who has dense breast tissue. The bill would require coverage to include no patient cost-sharing. 

The bill is named “Gail’s Law” in honor of Gail Zeemer, a Neenah woman who advocated for the legislation and who died from breast cancer in 2024. Women with dense breast tissue have a higher risk of breast cancer and dense breast tissue can make it harder for radiologists to see cancer on mammograms, according to the American Cancer Society. 

The bill received a nearly unanimous vote in the Senate in October.

Republican lawmakers also railed at Democratic lawmakers, who had been urging the Assembly to vote on the bills for months and planned to hold up votes during Wednesday’s floor session by introducing amendments on every bill to advocate action on the issues.

“I’m very angry at what happened today — very angry,” Rep. Patrick Snyder (R-Weston) said, adding that he had been speaking to his Republican colleagues about why it was important to join the majority of the country in extending coverage. “I talked to my Democratic colleagues and told them that I was close, that it was going to get done, but then they throw this crap at us today. It almost blew it up.”

At a press conference at 1 p.m., Assembly Minority Leader Greta Neubauer (D-Racine) announced that she and her husband are expecting their first child this summer while urging the Assembly to take a vote on the bills that would increase health care coverage for women.

“I wasn’t really planning to talk about this today, but I am pregnant,” Neubauer said, adding that she is due in June. “We could not be more excited. During this pregnancy, I have been reflecting and I’m very lucky. I’m lucky to have quality, affordable health care coverage for myself and my baby when they arrive. For too many Wisconsin families, that health care coverage is cut off far too soon… This needs to end. We must pass postpartum Medicaid expansion now.” 

As the Assembly began acting on bills in the floor session that followed, Democrats took turns interrupting with speeches demanding that GOP lawmakers take up their amendments to put the Medicaid and breast cancer bills on the floor. Shortly after 3 p.m. Rep. Dean Kaufert (R-Neenah) called for a partisan caucus, and the session was paused. The Assembly did not return to the floor until 10 p.m. 

Republican lawmakers said they spent the time in caucus talking about the issues.

“I’m in it for the women that need this protection. They’re in it for politics, and that’s sickening,” Snyder said, adding that it would be hard for him to trust his Democratic colleagues in the future. “I don’t know what they were trying to do, but lobbyists told them to wait at least till Thursday, and they didn’t.”

Novak said his voice was hoarse after the caucus. He said lawmakers who were on the fence about the bill were angered by the Democratic amendments and it set back their progress on the discussions.

“I actually put my seat on the line. I said I wanted this bill to pass or I don’t know I could run again,” Snyder said. “How many Democrats put their seat on the line for anything if there’s something they’re passionate about? That’s why it’s about people, not about the politics.” 

At a press conference after, Neubauer was unapologetic for the Democratic lawmakers’ actions. 

“It seems that the bills are going to the floor after years of Rep. Pat Snyder telling us that these bills were going to be passed and them not being passed, so it does seem like our actions made a difference today,” Neubauer said. 

Neubauer rejected the assertion that Democrats were just engaging in politics and said the job of the minority party is to ensure that important issues get air time and get votes.

“Republicans refusing to vote on [the amendments] is their own choice. We have a responsibility to our constituents and the women of this state whose lives depend on these policies being passed,” Neubauer said. “We were going to stop at nothing to get a vote on these bills. We hope that that’s what’s going to happen tomorrow.”

Rep. Shannon Zimmerman (R-River Falls) said that the development is “proof that minds can be shifted.”

“I appreciate, certainly, the speaker’s willingness to hear us out. I appreciate all of my members in my caucus,” Zimmerman said. “The outcome that we have reached today is one that will have a positive impact on the lives of many in the state of Wisconsin.”

Vos and Assembly Majority Leader Tyler August (R-Walworth) were not at the caucus the entire time. In the early evening, the caucus leaders were at what Vos called a “thank you reception” hosted by the Jobs First Coalition — a nonprofit advocacy group that has a history of spending to help elect Republicans. 

Michelle Litjens, Vos’ wife and a former Republican member of the Assembly, has worked as a fundraiser for the organization. She told reporters the group was thanking legislators and that they often bring guests to speak on issues to their members.

When asked about why they were at the event while lawmakers were said to be in recess for caucus, Vos said “people are caucusing.” 

“This is the way it was for, like, 50 years before I became speaker,” Vos said. He added that people would leave floor sessions to go to receptions “all the time.” 

The Republican lawmakers who announced the deal to bring the bills to the floor said they were able to “win over hearts” in their caucus and shared personal stories about breast cancer. 

“Probably every person in this room has been touched in some way with someone in their family with cancer,” Kaufert said. “In my particular case, my mother when I was 17 years old in high school, she had breast cancer, and they didn’t have technologies that they do now, and at age of 19, my mother passed away due to that breast cancer.”

Rep. Bob Donovan (R-Greenfield) said his wife was diagnosed with metastatic breast cancer.

“Sadly, had this bill been in place back then, it may have impacted her particular situation. I’m very proud of the way she has dealt with this in front of my family and how they’ve stepped up to the plate to deal with it,” Donovan said. “Our situation is what it is, but I can’t tell you how pleased I am to have played a small part in helping this bill move forward.” 

Novak also said Vos is a “tough negotiator,” but that he “really felt what we were saying,” and that other GOP lawmakers also had some concerns.

The reversal comes as Assembly lawmakers are racing to finish their work. August said the Assembly GOP leaders plan to be finished this week. The Assembly has scheduled a floor session for Thursday. 

The lawmakers said they want the bills to go to Gov. Tony Evers by Monday, adding that Evers has committed to signing them without any line-item vetoes as long as they are unchanged.

“They’ll be clean,” Novak said.

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Roger Williams Medical Center in Providence, R.I. A new study shows that women with breast cancer living in Rhode Island and other states that expanded Medicaid eligibility were less likely to die from the disease. (Photo by Michael Salerno/Rhode Island Current)

Women with breast cancer living in states that expanded Medicaid eligibility were less likely to die from the disease — but not everyone benefited equally, according to a recent study published in the medical journal JAMA Network Open.

Researchers from Howard University, the University of Alabama, Henry Ford Hospital in Michigan, and others looked at data from about 1.6 million women ages 40 to 64 who were diagnosed with breast cancer between 2006 and 2021.

They compared survival rates among women living in states that expanded Medicaid eligibility under the Affordable Care Act, commonly known as Obamacare, with the rates in states that did not expand. About 58% of the women lived in expansion states, and roughly 42% lived in nonexpansion states. States began expanding Medicaid in 2014.

The researchers found that Medicaid expansion was associated with lower overall mortality — no matter the disease stage, race or ethnicity, or neighborhood income of the women. Women in expansion states whose cancer had spread to other organs — the most advanced stage of disease — saw the most significant decline in deaths.

Among racial and ethnic groups, the largest relative gains were among Hispanic women — they were 19% less likely to die if they lived in an expansion state. There were smaller gains among non-Hispanic Black women and residents of low-income areas. The smallest difference was among white women.

Hispanic women’s large gains could be due to many previously lacking insurance, said Dr. Oluwasegun Akinyemi, senior research fellow at the Howard University College of Medicine’s Clive O. Callender Outcomes Research Center and a coauthor of the study.

Black women have higher breast cancer death rates compared to white women, even though there are fewer cases among them, partly because they are often diagnosed with the disease at a later stage.

Overall, Black women with breast cancer benefitted less from Medicaid expansion than other groups because they are disproportionately located in the South, where most states have not expanded, Akinyemi noted. The expansion holdout states include Alabama, Florida, Georgia, Mississippi, South Carolina, Tennessee and Texas.

The remaining three nonexpansion states are Kansas, Wisconsin and Wyoming.

The researchers also compared mortality rates in low- and high-income neighborhoods. Women living in the highest-income neighborhoods, as well as those who received immunotherapy treatment, had lower mortality rates. Akinyemi said that result suggests that coverage leads to greater access to treatment.

In July, President Donald Trump signed a broad tax and spending bill  that will cut federal Medicaid funding by more than $900 billion over the next decade. As a result, about 15 million people may lose Medicaid coverage, according to estimates by the Center on Budget and Policy Priorities.

Editor’s Note: Because of inaccurate information provided to Stateline, an earlier version of this story misstated the position of Dr. Oluwasegun Akinyemi. Stateline reporter Nada Hassanein can be reached at nhassanein@stateline.org.