All Roll Calls
Yes: 53 • No: 43
WisconsinSB1832025-2026 Wisconsin Legislature (Biennial Session)SenateWALLET
An Act to amend 79.05 (2) (c); to create 256.04 (3) of the statutes; Relating to: reimbursement of emergency services under the Medical Assistance program when a patient is not transported, reporting on changes to the scope of practice of emergency medical responders and emergency medical services practitioners, and eligibility for the expenditure restraint incentive program. (FE)
Sponsored By: Jesse James (Republican), Howard Marklein (Republican), Brad Pfaff (Democratic), Mark Spreitzer (Democratic), Patrick Testin (Republican)
Signed by Governor
Sen Bill 183Emergency Medical Services BoardHealth ServicesDepartment of -- HealthMedical assistanceMedical serviceReportsShared revenue
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 2 benefits, 1 costs, 0 mixed.
Higher payments for ambulance care without transport
For services starting January 1, 2027, Wisconsin raises the maximum Medical Assistance payment for ambulance response and treatment without transport. The rate for this care, billed under code A0998, must match the maximum rate for basic life support emergency transport, code A0429. The payment goes to ambulance providers, not patients. The law does not give a dollar amount.
Easier budget test for local incentive payments
Wisconsin excludes certain local spending from the budget-growth test for expenditure restraint incentive payments. This includes spending from levies for qualifying joint fire department or joint emergency medical services fees exempt from levy limits. Other exclusions cover specified taxes, payments, grants, emergency costs, and purchases made for school districts. The test covers the budget statement year and the prior year. Counted growth must stay below inflation plus the property-value growth factor, rounded to the nearest 0.10 percentage point.
Annual state reports on emergency care roles
Wisconsin’s Department of Health Services must submit an annual report by September 15 to both houses of the legislature. It must consult the Technical College System Board. The report must cover state and national changes in what emergency medical responders and practitioners are allowed to do. It must also explain how those changes may affect training in Wisconsin.
Sponsors & Cosponsors
Sponsors
Jesse James
Republican • Senate
Howard Marklein
Republican • Senate
Brad Pfaff
Democratic • Senate
Mark Spreitzer
Democratic • Senate
Patrick Testin
Republican • Senate
Cosponsors
Deb Andraca
Democratic • House
Barbara Dittrich
Republican • House
Bob Donovan
Republican • House
Dora Drake
Democratic • Senate
Cindi Duchow
Republican • House
Benjamin Franklin
Republican • House
Chanz Green
Republican • House
Nate Gustafson
Republican • House
Jodi Habush Sinykin
Democratic • Senate
Jenna Jacobson
Democratic • House
Dean Kaufert
Republican • House
Joel Kitchens
Republican • House
Rob Kreibich
Republican • House
Tony Kurtz
Republican • House
Darrin Madison
Democratic • House
Dave Maxey
Republican • House
Paul Melotik
Republican • House
Vincent Miresse
Democratic • House
Clint Moses
Republican • House
Jeffrey Mursau
Republican • House
Amanda Nedweski
Republican • House
Jerry O'Connor
Republican • House
Sylvia Ortiz-Velez
Democratic • House
Lori Palmeri
Democratic • House
Jim Piwowarczyk
Republican • House
Melissa Ratcliff
Democratic • Senate
David Steffen
Republican • House
Angela Stroud
Democratic • House
Lisa Subeck
Democratic • House
Rob Summerfield
Republican • House
Randy Udell
Democratic • House
Nancy VanderMeer
Republican • House
Shannon Zimmerman
Republican • House
Roll Call Votes
House vote • 10/14/2025
Decision of the Chair upheld, Ayes 53, Noes 43
Yes: 53 • No: 43
Actions Timeline
Published 10-22-2025
10/22/2025SenateReport approved by the Governor on 10-21-2025. 2025 Wisconsin Act 36
10/22/2025SenatePresented to the Governor on 10-16-2025 by directive of the President, pursuant to Senate Rule 44m (3)
10/16/2025SenateReport correctly enrolled
10/15/2025SenateRepresentative J. Jacobson added as a cosponsor
10/15/2025SenateReceived from Assembly concurred in
10/15/2025SenateOrdered immediately messaged
10/14/2025HouseRead a third time and concurred in
10/14/2025HouseRules suspended
10/14/2025HouseOrdered to a third reading
10/14/2025HouseDecision of the Chair upheld, Ayes 53, Noes 43
10/14/2025HouseDecision of the Chair appealed
10/14/2025HousePoint of order that Assembly Amendment 1 not germane under Assembly Rule 54 (3)(f) well taken
10/14/2025HouseAssembly Amendment 1 offered by Representative Joers
10/14/2025HouseRead a second time
10/14/2025HouseRules suspended to withdraw from Senate message and take up
10/14/2025HouseRead
10/14/2025HouseReceived from Senate
10/14/2025HouseOrdered immediately messaged
10/14/2025SenateRead a third time and passed
10/14/2025SenateRules suspended to give bill its third reading
10/14/2025SenateOrdered to a third reading
10/14/2025SenateSenate Amendment 1 adopted
10/14/2025SenateRead a second time
10/14/2025SenateRepresentative Miresse added as a cosponsor
10/14/2025Senate
Bill Text
Senate Amendment 1
10/14/2025
Bill Text
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