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Wednesday, September 10, 2025

Sen. James of Wisconsin Senate authors bill banning utilization controls on antipsychotic drugs

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Jesse L. James, Wisconsin State Senator for 23rd District | Official Facebook

Jesse L. James, Wisconsin State Senator for 23rd District | Official Facebook

The new bill authored by State Sen. Jesse L. James seeks to prevent the use of utilization management controls on FDA-approved antipsychotic drugs within the Medical Assistance program, according to the Wisconsin State Senate.

According to the Wisconsin State Legislature's official website, the bill was described as follows: "utilization management controls for antipsychotic prescription drugs under the Medical Assistance program. (FE)".

The following is our breakdown, based on the actual bill text, and may include interpretation to clarify its provisions.

In essence, this bill prohibits the Wisconsin Department of Health Services from implementing utilization management controls for prescription drugs classified as antipsychotics under the Medical Assistance program. It defines utilization management controls as specified formal techniques used by a health carrier or prescription drug entity to assess medical necessity, appropriateness, efficacy, or efficiency, including methods such as prior authorization and step therapy protocols. The bill specifies that these controls cannot be applied to antipsychotic drugs approved by the federal Food and Drug Administration. The measure impacts the Medical Assistance program, a joint federal and state initiative that offers healthcare services to individuals with limited financial means.

The bill was co-authored by Representative Todd Novak (Republican-51st District) Senator Van H. Wanggaard (Republican-21st District). It was co-sponsored by Representative Rick Gundrum (Republican-58th District), Representative Brent Jacobson (Republican-87th District), and Representative Jeffrey Mursau (Republican-36th District), along one other co-sponsor.

Jesse L. James has authored or co-authored another 22 bills since the beginning of the 2025 session, with none of them being enacted.

James graduated from Chippewa Valley Technical College in 2001.

James, a Republican, was elected to the Wisconsin State Senate in 2023 to represent the state's 23rd Senate district, replacing previous state senator Kathy Bernier.

In Wisconsin, the legislative process starts when a senator, constituent, group, or agency proposes an idea for a bill. After drafting, the bill is introduced, numbered, and referred to a committee for review and public input. If approved, it moves through three readings and votes in both the Senate and Assembly. Once both chambers pass the same version, the bill goes to the governor, who can sign it, veto it, or let it become law without a signature. Only a small share of bills introduced each session ultimately become law. You can learn more about the Wisconsin legislative process here.

Bills Introduced by Jesse L. James in Wisconsin Senate During 2025 Regular Session

Bill NumberDate IntroducedShort Description
SB8302/26/2025Utilization management controls for antipsychotic prescription drugs under the Medical Assistance program. (FE)
SB7502/26/2025Venue for actions in which there is a governmental party
SB7302/26/2025Prosecuting or adjudicating delinquent a person under the age of 18 for committing an act of prostitution
SB7202/26/2025Creating an individual income tax deduction for certain income earned by an individual from the practice of psychiatry or from providing psychiatric or mental health services. (FE)
SB6202/21/2025Financing the operating costs and certain out-of-state projects of nonprofit institutions and compensation of employees of the Wisconsin Health and Educational Facilities Authority. (FE)
SB4202/12/2025Permitting pharmacists to prescribe certain contraceptives, extending the time limit for emergency rule procedures, providing an exemption from emergency rule procedures, granting rule-making authority, and providing a penalty. (FE)
SB4102/12/2025School safety grants and making an appropriation. (FE)
SB3902/12/2025Establishment of a Palliative Care Council. (FE)
SB2302/05/2025Extension of eligibility under the Medical Assistance program for postpartum women. (FE)
SB2102/05/2025Creating an employee ownership conversion costs tax credit, a deduction for capital gains from the transfer of a business to employee ownership, and an employee ownership education and outreach program. (FE)
SB1702/05/2025Special circumstances battery to a community service officer and providing a penalty

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