republic-os/legislation/us/states/wi/2025/sb-183.md

---
type: "Bill"
title: "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)"
description: "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)"
jurisdiction: "us/states/wi"
legislature: "Wisconsin Legislature"
session: "2025"
identifier: "SB 183"
citation: "Wisconsin SB 183 (2025)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["James", "Marklein", "Pfaff", "Spreitzer", "Testin"]
version_count: 2
action_count: 44
vote_count: 2
first_action: "2025-04-14T05:00:00+00:00"
last_action: "2025-10-22T05:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/dbda828b-6f80-4c48-a5c6-35646eaaacc6"
source_url: "https://docs.legis.wisconsin.gov/2025/proposals/reg/sen/bill/sb183"
source_hash: "73d7c4a3e1171e7585968258b737b8d6dd9c7fd810bc8f09a0b1f421a6820a1b"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-wi"]
---

# Wisconsin SB 183 (2025) — 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)

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Bill Text** (committee substitute) — [source](https://docs.legis.wisconsin.gov/document/proposaltext/2025/REG/SB183)
2. **Senate Amendment 1** (committee substitute) — [source](https://docs.legis.wisconsin.gov/document/amends/2025/REG/SB183-SA1)

## Votes

- Report passage recommended by Committee on Health, Ayes 5, Noes 0 — **5–0** (pass) · upper
- SHALL THE DECISION OF THE CHAIR STAND — **53–43** (pass) · lower

## Sponsors

- James — primary (person)
- Marklein — primary (person)
- Pfaff — primary (person)
- Spreitzer — primary (person)
- Testin — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2025-04-14T05:00:00+00:00** Introduced by Senators Marklein, James, Pfaff, Spreitzer and Testin; cosponsored by Representatives Kurtz, Zimmerman, Summerfield, Dittrich, Donovan, Duchow, Franklin, Green, Gustafson, Kaufert, Kitchens, Kreibich, Maxey, Melotik, Moses, Mursau, O'Connor, Ortiz-Velez, Piwowarczyk, Steffen, Subeck, VanderMeer and Nedweski `introduction`
- **2025-04-14T05:00:00+00:00** Read first time and referred to Committee on Health `reading-1, referral-committee`
- **2025-04-16T05:00:00+00:00** Representative Madison added as a cosponsor
- **2025-04-16T05:00:00+00:00** Senator Drake added as a coauthor
- **2025-04-21T05:00:00+00:00** Senator Habush Sinykin added as a coauthor
- **2025-04-23T05:00:00+00:00** Fiscal estimate received `receipt`
- **2025-04-23T05:00:00+00:00** Fiscal estimate received `receipt`
- **2025-04-23T05:00:00+00:00** Public hearing held
- **2025-04-23T05:00:00+00:00** Representative Andraca added as a cosponsor
- **2025-04-25T05:00:00+00:00** Representative Stroud added as a cosponsor
- **2025-04-30T05:00:00+00:00** Fiscal estimate received `receipt`
- **2025-05-05T05:00:00+00:00** Executive action taken
- **2025-05-05T05:00:00+00:00** Report passage recommended by Committee on Health, Ayes 5, Noes 0 `committee-passage-favorable`
- **2025-05-05T05:00:00+00:00** Available for scheduling
- **2025-06-05T05:00:00+00:00** Representative Palmeri added as a cosponsor
- **2025-08-14T05:00:00+00:00** Senate Amendment 1 offered by Senator Marklein
- **2025-10-13T05:00:00+00:00** Representative Udell added as a cosponsor
- **2025-10-13T05:00:00+00:00** Placed on calendar 10-14-2025 pursuant to Senate Rule 18(1)
- **2025-10-14T05:00:00+00:00** Senator Ratcliff added as a coauthor
- **2025-10-14T05:00:00+00:00** Representative Miresse added as a cosponsor
- **2025-10-14T05:00:00+00:00** Read a second time `reading-2`
- **2025-10-14T05:00:00+00:00** Senate Amendment 1 adopted `amendment-passage`
- **2025-10-14T05:00:00+00:00** Ordered to a third reading `reading-3`
- **2025-10-14T05:00:00+00:00** Rules suspended to give bill its third reading
- **2025-10-14T05:00:00+00:00** Read a third time and passed `passage, reading-3`
- **2025-10-14T05:00:00+00:00** Ordered immediately messaged
- **2025-10-14T05:00:00+00:00** Received from Senate `receipt`
- **2025-10-14T05:00:00+00:00** Read
- **2025-10-14T05:00:00+00:00** Rules suspended to withdraw from Senate message and take up
- **2025-10-14T05:00:00+00:00** Read a second time `reading-2`
- **2025-10-14T05:00:00+00:00** Assembly Amendment 1 offered by Representative Joers
- **2025-10-14T05:00:00+00:00** Point of order that Assembly Amendment 1 not germane under Assembly Rule 54 (3)(f) well taken
- **2025-10-14T05:00:00+00:00** Decision of the Chair appealed
- **2025-10-14T05:00:00+00:00** Decision of the Chair upheld, Ayes 53, Noes 43
- **2025-10-14T05:00:00+00:00** Ordered to a third reading `reading-3`
- **2025-10-14T05:00:00+00:00** Rules suspended
- **2025-10-14T05:00:00+00:00** Read a third time and concurred in `passage, reading-3`
- **2025-10-14T05:00:00+00:00** Ordered immediately messaged
- **2025-10-15T05:00:00+00:00** Received from Assembly concurred in `receipt`
- **2025-10-15T05:00:00+00:00** Representative J. Jacobson added as a cosponsor
- **2025-10-15T05:00:00+00:00** Report correctly enrolled `enrolled`
- **2025-10-16T05:00:00+00:00** Presented to the Governor on 10-16-2025 by directive of the President, pursuant to Senate Rule 44m (3) `executive-receipt`
- **2025-10-22T05:00:00+00:00** Report approved by the Governor on 10-21-2025. 2025 Wisconsin Act 36 `executive-signature`
- **2025-10-22T05:00:00+00:00** Published 10-22-2025 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/dbda828b-6f80-4c48-a5c6-35646eaaacc6`. Confidence: reported (aggregated from official Wisconsin legislature records).