04/09/2026
FINALLY...Gail's Law Goes into Effect July 1st. For all of you women that have been confused by the DENSE BREAST letter...
What to Know About Gail’s Law – 2025 WI Act 103
Gail’s Law will go into effect July 1, 2026, for plan years that begin January 1, 2027.
If you have received a letter following a mammogram that indicates you have dense breast tissue or a strong family history of breast cancer, have a discussion with your provider about supplemental screening with MRI or ultrasound.
Your provider must refer you for an MRI or ultrasound. You cannot schedule these tests on your own.
If you receive a call back after your annual screening mammogram for further tests that would be considered diagnostic tests, you should not have to pay out of pocket for those any longer.
Before scheduling any additional screening or diagnostic tests, follow up with your insurance plan to be sure they will comply with Gail’s Law and provide these tests cost free. They should not be applied towards your deductible and you should have no out of pocket costs.