BioForward is actively working with Governor Evers and Wisconsin legislators to pass all copays count legislation, an R&D tax credit refundability increase, full repeal of the personal property taxes, and to support the University of Wisconsin System & Technical Colleges.

SUPPORT: All Co-pays Count Legislation

This legislation requires health insurance policies that offer prescription drug benefits, self-insured health plans, and pharmacy benefit managers acting on behalf of policies or plans to apply amounts paid by or on behalf of a person covered under the policy or plan for prescription drugs to any calculation of an out-of-pocket maximum amount or to any cost-sharing requirement of the policy or plan in Wisconsin. For additional information, check out their website at this link WI All Copays Count Coalition (wi4patients.com) and read the recent press release.

Watch this powerful video about why all co-pays count: https://vimeo.com/user13782109/review/818097108/a71ed27fed

SUPPORT: Increase in Refundable Research Tax Credit

BioForward is a coalition member working to increase the Wisconsin Refundable Research Credit from 15% to a higher limit. More details to be provided as updates occurred through the state budget process. For current information on the Wisconsin Research credits, click on the link: https://www.revenue.wi.gov/Pages/Businesses/incentives-research.aspx.

SUPPORT: Complete Repeal of the Personal Property Tax (AB 245)

Will provide more than $200 million in tax relief for Wisconsin businesses. This will allow biohealth companies to reinvest this tax savings back into their companies.

SUPPORT: Increase Funding to the UW System including:

Funding for the UW-Madison College of Engineering Building Project. Click here to support!

Funding for Phase II of the University of Wisconsin-Eau Claire Science and Health Sciences Building to ensure that UW-EC continues its traditions as a national leader in undergraduate research. It will be a catalyst for talent and workforce development for northwest Wisconsin.

Senate and Assembly Republicans Elect Leadership for 2023-24:

Senate Republican Leadership

• Senate President – Chris Kapenga
• Senate President Pro Tempore – Patrick Testin
• Majority Leader – Devin LeMahieu
• Assistant Majority Leader – Dan Feyen
• Caucus Chair – Van Wanggaard
• Caucus Vice-Chair – Joan Ballweg

Assembly Republican Leadership

• Assembly Speaker – Robin Vos
• Assembly Speaker Pro Tempore – Kevin Petersen
• Majority Leader – Tyler August
• Assistant Majority Leader – Jon Plumer
• Caucus Chair – Rob Summerfield
• Caucus Vice-Chair – Cindi Duchow
• Caucus Sergeant at Arms – Treig Pronschinske

STATE GOVERNMENT UPDATES:

• Gov. Ever Appoints Kirsten Johnson to DHS Secretary: Press Release: Gov. Evers Appoints Kirsten Johnson to DHS Secretary (govdelivery.com)
• 2023 -24 School Year Immunization Requirement: Immunization: 2023 Child Care and 2023-2024 School Year Immunization Requirements | Wisconsin Department of Health Services

BIO Vaccine Education Materials

Value of Vaccines- Fact Sheet

November 11, 2022

Wisconsin Reelects Governor Tony Evers to a Second Term.

Democratic incumbent Governor Tony Evers captured 51.2% of the vote, while Republican challenger, Tim Michels, had 47.79%. According to reporting by WisPolitics, Evers has broken several historical trends with this victory. He is the first gubernatorial candidate to win a race while his party was in the White House since Republican Tommy Thompson in 1990. He is also the first Democrat to pull it off in 60 years.

Attorney General Dem Josh Kaul is Reelected.

Democratic incumbent Attorney General, Josh Kaul won reelection by narrowly beating Republican challenger, Fond du Lac County District Attorney, Eric Toney. With 99 percent of votes counted, Kaul had 50.1% to Toney’s 49.9%. This is an even slimmer margin than the 0.25% margin that Kaul beat Republican Attorney General Brad Schimel by in 2018.

Ron Johnson wins US Senate Reelection.

In the battle for Wisconsin’s U.S. Senate seat on the ballot, incumbent Republican Senator Ron Johnson beat Democratic challenger, Lt. Gov. Mandela Barnes. Johnson secured 50.50%, while Barnes captured 49.50% of the vote.

Republican Majority in the State Senate will be 22-10 Next Session.

The Senate Republicans have picked up their 2/3 veto-proof majority with a 22-11 majority heading into the 2023-24 legislative session. However, because the Assembly came up short, the legislature will not have a veto-proof Republican majority.

State Assembly Republican Majority will be 64-35.

The Wisconsin State Assembly will reconvene with a 64-35 majority in January 2023. Although they picked up three seats, they are still two seats short of the veto-proof majority that they were seeking.

Republican Van Orden Wins Open 3^rd Congressional District.

The race for the open 3^rd Congressional District vacated by Dem Congressman Ron Kind’s retirement was won by Republican former Navy SEAL Derrick Van Orden who beat Democratic candidate State Senator Brad Pfaff. Senator Pfaff will return to his State Senate seat, as his seat was not up for reelection in this year.

Key Wisconsin State Senate Races:

• Republican Rob Hutton won the 5^th State Senate District left open when current State Senator Dale Kooyenga decided not to run for reelection.
• Republican State Rep. Rachel Cabral-Guevara will move to the Wisconsin State Senate, winning her race for the 19^th State Senate District, which was vacated by Republican Lt. Gov candidate Roger Roth.
• Former Republican State Rep. Romaine Quinn wins the 25^th State Senate District seat, which was vacated by retiring Democratic State Senator Janet Bewley.
• Republican candidate Cory Tomczyk wins the 29^th Senate District vacated by retiring Republican State Senator Jerry Petrowski.

Other WI Congressional Race Results:

• S. Rep. Bryan Steil, R-Janesville, won reelection against Dem Ann Roe.
• S. Rep. Mike Gallagher, R-Allouez, won reelection against independent Paul Boucher and Libertarian Jacob VandenPlas.
• S. Rep. Tom Tiffany, R-Minocqua, won reelection against Dem Richard Ausman.
• S. Rep. Glenn Grothman, R-Glenbeulah, was unopposed.
• S. Rep. Scott Fitzgerald, R-Juneau, won reelection against Dem Mike Van Someren.
• S. Rep. Mark Pocan, D-Town of Vermont, won reelection against Republican Erik Olsen and Independent Douglas Alexander.
• S. Rep. Gwen Moore, D-Milwaukee, won reelection against Republican Tim Rogers.

Senate and Assembly Republicans Elect Leadership for 2023-24. The day after the election, the Wisconsin State Senate and Assembly Republican caucuses met separately to elect the following leaders for the 2023-24 legislative session:

Senate Republican Leadership

• Senate President – Chris Kapenga
• Senate President Pro Tempore – Patrick Testin
• Majority Leader – Devin LeMahieu
• Assistant Majority Leader – Dan Feyen
• Caucus Chair – Van Wanggaard
• Caucus Vice-Chair – Joan Ballweg

Assembly Republican Leadership

• Assembly Speaker – Robin Vos
• Assembly Speaker Pro Tempore – Kevin Petersen
• Majority Leader – Tyler August
• Assistant Majority Leader – Jon Plumer
• Caucus Chair – Rob Summerfield
• Caucus Vice-Chair – Cindi Duchow
• Caucus Sergeant at Arms – Treig Pronschinske

BioForward State Advocacy Update – Preview of 2023

Wisconsin has reelected Democratic Governor Tony Evers for his second term. At the same time, the State Assembly and the State Senate will have very strong Republican majorities in 2023. With a Democratic governor and a Republican legislature, Wisconsin will have a “divided government” in the state legislature again for the upcoming 2023-24 legislative session.

In January 2023, the Governor will immediately begin work on the next biennial budget bill and the legislature will be in session and will work on numerous legislative issues. Although no specific legislation can be introduced until January, below is a preview of the issues that are on the state advocacy priority list for BioForward for the 2023-24 Wisconsin legislative session:

2023-25 Biennial Budget Bill – Support for UW and Support for Wisconsin Businesses.

The biennial budget bill controls the spending for the State of Wisconsin for the next two fiscal years. This bill will cover all state expenditures from July 1, 2023, through June 30, 2024. BioForward is particularly interested in any tax issues that could affect our Wisconsin companies and also the funding and support provided to public education, support to STEM education, the University of Wisconsin system and UW-Madison by the state in this legislation.

Support the Repeal of Personal Property Tax.

BioForward has supported efforts to repeal Wisconsin’s personal property tax for the past two sessions. The PPT imposes an unequal local tax burden on small business across Wisconsin. The “personal property tax” is a business tax that is assessed and collected by some local municipalities on certain property located within a business. It has become an administrative and financial burden that does not generate a very large or considerable revenue amount. As such, a very large coalition of businesses from across industry sectors has come together to work toward repealing this tax. It has strong bipartisan support and hopefully will be approved in 2023.

Support Legislation to Prohibit Co-Pay Accumulators – Help Patients Afford Medication at the Pharmacy Counter.

Copay accumulator provisions in health insurance policies exclude copay assistance from counting toward a patient’s deductible or out of pocket costs. If a patient has an insurance plan with a “copay accumulator” program, the part of their copay that is paid by a prescription drug manufacturer’s copay assistance program will be accepted at the pharmacy and used toward the cost of the medication but that money will not count toward their deductible or their annual maximum out-of-pocket costs. BioForward is a part of a coalition of patient advocacy groups and manufacturers who are working to pass legislation to prohibit this practice in Wisconsin. To date, fourteen states have already banned accumulator provisions.

Carefully Monitor and Engage on any Prescription Drug Pricing Transparency Initiatives.

We have seen various legislative proposals introduced over the past several sessions aimed at increasing prescription drug pricing transparency. Because of the complexity of these proposals and their consequences, we carefully monitor these issues and will engage with the input and guidance of our members, as needed.

Attorney Jordan Lamb serves as BioForward’s lead legal and legislative counsel.  Successful management of governmental issues for BioForward depends on our comprehensive approach to the unique challenges ranging from health policy to business issues that are faced by Wisconsin biohealth businesses.  Our approach to each issue depends on a combination of legal analysis, statute and rule design, constituency involvement, political action and media management. 

Madison Local Issue

OPPOSE: City of Madison Proposes Ban on Breeding and Selling Animals for Research.

The proposed ordinance item #68608, related to a ban on breeding and selling animals for research, was not included in the agenda for the Board of Health (BOH) meeting on 9/7. Currently, this matter has been placed on file and no timetable for further BOH review. BioForward and the Biohealth community, including UW-Madison, aggressively advocated against this ban.

The proposed City of Madison ordinance that had been pending before the Dane County Board of Health since January 2022, could have negatively affected our local (Madison/Dane County) research and biohealth community. Two alders from the Madison City Council: Proposed Ordinance No. 68608 which would have banned the breeding or selling of vertebrate animals for the purpose of medical, surgical or chemical experimentation in the City of Madison.

2022 State Issues

SUPPORT: Co-pay Accumulator Legislation (2021 SB 215/AB 184)

• FAILED TO PASS (2021 SB 215 and AB 184). This legislation requires health insurance policies that offer prescription drug benefits, self-insured health plans, and pharmacy benefit managers acting on behalf of policies or plans to apply amounts paid by or on behalf of a person covered under the policy or plan for prescription drugs to any calculation of an out-of-pocket maximum amount or to any cost-sharing requirement of the policy or plan in Wisconsin.
  • The Assembly Health Committee held a public hearing on AB 184 on February 16, 2022. There was no hearing in the Senate Committee and no vote on this legislation in the Assembly Committee. BioForward will work to support this legislation again during the 2023-24 legislative session.

• SUPPORTED-Engineering School Planning Bill PASSES (AB 775 / SB 728). Legislation to require the Building Commission to allocate $1,000,000 from the state building trust fund to conduct planning and design services and prepare a design report for the construction of a new engineering building at the University of Wisconsin-Madison passed both houses and was signed by Governor Evers on March 18, 2022 https://content.govdelivery.com/attachments/WIGOV/2022/03/18/file_attachments/2107255/ab775.pdf

• SUPPORTED-Qualified New Business Venture Eligibility Changes PASSES (AB 759 / SB 729). Legislation that would help Wisconsin-based start-ups who acquire another business from outside of Wisconsin not lose their Early-Stage Investment Tax Credits due to their expansion has passed both houses and will be sent to the Governor. Current law requires companies to have at least 51% of their employees in Wisconsin in order to qualify for the credit. Under this bill, the company would be allowed one calendar year from acquisition in which they could drop below the 51% threshold and still qualify for the tax credit. Business’ headquarters must remain in Wisconsin and all current Wisconsin employees remain in Wisconsin as well.

Current Legislative Actions BioForward is Tracking 

Support Co-pay Accumulator Legislation (2021 SB 215 / AB 184) 

Senator Andre Jacque (R-DePere) and Representative Paul Tittl (R-Manitowoc) have introduced 2021 Senate Bill 215 and Assembly Bill 184, known as “co-pay accumulator legislation.” This legislation would require health insurance policies that offer prescription drug benefits, self-insured health plans, and pharmacy benefit managers, to apply amounts paid for prescription drugs by or on behalf of a person covered under the policy/plan to any calculation of an out-of-pocket maximum or any cost-sharing requirement of the policy or plan. 

These bills have been introduced and are waiting for legislative review and action. 

BioForward Supports NORD Ambassadors in the Creation of Rare Disease Advisory Council (RDAC)

NORD and the Wisconsin Rare Disease Advisory Council Coalition are working on creating a Rare Disease Advisory Council (RDAC) in Wisconsin. BioForward supports the creation of RDAC in Wisconsin.

BioForward monitoring:

• Prohibiting Step Therapy for Certain Cancer Drugs (AB745/SB 716)
• Right to Try Off Label Therapies
• Banning “White Bagging” in Wisconsin

2021-23 Wisconsin biennial budget signed by Governor Evers (view our whitepaper) (view the press release)

The 2021-23 Wisconsin biennial budget bill was $685 million in net general and categorical school aids, which will provide two-thirds of school funding for the next two years. In addition, the Governor committed to designating an additional $100 million for education from the most recent federal pandemic relief funding designated for Wisconsin. This investment is very significant compared to other recent budgets.

However, we do not believe that funding for education is a one-time commitment.

Watch for BioForward’s ongoing efforts to advocate for additional educational funding for K-12 and our higher education systems.

Issues that BioForward is advocating for/tracking:

1. Talent Attraction and Retention Initiatives Funded. Requires the Wisconsin Economic Development Corporation to expend at least $3 million during the 2021-23 biennium for talent attraction and retention initiatives.
2. Refundable Research Credit Increased. Increases the refundable portion of the research credit from 10% to 15% for taxable years beginning after Dec. 31, 2021. BioForward advocated an increase of 20% to this credit in our budget communications. For more information on who may qualify for the credits and on what form are they claimed, please see page 31 of Dept of Revenue Business Tax Incentives publication: https://www.revenue.wi.gov/DOR%20Publications/pb123-2020.pdf
3. All Drug Transparency and Drug Pricing Provisions REMOVED.
4. Funding for UW Engineering School – Not Included. BioForward will continue to advocate for these types of vital UW System funding projects that have an impact on our industry’s long term talent needs

Wisconsin PBM Legislation (Senate Bill 3, now Wisconsin Act 9) 

A reintroduction of the PBM bill from the last session moved along quickly. This bill, authored by a large group of bipartisan legislators, generally requires pharmacy benefit managers to be licensed with the commissioner of insurance or to have an employee benefit plan administrator license under current law.  The bill also established certain requirements on pharmacy benefit managers and certain health plans regarding their interactions with pharmacies and pharmacists. 

Governor Evers signed the bill on March 26, 2021. 

Legislation to Allow Pharmacy Students to Administer Vaccines Proceeds (2021 AB 4 / 2021 SB 60) 

Assembly Health Committee Chairman, Rep. Joe Sanfelippo and Sen. Dale Kooyenga, introduced AB 4 / SB 60, legislation that would allow pharmacy students and pharmacy technicians to administer vaccines. The companion bills both had hearings and were recommended for passage. A number of organizations — including Walgreens, the Pharmacy Society of Wisconsin and the Medical College of Wisconsin — backed it, saying it would dramatically expand the number of vaccinators in the state. BioForward registered in support of this legislation. 

Governor Evers signed the bill on February 19, 2021. 

Support for Liability Protection from COVID-19 Lawsuits for Wisconsin Businesses and Universities 

In the fall of 2020, Wisconsin legislators introduced legislation that would provide safe harbor protection for businesses, homeowners, and government entities such as schools or universities from COVID-19 litigation. 

Supported and signed by Governor Evers. 

1. 2021 WI Act 3, Wis. Stat. § 895.476. 

PPP Loan Deductibility 

Support state law change to allow businesses that received PPP loans to deduct expenses paid with the loan proceeds (i.e., change to state law to match federal law). 2021 Wisconsin Act 1.  Act Memo. 

BioForward Promotes Investments Into Biohealth Economic Infrastructure as a Part of the 2021-23 Biennial Budget Bill 

BioForward urged the State Legislature and Governor Evers to support Wisconsin’s biohealth economic infrastructure in the 2021-23 biennial budget bill through additional support for UW-Madison, expansion of UW-System funding and borrowing authority, and expansion of R&D tax credits and workforce development issues.  Further, BioForward has requested that the initiatives related to pharmaceutical pricing and transparency be removed from the biennial budget debate. 

Legislature and Administration Updates 

Andrea Palm Joins Biden Administration – Karen Timberlake is New DHS Secretary-Designee 

On January 18, 2021, it was announced that Department of Health Services (DHS) Secretary-designee Andrea Palm has been nominated to be Deputy Secretary of the U.S. Department of Health and Human Services in the Biden Administration. She will depart DHS to undertake this opportunity on January 20, 2021. 

Gov. Evers also announced that Karen Timberlake, DHS secretary under former Gov. Jim Doyle during the 2009 H1N1 pandemic virus response, will serve as DHS interim secretary. Timberlake will officially start at the DHS on January 25, 2021.  Timberlake has most recently been working for Michael Best Strategies, a contract lobby firm, in Madison. 

Legislative Leadership in 2021-22 

All of the legislative caucuses have met and elected the following leadership for 
next session. 

Assembly Republican Leadership 2021-22 

• Speaker – Robin Vos 
• Speaker Pro Tempore – Tyler August 
• Majority Leader – Jim Steineke 
• Assistant Majority Leader – Kevin Petersen 
• Caucus Chair – Tyler Vorpagel 
• Assistant Caucus Chair – Cindi Duchow 
• Caucus Secretary – Jessie Rodriguez 
• Caucus Sergeant at Arms – Sam Kerkman 

Assembly Democratic Leadership 2021-22 

• Minority Leader – Gordon Hintz 
• Assistant Minority Leader – Dianne Hesselbein 
• Caucus Chair – Mark Spreitzer 
• Assistant Caucus Chair – Lisa Subeck 
• Caucus Secretary – Beth Meyers 
• Caucus Sergeant at Arms – Kaylan Haywood 

Senate Republican Leadership 2021-22 

• Senate Majority Leader – Devin LeMahieu 
• Senate President – Chris Kapenga 
• Senate President Pro Tempore – Patrick Testin 
• Senate Assistant Majority Leader – Dan Feyen 
• Senate Caucus Chair – Van Wanggaard 
• Senate Caucus Vice-Chair – Kathy Bernier 

Senate Democratic Leadership 2021-22 

• Minority Leader – Janet Bewley 
• Assistant Minority Leader – Janis Ringhand 
• Caucus Chair – Jeff Smith 
• Assistant Caucus Chair – Melissa Sargent 

2021 COVID-19 Vaccine Activities & Updates 

We are fortunate to be living in a time when most major diseases can be prevented by effective and safe vaccines. According to CDC and every medical professional organization, the United States has the safest vaccine supply in history. The stage is set for success, but it is our responsibility to take advantage of the scientific advances that have already been made by getting vaccinated now for those diseases that can be controlled. It is important to get as many people vaccinated for COVID-19 as possible so that we can get past this pandemic.  We do this for ourselves and each other. 

• Vaccination of biohealth companies’ employees: the following is a sequence of events related to the COVID-19 vaccine distribution- 

• • December 8, 2020: BioForward proactively requested that Wisconsin’s biohealth industry be eligible for Phase 1b vaccinations since many of our companies should be designated as frontline workers in the fight against this pandemic due to our critical products and services related to the treatment, prevention and testing of COVID-19.
  • January 14, 2021: BioForward responded to the State Disaster Medical Advisory Committee’s (SDMAC) recommendations for Phase 1b COVID Vaccination, which the recommendations excluded manufacturing that encompasses the biohealth industry. BioForward sent the SDMAC a comment letter and also made our companies aware they too could comment if they felt strongly about having our industry in Phase 1b. 
  • January 27, 2021. BioForward reached out to member companies after Wisconsin’s Department of Health Services finalized Phase 1b COVID vaccinations. The following category would apply to many Wisconsin biohealth companies: 

• • • Health care critical supply chain functions, including the production, manufacturing, and distribution of vaccine 
    • Companies located in Dane County were able to register through this site: https://publichealthmdc.com/coronavirus/covid-19-vaccine 

• Vaccine Facts and Vaccines 101: 

• • Get the fact on COVID-19 Vaccines: https://www.covidvaccinefacts.org/ 
  • COVID Treatment Progress: https://phrma.org/Coronavirus/Activity-Tracker 
  • Vaccines 101 

• Educating our members and state