LRB-1259/2
MED:jld:jf
2013 - 2014 LEGISLATURE
DOA:......Dombrowski, BB0408 - Health care data organization funding
For 2013-2015 Budget -- Not Ready For Introduction
An Act ...; relating to: the budget.
Analysis by the Legislative Reference Bureau
Health and Human Services
Health
Under current law, DHS and DETF may contract with a data organization (organization) to request health care claims information from health insurers and third-party administrators of insurance plans. The organization must analyze and publicly report this information with respect to the cost, quality, and effectiveness of health care, in language that is understandable to laypersons. The organization must provide to DHS health care claims information and reports produced by the organization upon the request of DHS. The organization must also develop and maintain a centralized data repository. If DHS and DETF determine that the organization is not fulfilling certain requirements, DHS is required to carry out these functions itself.
This bill adds an additional source of general purpose revenue funding to finance the duties performed by the organization. The bill also requires the organization to do all of the following as a condition of the contract: 1) provide an Internet site that offers health care provider cost and quality data and reports to consumers and that uses language that is understandable to laypersons; 2) conduct statewide consumer information campaigns to improve health literacy; 3) provide a review and reconsideration software solution to allow health care providers to validate their cost and quality data prior to publication on the Internet site; 4) conduct other functions as specified in the contract by DHS and DETF; and 5) satisfy timelines established by DHS and DETF for requirements imposed as a condition of the contract.
For further information see the state fiscal estimate, which will be printed as an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:
Section
1. 20.435 (1) (fn) of the statutes is created to read:
20.435 (1) (fn) Health care information organization. The amounts in the schedule to contract with the data organization under s. 153.05 (2r).
****Note: This Section involves a change in an appropriation that must be reflected in the revised schedule in s. 20.005, stats.
Section
2. 153.05 (2r) (intro.) of the statutes is amended to read:
153.05 (2r) (intro.) Notwithstanding s. 16.75 (1), (2), and (3m), from the appropriation account under s. 20.515 (1) (ut) the department of employee trust funds may expend up to $150,000, and from the appropriation accounts under s. 20.435 (1) (fn), (hg), and (hi) the department of health services, in its capacity as a public health authority, may expend moneys, to contract with a data organization to perform services under this subchapter that are specified for the data organization under sub. (1) (c) or, if s. 153.455 (4) applies, for the department of health services to perform or contract for the performance of these services. As a condition of the contract under this subsection, all of the following apply:
Section
3. 153.05 (2r) (d) to (h) of the statutes are created to read:
153.05 (2r) (d) The data organization shall provide an Internet site that offers health care provider cost and quality data and reports to consumers in a manner that is comprehensive and transparent and that uses language that is understandable to laypersons.
(e) The data organization shall conduct statewide consumer information campaigns to improve health literacy.
(f) The data organization shall provide a review and reconsideration software solution to allow health care providers to validate their cost and quality data prior to publication on the Internet site described in par. (d).
(g) The data organization shall conduct other functions in support of the responsibilities under sub. (1) (c) as specified in the contract by the department of health services and the department of employee trust funds.
(h) The data organization shall fulfill the requirements under this subsection according to timelines established by the department of health services and the department of employee trust funds.
(End)
