LRB-3483/1
DAK:kmg:ch
1995 - 1996 LEGISLATURE
July 5, 1995 - Introduced by Representatives Underheim, Robson, Urban, Gard,
Olsen, Silbaugh
and Owens, cosponsored by Senators Buettner, Darling and
Rosenzweig. Referred to Committee on Health.
AB477,1,4 1An Act to amend 146.89 (1), 146.89 (2) (a) 2., 146.89 (2) (c), 146.89 (2) (d) and
2146.89 (3) (a) 2. of the statutes; relating to: changing requirements for
3approval of certain applications for participation in the volunteer health care
4provider program.
Analysis by the Legislative Reference Bureau
Currently, under the volunteer health care provider program, licensed
physicians, dentists, optometrists, registered nurses, practical nurses or
nurse-midwives or certified physician assistants who provide services without
charge at certain nonprofit agencies are state agents of the department of health and
social services for the purposes of representation by the department of justice in any
court actions arising from the health care services that they provide. Amounts that
are recoverable by civil suit against these health care providers are limited and
judgments against them in these suits are payable by the state. The health care
providers may not receive income from the practice of their professions when
providing services at the nonprofit agency; they are limited in the types of services
that they may provide; and they must provide services to certain low-income,
uninsured persons. To participate in the volunteer health care provider program, the
health care providers must submit jointly with the nonprofit agency an application
to the department of administration (DOA). DOA may approve an application
submitted for the provision of services in Brown, Dane, Dodge, Fond du Lac,
Kenosha, La Crosse, Milwaukee, Outagamie, Racine, Rock or Sheboygan county. For
all other counties in the state, however, the application must first be approved by the
joint committee on finance (JCF) before DOA may approve it. Approval by DOA is
valid for one year and may be renewed.
This bill changes the requirement that applications for participation in the
volunteer health care provider program that are submitted from counties other than
Brown, Dane, Dodge, Fond du Lac, Kenosha, La Crosse, Milwaukee, Outagamie,

Racine, Rock or Sheboygan county be approved by JCF before DOA may approve
them; under the bill, the applications must be submitted to JCF and, if JCF does not
schedule a meeting for application review within 14 days after submittal, may be
approved.
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:
AB477, s. 1 1Section 1. 146.89 (1) of the statutes is amended to read:
AB477,2,82 146.89 (1) In this section, "volunteer health care provider" means an individual
3who is licensed as a physician under ch. 448, dentist under ch. 447, registered nurse,
4practical nurse or nurse-midwife under ch. 441 or optometrist under ch. 449 or
5certified as a physician's assistant under ch. 448 and who receives no income from
6the practice of that health care profession or
who receives no income from the practice
7of that health care profession when providing services at the nonprofit agency
8specified under sub. (3).
AB477, s. 2 9Section 2. 146.89 (2) (a) 2. of the statutes is amended to read:
AB477,3,810 146.89 (2) (a) 2. A volunteer health care provider may participate under this
11section only if he or she submits a joint application with a nonprofit agency in a
12county that is specified under sub. (3) (a) 2. to the department of administration and
13that department approves the application after first submitting
and the application
14is approved by the department. Before the department of administration may
15approve an application, it shall submit
the application to the joint committee on
16finance for review under the procedures specified in s. 13.10, and obtaining approval
17from the joint committee on finance for the application. The department of
18administration shall disapprove the application if the joint committee on finance has
19disapproved it
. If the cochairpersons of the joint committee on finance do not notify

1the department of administration that the committee has scheduled a meeting for
2the purpose of reviewing the application within 14 working days after the date of the
3submittal, the department of administration may approve the application. If, within
414 working days after the date of the submittal, the cochairpersons of the committee
5notify the department of administration that the committee has scheduled a meeting
6for the purpose of reviewing the application, the department of administration may
7approve the application only with the approval of the committee
. The department
8of administration shall provide application forms for use under this subdivision.
AB477, s. 3 9Section 3. 146.89 (2) (c) of the statutes is amended to read:
AB477,3,1210 146.89 (2) (c) The department of administration shall notify the volunteer
11health care provider and, the nonprofit agency and the department of health and
12social services
of the department's decision to approve or disapprove the application.
AB477, s. 4 13Section 4. 146.89 (2) (d) of the statutes is amended to read:
AB477,3,2214 146.89 (2) (d) Approval of an application of a volunteer health care provider is
15valid for one year. If a volunteer health care provider wishes to renew approval, he
16or she shall submit a joint renewal application with a nonprofit agency to the
17department of administration for review. The department of administration need
18not submit the renewal application to the joint committee on finance before
19approving or disapproving the application
. The department of administration shall
20provide renewal application forms that are developed by the department of health
21and social services and that include questions about the activities that the individual
22has undertaken as a volunteer health care provider in the previous 12 months.
AB477, s. 5 23Section 5. 146.89 (3) (a) 2. of the statutes is amended to read:
AB477,4,224 146.89 (3) (a) 2. The volunteer health care provider shall provide services under
25par. (b) without charge in any county, other than those counties specified in subd. 1.,

1at the nonprofit agency, if the joint application of the volunteer health care provider
2and the
nonprofit agency in that county has received approval under sub. (2) (a) 2.
AB477,4,33 (End)
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