LRB-3972/1
SWB:ahe
2017 - 2018 LEGISLATURE
March 22, 2018 - Introduced by Representatives Stuck, Anderson, Crowley, Pope,
Sargent and Sinicki. Referred to Committee on Health.
AB1066,1,4 1An Act to repeal 146.903 (1) (e) 1. and 2.; to renumber and amend 146.903
2(1) (e) (intro.); and to amend 146.903 (2) (a) 3., 146.903 (3) (a), 146.903 (3) (b)
31., 146.903 (3) (d), 146.903 (4) (a) 1. and 146.903 (4) (c) of the statutes; relating
4to:
mandatory health care pricing disclosures.
Analysis by the Legislative Reference Bureau
This bill changes the pricing disclosures required from certain health care
providers and hospitals. Under current law, certain health care providers and
hospitals are required to disclose, among other things, the median billed charge,
which means the amount the health care provider or hospital charged, before any
discount or contractual rate applicable to certain patients or payers was applied,
during a time period set forth in the statutes, and calculated as described in the
statutes. This bill requires health care providers and hospitals to disclose, instead
of the median billed price, the lowest price accepted, which is defined in the bill as
the lowest price a health care provider or hospital accepts as payment in full for a
health care related product or service offered for sale to the public.
The bill also changes the amount of time health care providers and hospitals
have to update certain charge information. Under current law, health care providers
must annually update the document listing 1) the median billed charge, 2) the
Medicare payment to the provider (if the health care provider is certified as a
provider of Medicare), and 3) the average allowable payment from private,
third-party payers, assuming no medical complications, for diagnosing and treating
each of 25 conditions identified by the Department of Health Services for the health

care provider's type. Similarly, current law requires hospitals to update, every
calendar quarter, the document listing 1) the median billed charge, 2) the average
allowable payment under Medicare, and 3) the average allowable payment from
private, third-party payers, assuming no medical complications, for inpatient care
for certain diagnosis-related groups and for certain outpatient surgical procedures.
This bill substitutes the lowest price accepted for the median billed charge and
requires health care providers and hospitals to update the information on a
continuous basis as information is available.
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:
AB1066,1 1Section 1. 146.903 (1) (e) (intro.) of the statutes is renumbered 146.903 (1) (e)
2and amended to read:
AB1066,2,53 146.903 (1) (e) “Median billed charge" “Lowest price accepted” means one of the
4following:
the lowest price a health care provider or hospital accepts as payment in
5full for a health care-related product or service offered for sale to the public.
AB1066,2 6Section 2. 146.903 (1) (e) 1. and 2. of the statutes are repealed.
AB1066,3 7Section 3. 146.903 (2) (a) 3. of the statutes is amended to read:
AB1066,2,108 146.903 (2) (a) 3. Prescribe the methods by which health care providers shall
9calculate and present median billed charges the lowest price accepted and Medicare
10and private 3rd-party payer payments under sub. (3) (b).
AB1066,4 11Section 4. 146.903 (3) (a) of the statutes is amended to read:
AB1066,2,1712 146.903 (3) (a) Except as provided in par. (g), a health care provider or the
13health care provider's designee shall, upon request by and at no cost to a health care
14consumer, disclose to the consumer within a reasonable period of time after the
15request, the median billed charge lowest price accepted, assuming no medical
16complications, for a health care service, diagnostic test, or procedure that is specified
17by the consumer and that is provided by the health care provider.
AB1066,5
1Section 5. 146.903 (3) (b) 1. of the statutes is amended to read:
AB1066,3,22 146.903 (3) (b) 1. The median billed charge lowest price accepted.
AB1066,6 3Section 6. 146.903 (3) (d) of the statutes is amended to read:
AB1066,3,64 146.903 (3) (d) Except as provided in par. (g), a health care provider shall
5annually update, on a continuous basis, the document under par. (b) as information
6is available
.
AB1066,7 7Section 7. 146.903 (4) (a) 1. of the statutes is amended to read:
AB1066,3,88 146.903 (4) (a) 1. The median billed charge lowest price accepted.
AB1066,8 9Section 8. 146.903 (4) (c) of the statutes is amended to read:
AB1066,3,1110 146.903 (4) (c) A hospital shall update, on a continuous basis, the document
11under par. (a) every calendar quarter as information is available.
AB1066,3,1212 (End)
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