LRBs0371/1
DAK:skg:jlb
1995 - 1996 LEGISLATURE
SENATE SUBSTITUTE AMENDMENT 2,
To 1995 SENATE BILL 369
March 7, 1996 - Offered by Senator
Risser.
SB369-SSA2,1,9
1An Act to repeal 15.735 (2);
to renumber 153.07 (3);
to amend 15.07 (2) (b),
215.07 (3) (bm) 1., 20.145 (8) (hg), 20.145 (8) (mr) and 153.01 (2); and
to create
315.735 (3), 153.01 (4r), 153.01 (8m) and 153.07 (3) to (7) of the statutes;
relating
4to: eliminating the board on health care information, creating a health
5insurance plan oversight board, requiring development of health insurance
6plan performance measures and models, development of a health insurance
7plan data collection and dissemination systems improvement plan and the
8study of consolidating certain functions in a single state agency and requiring
9submittal of certain reports.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
SB369-SSA2,1,1211
15.07
(2) (b) The chairperson of the
board on health
care information insurance
12plan oversight board shall be designated biennially by the governor.
SB369-SSA2, s. 2
13Section
2. 15.07 (3) (bm) 1. of the statutes is amended to read:
SB369-SSA2,2,3
115.07
(3) (bm) 1. The
board on health
care information insurance plan
2oversight board shall meet 4 times each year and may meet at other times on the call
3of the chairperson or a majority of the board's members.
SB369-SSA2,2,96
15.735
(3) Health insurance plan oversight board. There is created a health
7insurance plan oversight board which is attached to the office of the commissioner
8of insurance under s. 15.03. The board shall consist of all of the following members,
9appointed for 4-year terms:
SB369-SSA2,2,1010
(a) The following 7 providers of health care services:
SB369-SSA2,2,1211
1. One representative of hospitals, who is nominated by the Wisconsin Hospital
12Association, Inc.
SB369-SSA2,2,1413
2. One representative of clinics, who is nominated by the Wisconsin Medical
14Group Management Association.
SB369-SSA2,2,1515
3. One physician, who is nominated by the State Medical Society of Wisconsin.
SB369-SSA2,2,1816
4. One nurse who holds a certificate of registration under s. 441.06 (1) or a
17license under s. 441.10 (3) and who is nominated by the Wisconsin Nurses
18Association Incorporated.
SB369-SSA2,2,1919
5. One representative of home health agencies.
SB369-SSA2,2,2120
6. One pharmacist, who is nominated by the Wisconsin Pharmacists
21Association, Inc.
SB369-SSA2,2,2222
7. One provider of mental health services.
SB369-SSA2,3,223
(b) Three members of the insurance industry, one of whom is nominated by the
24Association of Wisconsin HMOs, one of whom is nominated by Blue Cross and Blue
25Shield United of Wisconsin and one of whom is nominated by an insurer that is
1authorized to do business in this state in one or more lines of insurance that includes
2health insurance.
SB369-SSA2,3,33
(c) The following 7 health care consumers:
SB369-SSA2,3,54
1. One representative of labor, who is nominated by the American Federation
5of State, County and Municipal Employees, Council 24.
SB369-SSA2,3,66
2. One mother, who is nominated by the Maternal and Child Health Coalition.
SB369-SSA2,3,87
3. One representative of elderly persons, who is nominated by the Coalition of
8Wisconsin Aging Groups Incorporated.
SB369-SSA2,3,109
4. One representative of persons who have developmental disabilities, who is
10nominated by the council on developmental disabilities.
SB369-SSA2,3,1211
5. One representative of persons who have mental illness, who is nominated
12by the Wisconsin Coalition for Advocacy, Inc.
SB369-SSA2,3,1413
6. One representative of black consumers of health care, who is nominated by
14the Black Health Coalition of Wisconsin.
SB369-SSA2,3,1615
7. One American Indian, who is nominated by the Great Lakes Inter-Tribal
16Council, Inc.
SB369-SSA2,3,1817
(d) The following 6 purchasers of health care or health care coverage on behalf
18of a group:
SB369-SSA2,3,2219
1. Two purchasers who are nominated by the Wisconsin Association of
20Manufacturers and Commerce, Inc., one of whom purchases on behalf of a group that
21is located in an urban area and one of whom purchases on behalf of a group that is
22located in a rural area.
SB369-SSA2,3,2323
2. One purchaser who is nominated by a self-insured health plan.
SB369-SSA2,3,2524
3. One purchaser who is nominated by the National Federation of Independent
25Business, Wisconsin chapter.
SB369-SSA2,4,3
14. A representative of the department of health and social services who assists
2in administering the medical assistance program and who is designated by the
3secretary of health and social services.
SB369-SSA2,4,54
5. A representative of the department of employe trust funds who is designated
5by the secretary of employe trust funds.
SB369-SSA2,4,96
(e) Two persons who have expertise in health care data, one of whom is a
7member of the faculty of the Medical College of Wisconsin, Inc., and one of whom is
8a member of the faculty of the University of Wisconsin-Madison who is nominated
9by the chancellor of the University of Wisconsin-Madison.
SB369-SSA2, s. 5
10Section
5. 20.145 (8) (hg) of the statutes is amended to read:
SB369-SSA2,4,1511
20.145
(8) (hg)
General program operations; office of health care information.
12The amounts in the schedule to fund the activities of the office of health care
13information and the
board on health
care information insurance plan oversight
14board under ch. 153. The assessments paid under s. 153.60 shall be credited to this
15appropriation account.
SB369-SSA2, s. 6
16Section
6. 20.145 (8) (mr) of the statutes is amended to read:
SB369-SSA2,4,2017
20.145
(8) (mr)
Federal funds; office of health care information. All moneys
18received from the federal government, as authorized by the governor under s. 16.54,
19for the purposes of the office of health care information and the
board on health
care
20information insurance plan oversight board under ch. 153.
SB369-SSA2,4,2322
153.01
(2) "Board" means the
board on health
care information insurance plan
23oversight board.
SB369-SSA2,5,2
1153.01
(4r) "Health plan performance measures" means the relationship of
2features of health insurance plans to the health of individual patients or insureds.
SB369-SSA2,5,44
153.01
(8m) "State agency" has the meaning given in s. 16.004 (12) (a).
SB369-SSA2, s. 11
6Section
11. 153.07 (3) to (7) of the statutes are created to read:
SB369-SSA2,5,77
153.07
(3) The board shall work to accomplish all of the following:
