LRB-1996/4
DAK:skg:km
1995 - 1996 LEGISLATURE
October 10, 1995 - Introduced by Senators Buettner, Rosenzweig and Schultz,
cosponsored by Representatives
Underheim, Urban, Robson, Silbaugh,
Lehman, Meyer and
Olsen. Referred to Committee on Health, Human
Services and Aging.
SB369,1,9
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 care
5data oversight board, requiring development of health plan performance
6measures and models, development of a health care data collection and
7dissemination systems improvement plan and the study of consolidating
8certain functions in a single state agency and requiring submittal of certain
9reports.
Analysis by the Legislative Reference Bureau
Under current law, the 7-member board on health care information, which is
attached to the office of the commissioner of insurance, must advise the director of
the office of health care information (OHCI) with respect to the collecting, analyzing
and dissemination of health care information that OHCI must perform. The board
on health care information also may determine whether to contract for, or have the
department of health and social services provide, the data processing services
necessary for collecting, analyzing and disseminating this health care information.
This bill eliminates the board on health care information and creates a
19-member health care data oversight board, which assumes the powers and duties
of the board on health care information. Under the bill, beginning on January 1,
1996, the health care data oversight board must develop recommendations on the
use of health plan performance measures and develop a health care data collection
and dissemination systems improvement plan for this state. The health care data
oversight board must also review existing health care data collection undertaken by
state agencies and, as part of this review, study issues associated with the
consolidation of health care data collection and dissemination for performance by a
single state agency and report its recommendations to the legislature by July 1, 1996.
The health care data oversight board is required to perform several other functions
under the bill, including recommending membership for 3 committees, to be
appointed by the commissioner of insurance, from which the board must seek advice
concerning, among other things, any adjustments that are necessary to the health
care data collection and dissemination systems improvement plan. The health care
data oversight board must report on the development of the plan to the legislature,
the commissioner of insurance and the governor by January 1, 1997, and must also
report, by June 30, 1997, and biennially thereafter, concerning recommendations
under the plan and progress made toward implementing the recommendations.
Beginning on January 1, 1997, the board must direct OHCI to apply the plan to the
collection and dissemination of encounter-level data from health care providers and
from the data bases of programs of certain state agencies. The health care data
oversight board must report concerning the application of the plan to this data to the
appropriate standing committees of the legislature, the commissioner of insurance
and the governor by January 1, 1998. Lastly, the board must report to the same
bodies by January 1, 1997, concerning recommendations for state statutory and
rules changes and by June 30, 1997, on findings regarding the feasibility of
developing a health care data institute or instituting a publicly sponsored program
for private health care data collection.
For further information see the state and local 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:
SB369, s. 1
1Section
1. 15.07 (2) (b) of the statutes is amended to read:
SB369,2,32
15.07
(2) (b) The chairperson of the
board on health care
information data
3oversight board shall be designated biennially by the governor.
SB369, s. 2
4Section
2. 15.07 (3) (bm) 1. of the statutes is amended to read:
SB369,2,75
15.07
(3) (bm) 1. The
board on health care
information data oversight board 6shall meet 4 times each year and may meet at other times on the call of the
7chairperson or a majority of the board's members.
SB369, s. 3
8Section
3. 15.735 (2) of the statutes is repealed.
SB369, s. 4
1Section
4. 15.735 (3) of the statutes is created to read:
SB369,3,52
15.735
(3) Health care data oversight board. There is created a health care
3data oversight board which is attached to the office of the commissioner of insurance
4under s. 15.03. The board shall consist of all of the following members, appointed for
54-year terms:
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(a) One representative of hospitals, who is nominated by the Wisconsin
7Hospital Association, Inc.
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(b) One representative of clinics, who is nominated by the Wisconsin Medical
9Group Management Association.
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(c) Three members of the insurance industry, one of whom is nominated by the
11Association of Wisconsin HMOs, one of whom is nominated by Blue Cross and Blue
12Shield United of Wisconsin and one of whom is nominated by an insurer that is
13authorized to do business in this state in one or more lines of insurance that includes
14health insurance.
SB369,3,1715
(d) Two health care consumers, one of whom is nominated by the American
16Federation of State, County and Municipal Employees, Council 24, and one of whom
17is nominated by the secretary of health and social services.
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(e) The following 4 purchasers of health care or health care coverage on behalf
19of a group:
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1. Two purchasers who are nominated by the Wisconsin Association of
21Manufacturers and Commerce, Inc., one of whom purchases on behalf of a group that
22is located in an urban area and one of whom purchases on behalf of a group that is
23located in a rural area.
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2. One purchaser who is nominated by a self-insured health plan.
SB369,4,2
13. One purchaser who is nominated by the National Federation of Independent
2Business, Wisconsin chapter.
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(f) Two physicians, one of whom practices in a rural area and one of whom
4practices in an urban area, who are nominated by the State Medical Society of
5Wisconsin.
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(g) Two members 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.
SB369,4,1210
(h) One nurse who holds a certificate of registration under s. 441.06 (1) or a
11license under s. 441.10 (3) and who is nominated by the Wisconsin Nurses
12Association Incorporated.
SB369,4,1413
(i) A representative of the office of the commissioner of insurance who is
14designated by the commissioner of insurance.
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(j) A representative of the department of employe trust funds who is designated
16by the secretary of employe trust funds.
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(k) A representative of the department of health and social services who is
18designated by the secretary of health and social services.
SB369, s. 5
19Section
5. 20.145 (8) (hg) of the statutes is amended to read:
SB369,4,2420
20.145
(8) (hg)
General program operations; office of health care information.
21 The amounts in the schedule to fund the activities of the office of health care
22information and the
board on health care
information data oversight board under ch.
23153. The assessments paid under s. 153.60 shall be credited to this appropriation
24account.
SB369, s. 6
25Section
6. 20.145 (8) (mr) of the statutes is amended to read:
SB369,5,4
120.145
(8) (mr)
Federal funds; office of health care information. All moneys
2received from the federal government, as authorized by the governor under s. 16.54,
3for the purposes of the office of health care information and the
board on health care
4information data oversight board under ch. 153.
SB369, s. 7
5Section
7. 153.01 (2) of the statutes is amended to read:
SB369,5,76
153.01
(2) "Board" means the
board on health care
information data oversight
7board.
SB369, s. 8
8Section
8. 153.01 (4r) of the statutes is created to read:
SB369,5,129
153.01
(4r) "Encounter-level data" means data related to the use of health care
10services by and the provision of health care services to individual patients or
11insureds, including claims data, abstracts of medical records and data from patient
12interviews and surveys.
SB369, s. 9
13Section
9. 153.01 (8m) of the statutes is created to read:
SB369,5,1414
153.01
(8m) "State agency" has the meaning given in s. 16.004 (12) (a).
SB369, s. 10
15Section
10. 153.07 (3) of the statutes is renumbered 153.07 (8).
SB369, s. 11
16Section
11. 153.07 (3) to (7) of the statutes are created to read:
SB369,5,1717
153.07
(3) The board shall work to accomplish all of the following:
SB369,5,1818
(a) Increased accessibility to and usefulness of health care data.
SB369,5,2119
(b) Development of a detailed plan of procedure for the release of health care
20data that distinguishes health care data intended to be available for public use from
21health care data intended to be restricted for research and other nonpublic use.
SB369,5,2422
(c) Consideration of the feasibility of developing a health care data institute for
23public and private use or instituting a publicly sponsored program for private health
24care data collection.
SB369,6,2
1(4) The board shall seek advice from the committees specified under 1995
2Wisconsin Act .... (this act), section 12 (2), on all of the following:
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(a) The identification of health care data policy issues that require extensive
4research.
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(b) Recommended health care data collection, analysis and dissemination
6techniques for meeting the needs of policy makers and the public.
SB369,6,87
(c) Any recommended adjustments to the health care data collection and
8dissemination systems improvement plan under sub. (5).
SB369,6,10
9(5) Beginning on January 1, 1996, the health care data oversight board shall
10do all of the following:
SB369,6,1211
(a) Develop recommendations on the use of health plan performance measures,
12including recommendations on standardizing measures.
SB369,6,1413
(b) Develop a health care data collection and dissemination systems
14improvement plan for this state that addresses the following areas:
SB369,6,1615
1. Identification of health care data collection needs of the state, with priority
16given to data collection necessary to support public policy decisions.
SB369,6,1817
2. Identification of data that can be collected through the private sector and
18data for which state data collection and analysis is appropriate.
SB369,6,2019
3. Identification of data that should be collected on an ongoing basis and data
20that should be collected on a one-time or periodic basis.
SB369,6,2421
4. An analysis of the costs and benefits of linking state data systems that are
22specific to programs of services, including services under the mental health system
23in this state, with encounter-level data related to the use of health care services in
24the private sector.
SB369,6,2525
5. Recommendations on the collection and dissemination of all of the following:
SB369,7,1
1a. Comparisons of costs, including costs of health insurance plan premiums.
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b. Information on costs of various health care services that is available through
3existing data collection mechanisms.
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c. Information not currently available that addresses overall costs and charges
5for care for selected high-cost or high-volume conditions and episodes of care.
SB369,7,96
(c) In developing the plan under par. (b), the board shall give consideration to
7the administrative costs imposed on health care providers and insurers as a result
8of state data collection requirements and shall seek to minimize those costs,
9consistent with providing necessary information to state policy makers.
SB369,7,1110
(d) 1. Review existing health care data collection undertaken by state agencies,
11and where appropriate, recommend any of the following:
SB369,7,1212
a. Elimination of unnecessary data collection.
SB369,7,1413
b. Modifications to existing data collection that will improve the utility of the
14data or reduce the administrative costs to the public and private sectors.