SB599,33,2
1(m) The applicant has prepared a plan acceptable to the commission for the pro
2vision of health care to indigents.
SB599,33,7 3(9) Review process. (a) The commission shall hold a public meeting upon the
4request of an affected party to review projects seeking approval, at which all affected
5parties may present testimony. The commission may consider projects seeking ap
6proval that are within a related area at joint public meetings. The commission shall
7keep minutes or other record of testimony presented at the public meeting.
SB599,33,17 8(b) The commission shall issue an initial finding to approve or reject the project
9within 75 days after the date that it publishes its notice under sub. (7) (a), unless all
10applicants consent to an extension of this period. The commission may not require
11substantial modification of any project as a condition of approval without the appli
12cant's consent. The commission may extend by 60 days the review cycle of all projects
13being reviewed concurrently under sub. (7) (b), if it finds that completing the reviews
14within 75 days after the date it publishes its notice under sub. (7) (a) is not practicable
15due to the volume of applications received. The commission shall submit its decision
16to the applicant. Unless the applicant makes a timely request for a hearing under
17par. (c), the commission's initial finding under this paragraph is its final action.
SB599,33,23 18(c) 1. Any applicant whose project is rejected may request a public hearing to
19review the commission's initial finding under par. (b), if the request is submitted in
20writing within 10 days after the commission's decision, or may initiate a hearing un
21der s. 227.42. The commission shall commence the hearing under par. (b) within 30
22days after receiving a timely request, unless all parties consent to an extension of this
23period.
SB599,34,3
12. Except as provided in s. 227.42, ss. 227.43 to 227.50 do not apply to hearings
2under this paragraph. The commission shall promulgate rules to establish all of the
3following:
SB599,34,4 4a. Procedures for scheduling hearings under this paragraph.
SB599,34,7 5b. Procedures for conducting hearings under this paragraph, including meth
6ods of presenting arguments, cross-examination of witnesses and submission of ex
7hibits.
SB599,34,9 8c. Procedures following the completion of a hearing under this paragraph, in
9cluding the establishment of time limits for issuance of a decision.
SB599,34,11 10d. Standards relating to ex parte communication in hearings under this para
11graph.
SB599,34,1212 e. Procedures for reconsideration and rehearing.
SB599,34,1313 3. The commission shall issue all decisions in writing.
SB599,34,1714 4. Each applicant at any hearing under this paragraph has the burden of prov
15ing, by clear and convincing evidence, that the commission's initial finding was con
16trary to the weight of the evidence on the record when considered as a whole, arbi
17trary and capricious or contrary to law.
SB599,34,21 18(10) Judicial review. Any applicant adversely affected by a decision of the com
19mission under sub. (9) (c) may petition for judicial review of the decision under s.
20227.52. The scope of judicial review shall be as provided in s. 227.57 and the record
21before the reviewing court shall consist of all of the following:
SB599,34,23 22(a) The application and all supporting material received prior to the commis
23sion's initial finding under sub. (9) (b).
SB599,34,2424 (b) The record of the public meeting under sub. (9) (a).
SB599,35,2
1(c) The commission's analysis of the project and its compliance with the criteria
2specified in sub. (8).
SB599,35,33 (d) The record of the hearing held under sub. (9) (c).
SB599,35,4 4(e) The commission's decision and analysis issued under sub. (9) (b) or (c) 3.
SB599,35,7 5(11) Validity and contents of an approval. (a) An approval is valid for one
6year from the date of issuance. The commission may grant a single extension of up
7to 6 months.
SB599,35,9 8(b) The commission shall specify the maximum expenditure that may be obli
9gated for a project.
SB599,35,14 10(c) Each approval shall include the proposed timetable for implementing and
11completing the project and, for the 3-year period following completion of the project,
12the project's depreciation and interest schedule, staff required for the project, the
13proposed per diem rate needed to pay capital costs and the proposed per diem rate
14needed to pay operating costs.
SB599,35,20 15(12) Rate approval. Rate reimbursement to cover the cost of the project estab
16lished for medical assistance under s. 49.45 (3) (e) may not exceed the rates proposed
17in the approval under sub. (11) (c) by more than 5% during the 3-year period follow
18ing completion of the project. This subsection does not apply if the hospital demon
19strates to the satisfaction of the commission that the excess was due to conditions
20beyond its control.
SB599,36,2 21(13) Capital budget reporting. Each hospital shall annually, by January 1,
22beginning January 1, 1997, report to the commission a proposed capital budget for
23the 5-year period that begins with July 1, 1997. This budget shall specify all antici
24pated capital expenditures subject to this section and anticipated application dates,
25if any. This requirement does not apply to the purchase or other acquisitions of a hos

1pital under sub. (1) (d). An application under sub. (5) from a hospital to approve a
2project is not complete until the commission receives this information.
SB599,36,3 3(14) Rule making. The commission shall promulgate all of the following rules:
SB599,36,44 (a) Establishing review requirements under sub. (7) (b).
SB599,36,5 5(b) Establishing procedures and standards under sub. (9) (c) 2.
SB599,36,7 6(c) Establishing a method for defining an acute care service area under sub. (16)
7(b).
SB599,36,8 8(d) Establishing appropriate fees for applications, as specified in sub. (6).
SB599,36,11 9(15) Enforcement. (a) No person may recover through charges or rates any
10depreciation, interest or principal payments or any operating expenses associated
11with a project subject to this section that does not have the commission's approval.
SB599,36,14 12(b) 1. If a project whose cost falls below the minimum threshold specified in sub.
13(1) (a), (b) or (c) incurs costs exceeding the threshold, the person who operates the
14project shall submit an application for the commission's approval under sub. (1).
SB599,36,17 152. If a project that has received the commission's approval incurs a cost overrun,
16the person who operates the project shall submit another application for the commis
17sion's approval under sub. (1).
SB599,36,18 18(c) No person may subdivide a project to avoid the requirements of this section.
SB599,36,25 19(d) The commission's approval of any project is revoked if the capital expendi
20tures specified in the approval have not been obligated, if financing in an amount suf
21ficient to complete the project has not been obtained or if substantial and continuing
22progress has not been undertaken within the period specified in the approval. In
23addition, the commission's approval of any project is revoked if the person who oper
24ates a project misses any other deadlines specified in the approval and fails to make
25a good faith effort to meet these deadlines.
SB599,37,4
1(e) The commission may reject the application for approval of a project operated
2by any person who has repeatedly been subject to the penalties specified in this sub
3section or may impose restrictions as part of its approval to ensure compliance with
4this section.
SB599,37,10 5(16) State health services plan. (a) The commission shall adopt a state health
6services plan using information provided by the office of health care information in
7the office of the commissioner of insurance, at least once every 3 years that includes
8a description of the hospital system in the state and identifies health care needs and
9surpluses with respect to existing health care services, facilities and equipment and
10other components the commission finds useful.
SB599,37,15 11(b) The commission may not accept any application for a project under this sec
12tion for the addition of hospital beds that would exceed the number of beds described
13by the state health services plan for the acute care service area where the project
14would be located. The commission shall establish its method for defining an acute
15care service area by rule.
SB599, s. 14 16Section 14. 632.75 (5) of the statutes is amended to read:
SB599,37,2017 632.75 (5) Payments for hospital services. No insurer may reimburse a hospi
18tal for patient health care costs at a rate exceeding the rate established under ch. 54,
191985 stats., or s. 146.60, 1983 stats., for care provided prior to July 1, 1987
subch. II
20of ch. 196
.
SB599, s. 15 21Section 15 . Nonstatutory provisions.
SB599,37,22 22(1)   Public service commission; hospital rate setting.
SB599,38,2 23(a)  By September 1, 1996, the public service commission shall submit, under
24section 16.515 of the statutes, a request to supplement the appropriation under sec
25tion 20.155 (3) (gm) of the statutes, as created by this act, that details a proposed bud

1get for activities of the public service commission under subchapter II of chapter 196
2of the statutes, as created by this act.
SB599,38,6 3(b)   1. The public service commission shall submit proposed rules required un
4der section 196.993 of the statutes, as created by this act, to the legislative council
5staff for review under section 227.15 (1) of the statutes no later than January 1, 1997.
6These rules may not take effect before July 1, 1997.
SB599,38,14 72. Using the procedure under section 227.24 of the statutes, the public service
8commission shall promulgate rules required under section 196.993 (2) of the stat
9utes, as created by this act, for the period prior to the effective date of the rules sub
10mitted under subdivision 1., but not to exceed the period authorized under section
11227.24 (1) (c) and (2) of the statutes. Notwithstanding section 227.24 (1) (a) and (2)
12(b) of the statutes, the public service commission need not provide evidence of the
13necessity of preservation of the public peace, health, safety or welfare in promulgat
14ing the rules under this paragraph.
SB599,38,16 15(c)  By January 1, 1997, the public service commission shall do all of the follow
16ing:
SB599,38,19 171. Estimate the total amount of revenue required for fiscal year 1996-97 for ad
18ministration by the commission of subchapter II of chapter 196 of the statutes, as
19created by this act.
SB599,39,2 202. Assess the estimated total amount under subdivision 1. to hospitals, as de
21fined in section 150.01 (12) of the statutes, under the rates established by rule under
22paragraph (b) 2. and in proportion to each hospital's respective net income, as de
23fined in section 196.9996 (1) (e) of the statutes, as created by this act, during the hos
24pital's most recently concluded entire fiscal year, except that the public service com

1mission may not assess a hospital that has a net income of 3% or less over the net
2income for the hospital's next most recently concluded entire fiscal year.
SB599,39,4 33. Credit all payments of assessments to the appropriation under section
420.155 (3) (gm) of the statutes, as created by this act.
SB599,39,6 5(d)  Every hospital that is assessed under paragraph (c) 2. shall, by April 1,
61997, pay the entire amount assessed the hospital.
SB599, s. 16 7Section 16. Initial applicability.
SB599,39,10 8(1)  Public service commission; hospital rate setting. This act first applies to
9requests for rate changes submitted under subchapter II of chapter 196 of the stat
10utes, as created by this act, on July 1, 1997.
SB599, s. 17 11Section 17. Effective dates. This act takes effect on July 1, 1996, or on the
12day after publication, whichever is later, except as follows:
SB599,39,14 13(1)  Hospital rate setting. The repeal of section 20.155 (3) (a) of the statutes
14takes effect on January 1, 1998.
SB599,39,1515 (End)
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