27,4418
Section 4418
. 560.183 (4) (d) of the statutes is repealed.
27,4419
Section 4419
. 560.183 (4) (e) of the statutes is repealed.
27,4420
Section 4420
. 560.183 (5) (a) of the statutes is amended to read:
560.183 (5) (a) The obligation of the department to make payments under an agreement entered into under sub. (3) (b) is subject to the availability of funds in the appropriations under s. 20.143 (1) (fe) (f) and (jm).
27,4421
Section 4421
. 560.183 (5) (b) (intro.) of the statutes is amended to read:
560.183 (5) (b) (intro.) If the cost of repaying the loans of all eligible applicants, when added to the cost of loan repayments scheduled under existing agreements, exceeds the total amount in the appropriations under s. 20.143 (1) (fe) (f) and (jm), the department shall establish priorities among the eligible applicants based upon the following considerations:
27,4421b
Section 4421b. 560.183 (5) (b) 1. of the statutes is amended to read:
560.183 (5) (b) 1. The degree to which there is an extremely high need for medical care in the eligible practice area or health professional shortage area in which the physician desires to practice.
27,4421c
Section 4421c. 560.183 (5) (b) 2. of the statutes is amended to read:
560.183 (5) (b) 2. The likelihood that a physician will remain in the eligible practice area or health professional shortage area in which he or she desires to practice after the loan repayment period.
27,4421d
Section 4421d. 560.183 (5) (b) 3. of the statutes is amended to read:
560.183 (5) (b) 3. The per capita income of the eligible practice area or health professional shortage area in which a physician desires to practice.
27,4421e
Section 4421e. 560.183 (5) (b) 4. of the statutes is amended to read:
560.183 (5) (b) 4. The financial or other support for physician recruitment and retention provided by individuals, organizations, or local governments in the eligible practice area or health professional shortage area in which a physician desires to practice.
27,4421f
Section 4421f. 560.183 (5) (b) 5. of the statutes is amended to read:
560.183 (5) (b) 5. The geographic distribution of the physicians who have entered into loan repayment agreements under this section and the geographic distribution of the eligible practice areas or health professional shortage areas in which the eligible applicants desire to practice.
27,4422
Section 4422
. 560.183 (6m) of the statutes is created to read:
560.183 (6m) Penalties. The department shall, by rule, establish penalties to be assessed by the department against physicians who breach an agreement entered into under sub. (3) (a). The rules shall do all of the following:
(a) Specify what actions constitute a breach of the agreement.
(b) Provide specific penalty amounts for specific breaches.
(c) Provide exceptions for certain actions, including breaches resulting from death or disability.
27,4423
Section 4423
. 560.183 (7) of the statutes is repealed.
27,4424
Section 4424
. 560.183 (8) (intro.) of the statutes is amended to read:
560.183 (8) Administrative contract. (intro.) From the appropriation under s. 20.143 (1) (fd)
(f), the department shall contract with the board of regents of the University of Wisconsin System for administrative services from the office of rural health of the department of professional and community development of the University of Wisconsin Medical School. Under the contract, the office of rural health shall do all of the following:
27,4425
Section 4425
. 560.183 (8) (a) of the statutes is repealed.
27,4426
Section 4426
. 560.183 (8) (b) of the statutes is amended to read:
560.183 (8) (b) Advise the department and rural health development council on the identification of eligible practice areas with an extremely high need for medical care.
27,4426n
Section 4426n. 560.183 (9) of the statutes is created to read:
560.183 (9) Expanded loan assistance program. The department may agree to repay loans as provided under this section on behalf of a physician under an expanded physician loan assistance program that is funded through federal funds in addition to state matching funds. To be eligible for loan repayment under the expanded physician loan assistance program, a physician must fulfill all of the requirements for loan repayment under this section, as well as all of the following:
(a) The physician must be a U.S. citizen.
(b) The physician may not have a judgment lien against his or her property for a debt to the United States.
(c) The physician must agree to do all of the following:
1. Accept medicare assignment as payment in full for services or articles provided.
2. Use a sliding fee scale or a comparable method of determining payment arrangements for patients who are not eligible for medicare or medical assistance and who are unable to pay the customary fee for the physician's services.
3. Practice at a public or private nonprofit entity in a health professional shortage area.
27,4427
Section 4427
. 560.184 (1) (a) of the statutes is renumbered 560.184 (1) (ad) and amended to read:
560.184 (1) (ad) “Council" has the meaning given in s. 560.183 (1) (a) means the rural health development council.
27,4428
Section 4428
. 560.184 (1) (ac) of the statutes is created to read:
560.184 (1) (ac) “Clinic hours" has the meaning given in s. 560.183 (1) (ac).
27,4429
Section 4429
. 560.184 (1) (am) of the statutes is amended to read:
560.184 (1) (am) “Eligible practice area" means a primary care shortage area, an obstetric shortage area, a state or federal prison, an area health education center program established under 42 USC 295g-1, an American Indian reservation or trust lands of an American Indian tribe.
27,4429p
Section 4429p. 560.184 (1) (bp) of the statutes is created to read:
560.184 (1) (bp) “Health professional shortage area" has the meaning given in s. 560.183 (1) (aj).
27,4430
Section 4430
. 560.184 (1) (c) of the statutes is repealed.
27,4431
Section 4431
. 560.184 (3) (a) of the statutes is amended to read:
560.184 (3) (a) The department shall enter into a written agreement with the health care provider. In the agreement, the health care provider shall agree to practice at least 32 clinic hours per week for 3 years in one or more eligible practice areas in this state primarily in an eligible practice area, except that a health care provider in the expanded loan assistance program under sub. (8) may only agree to practice at a public or private nonprofit entity in a health professional shortage area.
27,4432
Section 4432
. 560.184 (3) (b) of the statutes is amended to read:
560.184 (3) (b) The agreement shall specify that the responsibility of the department to make the payments under the agreement is subject to the availability of funds in the appropriations under s. 20.143 (1) (fc)
(f) and (jL).
27,4433
Section 4433
. 560.184 (4) (a) of the statutes is amended to read:
560.184 (4) (a) Ten percent
Up to 40% of the principal of the loan or $2,500 $10,000, whichever is less, during the first year of practice participation in the program under this section.
27,4434
Section 4434
. 560.184 (4) (b) of the statutes is amended to read:
560.184 (4) (b) An Up to an additional 12.5% 40% of the principal of the loan or $3,125 $10,000, whichever is less, during the 2nd year of practice participation in the program under this section.
27,4435
Section 4435
. 560.184 (4) (c) of the statutes is amended to read:
560.184 (4) (c) An Up to an additional 15% 20% of the principal of the loan or $3,750 $5,000, whichever is less, during the 3rd year of practice participation in the program under this section.
27,4436
Section 4436
. 560.184 (4) (d) of the statutes is repealed.
27,4437
Section 4437
. 560.184 (4) (e) of the statutes is repealed.
27,4438
Section 4438
. 560.184 (5) (a) of the statutes is amended to read:
560.184 (5) (a) The obligation of the department to make payments under an agreement entered into under sub. (3) is subject to the availability of funds in the appropriations under s. 20.143 (1) (fc) (f) and (jL).
27,4439
Section 4439
. 560.184 (5) (b) (intro.) of the statutes is amended to read:
560.184 (5) (b) (intro.) If the cost of repaying the loans of all eligible applicants, when added to the cost of loan repayments scheduled under existing agreements, exceeds the total amount in the appropriations under s. 20.143 (1) (fc) (f) and (jL), the department shall establish priorities among the eligible applicants based upon the following considerations:
27,4439b
Section 4439b. 560.184 (5) (b) 1. of the statutes is amended to read:
560.184 (5) (b) 1. The degree to which there is an extremely high need for medical care in the eligible practice area or health professional shortage area in which an eligible applicant desires to practice.
27,4439c
Section 4439c. 560.184 (5) (b) 2. of the statutes is amended to read:
560.184 (5) (b) 2. The likelihood that an eligible applicant will remain in the eligible practice area or health professional shortage area in which he or she desires to practice after the loan repayment period.
27,4439d
Section 4439d. 560.184 (5) (b) 3. of the statutes is amended to read:
560.184 (5) (b) 3. The per capita income of the eligible practice area or health professional shortage area in which an eligible applicant desires to practice.
27,4439e
Section 4439e. 560.184 (5) (b) 4. of the statutes is amended to read:
560.184 (5) (b) 4. The financial or other support for health care provider recruitment and retention provided by individuals, organizations or local governments in the eligible practice area or health professional shortage area in which an eligible applicant desires to practice.
27,4439f
Section 4439f. 560.184 (5) (b) 5. of the statutes is amended to read:
560.184 (5) (b) 5. The geographic distribution of the health care providers who have entered into loan repayment agreements under this section and the geographic location of the eligible practice area or health professional shortage area in which an eligible applicant desires to practice.
27,4440
Section 4440
. 560.184 (6m) of the statutes is created to read:
560.184 (6m) Penalties. The department shall, by rule, establish penalties to be assessed by the department against health care providers who breach an agreement entered into under sub. (3) (a). The rules shall do all of the following:
(a) Specify what actions constitute a breach of the agreement.
(b) Provide specific penalty amounts for specific breaches.
(c) Provide exceptions for certain actions, including breaches resulting from death or disability.
27,4441
Section 4441
. 560.184 (7) (intro.) of the statutes is amended to read:
560.184 (7) Administrative contract. (intro.) From the appropriation under s. 20.143 (1) (fd)
(f), the department shall contract with the board of regents of the University of Wisconsin System for administrative services from the office of rural health of the department of professional and community development of the University of Wisconsin Medical School. Under the contract, the office of rural health shall do all of the following:
27,4441n
Section 4441n. 560.184 (8) of the statutes is created to read:
560.184 (8) Expanded loan assistance program. The department may agree to repay loans as provided under this section on behalf of a health care provider under an expanded health care provider loan assistance program that is funded through federal funds in addition to state matching funds. To be eligible for loan repayment under the expanded health care provider loan assistance program, a health care provider must fulfill all of the requirements for loan repayment under this section, as well as all of the following:
(a) The health care provider must be a U.S. citizen.
(b) The health care provider may not have a judgment lien against his or her property for a debt to the United States.
(c) The health care provider must agree to do all of the following:
1. Accept medicare assignment as payment in full for services or articles provided.
2. Use a sliding fee scale or a comparable method of determining payment arrangements for patients who are not eligible for medicare or medical assistance and who are unable to pay the customary fee for the physician's services.
3. Practice at a public or private nonprofit entity in a health professional shortage area.
27,4442
Section 4442
. 560.185 (1) of the statutes is amended to read:
560.185 (1) Advise the department as provided in s. 560.183 (7) and on other on matters related to the physician loan assistance program under s. 560.183 and the health care provider loan assistance program under s. 560.184.
27,4442c
Section 4442c. 560.19 (1) (intro.) and (b) of the statutes are consolidated, renumbered 560.19 (1) and amended to read:
560.19 (1) In this section: (b) “Hazardous, “hazardous pollution prevention" has the meaning given in s. 299.13 (1) (c).
