AB100-ASA1, s. 2062m 25Section 2062m. 50.135 (2) (c) of the statutes is amended to read:
AB100-ASA1,870,3
150.135 (2) (c) The fees collected under par. (a) shall be credited to the
2appropriation appropriations under s. 20.435 (1) (gm) and (6) (jm) as specified in
3those appropriations
for licensing, review and certifying activities.
AB100-ASA1, s. 1631 4Section 1631. 50.355 of the statutes is created to read:
AB100-ASA1,870,12 550.355 Reporting. Every 12 months, on a schedule determined by the
6department, an approved hospital shall submit an annual report in the form and
7containing the information that the department requires, including payment of the
8fee required under s. 50.135 (2) (a). If a complete annual report is not timely filed,
9the department shall issue a warning to the holder of the certificate for approval.
10The department may revoke approval for failure to timely and completely report
11within 60 days after the report date established under the schedule determined by
12the department.
AB100-ASA1, s. 1632 13Section 1632. 50.49 (2) (b) of the statutes is amended to read:
AB100-ASA1,870,1614 50.49 (2) (b) The department shall, by rule, set a license fee to be paid by home
15health agencies. The fee for license renewal shall be based on the annual net income,
16as determined by the department, of a home health agency.
AB100-ASA1, s. 1633 17Section 1633. 50.49 (6) (title) of the statutes is amended to read:
AB100-ASA1,870,1918 50.49 (6) (title) Issuance of license; inspection and investigation; annual
19renewal; nontransferable report; nontransferability; content.
AB100-ASA1, s. 1634 20Section 1634. 50.49 (6) (a) of the statutes is amended to read:
AB100-ASA1,871,221 50.49 (6) (a) The department shall issue a home health agency license if the
22applicant is fit and qualified, and if the home health agencies meet home health
23agency meets
the requirements established by this section. The department, or its
24designated representatives, shall make such inspections and investigations as are

1necessary to determine the conditions existing in each case and file written reports.
2Each licensee shall annually file a report with the department.
AB100-ASA1, s. 1635 3Section 1635. 50.49 (6) (b) of the statutes is amended to read:
AB100-ASA1,871,74 50.49 (6) (b) A home health agency license, unless sooner is valid until
5suspended or revoked, shall be renewable at least biennially upon filing by the
6licensee, payment of the license fee and approval by the department of an annual
7report and application for renewal on forms provided by the department
.
AB100-ASA1, s. 1636 8Section 1636. 50.49 (6) (c) of the statutes is amended to read:
AB100-ASA1,871,139 50.49 (6) (c) Each license shall be issued only for the home health agency named
10in the application and shall not be is not transferable or assignable. If application
11for renewal is not so filed, such license is automatically canceled as of the date of its
12expiration.
Any license granted shall state such additional information and special
13limitations as the department, by rule, prescribes.
AB100-ASA1, s. 1637 14Section 1637. 50.49 (6) (d) of the statutes is created to read:
AB100-ASA1,871,2115 50.49 (6) (d) Every 12 months, on a schedule determined by the department,
16a licensed home health agency shall submit an annual report in the form and
17containing the information that the department requires, including payment of the
18fee required under sub. (2) (b). If a complete annual report is not timely filed, the
19department shall issue a warning to the licensee. The department may revoke the
20license for failure to timely and completely report within 60 days after the report date
21established under the schedule determined by the department.
AB100-ASA1, s. 1638 22Section 1638. 50.495 of the statutes is created to read:
AB100-ASA1,872,4 2350.495 Fees permitted for a workshop or seminar. If the department
24develops and provides a workshop or seminar relating to the provision of services by
25hospitals and home health agencies under this subchapter, the department may

1establish a fee for each workshop or seminar and impose the fee on registrants for
2the workshop or seminar. A fee so established and imposed shall be in an amount
3sufficient to reimburse the department for the costs directly associated with
4developing and providing the workshop or seminar.
AB100-ASA1, s. 1639 5Section 1639. 50.51 (2) (b) of the statutes is amended to read:
AB100-ASA1,872,76 50.51 (2) (b) Minimum requirements for issuance of a provisional license, or a
7regular initial license or a license renewal to rural medical centers.
AB100-ASA1, s. 1640 8Section 1640. 50.51 (2) (c) of the statutes is amended to read:
AB100-ASA1,872,119 50.51 (2) (c) Fees for rural medical center provisional licensure and regular
10initial licensure and licensure renewal. The amounts of the fees shall be based on
11the health care services provided by the rural medical center.
AB100-ASA1, s. 1641 12Section 1641. 50.52 (2) (intro.) of the statutes is amended to read:
AB100-ASA1,872,1513 50.52 (2) (intro.) The department shall issue a provisional license, or a regular
14initial license or a license renewal as a rural medical center to an applicant if all of
15the following are first done:
AB100-ASA1, s. 2075c 16Section 2075c. 50.52 (2) (a) of the statutes is amended to read:
AB100-ASA1,872,1917 50.52 (2) (a) The applicant pays the appropriate license fee, as established
18under s. 50.51 (2) (c). Fees collected under this paragraph shall be credited to the
19appropriation under s. 20.435 (1) (gm) (6) (jm) for licensing and inspection activities.
AB100-ASA1, s. 1642 20Section 1642. 50.52 (4) of the statutes is amended to read:
AB100-ASA1,872,2421 50.52 (4) Unless sooner revoked or suspended, a A regular initial license or a
22license renewal
issued to a rural medical center is valid for 24 months from the date
23of issuance and a
until it is suspended or revoked. A provisional license issued to a
24rural medical center is valid for 6 months from the date of issuance.
AB100-ASA1, s. 1643 25Section 1643. 50.535 of the statutes is created to read:
AB100-ASA1,873,7
150.535 Reporting. Every 24 months, on a schedule determined by the
2department, a licensed rural medical center shall submit a biennial report in the
3form and containing the information that the department requires, including
4payment of the fee required under s. 50.51 (2) (c). If a complete annual report is not
5timely filed, the department shall issue a warning to the licensee. The department
6may revoke the license for failure to timely and completely report within 60 days
7after the report date established under the schedule determined by the department.
AB100-ASA1, s. 1644 8Section 1644. 50.56 (1) (intro.) of the statutes is amended to read:
AB100-ASA1,873,139 50.56 (1) (intro.) Any of the following facilities or entities is not required to
10obtain licensure or a certificate of approval under the following statutes or to pay
11initial or renewal license fees under the following statutes if all of the services of the
12facility or entity are provided as a part of a rural medical center that holds a current,
13valid license under this subchapter:
AB100-ASA1, s. 1645 14Section 1645. 50.57 of the statutes is created to read:
AB100-ASA1,873,21 1550.57 Fees permitted for a workshop or seminar. If the department
16develops and provides a workshop or seminar relating to the provision of services by
17rural medical centers under this subchapter, the department may establish a fee for
18each workshop or seminar and impose the fee on registrants for the workshop or
19seminar. A fee so established and imposed shall be in an amount sufficient to
20reimburse the department for the costs directly associated with developing and
21providing the workshop or seminar.
AB100-ASA1, s. 1646 22Section 1646. 50.92 (2) of the statutes is amended to read:
AB100-ASA1,874,223 50.92 (2) The department shall issue an initial license or a renewal of a license
24if the department finds that the applicant is fit and qualified and that the hospice

1meets the requirements of this subchapter and the rules promulgated under this
2subchapter.
AB100-ASA1, s. 1647 3Section 1647. 50.92 (4) (a) of the statutes is amended to read:
AB100-ASA1,874,164 50.92 (4) (a) In lieu of inspecting or investigating a hospice under sub. (3) prior
5to issuance of an initial a license, the department may accept evidence that a hospice
6applying for licensure under s. 50.93 has been inspected under and is currently
7certified as meeting the conditions for medicare participation under 42 USC 1395 to
81395ccc. In lieu of inspecting or investigating a hospice under sub. (3) prior to
9issuance of a license renewal, the department shall accept evidence that a hospice
10applying for licensure under s. 50.93 has been inspected under and is currently
11certified as meeting the conditions for medicare participation under 42 USC 1395 to
121395ccc. The department shall inspect or investigate under sub. (3) prior to issuance
13of an initial license or a renewal of a license
If a hospice that fails to meet the
14conditions for medicare participation under 42 USC 1395 to 1395ccc , the department
15shall inspect or investigate the hospice under sub. (3) before initially issuing a license
16for the hospice
.
AB100-ASA1, s. 1648 17Section 1648. 50.92 (4) (b) of the statutes is amended to read:
AB100-ASA1,874,2518 50.92 (4) (b) In lieu of inspecting or investigating a hospice under sub. (3) prior
19to issuance of an initial license or a renewal of a license, the department may accept
20evidence that a hospice applying for licensure under s. 50.93 has been inspected
21under and is currently in compliance with the hospice requirements of the joint
22commission for the accreditation of health organizations. A hospice shall provide the
23department with a copy of the report by the joint commission for the accreditation
24of health organizations of each periodic review the association conducts of the
25hospice.
AB100-ASA1, s. 1649
1Section 1649. 50.92 (5) of the statutes is amended to read:
AB100-ASA1,875,102 50.92 (5) The past record of violations of applicable laws or regulations of the
3United States or of state statutes or rules of this or any other state, in the operation
4of any health-related organization, by an operator, managing employe or direct or
5indirect owner of a hospice or of an interest of a hospice is relevant to the issue of the
6fitness of an applicant for receipt of an initial license or the renewal of a license. The
7department or the department's designated representative shall inspect and
8investigate as necessary to determine the conditions existing in each case under this
9subsection and shall prepare and maintain a written report concerning the
10investigation and inspection.
AB100-ASA1, s. 1650 11Section 1650. 50.93 (1) (intro.) of the statutes is amended to read:
AB100-ASA1,875,1312 50.93 (1) Application. (intro.) The application for an initial license, for renewal
13of a license or for a provisional license shall:
AB100-ASA1, s. 1651 14Section 1651. 50.93 (1) (c) of the statutes is amended to read:
AB100-ASA1,876,915 50.93 (1) (c) Include licensing fee payment, unless the licensing fee is waived
16by the department on a case-by-case basis under criteria for determining financial
17hardship established in rules promulgated by the department. An initial licensing
18fee is $300, except that, for a hospice that is a nonprofit corporation and that is served
19entirely by uncompensated volunteers or employs persons in not more than 1.5
20positions at 40 hours of employment per week, the initial licensing fee is $25. The
21renewal annual fee thereafter is an amount equal to 0.15% of the net annual income
22of the hospice, based on the most recent annual report of the hospice under par. (d)
23sub. (3m), or, if that amount is less than $200, the renewal fee is $200, whichever is
24greater,
and if that the amount equal to 0.15% of the net annual income of the hospice
25is greater than $1,000, the renewal fee is $1,000, except that for a hospice that is a

1nonprofit corporation and that is served entirely by uncompensated volunteers or
2employs persons in not more than 1.5 positions at 40 hours of employment per week
3the renewal annual fee is $10. The amount of the provisional licensing fee shall be
4established under s. 50.95 (2). The initial licensing fee for an initial license a hospice,
5including the initial licensing fee for a hospice that is a nonprofit corporation and
6that is served entirely by uncompensated volunteers or employs persons in not more
7than 1.5 positions at 40 hours of employment per week, issued after September 1
8shall may be prorated according to the number of full months remaining in the
9license period
.
AB100-ASA1, s. 1652 10Section 1652. 50.93 (1) (d) of the statutes is repealed.
AB100-ASA1, s. 1653 11Section 1653. 50.93 (2) (title) of the statutes is amended to read:
AB100-ASA1,876,1212 50.93 (2) (title) Issuance of initial license or license renewal.
AB100-ASA1, s. 1654 13Section 1654. 50.93 (2) (a) of the statutes is amended to read:
AB100-ASA1,876,1614 50.93 (2) (a) Unless sooner revoked or suspended, an initial A hospice license
15or renewal of a license issued to a hospice is valid for 12 months from the date of
16issuance
until suspended or revoked.
AB100-ASA1, s. 1655 17Section 1655. 50.93 (2) (b) of the statutes is repealed.
AB100-ASA1, s. 1656 18Section 1656. 50.93 (2) (d) of the statutes is amended to read:
AB100-ASA1,876,2119 50.93 (2) (d) Any initial license or renewal of a license shall state any additional
20information or
granted under special limitations prescribed by the department shall
21state the limitations
.
AB100-ASA1, s. 1657 22Section 1657. 50.93 (3m) of the statutes is created to read:
AB100-ASA1,877,723 50.93 (3m) Reporting. Every 12 months, on a schedule determined by the
24department, a licensed hospice shall submit an annual report in the form and
25containing the information that the department requires, including payment of the

1fee required under sub. (1) (c), evidence of current certification as meeting the
2conditions for medicare participation under 42 USC 1395 to 1395ccc and evidence of
3current compliance with the hospice requirements of the joint commission for the
4accreditation of health organizations. If a complete annual report is not timely filed,
5the department shall issue a warning to the licensee. The department may revoke
6the license for failure to timely and completely report within 60 days after the report
7date established under the schedule determined by the department.
AB100-ASA1, s. 1658 8Section 1658. 50.93 (4) (title) of the statutes is amended to read:
AB100-ASA1,877,99 50.93 (4) (title) Suspension, nonrenewal and revocation.
AB100-ASA1, s. 1659 10Section 1659. 50.93 (4) (a) of the statutes is amended to read:
AB100-ASA1,877,1611 50.93 (4) (a) The department, after notice to the applicant or licensee, may
12suspend, or revoke or refuse to renew a license in any case in which the department
13finds that there has been a substantial failure to comply with the requirements of
14this subchapter or the rules promulgated under this subchapter. No state or federal
15funds passing through the state treasury may be paid to a hospice not having a valid
16license issued under this section.
AB100-ASA1, s. 1660 17Section 1660. 50.93 (4) (b) of the statutes is amended to read:
AB100-ASA1,877,2118 50.93 (4) (b) Notice under this subsection shall include a clear and concise
19statement of the violations on which the nonrenewal or revocation is based, the
20statute or rule violated and notice of the opportunity for an evidentiary hearing
21under par. (c).
AB100-ASA1, s. 1661 22Section 1661. 50.93 (4) (c) of the statutes is amended to read:
AB100-ASA1,877,2523 50.93 (4) (c) If a hospice desires to contest the nonrenewal or revocation of a
24license, the hospice shall, within 10 days after receipt of notice under par. (b), notify
25the department in writing of its request for a hearing under s. 227.44.
AB100-ASA1, s. 1662
1Section 1662. 50.93 (4) (d) 2. of the statutes is repealed.
AB100-ASA1, s. 1663 2Section 1663. 50.93 (4) (d) 3. of the statutes is amended to read:
AB100-ASA1,878,53 50.93 (4) (d) 3. The department may extend the effective date of license
4revocation or expiration in any case in order to permit orderly removal and relocation
5of individuals served by the hospice.
AB100-ASA1, s. 1664 6Section 1664. 50.95 (5) of the statutes is amended to read:
AB100-ASA1,878,87 50.95 (5) Criteria for determining that the applicant for initial licensure or
8license renewal
is fit and qualified.
AB100-ASA1, s. 1665 9Section 1665. 50.981 of the statutes is created to read:
AB100-ASA1,878,16 1050.981 Fees permitted for a workshop or seminar. If the department
11develops and provides a workshop or seminar relating to the provision of services by
12hospices under this subchapter, the department may establish a fee for each
13workshop or seminar and impose the fee on registrants for the workshop or seminar.
14A fee so established and imposed shall be in an amount sufficient to reimburse the
15department for the costs directly associated with developing and providing the
16workshop or seminar.
AB100-ASA1, s. 2106b 17Section 2106b. 51.05 (3g) of the statutes is amended to read:
AB100-ASA1,878,2418 51.05 (3g) Beginning October 1, 1994, the The department shall annually
19increase rates charged for the various types of services provided by the mental health
20institutes by amounts that equal an average of at least a 10% total increase in rates

21reduce by $500,000 the amount by which accumulated expenses of providing care to
22patients of the mental health institutes exceed the accumulated revenues from
23providing that care
, until the accumulated revenues of the mental health institutes
24are in balance with the accumulated expenses of the mental health institutes.
AB100-ASA1, s. 1666 25Section 1666. 51.05 (3m) of the statutes is amended to read:
AB100-ASA1,879,17
151.05 (3m) Notwithstanding s. 20.903 (1), the department shall implement a
2plan that is approved by the department of administration to assure that, before July
31, 1999,
there are sufficient revenues, as projected by the department of health and
4family services, to cover anticipated expenditures by that date under the
5appropriation under s. 20.435 (2) (gk) for the purpose of reimbursing the provision
6of care to patients of the Mendota mental health institute or the Winnebago mental
7health institute and to ensure that the department complies with sub. (3g). The
8department of health and family services shall make reports to the department of
9administration every 3 months, beginning on October 1, 1993, and ending on July
101, 1999,
concerning the implementation of this plan. The department of health and
11family services shall make reports to the joint committee on finance by December 31
12of each year that identify the change, during the preceding fiscal year, in the amount
13by which the accumulated expenses of providing care to patients of the mental health
14institutes exceed the accumulated revenues from providing that care; describe the
15actions taken by the department during the preceding fiscal year to reduce that
16amount; and describe the actions that the department is taking during the current
17year to reduce that amount.
AB100-ASA1, s. 1667 18Section 1667. 51.05 (5) of the statutes is amended to read:
AB100-ASA1,880,219 51.05 (5) School activities. If an individual over the age of 2 and under the
20age of 22 and eligible for schooling under ss. 115.76 (2) and 115.85 is committed,
21admitted or transferred to or is a resident of the Mendota mental health institute or
22Winnebago mental health institute, the individual shall attend a school program
23operated by the applicable mental health institute or a school outside the applicable
24mental health institute which is approved by the department of education public
25instruction
. A school program operated by the Mendota mental health institute or

1Winnebago mental health institute shall be under the supervision of the department
2of education public instruction and shall meet standards prescribed by that agency.
AB100-ASA1, s. 2109m 3Section 2109m. 51.06 (title) of the statutes is amended to read:
AB100-ASA1,880,4 451.06 (title) Centers Center for the developmentally disabled.
AB100-ASA1, s. 2109p 5Section 2109p. 51.06 (1) (intro.) of the statutes is amended to read:
AB100-ASA1,880,126 51.06 (1) Purpose. (intro.) The purpose of the northern any center for the
7developmentally disabled, central center for developmentally disabled and southern
8center for developmentally disabled
is to provide services needed by developmentally
9disabled citizens of this state which are otherwise unavailable to them, and to return
10such those persons to the community when their needs can be met at the local level.
11Services to be provided by the department at such centers a center for the
12developmentally disabled
shall include all of the following:
AB100-ASA1, s. 2109r 13Section 2109r. 51.06 (1) (d) of the statutes is amended to read:
AB100-ASA1,880,1814 51.06 (1) (d) At the southern center for developmentally disabled, services
15Services for up to 10 22 individuals with developmental disability who are also
16diagnosed as mentally ill or who exhibit extremely aggressive and challenging
17behaviors and at the northern center for developmentally disabled, services for up
18to 12 such individuals
.
AB100-ASA1, s. 1668 19Section 1668. 51.06 (2) of the statutes is amended to read:
AB100-ASA1,881,220 51.06 (2) School activities. If an individual over the age of 2 years and under
21the age of 22 years and eligible for schooling under ss. 115.76 (2) and 115.85 is
22admitted to, is placed in or is a resident of a center, the individual shall attend a
23school program operated by the center or a school outside the center which is
24approved by the department of education public instruction. A school program

1operated by the center shall be under the supervision of the department of education
2public instruction and shall meet standards prescribed by that agency.
AB100-ASA1, s. 2110d 3Section 2110d. 51.06 (3) of the statutes is amended to read:
AB100-ASA1,881,94 51.06 (3) Admission. Individuals An individual under the age of 22 years shall
5may be placed only at the central a center for the developmentally disabled unless
6that the department authorizes has authorized for the placement of the individual
7at the northern or southern center for the developmentally disabled
individuals
8under the age of 22 years generally or at a center for the developmentally disabled
9that the department has authorized for the placement of that individual specifically
.
AB100-ASA1, s. 1669 10Section 1669. 51.07 (3) of the statutes is amended to read:
AB100-ASA1,881,2011 51.07 (3) The department may provide outpatient services only to patients
12contracted for with county departments under ss. 51.42 and 51.437 in accordance
13with s. 46.03 (18), except for those patients whom the department finds to be
14nonresidents of this state and those patients specified in sub. (4) (a). The full and
15actual cost less applicable collections of such services contracted for with county
16departments under s. 51.42 or 51.437
shall be charged to the respective county
17department under s. 51.42 or 51.437. The state shall provide the services required
18for patient care only if no such outpatient services are funded by the department in
19the county or group of counties served by the respective county department under s.
2051.42 or 51.437.
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