AB100-ASA1,1714,2523 560.183 (1) (b) "Physician" has the meaning given in means a physician, as
24defined in
s. 448.01 (5), who specializes in family practice, general internal medicine,
25general pediatrics, obstetrics and gynecology, or psychiatry
.
AB100-ASA1, s. 3024
1Section 3024. 560.183 (1) (c) of the statutes is repealed.
AB100-ASA1, s. 3025 2Section 3025. 560.183 (1) (cm) of the statutes is amended to read:
AB100-ASA1,1715,83 560.183 (1) (cm) "Primary care shortage area" means a shortage area
4established under sub. (7), in which the ratio of the population to the number of
5physicians who provide primary care is more than 2,500 to one, or
an area that is in
6a primary care health professional shortage area as determined by the federal
7department of health and human services under 42 CFR part 5, appendix A,
8excluding a state or federal prison
.
AB100-ASA1, s. 3026 9Section 3026. 560.183 (1) (d) of the statutes is renumbered 560.183 (1) (ap)
10and amended to read:
AB100-ASA1,1715,1411 560.183 (1) (ap) "Psychiatric Mental health shortage area" means an area that
12is designated by the federal department of health and human services under 42 CFR
13part 5
, appendix C, as having a shortage of psychiatric manpower professionals,
14excluding a state or federal prison and a state or county mental hospital
.
AB100-ASA1, s. 3027 15Section 3027. 560.183 (3) (a) of the statutes is amended to read:
AB100-ASA1,1716,216 560.183 (3) (a) The department shall enter into a written agreement with the
17physician. In the agreement, the physician shall agree to practice at least 32 clinic
18hours per week for 3 years in one or more eligible practice areas
in this state
19primarily in an eligible practice area, except that a physician specializing in
20obstetrics may only agree to practice obstetrics in an obstetric shortage area and a
21physician specializing
in psychiatry may only agree to practice psychiatry in a
22psychiatric mental health shortage area and a physician in the expanded loan
23assistance program under sub. (9) may only agree to practice at a public or private
24nonprofit entity in a health professional shortage area
. The physician shall also

1agree to care for patients who are insured or for whom health benefits are payable
2under medicare, medical assistance or any other governmental program.
AB100-ASA1, s. 3028 3Section 3028. 560.183 (3) (b) of the statutes is amended to read:
AB100-ASA1,1716,64 560.183 (3) (b) The agreement shall specify that the responsibility of the
5department to make the payments under the agreement is subject to the availability
6of funds in the appropriations under s. 20.143 (1) (fe) (f) and (jm).
AB100-ASA1, s. 3029 7Section 3029. 560.183 (4) (a) of the statutes is amended to read:
AB100-ASA1,1716,108 560.183 (4) (a) Ten percent Up to 40% of the principal of the loan or $5,000
9$20,000, whichever is less, during the first year of practice participation in the
10program under this section
.
AB100-ASA1, s. 3030 11Section 3030. 560.183 (4) (b) of the statutes is amended to read:
AB100-ASA1,1716,1412 560.183 (4) (b) An Up to an additional 12.5% 40% of the principal of the loan
13or $6,250 $20,000, whichever is less, during the 2nd year of practice participation in
14the program under this section
.
AB100-ASA1, s. 3031 15Section 3031. 560.183 (4) (c) of the statutes is amended to read:
AB100-ASA1,1716,1816 560.183 (4) (c) An Up to an additional 15% 20% of the principal of the loan or
17$7,500 $10,000, whichever is less, during the 3rd year of practice participation in the
18program under this section
.
AB100-ASA1, s. 3032 19Section 3032. 560.183 (4) (d) of the statutes is repealed.
AB100-ASA1, s. 3033 20Section 3033. 560.183 (4) (e) of the statutes is repealed.
AB100-ASA1, s. 3034 21Section 3034. 560.183 (5) (a) of the statutes is amended to read:
AB100-ASA1,1716,2422 560.183 (5) (a) The obligation of the department to make payments under an
23agreement entered into under sub. (3) (b) is subject to the availability of funds in the
24appropriations under s. 20.143 (1) (fe) (f) and (jm).
AB100-ASA1, s. 3035 25Section 3035. 560.183 (5) (b) (intro.) of the statutes is amended to read:
AB100-ASA1,1717,5
1560.183 (5) (b) (intro.) If the cost of repaying the loans of all eligible applicants,
2when added to the cost of loan repayments scheduled under existing agreements,
3exceeds the total amount in the appropriations under s. 20.143 (1) (fe) (f) and (jm),
4the department shall establish priorities among the eligible applicants based upon
5the following considerations:
AB100-ASA1, s. 4421b 6Section 4421b. 560.183 (5) (b) 1. of the statutes is amended to read:
AB100-ASA1,1717,97 560.183 (5) (b) 1. The degree to which there is an extremely high need for
8medical care in the eligible practice area or health professional shortage area in
9which the physician desires to practice.
AB100-ASA1, s. 4421c 10Section 4421c. 560.183 (5) (b) 2. of the statutes is amended to read:
AB100-ASA1,1717,1311 560.183 (5) (b) 2. The likelihood that a physician will remain in the eligible
12practice area or health professional shortage area in which he or she desires to
13practice after the loan repayment period.
AB100-ASA1, s. 4421d 14Section 4421d. 560.183 (5) (b) 3. of the statutes is amended to read:
AB100-ASA1,1717,1615 560.183 (5) (b) 3. The per capita income of the eligible practice area or health
16professional shortage area
in which a physician desires to practice.
AB100-ASA1, s. 4421e 17Section 4421e. 560.183 (5) (b) 4. of the statutes is amended to read:
AB100-ASA1,1717,2118 560.183 (5) (b) 4. The financial or other support for physician recruitment and
19retention provided by individuals, organizations, or local governments in the eligible
20practice area or health professional shortage area in which a physician desires to
21practice.
AB100-ASA1, s. 4421f 22Section 4421f. 560.183 (5) (b) 5. of the statutes is amended to read:
AB100-ASA1,1718,223 560.183 (5) (b) 5. The geographic distribution of the physicians who have
24entered into loan repayment agreements under this section and the geographic

1distribution of the eligible practice areas or health professional shortage areas in
2which the eligible applicants desire to practice.
AB100-ASA1, s. 3036 3Section 3036. 560.183 (6m) of the statutes is created to read:
AB100-ASA1,1718,64 560.183 (6m) Penalties. The department shall, by rule, establish penalties to
5be assessed by the department against physicians who breach an agreement entered
6into under sub. (3) (a). The rules shall do all of the following:
AB100-ASA1,1718,77 (a) Specify what actions constitute a breach of the agreement.
AB100-ASA1,1718,88 (b) Provide specific penalty amounts for specific breaches.
AB100-ASA1,1718,109 (c) Provide exceptions for certain actions, including breaches resulting from
10death or disability.
AB100-ASA1, s. 3037 11Section 3037. 560.183 (7) of the statutes is repealed.
AB100-ASA1, s. 3038 12Section 3038. 560.183 (8) (intro.) of the statutes is amended to read:
AB100-ASA1,1718,1813 560.183 (8) Administrative contract. (intro.) From the appropriation under
14s. 20.143 (1) (fd) (f), the department shall contract with the board of regents of the
15University of Wisconsin System for administrative services from the office of rural
16health of the department of professional and community development of the
17University of Wisconsin Medical School. Under the contract, the office of rural health
18shall do all of the following:
AB100-ASA1, s. 3039 19Section 3039. 560.183 (8) (a) of the statutes is repealed.
AB100-ASA1, s. 3040 20Section 3040. 560.183 (8) (b) of the statutes is amended to read:
AB100-ASA1,1718,2321 560.183 (8) (b) Advise the department and rural health development council
22on the identification of eligible practice areas with an extremely high need for
23medical care.
AB100-ASA1, s. 4426n 24Section 4426n. 560.183 (9) of the statutes is created to read:
AB100-ASA1,1719,6
1560.183 (9) Expanded loan assistance program. The department may agree
2to repay loans as provided under this section on behalf of a physician under an
3expanded physician loan assistance program that is funded through federal funds
4in addition to state matching funds. To be eligible for loan repayment under the
5expanded physician loan assistance program, a physician must fulfill all of the
6requirements for loan repayment under this section, as well as all of the following:
AB100-ASA1,1719,77 (a) The physician must be a U.S. citizen.
AB100-ASA1,1719,98 (b) The physician may not have a judgment lien against his or her property for
9a debt to the United States.
AB100-ASA1,1719,1010 (c) The physician must agree to do all of the following:
AB100-ASA1,1719,1211 1. Accept medicare assignment as payment in full for services or articles
12provided.
AB100-ASA1,1719,1513 2. Use a sliding fee scale or a comparable method of determining payment
14arrangements for patients who are not eligible for medicare or medical assistance
15and who are unable to pay the customary fee for the physician's services.
AB100-ASA1,1719,1716 3. Practice at a public or private nonprofit entity in a health professional
17shortage area.
AB100-ASA1, s. 3041 18Section 3041. 560.184 (1) (a) of the statutes is renumbered 560.184 (1) (ad)
19and amended to read:
AB100-ASA1,1719,2120 560.184 (1) (ad) "Council" has the meaning given in s. 560.183 (1) (a) means
21the rural health development council
.
AB100-ASA1, s. 3042 22Section 3042. 560.184 (1) (ac) of the statutes is created to read:
AB100-ASA1,1719,2323 560.184 (1) (ac) "Clinic hours" has the meaning given in s. 560.183 (1) (ac).
AB100-ASA1, s. 3043 24Section 3043. 560.184 (1) (am) of the statutes is amended to read:
AB100-ASA1,1720,4
1560.184 (1) (am) "Eligible practice area" means a primary care shortage area,
2an obstetric shortage area, a state or federal prison, an area health education center
3program established under 42 USC 295g-1,
an American Indian reservation or trust
4lands of an American Indian tribe.
AB100-ASA1, s. 4429p 5Section 4429p. 560.184 (1) (bp) of the statutes is created to read:
AB100-ASA1,1720,76 560.184 (1) (bp) "Health professional shortage area" has the meaning given in
7s. 560.183 (1) (aj).
AB100-ASA1, s. 3044 8Section 3044. 560.184 (1) (c) of the statutes is repealed.
AB100-ASA1, s. 3045 9Section 3045. 560.184 (3) (a) of the statutes is amended to read:
AB100-ASA1,1720,1510 560.184 (3) (a) The department shall enter into a written agreement with the
11health care provider. In the agreement, the health care provider shall agree to
12practice at least 32 clinic hours per week for 3 years in one or more eligible practice
13areas
in this state primarily in an eligible practice area, except that a health care
14provider in the expanded loan assistance program under sub. (8) may only agree to
15practice at a public or private nonprofit entity in a health professional shortage area
.
AB100-ASA1, s. 3046 16Section 3046. 560.184 (3) (b) of the statutes is amended to read:
AB100-ASA1,1720,1917 560.184 (3) (b) The agreement shall specify that the responsibility of the
18department to make the payments under the agreement is subject to the availability
19of funds in the appropriations under s. 20.143 (1) (fc) (f) and (jL).
AB100-ASA1, s. 3047 20Section 3047. 560.184 (4) (a) of the statutes is amended to read:
AB100-ASA1,1720,2321 560.184 (4) (a) Ten percent Up to 40% of the principal of the loan or $2,500
22$10,000, whichever is less, during the first year of practice participation in the
23program under this section
.
AB100-ASA1, s. 3048 24Section 3048. 560.184 (4) (b) of the statutes is amended to read:
AB100-ASA1,1721,3
1560.184 (4) (b) An Up to an additional 12.5% 40% of the principal of the loan
2or $3,125 $10,000, whichever is less, during the 2nd year of practice participation in
3the program under this section
.
AB100-ASA1, s. 3049 4Section 3049. 560.184 (4) (c) of the statutes is amended to read:
AB100-ASA1,1721,75 560.184 (4) (c) An Up to an additional 15% 20% of the principal of the loan or
6$3,750 $5,000, whichever is less, during the 3rd year of practice participation in the
7program under this section
.
AB100-ASA1, s. 3050 8Section 3050. 560.184 (4) (d) of the statutes is repealed.
AB100-ASA1, s. 3051 9Section 3051. 560.184 (4) (e) of the statutes is repealed.
AB100-ASA1, s. 3052 10Section 3052. 560.184 (5) (a) of the statutes is amended to read:
AB100-ASA1,1721,1311 560.184 (5) (a) The obligation of the department to make payments under an
12agreement entered into under sub. (3) is subject to the availability of funds in the
13appropriations under s. 20.143 (1) (fc) (f) and (jL).
AB100-ASA1, s. 3053 14Section 3053. 560.184 (5) (b) (intro.) of the statutes is amended to read:
AB100-ASA1,1721,1915 560.184 (5) (b) (intro.) If the cost of repaying the loans of all eligible applicants,
16when added to the cost of loan repayments scheduled under existing agreements,
17exceeds the total amount in the appropriations under s. 20.143 (1) (fc) (f) and (jL), the
18department shall establish priorities among the eligible applicants based upon the
19following considerations:
AB100-ASA1, s. 4439b 20Section 4439b. 560.184 (5) (b) 1. of the statutes is amended to read:
AB100-ASA1,1721,2321 560.184 (5) (b) 1. The degree to which there is an extremely high need for
22medical care in the eligible practice area or health professional shortage area in
23which an eligible applicant desires to practice.
AB100-ASA1, s. 4439c 24Section 4439c. 560.184 (5) (b) 2. of the statutes is amended to read:
AB100-ASA1,1722,3
1560.184 (5) (b) 2. The likelihood that an eligible applicant will remain in the
2eligible practice area or health professional shortage area in which he or she desires
3to practice after the loan repayment period.
AB100-ASA1, s. 4439d 4Section 4439d. 560.184 (5) (b) 3. of the statutes is amended to read:
AB100-ASA1,1722,65 560.184 (5) (b) 3. The per capita income of the eligible practice area or health
6professional shortage area
in which an eligible applicant desires to practice.
AB100-ASA1, s. 4439e 7Section 4439e. 560.184 (5) (b) 4. of the statutes is amended to read:
AB100-ASA1,1722,118 560.184 (5) (b) 4. The financial or other support for health care provider
9recruitment and retention provided by individuals, organizations or local
10governments in the eligible practice area or health professional shortage area in
11which an eligible applicant desires to practice.
AB100-ASA1, s. 4439f 12Section 4439f. 560.184 (5) (b) 5. of the statutes is amended to read:
AB100-ASA1,1722,1613 560.184 (5) (b) 5. The geographic distribution of the health care providers who
14have entered into loan repayment agreements under this section and the geographic
15location of the eligible practice area or health professional shortage area in which an
16eligible applicant desires to practice.
AB100-ASA1, s. 3054 17Section 3054. 560.184 (6m) of the statutes is created to read:
AB100-ASA1,1722,2018 560.184 (6m) Penalties. The department shall, by rule, establish penalties to
19be assessed by the department against health care providers who breach an
20agreement entered into under sub. (3) (a). The rules shall do all of the following:
AB100-ASA1,1722,2121 (a) Specify what actions constitute a breach of the agreement.
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