LRBs0427/1
DAK:kmg&kaf:jf
1997 - 1998 LEGISLATURE
ASSEMBLY SUBSTITUTE AMENDMENT 1,
TO 1997 ASSEMBLY BILL 552
February 5, 1998 - Offered by
Joint committee on Information Policy.
AB552-ASA1,2,3
1An Act to repeal 153.01 (3) and (9), 153.05 (1) (a) to (e), 153.05 (2), 153.05 (4),
2153.05 (5) (a) and (bm), 153.05 (7), 153.05 (11), 153.07 (2), 153.08 (2) (b), 153.10
3(1) (a) and (b), 153.10 (2), 153.15, 153.25, 153.30, 153.35, 153.40, 153.60 (2),
4153.75 (1) (c), (d), (e), (i) and (j) and 153.75 (2) (b);
to renumber and amend
5153.05 (1) (intro.) and 153.10 (1) (intro.);
to consolidate, renumber and
6amend 153.05 (5) (intro.) and (b) and 153.08 (2) (intro.) and (a);
to amend 16.03
7(1), 20.435 (1) (hg), 153.05 (3), 153.05 (6), 153.05 (6m), 153.05 (8), 153.05 (9),
8153.07 (1), 153.20, 153.45 (1) (intro.), 153.45 (1) (a), 153.45 (1) (b), 153.45 (1) (c),
9153.45 (3), 153.50, 153.60 (1), 153.65, 153.75 (1) (b), 153.75 (1) (f), (k) and (L),
10153.75 (2) (intro.) and 153.90 (1) and (2); and
to create 15.07 (1) (b) 21., 15.107
11(7) (g), 15.194, 153.01 (4d), (4h), (4p) and (4t), 153.05 (6r), 153.07 (4), 153.21,
12153.45 (4), 153.45 (5), 153.60 (3), 153.75 (1) (m), (n), (o), (p), (q), (r) and (s),
13153.75 (2) (d) and 943.30 (5) of the statutes;
relating to: collection, analysis and
1dissemination of health care information by the department of health and
2family services, confidentiality of patient health care records, granting
3rule-making authority, providing a penalty and making an appropriation.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
AB552-ASA1, s. 1
4Section
1. 15.07 (1) (b) 21. of the statutes is created to read:
AB552-ASA1,2,55
15.07
(1) (b) 21. Board on health care information.
AB552-ASA1,2,77
15.107
(7) (g) A representative of the office of the commissioner of insurance.
AB552-ASA1,2,11
915.194 Same; specified bureaus. (1)
Bureau of health care information. 10There is created in the division within the department of health and family services
11that has primary responsibility for health issues a bureau of health care information.
AB552-ASA1,3,413
16.03
(1) General functions. The interagency coordinating council shall serve
14as a means of increasing the efficiency and utility and facilitating the effective
15functioning of state agencies in activities related to health care data collection. The
16interagency coordinating council shall advise and assist state agencies in the
17coordination of health care data collection programs and the exchange of information
18related to health care data collection and dissemination, including agency budgets
19for health care data collection programs, health care data monitoring and
20management, public information and education, health care data analysis and
21facilities, research activities and the appropriation and allocation of state funds for
22health care data collection.
The interagency coordinating council shall establish
23methods and criteria for analyzing and comparing complaints filed against health
1care plans, as defined under s. 628.36 (2) (a) 1., and grievances filed with health
2maintenance organizations, as defined under s. 609.01 (2), without requiring the
3collection of information in addition to the information already collected by state
4agencies.
AB552-ASA1,3,117
20.435
(1) (hg)
General program operations; health care information. The
8amounts in the schedule to fund the activities of the department of health and family
9services and the board on health care information under ch. 153. The
contract fees
10paid under s. 153.05 (6m) and assessments paid under s. 153.60 shall be credited to
11this appropriation account.
AB552-ASA1, s. 7
13Section
7. 153.01 (4d), (4h), (4p) and (4t) of the statutes are created to read:
AB552-ASA1,3,1414
153.01
(4d) "Department" means the department of health and family services.
AB552-ASA1,3,16
15(4h) "Employer coalition" means an organization of employers formed for the
16purpose of purchasing health care coverage or services as a group.
AB552-ASA1,3,18
17(4p) "Health care plan" means an insured or self-insured plan providing
18coverage of health care expenses or an employer coalition.
AB552-ASA1,3,20
19(4t) "Health care provider" has the meaning given in s. 146.81 (1) and includes
20an ambulatory surgery center.
AB552-ASA1, s. 8
21Section
8. 153.05 (1) (intro.) of the statutes is renumbered 153.05 (1) and
22amended to read:
AB552-ASA1,4,823
153.05
(1) In order to provide to hospitals, health care providers, insurers,
24consumers, governmental agencies and others information concerning
hospital
25service utilization, charges, revenues, expenditures, mortality and morbidity rates
1health care providers and uncompensated health care services, and in order to
2provide information to assist in peer review for the purpose of quality assurance, the
3office department shall collect, analyze and disseminate
health care information, in
4language that is understandable to lay persons
, health care information obtained
5from the following data sources:. This chapter shall be administered by a bureau of
6health care information. The bureau of health care information shall coordinate its
7activities with persons with responsibility for medical assistance administration and
8collection and analysis of health statistics.
AB552-ASA1,4,1715
153.05
(3) Upon request of the department, state agencies shall provide health
16care information to the department for use in preparing reports under
ss. 153.10 to
17153.35 this chapter.
AB552-ASA1,5,222
153.05
(5) The department
: (b) May
may require
hospitals health care
23providers to submit to the department information
from sources identified under
24sub. (1) (a) to (e) that the department deems necessary for the preparation of reports,
1plans and recommendations
under ss. 153.10 to 153.35 and any other reports
2required of the department in the form specified by the department
by rule.
AB552-ASA1,5,117
153.05
(6) If the requirements of s. 153.07 (2) are first met, the The department
8may contract with a public or private entity that is not a major purchaser, payer or
9provider of health care services in this state for the provision of data processing
10services for the collection, analysis and dissemination of health care information
11under sub. (1)
or the department shall provide the services under s. 153.07 (2).
AB552-ASA1,5,2014
153.05
(6m) If the requirements of s. 153.07 (2) are first met, the The 15department may contract with the group insurance board for the provision of data
16collection and analysis services related to health maintenance organizations and
17insurance companies that provide health insurance for state employes
or the
18department shall provide the services under s. 153.07 (2). The department shall
19establish contract fees for the provision of the services. All moneys collected under
20this subsection shall be credited to the appropriation under s. 20.435 (1)
(kx) (hg).
AB552-ASA1,6,822
153.05
(6r) The department shall study and, based on the results of the study,
23may develop and implement a voluntary system of health care plan reporting that
24enables purchasers and consumers to assess the performance of health care plans
25and the health care providers that are employed or reimbursed by the health care
1plans. The department shall undertake the study and any development and
2implementation in cooperation with private health care purchasers, the board, the
3department of employe trust funds, the office of the commissioner of insurance, the
4interagency coordinating council created under s. 15.107 (7), major associations of
5health care providers, health care plans and consumers. If implemented, the
6department shall operate the system in a manner so as to enable purchasers,
7consumers, the public, the governor and legislators to assess the performance of
8health care plans and health care providers.
AB552-ASA1, s. 18
9Section
18. 153.05 (7) of the statutes, as affected by 1997 Wisconsin Act, is
10repealed.
AB552-ASA1,6,2313
153.05
(8) Beginning April 1, 1992, the The department shall collect, analyze
14and disseminate, in language that is understandable to lay persons,
health care
15claims information
and other health care information under the provisions of this
16chapter, as determined by rules promulgated by the department, from health care
17providers
, as defined specified by rules promulgated by the department
, other than
18hospitals and ambulatory surgery centers. Data from
physicians shall health care
19providers may be obtained through sampling techniques in lieu of collection of data
20on all patient encounters and data collection procedures shall minimize unnecessary
21duplication and administrative burdens.
If the department collects health care
22provider-specific data from health care plans, the department shall attempt to avoid
23collecting the same data from health care providers.
AB552-ASA1,7,4
1153.05
(9) The department shall provide orientation and training to
2physicians, hospital personnel and other health care providers
who submit data
3under this chapter to explain the process of data collection and analysis and the
4procedures for data verification, interpretation and release.
AB552-ASA1,7,119
153.07
(1) The board shall advise the
director of the department with regard
10to the collection, analysis and dissemination of health care information required by
11this chapter.
AB552-ASA1,7,1515
153.07
(4) The board and the department shall jointly do all of the following:
AB552-ASA1,7,1616
(a) Develop the rules that are required or authorized under this chapter.
AB552-ASA1,7,1817
(b) Provide oversight on the standard reports under this chapter, including the
18reports under ss. 153.20 and 153.21.
AB552-ASA1,7,2019
(c) Develop the overall strategy and direction for implementation of this
20chapter.