SB77-SSA1,871,221
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.
SB77-SSA1,871,74
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.
SB77-SSA1,871,139
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.
SB77-SSA1,871,2115
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.
SB77-SSA1,872,4
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.
SB77-SSA1,872,76
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.
SB77-SSA1,872,119
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.
SB77-SSA1,872,1513
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:
SB77-SSA1,872,1917
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.
SB77-SSA1,872,2421
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.
SB77-SSA1,873,7
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.
SB77-SSA1,873,139
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:
SB77-SSA1,873,21
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.
SB77-SSA1,874,223
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.
SB77-SSA1,874,164
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.
SB77-SSA1,874,2518
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.
SB77-SSA1,875,102
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.
SB77-SSA1,875,1312
50.93
(1) Application. (intro.) The application for
an initial license, for renewal 13of a license or for a provisional license shall:
SB77-SSA1,876,915
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.
SB77-SSA1,876,1212
50.93
(2) (title)
Issuance of initial license or license renewal.
SB77-SSA1,876,1614
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.
SB77-SSA1,876,2119
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.
SB77-SSA1,877,723
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.
SB77-SSA1,877,99
50.93
(4) (title)
Suspension, nonrenewal and revocation.
SB77-SSA1,877,1611
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.
SB77-SSA1,877,2118
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).
SB77-SSA1,877,2523
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.
SB77-SSA1,878,53
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.
SB77-SSA1,878,87
50.95
(5) Criteria for determining that the applicant for
initial licensure
or
8license renewal is fit and qualified.
SB77-SSA1,878,16
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.
SB77-SSA1,878,2418
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.
SB77-SSA1,879,17
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.
SB77-SSA1,880,219
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.
SB77-SSA1,880,4
451.06 (title)
Centers Center for the developmentally disabled.
SB77-SSA1,880,126
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:
SB77-SSA1,880,1814
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.
SB77-SSA1,881,220
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.
SB77-SSA1,881,94
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.
SB77-SSA1,881,2011
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.
SB77-SSA1,882,222
51.07
(4) (a) The department may provide outpatient services at the
23Winnebago Mental Health Institute to a patient who is a pupil of a school district that
24contracts with the department for the provision of those services. The department
1shall charge the full and actual cost of those services contracted for to the school
2district in which the patient is enrolled.
SB77-SSA1,882,73
(b) If the Winnebago Mental Health Institute has provided a pupil of a school
4district with the services contracted for under par. (a), the department shall
5regularly bill the school district for the services provided and, subject to the
6provisions of the contract, the school district shall pay the amount due within 60 days
7after the billing date.
SB77-SSA1,882,98
(c) The department shall credit any revenues received under this subsection
9to the appropriation account under s. 20.435 (2) (gk).
SB77-SSA1, s. 2112r
10Section 2112r. 51.13 (4) (g) (intro.) of the statutes is amended to read:
SB77-SSA1,883,211
51.13
(4) (g) (intro.) If the court finds that the minor is in need of psychiatric
12services, or services for developmental disability, alcoholism or drug abuse in an
13inpatient facility, that the inpatient facility to which the minor is admitted offers
14therapy or treatment which is appropriate for the minor's needs and which is the
15least restrictive therapy or treatment consistent with the minor's needs and, in the
16case of a minor
aged 14
years of age or older, the application is voluntary on the part
17of the minor,
it the court shall permit voluntary admission. If the court finds that the
18therapy or treatment in the inpatient facility to which the minor is admitted is not
19appropriate or is not the least restrictive therapy or treatment consistent with the
20minor's needs, the court may order placement in or transfer to another more
21appropriate or less restrictive inpatient facility, except that the court may not permit
22or order placement in or transfer to
the northern or southern centers a center for the
23developmentally disabled of a minor unless the department
gives approval for the
24placement or transfer has authorized that center for the developmentally disabled
25for the placement or transfer of minors generally or for the placement or transfer of
1that minor specifically, and if the order of the court is approved by all of the following
2if applicable:
SB77-SSA1,883,114
51.20
(13) (c) 1. The court shall designate the facility or service which is to
5receive the subject individual into the mental health system, except that, if the
6subject individual is under the age of 22 years and the facility is a center for the
7developmentally disabled, the court
shall may designate only
the central a center for
8the developmentally disabled
unless that the department
authorizes designation of
9the northern or southern center has authorize for the placement of individuals under
10the age of 22 years generally or a center for the developmentally disabled
that the
11department has authorized for the placement of that individual specifically;