SB77-SSA1,1359,8
8149.16 (title)
Plan administrator.
SB77-SSA1,1359,1110
149.16
(1) The department shall contract with an organization or other person
11to administer the plan.
SB77-SSA1,1359,1313
150.21
(1) The construction
or total replacement of a
new nursing home.
SB77-SSA1,1359,1615
150.21
(3) A capital expenditure
, other than a renovation or replacement, that
16exceeds $1,000,000 by or on behalf of a nursing home.
SB77-SSA1,1359,1918
150.21
(4) An expenditure
, other than a renovation or replacement, that
19exceeds $600,000 for clinical equipment by or on behalf of a nursing home.
SB77-SSA1,1359,2421
150.31
(4) The department may decrease the statewide bed limit in facilities
22primarily serving the developmentally disabled in order to account for any decreased
23use of beds at
the a state
centers center for the developmentally disabled due to the
24community integration program under s. 46.275.
SB77-SSA1,1360,3
1150.31
(5t) The department shall decrease the statewide bed limits specified
2in sub. (1) to account for any reduction in the licensed bed capacity of a nursing home
3that has relinquished use of a bed, as specified in s. 49.45 (6m) (ap) 4.
SB77-SSA1,1360,85
150.35
(3m) (a) 3. All applications for activities that are specified in s. 150.21
6(3)
, that are renovations with capital expenditures which do not exceed $1,500,000
7and that do not include additions, the replacement of a nursing home or an increase
8in the bed capacity of a nursing home.
SB77-SSA1,1360,1310
150.39
(2) The cost of
renovating or providing an equal number of nursing home
11beds or of an equal expansion would be consistent with the cost at similar nursing
12homes, and the applicant's per diem rates would be consistent with those of similar
13nursing homes.
SB77-SSA1,1360,1515
153.01
(4) "Department" means the department of health and family services.
SB77-SSA1,1360,2319
153.05
(1) (c) 1. Identification of charges in each hospital's most recent entire
20fiscal year for up to 100 charge elements, as selected by the
office department, and
21identification of the increase or decrease in charges for each of these charge elements
22from amounts charged during the hospital's entire fiscal year that is nearest in time
23to the hospital's most recent entire fiscal year.
SB77-SSA1,1361,4
1153.05
(1) (e) Final audited financial statements of hospitals that include, for
2a hospital's most recent entire fiscal year, as dollar amounts, the amounts of revenue
3and expenditures for the hospital, in categories specified in rules promulgated by the
4commissioner department.
SB77-SSA1,1361,126
153.05
(2) The
office department shall provide copies of reports published
7under ss. 153.10 to 153.35 at no charge to hospitals assessed under s. 153.60 (1) and,
8if assessed, at no charge to ambulatory surgery centers assessed under s. 153.60 (2).
9The
office department shall provide copies of the reports to any person, upon the
10person's request, and the board shall advise the
office department as to whether the
11copies shall be provided at no charge or at a charge not to exceed the cost of printing,
12copying and mailing the report to the person.
SB77-SSA1,1361,1614
153.05
(3) Upon request of the
office
department, state agencies shall provide
15health care information to the
office department for use in preparing reports under
16ss. 153.10 to 153.35.
SB77-SSA1,1361,2418
153.05
(4) (a) The
office department, under rules promulgated by the
19commissioner department, shall require hospitals to use, and private-pay patients
20and payers who are insurers to accept, uniform patient billing forms, shall require
21hospitals to submit to the
office department the information provided on the billing
22forms, including, for an injury, the external cause of the event, and may require
23payers who are insurers to use a standard set of definitions for base data reporting
24under a uniform patient billing form.
SB77-SSA1,1362,6
1(b) The
office department, under rules promulgated by the
commissioner 2department, may require ambulatory surgery centers to use uniform patient billing
3forms and other information, and, if so requiring, shall require ambulatory surgery
4centers to submit to the
office department the information provided on the billing
5forms, including, for an injury, the external cause of the event, using a standard set
6of definitions for base data reporting.
SB77-SSA1,1362,88
153.05
(5) The
office department:
SB77-SSA1,1362,119
(a) Shall require hospitals to submit information regarding medical
10malpractice, staffing levels and patient case-mix, and expenditures related to labor
11relations consultants, as specified by the
office
department.
SB77-SSA1,1362,1612
(b) May require hospitals to submit to the
office
department information from
13sources identified under sub. (1) (a) to (e) that the
office department deems necessary
14for the preparation of reports, plans and recommendations under ss. 153.10 to 153.35
15and any other reports required of the
office department in the form specified by the
16office department.
SB77-SSA1,1362,2017
(bm) Shall require a hospital to submit to the
office
department information
18from sources identified under sub. (1) (e) by the date that is 4 months following the
19close of the hospital's fiscal year unless the
office
department grants an extension of
20time to file the information.
SB77-SSA1,1363,222
153.05
(6) If the requirements of s. 153.07 (2) are first met, the
office 23department may contract with a public or private entity that is not a major
24purchaser, payer or provider of health care services in this state for the provision of
25data processing services for the collection, analysis and dissemination of health care
1information under sub. (1) or the department
of health and family services shall
2provide the services under s. 153.07 (2).
SB77-SSA1,1363,114
153.05
(6m) If the requirements of s. 153.07 (2) are first met, the
office 5department may contract with the group insurance board for the provision of data
6collection and analysis services related to health maintenance organizations and
7insurance companies that provide health insurance for state employes or the
8commissioner department shall provide the services under s. 153.07 (2). The
office 9department shall establish contract fees for the provision of the services. All moneys
10collected under this subsection shall be credited to the appropriation under s.
20.145
11(8) 20.435 (1) (kx).
SB77-SSA1,1363,1613
153.05
(7) The
office department may require each insurer authorized to write
14disability insurance to submit to the
office department information obtained on
15uniform patient billing forms regarding reported claims for health care services
16which insureds who are residents of this state obtain in another state.
SB77-SSA1,1364,218
153.05
(8) Beginning April 1, 1992, the
office department shall collect, analyze
19and disseminate, in language that is understandable to lay persons, health care
20information under the provisions of this chapter, as determined by rules
21promulgated by the
commissioner department, from health care providers, as
22defined by rules promulgated by the
commissioner
department, other than hospitals
23and ambulatory surgery centers. Data from physicians shall be obtained through
24sampling techniques in lieu of collection of data on all patient encounters and data
1collection procedures shall minimize unnecessary duplication and administrative
2burdens.
SB77-SSA1,1364,74
153.05
(9) The
office department shall provide orientation and training to
5physicians, hospital personnel and other health care providers to explain the process
6of data collection and analysis and the procedures for data verification,
7interpretation and release.
SB77-SSA1,1364,129
153.05
(11) In order to elicit public comment concerning the reports required
10under ss. 153.10 to 153.35, the
office department shall, following the release of the
11reports and by a date that is determined by the board
, provide notice of and hold
12public hearings.
SB77-SSA1,1364,1614
153.05
(12) The
office department shall, to the extent possible and upon
15request, assist members of the public in interpreting data in health care information
16disseminated by the
office department.
SB77-SSA1,1364,2018
153.07
(1) The board shall advise the director of the
office department with
19regard to the collection, analysis and dissemination of health care information
20required by this chapter.
SB77-SSA1,1365,822
153.07
(2) The board, upon advice of the
office department, shall first
23determine whether to contract for services pursuant to s. 153.05 (6) or (6m). If the
24board determines to contract for such services, it shall approve specifications for a
25contract including the length of the contract and the standards for determining
1potential contractor conflicts with the purposes of the
office department as specified
2under s. 153.05 (1). In the alternative, the board may direct the
office to have the
3department of health and family services department to provide the services under
4s. 153.05 (6) or (6m). The board may subsequently determine to contract for these
5services in subsequent years. If the board decides to bid the contract for services
6under s. 153.05 (6) or (6m), the department
of health and family services may offer
7a bid as would any other potential contractor. The board shall evaluate a contractor's
8performance 6 months prior to the close of each existing contract.
SB77-SSA1,1365,1110
153.07
(3) The board shall approve all rules which are proposed by the
11commissioner department for promulgation to implement this chapter.
SB77-SSA1,1365,2413
153.08
(2) (b) No sooner than 15 days after a notice is published under par. (a)
14and no later than 15 days before the date of the proposed rate change, conducts a
15public hearing on the proposed rate change. The hearing shall be on the expected
16impact of the proposed rate change on health care costs, the expected improvement,
17if any, in the local health care delivery system, and any other issue related to the
18proposed rate change. Management staff, if any, of the hospital proposing the rate
19change and, if possible, at least 3 members of the governing board of any
20not-for-profit hospital proposing the rate change shall attend the public hearing to
21review public testimony. The hospital shall record accurate minutes of the meeting
22and shall provide copies of the minutes and any written testimony presented at the
23hearing to the
office of health care information in the office of the commissioner of
24insurance department within 10 days after the date of the public hearing.
SB77-SSA1,1366,5
1153.10
(1) Beginning in 1990 and quarterly thereafter, the
office department 2shall prepare and submit to the governor and the chief clerk of each house of the
3legislature for distribution to the legislature under s. 13.172 (2), in a manner that
4permits comparisons among hospitals, a report setting forth all of the following for
5every hospital for the preceding quarter:
SB77-SSA1,1366,76
(a) The charges for up to 100 health care services or diagnostic-related groups
7selected by the
office department.
SB77-SSA1,1366,98
(b) The utilization and charge information for ambulatory surgery and other
9outpatient health care services selected by the
office
department.
SB77-SSA1,1366,16
11153.15 Small area analysis reports. Beginning in 1990 and annually
12thereafter, the
office department shall prepare and submit to the governor and the
13chief clerk of each house of the legislature for distribution to the legislature under
14s. 13.172 (2) reports identifying health care services or procedures provided by one
15or more hospitals in specific areas of the state for which the rate of utilization of the
16service or procedure is significantly different than the state or area average.
SB77-SSA1,1366,25
18153.20 Uncompensated health care services report. (1) Beginning in
191990 and annually thereafter, the
office department shall prepare and submit to the
20governor and to the chief clerk of each house of the legislature for distribution to the
21legislature under s. 13.172 (2) a report setting forth the number of patients to whom
22uncompensated health care services were provided by each hospital and the total
23charges for the uncompensated health care services provided to the patients for the
24preceding year, together with the number of patients and the total charges that were
25projected by the hospital for that year in the plan filed under sub. (2).
SB77-SSA1,1367,5
1(2) Beginning in 1990 and annually thereafter, every hospital shall file with
2the
office department a plan setting forth the projected number of patients to whom
3uncompensated health care services will be provided by the hospital and the
4projected total charges for the uncompensated health care services to be provided to
5the patients for the ensuing year.
SB77-SSA1,1367,13
7153.25 Mortality and morbidity report. Beginning in 1990 and annually
8thereafter, the
office department shall prepare and submit to the governor and to the
9chief clerk of each house of the legislature for distribution to the legislature under
10s. 13.172 (2) reports setting forth mortality and morbidity rates for every hospital.
11Before the release of a report under this section, the
office department shall provide
12the physicians, hospitals or other health care providers identified in the report with
13the opportunity to review and comment under s. 153.40 (6).
SB77-SSA1,1367,20
15153.30 Health care insurance report. Beginning in 1990 and annually
16thereafter, the
office department and the office of the commissioner of insurance may
17jointly prepare and submit to the governor, and to the legislature under s. 13.172 (2),
18a report specifying, to the extent possible, on a regional basis, the number, nature of
19coverage and costs of health care coverage plans covering residents of this state
20during the preceding year.
SB77-SSA1,1368,2
22153.35 (title)
Report by the office department. (intro.) The
office 23department shall annually, by October 1, under rules promulgated by the
24commissioner department, submit under s. 13.172 (3) a report to the legislature for
1distribution to standing committees with jurisdiction over health matters, that shall
2include all of the following:
SB77-SSA1,1368,64
153.35
(1) The range, median and mean of charges and increases or decreases
5in specific charges by hospitals for up to 100 charge elements, as selected by the
office 6department, as reported to the
office
department under s. 153.05 (1) (c) 1.
SB77-SSA1,1368,148
153.40
(1) Prior to data submission, hospitals, ambulatory surgery centers or
9other health care providers shall review discharge data for accuracy and shall obtain
10verification by the physician of the principal and secondary diagnoses and primary
11and secondary procedures. The verification shall occur within the time specified by
12rules promulgated by the
commissioner department for data submission to the
office 13department. If the verification is not made on a timely basis, the hospital or other
14health care provider shall submit the data noting the lack of verification.
SB77-SSA1,1368,2316
153.40
(2) The
office department shall be responsible for assuring that
17appropriate editing is conducted for all submitted data to identify systematic errors,
18missing data, values beyond an allowed range, illegal codes within a range, illogical
19sequence of dates, diagnoses and procedures inconsistent with age and sex, other
20data failing internal consistency checks and other patterns inconsistent with what
21would be expected. The
office department shall notify hospitals, ambulatory surgery
22centers or, beginning April 1, 1992, other health care providers of missing or incorrect
23information under this subsection.
SB77-SSA1,1369,4
1153.40
(3) Hospitals, ambulatory surgery centers or, beginning April 1, 1992,
2other health care providers shall be responsible for resolving the errors found by the
3editing under sub. (2) and shall resubmit corrected data within 10 working days after
4receiving written notification from the
office department of the errors.
SB77-SSA1,1369,86
153.40
(4) The
office department shall send edited and corrected data to
7hospitals, ambulatory surgery centers or, beginning April 1, 1992, other health care
8providers for a 10-working-day review period before the data are released.
SB77-SSA1,1369,1310
153.40
(5) The
office department may, by rules promulgated by the
11commissioner department, require that other forms of data verification, including
12reabstracting studies and comparisons with information collected from other data
13systems, be conducted prior to the release of physician-specific data.
SB77-SSA1,1369,2315
153.40
(6) At least 30 calendar days prior to the release of a report under s.
16153.25, the
office department shall notify a physician, hospital or other health care
17provider identified in the report of the
office's
department's intent to release the
18report. The notification shall include a copy of the draft report and a statement that
19those identified may submit comments on the report to the
office department. If the
20office department receives comments prior to the release of the report, the
office 21department shall append the comments to the report. If the
office department 22receives comments after the report is released, the
office department shall make the
23comments available to anyone requesting the comments.
SB77-SSA1, s. 3074
24Section
3074. 153.45 (1) (intro.) of the statutes is amended to read: