AB100-engrossed,1563,108
149.15
(2m) Annually, beginning in 1999, the board shall submit a report on
9or before June 30 to the legislature under s. 13.172 (2) and to the governor on the
10operation of the plan, including any recommendations for changes to the plan.
AB100-engrossed,1563,1212
149.15
(3) (f) Advise the department on the choice of coverage under s. 149.146.
AB100-engrossed,1563,14
14149.16 (title)
Plan administrator.
AB100-engrossed,1563,1616
149.16
(1) The fiscal agent under s. 49.45 (2) (b) 2. shall administer the plan.
AB100-engrossed,1563,19
18149.20 Rule-making in consultation with board. In promulgating any
19rules under this chapter, the department shall consult with the board.
AB100-engrossed,1563,2121
150.21
(1) The construction
or total replacement of a
new nursing home.
AB100-engrossed,1563,2423
150.21
(3) A capital expenditure
, other than a renovation or replacement, that
24exceeds $1,000,000 by or on behalf of a nursing home.
AB100-engrossed,1564,2
1150.21
(4) An expenditure
, other than a renovation or replacement, that
2exceeds $600,000 for clinical equipment by or on behalf of a nursing home.
AB100-engrossed,1564,74
150.31
(4) The department may decrease the statewide bed limit in facilities
5primarily serving the developmentally disabled in order to account for any decreased
6use of beds at
the a state
centers center for the developmentally disabled due to the
7community integration program under s. 46.275.
AB100-engrossed,1564,119
150.31
(5t) The department shall decrease the statewide bed limits specified
10in sub. (1) to account for any reduction in the licensed bed capacity of a nursing home
11that has relinquished use of a bed, as specified in s. 49.45 (6m) (ap) 4.
AB100-engrossed,1564,1613
150.35
(3m) (a) 3. All applications for activities that are specified in s. 150.21
14(3)
, that are renovations with capital expenditures which do not exceed $1,500,000
15and that do not include additions, the replacement of a nursing home or an increase
16in the bed capacity of a nursing home.
AB100-engrossed,1564,2118
150.39
(2) The cost of
renovating or providing an equal number of nursing home
19beds or of an equal expansion would be consistent with the cost at similar nursing
20homes, and the applicant's per diem rates would be consistent with those of similar
21nursing homes.
AB100-engrossed,1564,2323
153.01
(4) "Department" means the department of health and family services.
AB100-engrossed,1565,62
153.05
(1) (c) 1. Identification of charges in each hospital's most recent entire
3fiscal year for up to 100 charge elements, as selected by the
office department, and
4identification of the increase or decrease in charges for each of these charge elements
5from amounts charged during the hospital's entire fiscal year that is nearest in time
6to the hospital's most recent entire fiscal year.
AB100-engrossed,1565,118
153.05
(1) (e) Final audited financial statements of hospitals that include, for
9a hospital's most recent entire fiscal year, as dollar amounts, the amounts of revenue
10and expenditures for the hospital, in categories specified in rules promulgated by the
11commissioner department.
AB100-engrossed,1565,1913
153.05
(2) The
office department shall provide copies of reports published
14under ss. 153.10 to 153.35 at no charge to hospitals assessed under s. 153.60 (1) and,
15if assessed, at no charge to ambulatory surgery centers assessed under s. 153.60 (2).
16The
office department shall provide copies of the reports to any person, upon the
17person's request, and the board shall advise the
office department as to whether the
18copies shall be provided at no charge or at a charge not to exceed the cost of printing,
19copying and mailing the report to the person.
AB100-engrossed,1565,2321
153.05
(3) Upon request of the
office
department, state agencies shall provide
22health care information to the
office department for use in preparing reports under
23ss. 153.10 to 153.35.
AB100-engrossed,1566,7
1153.05
(4) (a) The
office
department, under rules promulgated by the
2commissioner department, shall require hospitals to use, and private-pay patients
3and payers who are insurers to accept, uniform patient billing forms, shall require
4hospitals to submit to the
office department the information provided on the billing
5forms, including, for an injury, the external cause of the event, and may require
6payers who are insurers to use a standard set of definitions for base data reporting
7under a uniform patient billing form.
AB100-engrossed,1566,138
(b) The
office department, under rules promulgated by the
commissioner 9department, may require ambulatory surgery centers to use uniform patient billing
10forms and other information, and, if so requiring, shall require ambulatory surgery
11centers to submit to the
office department the information provided on the billing
12forms, including, for an injury, the external cause of the event, using a standard set
13of definitions for base data reporting.
AB100-engrossed,1566,1515
153.05
(5) The
office department:
AB100-engrossed,1566,1816
(a) Shall require hospitals to submit information regarding medical
17malpractice, staffing levels and patient case-mix, and expenditures related to labor
18relations consultants, as specified by the
office
department.
AB100-engrossed,1566,2319
(b) May require hospitals to submit to the
office
department information from
20sources identified under sub. (1) (a) to (e) that the
office department deems necessary
21for the preparation of reports, plans and recommendations under ss. 153.10 to 153.35
22and any other reports required of the
office department in the form specified by the
23office department.
AB100-engrossed,1567,224
(bm) Shall require a hospital to submit to the
office
department information
25from sources identified under sub. (1) (e) by the date that is 4 months following the
1close of the hospital's fiscal year unless the
office department grants an extension of
2time to file the information.
AB100-engrossed,1567,94
153.05
(6) If the requirements of s. 153.07 (2) are first met, the
office 5department may contract with a public or private entity that is not a major
6purchaser, payer or provider of health care services in this state for the provision of
7data processing services for the collection, analysis and dissemination of health care
8information under sub. (1) or the department
of health and family services shall
9provide the services under s. 153.07 (2).
AB100-engrossed,1567,1811
153.05
(6m) If the requirements of s. 153.07 (2) are first met, the
office 12department may contract with the group insurance board for the provision of data
13collection and analysis services related to health maintenance organizations and
14insurance companies that provide health insurance for state employes or the
15commissioner department shall provide the services under s. 153.07 (2). The
office 16department shall establish contract fees for the provision of the services. All moneys
17collected under this subsection shall be credited to the appropriation under s.
20.145
18(8) 20.435 (1) (kx).
AB100-engrossed,1567,2320
153.05
(7) The
office department may require each insurer authorized to write
21disability insurance to submit to the
office department information obtained on
22uniform patient billing forms regarding reported claims for health care services
23which insureds who are residents of this state obtain in another state.
AB100-engrossed,1568,9
1153.05
(8) Beginning April 1, 1992, the
office department shall collect, analyze
2and disseminate, in language that is understandable to lay persons, health care
3information under the provisions of this chapter, as determined by rules
4promulgated by the
commissioner department, from health care providers, as
5defined by rules promulgated by the
commissioner
department, other than hospitals
6and ambulatory surgery centers. Data from physicians shall be obtained through
7sampling techniques in lieu of collection of data on all patient encounters and data
8collection procedures shall minimize unnecessary duplication and administrative
9burdens.
AB100-engrossed,1568,1411
153.05
(9) The
office department shall provide orientation and training to
12physicians, hospital personnel and other health care providers to explain the process
13of data collection and analysis and the procedures for data verification,
14interpretation and release.
AB100-engrossed,1568,1916
153.05
(11) In order to elicit public comment concerning the reports required
17under ss. 153.10 to 153.35, the
office department shall, following the release of the
18reports and by a date that is determined by the board
, provide notice of and hold
19public hearings.
AB100-engrossed,1568,2321
153.05
(12) The
office department shall, to the extent possible and upon
22request, assist members of the public in interpreting data in health care information
23disseminated by the
office department.
AB100-engrossed,1569,3
1153.07
(1) The board shall advise the director of the
office department with
2regard to the collection, analysis and dissemination of health care information
3required by this chapter.
AB100-engrossed,1569,165
153.07
(2) The board, upon advice of the
office department, shall first
6determine whether to contract for services pursuant to s. 153.05 (6) or (6m). If the
7board determines to contract for such services, it shall approve specifications for a
8contract including the length of the contract and the standards for determining
9potential contractor conflicts with the purposes of the
office department as specified
10under s. 153.05 (1). In the alternative, the board may direct the
office to have the
11department of health and family services department to provide the services under
12s. 153.05 (6) or (6m). The board may subsequently determine to contract for these
13services in subsequent years. If the board decides to bid the contract for services
14under s. 153.05 (6) or (6m), the department
of health and family services may offer
15a bid as would any other potential contractor. The board shall evaluate a contractor's
16performance 6 months prior to the close of each existing contract.
AB100-engrossed,1569,1918
153.07
(3) The board shall approve all rules which are proposed by the
19commissioner department for promulgation to implement this chapter.
AB100-engrossed,1570,721
153.08
(2) (b) No sooner than 15 days after a notice is published under par. (a)
22and no later than 15 days before the date of the proposed rate change, conducts a
23public hearing on the proposed rate change. The hearing shall be on the expected
24impact of the proposed rate change on health care costs, the expected improvement,
25if any, in the local health care delivery system, and any other issue related to the
1proposed rate change. Management staff, if any, of the hospital proposing the rate
2change and, if possible, at least 3 members of the governing board of any
3not-for-profit hospital proposing the rate change shall attend the public hearing to
4review public testimony. The hospital shall record accurate minutes of the meeting
5and shall provide copies of the minutes and any written testimony presented at the
6hearing to the
office of health care information in the office of the commissioner of
7insurance department within 10 days after the date of the public hearing.
AB100-engrossed,1570,139
153.10
(1) Beginning in 1990 and quarterly thereafter, the
office department 10shall prepare and submit to the governor and the chief clerk of each house of the
11legislature for distribution to the legislature under s. 13.172 (2), in a manner that
12permits comparisons among hospitals, a report setting forth all of the following for
13every hospital for the preceding quarter:
AB100-engrossed,1570,1514
(a) The charges for up to 100 health care services or diagnostic-related groups
15selected by the
office department.
AB100-engrossed,1570,1716
(b) The utilization and charge information for ambulatory surgery and other
17outpatient health care services selected by the
office
department.
AB100-engrossed,1570,24
19153.15 Small area analysis reports. Beginning in 1990 and annually
20thereafter, the
office department shall prepare and submit to the governor and the
21chief clerk of each house of the legislature for distribution to the legislature under
22s. 13.172 (2) reports identifying health care services or procedures provided by one
23or more hospitals in specific areas of the state for which the rate of utilization of the
24service or procedure is significantly different than the state or area average.
AB100-engrossed,1571,8
1153.20 Uncompensated health care services report. (1) Beginning in
21990 and annually thereafter, the
office department shall prepare and submit to the
3governor and to the chief clerk of each house of the legislature for distribution to the
4legislature under s. 13.172 (2) a report setting forth the number of patients to whom
5uncompensated health care services were provided by each hospital and the total
6charges for the uncompensated health care services provided to the patients for the
7preceding year, together with the number of patients and the total charges that were
8projected by the hospital for that year in the plan filed under sub. (2).
AB100-engrossed,1571,13
9(2) Beginning in 1990 and annually thereafter, every hospital shall file with
10the
office department a plan setting forth the projected number of patients to whom
11uncompensated health care services will be provided by the hospital and the
12projected total charges for the uncompensated health care services to be provided to
13the patients for the ensuing year.
AB100-engrossed,1571,21
15153.25 Mortality and morbidity report. Beginning in 1990 and annually
16thereafter, the
office department shall prepare and submit to the governor and to the
17chief clerk of each house of the legislature for distribution to the legislature under
18s. 13.172 (2) reports setting forth mortality and morbidity rates for every hospital.
19Before the release of a report under this section, the
office department shall provide
20the physicians, hospitals or other health care providers identified in the report with
21the opportunity to review and comment under s. 153.40 (6).
AB100-engrossed,1572,3
23153.30 Health care insurance report. Beginning in 1990 and annually
24thereafter, the
office department and the office of the commissioner of insurance may
25jointly prepare and submit to the governor, and to the legislature under s. 13.172 (2),
1a report specifying, to the extent possible, on a regional basis, the number, nature of
2coverage and costs of health care coverage plans covering residents of this state
3during the preceding year.
AB100-engrossed,1572,9
5153.35 (title)
Report by the office department. (intro.) The
office 6department shall annually, by October 1, under rules promulgated by the
7commissioner department, submit under s. 13.172 (3) a report to the legislature for
8distribution to standing committees with jurisdiction over health matters, that shall
9include all of the following:
AB100-engrossed,1572,1311
153.35
(1) The range, median and mean of charges and increases or decreases
12in specific charges by hospitals for up to 100 charge elements, as selected by the
office 13department, as reported to the
office
department under s. 153.05 (1) (c) 1.
AB100-engrossed,1572,2115
153.40
(1) Prior to data submission, hospitals, ambulatory surgery centers or
16other health care providers shall review discharge data for accuracy and shall obtain
17verification by the physician of the principal and secondary diagnoses and primary
18and secondary procedures. The verification shall occur within the time specified by
19rules promulgated by the
commissioner department for data submission to the
office 20department. If the verification is not made on a timely basis, the hospital or other
21health care provider shall submit the data noting the lack of verification.
AB100-engrossed,1573,523
153.40
(2) The
office department shall be responsible for assuring that
24appropriate editing is conducted for all submitted data to identify systematic errors,
25missing data, values beyond an allowed range, illegal codes within a range, illogical
1sequence of dates, diagnoses and procedures inconsistent with age and sex, other
2data failing internal consistency checks and other patterns inconsistent with what
3would be expected. The
office department shall notify hospitals, ambulatory surgery
4centers or, beginning April 1, 1992, other health care providers of missing or incorrect
5information under this subsection.
AB100-engrossed,1573,107
153.40
(3) Hospitals, ambulatory surgery centers or, beginning April 1, 1992,
8other health care providers shall be responsible for resolving the errors found by the
9editing under sub. (2) and shall resubmit corrected data within 10 working days after
10receiving written notification from the
office department of the errors.