AB100,1269,2120
149.15
(3) (e) Under the direction of the department and in consultation with
21the office of the commissioner, develop an alternative plan for eligible persons.
AB100, s. 3030
22Section
3030. 149.16 (title) of the statutes is created to read:
AB100,1269,23
23149.16 (title)
Plan administrator.
AB100, s. 3031
24Section
3031. 149.16 (1) of the statutes is created to read:
AB100,1269,2525
149.16
(1) The fiscal agent under s. 49.45 (2) (b) 2. shall administer the plan.
AB100, s. 3032
1Section
3032. 149.168 of the statutes is created to read:
AB100,1270,8
2149.168 Recovery of subsidies from estates. (1) (a) Unless already
3recovered by the department, the department shall file a claim against the estate of
4an eligible person who had coverage under the plan or against the estate of the
5surviving spouse of an eligible person who had coverage under the plan for the
6amount of any subsidies paid from the appropriation account under s. 20.435 (5) (ah)
7on behalf of the eligible person to reduce a deductible under s. 149.14 (5) (a), or to
8reduce a premium under s. 149.165.
AB100,1270,119
(b) The court shall reduce the amount of a claim under par. (a) by up to $3,000
10if necessary to allow the eligible person's heirs or the beneficiaries of the eligible
11person's will to retain the following personal property:
AB100,1270,1212
1. The decedent's wearing apparel and jewelry held for personal use.
AB100,1270,1313
2. Household furniture, furnishings and appliances.
AB100,1270,1514
3. Other tangible personal property not used in trade, agriculture or other
15business, not to exceed $1,000 in value.
AB100,1270,17
16(2) A claim under par. (a) is not allowable if the decedent has a surviving child
17who is under 21 years of age or disabled or a surviving spouse.
AB100,1270,20
18(3) The department may file a claim and recover amounts under this section
19only for subsidies paid on or after January 1, 1998, with respect to an eligible person
20who dies after March 15, 1998.
AB100,1270,23
21(4) The department may waive the application of this section in a particular
22case if the department determines, according to standards established by rule, that
23the application of this section would work an undue hardship in that particular case.
AB100,1270,25
24(5) The department shall deposit all moneys recovered under this section in the
25appropriation account under s. 20.435 (5) (g).
AB100, s. 3033
1Section
3033. 150.21 (1) of the statutes is amended to read:
AB100,1271,22
150.21
(1) The construction
or total replacement of a
new nursing home.
AB100, s. 3034
3Section
3034. 150.21 (3) of the statutes is amended to read:
AB100,1271,54
150.21
(3) A capital expenditure
, other than a renovation or replacement, that
5exceeds $1,000,000 by or on behalf of a nursing home.
AB100, s. 3035
6Section
3035. 150.21 (4) of the statutes is amended to read:
AB100,1271,87
150.21
(4) An expenditure
, other than a renovation or replacement, that
8exceeds $600,000 for clinical equipment by or on behalf of a nursing home.
AB100, s. 3036
9Section
3036. 150.31 (5t) of the statutes is created to read:
AB100,1271,1210
150.31
(5t) The department shall decrease the statewide bed limits specified
11in sub. (1) to account for any reduction in the licensed bed capacity of a nursing home
12that has relinquished use of a bed, as specified in s. 49.45 (6m) (ap) 4.
AB100, s. 3037
13Section
3037. 150.35 (3m) (a) 3. of the statutes is amended to read:
AB100,1271,1714
150.35
(3m) (a) 3. All applications for activities that are specified in s. 150.21
15(3)
, that are renovations with capital expenditures which do not exceed $1,500,000
16and that do not include additions, the replacement of a nursing home or an increase
17in the bed capacity of a nursing home.
AB100, s. 3038
18Section
3038. 150.39 (2) of the statutes is amended to read:
AB100,1271,2219
150.39
(2) The cost of
renovating or providing an equal number of nursing home
20beds or of an equal expansion would be consistent with the cost at similar nursing
21homes, and the applicant's per diem rates would be consistent with those of similar
22nursing homes.
AB100, s. 3039
23Section
3039. Subchapter VI of chapter 150 [precedes 150.93] of the statutes
24is repealed.
AB100, s. 3040
1Section
3040. Subchapter VII of chapter 150 [precedes 150.94] of the statutes
2is repealed.
AB100, s. 3041
3Section
3041. 153.01 (4) of the statutes is created to read:
AB100,1272,44
153.01
(4) "Department" means the department of health and family services.
AB100, s. 3042
5Section
3042. 153.01 (4m) of the statutes is repealed.
AB100, s. 3044
7Section
3044. 153.05 (1) (c) 1. of the statutes is amended to read:
AB100,1272,128
153.05
(1) (c) 1. Identification of charges in each hospital's most recent entire
9fiscal year for up to 100 charge elements, as selected by the
office department, and
10identification of the increase or decrease in charges for each of these charge elements
11from amounts charged during the hospital's entire fiscal year that is nearest in time
12to the hospital's most recent entire fiscal year.
AB100, s. 3045
13Section
3045. 153.05 (1) (e) of the statutes is amended to read:
AB100,1272,1714
153.05
(1) (e) Final audited financial statements of hospitals that include, for
15a hospital's most recent entire fiscal year, as dollar amounts, the amounts of revenue
16and expenditures for the hospital, in categories specified in rules promulgated by the
17commissioner department.
AB100, s. 3046
18Section
3046. 153.05 (2) of the statutes is amended to read:
AB100,1272,2519
153.05
(2) The
office department shall provide copies of reports published
20under ss. 153.10 to 153.35 at no charge to hospitals assessed under s. 153.60 (1) and,
21if assessed, at no charge to ambulatory surgery centers assessed under s. 153.60 (2).
22The
office department shall provide copies of the reports to any person, upon the
23person's request, and the board shall advise the
office department as to whether the
24copies shall be provided at no charge or at a charge not to exceed the cost of printing,
25copying and mailing the report to the person.
AB100, s. 3047
1Section
3047. 153.05 (3) of the statutes is amended to read:
AB100,1273,42
153.05
(3) Upon request of the
office
department, state agencies shall provide
3health care information to the
office department for use in preparing reports under
4ss. 153.10 to 153.35.
AB100, s. 3048
5Section
3048. 153.05 (4) of the statutes is amended to read:
AB100,1273,126
153.05
(4) (a) The
office department, under rules promulgated by the
7commissioner department, shall require hospitals to use, and private-pay patients
8and payers who are insurers to accept, uniform patient billing forms, shall require
9hospitals to submit to the
office department the information provided on the billing
10forms, including, for an injury, the external cause of the event, and may require
11payers who are insurers to use a standard set of definitions for base data reporting
12under a uniform patient billing form.
AB100,1273,1813
(b) The
office department, under rules promulgated by the
commissioner 14department, may require ambulatory surgery centers to use uniform patient billing
15forms and other information, and, if so requiring, shall require ambulatory surgery
16centers to submit to the
office department the information provided on the billing
17forms, including, for an injury, the external cause of the event, using a standard set
18of definitions for base data reporting.
AB100, s. 3049
19Section
3049. 153.05 (5) of the statutes is amended to read:
AB100,1273,2020
153.05
(5) The
office department:
AB100,1273,2321
(a) Shall require hospitals to submit information regarding medical
22malpractice, staffing levels and patient case-mix, and expenditures related to labor
23relations consultants, as specified by the
office
department.
AB100,1274,324
(b) May require hospitals to submit to the
office
department information from
25sources identified under sub. (1) (a) to (e) that the
office department deems necessary
1for the preparation of reports, plans and recommendations under ss. 153.10 to 153.35
2and any other reports required of the
office department in the form specified by the
3office department.
AB100,1274,74
(bm) Shall require a hospital to submit to the
office
department information
5from sources identified under sub. (1) (e) by the date that is 4 months following the
6close of the hospital's fiscal year unless the
office
department grants an extension of
7time to file the information.
AB100, s. 3050
8Section
3050. 153.05 (6) of the statutes is amended to read:
AB100,1274,149
153.05
(6) If the requirements of s. 153.07 (2) are first met, the
office 10department may contract with a public or private entity that is not a major
11purchaser, payer or provider of health care services in this state for the provision of
12data processing services for the collection, analysis and dissemination of health care
13information under sub. (1) or the department
of health and family services shall
14provide the services under s. 153.07 (2).
AB100, s. 3051
15Section
3051. 153.05 (6m) of the statutes is amended to read:
AB100,1274,2316
153.05
(6m) If the requirements of s. 153.07 (2) are first met, the
office 17department may contract with the group insurance board for the provision of data
18collection and analysis services related to health maintenance organizations and
19insurance companies that provide health insurance for state employes or the
20commissioner department shall provide the services under s. 153.07 (2). The
office 21department shall establish contract fees for the provision of the services. All moneys
22collected under this subsection shall be credited to the appropriation under s.
20.145
23(8) 20.435 (1) (kx).
AB100, s. 3052
24Section
3052. 153.05 (7) of the statutes is amended to read:
AB100,1275,4
1153.05
(7) The
office department may require each insurer authorized to write
2disability insurance to submit to the
office department information obtained on
3uniform patient billing forms regarding reported claims for health care services
4which insureds who are residents of this state obtain in another state.
AB100, s. 3053
5Section
3053. 153.05 (8) of the statutes is amended to read:
AB100,1275,146
153.05
(8) Beginning April 1, 1992, the
office department shall collect, analyze
7and disseminate, in language that is understandable to lay persons, health care
8information under the provisions of this chapter, as determined by rules
9promulgated by the
commissioner department, from health care providers, as
10defined by rules promulgated by the
commissioner
department, other than hospitals
11and ambulatory surgery centers. Data from physicians shall be obtained through
12sampling techniques in lieu of collection of data on all patient encounters and data
13collection procedures shall minimize unnecessary duplication and administrative
14burdens.
AB100, s. 3054
15Section
3054. 153.05 (9) of the statutes is amended to read:
AB100,1275,1916
153.05
(9) The
office department shall provide orientation and training to
17physicians, hospital personnel and other health care providers to explain the process
18of data collection and analysis and the procedures for data verification,
19interpretation and release.
AB100, s. 3055
20Section
3055. 153.05 (11) of the statutes is amended to read:
AB100,1275,2421
153.05
(11) In order to elicit public comment concerning the reports required
22under ss. 153.10 to 153.35, the
office department shall, following the release of the
23reports and by a date that is determined by the board
, provide notice of and hold
24public hearings.
AB100, s. 3056
25Section
3056. 153.05 (12) of the statutes is amended to read:
AB100,1276,3
1153.05
(12) The
office
department shall, to the extent possible and upon
2request, assist members of the public in interpreting data in health care information
3disseminated by the
office department.
AB100, s. 3057
4Section
3057. 153.07 (1) of the statutes is amended to read:
AB100,1276,75
153.07
(1) The board shall advise the director of the
office department with
6regard to the collection, analysis and dissemination of health care information
7required by this chapter.
AB100, s. 3058
8Section
3058. 153.07 (2) of the statutes is amended to read:
AB100,1276,209
153.07
(2) The board, upon advice of the
office department, shall first
10determine whether to contract for services pursuant to s. 153.05 (6) or (6m). If the
11board determines to contract for such services, it shall approve specifications for a
12contract including the length of the contract and the standards for determining
13potential contractor conflicts with the purposes of the
office department as specified
14under s. 153.05 (1). In the alternative, the board may direct the
office to have the
15department of health and family services department to provide the services under
16s. 153.05 (6) or (6m). The board may subsequently determine to contract for these
17services in subsequent years. If the board decides to bid the contract for services
18under s. 153.05 (6) or (6m), the department
of health and family services may offer
19a bid as would any other potential contractor. The board shall evaluate a contractor's
20performance 6 months prior to the close of each existing contract.
AB100, s. 3059
21Section
3059. 153.07 (3) of the statutes is amended to read:
AB100,1276,2322
153.07
(3) The board shall approve all rules which are proposed by the
23commissioner department for promulgation to implement this chapter.
AB100, s. 3060
24Section
3060. 153.08 (2) (b) of the statutes is amended to read:
AB100,1277,12
1153.08
(2) (b) No sooner than 15 days after a notice is published under par. (a)
2and no later than 15 days before the date of the proposed rate change, conducts a
3public hearing on the proposed rate change. The hearing shall be on the expected
4impact of the proposed rate change on health care costs, the expected improvement,
5if any, in the local health care delivery system, and any other issue related to the
6proposed rate change. Management staff, if any, of the hospital proposing the rate
7change and, if possible, at least 3 members of the governing board of any
8not-for-profit hospital proposing the rate change shall attend the public hearing to
9review public testimony. The hospital shall record accurate minutes of the meeting
10and shall provide copies of the minutes and any written testimony presented at the
11hearing to the
office of health care information in the office of the commissioner of
12insurance department within 10 days after the date of the public hearing.
AB100, s. 3061
13Section
3061. 153.10 (1) of the statutes is amended to read:
AB100,1277,1814
153.10
(1) Beginning in 1990 and quarterly thereafter, the
office department 15shall prepare and submit to the governor and the chief clerk of each house of the
16legislature for distribution to the legislature under s. 13.172 (2), in a manner that
17permits comparisons among hospitals, a report setting forth all of the following for
18every hospital for the preceding quarter:
AB100,1277,2019
(a) The charges for up to 100 health care services or diagnostic-related groups
20selected by the
office department.
AB100,1277,2221
(b) The utilization and charge information for ambulatory surgery and other
22outpatient health care services selected by the
office
department.
AB100, s. 3062
23Section
3062. 153.15 of the statutes is amended to read:
AB100,1278,4
24153.15 Small area analysis reports. Beginning in 1990 and annually
25thereafter, the
office department shall prepare and submit to the governor and the
1chief clerk of each house of the legislature for distribution to the legislature under
2s. 13.172 (2) reports identifying health care services or procedures provided by one
3or more hospitals in specific areas of the state for which the rate of utilization of the
4service or procedure is significantly different than the state or area average.
AB100, s. 3063
5Section
3063. 153.20 of the statutes is amended to read:
AB100,1278,13
6153.20 Uncompensated health care services report. (1) Beginning in
71990 and annually thereafter, the
office department shall prepare and submit to the
8governor and to the chief clerk of each house of the legislature for distribution to the
9legislature under s. 13.172 (2) a report setting forth the number of patients to whom
10uncompensated health care services were provided by each hospital and the total
11charges for the uncompensated health care services provided to the patients for the
12preceding year, together with the number of patients and the total charges that were
13projected by the hospital for that year in the plan filed under sub. (2).
AB100,1278,18
14(2) Beginning in 1990 and annually thereafter, every hospital shall file with
15the
office department a plan setting forth the projected number of patients to whom
16uncompensated health care services will be provided by the hospital and the
17projected total charges for the uncompensated health care services to be provided to
18the patients for the ensuing year.
AB100, s. 3064
19Section
3064. 153.25 of the statutes is amended to read:
AB100,1279,2
20153.25 Mortality and morbidity report. Beginning in 1990 and annually
21thereafter, the
office department shall prepare and submit to the governor and to the
22chief clerk of each house of the legislature for distribution to the legislature under
23s. 13.172 (2) reports setting forth mortality and morbidity rates for every hospital.
24Before the release of a report under this section, the
office department shall provide
1the physicians, hospitals or other health care providers identified in the report with
2the opportunity to review and comment under s. 153.40 (6).
AB100, s. 3065
3Section
3065. 153.30 of the statutes is amended to read:
AB100,1279,9
4153.30 Health care insurance report. Beginning in 1990 and annually
5thereafter, the
office department and the office of the commissioner of insurance may
6jointly prepare and submit to the governor, and to the legislature under s. 13.172 (2),
7a report specifying, to the extent possible, on a regional basis, the number, nature of
8coverage and costs of health care coverage plans covering residents of this state
9during the preceding year.
AB100, s. 3066
10Section
3066. 153.35 (intro.) of the statutes is amended to read:
AB100,1279,15
11153.35 (title)
Report by the office department. (intro.) The
office 12department shall annually, by October 1, under rules promulgated by the
13commissioner department, submit under s. 13.172 (3) a report to the legislature for
14distribution to standing committees with jurisdiction over health matters, that shall
15include all of the following:
AB100, s. 3067
16Section
3067. 153.35 (1) of the statutes is amended to read:
AB100,1279,1917
153.35
(1) The range, median and mean of charges and increases or decreases
18in specific charges by hospitals for up to 100 charge elements, as selected by the
office 19department, as reported to the
office
department under s. 153.05 (1) (c) 1.
AB100, s. 3068
20Section
3068. 153.40 (1) of the statutes is amended to read: