AB552, s. 5 22Section 5. 15.107 (7) (g) of the statutes is created to read:
AB552,4,2423 15.107 (7) (g) A representative of the bureau of health care information in the
24department of health and family services.
AB552, s. 6 25Section 6. 15.194 of the statutes is created to read:
AB552,5,3
115.194 Same; specified bureaus. (1) There is created in the division within
2the department of health and family services that has primary responsibility for
3health issues a bureau of health care information.
AB552, s. 7 4Section 7. 15.735 (2) of the statutes is renumbered 15.195 (6) and amended
5to read:
AB552,5,106 15.195 (6) Board on health care information. There is created a board on
7health care information which is attached to the office of the commissioner of
8insurance
department of health and family services under s. 15.03. The board shall
9consist of 9 members, a majority of whom may neither be nor represent health care
10providers, appointed for 4-year terms.
AB552, s. 8 11Section 8. 15.737 of the statutes is repealed.
AB552, s. 9 12Section 9. 16.03 (1) of the statutes is amended to read:
AB552,6,213 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
24care plans, as defined under s. 628.36 (2) (a) 1., and grievances filed with health
25maintenance organizations, as defined under s. 609.01 (2), without requiring the

1collection of information in addition to the information already collected by state
2agencies.
AB552, s. 10 3Section 10. 16.03 (3) of the statutes is amended to read:
AB552,6,74 16.03 (3) Report. The interagency coordinating council shall report at least
5twice annually to the board on health care information in the office of the
6commissioner of insurance
department of health and family services, concerning the
7council's activities under this section.
AB552, s. 11 8Section 11. 20.145 (1) (g) of the statutes is amended to read:
AB552,6,139 20.145 (1) (g) General program operations. The amounts in the schedule for
10general program operations and for funding the activities of the office of health care
11information under s. 153.05 (8)
the commissioner of insurance. Ninety percent of all
12moneys received under ss. 601.31, 601.32, 601.45 and 601.47 shall be credited to this
13appropriation.
AB552, s. 12 14Section 12. 20.145 (8) (title) of the statutes is repealed.
AB552, s. 13 15Section 13. 20.145 (8) (hg) of the statutes is renumbered 20.435 (1) (hg) and
16amended to read:
AB552,6,2117 20.435 (1) (hg) (title) General program operations; office of health care
18information.
The amounts in the schedule to fund the activities of the office of health
19care information
department of health and family services and the board on health
20care information under ch. 153. The contract fees paid under s. 153.05 (6m) and
21assessments paid under s. 153.60 shall be credited to this appropriation account.
AB552, s. 14 22Section 14. 20.145 (8) (hi) of the statutes is renumbered 20.435 (1) (hi), and
2320.435 (1) (hi) (title), as renumbered, is amended to read:
AB552,6,2524 20.435 (1) (hi) (title) Compilations and special reports; office of health care
25information.
AB552, s. 15
1Section 15. 20.145 (8) (hj), (kx) and (mr) of the statutes are repealed.
AB552, s. 16 2Section 16. 40.03 (6) (j) of the statutes is amended to read:
AB552,7,73 40.03 (6) (j) May contract with the office of health care information in the office
4of the commissioner of insurance
department of health and family services and may
5contract with other public or private entities for data collection and analysis services
6related to health maintenance organizations and insurance companies that provide
7health insurance to state employes.
AB552, s. 17 8Section 17. 153.01 (3), (4m), (6) and (9) of the statutes are repealed.
AB552, s. 18 9Section 18. 153.01 (4d), (4h), (4p) and (4t) of the statutes are created to read:
AB552,7,1010 153.01 (4d) "Department" means the department of health and family services.
AB552,7,12 11(4h) "Employer coalition" means an organization of employers formed for the
12purpose of purchasing health care coverage or services as a group.
AB552,7,14 13(4p) "Health care plan" means an insured or self-insured plan providing
14coverage of health care expenses or an employer coalition.
AB552,7,16 15(4t) "Health care provider" has the meaning given in s. 146.81 (1) and includes
16an ambulatory surgery center.
AB552, s. 19 17Section 19. 153.05 (1) (intro.) of the statutes is renumbered 153.05 (1) and
18amended to read:
AB552,8,419 153.05 (1)  In order to provide to hospitals, health care providers, insurers,
20consumers, governmental agencies and others information concerning hospital
21service utilization, charges, revenues, expenditures, mortality and morbidity rates

22health care providers and uncompensated health care services, and in order to
23provide information to assist in peer review for the purpose of quality assurance, the
24office department shall collect, analyze and disseminate health care information, in
25language that is understandable to lay persons, health care information obtained

1from the following data sources:
. This chapter shall be administered by a bureau of
2health care information. The bureau of health care information shall coordinate its
3activities with persons with responsibility for medical assistance administration and
4collection and analysis of health statistics.
AB552, s. 20 5Section 20. 153.05 (1) (a) to (e) of the statutes are repealed.
AB552, s. 21 6Section 21. 153.05 (2) of the statutes is repealed.
AB552, s. 22 7Section 22. 153.05 (3) of the statutes is amended to read:
AB552,8,108 153.05 (3) Upon request of the office department, state agencies shall provide
9health care information to the office department for use in preparing reports under
10ss. 153.10 to 153.35
this chapter.
AB552, s. 23 11Section 23. 153.05 (4) of the statutes is repealed.
AB552, s. 24 12Section 24. 153.05 (5) (intro.) and (b) of the statutes are consolidated,
13renumbered 153.05 (5) and amended to read:
AB552,8,1914 153.05 (5)  The office: (b) May department may require hospitals health care
15providers
to submit to the office department information from sources identified
16under sub. (1) (a) to (e)
that the office department deems necessary for the
17preparation of reports, plans and recommendations under ss. 153.10 to 153.35 and
18any other reports required of the office
in the form specified by the office department
19by rule
.
AB552, s. 25 20Section 25. 153.05 (5) (a) and (bm) of the statutes are repealed.
AB552, s. 26 21Section 26. 153.05 (6) of the statutes is amended to read:
AB552,9,222 153.05 (6) If the requirements of s. 153.07 (2) are first met, the office The
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)
.
AB552, s. 27 3Section 27. 153.05 (6m) of the statutes is amended to read:
AB552,9,114 153.05 (6m) If the requirements of s. 153.07 (2) are first met, the office The
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 shall provide the services under s. 153.07 (2)
. The office department
9shall establish contract fees for the provision of the services. All moneys collected
10under this subsection shall be credited to the appropriation under s. 20.145 (8) (kx)
1120.435 (1) (hg).
AB552, s. 28 12Section 28. 153.05 (6r) of the statutes is created to read:
AB552,9,2413 153.05 (6r) The department shall study and, based on the results of the study,
14may develop and implement a voluntary system of health care plan reporting that
15enables purchasers and consumers to assess the performance of health care plans
16and the health care providers that are employed or reimbursed by the health care
17plans. The department shall undertake the study and any development and
18implementation in cooperation with private health care purchasers, the board, the
19department of employe trust funds, the office of the commissioner of insurance, the
20interagency coordinating council created under s. 15.107 (7), major associations of
21health care providers, health care plans and consumers. If implemented, the
22department shall operate the system in a manner so as to enable purchasers,
23consumers, the public, the governor and legislators to assess the performance of
24health care plans and health care providers.
AB552, s. 29 25Section 29. 153.05 (7) of the statutes is repealed.
AB552, s. 30
1Section 30. 153.05 (8) of the statutes is amended to read:
AB552,10,132 153.05 (8) Beginning April 1, 1992, the office The department shall collect,
3analyze and disseminate, in language that is understandable to lay persons, health
4care
claims information and other health care information under the provisions of
5this chapter, as determined by rules promulgated by the commissioner department,
6from health care providers, as defined specified by rules promulgated by the
7commissioner, other than hospitals and ambulatory surgery centers department.
8Data from physicians shall health care providers may be obtained through sampling
9techniques in lieu of collection of data on all patient encounters and data collection
10procedures shall minimize unnecessary duplication and administrative burdens. If
11the department collects health care provider-specific data from health care plans,
12the department shall attempt to avoid collecting the same data from health care
13providers.
AB552, s. 31 14Section 31. 153.05 (9) of the statutes is amended to read:
AB552,10,1815 153.05 (9) The office department shall provide orientation and training to
16physicians, hospital personnel and other health care providers who submit data
17under this chapter
to explain the process of data collection and analysis and the
18procedures for data verification, interpretation and release.
AB552, s. 32 19Section 32. 153.05 (11) of the statutes is repealed.
AB552, s. 33 20Section 33. 153.05 (12) of the statutes is amended to read:
AB552,10,2321 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.
AB552, s. 34 24Section 34. 153.07 (1) of the statutes is amended to read:
AB552,11,3
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.
AB552, s. 35 4Section 35. 153.07 (2) of the statutes is repealed.
AB552, s. 36 5Section 36. 153.07 (3) of the statutes is amended to read:
AB552,11,76 153.07 (3) The board shall approve all rules which are proposed by the
7commissioner department for promulgation to implement this chapter.
AB552, s. 37 8Section 37. 153.07 (4) of the statutes is created to read:
AB552,11,99 153.07 (4) The board and the department shall jointly do all of the following:
AB552,11,1010 (a) Develop the rules that are required or authorized under this chapter.
AB552,11,1211 (b) Provide oversight on the standard reports under this chapter, including the
12reports under ss. 153.20 and 153.21.
AB552,11,1413 (c) Develop the overall strategy and direction for implementation of this
14chapter.
AB552,11,1615 (d) Provide information on their activities to the interagency coordinating
16council created under s. 15.107 (7).
AB552, s. 38 17Section 38. 153.08 (2) (intro.) and (a) of the statutes are consolidated,
18renumbered 153.08 (2) and amended to read:
AB552,12,219 153.08 (2) No hospital may increase its rates or charge any payer an amount
20exceeding its rates that are in effect on May 12, 1992, unless the hospital first does
21all of the following: (a) Causes
causes to be published a class 1 notice under ch. 985
22in the official newspaper designated under s. 985.04 or 985.05 or in a newspaper
23likely to give notice in the area where the hospital is located, no sooner than 45 days
24and no later than 30 days before the proposed rate change is to take effect. The notice

1shall describe the proposed rate change and the time and place for the public hearing
2required under sub. (2)
.
AB552, s. 39 3Section 39. 153.08 (2) (b) of the statutes is repealed.
AB552, s. 40 4Section 40. 153.10 (1) (intro.) of the statutes is renumbered 153.10 and
5amended to read:
AB552,12,12 6153.10 Health care data reports. Beginning in 1990 and quarterly
7thereafter, the office
The department shall prepare , and submit to the governor and
8the chief clerk of each house of the legislature for distribution to the legislature under
9s. 13.172 (2), in a manner that permits comparisons among hospitals, a report setting
10forth all of the following for every hospital for the preceding quarter:
standard
11reports that the department prepares and shall collect information necessary for
12preparation of those reports.
AB552, s. 41 13Section 41. 153.10 (1) (a) and (b) and (2) of the statutes are repealed.
AB552, s. 42 14Section 42. 153.15 of the statutes is repealed.
AB552, s. 43 15Section 43. 153.20 (1) and (2) of the statutes are amended to read:
AB552,12,2316 153.20 (1) Beginning in 1990 and annually thereafter, the office The
17department
shall prepare, and submit to the governor and to the chief clerk of each
18house of the legislature for distribution to the legislature under s. 13.172 (2) a, an
19annual
report setting forth the number of patients to whom uncompensated health
20care services were provided by each hospital and the total charges for the
21uncompensated health care services provided to the patients for the preceding year,
22together with the number of patients and the total charges that were projected by the
23hospital for that year in the plan filed under sub. (2).
AB552,13,3 24(2) Beginning in 1990 and annually thereafter, every Every hospital shall file
25with the office a department an annual plan setting forth the projected number of

1patients to whom uncompensated health care services will be provided by the
2hospital and the projected total charges for the uncompensated health care services
3to be provided to the patients for the ensuing year.
AB552, s. 44 4Section 44. 153.21 of the statutes is created to read:
AB552,13,10 5153.21 Consumer guide. The department shall prepare and submit to the
6governor and to the chief clerk of each house of the legislature for distribution to the
7legislature under s. 13.172 (2) an annual guide to assist consumers in selecting
8health care providers and health care plans. The guide shall be written in language
9that is understandable to lay persons. The department shall widely publicize and
10distribute the guide to consumers.
AB552, s. 45 11Section 45. 153.25 of the statutes is repealed.
AB552, s. 46 12Section 46. 153.30 of the statutes is repealed.
AB552, s. 47 13Section 47. 153.35 of the statutes is repealed.
AB552, s. 48 14Section 48. 153.40 of the statutes is repealed.
AB552, s. 49 15Section 49. 153.45 (1) (intro.), (a), (b) and (c), (2) and (3) of the statutes are
16amended to read:
AB552,13,1917 153.45 (1) (intro.)  After completion of data verification and review procedures
18under s. 153.40 specified by the department by rule, the office department shall
19release data in the following forms:
AB552,13,2020 (a) Standard reports in accordance with ss. 153.10 to 153.35.
AB552,13,2521 (b) Public use tapes data files which do not permit the identification of specific
22patients, physicians, employers or other health care providers, as defined by rules
23promulgated by the commissioner
. The identification of these groups shall be
24protected by all necessary means, including the deletion of patient identifiers and the
25use of calculated variables and aggregated variables.
AB552,14,2
1(c) Custom-designed subfile tapes, other electronic media, special data
2compilations or reports containing portions of the public use tape data under par. (b).
AB552,14,5 3(2) The office department shall provide to other entities the data necessary to
4fulfill their statutory mandates for epidemiological purposes or to minimize the
5duplicate collection of similar data elements.
AB552,14,9 6(3) The office department shall release physician-specific health care
7provider-specific
and employer-specific data, except in public use tapes data files as
8specified under sub. (1) (b), in a manner that is specified in rules promulgated by the
9commissioner department.
AB552, s. 50 10Section 50. 153.45 (4) of the statutes is created to read:
AB552,14,1211 153.45 (4) The department shall prohibit purchasers of data from rereleasing
12individual data elements of health care data files.
AB552, s. 51 13Section 51. 153.45 (5) of the statutes is created to read:
AB552,14,1814 153.45 (5) The department may not release any health care information that
15is subject to rules promulgated under s. 153.75 (1) (b) until the verification and
16review procedures required under those rules have been complied with. Nothing in
17this subsection prohibits release of health care provider-specific information to the
18health care provider to whom the information relates.
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