LRB-5119/1
DAK:kmg:jf
1997 - 1998 LEGISLATURE
March 26, 1998 - Introduced by Representatives Baldwin and Bock, cosponsored
by Senators Chvala and Risser. Referred to Committee on Health.
AB955,1,6
1An Act to amend 15.01 (4) and 59.17 (2) (c); and
to create 15.07 (1) (a) 7., 15.07
2(2) (h), 15.07 (5) (m), 15.07 (5m) (c), 15.20, 15.207, 20.430, chapter 52, 59.53 (24)
3and 62.09 (8) (cm) of the statutes;
relating to: establishing a single-payer,
4publicly financed health care system for residents of this state, creating the
5department of health planning and finance, health policy board and regional
6health councils and establishing duties of the health policy board.
Analysis by the Legislative Reference Bureau
Under current law, payment for medical services received by residents of this
state is made from a combination of federal moneys (such as under the medicare,
medicaid and various block grant programs), general purpose revenues (such as the
"state share" of the joint federal-state medical assistance program, state
contributions to relief block grants for health care services and moneys appropriated
for specific medical purposes, such as cancer control grants), local moneys (such as
funding for medical relief health care services and county nursing homes and
hospitals) and private health insurance coverage purchased by individuals or
provided, in part, as employe benefits.
This bill establishes a universal health plan for Wisconsin, effective July 1,
2001, under which each state resident shall, with certain exceptions, receive
reasonable medical services necessary to maintain health, enable diagnosis or
provide treatment or rehabilitation for an injury, disability or disease.
This bill creates a department of health planning and finance that is directed
and supervised by an 11-member health policy board that is also created in the bill.
The bill also creates 6 regional health councils that are attached to the department
of health planning and finance and that report quarterly to the health policy board
on the health care needs, problems and concerns of the region. The bill requires
appropriation of general purpose revenues to the department of health planning and
finance for operation of the health policy board for fiscal year 1997-98 and 1998-99
and requires that the health policy board consider numerous issues related to the
formation of a universal health plan in this state. The board is required to meet
semimonthly beginning on January 1, 1999, to formulate decisions on these issues,
including those raised in reports to the board by the regional health councils, and to
convey these decisions to and cooperate with the legislative reference bureau in the
drafting of proposed legislation for introduction in the legislature on or before
January 11, 2000. The legislative reference bureau must prepare the proposed
legislation that relates to the board's decisions in proper form for introduction.
For further information see the state fiscal estimate, which will be printed as
an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
AB955, s. 1
1Section
1. 15.01 (4) of the statutes is amended to read:
AB955,2,112
15.01
(4) "Council" means a part-time body appointed to function on a
3continuing basis for the study, and recommendation of solutions and policy
4alternatives, of the problems arising in a specified functional area of state
5government, except the Milwaukee river revitalization council has the powers and
6duties specified in s. 23.18, the council on physical disabilities has the powers and
7duties specified in s. 46.29 (1) and (2), the state council on alcohol and other drug
8abuse has the powers and duties specified in s. 14.24
, the regional health councils
9have the powers and duties specified in s. 52.30 (1) and, before January 1, 2001, the
10council on health care fraud and abuse has the powers and duties specified in s.
11146.36.
AB955, s. 2
12Section
2. 15.07 (1) (a) 7. of the statutes is created to read:
AB955,3,2
115.07
(1) (a) 7. Members of the health policy board appointed under s. 15.20 (1)
2(a) shall be appointed as provided in that section.
AB955, s. 3
3Section
3. 15.07 (2) (h) of the statutes is created to read:
AB955,3,54
15.07
(2) (h) The chairperson of the health policy board shall serve for a period
5of 3 years.
AB955, s. 4
6Section
4. 15.07 (5) (m) of the statutes is created to read:
AB955,3,77
15.07
(5) (m) Voting members of the health policy board, $50 per day.
AB955, s. 5
8Section
5. 15.07 (5m) (c) of the statutes is created to read:
AB955,3,129
15.07
(5m) (c)
Health policy board. Members of the health policy board may
10be reimbursed for lost wages if required by their employers to use leave without pay
11in order to attend meetings of the health policy board, and they may be reimbursed
12for actual and necessary child care expenses without proof of financial hardship.
AB955, s. 6
13Section
6. 15.20 of the statutes is created to read:
AB955,3,19
1415.20 Department of health planning and finance. (1) There is created
15a department of health planning and finance under the direction and supervision of
16the health policy board. The health policy board shall consist of the following
17members, each of whom is to serve for a 6-year term and, if reappointed, for an
18additional 6-year term and none of whom may be a health care service provider or
19administrator of a health care facility or organization:
AB955,3,2120
(a) One member appointed by and from the current membership of each of 6
21regional health councils as specified under s. 15.207 (1) (b).
AB955,3,2422
(b) Five members, appointed by the governor, who reflect as much as possible
23a balance of gender, race, age and the interests of management, labor and disabled
24individuals.
AB955, s. 7
25Section
7. 15.207 of the statutes is created to read:
AB955,4,4
115.207 Same; councils. (1)
Regional health councils. (a) There are created
26 regional health councils that are attached to the department of health planning
3and finance under s. 15.03, one of which is established in each of the following areas
4of this state:
AB955,4,75
1. The northern region, consisting of Ashland, Bayfield, Douglas, Florence,
6Forest, Iron, Langlade, Lincoln, Marathon, Oneida, Portage, Price, Sawyer, Taylor,
7Vilas and Wood counties.
AB955,4,108
2. The southern region, consisting of Adams, Columbia, Crawford, Dane,
9Dodge, Grant, Green, Iowa, Jefferson, Juneau, Lafayette, Richland, Rock, Sauk and
10Vernon counties.
AB955,4,1311
3. The western region, consisting of Barron, Burnett, Buffalo, Chippewa,
12Clark, Dunn, Eau Claire, Jackson, La Crosse, Monroe, Pepin, Pierce, Polk, Rusk, St.
13Croix, Trempealeau and Washburn counties.
AB955,4,1614
4. The northeastern region, consisting of Brown, Calumet, Door, Fond du Lac,
15Green Lake, Kewaunee, Manitowoc, Marinette, Marquette, Menominee, Oconto,
16Outagamie, Shawano, Sheboygan, Waupaca, Waushara and Winnebago counties.
AB955,4,1817
5. The southeastern region, consisting of Kenosha, Ozaukee, Walworth,
18Washington, Waukesha and Racine counties.
AB955,4,1919
6. The area within Milwaukee County.
AB955,4,2120
(b) Each regional council shall consist of the following members, to serve for
213-year terms:
AB955,4,2422
1. In the northern region, a total of 16 members, consisting of one member from
23each county in that region. The county board of supervisors of each county in that
24region shall appoint the member from that county.
AB955,5,3
12. In the southern region, a total of 15 members, consisting of one member from
2each county in that region. The county board of supervisors of each county in that
3region shall appoint the member from that county.
AB955,5,64
3. In the western region, a total of 17 members, consisting of one member from
5each county in that region. The county board of supervisors of each county in that
6region shall appoint the member from that county.
AB955,5,97
4. In the northeastern region, a total of 17 members, consisting of one member
8from each county in that region. The county board of supervisors of each county in
9that region shall appoint the member from that county.
AB955,5,1210
5. In the southeastern region, a total of 12 members, consisting of 2 members
11from each county in that region. The county board of supervisors of each county in
12that region shall appoint the 2 members from that county.
AB955,5,1713
6. In the area within Milwaukee County, a total of 12 members, consisting of
146 members who are residents of the city of Milwaukee and are appointed by the
15mayor of the city of Milwaukee, and 6 members who are residents of Milwaukee
16County but are not residents of the city of Milwaukee and are appointed by the
17county executive of Milwaukee County.
AB955, s. 8
18Section
8. 20.005 (3) (schedule) of the statutes: at the appropriate place, insert
19the following amounts for the purposes indicated:
-
See PDF for table ![PDF](https://docs.legis.wisconsin.gov/assets/image/file_acrobat.gif)
AB955, s. 9
1Section
9. 20.430 of the statutes is created to read:
AB955,6,4
220.430 Health planning and finance, department of. There is
3appropriated to the department of health planning and finance for the following
4programs:
AB955,6,6
5(1) Health policy board. (a)
General program operations. The amounts in the
6schedule for the general program operations of the health policy board.
AB955, s. 10
7Section
10. Chapter 52 of the statutes is created to read:
AB955,6,98
Chapter 52
9
Universal health plan
AB955,6,10
1052.01 Definitions. In this chapter:
AB955,6,11
11(1) "Block grant" has the meaning given in s. 16.54 (2) (a) 3.
AB955,6,12
12(2) "Board" means the health policy board.
AB955,6,13
13(3) "Department" means the department of health planning and finance.
AB955,6,14
14(4) "Disability insurance policy" has the meaning given in s. 632.895 (1) (a).
AB955,6,16
15(5) "Medicare" means coverage under part A or part B of Title XVIII of the
16federal social security act,
42 USC 1395 to
1395ddd.
AB955,6,17
17(6) "Resident" means an individual who lives or is employed within this state.
AB955,6,23
1852.10 Universal health plan. There is created a universal health plan in this
19state, under which each resident shall receive reasonable medical service necessary
20to maintain health, enable diagnosis or provide treatment or rehabilitation for an
21injury, disability or disease, paid for by a single payer, except that no coverage is
22provided for orthodontia for persons who are age 18 or older that is not medically
23necessary or for the performance of cosmetic surgery.
AB955,7,3
152.20 Health policy board; powers and duties. The board shall consider
2and formulate policy on at least all of the following issues with respect to the
3formation of a universal health plan in this state:
AB955,7,7
4(1) Other than premiums, copayments, deductibles or other forms of direct
5payment by patients, the sources of revenues for the administration of the
6department and the board and for financing the payment of medical services that are
7provided to residents under the universal health plan, including all of the following:
AB955,7,138
(a) Use of federal, state and local moneys that fund, as of the effective date of
9this paragraph .... [revisor inserts date], health care services, including medicare,
10medical assistance, health care services under ss. 49.025, 49.027 and 49.029,
11services under the health care program for low-income families under s. 49.665,
12services provided under federal block grants, alcohol and other drug abuse services
13and services provided by local public health agencies.