AB1-SSA1-SA2,340,43 146.50 (4) (title) Ambulance staffing and operational plans; limitations;
4rules.
AB1-SSA1-SA2, s. 329s 5Section 329s. 146.50 (4) (c) of the statutes is renumbered 146.50 (4) (c) (intro.)
6and amended to read:
AB1-SSA1-SA2,340,177 146.50 (4) (c) (intro.) Notwithstanding par. (a), the department may
8promulgate rules that establish standards for approval by the department of
9operational plans for the
staffing of ambulances in which the primary services
10provided are those which an emergency medical technician - intermediate is
11authorized to provide or those which an emergency medical technician - paramedic
12is authorized to provide. Rules promulgated by the department under this
13paragraph may permit the department to approve an operational plan, for services
14that an emergency medical technician-paramedic is authorized to provide, that is
15submitted by an ambulance service provider that provided these services before
16January 1, 2000, only if the operational plan specifies all of the following for the
17transport of a patient in a prehospital setting:
AB1-SSA1-SA2, s. 329t 18Section 329t. 146.50 (4) (c) 1. of the statutes is created to read:
AB1-SSA1-SA2,340,2419 146.50 (4) (c) 1. That the ambulance service provider ensures, in writing, that
20the ambulance is staffed with at least 2 emergency medical technicians-paramedic,
21licensed registered nurses, licensed physician assistants, or physicians or a
22combination of any 2 of these, who are trained in the use of all skills authorized by
23rule for an emergency medical technician-paramedic and are designated by the
24medical director of the ambulance service.
AB1-SSA1-SA2, s. 329u
1Section 329u. 146.50 (4) (c) 2. of the statutes is created to read:
AB1-SSA1-SA2,341,52 146.50 (4) (c) 2. That the ambulance staff, as specified in subd. 1., is dispatched
3from the same site, together, to the scene of an emergency. This subdivision does not
4apply if the ambulance service provider, as of October 1, 2001, dispatched ambulance
5staff from multiple sites to the scene of an emergency.
AB1-SSA1-SA2, s. 329v 6Section 329v. 146.50 (4) (c) 3. of the statutes is created to read:
AB1-SSA1-SA2,341,107 146.50 (4) (c) 3. That if an emergency medical technician-paramedic arrives
8at the scene of an emergency prior to the arrival of the ambulance staff, as specified
9in subd. 1., the emergency medical technician-paramedic may provide services using
10all skills authorized by rule for an emergency medical technician-paramedic.".
AB1-SSA1-SA2,341,11 11387. Page 171, line 12: after that line insert:
AB1-SSA1-SA2,341,12 12" Section 333h. 146.50 (13) (a) of the statutes is amended to read:
AB1-SSA1-SA2,341,1413 146.50 (13) (a) The department may promulgate rules necessary for
14administration of this section, as limited under sub. (4) (c).".
AB1-SSA1-SA2,341,15 15388. Page 172, line 10: after that line insert:
AB1-SSA1-SA2,341,16 16" Section 336g. 146.83 (1) (b) of the statutes is amended to read:
AB1-SSA1-SA2,341,1817 146.83 (1) (b) Receive a copy of the patient's health care records upon payment
18of reasonable costs fees, as established by rule under sub. (3m).
AB1-SSA1-SA2, s. 336h 19Section 336h. 146.83 (1) (c) of the statutes is amended to read:
AB1-SSA1-SA2,341,2220 146.83 (1) (c) Receive a copy of the health care provider's X-ray reports or have
21the X-rays referred to another health care provider of the patient's choice upon
22payment of reasonable costs fees, as established by rule under sub. (3m).
AB1-SSA1-SA2, s. 336i 23Section 336i. 146.83 (3m) of the statutes is created to read:
AB1-SSA1-SA2,342,7
1146.83 (3m) The department shall, by rule, prescribe fees that are based on an
2approximation of actual costs. The fees, plus applicable state tax, are the maximum
3amount that a health care provider may charge under sub. (1) (b) for duplicate
4patient health care records and under sub. (1) (c) for duplicate X-ray reports or the
5referral of X-rays to another health care provider of the patient's choice. The rule
6shall also permit the health care provider to charge for actual postage or other actual
7delivery costs.".
AB1-SSA1-SA2,342,8 8389. Page 172, line 10: after that line insert:
AB1-SSA1-SA2,342,9 9" Section 336cc. 150.01 (2g) of the statutes is created to read:
AB1-SSA1-SA2,342,1110 150.01 (2g) "Ambulatory surgery center" has the meaning given in 42 CFR
11416.2
.
AB1-SSA1-SA2, s. 336cd 12Section 336cd. 150.01 (8g) of the statutes is created to read:
AB1-SSA1-SA2,342,1413 150.01 (8g) "Construction" means the establishment, erection, building,
14purchase, or other acquisition of a hospital or ambulatory surgery center.
AB1-SSA1-SA2, s. 336ce 15Section 336ce. 150.01 (9m) of the statutes is created to read:
AB1-SSA1-SA2,342,1616 150.01 (9m) "Critical access hospital" has the meaning given in s. 50.33 (1g).".
AB1-SSA1-SA2,342,17 17390. Page 172, line 25: after that line insert:
AB1-SSA1-SA2,342,19 18" Section 336p. Subchapter VI (title) of chapter 150 [precedes150.93] of the
19statutes is amended to read:
AB1-SSA1-SA2,342,2020 CHAPTER 150
AB1-SSA1-SA2,342,2121 SUBCHAPTER VI
AB1-SSA1-SA2,342,24 22MORATORIUM ON CONSTRUCTION
23 OF
HOSPITAL BEDS and ambulatory
24 surgery center limitations
AB1-SSA1-SA2, s. 336q
1Section 336q. 150.93 (1) of the statutes is renumbered 150.935 (1).
AB1-SSA1-SA2, s. 336r 2Section 336r. 150.93 (2) to (5) of the statutes are repealed.
AB1-SSA1-SA2, s. 336rd 3Section 336rd. 150.935 of the statutes is created to read:
AB1-SSA1-SA2,343,6 4150.935 Limitations on hospitals and ambulatory surgery centers. (2)
5As a condition of hospital approval under s. 50.35, no person may, by or on behalf of
6a hospital, do any of the following:
AB1-SSA1-SA2,343,97 (a) Increase, or obligate for a capital expenditure to increase, the number of
8approved beds of the hospital that are available on the effective date of this
9paragraph .... [revisor inserts date].
AB1-SSA1-SA2,343,1310 (b) Expand an existing service of the hospital, unless the primary purpose of
11the expanded service is to provide free or reduced-cost health or dental care to
12individuals who are determined by the department to be underserved or to have low
13income.
AB1-SSA1-SA2,343,1414 (c) Engage in construction, except for the purpose of any of the following:
AB1-SSA1-SA2,343,1615 1. Consolidation of hospitals, if the consolidation does not increase the number
16of available beds of the hospitals.
AB1-SSA1-SA2,343,1817 2. As a response to damage caused by a natural disaster, including an
18earthquake, or by a fire.
AB1-SSA1-SA2,343,2019 3. To eliminate a threat to the safety to patients, staff, or the general public that
20is due to a physical defect of the hospital.
AB1-SSA1-SA2,343,2321 (d) 1. Before January 1, 2003, engage in upgrading renovation, except for
22routine maintenance or maintenance to eliminate a threat to the safety of patients,
23staff, or the general public that is due to a physical defect of the hospital.
AB1-SSA1-SA2,344,424 2. If a hospital seeks an opinion from the department concerning whether a
25proposed project of the hospital violates subd. 1., the department shall issue the

1opinion. If the hospital, after completing the project, is found to be in violation of
2subd. 1., the violation does not affect the status of the hospital's approval under s.
350.35 unless the actual, completed project differs materially from the proposed
4project for which the department issued an opinion.
AB1-SSA1-SA2,344,6 5(3) As a condition of hospital approval under s. 50.35, a hospital shall do all of
6the following:
AB1-SSA1-SA2,344,107 (a) If the hospital is certified under s. 49.45 (2) (a) 11. as a provider of medical
8assistance or certified as a provider of services under medicare, as defined in s. 49.45
9(3) (L) 1. b., or if the hospital obtains this certification, accept as patients individuals
10who are medical assistance recipients or medicare beneficiaries.
AB1-SSA1-SA2,344,1711 (b) Operate a 24-hour emergency room or, for a hospital approved under s.
1250.35 as of the effective date of this paragraph .... [revisor inserts date], have in effect
13an agreement with another hospital with a 24-hour emergency room under which
14that other hospital consents to receive patients in need of emergency care that are
15transferred to it by the hospital that does not operate a 24-hour emergency room.
16This paragraph does not apply to a hospital that is an inpatient facility, as defined
17in s. 51.01 (10) or that is certified under s. 49.45 (2) (a) 11. as a rehabilitation hospital.
AB1-SSA1-SA2,344,19 18(4) No person may, by or on behalf of an ambulatory surgery center, do any of
19the following:
AB1-SSA1-SA2,344,2320 (a) Expand an existing service of the ambulatory surgery center unless the
21primary purpose of the new service is to provide free or reduced-cost health or dental
22care to individuals who are determined by the department to be underserved or to
23have low income.
AB1-SSA1-SA2,344,2424 (b) Engage in construction, except for the purposes of any of the following:
AB1-SSA1-SA2,345,2
11. As a response to damage caused by a natural disaster, including an
2earthquake, or by a fire.
AB1-SSA1-SA2,345,43 2. To eliminate a threat to the safety of patients, staff, or the general public that
4is due to a physical defect of the ambulatory surgery center.
AB1-SSA1-SA2,345,85 (c) 1. Before January 1, 2003, engage in upgrading renovation, except for
6routine maintenance or maintenance to eliminate a threat to the safety of patients,
7staff, or the general public that is due to a physical defect of the ambulatory surgery
8center.
AB1-SSA1-SA2,345,159 2. If an ambulatory surgery center seeks an opinion from the department
10concerning whether a proposed project of the ambulatory surgery center violates
11subd. 1., the department shall issue the opinion. If the opinion of the department is
12that the proposed project does not violate subd. 1., an ambulatory surgery center,
13after completing the project, may not be found to be in violation of subd. 1. unless the
14actual, completed project differs materially from the proposed project for which the
15department issued the opinion.
AB1-SSA1-SA2,345,20 16(5) If an ambulatory surgery center is certified under s. 49.45 (2) (a) 11. as a
17provider of medical assistance or certified as a provider of services under medicare,
18as defined in s. 49.45 (3) (L) 1. b., or if an ambulatory surgery center obtains this
19certification, the ambulatory surgery center shall accept as patients individuals who
20are medical assistance recipients or medicare beneficiaries.
AB1-SSA1-SA2,345,22 21(6) The department shall promulgate as a rule a definition of "upgrading
22renovation," for the purposes of subs. (2) (d) 1. and (4) (c) 1.
AB1-SSA1-SA2,346,2 23(7) The department may, under s. 50.35, revoke or suspend approval for a
24hospital that violates sub. (2) or fails to comply with sub. (3) or 2002 Wisconsin Act

1.... (this act), section 9123 (5qr), after giving reasonable notice, a fair hearing, and,
2if appropriate as determined by the department, a reasonable opportunity to comply.
AB1-SSA1-SA2, s. 336rf 3Section 336rf. 150.935 (2) (d) 1. of the statutes, as created by 2001 Wisconsin
4Act .... (this act), is amended to read:
AB1-SSA1-SA2,346,85 150.935 (2) (d) 1. Before January 1, 2003, engage Engage in upgrading
6renovation, as defined by rule by the department, except for routine maintenance or
7maintenance to eliminate a threat to the safety of patients, staff, or the general
8public that is due to a physical defect of the hospital.".
AB1-SSA1-SA2, s. 336rh 9Section 336rh. 150.935 (4) (c) 1. of the statutes, as created by 2001 Wisconsin
10Act .... (this act), is amended to read:
AB1-SSA1-SA2,346,1411 150.935 (4) (c) 1. Before January 1, 2003, engage Engage in upgrading
12renovation, as defined by rule by the department, except for routine maintenance or
13maintenance to eliminate a threat to the safety of patients, staff, or the general
14public that is due to a physical defect of the ambulatory surgery center.
AB1-SSA1-SA2, s. 336rL 15Section 336rL. 150.935 (7) of the statutes, as created by 2001 Wisconsin Act
16.... (this act), is amended to read:
AB1-SSA1-SA2,346,2117 150.935 (7) The department may, under s. 50.35, revoke or suspend approval
18for a hospital that violates sub. (2) or fails to comply with sub. (3) or 2002 Wisconsin
19Act .... (this act), section 9123 (5qr)
, after giving reasonable notice, a fair hearing,
20and, if appropriate as determined by the department, a reasonable opportunity to
21comply.".
AB1-SSA1-SA2,346,22 22391. Page 173, line 16: after that line insert:
AB1-SSA1-SA2,346,23 23" Section 388nc. 160.257 of the statutes is created to read:
AB1-SSA1-SA2,347,2
1160.257 Exceptions for aquifer storage and recovery systems. (1) In
2this section:
AB1-SSA1-SA2,347,43 (a) "Aquifer storage and recovery system" means all of the aquifer storage and
4recovery wells and related appurtenances that are part of a municipal water system.
AB1-SSA1-SA2,347,75 (b) "Aquifer storage and recovery well" means a well through which treated
6drinking water is placed underground for the purpose of storing and later recovering
7the water through the same well for use as drinking water.
AB1-SSA1-SA2,347,118 (c) "Municipal water system" means a community water system, as defined in
9s. 281.62 (1) (a), that is owned by a city, village, town, county, town sanitary district,
10utility district, public inland lake protection and rehabilitation district, or municipal
11water district, or by a privately owned water utility serving any of the foregoing.
AB1-SSA1-SA2,347,1212 (d) "Specified substance" means one of the following:
AB1-SSA1-SA2,347,1313 1. Chloroform.
AB1-SSA1-SA2,347,1414 2. Bromodichloromethane.
AB1-SSA1-SA2,347,1515 3. Dibromochloromethane.
AB1-SSA1-SA2,347,1616 4. Bromoform.
AB1-SSA1-SA2,347,1917 (e) "Treated drinking water" means potable water that has been treated so that
18it complies with the primary drinking water standards promulgated under ss. 280.11
19and 281.17 (8).
AB1-SSA1-SA2,348,2 20(2) Notwithstanding s. 160.19 (1) and (2), the department is not required to
21promulgate or amend rules that define design or management criteria for aquifer
22storage and recovery systems to minimize the amount of a specified substance in
23groundwater or to maintain compliance with the preventive action limit for a
24specified substance, however, the department shall promulgate rules that define
25design or management criteria for aquifer storage and recovery systems to maintain

1compliance with drinking water standards promulgated under ss. 280.11 and 281.17
2(8).
AB1-SSA1-SA2,348,6 3(3) Notwithstanding s. 160.21 (2), the point of standards application for an
4aquifer storage and recovery well with respect to a specified substance is 1,200 feet
5from the aquifer storage and recovery well and at any other well that is within 1,200
6feet from the aquifer storage and recovery well.".
AB1-SSA1-SA2,348,7 7392. Page 173, line 16: after that line insert:
AB1-SSA1-SA2,348,8 8" Section 338r. 165.755 (1) (b) of the statutes is amended to read:
AB1-SSA1-SA2,348,139 165.755 (1) (b) A court may not impose the crime laboratories and drug law
10enforcement assessment under par. (a) for a violation of s. 101.123 (2) (a), (am) 1., (ar)
11or (bm) or (5) (b) or for a violation of a state law or municipal or county ordinance
12involving a nonmoving traffic violation, a headlamp violation under s. 347.065 (1),
13or a safety belt use violation under s. 347.48 (2m).".
AB1-SSA1-SA2,348,14 14393. Page 173, line 16: after that line insert:
AB1-SSA1-SA2,348,15 15" Section 338g. 165.065 (2) of the statutes is amended to read:
AB1-SSA1-SA2,348,2316 165.065 (2) The assistant attorney general in charge of antitrust investigations
17and prosecutions is to cooperate actively with the antitrust division of the U.S.
18department of justice in everything that concerns monopolistic practices in
19Wisconsin, and also to cooperate actively with the department of agriculture, trade
20and consumer protection in the work which this agency is carrying on under s. 100.20
21of the marketing law
with regard to monopolistic practices in the field of agriculture
22and with the federal trade commission on matters arising in or affecting Wisconsin
23which pertain to its jurisdiction.
AB1-SSA1-SA2, s. 338m
1Section 338m. 165.25 (4) (ar) of the statutes, as affected by 2001 Wisconsin
2Act 16
, section 2856b, is amended to read:
AB1-SSA1-SA2,349,113 165.25 (4) (ar) The department of justice shall furnish all legal services
4required by
represent the department of agriculture, trade and consumer protection
5in any court action relating to the enforcement of ss. 100.171, 100.173, 100.174,
6100.175, 100.177, 100.18, 100.182, 100.20, 100.205, 100.207, 100.209, 100.21,
7100.28, 100.37, 100.42, 100.50 and 100.51 and chs. 126, 136, 344, 704, 707, and 779

8ch. 126 and 100.01 to 100.03, 100.05 to 100.07, 100.14, 100.183 to 100.19, 100.201,
9100.22, 100.235, 100.27, 100.285 to 100.297, 100.33 to 100.36, 100.45, 100.47, and
10100.48
, together with any other services as are necessarily connected to the legal
11services.
AB1-SSA1-SA2, s. 338r 12Section 338r. 165.25 (11) of the statutes is created to read:
AB1-SSA1-SA2,349,1713 165.25 (11) Consumer protection administration and enforcement.
14Administer and enforce ss. 100.15 to 100.182, 100.20, 100.205, 100.207 to 100.2095,
15100.28, 100.31, 100.37 to 100.44, 100.46, 100.50, and 100.52 and chs. 136, 344, 704,
16707, and 779. The department may issue general or special orders in administering
17and enforcing these provisions.".
AB1-SSA1-SA2,349,18 18394. Page 173, line 16: after that line insert:
AB1-SSA1-SA2,349,20 19" Section 338dg. 165.055 (1) of the statutes is renumbered 165.055 and
20amended to read:
AB1-SSA1-SA2,350,2 21165.055 Appointments. The attorney general may appoint a deputy attorney
22general and assistants
assistant attorneys general, each of whom shall be an
23attorney at law admitted to practice in this state. Such appointments shall be made
24in writing and filed in the office of the secretary of state, and such appointees shall

1take and subscribe the constitutional oath of office which shall also be filed.
2Appointees shall perform such duties as the attorney general prescribes.
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