Thursday, July 26, 2001
1:13 P.M.
Ninety-Fifth Regular Session
The Assembly met in the Assembly Chamber located in the State Capitol.
Speaker Pro Tempore Freese in the chair.
The prayer was offered by Representative Hahn.
Representative Hubler led the membership in reciting the pledge of allegiance to the flag of the United States of America.
The roll was taken.
The result follows:
Present - Representatives Ainsworth, Albers, Balow, Berceau, Bies, Black, Bock, Boyle, Carpenter, Coggs, Cullen, Duff, J. Fitzgerald, Foti, Freese, Friske, Gard, Gronemus, Grothman, Gunderson, Gundrum, Hahn, Hebl, Hoven, Huber, Hubler, Huebsch, Hundertmark, Jeskewitz, Johnsrud, Kaufert, Kedzie, Kestell, Krawczyk, Kreibich, Kreuser, Krug, Krusick, La Fave, Ladwig, F. Lasee, Lassa, J. Lehman, M. Lehman, Leibham, Lippert, Loeffelholz, McCormick, D. Meyer, Meyerhofer, Miller, Montgomery, Musser, Nass, Olsen, Ott, Owens, Petrowski, Pettis, Plale, Plouff, Pocan, Powers, Reynolds, Rhoades, Richards, Riley, Ryba, Schneider, Schooff, Seratti, Sherman, Shilling, Sinicki, Skindrud, Starzyk, Staskunas, Steinbrink, Stone, Suder, Sykora, Townsend, Travis, Turner, Underheim, Urban, Vrakas, Wade, Walker, Ward, Wasserman, Wieckert, Williams, Wood, Young, Ziegelbauer and Speaker Jensen - 97.
Absent with leave - Representatives Colon and Morris-Tatum - 2.
Vacancies - None.
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Representative Bock asked unanimous consent for a leave of absence for today's session for Representatives Colon and Morris-Tatum. Granted.
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Read first time and referred:
Assembly Bill 466
Relating to: elimination of legislative partisan caucus staffs.
By
Representatives Reynolds, Ziegelbauer, Boyle, Carpenter, Wasserman, Staskunas, Powers, J. Lehman, Ryba, Gronemus and Hebl; cosponsored by Senator Harsdorf
.
To committee on Assembly Organization
.
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Referral of Agency Reports
State of Wisconsin
Department of Administration
Madison
June 15, 2001
To the Honorable, the Legislature:
This report is transmitted as required by sec. 20.002(11)(f), Wis. Stats. (for distribution to the appropriate standing committees under sec. 13.172(3), Wis. Stats.), and confirms that the Department of Administration has found it necessary to exercise the "temporary reallocation of balances" authority provided by this section in order to meet payment responsibilities and cover resulting negative balances during the month of May 2001.
On May 8, 2001 the Common School Income Fund balance was -$9.98 million. This shortfall continued until May 9, 2001 when the balance reached $2.39 million. This shortfall was due to the timing of revenues.
The Common School Income Fund shortfall was not in excess of the statutory interfund borrowing limitation and did not exceed the balances of the Funds available for interfund borrowing.
The distribution of interest earnings to investment pool participants is based on the average daily balance in the pool and each fund's share. Therefore, the monthly calculation by the State Controller's Office will automatically reflect the use of these temporary reallocations of balance authority.
Sincerely,
George Lightbourn
Secretary
Referred to committee on Ways and Means.
Agency Reports
State of Wisconsin
Legislative Audit Bureau
Madison
July 26, 2001
To the Honorable, the Legislature:
As requested by the Joint Legislative Audit Committee, we have completed an evaluation of the Department of Health and Family Services' (DHFS's) prior authorization process for occupational, physical, and speech therapy services provided under the Medical Assistance program. Administrative code states that prior authorization is intended to safeguard against unnecessary or inappropriate care. In 1999, approximately 6,300 individuals received therapy services that required prior authorization; these services cost $11.2 million.
From 1995 through June 2000, the average processing time for therapy prior authorization requests increased by 6.7 percent (1.1 working days), despite a decrease in the number of requests submitted and an increase in the number of staff processing requests. Longer processing times resulted primarily from increases in the percentage of incomplete requests returned to providers. In 1995, 43.9 percent of requests were returned at least once; in 1999, the rate of return was 49.5 percent.
We also examined denial rates for therapy prior authorization requests. We found that since 1997, denial rates have been substantially higher for school-age children than for other age groups. Unlike other age groups, school-age children can obtain services without prior authorization through the School-Based Services program. The Legislature created this program in 1995 to capture Medical Assistance funds for special education services. In 1999, 62 percent of Medical Assistance expenditures for therapy services for school-age children were paid to school-based providers. Community-based therapy providers and some parents believe that the growth of the program has made it more difficult to obtain approval for therapy services outside of school and that DHFS staff are inclined to deny community-based services to children also receiving school-based services. However, we found that denial rates for community-based therapy were slightly lower for children receiving therapy through the School-Based Services program than they were for children who were not receiving therapy through that program.
We appreciate the courtesy and cooperation extended to us by DHFS and the Department of Public Instruction. DHFS's response is the appendix.
Respectfully submitted,
Janice Mueller
State Auditor
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Representative Bock asked unanimous consent for a leave of absence for part of today's session for Representatives Black, Coggs, Hebl, Kreuser and Plale. Granted.
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Representative Vrakas asked unanimous consent that the Assembly stand recessed until 6:00 P.M. Granted.
The Assembly stood recessed.
1:20 P.M.
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6:03 P.M.
The Assembly reconvened.
Speaker Pro Tempore Freese in the chair.
Representative Black asked unanimous consent that his leave of absence be lifted. Granted.
Representative Coggs asked unanimous consent that his leave of absence be lifted. Granted.
Representative Hebl asked unanimous consent that his leave of absence be lifted. Granted.
Representative Kreuser asked unanimous consent that his leave of absence be lifted. Granted.
Representative Plale asked unanimous consent that his leave of absence be lifted. Granted.
Representative Black asked unanimous consent for a quorum call. Granted.
A quorum was present.
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Report of Committee of Conference on Senate Bill 55