AB924: Bill Text

AB924,5,16 46.21 (1m) (am) The county executive shall appoint under ss. 63.01 to 63.17 an administrator of the county hospital. The appointment shall be made on the basis of recognized and demonstrated public interest in and knowledge of the problems of delivery of medical care and treatment, and with due regard to training, experience, executive and administrative ability and efficiency, and general qualifications and fitness for performing the duties of the office. An administrator may not be appointed under this paragraph unless he or she is licensed as a hospital administrator under ch. 456. The administrator shall file an official oath and bond in the amount determined by the county board of supervisors. The county board of supervisors may create positions to assist the administrator. The administrator shall be appointed by the county executive in the unclassified civil service, and the appointment is subject to confirmation by the county board of supervisors under s. 59.17 (2) (bm).

AB924, s. 6 Section 6. 50.04 (2) (a) of the statutes is amended to read:

AB924,6,3 50.04 (2) (a) No nursing home within the state may operate except under the supervision of an administrator licensed under ch. 456 by the hospital and nursing home administrators administrator examining board. If the holder of a nursing home license is unable to secure a new administrator because of the departure of an administrator, such license holder may, upon written notice to the department and upon the showing of a good faith effort to secure a licensed administrator, place the nursing home in the charge of an unlicensed individual subject to conditions and time limitations established by the department, with advice from the hospital and nursing home administrator examining board. An unlicensed individual who administers a nursing home as authorized under this subsection is not subject to the penalty provided under s. 456.09.

AB924, s. 7 Section 7. 59.79 (10) of the statutes is amended to read:

AB924,6,16 59.79 (10) County hospital. Determine policy for the operation, maintenance, and improvement of the county hospital under s. 49.71 (2) and, notwithstanding the powers and duties specified under s. 46.21 (2) (k), (3r), and (6) with respect to the county hospital and the administrator and specified under s. 46.21 (2) (b), (L), (m), (n), (nm), (o), (p), and (q) and (3g), provide for the management of the county hospital as the board considers appropriate, except that the employee positions at the hospital will be county employee positions and except that the board may not employ a person as a hospital administrator unless he or she is licensed as such under ch. 456. If the board acts under this subsection, the board may not discontinue operation, maintenance, and improvement of the county hospital under s. 49.71 (2) and shall exercise the duties under s. 46.21 (4m). This subsection does not apply if the board acts under s. 46.21 with respect to the county hospital under s. 49.71 (2).

AB924, s. 8 Section 8. 440.08 (2) (a) 38k. of the statutes is created to read:

AB924,6,19 440.08 (2) (a) 38k. Hospital administrator: July 1 of each even-numbered year; $53.

AB924, s. 9 Section 9. Chapter 456 (title) of the statutes is amended to read:

AB924,6,23 CHAPTER 456 hospital and nursing home administrator examining board

AB924, s. 10 Section 10. 456.01 (1) of the statutes is amended to read:

AB924,7,2 456.01 (1) "Examining board" means the hospital and nursing home administrator examining board.

AB924, s. 11 Section 11. 456.01 (1g) of the statutes is created to read:

AB924,7,4 456.01 (1g) "Hospital" has the meaning given in s. 50.33 (2).

AB924, s. 12 Section 12. 456.01 (1r) of the statutes is created to read:

AB924,7,9 456.01 (1r) "Hospital administrator" means any individual responsible for planning, organizing, directing, and controlling the operation of a hospital, or who in fact performs such functions, whether or not such functions are shared by one or more other persons.

AB924, s. 13 Section 13. 456.01 (3m) of the statutes is created to read:

AB924,7,12 456.01 (3m) "Practice of hospital administration" means the planning, organizing, directing, and controlling of the operation of a hospital.

AB924, s. 14 Section 14. 456.01 (4) of the statutes is amended to read:

AB924,7,15 456.01 (4) "Practice of nursing home administration" means the planning, organizing, directing, and control controlling of the operation of a nursing home.

AB924, s. 15 Section 15. 456.01 (5) of the statutes is amended to read:

AB924,7,18 456.01 (5) "Provisional license" is a temporary license issued to a provisional hospital or nursing home administrator under this chapter.

AB924, s. 16 Section 16. 456.01 (5m) of the statutes is created to read:

AB924,7,21 456.01 (5m) "Provisional hospital administrator" means an individual who has been licensed as such under this chapter.

AB924, s. 17 Section 17. 456.02 (1) of the statutes is amended to read:

AB924,8,3 456.02 (1) Develop, impose, and enforce standards which must be met by individuals in order to receive a license as a hospital or nursing home administrator, which standards shall be designed to insure that hospital or nursing home administrators will be individuals who are of good character and are otherwise suitable, and who, by training or experience in the field of institutional administration, are qualified to serve as hospital or nursing home administrators;

AB924, s. 18 Section 18. 456.02 (4) of the statutes is amended to read:

AB924,8,7 456.02 (4) Establish and carry out procedures designed to insure that individuals licensed as hospital or nursing home administrators will, during any period that they serve as such, comply with the requirements of such standards;

AB924, s. 19 Section 19. 456.02 (5) of the statutes is amended to read:

AB924,8,13 456.02 (5) Subject to the rules promulgated under s. 440.03 (1), receive, investigate, and take appropriate action with respect to, any charge or complaint filed with the examining board to the effect that any individual licensed as a hospital or nursing home administrator has failed to comply with the requirements of such standards;

AB924, s. 20 Section 20. 456.02 (6) of the statutes is amended to read:

AB924,8,20 456.02 (6) In cooperation with other agencies and appropriate organizations, conduct a continuing study of the practice of hospital and nursing home administration within the state with a view to the improvement of the standards imposed for the licensing of such administrators and of procedures and methods for the enforcement of such standards with respect to administrators of hospitals or nursing homes who have been licensed as such;.

AB924, s. 21 Section 21. 456.03 of the statutes is amended to read:

AB924,9,3 456.03 Licenses. An applicant for a license as a hospital or nursing home administrator who has successfully complied with the requirements for licensure under this chapter and passed the examination shall be granted a license by the examining board, certifying that the applicant, depending on the license granted, has met the requirements of the laws and rules entitling the applicant to serve, act, practice, and otherwise hold himself or herself out as a duly licensed hospital or nursing home administrator.

AB924, s. 22 Section 22. 456.04 (intro.) of the statutes is amended to read:

AB924,9,7 456.04 Examination requirements. (intro.) The examining board shall allow any person to take the examination for licensure as a hospital or nursing home administrator who satisfies all of the following requirements:

AB924, s. 23 Section 23. 456.04 (4) of the statutes is repealed.

AB924, s. 24 Section 24. 456.04 (5) of the statutes is created to read:

AB924,9,13 456.04 (5) For licensure as a nursing home administrator, received a bachelor's degree in nursing home administration or has completed an educational program that the examining board determines is substantially equivalent to receiving a bachelor's degree in nursing home administration.

AB924, s. 25 Section 25. 456.04 (6) of the statutes is created to read:

AB924,9,19 456.04 (6) Except as provided in s. 456.072 (1), for licensure as a hospital administrator, received a bachelor's degree in administration of health care facilities or programs or has completed an educational program that the examining board determines is substantially equivalent to receiving a bachelor's degree in administration of health care facilities or programs.

AB924, s. 26 Section 26. 456.05 (intro.) of the statutes is amended to read:

AB924,9,25 456.05 Examinations. (intro.) The examining board shall determine the subjects of examination for applicants for licensure as hospital or nursing home administrators, and the scope, content, and format of such examinations. The Depending on the license applied for, the examinations shall include examination of the applicant's knowledge of each of the following:

AB924, s. 27 Section 27. 456.05 (1) of the statutes is amended to read:

AB924,10,4 456.05 (1) The laws governing the operation of hospitals or long-term care facilities and the protection of the interests, safety, and well-being of the patients or residents therein; and.

AB924, s. 28 Section 28. 456.05 (2) of the statutes is amended to read:

AB924,10,7 456.05 (2) The elements of proper and effective administration of hospitals or long-term care facilities; and.

AB924, s. 29 Section 29. 456.05 (3) of the statutes is amended to read:

AB924,10,10 456.05 (3) The psychological, physical, medical, and social needs of persons served in such hospitals or long-term care facilities.

AB924, s. 30 Section 30. 456.05 (4) of the statutes is created to read:

AB924,10,13 456.05 (4) The requirements and procedures of federal and state health care reimbursement programs.

AB924, s. 31 Section 31. 456.07 (1) of the statutes is amended to read:

AB924,10,18 456.07 (1) Every individual who holds a license as a hospital or nursing home administrator issued by the department shall biennially apply to the examining board for a new certificate of registration and report any facts requested by the examining board on forms provided for such purpose.

AB924, s. 32 Section 32. 456.07 (2) of the statutes is amended to read:

AB924,11,3 456.07 (2) The application for a new certificate of registration shall include the applicable renewal fee specified under s. 440.08 (2) (a) and, except as provided in sub. (2m) and s. 456.072 (2), evidence satisfactory to the examining board that during the biennial period immediately preceding application for registration the applicant has attended a continuation continuing education program or course of study. During the time between initial licensure and commencement of a full 2-year licensure period new licensees shall not be required to meet continuing education requirements. All registration fees are payable on or before the applicable renewal date specified under s. 440.08 (2) (a).

AB924, s. 33 Section 33. 456.07 (2m) of the statutes is created to read:

AB924,11,9 456.07 (2m) The examining board may not issue a certificate of registration under sub. (3) to an applicant for renewal of a hospital administrator license unless the applicant submits evidence satisfactory to the examining board that he or she has completed at least 24 hours of continuing education programs or courses of study during the biennial period immediately preceding the application.

AB924, s. 34 Section 34. 456.07 (3) of the statutes is amended to read:

AB924,11,13 456.07 (3) Upon approval of an application for registration the examining board shall issue a certificate of registration to the hospital or nursing home administrator.

AB924, s. 35 Section 35. 456.07 (4) of the statutes is amended to read:

AB924,11,17 456.07 (4) The license of a hospital or nursing home administrator who fails to comply with this section, and who continues to act as a hospital or nursing home administrator, may be suspended or revoked by the examining board.

AB924, s. 36 Section 36. 456.07 (6) of the statutes is created to read:

AB924,11,25 456.07 (6) Except as provided in s. 456.12, only an individual who has qualified as a licensed and registered hospital administrator under this chapter and who holds a valid current registration certificate under this section for the current registration period may use the title "Hospital Administrator" and the abbreviation "H.A." after the person's name. No other person may use or be designated by such title or such abbreviation or any other words, letters, sign, card, or device tending to or intended to indicate that the person is a licensed and registered hospital administrator.

AB924, s. 37 Section 37. 456.072 of the statutes is created to read:

AB924,12,8 456.072 Educational waiver for hospital administrators. (1) If a person takes the examination for licensure as a hospital administrator before the first day of the 60th month beginning after the effective date of this subsection .... [revisor inserts date], the examining board shall waive the requirement under s. 456.04 (6) if the person submits evidence satisfactory to the examining board that, on the effective date of this subsection .... [revisor inserts date], the person was primarily employed as a hospital administrator.

AB924,12,16 (2) The examining board may not renew a hospital administrator license that expires on July 1, 2008, of a person who receives a waiver under sub. (1) unless that person submits evidence satisfactory to the examining board, in addition to the evidence specified in s. 456.07 (2), that the person has received a bachelor's degree in administration of health care facilities or programs or has completed an educational program that the examining board determines is substantially equivalent to receiving a bachelor's degree in administration of health care facilities or programs.

AB924, s. 38 Section 38. 456.078 of the statutes is created to read:

AB924,12,21 456.078 Code of ethics. The examining board shall promulgate rules establishing a code of ethics to govern the professional conduct of hospital and nursing home administrators. The rules may establish separate codes for hospital and nursing home administrators.

AB924, s. 39 Section 39. 456.08 of the statutes is amended to read:

AB924,13,2 456.08 Reciprocity. The examining board may grant a hospital or nursing home administrator license under this chapter to a person who holds a hospital or nursing home administrator license issued by the proper authorities of any other state, upon payment of the fee specified in s. 440.05 (2) and upon submission of satisfactory evidence of the person's qualifications.

AB924, s. 40 Section 40. 456.09 (1) (b) of the statutes is amended to read:

AB924,13,6 456.09 (1) (b) Practice as a hospital or nursing home administrator, under cover of any license or registration illegally or fraudulently obtained or unlawfully issued; or

AB924, s. 41 Section 41. 456.09 (1) (c) of the statutes is amended to read:

AB924,13,12 456.09 (1) (c) Practice Except as provided in s. 456.12, practice as a hospital or nursing home administrator or use in connection with his or her name any designation tending to imply that the person is a hospital or nursing home administrator unless duly licensed and registered to so practice under this chapter; or

AB924, s. 42 Section 42. 456.09 (1) (d) of the statutes is amended to read:

AB924,13,16 456.09 (1) (d) Practice as a hospital or nursing home administrator during the time his or her license or registration issued under this chapter is suspended or revoked; or

AB924, s. 43 Section 43. 456.09 (1) (e) of the statutes is amended to read:

AB924,13,19 456.09 (1) (e) Otherwise violate this chapter or a rule promulgated under this chapter.

AB924, s. 44 Section 44. 456.10 (1) (intro.) of the statutes is amended to read:

AB924,13,25 456.10 (1) (intro.) Subject to the rules promulgated under s. 440.03 (1), the examining board may, under sub. (2), revoke, limit, or suspend the license or registration of any person practicing or offering to practice hospital or nursing home administration or may reprimand, censure, or otherwise discipline a licensee under this section if any of the following is applicable:

AB924, s. 45 Section 45. 456.10 (1) (bm) of the statutes is amended to read:

AB924,14,5 456.10 (1) (bm) Proof is submitted that the licensee has wilfully willfully or repeatedly acted in a manner inconsistent with the health and safety of the patients or residents of the hospital or nursing home in which the licensee is the administrator.

AB924, s. 46 Section 46. 456.10 (1) (c) of the statutes is amended to read:

AB924,14,8 456.10 (1) (c) Proof is submitted that the licensee is guilty of fraud or deceit in his or her admission to the practice of hospital or nursing home administration.

AB924, s. 47 Section 47. 456.10 (1) (d) of the statutes is amended to read:

AB924,14,13 456.10 (1) (d) Proof is submitted that while the licensee was the administrator of a hospital or nursing home, that hospital or nursing home engaged in conduct that constituted a pattern of serious violations of federal or state statutes, rules, or regulations.

AB924, s. 48 Section 48. 456.10 (2) of the statutes is amended to read:

AB924,14,21 456.10 (2) The examining board shall have jurisdiction to hear all charges brought under this section against persons licensed and registered as hospital or nursing home administrators or licensed as provisional hospital or nursing home administrators and upon such hearings shall determine such charges upon their merits. If the examining board determines that such person is guilty of the charges, the license or registration may be revoked or suspended or the licensee may be reprimanded, censured, or disciplined.

AB924, s. 49 Section 49. 456.12 of the statutes is created to read:

AB924,14,24 456.12 Exemption. This chapter does not apply to a person employed as a hospital administrator by the federal government.