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(b) A physician
or dentist who is a participant in the national health service
13corps scholarship program under
42 USC 254n, or a physician
or dentist who was a
14participant in that program and who failed to carry out his or her obligations under
15that program, is not eligible for loan repayment under this section.
SB167, s. 38
16Section
38. 560.183 (3) (a) of the statutes is amended to read:
SB167,21,317
560.183
(3) (a) The department shall enter into a written agreement with the
18physician
. In the agreement, the physician shall agree
, in which the physician
19agrees to practice at least 32 clinic hours per week for 3 years in one or more eligible
20practice areas in this state, except that a physician specializing in psychiatry may
21only agree to practice psychiatry in a mental health shortage area and a physician
22in the expanded loan assistance program under sub. (9) may only agree to practice
23at a public or private nonprofit entity in a health professional shortage area. The
1physician shall also agree to care for patients who are insured or for whom health
2benefits are payable under medicare, medical assistance
, or any other governmental
3program.
SB167, s. 39
4Section
39. 560.183 (3) (am) of the statutes is created to read:
SB167,21,95
560.183
(3) (am) The department shall enter into a written agreement with the
6dentist, in which the dentist agrees to practice at least 32 clinic hours per week for
73 years in one or more dental health professional shortage areas in this state. The
8dentist shall also agree to care for patients for whom health benefits are payable
9under medical assistance.
SB167, s. 40
10Section
40. 560.183 (5) (b) 1., 2., 3., 4. and 5. and (d) of the statutes are
11amended to read:
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560.183
(5) (b) 1. The degree to which there is an extremely high need for
13medical care in the eligible practice area or health professional shortage area in
14which
the a physician desires to practice
and the degree to which there is an
15extremely high need for dental care in the dental health professional shortage area
16in which a dentist desires to practice.
SB167,21,2017
2. The likelihood that a physician will remain in the eligible practice area or
18health professional shortage area
, and that a dentist will remain in the dental health
19professional shortage area, in which he or she desires to practice after the loan
20repayment period.
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3. The per capita income of the eligible practice area or health professional
22shortage area in which a physician desires to practice
and of the dental health
23professional shortage area in which a dentist desires to practice.
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4. The financial or other support for physician recruitment and retention
25provided by individuals, organizations, or local governments in the eligible practice
1area or health professional shortage area in which a physician desires to practice
and
2for dentist recruitment and retention provided by individuals, organizations, or local
3governments in the dental health professional shortage area in which a dentist
4desires to practice.
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5. The geographic distribution of the physicians
and dentists who have entered
6into loan repayment agreements under this section and the geographic distribution
7of the eligible practice areas
or, health professional shortage areas
, and dental health
8professional shortage areas in which the eligible applicants desire to practice.
SB167,22,119
(d) An agreement under sub. (3) does not create a right of action against the
10state on the part of the physician
or the, dentist, or lending institution for failure to
11make the payments specified in the agreement.
SB167, s. 41
12Section
41. 560.183 (6m) (a) (intro.) of the statutes is amended to read:
SB167,22,1613
560.183
(6m) (a) (intro.) The department shall, by rule, establish penalties to
14be assessed by the department against physicians
or dentists who breach
an
15agreement agreements entered into under sub. (3) (a). The rules shall do all of the
16following:
SB167, s. 42
17Section
42. 560.183 (8) (b), (d), (e) and (f) of the statutes are amended to read:
SB167,22,2118
560.183
(8) (b) Advise the department and rural health development council
19on the identification of eligible practice areas with an extremely high need for
20medical care
and dental health professional shortage areas with an extremely high
21need for dental care.
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(d) Assist the department to publicize the program under this section to
23physicians
, dentists, and eligible communities.
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(e) Assist physicians
and dentists who are interested in applying for the
25program under this section.
SB167,23,2
1(f) Assist communities in obtaining physicians'
and dentists' services through
2the program under this section.
SB167, s. 43
3Section
43
. 560.183 (9) of the statutes is amended to read:
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560.183
(9) Expanded loan assistance program. The department may agree
5to repay loans as provided under this section on behalf of a physician
or dentist under
6an expanded physician
and dentist loan assistance program that is funded through
7federal funds in addition to state matching funds. To be eligible for loan repayment
8under the expanded physician
and dentist loan assistance program, a physician
or
9dentist must fulfill all of the requirements for loan repayment under this section, as
10well as all of the following:
SB167,23,1111
(a) The physician
or dentist must be a U.S. citizen.
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(b) The physician
or dentist may not have a judgment lien against his or her
13property for a debt to the United States.
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(c) The physician
or dentist must agree to do all of the following:
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1.
Accept If the provider is a physician, accept medicare assignment as
16payment in full for services or articles provided.
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2. Use a sliding fee scale or a comparable method of determining payment
18arrangements for patients who are not eligible for medicare or medical assistance
19and who are unable to pay the customary fee for the physician's
or dentist's services.
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3. Practice at a public or private nonprofit entity in a health professional
21shortage area
, if the provider is a physician, or in a dental health professional
22shortage area, if the provider is a dentist.
SB167, s. 44
23Section
44
. 560.184 (1) (ag) of the statutes is created to read:
SB167,23,2524
560.184
(1) (ag) "Dental health professional shortage area" has the meaning
25given in s. 560.183 (1) (ad).
Note: Sections 44 to 50 include dental hygienists in the health care provider loan
assistance program by including dental hygienists in the definition of "health care
provider."
SB167, s. 45
1Section
45. 560.184 (1) (aj) of the statutes is created to read:
SB167,24,32
560.184
(1) (aj) "Dental hygienist" means an individual licensed under s.
3447.04 (2).
SB167, s. 46
4Section
46. 560.184 (1) (am) and (b) of the statutes are amended to read:
SB167,24,85
560.184
(1) (am) "Eligible practice area" means a primary care shortage area,
6an American Indian reservation
, or trust lands of an American Indian tribe
, except
7that with respect to a dental hygienist "eligible practice area" means a dental health
8professional shortage area.
SB167,24,109
(b) "Health care provider" means a
dental hygienist, physician assistant,
10nurse-midwife
, or nurse practitioner.
SB167, s. 47
11Section
47
. 560.184 (3) (a) of the statutes is amended to read:
SB167,24,1712
560.184
(3) (a) The department shall enter into a written agreement with the
13health care provider. In the agreement, the health care provider shall agree to
14practice at least 32 clinic hours per week for 3 years in one or more eligible practice
15areas in this state, except that a health care provider in the expanded loan assistance
16program under sub. (8)
who is not a dental hygienist may only agree to practice at
17a public or private nonprofit entity in a health professional shortage area.
SB167, s. 48
18Section
48. 560.184 (5) (b) 1. of the statutes is amended to read:
SB167,25,219
560.184
(5) (b) 1. The degree to which there is an extremely high need for
20medical care in the eligible practice area or health professional shortage area in
21which an eligible applicant
who is not a dental hygienist desires to practice
and the
22degree to which there is an extremely high need for dental care in the dental health
1professional shortage area in which an eligible applicant who is a dental hygienist
2desires to practice.
SB167, s. 49
3Section
49. 560.184 (7) (a) of the statutes is amended to read:
SB167,25,64
560.184
(7) (a) Advise the department and council on the identification of
5communities with an extremely high need for health care
, including dental heath
6care.
SB167, s. 50
7Section
50
. 560.184 (8) (c) 1., 2. and 3. of the statutes are amended to read:
SB167,25,98
560.184
(8) (c) 1.
Accept If the health care provider is not a dental hygienist,
9accept medicare assignment as payment in full for services or articles provided.
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2. Use a sliding fee scale or a comparable method of determining payment
11arrangements for patients who are not eligible for medicare or medical assistance
12and who are unable to pay the customary fee for the
physician's health care
13provider's services.
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3. Practice at a public or private nonprofit entity in a health professional
15shortage area
, if the health care provider is not a dental hygienist, or in a dental
16health professional shortage area, if the health care provider is a dental hygienist.
SB167, s. 51
17Section
51. 560.185 (1) of the statutes is amended to read:
SB167,25,2018
560.185
(1) Advise the department on matters related to the physician
and
19dentist loan assistance program under s. 560.183 and the health care provider loan
20assistance program under s. 560.184.
Note: This Section modifies the statute that requires the rural health
development council to advise the department on matters related to the two loan
assistance programs addressed in the bill. This Section modifies the name of the
physician loan assistance program to be the physician and dentist loan assistance
program.
SB167,26,6
1(1) The department of health and family services shall prepare a plan for
2development of a comprehensive oral health data collection system. The plan shall
3identify data to be collected, sources from which the data can be collected, costs of
4implementing the system, and any statutory changes that are needed. The
5department shall submit its plan to the legislature, in the manner provided under
6section 13.172 (2) of the statutes, and to the governor by September 1, 2002.
SB167,26,127
(2) The department of health and family services shall prepare a report on its
8efforts to reduce the requirement for prior authorization for dental services under
9medical assistance and to simplify the prior authorization process for dental
10services. The department shall submit its report to the legislature, in the manner
11provided under section 13.172 (2) of the statutes, and to the governor by the first day
12of the 6th month beginning after the effective date of this subsection.
Note: Subsections (1
) and (2) of this Section require the department of health and
family services to prepare two reports for submission to the governor and the legislature.
The first report would be a plan for development of a comprehensive oral health data
collection system, which must identify data to be collected, sources from which the data
can be collected, costs of implementing the system, and any statutory changes that are
needed. The second report would be on the department's efforts to reduce the
requirement for prior authorization for dental services under medical assistance and to
simplify the prior authorization process for dental services.
SB167,26,1913
(3) The department of health and family services and the department of
14regulation and licensing shall jointly prepare reports on whether the provisions of
15this act that modify sections 447.06 and 447.065 of the statutes have improved access
16to dental services and dental hygiene services. The departments shall submit the
17reports to the legislature, in the manner provided under section 13.172 (2) of the
18statutes, and to the governor by the first day of the 24th month and the first day of
19the 48th month beginning after the effective date of this subsection.
Note: Subsection (3
) of this Section requires the department of health and family
services and the department of regulation and licensing jointly to prepare reports on
whether the provisions of this act that relate to scope of practice of dental hygienists and
delegation by dentists to dental hygienists and unlicensed individuals have improved
access to dental services and dental hygiene services.
SB167,27,61
(4) The technical college system board shall prepare a report on the feasibility
2and cost of increasing the number of sites in the technical college system that offer
3community dental health education for dentists and dental hygienists. The board
4shall submit its report to the legislature, in the manner provided under section
513.172 (2) of the statutes, and to the governor by the first day of the 6th month
6beginning after the effective date of this subsection.
Note: Subsection (4
) of this Section requires the technical college system board
to prepare a report on the feasibility and costs of increasing the number of sites in the
technical college system that offer community dental health education for dentists and
dental hygienists.
SB167,27,108
(1)
Dentist licensure. The treatment of sections 447.04 (1) (a) 4., (b), (c), and
9(d) of the statutes first applies to applications for licensure that are received on the
10effective date of this subsection.