SB322-AA1,26,74 (c) A patient specified in par. (b) is responsible for paying for an antibiotic drug
5that is dispensed under par. (b). Any insurance claim submitted by a pharmacist for
6an antibiotic drug dispensed under this subsection shall specify that the antibiotic
7drug was dispensed for use by a person other than the patient.
SB322-AA1, s. 69 8Section 69. 456.02 (intro.) of the statutes is amended to read:
SB322-AA1,26,9 9456.02 Duties. (intro.) The examining board shall do all of the following:
SB322-AA1, s. 70 10Section 70. 456.02 (1) of the statutes is amended to read:
SB322-AA1,26,1711 456.02 (1) Develop, impose and enforce standards which must be met by
12individuals
that an individual is required to meet in order to receive a license as a
13nursing home administrator, which. The standards shall be designed to insure
14ensure that a nursing home administrators will be individuals who are
15administrator is of good character and are, is otherwise suitable, and who, by
16training or experience in the field of institutional administration, are is qualified to
17serve as a nursing home administrators; administrator.
SB322-AA1, s. 71 18Section 71. 456.02 (2) of the statutes is amended to read:
SB322-AA1,26,2119 456.02 (2) Develop and apply appropriate techniques, including examinations
20and investigations, for determining whether an individual meets such the
21standards; under sub. (1).
SB322-AA1, s. 72 22Section 72. 456.02 (3) of the statutes is amended to read:
SB322-AA1,27,323 456.02 (3) Issue licenses to individuals a license to an individual determined,
24after the application of such the techniques under sub. (2), to meet such the
25standards under sub. (1), and revoke or suspend licenses a license previously granted

1by the examining board in any case where if the individual holding any such the
2license is determined substantially to have failed to conform to the requirements of
3such the standards; .
SB322-AA1, s. 73 4Section 73. 456.02 (4) of the statutes is amended to read:
SB322-AA1,27,85 456.02 (4) Establish and carry out procedures designed to insure ensure that
6individuals licensed as nursing home administrators will, during any period that
7they serve as such,
comply with the requirements of such the standards; under sub.
8(1).
SB322-AA1, s. 74 9Section 74. 456.02 (5) of the statutes is amended to read:
SB322-AA1,27,1410 456.02 (5) Subject to the rules promulgated under s. 440.03 (1), receive,
11investigate, and take appropriate action with respect to, any charge or complaint
12filed with the examining board to the effect that any individual licensed as a nursing
13home administrator has failed to comply with the requirements of such the
14standards; under sub. (1).
SB322-AA1, s. 75 15Section 75. 456.02 (6) of the statutes is amended to read:
SB322-AA1,27,2116 456.02 (6) In cooperation with other agencies and appropriate organizations,
17conduct a continuing study of the practice of nursing home administration within the
18state with a view to the improvement of the standards imposed for the licensing of
19such nursing home administrators and of procedures and methods for the
20enforcement of such the standards under sub. (1) with respect to nursing home
21administrators of nursing homes who have been licensed as such; under this chapter.
SB322-AA1, s. 76 22Section 76. 456.02 (7) of the statutes is amended to read:
SB322-AA1,28,623 456.02 (7) Develop and enforce standards for the Promulgate rules
24establishing
supervised practical experience to be required requirements that,
25except as provided in s. 456.04 (2m), an individual shall satisfy before being allowed

1to take an examination
for licensure; and as a nursing home administrator. Except
2as provided in s. 456.04 (2m), the rules shall require the individual to complete at
3least 2,000 hours in any consecutive 3-year period within the 5-year period
4immediately preceding the date of application for examination in an internship,
5administrator-in-training program, or any other structured program approved by
6the examining board.
SB322-AA1, s. 77 7Section 77. 456.04 (intro.) (except 456.04 (title)) of the statutes is renumbered
8456.04 (1m) (intro.) and amended to read:
SB322-AA1,28,119 456.04 (1m) (intro.) The Except as provided in sub. (2m), the examining board
10shall allow any person to take the examination for licensure as a nursing home
11administrator who satisfies all of the following requirements:
SB322-AA1, s. 78 12Section 78. 456.04 (1) of the statutes is renumbered 456.04 (1m) (a).
SB322-AA1, s. 79 13Section 79. 456.04 (1m) (d) of the statutes is created to read:
SB322-AA1,28,1414 456.04 (1m) (d) Has one of the following:
SB322-AA1,28,1615 1. A bachelor's, master's, or doctoral degree with a major in health care
16administration or long-term care from an accredited college or university.
SB322-AA1,28,1917 2. A bachelor's degree in any field from an accredited college or university and
18completion of a specialized course that the examining board determines is adequate
19preparation for nursing home administration.
SB322-AA1, s. 80 20Section 80. 456.04 (1m) (e) of the statutes is created to read:
SB322-AA1,28,2221 456.04 (1m) (e) Satisfies the supervised practical experience requirements
22specified in the rules promulgated under s. 456.02 (7).
SB322-AA1, s. 81 23Section 81. 456.04 (2) of the statutes is renumbered 456.04 (1m) (b).
SB322-AA1, s. 82 24Section 82. 456.04 (2m) of the statutes is created to read:
SB322-AA1,29,3
1456.04 (2m) The examining board shall allow a person to take the examination
2for licensure as a nursing home administrator if he or she satisfies the requirements
3specified in sub. (1m) (a), (b), and (c) and all of the following are satisfied:
SB322-AA1,29,84 (a) The person was enrolled, at any time within the 2-year period before the
5effective date of this paragraph .... [revisor inserts date], in a regular course of study
6or equivalent specialized courses or a program of study that the examining board
7considered adequate academic preparation for nursing home administration under
8s. 456.04 (4), 2001 stats.
SB322-AA1,29,119 (b) No later than 2 years after the effective date of this paragraph .... [revisor
10inserts date], the person completes the regular course of study, specialized courses,
11or program of study specified in par. (a).
SB322-AA1,29,1712 (c) If the person was enrolled, at any time within the 2-year period before the
13effective date of this paragraph .... [revisor inserts date], in specialized courses or a
14program of study specified in par. (a), the person completes, no later than 2 years
15after the effective date of this paragraph .... [revisor inserts date], one year of
16supervised practical experience as specified in rules promulgated by the examining
17board.
SB322-AA1,29,2218 (d) If the person was enrolled, at any time within the 2-year period before the
19effective date of this paragraph .... [revisor inserts date], in a regular course of study
20specified in par. (a), the person completes, no later than 2 years after the effective
21date of this paragraph .... [revisor inserts date], a supervised clinical practicum as
22specified in rules promulgated by the examining board.
SB322-AA1, s. 83 23Section 83. 456.04 (3) of the statutes is renumbered 456.04 (1m) (c).
SB322-AA1, s. 84 24Section 84. 456.04 (4) of the statutes is repealed.
SB322-AA1, s. 85
1Section 85. 456.08 of the statutes is renumbered 456.08 (intro.) and amended
2to read:
SB322-AA1,30,8 3456.08 Reciprocity. (intro.) The examining board may grant a nursing home
4administrator license under this chapter to a person an applicant who holds a
5current nursing home administrator license issued by the proper authorities of any
6other state or licensing jurisdiction, upon payment of the fee specified in s. 440.05 (2)
7and upon submission of satisfactory evidence of the person's qualifications. evidence
8satisfactory to the examining board that the applicant satisfies each of the following:
SB322-AA1, s. 86 9Section 86. 456.08 (1), (2), (3) and (4) of the statutes are created to read:
SB322-AA1,30,1210 456.08 (1) The applicant has a bachelor's degree in any field or holds a current
11certification as a nursing home administrator granted by the American College of
12Health Care Administrators.
SB322-AA1,30,15 13(2) The applicant has practiced as a nursing home administrator in good
14standing for at least 2,000 hours in any consecutive 3-year period within the 5-year
15period immediately preceding the date of application.
SB322-AA1,30,17 16(3) Subject to ss. 111.321, 111.322, and 111.335, the applicant does not have an
17arrest or conviction record.
SB322-AA1,30,20 18(4) The applicant has passed an examination approved by the examining board
19relating to state and federal laws governing the practice of nursing home
20administration.
SB322-AA1, s. 87 21Section 87. 456.09 (1) (c) of the statutes is amended to read:
SB322-AA1,30,2522 456.09 (1) (c) Practice Except as provided in s. 456.12, practice as a nursing
23home administrator or use in connection with his or her name any title or designation
24tending to imply that the person is a nursing home administrator unless duly
25licensed and registered to so practice under this chapter; or
SB322-AA1, s. 88
1Section 88. 456.12 of the statutes is created to read:
SB322-AA1,31,7 2456.12 Exemption. This chapter does not apply to a person who acts in the
3capacity of an administrator of a nursing home operated by adherents of a church or
4religious denomination which subscribes to the act of healing by prayer and the
5principles of which do not include medical treatment, if the person does not use in
6connection with his or her name any title or designation tending to imply that the
7person is a nursing home administrator.
SB322-AA1, s. 89 8Section 89. 609.22 (2) of the statutes is amended to read:
SB322-AA1,31,129 609.22 (2) Adequate choice. A defined network plan that is not a preferred
10provider plan shall ensure that, with respect to covered benefits, each enrollee has
11adequate choice among participating providers and that the providers are, to the
12extent consistent with s. 628.36 (2) (b) 3. and (2m),
accessible and qualified.
SB322-AA1, s. 90 13Section 90. 609.32 (2) (a) of the statutes is amended to read:
SB322-AA1,31,2214 609.32 (2) (a) A defined network plan shall develop , consistent with s. 628.36
15(2) (b) 3. and (2m),
a process for selecting participating providers, including written
16policies and procedures that the plan uses for review and approval of providers. After
17consulting with appropriately qualified providers, the plan shall establish, to the
18extent consistent with s. 628.36 (2) (b) 3. and (2m),
minimum professional
19requirements for its participating providers. The process for selection shall include
20verification of a provider's license or certificate, including the history of any
21suspensions or revocations, and the history of any liability claims made against the
22provider.
SB322-AA1, s. 91 23Section 91. 628.36 (1) of the statutes is renumbered 628.36 (1m) and amended
24to read:
SB322-AA1,32,4
1628.36 (1m) Payment methods. Any corporation operating a voluntary health
2care plan may pay health care professionals on a salary, per patient , or
3fee-for-service basis to provide health care to policyholders or beneficiaries of the
4corporation.
SB322-AA1, s. 92 5Section 92. 628.36 (1c) (intro.) of the statutes is created to read:
SB322-AA1,32,66 628.36 (1c) Definitions. (intro.) In this section:
SB322-AA1, s. 93 7Section 93. 628.36 (2) (a) (intro.) of the statutes is amended to read:
SB322-AA1,32,88 628.36 (2) (a) (intro.) In this section subsection:
SB322-AA1, s. 94 9Section 94. 628.36 (2) (b) 3. of the statutes is amended to read:
SB322-AA1,32,1310 628.36 (2) (b) 3. Except as provided in subd. subds. 4. and 4m., and subject to
11sub. (2m) (e)
, no provider may be denied the opportunity to participate in a health
12care plan, other than a health maintenance organization, a limited service health
13organization or a preferred provider plan,
under the terms of the plan.
SB322-AA1, s. 95 14Section 95. 628.36 (2) (b) 4. of the statutes is amended to read:
SB322-AA1,32,1815 628.36 (2) (b) 4. Any health care plan may exclude a provider from participation
16in the health care plan for cause related to the practice of his or her profession. A
17health care plan that excludes a provider from participation shall advise the provider
18in writing of the reason for the exclusion.
SB322-AA1, s. 96 19Section 96. 628.36 (2) (b) 4m. of the statutes is created to read:
SB322-AA1,32,2320 628.36 (2) (b) 4m. Subdivision 3. applies to a health maintenance organization,
21limited service health organization, or preferred provider plan only with respect to
22a provider located in the geographic service area of the health maintenance
23organization, limited service health organization, or preferred provider plan.
SB322-AA1, s. 97 24Section 97. 628.36 (2m) (title) of the statutes is repealed and recreated to read:
SB322-AA1,32,2525 628.36 (2m) (title) Annual participation election period.
SB322-AA1, s. 98
1Section 98. 628.36 (2m) (a) (intro.) and 2m. of the statutes are consolidated,
2renumbered 628.36 (2m) (ac) and amended to read:
SB322-AA1,33,53 628.36 (2m) (ac) In this subsection: 2m. "Pharmaceutical, "health care
4services" do not include the administration of a drug product or device or vaccine
5under s. 450.035.
SB322-AA1, s. 99 6Section 99. 628.36 (2m) (a) 1. of the statutes is renumbered 628.36 (1c) (a).
SB322-AA1, s. 100 7Section 100. 628.36 (2m) (a) 2. of the statutes is renumbered 628.36 (1c) (b).
SB322-AA1, s. 101 8Section 101. 628.36 (2m) (a) 3. of the statutes is renumbered 628.36 (1c) (c).
SB322-AA1, s. 102 9Section 102. 628.36 (2m) (e) 1. of the statutes is amended to read:
SB322-AA1,33,2110 628.36 (2m) (e) 1. A health maintenance organization, limited service health
11organization, or preferred provider plan that provides coverage of pharmaceutical
12health care services when that are performed by one or more pharmacists health care
13professionals
who are selected by the organization or plan but who are not full-time
14salaried employees or partners of the organization or plan shall provide an annual
15period of at least 30 days during which any pharmacist registered under ch. 450
16health care professional who provides those health care services, who has been
17granted a credential, as defined in s. 440.01 (2) (a), to practice in this state, and who
18is located in the geographic service area of the organization or plan
may elect to
19participate in the health maintenance organization, limited service health
20organization, or preferred provider plan under its terms as a selected provider for at
21least one year.
SB322-AA1, s. 103 22Section 103. 628.36 (2m) (e) 2. of the statutes is amended to read:
SB322-AA1,34,223 628.36 (2m) (e) 2. Except as provided in subd. 3., subd. 1. applies to health
24maintenance organizations on and after May 10, 1984. Except as provided in subd.
254., subd. 1. applies to
, limited service health organizations, and preferred provider

1plans on or after April 28, 1990 the effective date of this subdivision .... [revisor
2inserts date]
.
SB322-AA1, s. 104 3Section 104. 628.36 (2m) (e) 3. of the statutes is amended to read:
SB322-AA1,34,114 628.36 (2m) (e) 3. If compliance with the requirements of subd. 1. during the
5period specified in subd. 2. would impair any provision of a contract between a health
6maintenance organization, limited service health organization, or preferred
7provider plan
and any other person, and if the contract provision was in existence
8prior to May 10, 1984 the effective date of this subdivision .... [revisor inserts date],
9then immediately after the expiration of all such contract provisions the health
10maintenance organization, limited service health organization, or preferred
11provider plan
shall comply with the requirements of subd. 1.
SB322-AA1, s. 105 12Section 105. 628.36 (2m) (e) 4. of the statutes is repealed.
SB322-AA1, s. 106 13Section 106. 628.36 (3) of the statutes is amended to read:
SB322-AA1,34,2214 628.36 (3) Exemption by rule. By rule the commissioner may exempt from the
15application of any part of subs. (1) (1m) to (2m) plans which that provide innovative
16approaches to the delivery of health care or which that are designed to contain health
17care costs, and which that cannot operate successfully consistent with all of the
18provisions in subs. (1) (1m) to (2m). The commissioner may promulgate such a rule
19only if on a finding that the interests of the public require such plans as an
20experiment, to supply health care services that are not otherwise available in
21adequate quantity or quality, or to contain health care costs. The promulgated rule
22shall be as narrow as is compatible with the success of the plans.".
SB322-AA1,34,23 233. Page 2, line 1: delete " Section 1" and substitute "Section 106m".
SB322-AA1,34,24 244. Page 2, line 8: after that line insert:
SB322-AA1,35,1
1" Section 107. 632.89 (1) (am) of the statutes is created to read:
SB322-AA1,35,32 632.89 (1) (am) "Consumer price index" means the consumer price index for all
3urban consumers, U.S. city average, as determined by the U.S. department of labor.
SB322-AA1, s. 108 4Section 108. 632.89 (1) (b) of the statutes is created to read:
SB322-AA1,35,75 632.89 (1) (b) "Diagnostic testing" means procedures used to exclude the
6existence of conditions other than nervous or mental disorders or alcoholism or other
7drug abuse problems.
SB322-AA1, s. 109 8Section 109. 632.89 (2) (b) 1. of the statutes is amended to read:
SB322-AA1,35,149 632.89 (2) (b) 1. Except as provided in subd. 2., if a group or blanket disability
10insurance policy issued by an insurer provides coverage of inpatient hospital
11treatment or outpatient treatment or both, the policy shall provide coverage in every
12policy year as provided in pars. (c) to (dm), as appropriate, except that the total
13coverage under the policy for a policy year need not exceed $7,000 $16,800 or the
14equivalent benefits measured in services rendered.
SB322-AA1, s. 110 15Section 110. 632.89 (2) (c) 2. b. of the statutes is amended to read:
SB322-AA1,35,2016 632.89 (2) (c) 2. b. Seven thousand Sixteen thousand eight hundred dollars
17minus any applicable cost sharing at the level charged under the policy for inpatient
18hospital services or the equivalent benefits measured in services rendered or, if the
19policy does not use cost sharing, $6,300 $15,100 in equivalent benefits measured in
20services rendered.
SB322-AA1, s. 111 21Section 111. 632.89 (2) (d) 2. of the statutes is amended to read:
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