SB44-SSA1, s. 2093bh 10Section 2093bh. 153.05 (8) (b) of the statutes is created to read:
SB44-SSA1,824,1811 153.05 (8) (b) Unless sub. (13) (b) applies, the entity under contract under sub.
12(2m) (a) shall collect, analyze, and disseminate, in language that is understandable
13to laypersons, claims information and other health care information, as adjusted for
14case mix and severity, under the provisions of this chapter, from hospitals and
15ambulatory surgery centers. Data from hospitals and ambulatory surgery centers
16may be obtained through sampling techniques in lieu of collection of data on all
17patient encounters, and data collection procedures shall minimize unnecessary
18duplication and administrative burdens.
SB44-SSA1, s. 2093c 19Section 2093c. 153.05 (9) of the statutes is renumbered 153.05 (9) (a) and
20amended to read:
SB44-SSA1,824,2421 153.05 (9) (a) The department shall provide orientation and training to health
22care providers, other than hospitals and ambulatory surgery centers, who submit
23data under this chapter, to explain the process of data collection and analysis and the
24procedures for data verification, comment, interpretation, and release.
SB44-SSA1, s. 2093d 25Section 2093d. 153.05 (9) (b) of the statutes is created to read:
SB44-SSA1,825,4
1153.05 (9) (b) The entity under contract under sub. (2m) (a) shall provide
2orientation and training to hospitals and ambulatory surgery centers that submit
3data under this chapter, to explain the process of data collection and analysis and the
4procedures for data verification, comment, interpretation, and release.
SB44-SSA1, s. 2093e 5Section 2093e. 153.05 (12) of the statutes is renumbered 153.05 (12) (a).
SB44-SSA1, s. 2093f 6Section 2093f. 153.05 (12) (b) of the statutes is created to read:
SB44-SSA1,825,97 153.05 (12) (b) The entity under contract under sub. (2m) (a) shall, to the extent
8possible and upon request, assist members of the public in interpreting data in
9health care information disseminated by the entity.
SB44-SSA1, s. 2094c 10Section 2094c. 153.05 (13) of the statutes is renumbered 153.05 (13) (a) and
11amended to read:
SB44-SSA1,825,1812 153.05 (13) (a) The department may waive the requirement under sub. (1) (a),
13(5) (a), or (8) (a) for a health care provider, other than a hospital or ambulatory
14surgery center
, who requests the waiver and presents evidence to the department
15that the requirement under sub. (1) (a), (5) (a), or (8) (a) is burdensome, under
16standards established by the department by rule. The department shall develop a
17form for use by a the health care provider in submitting a request under this
18subsection paragraph.
SB44-SSA1, s. 2094d 19Section 2094d. 153.05 (13) (b) of the statutes is created to read:
SB44-SSA1,825,2520 153.05 (13) (b) The entity under contract under sub. (2m) (a) may waive the
21requirement under sub. (1) (b), (5) (b), or (8) (b) for a hospital or ambulatory surgery
22center that requests the waiver and presents evidence to the entity that the
23requirement under sub. (1) (b), (5) (b), or (8) (b) is burdensome. The entity shall
24develop a form for use by the hospital or ambulatory surgery center in submitting a
25request under this paragraph.
SB44-SSA1, s. 2094e
1Section 2094e. 153.07 (1) of the statutes is amended to read:
SB44-SSA1,826,42 153.07 (1) The board shall advise the department with regard to the collection,
3analysis and dissemination of health care information required of the department
4by this chapter.
SB44-SSA1, s. 2094f 5Section 2094f. 153.07 (4) (b) of the statutes is amended to read:
SB44-SSA1,826,86 153.07 (4) (b) Provide oversight on the standard reports required of the
7department
under this chapter, including the reports report under ss. 153.20 and s.
8153.21 (1).
SB44-SSA1, s. 2094g 9Section 2094g. 153.07 (4) (c) of the statutes is amended to read:
SB44-SSA1,826,1110 153.07 (4) (c) Develop the overall strategy and direction for implementation of
11the department's duties and powers under this chapter.
SB44-SSA1, s. 2094h 12Section 2094h. 153.08 (5) of the statutes is created to read:
SB44-SSA1,826,1413 153.08 (5) The entity under contract under s. 153.05 (2m) (a) shall annually
14publish a hospital rate increase report that contains all of the following information:
SB44-SSA1,826,1515 (a) For each hospital that publishes a notice under sub. (4), all of the following:
SB44-SSA1,826,1716 1. The name of the hospital and the city, village, or town in which the hospital
17is located.
SB44-SSA1,826,1818 2. The date the rate increase is to take effect.
SB44-SSA1,826,1919 3. The annualized percentage rate increase that will result.
SB44-SSA1,826,2020 4. The geographic area of analysis in which the hospital is located.
SB44-SSA1,826,2121 (b) A list of hospitals that have closed since 1993.
SB44-SSA1, s. 2094i 22Section 2094i. 153.10 of the statutes is renumbered 153.10 (1) and amended
23to read:
SB44-SSA1,827,324 153.10 (1) The department shall prepare, and submit to the governor and the
25chief clerk of each house of the legislature for distribution to the legislature under

1s. 13.172 (2), standard reports concerning health care providers other than hospitals
2and ambulatory surgery centers
that the department prepares and shall collect
3information necessary for preparation of those reports.
SB44-SSA1, s. 2094j 4Section 2094j. 153.10 (2) of the statutes is created to read:
SB44-SSA1,827,95 153.10 (2) The entity under contract under s. 153.05 (2m) (a) shall prepare, and
6submit to the governor and the chief clerk of each house of the legislature for
7distribution to the legislature under s. 13.172 (2), standard reports concerning
8hospitals and ambulatory surgery centers that the entity prepares and shall collect
9information necessary for preparation of those reports.
SB44-SSA1, s. 2094k 10Section 2094k. 153.20 of the statutes is amended to read:
SB44-SSA1,827,18 11153.20 Uncompensated health care services report. (1) The department
12entity under contract under s. 153.05 (2m) (a) shall prepare, and submit to the
13governor and to the chief clerk of each house of the legislature for distribution to the
14legislature under s. 13.172 (2), an annual report setting forth the number of patients
15to whom uncompensated health care services were provided by each hospital and the
16total charges for the uncompensated health care services provided to the patients for
17the preceding year, together with the number of patients and the total charges that
18were projected by the hospital for that year in the plan filed under sub. (2).
SB44-SSA1,827,23 19(2) Every hospital shall file with the department entity under contract under
20s. 153.05 (2m) (a)
an annual plan setting forth the projected number of patients to
21whom uncompensated health care services will be provided by the hospital and the
22projected total charges for the uncompensated health care services to be provided to
23the patients for the ensuing year.
SB44-SSA1, s. 2094L 24Section 2094L. 153.21 of the statutes is renumbered 153.21 (1) and amended
25to read:
SB44-SSA1,828,6
1153.21 (1) The department shall prepare and submit to the governor and to the
2chief clerk of each house of the legislature for distribution to the legislature under
3s. 13.172 (2) an annual guide to assist consumers in selecting health care providers
4other than hospitals and ambulatory surgery centers and health care plans. The
5guide shall be written in language that is understandable to lay persons laypersons.
6The department shall widely publicize and distribute the guide to consumers.
SB44-SSA1, s. 2094m 7Section 2094m. 153.21 (2) of the statutes is created to read:
SB44-SSA1,828,158 153.21 (2) The entity under contract under s. 153.05 (2m) (a) shall prepare and
9submit to the governor and to the chief clerk of each house of the legislature for
10distribution to the legislature under s. 13.172 (2) an annual guide to assist
11consumers in selecting hospitals and ambulatory surgery centers. The guide shall
12be written in language that is understandable to laypersons and shall include data
13derived from the annual survey of hospitals conducted by the American Hospital
14Association and the annual hospital fiscal survey. The entity shall widely publicize
15and distribute the guide to consumers.
SB44-SSA1, s. 2094n 16Section 2094n. 153.22 of the statutes is created to read:
SB44-SSA1,828,22 17153.22 Patient-level data utilization, charge, and quality report. (1)
18The entity under contract under s. 153.05 (2m) (a) shall prepare and submit to the
19governor and to the chief clerk of each house of the legislature for distribution to the
20legislature under s. 13.172 (2), an annual report that summarizes utilization, charge,
21and quality data on patients treated by hospitals and ambulatory surgery centers
22during the most recent calendar year.
SB44-SSA1, s. 2094q 23Section 2094q. 153.45 (title) of the statutes is amended to read:
SB44-SSA1,828,24 24153.45 (title) Release of data by department.
SB44-SSA1, s. 2094r
1Section 2094r. 153.45 (1) (b) 1. of the statutes is renumbered 153.46 (1) (b) and
2amended to read:
SB44-SSA1,829,83 153.46 (1) (b) For information that is submitted by hospitals or ambulatory
4surgery centers, public use data files that do not permit the identification of specific
5patients, employers, or health care providers, as defined by rules promulgated by the
6department
. The identification of patients, employers, or health care providers shall
7be protected by all necessary means, including the deletion of patient identifiers and
8the use of calculated variables and aggregated variables.
SB44-SSA1, s. 2094s 9Section 2094s. 153.45 (1) (b) 2. of the statutes is renumbered 153.45 (1) (b),
10and 153.45 (1) (b) (intro.), as renumbered, is amended to read:
SB44-SSA1,829,2211 153.45 (1) (b) (intro.) For information that is submitted by health care
12providers other than hospitals or ambulatory surgery centers, public use data files
13that do not permit the identification of specific patients, employers , or health care
14providers, as defined by rules promulgated by the department. The identification of
15patients, employers, or health care providers shall be protected by all necessary
16means, including the deletion of patient identifiers; the use of calculated variables
17and aggregated variables; the specification of counties as to residence, rather than
18zip codes; the use of 5-year categories for age, rather than exact age; not releasing
19information concerning a patient's race or, ethnicity, or dates of admission,
20discharge, procedures, or visits; and masking sensitive diagnoses and procedures by
21use of larger diagnostic and procedure categories. Public use data files under this
22subdivision paragraph may include only the following:
SB44-SSA1, s. 2094t 23Section 2094t. 153.45 (1) (c) (intro.) of the statutes is amended to read:
SB44-SSA1,830,1024 153.45 (1) (c) (intro.) Custom-designed reports containing portions of the data
25under par. (b). Of information submitted by health care providers that are not

1hospitals or ambulatory surgery centers, requests under this paragraph for data
2elements other than those available for public use data files under par. (b) 2.,
3including the patient's month and year of birth, require review and approval by the
4independent review board before the data elements may be released. Information
5that contains the name of a health care provider that is not a hospital or ambulatory
6surgery center may be released only if the independent review board first reviews
7and approves the release or if the department promulgates rules that specify
8circumstances under which the independent review board need not review and
9approve the release. Reports under this paragraph may include the patient's zip code
10only if at least one of the following applies:
SB44-SSA1, s. 2094u 11Section 2094u. 153.45 (2) of the statutes is amended to read:
SB44-SSA1,830,1512 153.45 (2) The department shall provide to other entities agencies or to
13organizations
the data necessary to fulfill their statutory mandates for
14epidemiological purposes or to minimize the duplicate collection of similar data
15elements.
SB44-SSA1, s. 2094v 16Section 2094v. 153.45 (3) of the statutes is amended to read:
SB44-SSA1,830,2117 153.45 (3) The department may, but is not required to, release health care
18provider-specific and employer-specific data that relates to health care providers
19other than hospitals and ambulatory surgery centers
, except in public use data files
20as specified under sub. (1) (b), in a manner that is specified in rules promulgated by
21the department.
SB44-SSA1, s. 2094w 22Section 2094w. 153.45 (5) of the statutes is amended to read:
SB44-SSA1,831,323 153.45 (5) The department may not release any health care information that
24is subject to rules promulgated under s. 153.75 (1) (b) until the verification, comment
25and review procedures required under those rules have been complied with. Nothing

1in this subsection prohibits release of health care provider-specific information to
2the a health care provider that is not a hospital or ambulatory surgery center, to
3whom the information relates is specific.
SB44-SSA1, s. 2094x 4Section 2094x. 153.46 of the statutes is created to read:
SB44-SSA1,831,7 5153.46 Release of data by entity. (1) After completion of data verification,
6comment, and review procedures, the entity under contract under s. 153.05 (2m) (a)
7shall release data, together with comments, if any, in the following forms:
SB44-SSA1,831,88 (a) Standard reports.
SB44-SSA1,831,119 (c) Custom-designed reports containing portions of the data under par. (b).
10Reports under this paragraph may include the patient's zip code only if at least one
11of the following applies:
SB44-SSA1,831,1212 1. Other potentially identifying data elements are not released.
SB44-SSA1,831,1313 2. Population density is sufficient to mask patient identity.
SB44-SSA1,831,1514 3. Other potentially identifying data elements are grouped to provide
15population density sufficient to protect identity.
SB44-SSA1,831,1616 4. Multiple years of data elements are added to protect identity.
SB44-SSA1,831,19 17(1m) After completion of data verification and review procedures specified
18under s. 153.01 (4j), the entity may, but is not required to, release special data
19compilations.
SB44-SSA1,831,23 20(2) The entity under contract under s. 153.05 (2m) (a) shall provide to the
21department and to any other organization or agency the data necessary to fulfill the
22department's, organization's, or agency's statutory mandates for epidemiological
23purposes.
SB44-SSA1,832,2 24(3) The entity under contract under s. 153.05 (2m) (a) may, but is not required
25to, release hospital-specific, ambulatory surgery center-specific, and hospital or

1ambulatory surgery center employer-specific data, except in public use data files as
2specified under sub. (1) (b).
SB44-SSA1,832,5 3(4) The entity under contract under s. 153.05 (2m) (a) shall, as limited by this
4section and s. 153.50, provide equal access to the data collected and reports
5generated by the entity to all requesters that pay the fees under s. 153.65 (2).
SB44-SSA1,832,8 6(5) The entity under contract under s. 153.05 (2m) (a) shall provide to the
7department, without charge, claims and provider survey information that is
8requested by or required to be provided to the department.
SB44-SSA1,832,11 9(6) No person who purchases a data compilation or report under s. 153.65 (2)
10may release or sell the data sets so purchased, except that the department may
11release data and information as part of reports created by the department.
SB44-SSA1, s. 2094y 12Section 2094y. 153.50 (3) (intro.) of the statutes is amended to read:
SB44-SSA1,832,1713 153.50 (3) Departmental measures Measures to ensure protection of patient
14identity.
(intro.) To ensure that the identity of patients is protected when
15information obtained by the department or by the entity under contract under s.
16153.05 (2m) (a)
is disseminated, the department and the entity shall do all of the
17following:
SB44-SSA1, s. 2095c 18Section 2095c. 153.50 (3) (a) of the statutes is amended to read:
SB44-SSA1,832,2219 153.50 (3) (a) Aggregate any data element category containing small numbers,
20using
. The department, in so doing, shall use procedures that are developed by the
21department and approved by the board and that follow commonly accepted
22statistical methodology.
SB44-SSA1, s. 2095d 23Section 2095d. 153.50 (3) (b) (intro.) of the statutes is amended to read:
SB44-SSA1,833,3
1153.50 (3) (b) (intro.) Remove and destroy all of the following data elements on
2the uniform patient billing forms that are received by the department or by the entity
3under the requirements of this chapter:
SB44-SSA1, s. 2095e 4Section 2095e. 153.50 (3) (b) 7. of the statutes is amended to read:
SB44-SSA1,833,65 153.50 (3) (b) 7. The patient's account number, after use only as verification of
6data by the department or by the entity.
SB44-SSA1, s. 2095f 7Section 2095f. 153.50 (3) (d) of the statutes is amended to read:
SB44-SSA1,833,108 153.50 (3) (d) Require that a purchaser of data under this chapter sign and have
9notarized the data use agreement of the department or of the entity specified in par.
10(c).
SB44-SSA1, s. 2095g 11Section 2095g. 153.50 (4) (a) 1. of the statutes is renumbered 153.50 (4) (a)
121. a.
SB44-SSA1, s. 2095h 13Section 2095h. 153.50 (4) (a) 1. b. of the statutes is created to read:
SB44-SSA1,833,1614 153.50 (4) (a) 1. b. An agent of the entity under contract under s. 153.05 (2m)
15(a) who is responsible for the patient-identifiable data of the entity, in order to store
16the data and ensure the accuracy of the information in the database of the entity.
SB44-SSA1, s. 2095i 17Section 2095i. 153.50 (4) (a) 2. of the statutes is amended to read:
SB44-SSA1,833,2318 153.50 (4) (a) 2. A health care provider that is not a hospital or ambulatory
19surgery center
or the agent of such a health care provider, to ensure the accuracy of
20the information in the database of the department, or a health care provider that is
21a hospital or ambulatory surgery center or the agent of such a health care provider,
22to ensure the accuracy of the information in the database of the entity under contract
23under s. 153.05 (2m) (a)
.
SB44-SSA1, s. 2095j 24Section 2095j. 153.50 (4) (a) 3. of the statutes is amended to read:
SB44-SSA1,834,3
1153.50 (4) (a) 3. The department, for purposes of epidemiological investigation
2or, with respect to information from health care providers that are not hospitals or
3ambulatory surgery centers,
to eliminate the need for duplicative databases.
SB44-SSA1, s. 2095k 4Section 2095k. 153.50 (4) (a) 4. of the statutes is amended to read:
SB44-SSA1,834,75 153.50 (4) (a) 4. An entity agency or organization that is required by federal
6or state statute to obtain patient-identifiable data for purposes of epidemiological
7investigation or to eliminate the need for duplicative databases.
SB44-SSA1, s. 2095L 8Section 2095L. 153.50 (5) (a) (intro.) of the statutes is amended to read:
SB44-SSA1,834,139 153.50 (5) (a) (intro.) The department or an entity that is under contract under
10s. 153.05 (2m) (a)
may not release or provide access to patient-identifiable data to
11a person authorized under sub. (4) (a) unless the authorized person requests the
12department or entity, in writing, to release the patient-identifiable data. The
13request shall include all of the following:
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