(1m) After completion of data verification and review procedures specified under s. 153.01 (4j), the entity may, but is not required to, release special data compilations.
(2) The entity under contract under s. 153.05 (2m) (a) shall provide to the department and to any other organization or agency the data necessary to fulfill the department's, organization's, or agency's statutory mandates for epidemiological purposes.
(3) The entity under contract under s. 153.05 (2m) (a) may, but is not required to, release hospital-specific, ambulatory surgery center-specific, and hospital or ambulatory surgery center employer-specific data, except in public use data files as specified under sub. (1) (b).
(4) The entity under contract under s. 153.05 (2m) (a) shall, as limited by this section and s. 153.50, provide equal access to the data collected and reports generated by the entity to all requesters that pay the fees under s. 153.65 (2).
(5) The entity under contract under s. 153.05 (2m) (a) shall provide to the department, without charge, claims and provider survey information that is requested by or required to be provided to the department.
(6) No person who purchases a data compilation or report under s. 153.65 (2) may release or sell the data sets so purchased, except that the department may release data and information as part of reports created by the department.
SECTION 2094y. 153.50 (3) (intro.) of the statutes is amended to read:
153.50 (3) DEPARTMENTAL MEASURES MEASURES TO ENSURE PROTECTION OF PATIENT IDENTITY. (intro.) To ensure that the identity of patients is protected when information obtained by the department or by the entity under contract under s. 153.05 (2m) (a) is disseminated, the department and the entity shall do all of the following:
SECTION 2095c. 153.50 (3) (a) of the statutes is amended to read:
153.50 (3) (a) Aggregate any data element category containing small numbers, using. The department, in so doing, shall use procedures that are developed by the department and approved by the board and that follow commonly accepted statistical methodology.
SECTION 2095d. 153.50 (3) (b) (intro.) of the statutes is amended to read:
153.50 (3) (b) (intro.) Remove and destroy all of the following data elements on the uniform patient billing forms that are received by the department or by the entity under the requirements of this chapter:
SECTION 2095e. 153.50 (3) (b) 7. of the statutes is amended to read:
153.50 (3) (b) 7. The patient's account number, after use only as verification of data by the department or by the entity.
SECTION 2095f. 153.50 (3) (d) of the statutes is amended to read:
153.50 (3) (d) Require that a purchaser of data under this chapter sign and have notarized the data use agreement of the department or of the entity specified in par. (c).
SECTION 2095g. 153.50 (4) (a) 1. of the statutes is renumbered 153.50 (4) (a) 1. a.
SECTION 2095h. 153.50 (4) (a) 1. b. of the statutes is created to read:
153.50 (4) (a) 1. b. An agent of the entity under contract under s. 153.05 (2m) (a) who is responsible for the patient-identifiable data of the entity, in order to store the data and ensure the accuracy of the information in the database of the entity.
SECTION 2095i. 153.50 (4) (a) 2. of the statutes is amended to read:
153.50 (4) (a) 2. A health care provider that is not a hospital or ambulatory surgery center or the agent of such a health care provider, to ensure the accuracy of the information in the database of the department, or a health care provider that is a hospital or ambulatory surgery center or the agent of such a health care provider, to ensure the accuracy of the information in the database of the entity under contract under s. 153.05 (2m) (a).
SECTION 2095j. 153.50 (4) (a) 3. of the statutes is amended to read:
153.50 (4) (a) 3. The department, for purposes of epidemiological investigation or, with respect to information from health care providers that are not hospitals or ambulatory surgery centers, to eliminate the need for duplicative databases.
SECTION 2095k. 153.50 (4) (a) 4. of the statutes is amended to read:
153.50 (4) (a) 4. An entity agency or organization that is required by federal or state statute to obtain patient-identifiable data for purposes of epidemiological investigation or to eliminate the need for duplicative databases.
SECTION 2095L. 153.50 (5) (a) (intro.) of the statutes is amended to read:
153.50 (5) (a) (intro.) The department or an entity that is under contract under s. 153.05 (2m) (a) may not release or provide access to patient-identifiable data to a person authorized under sub. (4) (a) unless the authorized person requests the department or entity, in writing, to release the patient-identifiable data. The request shall include all of the following:
SECTION 2095m. 153.50 (5) (a) 4. (intro.) of the statutes is amended to read:
153.50 (5) (a) 4. (intro.) For an entity agency or organization that is authorized under sub. (4) (a) 4. to receive or have access to patient-identifiable data, evidence, in writing, of all of the following:
SECTION 2095n. 153.50 (5) (b) (intro.) of the statutes is amended to read:
153.50 (5) (b) (intro.) Upon receipt of a request under par. (a), the department or entity under contract under s. 153.05 (2m) (a), whichever is appropriate, shall, as soon as practicable, comply with the request or notify the requester, in writing, of all of the following:
SECTION 2095p. 153.50 (5) (b) 1. of the statutes is amended to read:
153.50 (5) (b) 1. That the department or entity is denying the request in whole or in part.
SECTION 2095q. 153.50 (6) (a) of the statutes is amended to read:
153.50 (6) (a) The department or entity under contract under s. 153.05 (2m) (a) may not require a health care provider submitting health care information under this chapter to include the patient's name, street address or social security number.
SECTION 2095rc. 153.60 (1) of the statutes is amended to read:
153.60 (1) The department shall, by the first October 1 after the commencement of each fiscal year, estimate the total amount of expenditures under this chapter for the department and the board for that fiscal year for data collection, database development and maintenance, generation of data files and standard reports, orientation and training provided under s. 153.05 (9) (a) and maintaining the board. The department shall assess the estimated total amount for that fiscal year less the estimated total amount to be received for purposes of administration of this chapter under s. 20.435 (4) (hi) during the fiscal year, the unencumbered balance of the amount received for purposes of administration of this chapter under s. 20.435 (4) (hi) from the prior fiscal year and the amount in the appropriation account under s. 20.435 (1) (dg), 1997 stats., for the fiscal year, to health care providers, other than hospitals and ambulatory surgery centers, who are in a class of health care providers from whom the department collects data under this chapter in a manner specified by the department by rule. The department shall obtain approval from the board for the amounts of assessments for health care providers other than hospitals and ambulatory surgery centers. The department shall work together with the department of regulation and licensing to develop a mechanism for collecting assessments from health care providers other than hospitals and ambulatory surgery centers. No health care provider that is not a facility may be assessed under this subsection an amount that exceeds $75 per fiscal year. Each hospital shall pay the assessment on or before December 1. All payments of assessments shall be deposited in credited to the appropriation under s. 20.435 (4) (hg).
SECTION 2095rd. 153.65 of the statutes is renumbered 153.65 (1) and amended to read:
153.65 (1) The department may, but is not required to, provide, upon request from a person, a data compilation or a special report based on the information collected by the department. The department shall establish user fees for the provision of these compilations or reports, payable by the requester, which shall be sufficient to fund the actual necessary and direct cost of the compilation or report. All moneys collected under this section subsection shall be credited to the appropriation under s. 20.435 (4) (hi).
SECTION 2095re. 153.65 (2) of the statutes is created to read:
153.65 (2) Beginning January 1, 2004, unless the entity under contract under s. 153.05 (2m) (a) otherwise agrees and except as provided in s. 153.46 (6), the entity has the exclusive right to use and to provide for a fee, upon request from a person, a data compilation or a special report based on the information concerning hospitals and ambulatory surgery centers that is collected by the entity or provided by the department to the entity. Subject to approval by the group specified under s. 153.01 (4j) (b), the entity shall establish reasonable and necessary user fees for the provision of a compilation or report, payable by the requester, which shall be sufficient to fund the actual necessary and direct cost of the compilation or report. The entity may retain all user fees paid under this subsection.
SECTION 2095rf. 153.75 (1) (a) of the statutes is amended to read:
153.75 (1) (a) Providing procedures, for information submitted by health care providers who are not hospitals or ambulatory surgery centers, to ensure the protection of patient confidentiality under s. 153.50.
SECTION 2095rg. 153.75 (1) (b) of the statutes is amended to read:
153.75 (1) (b) Establishing procedures under which health care providers who are not hospitals or ambulatory surgery centers are permitted to review, verify and comment on information and include the comments with the information.
SECTION 2095rh. 153.75 (1) (L) of the statutes is repealed.
SECTION 2095ri. 153.75 (1) (m) of the statutes is amended to read:
153.75 (1) (m) Specifying the classes of health care providers, other than hospitals and ambulatory surgery centers, from whom claims data and other health care information will be collected.
SECTION 2095rj. 153.75 (1) (n) of the statutes is amended to read:
153.75 (1) (n) Specifying the uniform data set of health care information, as adjusted for case mix and severity, to be collected from health care providers other than hospitals and ambulatory surgery centers.
SECTION 2095rk. 153.75 (1) (p) of the statutes is amended to read:
153.75 (1) (p) Specifying the methods for using and disseminating health care data in order for health care providers other than hospitals and ambulatory surgery centers to provide health care that is effective and economically efficient and for consumers and purchasers to make informed decisions in selecting health care plans and health care providers.
SECTION 2095rL. 153.75 (1) (q) of the statutes is amended to read:
153.75 (1) (q) Specifying the information to be provided by the department in the consumer guide under s. 153.21 (1).
SECTION 2095rm. 153.75 (1) (r) of the statutes is amended to read:
153.75 (1) (r) Specifying the standard reports that will be issued by the department in addition to those required in ss. 153.20 and s. 153.21 (1).
SECTION 2095rn. 153.75 (1) (t) of the statutes is amended to read:
153.75 (1) (t) Establishing standards for determining under s. 153.05 (13) (a) if a requirement under s. 153.05 (1) (a), (5) (a), or (8) (a) is burdensome for a health care provider other than a hospital or ambulatory surgery center.
SECTION 2095rp. 153.75 (1) (u) of the statutes is amended to read:
153.75 (1) (u) Specifying the methods for adjusting health care information obtained from health care providers other than hospitals and ambulatory surgery centers for case mix and severity.
SECTION 2095rt. 153.75 (2) (a) of the statutes is amended to read:
153.75 (2) (a) Exempting certain classes of health care providers that are not hospitals or ambulatory surgery centers from providing all or portions of the data required under this chapter.".
10.
Page 1078, line 17: after that line insert:
"(10k) TRANSFER OF HEALTH CARE INFORMATION TO ENTITY; TRANSITION ASSISTANCE.(a) Before 12 months have elapsed after a contract is agreed upon under section 153.05 (2m) of the statutes, as created by this act, the department of health and family services shall provide to the entity under that contract all health care information databases and computer software related to hospitals and ambulatory surgery centers, including manuals, documentation, and program codes, that the department possesses under chapter 153 of the statutes, as affected by this act.
(b) The department of health and family services shall provide the entity under contract under section 153.05 (2m) (a) of the statutes, as created by this act, with transition assistance concerning health care data collection and dissemination to assist the entity in ensuring that the entity's program under the contract is functioning by January 1, 2004.".
11.
Page 1109, line 25: after that line insert:
"(3k) HOSPITAL AND AMBULATORY SURGERY CENTER DATA COLLECTION. There is transferred from the appropriation to the department of health and family services under section 20.435 (4) (hg) of the statutes, as affected by the acts of 2003, to the appropriation to the department of administration under section 20.505 (1) (im) of the statutes, as affected by the acts of 2003, $750,000 in fiscal year 2003-04.".
12.
Page 1132, line 22: after that line insert:
"(11k) ASSESSMENTS ON HOSPITALS AND AMBULATORY SURGERY CENTERS. The treatment of section 153.60 (1) of the statutes takes effect on July 1, 2004.".
(End)
LRBb0147LRBb0147/3
DAK:kjf&jld:cph
2003 - 2004 LEGISLATURE
LFB:......Swissdorf (CM) - Tri-County Dental Clinic
For 2003-05 Budget -- Not Ready For Introduction
SENATE AMENDMENT ,
TO 2003 SENATE BILL 44
At the locations indicated, amend the bill as follows:
1.
Page 374, line 20: after that line insert:
"SECTION 470d. 20.435 (5) (dm) of the statutes is amended to read:
20.435 (5) (dm) Rural health dental Dental clinics. The amounts in the schedule for the rural health dental clinics under s. 146.65 and for one-time start-up costs under 2003 Wisconsin Act .... (this act), section 9124 (1f).
SECTION 470e. 20.435 (5) (dm) of the statutes, as affected by 2003 Wisconsin Act .... (this act), is amended to read:
20.435 (5) (dm) Dental Rural health dental clinics. The amounts in the schedule for the rural health dental clinics under s. 146.65 and for one-time start-up costs under 2003 Wisconsin Act .... (this act), section 9124 (1f).".
2.
Page 1073, line 8: after that line insert:
"(1f) DENTAL CLINIC START-UP COSTS. From the appropriation under section 20.435 (5) (dm) of the statutes, as affected by this act, the department of health and family services shall distribute $50,000 in state fiscal year 2003-04 for payment to support one-time start-up costs for the tri-county dental clinic in the city of Appleton that will serve low-income persons in the counties of Winnebago, Calumet, and Outagamie.".
3.
Page 1132, line 22: after that line insert:
"(11f) DENTAL CLINIC START-UP COSTS. The treatment of section 20.435 (5) (dm) (by SECTION 470e) of the statutes takes effect on July 1, 2004.".
(End)
LRBb0148LRBb0148/1
PJK:kjf:cph
2003 - 2004 LEGISLATURE
LFB:......Swissdorf (CM) - Exempting persons with hemophilia from requirement to apply for other programs
For 2003-05 Budget -- Not Ready For Introduction
SENATE AMENDMENT ,
TO 2003 SENATE BILL 44
At the locations indicated, amend the bill as follows:
1.
Page 628, line 5: delete the material beginning with "49.68" and ending with "49.685" on line 6, and substitute "49.68 or 49.683".
2.
Page 628, line 6: delete the material beginning with "49.68" and ending with "49.685" on line 7, and substitute "49.68 or 49.683".
3.
Page 628, line 12: delete "49.68, 49.683, or 49.685" and substitute "49.68 or 49.683".
