SECTION 2461r. 255.15 (3) (b) 8. of the statutes is amended to read:
255.15 (3) (b) 8. Other tobacco use cessation or prevention programs, including tobacco research and intervention.".
15.
Page 953, line 3: delete lines 3 to 7 and substitute:
"SECTION 2464d. 255.15 (6) of the statutes is repealed.".
16.
Page 1076, line 12: after that line insert:
"(5x) TOBACCO CONTROL ADVISORY COMMITTEE; INITIAL APPOINTMENTS. Notwithstanding the length of terms specified in section 255.15 (2m) (a) (intro.) of the statutes, as created by this act, the initial members of the tobacco control advisory committee shall be appointed by the first day of the 4th month beginning after the effective date of this subsection for the following terms:
(a) The members specified in section 255.15 (2m) (a) 1. to 3. of the statutes, as created by this act, for terms expiring on July 1, 2008.
(b) The members specified in section 255.15 (2m) (a) 4. to 7. of the statutes, as created by this act, for terms expiring on July 1, 2007.
(c) The members specified in section 255.15 (2m) (a) 8. to 10. and 14. of the statutes, as created by this act, for terms expiring on July 1, 2006.".
17.
Page 1109, line 19: after that line insert:
"(1x) TOBACCO CONTROL FUND ELIMINATION. On the effective date of this subsection, the unencumbered balance in the tobacco control fund immediately before the effective date of this subsection is transferred to the general fund.".
(End)
LRBb0146LRBb0146/2
DAK:wlj:cph
2003 - 2004 LEGISLATURE
LFB:......Swissdorf (CM) - Hospital and ambulatory surgery center data collection
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 114, line 16: before "and" insert "153.05 (2m) (a),".
2.
Page 115, line 15: after that line insert:
"SECTION 214b. 16.752 (12) (a) of the statutes is amended to read:
16.752 (12) (a) Except as provided in pars. (c), (d), (h) and, (i), and (j) and as authorized under sub. (13), agencies shall obtain materials, supplies, equipment and services on the list maintained by the board under sub. (2) (g).".
3.
Page 115, line 18: after that line insert:
"SECTION 215c. 16.752 (12) (j) of the statutes is created to read:
16.752 (12) (j) Paragraph (a) does not apply to services purchased under a contract under s. 153.05 (2m) (a).".
4.
Page 371, line 6: after that line insert:
"SECTION 458r. 20.435 (4) (hi) of the statutes is amended to read:
20.435 (4) (hi) Compilations and special reports. All moneys received from user fees imposed under s. 153.65 (1) for the purpose of financing the costs of the department of health and family services of producing special data compilations or special reports under s. 153.65.".
5.
Page 393, line 15: after "units" insert "; entity contract".
6.
Page 393, line 17: delete "and" and substitute "and,".
7.
Page 393, line 19: after "(15)" insert ", and to contract with an entity under s. 153.05 (2m) (a)".
8.
Page 842, line 2: after that line insert:
"SECTION 2092c. 153.01 (4j) of the statutes is created to read:
153.01 (4j) "Entity" means a nonstock corporation organized under ch. 181 that is described in section 501 (c) (6) of the Internal Revenue Code and is exempt from federal income tax under section 501 (a) of the Internal Revenue Code, and that does all of the following:
(a) Represents at least 70% of the hospitals in Wisconsin.
(b) Receives oversight with respect to services performed by the entity under this chapter from a group that is composed of all of the following:
1. The secretary of health and family services, who shall serve as chairperson and nonvoting member of the group.
2. Two members designated by Wisconsin Manufacturers and Commerce, Inc.
3. Two members designated by the Wisconsin Association of Health Plans, Inc.
4. One member designated by the Wisconsin State AFL-CIO.
5. Two members designated by the Wisconsin Hospital Association, Inc.
6. One member designated by the speaker of the assembly.
7. One member designated by the senate majority leader.
SECTION 2092d. 153.05 (1) of the statutes is amended to read:
153.05 (1) In order to provide to hospitals, health care providers, insurers, consumers, governmental agencies and others information concerning health care providers and uncompensated health care services, and in order to provide information to assist in peer review for the purpose of quality assurance, the:
(a) The department shall collect from health care providers other than hospitals and ambulatory surgery centers, analyze, and disseminate health care information, as adjusted for case mix and severity, in language that is understandable to lay persons laypersons.
SECTION 2092e. 153.05 (1) (b) of the statutes is created to read:
153.05 (1) (b) The entity under contract under sub. (2m) (a) shall collect from hospitals and ambulatory surgery centers the health care information required of hospitals and ambulatory surgery centers by the department under ch. 153, 2001 stats., and the rules promulgated under ch. 153, 2001 stats., including, by the date that is 18 months after the date of the contract under sub. (2m) (a), all outpatient hospital-based services. The entity shall analyze and disseminate that health care information, as adjusted for case mix and severity, in the manner required under this chapter, under ch. 153, 2001 stats., and under the rules promulgated under ch. 153, 2001 stats., and in language that is understandable to laypersons.
SECTION 2092f. 153.05 (2m) of the statutes is created to read:
153.05 (2m) (a) Notwithstanding s. 16.75 (1), (2), and (3m), by the date that is the first day of the 2nd month after the effective date of this paragraph .... [revisor inserts date], the department of administration shall, from the appropriation under s. 20.505 (1) (im), contract with an entity to perform services under this chapter that are specified for the entity with respect to the collection, analysis, and dissemination of health care information of hospitals and ambulatory surgery centers. The department of administration may not, by this contract, require from the entity any collection, analysis, or dissemination of health care information of hospitals and ambulatory surgery centers that is in addition to that required under this chapter, and may include in the contract only terms standard to contracts with the department of administration under subch. IV of ch. 16.
(b) Biennially, the group specified under s. 153.01 (4j) (b) shall review the entity's performance, including the timeliness and quality of the reports generated by the entity. If the group is dissatisfied with the entity's performance, the group may recommend to the department of administration that that department use a competitive request-for-proposal process to solicit offers from other organizations for performance of the services. If no organization responds to the request for proposal, the department of health and family services shall perform the services specified for the entity with respect to the collection, analysis, and dissemination of health care information of hospitals and ambulatory surgery centers under this chapter.
(c) By April 1, 2004, and annually thereafter, the secretary of health and family services, as chairperson of the group specified under s. 153.01 (4j) (b), shall submit to the chief clerk of each house of the legislature for distribution to the legislature under s. 13.172 (2), a report concerning the content and number of reports and currency of information and reports generated in the previous calendar year by the entity under contract under s. 153.05 (2m).
SECTION 2092g. 153.05 (3) of the statutes is renumbered 153.05 (3) (a) and amended to read:
153.05 (3) (a) Upon request of the department for health care information relating to health care providers other than hospitals and ambulatory surgery centers, state agencies shall provide that health care information to the department for use in preparing reports under this chapter.
SECTION 2092h. 153.05 (3) (b) of the statutes is created to read:
153.05 (3) (b) Upon request of the entity under contract under sub. (2m) (a) for health care information relating to hospitals and ambulatory surgery centers, state agencies shall provide that health care information to the entity for use in preparing reports under this chapter.
SECTION 2092i. 153.05 (5) of the statutes is renumbered 153.05 (5) (a) and amended to read:
153.05 (5) (a) Unless sub. (13) (a) applies, the department may require health care providers other than hospitals and ambulatory surgery centers to submit to the department information specified by rule under s. 153.75 (1) (n) for the preparation of reports, plans, and recommendations in the form specified by the department by rule.
SECTION 2092j. 153.05 (5) (b) of the statutes is created to read:
153.05 (5) (b) Unless sub. (13) (b) applies, the entity under contract under sub. (2m) (a) may require hospitals and ambulatory surgery centers to submit to the entity information for the preparation of reports, plans, and recommendations in the form specified by the entity.
SECTION 2092k. 153.05 (6) of the statutes is amended to read:
153.05 (6) The department may contract with a public or private entity organization that is not a major purchaser, payer or provider of health care services in this state for the provision of data processing services for the collection, analysis and dissemination of health care information under sub. (1) (a).
SECTION 2092L. 153.05 (6r) of the statutes is amended to read:
153.05 (6r) The department shall study and, based on the results of the study, may develop and implement a voluntary system of health care plan reporting that enables purchasers and consumers to assess the performance of health care plans and the health care providers, other than hospitals and ambulatory surgery centers, that are employed or reimbursed by the health care plans. The department shall undertake the study and any development and implementation in cooperation with private health care purchasers, the board, the department of employee trust funds, the office of the commissioner of insurance, the interagency coordinating council created under s. 15.107 (7), major associations of health care providers, health care plans and consumers. If implemented, the department shall operate the system in a manner so as to enable purchasers, consumers, the public, the governor and legislators to assess the performance of health care plans and health care providers other than hospitals and ambulatory surgery centers.".
9.
Page 842, line 3: delete lines 3 to 14 and substitute:
"SECTION 2093bg. 153.05 (8) of the statutes is renumbered 153.05 (8) (a) and amended to read:
153.05 (8) (a) Unless sub. (13) (a) applies, the department shall collect, analyze and disseminate, in language that is understandable to lay persons laypersons, claims information and other health care information, as adjusted for case mix and severity, under the provisions of this chapter, as determined by rules promulgated by the department, from health care providers, other than hospitals and ambulatory surgery centers, specified by rules promulgated by the department. Data from those health care providers may be obtained through sampling techniques in lieu of collection of data on all patient encounters and data collection procedures shall minimize unnecessary duplication and administrative burdens. If the department collects health care provider-specific data from health care plans data that is specific to health care providers other than hospitals and ambulatory surgery centers, the department shall attempt to avoid collecting the same data from those health care providers.
SECTION 2093bh. 153.05 (8) (b) of the statutes is created to read:
153.05 (8) (b) Unless sub. (13) (b) applies, the entity under contract under sub. (2m) (a) shall collect, analyze, and disseminate, in language that is understandable to laypersons, claims information and other health care information, as adjusted for case mix and severity, under the provisions of this chapter, from hospitals and ambulatory surgery centers. Data from hospitals and ambulatory surgery centers may be obtained through sampling techniques in lieu of collection of data on all patient encounters, and data collection procedures shall minimize unnecessary duplication and administrative burdens.
SECTION 2093c. 153.05 (9) of the statutes is renumbered 153.05 (9) (a) and amended to read:
153.05 (9) (a) The department shall provide orientation and training to health care providers, other than hospitals and ambulatory surgery centers, who submit data under this chapter, to explain the process of data collection and analysis and the procedures for data verification, comment, interpretation, and release.
SECTION 2093d. 153.05 (9) (b) of the statutes is created to read:
153.05 (9) (b) The entity under contract under sub. (2m) (a) shall provide orientation and training to hospitals and ambulatory surgery centers that submit data under this chapter, to explain the process of data collection and analysis and the procedures for data verification, comment, interpretation, and release.
SECTION 2093e. 153.05 (12) of the statutes is renumbered 153.05 (12) (a).
SECTION 2093f. 153.05 (12) (b) of the statutes is created to read:
153.05 (12) (b) The entity under contract under sub. (2m) (a) shall, to the extent possible and upon request, assist members of the public in interpreting data in health care information disseminated by the entity.
SECTION 2094c. 153.05 (13) of the statutes is renumbered 153.05 (13) (a) and amended to read:
153.05 (13) (a) The department may waive the requirement under sub. (1) (a), (5) (a), or (8) (a) for a health care provider, other than a hospital or ambulatory surgery center, who requests the waiver and presents evidence to the department that the requirement under sub. (1) (a), (5) (a), or (8) (a) is burdensome, under standards established by the department by rule. The department shall develop a form for use by a the health care provider in submitting a request under this subsection paragraph.
SECTION 2094d. 153.05 (13) (b) of the statutes is created to read:
153.05 (13) (b) The entity under contract under sub. (2m) (a) may waive the requirement under sub. (1) (b), (5) (b), or (8) (b) for a hospital or ambulatory surgery center that requests the waiver and presents evidence to the entity that the requirement under sub. (1) (b), (5) (b), or (8) (b) is burdensome. The entity shall develop a form for use by the hospital or ambulatory surgery center in submitting a request under this paragraph.
SECTION 2094e. 153.07 (1) of the statutes is amended to read:
153.07 (1) The board shall advise the department with regard to the collection, analysis and dissemination of health care information required of the department by this chapter.
SECTION 2094f. 153.07 (4) (b) of the statutes is amended to read:
153.07 (4) (b) Provide oversight on the standard reports required of the department under this chapter, including the reports report under ss. 153.20 and s. 153.21 (1).
SECTION 2094g. 153.07 (4) (c) of the statutes is amended to read:
153.07 (4) (c) Develop the overall strategy and direction for implementation of the department's duties and powers under this chapter.
SECTION 2094h. 153.08 (5) of the statutes is created to read:
153.08 (5) The entity under contract under s. 153.05 (2m) (a) shall annually publish a hospital rate increase report that contains all of the following information:
(a) For each hospital that publishes a notice under sub. (4), all of the following:
1. The name of the hospital and the city, village, or town in which the hospital is located.
2. The date the rate increase is to take effect.
3. The annualized percentage rate increase that will result.
