AB842,8,1714
3. (intro.) A class "C" violation may be subject to a forfeiture of
not more than 15$60 and a penalty assessment of not more than $500. No forfeiture
or penalty
16assessment may be
assessed imposed for a class "C" violation unless at least one of
17the following applies:
AB842, s. 15
18Section
15. 50.04 (5) (a) 4. of the statutes is amended to read:
AB842,9,219
50.04
(5) (a) 4. Notwithstanding subds. 1., 2. and 3., if the violation or group
20of violations results from inadequate staffing, the
combined amount of the forfeiture
21and penalty assessment that the department may
assess impose shall be no less than
22the difference between the cost of the staff actually employed and the estimated cost
23of the staff required. The number of staff required shall be determined by the
24provider contract,
the court order
, or the department, by rule, whichever is greatest.
1The inadequate staff shall be presumed to exist from the date of the notice of
2violation.
AB842, s. 16
3Section
16. 50.04 (5) (a) 5. a., b. and d. of the statutes are amended to read:
AB842,9,94
50.04
(5) (a) 5. a. A nursing home that violates a statute or rule resulting in a
5class "A" violation and that has received a notice of violation for a class
"A" "A" 6violation within the previous 3-year period involving the same situation shall be
7subject to a forfeiture 3 times the
forfeiture amount authorized for a class "A"
8violation
and a penalty assessment 3 times the penalty assessment amount
9authorized for a class "A" violation.
AB842,9,1510
b. Except as provided in subd. 5. a., a nursing home that violates a statute or
11rule resulting in a class "A" or class "B" violation and that has received a notice of a
12class "A" or class "B" violation of the same statute or rule within the previous 3-year
13period may be subject to a forfeiture 3 times the
forfeiture amount authorized for the
14most recent class of violation involved
and a penalty assessment 3 times the penalty
15assessment amount authorized for the most recent class of violation involved.
AB842,9,2216
d. The forfeiture
amount and penalty assessment amounts that
is are tripled
17under this subdivision shall be the
amount assessed
forfeiture and penalty
18assessment amounts imposed after all appeals have been exhausted. If an
19assessment imposition of
a forfeiture
and penalty assessment is not contested and
20the forfeiture
is and penalty assessment are paid as provided in par. (fm), the
21forfeiture
amount and penalty assessment amounts that
is are tripled
is are the
22amount assessed amounts imposed after the reduction specified in par. (fm).
AB842, s. 17
23Section
17. 50.04 (5) (a) 5m. of the statutes is repealed
AB842, s. 18
24Section
18. 50.04 (5) (a) 6. of the statutes is renumbered 50.04 (5) (a) 6. (intro.)
25and amended to read:
AB842,10,5
150.04
(5) (a) 6. (intro.) If a licensee fails to correct a violation within the time
2specified in the notice of violation or approved plan of correction, or within the
3extended correction time granted under sub. (4) (c) 4., or if a violation continues after
4a report of correction, the department may assess upon the licensee
a for each day
5of the continuing violation whichever of the following is applicable:
AB842,10,8
6a. A separate forfeiture of
not more than $10,000 $250 and a separate penalty
7assessment of not more than $10,000 for
a class "A"
violations, and may assess a 8violation.
AB842,10,11
9b. A separate forfeiture of
not more than $5,000 $125 and a separate penalty
10assessment of not more than $5,000 for
a class "B"
violations, for each day of
11continuing violation.
AB842, s. 19
12Section
19. 50.04 (5) (b) (intro.) of the statutes is amended to read:
AB842,10,1713
50.04
(5) (b)
Factors in assessment imposition of forfeitures
and penalty
14assessments. (intro.) In determining whether
to impose a forfeiture
is to be imposed 15and penalty assessment for a violation and in fixing the amount of the
forfeiture to
16be imposed penalty assessment, if any,
for a violation, the following factors shall be
17considered:
AB842, s. 20
18Section
20. 50.04 (5) (c) of the statutes is amended to read:
AB842,11,519
50.04
(5) (c)
Assessment
Imposition of forfeitures and penalty assessments;
20powers and duties of department. The department may directly
assess impose 21forfeitures
and penalty assessments provided for under par. (a). If the department
22determines that a forfeiture
and penalty assessment should be
assessed imposed for
23a particular violation or for failure to correct it,
it the department shall send a notice
24of
assessment imposition of forfeiture and penalty assessment to the nursing home.
25The notice shall specify the
amount amounts of the forfeiture
assessed and penalty
1assessment imposed, the violation,
and the statute or rule alleged to have been
2violated
, and shall inform the licensee of the right to hearing under par. (e).
If the
3department does not issue a notice of forfeiture and penalty assessment within 120
4days after the date on which a nursing home receives the notice of a violation, the
5department may not impose a forfeiture or penalty assessment for the violation.
AB842, s. 21
6Section
21. 50.04 (5) (d) (title) of the statutes is amended to read:
AB842,11,77
50.04
(5) (d) (title)
Forfeiture and penalty assessment period.
AB842, s. 22
8Section
22. 50.04 (5) (d) 1. of the statutes is amended to read:
AB842,11,189
50.04
(5) (d) 1. In the case of a class "B" violation, no forfeiture
or penalty
10assessment may be
assessed imposed for the violation from the day following the
11date of discovery until the date of notification. If the department fails to approve or
12reject a plan of correction within 15 days after its receipt of a complete plan, no
13forfeiture
or penalty assessment may be imposed for the period beginning with the
1415th day after receipt and ending when notice of approval or rejection is received by
15the home. If a plan of correction is approved and carried out, no forfeiture
or penalty
16assessment may be
assessed imposed during the time period specified in the
17approved plan of correction, commencing on the day the plan of correction is received
18by the department.
AB842, s. 23
19Section
23. 50.04 (5) (d) 2. (intro.) of the statutes is amended to read:
AB842,11,2220
50.04
(5) (d) 2. (intro.) In the case of a class "C" violation for which a notice of
21violation has been served, a forfeiture
and penalty assessment may be
assessed 22imposed for whichever of the following periods is applicable:
AB842, s. 24
23Section
24. 50.04 (5) (dm) (intro.) of the statutes is amended to read:
AB842,12,3
150.04
(5) (dm) (intro.)
Forfeiture
and penalty assessment imposition date. In
2the case of a class "B" violation, the department may not
assess impose a forfeiture
3or a penalty assessment upon a nursing home until:
AB842, s. 25
4Section
25. 50.04 (5) (e) of the statutes is amended to read:
AB842,12,245
50.04
(5) (e)
Forfeiture and penalty assessment appeal hearing. A nursing
6home may contest an
assessment imposition of
a forfeiture
and penalty assessment 7by sending, within
10 60 days after receipt of notice of
a contested action the
8imposition of the forfeiture and penalty assessment, a written request for hearing
9under s. 227.44 to the division of hearings and appeals created under s. 15.103 (1).
10The administrator of the division may designate a hearing examiner to preside over
11the case and recommend a decision to the administrator under s. 227.46. The
12decision of the administrator of the division shall be the final administrative
13decision. The division shall commence the hearing within 30 days of receipt of the
14request for hearing and shall issue a final decision within 15 days after the close of
15the hearing. Proceedings before the division are governed by ch. 227. In any petition
16for judicial review of a decision by the division, the party, other than the petitioner,
17who was in the proceeding before the division shall be the named respondent.
If,
18after receipt of notice of imposition of a forfeiture and penalty assessment, a nursing
19home that has timely requested a hearing under sub. (4) (e) on the notice of violation
20under sub. (4) for which the forfeiture and penalty assessment were imposed
21requests a hearing under this paragraph on the imposition of the forfeiture and
22penalty assessment, the hearing on the notice of violation under sub. (4) and the
23hearing on the imposition of the forfeiture and penalty assessment shall be
24consolidated.
AB842,13,123
50.04
(5) (f)
Forfeitures and penalty assessments paid within 10 60 days. All
4forfeitures
and penalty assessments shall be paid to the department within
10 60 5days of receipt of notice of
assessment imposition of the forfeiture and penalty
6assessment or, if the forfeiture
or penalty assessment is contested under par. (e),
7within
10 60 days of receipt of the final decision after exhaustion of administrative
8review, unless the final decision is appealed and the order is stayed by court order
9under s. 50.03 (11). The department shall remit all forfeitures paid to the secretary
10of administration for deposit in the school fund.
All moneys collected as penalty
11assessments under this subsection shall be credited to the appropriation account
12under s. 20.435 (6) (ge).
AB842, s. 27
13Section
27. 50.04 (5) (fm) of the statutes is amended to read:
AB842,13,2114
50.04
(5) (fm)
Forfeiture and penalty assessment reduction for timely payment. 15If a nursing home does not contest a notice of violation under sub. (4) (e) and does not
16contest an
assessment imposition of
a forfeiture
and penalty assessment under par.
17(e) for a class "A" or class "B" violation and pays the forfeiture
and penalty
18assessment to the department within
10 60 days after receipt of the notice of
19assessment imposition of the forfeiture and penalty assessment, the department
20shall reduce the amount of the
assessment forfeiture and penalty assessment by
35%
2135 percent.
AB842, s. 28
22Section
28. 50.04 (5) (fr) of the statutes is amended to read:
AB842,14,523
50.04
(5) (fr)
Report to the legislature. Annually, the department shall submit
24a report to the legislature under s. 13.172 (2) that specifies for the previous year the
25number of class "A" violations, the
amount
amounts of the forfeiture
assessment and
1penalty assessment imposed for each of those violations and, if known, the
amount 2amounts of the forfeiture
and penalty assessment actually paid and collected with
3respect to those violations. The report shall also include an explanation for any
4assessment that was imposition of a forfeiture and penalty assessment that totaled 5less than $2,500 for the violations specified in the report.
AB842, s. 29
6Section
29. 50.04 (5) (g) of the statutes is amended to read:
AB842,14,127
50.04
(5) (g)
Enforcement by attorney general. The attorney general may bring
8an action in the name of the state to collect any forfeiture
or penalty assessment 9imposed under this section if the forfeiture
or penalty assessment has not been paid
10following the exhaustion of all administrative and judicial reviews. The only issue
11to be contested in any such action shall be whether the forfeiture
or penalty
12assessment has been paid.
AB842, s. 30
13Section
30. 50.04 (6) (a) of the statutes is repealed and recreated to read:
AB842,14,1714
50.04
(6) (a)
Power of department. 1. In addition to the right to impose
15forfeitures and penalty assessments under sub. (5), the department may issue a
16conditional license to any nursing home if the department finds that any of the
17following is true:
AB842,14,1918
a. A class "A" or class "B" violation, as defined in sub. (4), continues to exist in
19the nursing home.
AB842,14,2220
b. A federal violation continues to exist that constitutes immediate jeopardy,
21high risk of death, substantial harm, or actual harm not involving immediate
22jeopardy to a resident, or that directly threatens a resident.
AB842,14,2423
2. The issuance of a conditional license shall revoke any outstanding license
24held by the nursing home.
AB842,15,2
13. The nursing home may seek review of a decision to issue a conditional license
2as provided in s. 50.03 (5).
AB842, s. 31
3Section
31. 50.15 of the statutes is created to read:
AB842,15,8
450.15 Nursing home improvement grants. From the appropriation
5account under s. 20.435 (6) (ge), the department shall make grants to nursing homes
6to fund quality-of-care improvement projects. The department shall promulgate
7rules that specify the eligibility criteria and application procedures for receipt of a
8grant under this section.
AB842,15,1410
(1)
Nursing home improvement grants. The department of health and family
11services shall submit in proposed form the rules required under section 50.15 of the
12statutes, as created by this act, to the legislative council staff under section 227.15
13(1) of the statutes no later than the first day of the 13th month beginning after the
14effective date of this subsection.
AB842,15,1916
(1)
Hearing requests. The treatment of section 50.04 (4) (e) 1. and (5) (e) of the
17statutes first applies to requests for hearings related to a notice of violation, a report
18notation, a plan correction, or a rejection of a plan correction that is issued on the
19effective date of this subsection.
AB842,15,2220
(2)
Conditional licensure. The treatment of sections 50.01 (1k), (1nd), and
21(1ng) and 50.04 (6) (a) of the statutes first applies to violations that continue to exist
22on the effective date of this subsection.
AB842,15,2523
(3)
Suspension of admissions. The treatment of sections 50.01 (1k), (1nd), and
24(1ng) and 50.04 (4) (d) 1. a. and b. and (d) 2. of the statutes first applies to written
25notice of violations received on the effective date of this subsection.
AB842,16,3
1(4)
Suspension or revocation of licensure. The treatment of section 50.03 (5)
2(a) of the statutes first applies to findings made by the department of health and
3family services on the effective date of this subsection.