SECTION 83. 454.06 (8) of the statutes is amended to read:
454.06 (8) EXPIRATION AND RENEWAL. The renewal date and renewal fee for licenses issued under subs. (2) to (6) are is specified under s. 440.08 (2) (a), and the renewal fees for such licenses are determined by the department under s. 440.03 (9) (a).
SECTION 84. 454.08 (3) of the statutes is amended to read:
454.08 (3) The examining board shall issue an establishment license to any person who pays the initial credential fee specified in s. 440.05 (1) determined by the department under s. 440.03 (9) (a) and who satisfies the requirements established by the examining board by rule, including proof of ownership of the business. Any change of ownership shall be reported to the examining board by the new owner within 5 days after the change of ownership.
SECTION 85. 454.08 (9) of the statutes is amended to read:
454.08 (9) The renewal date and renewal fee for licenses issued under this section are is specified under s. 440.08 (2) (a), and the renewal fee for such licenses is determined by the department under s. 440.03 (9) (a).
SECTION 86. 455.06 of the statutes is amended to read:
455.06 Renewals. The renewal date and renewal fee for licenses issued under s. 455.04 (1) and (4) are is specified under s. 440.08 (2) (a), and the renewal fee for such licenses is determined by the department under s. 440.03 (9) (a). An applicant for renewal of a license shall include with his or her application proof of completion of continuing education programs or courses approved under s. 455.065 (4) for the minimum number of hours required in the rules promulgated under s. 455.065 (1).
SECTION 87. 455.07 (2) of the statutes is amended to read:
455.07 (2) The fee for renewal of a license under this chapter is specified under s. 440.08 (2) (a) determined by the department under s. 440.03 (9) (a).
SECTION 88. 456.07 (2) of the statutes is amended to read:
456.07 (2) The application for a new certificate of registration shall include the applicable renewal fee specified under s. 440.08 (2) (a) determined by the department under s. 440.03 (9) (a) and evidence satisfactory to the examining board that during the biennial period immediately preceding application for registration the applicant has attended a continuation education program or course of study. During the time between initial licensure and commencement of a full 2-year licensure period new licensees shall not be required to meet continuing education requirements. All registration fees are payable on or before the applicable renewal date specified under s. 440.08 (2) (a).
SECTION 89. 457.20 (3) (a) of the statutes is amended to read:
457.20 (3) (a) The renewal fee specified in s. 440.08 (2) (a) determined by the department under s. 440.03 (9) (a).
SECTION 90. 458.11 of the statutes is amended to read:
458.11 Expiration and renewal. Renewal applications shall be submitted to the department on a form provided by the department on or before the applicable renewal date specified under s. 440.08 (2) (a) and shall include the applicable renewal fee specified under s. 440.08 (2) (a) determined by the department under s. 440.03 (9) (a). Renewal of an appraiser certificate automatically renews the individual's appraiser license without payment of the renewal fee for the appraiser license or completion of any additional continuing education requirements that would otherwise be required for renewal of the appraiser license. Renewal applications shall be accompanied by proof of completion of the continuing education requirements in s. 458.13. Notwithstanding s. 458.06 (3) (b) 2. and (4) (b) 2., 1989 stats., and s. 458.08 (3) (b) 2. and (c) 2., 1991 stats., the department may not renew a certificate that was granted under s. 458.06 (3) or (4) before May 29, 1993, unless the holder of the certificate submits evidence satisfactory to the department that he or she has successfully completed the applicable educational requirements specified in rules promulgated under s. 458.085 (1) and the department may not renew a certificate that was granted under s. 458.08 (3) before May 29, 1993, unless the holder of the certificate submits evidence satisfactory to the department that he or she has successfully completed the applicable education and experience requirements specified in rules promulgated under s. 458.085 (1) and (2).
SECTION 91. 459.09 (1) (a) of the statutes is amended to read:
459.09 (1) (a) Pay to the department the applicable renewal fee specified under s. 440.08 (2) (a) determined by the department under s. 440.03 (9) (a).
SECTION 92. 459.24 (5) (a) of the statutes is amended to read:
459.24 (5) (a) The renewal fee specified in s. 440.08 (2) (a) determined by the department under s. 440.03 (9) (a).
SECTION 93. 460.07 (2) (a) of the statutes is amended to read:
460.07 (2) (a) The renewal fee specified in s. 440.08 (2) (a) determined by the department under s. 440.03 (9) (a).
SECTION 94. 470.045 (3) (a) of the statutes is amended to read:
470.045 (3) (a) A firm, partnership or corporation desiring a certificate of authorization shall submit an application to the department on forms provided by the department, listing the names and addresses of all officers and directors, and all individuals in its employment licensed to practice professional geology, hydrology or soil science in this state who will be in responsible charge of professional geology, hydrology or soil science being practiced in this state through the firm, partnership or corporation and other relevant information required by the appropriate section of the examining board. A similar type of form shall also accompany the renewal fee. If there is a change in any of these persons, the change shall be reported on the same type of form, and filed with the department within 30 days after the effective date of the change. The appropriate section of the examining board shall grant a certificate of authorization to a firm, partnership or corporation complying with this subsection upon payment of the initial credential fee specified in s. 440.05 (1) determined by the department under s. 440.03 (9) (a). This subsection does not apply to firms, partnerships or corporations exempt under s. 470.025 (3).
SECTION 95. 470.045 (3) (b) of the statutes is amended to read:
470.045 (3) (b) The renewal date and renewal fee for certificates of authorization under this section are is specified under s. 440.08 (2) (a), and the renewal fee for such certificates is determined by the department under s. 440.03 (9) (a).
SECTION 96. 470.07 of the statutes is amended to read:
470.07 Renewal of licenses. The renewal dates for licenses granted under this chapter are specified under s. 440.08 (2) (a). Renewal applications shall be submitted to the department on a form provided by the department and shall include the renewal fee specified in s. 440.08 (2) (a) determined by the department under s. 440.03 (9) (a) and evidence satisfactory to the appropriate section of the examining board that the applicant has completed any continuing education requirements specified in rules promulgated under s. 470.03 (2).
SECTION 97. 480.08 (3) (b) of the statutes is amended to read:
480.08 (3) (b) Pays the initial credential fee specified in s. 440.05 (1) determined by the department under s. 440.03 (9) (a).
SECTION 98. 480.08 (5) of the statutes is amended to read:
480.08 (5) EXPIRATION AND RENEWAL. The renewal date and renewal fee for certificates granted under this chapter, other than temporary certificates granted under sub. (7), are is specified under s. 440.08 (2) (a), and the renewal fee for certificates granted under this chapter, other than temporary certificates granted under sub. (7), is determined by the department under s. 440.03 (9) (a). Renewal applications shall include evidence satisfactory to the department that the applicant holds a current permit issued under s. 77.52 (9). A renewal application for an auctioneer certificate shall be accompanied by proof of completion of continuing education requirements under sub. (6).
(End)
LRB-1006LRB-1006/3
PJK&RAC:jld:sh
2007 - 2008 LEGISLATURE
DOA:......Jablonsky, BB0208 - HIRSP Authority changes
For 2007-09 Budget -- Not Ready For Introduction
2007 BILL
AN ACT ...; relating to: changes to the Health Insurance Risk-Sharing Plan Authority.
Analysis by the Legislative Reference Bureau
Health and human services
Health
Under current law, the Health Insurance Risk-Sharing Plan Authority (HIRSP Authority) administers the Health Insurance Risk-Sharing Plan (HIRSP), which provides health insurance coverage for persons who are covered under Medicare because they are disabled, persons who have tested positive for human immunodeficiency virus (HIV), persons who have been refused coverage, or coverage at an affordable price, in the private health insurance market because of their mental or physical health condition, and persons who do not currently have health insurance coverage, but who were covered under certain types of health insurance coverage (creditable coverage) for at least 18 months in the past. HIRSP is funded by premiums paid by covered persons, insurer assessments, and provider payment discounts.
This bill makes the following changes to HIRSP and the HIRSP Authority:
1. The bill provides that the HIRSP Authority is to be treated as a state agency for all purposes under the Wisconsin Retirement System, including the purpose of providing fringe benefits, such as participation in the pension plan and health insurance coverage, to its employees.
2. The bill requires the Investment Board, if requested by the HIRSP Authority, to invest funds of the HIRSP Authority in the state investment fund. The bill further permits the HIRSP Authority to participate in the local government pooled-investment fund.
3. Currently, insurer assessments and federal high risk pool grant moneys are paid to OCI and then to the HIRSP Authority. Under the bill those payments go directly to the HIRSP Authority.
4. Currently, for payment under HIRSP, all providers of services and articles must be certified to provide those services and articles under the Medical Assistance (MA) program. The bill allows prescription drugs to be provided by a network of pharmacists and pharmacies that are approved by the HIRSP Authority Board of Directors. The network, however, must include all pharmacists and pharmacies that are certified to provide prescription drugs under MA in this state.
5. Currently, payments to providers must consist of the allowable charges for services and articles under MA with an enhancement determined by the HIRSP Authority. The adjustments must take into account provider discounts. The bill requires payments to providers to consist of usual and customary payment rates, determined by the HIRSP Authority, with adjustments that take into account provider discounts.
6. The bill provides that any administrator with which the HIRSP Authority Board contracts to administer HIRSP must also be the administrator of the Health Coverage Tax Credit Program, which the HIRSP Authority is required under current law to design and administer.
7. Under current law, certain persons with coverage under HIRSP with incomes below a specified level are eligible for premium and deductible subsidies. The bill makes all persons with coverage under HIRSP with incomes below that specified level eligible for the premium and deductible subsidies.
8. Under current law, with certain exceptions, anyone who is eligible for certain types of health care coverage provided by an employer is ineligible for coverage under HIRSP. The bill authorizes the HIRSP Authority Board to specify other exceptions.
For further information see the state fiscal estimate, which will be printed as an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:
SECTION 1. 20.145 (5) of the statutes is repealed.
****NOTE: This SECTION involves a change in an appropriation that must be reflected in the revised schedule in s. 20.005, stats.
SECTION 2. 25.14 (1) (a) (intro.) of the statutes is amended to read:
25.14 (1) (a) (intro.) There is created a state investment fund under the jurisdiction and management of the board to be operated as an investment trust for the purpose of managing the securities of all funds that are required by law to be invested in the state investment fund and all of the state's funds consisting of the funds specified in s. 25.17 (1), except all of the following:
SECTION 3. 25.17 (63) of the statutes is created to read:
25.17 (63) If requested by the Health Insurance Risk-Sharing Plan Authority, invest funds of the Health Insurance Risk-Sharing Plan Authority in the state investment fund.
SECTION 4. 40.02 (54) (L) of the statutes is created to read:
40.02 (54) (L) The Health Insurance Risk-Sharing Plan Authority.
SECTION 5. 149.11 (2) (a) 1. of the statutes is amended to read:
149.11 (2) (a) 1. Insurer assessments under s. 149.13, paid to the authority under s. 20.145 (5) (g).
SECTION 6. 149.11 (2) (a) 3. of the statutes is repealed and recreated to read:
149.11 (2) (a) 3. Moneys received from the federal government in high risk pool grants.
SECTION 7. 149.11 (2) (b) of the statutes is amended to read:
149.11 (2) (b) The authority controls the assets of the fund and shall select regulated financial institutions in this state that receive deposits in which to establish and maintain accounts for assets needed on a current basis. If practicable, the accounts shall earn interest.
SECTION 8. 149.12 (2) (e) of the statutes is renumbered 149.12 (2) (e) 1. and amended to read:
149.12 (2) (e) 1. No Subject to subd. 2., no person who is eligible for creditable coverage, other than those benefits specified in s. 632.745 (11) (b) 1. to 12., that is provided by an employer on a self-insured basis or through health insurance is eligible for coverage under the plan.
SECTION 9. 149.12 (2) (e) 2. of the statutes is created to read:
149.12 (2) (e) 2. The board may specify other types of coverage provided by an employer that do not render a person ineligible for coverage under the plan.
SECTION 10. 149.13 (3) (a) of the statutes is amended to read:
149.13 (3) (a) Each insurer's proportion of participation under sub. (2) shall be determined annually by the commissioner based on annual statements and other reports filed by the insurer with the commissioner. The commissioner shall assess an insurer for the insurer's proportion of participation based on the total assessments estimated by the authority. An insurer shall pay the amount of the assessment directly to the authority.
SECTION 11. 149.14 (2) (c) 1. of the statutes is renumbered 149.14 (2) (c).
SECTION 12. 149.14 (2) (c) 2. of the statutes is repealed.
SECTION 13. 149.14 (3) (intro.) of the statutes is amended to read:
149.14 (3) COVERED EXPENSES. (intro.) Covered expenses for coverage under the plan shall be the payment rates established by the authority for services provided by persons licensed under ch. 446 and certified under s. 49.45 (2) (a) 11. Covered expenses for coverage under the plan shall also be the payment rates established by the authority for, at a minimum, the following services and articles if the service or article is prescribed by a physician who is licensed under ch. 448 or in another state and who is certified under s. 49.45 (2) (a) 11. and, except as provided in sub. (3m), if the service or article is provided by a provider certified under s. 49.45 (2) (a) 11.:
SECTION 14. 149.14 (3m) of the statutes is created to read:
149.14 (3m) PHARMACY NETWORK. Covered expenses for prescription drugs shall be the payment rates established by the authority for prescription drugs that are provided to eligible persons by a network of pharmacists and pharmacies approved by the board, regardless of whether the provider of the drug is certified under s. 49.45 (2) (a) 11. The network of pharmacists and pharmacies approved by the board shall include, at a minimum, all pharmacists licensed under s. 450.03 who are certified under s. 49.45 (2) (a) 11. and all pharmacies licensed under s. 450.06 that are certified under s. 49.45 (2) (a) 11.
SECTION 15. 149.14 (5) (a) of the statutes is amended to read:
149.14 (5) (a) The authority shall establish and provide subsidies for deductibles paid by eligible persons with coverage under s. 149.14 (2) (a) and household incomes specified in s. 149.165 (2) (a) 1. to 5.
SECTION 16. 149.142 (1) of the statutes is amended to read:
149.142 (1) ESTABLISHMENT OF RATES. The authority shall establish provider payment rates for covered expenses that consist of the allowable charges paid under s. 49.46 (2) usual and customary payment rates, as determined by the authority, for the services and articles provided plus an enhancement adjustment determined by the authority. The rates shall be based on the allowable charges paid under s. 49.46 (2), projected plan costs, and trend factors. Using the same methodology that applies to medical assistance under subch. IV of ch. 49, the authority shall establish hospital outpatient per visit reimbursement rates and hospital inpatient reimbursement rates that are specific to diagnostically related groups of eligible persons. The adjustments to the usual and customary rates shall be sufficient to cover the portion of plan costs specified in s. 149.143 (1) (c) and (2) (b).
SECTION 17. 149.143 (1) (intro.) of the statutes is amended to read:
149.143 (1) COSTS EXCLUDING SUBSIDIES. (intro.) The authority shall pay plan costs, excluding any premium, deductible, and copayment subsidies, first from any federal funds, if any, that are transferred to the fund under s. 20.145 (5) (m) and under s. 149.11 (2) (a) 3. that exceed premium, deductible, and copayment subsidy costs in a policy year. The remainder of the plan costs, excluding premium, deductible, and copayment subsidy costs, shall be paid as follows:
SECTION 18. 149.143 (2) (intro.) of the statutes is amended to read:
149.143 (2) SUBSIDY COSTS. (intro.) The authority shall pay for premium, deductible, and copayment subsidies in a policy year first from any federal funds, if any, that are transferred to the fund under s. 20.145 (5) (m) under s. 149.11 (2) (a) 3. received in that year. The remainder of the subsidy costs shall be paid as follows:
SECTION 19. 149.165 (2) (bc) of the statutes is amended to read:
149.165 (2) (bc) Subject to sub. (3m), if the household income, as defined in s. 71.52 (5) and as determined under sub. (3), of an eligible person with coverage under s. 149.14 (2) (b) or (c) is equal to or greater than the first amount and less than the 2nd amount listed in par. (a) 1., 2., 3., 4., or 5., the authority shall reduce the premium established for the eligible person by the same percentage as the authority reduces, under par. (a), the premium established for an eligible person with coverage under s. 149.14 (2) (a) who has a household income specified in the same subdivision under par. (a) as the household income of the eligible person with coverage under s. 149.14 (2) (b) or (c).
SECTION 20. 149.65 (1) of the statutes is amended to read:
