SB51,18,2120 4. The formulation of criteria and procedures for payment of out-of-state
21health care costs incurred by residents specified in subd. 3.
SB51,18,2322 5. Use of federal financial participation to fund the scope, or a portion of the
23scope, of medical services to be provided under the health plan.
SB51,18,2524 (c) Application for waivers to Medicare or consideration of the feasibility of
25statutory changes to 42 USC 1395 to 1395hhh in order to effect all of the following:
SB51,19,2
11. Administration of the Medicare program in this state by the department,
2rather than by private insurers.
SB51,19,43 2. Use of federal Medicare funds to fund a portion of the administrative costs,
4after June 30, 2010, of the department.
SB51,19,75 3. Use of federal Medicare funds to fund, under the health plan, the health care
6services received by residents who are eligible to receive services under Medicare
7beginning on July 1, 2010.
SB51,19,98 4. The formulation of criteria and procedures for payment of out-of-state
9health care costs incurred by residents specified in subd. 3.
SB51,19,1110 5. Use of federal Medicare funds to fund the scope, or a portion of the scope, of
11medical services to be provided under the health plan.
SB51,19,1312 6. The assignment to the state, as represented by the department, of rights of
13an individual to payment for medical care from any 3rd party.
SB51,19,1714 (d) Application for waivers or consideration of the feasibility of statutory
15changes to federal laws, other than those specified in pars. (b) and (c), in order to use
16moneys available under those federal laws for payment of health care services under
17the health plan or in order to provide services to all residents under the health plan.
SB51,19,2018 (e) The establishment and maintenance, with reserves of no less than 5 percent
19of the total annual amount appropriated under s. 20.430 (1) (b), of a health trust fund
20in the department, for receipt of revenues specified in par. (a).
SB51,20,321 (f) The formulation of criteria for determining payment and the formulation of
22procedures for determining payment and negotiating applicable rates to be used for
23payment for health care providers, including health care facilities, under the health
24plan. The criteria and procedures for determining payment shall include periodic
25overall budgeting, including separately budgeting for operational costs; for health

1care facilities and services; for negotiations with professional groups or associations
2of practitioners; for consideration of inflation costs and increased patient
3populations; and for research and teaching.
SB51,20,74 (g) The development and implementation of a system to provide an electronic
5or other identification card, bearing a unique number that is not a social security
6number, to each health plan participant, for receipt of benefits under the plan, and
7to each health care provider, for receipt of reimbursement.
SB51,20,118 (h) The formulation of criteria and procedures to review and to provide funding
9for capital expenditures, from an account separate from that from which health care
10services are paid, for the establishment, maintenance, or expansion of health care
11facilities.
SB51,20,1312 (i) The formulation of criteria and procedures for recovery of overpayments
13made to health care providers under the health plan.
SB51,20,1514 (j) The determination and use of factors requisite to establishing an annual
15state health budget for the provision of services under the health plan.
SB51,20,1816(k) Application for waivers of 29 USC 1144 (a) or consideration of the feasibility
17of statutory change to 29 USC 1144 (a) or the means by which operation of the health
18plan may avoid conflict with 29 USC 1144 (a).
SB51,20,2119 (L) Investigation of the feasibility of providing the state with subrogation
20rights to payments for injury or disease to residents that are provided under motor
21vehicle or other liability insurance policies or plans.
SB51,20,2322 (m) Formulation of criteria and procedures for payment under the health plan
23of out-of-state health care costs incurred by residents.
SB51,20,2524 (n) Establishment of a listing of approved medicinal substances and formulae,
25including all of the following:
SB51,21,4
11. Negotiation with pharmaceutical manufacturers or distributors to obtain
2the lowest possible cost for each medicinal substance. The negotiation shall include
3as parties on behalf of the health plan the secretary of the department and the
4chairperson of the board.
SB51,21,65 2. Establishment of a single statewide price, under the health plan, for each
6medicinal substance.
SB51,21,87 3. Monitoring the listing to oversee its currency and revising the listing by
8January 1 and July 1 annually.
SB51,21,109 4. Negotiating a statewide uniform dispensing fee with representatives of
10pharmacists or pharmacies.
SB51,21,1111 (p) Exemption of operation of the health plan from ch. 133, if necessary.
SB51,21,1212 (q) Other issues relevant to the health plan, as determined by the board.
SB51,21,21 13(6) From the appropriation under s. 20.430 (1) (c), the department shall, in
14cooperation with the department of workforce development and any other applicable
15state agency, as defined in s. 20.001 (1), provide job retraining or job placement
16services to individuals employed by insurers, as defined in s. 600.03 (27) and by
17health care providers whose employment is or will be terminated because of
18implementation of the health plan under this chapter. The department may award
19moneys as grants to applying organizations, under the department's
20request-for-proposal procedures, for the provision of job retraining or placement
21services under this subsection.
SB51,21,23 22(7) The secretary shall create a medical advisory committee and appoint
23members of the committee, to recommend criteria under sub. (3) (b).
SB51, s. 15 24Section 15. Nonstatutory provisions; health planning and finance.
SB51,22,5
1(1) Health policy board; appointment of members. Notwithstanding the
2length of terms specified for the members of the health policy board under section
315.20 (intro.) of the statutes, as created by this act, the initial members of the health
4policy board shall be appointed or elected by the first day of the 4th month beginning
5after the effective date of this subsection for the following terms:
SB51,22,106 (a) Two members specified under section 15.20 (1) of the statutes, as created
7by this act, one of whom is elected from the northern regional consumer health
8council and one of whom is elected from the southeastern regional health council, and
92 members specified under section 15.20 (2) of the statutes, as created by this act, for
10terms expiring on May 1, 2011.
SB51,22,1511 (b) Two members specified under section 15.20 (1) of the statutes, as created
12by this act, one of whom is elected from the northeastern regional consumer health
13council and one of whom is elected from the regional consumer health council for the
14area within Milwaukee County, and 2 members specified under section 15.20 (2) of
15the statutes, as created by this act, for terms expiring on May 1, 2013.
SB51,22,2016 (c) Two members specified under section 15.20 (1) of the statutes, as created by
17this act, one of whom is elected from the southern regional consumer health council
18and one of whom is elected from the western regional consumer health council, and
19one member specified under section 15.20 (2) of the statutes, as created by this act,
20for terms expiring on May 1, 2015.
SB51,23,221 (2) Regional consumer health councils; appointment of members.
22Notwithstanding the length of terms specified for the members of regional consumer
23health councils under section 15.207 (1) (b) of the statutes, as created by this act, the
24initial members of the regional consumer health councils shall be appointed by the

1first day of the 3rd month beginning after the effective date of this subsection for the
2following terms:
SB51,23,43 (a) For the regional consumer health council under section 15.207 (1) (b) 1. of
4the statutes, as created by this act:
SB51,23,5 51. Five members, for terms expiring on July 1, 2012.
SB51,23,6 62. Five members, for terms expiring on July 1, 2013.
SB51,23,7 73. Six members, for terms expiring on July 1, 2014.
SB51,23,98 (b) For the regional consumer health council under section 15.207 (1) (b) 2. of
9the statutes, as created by this act:
SB51,23,10 101. Five members, for terms expiring on July 1, 2012.
SB51,23,11 112. Five members, for terms expiring on July 1, 2013.
SB51,23,12 123. Five members, for terms expiring on July 1, 2014.
SB51,23,1413 (c) For each regional consumer health council under section 15.207 (1) (b) 3. or
144. of the statutes, as created by this act:
SB51,23,15 151. Five members, for terms expiring on July 1, 2012.
SB51,23,16 162. Five members, for terms expiring on July 1, 2013.
SB51,23,17 173. Seven members, for terms expiring on July 1, 2014.
SB51,23,1918 (d) For each regional consumer health council under section 15.207 (1) (b) 5.
19or 6. of the statutes, as created by this act:
SB51,23,20 201. Four members, for terms expiring on July 1, 2012.
SB51,23,21 212. Four members, for terms expiring on July 1, 2013.
SB51,23,22 223. Four members, for terms expiring on July 1, 2014.
SB51,23,2323 (3) Proposed implementation.
SB51,24,324 (a) The department of administration shall expedite the creation of regional
25consumer health councils in accord with section 15.207 (1) (b) of the statutes, as

1created by this act, by initiating and making follow-up contacts with boards of
2supervisors in counties other than Milwaukee County and with the county executive
3of Milwaukee County and the mayor of the city of Milwaukee.
SB51,24,74 (b) The department of administration shall provide staff assistance to complete
5all activities required to create the 6 regional consumer health councils and enable
6each regional consumer health council to elect one member of the health policy board
7as required under section 15.20 (1) of the statutes, as created by this act.
SB51,24,108 (c) The health policy board shall appoint the secretary of health planning and
9finance within 6 months after the first meeting at which all appointed and at least
103 elected board members assemble.
SB51,24,2311 (d) The secretary of health planning and finance and the secretary of
12administration shall, until September 1, 2011, meet at least semimonthly to
13formulate decisions on issues concerning the health plan and the department of
14health planning and finance, as specified in chapter 152 of the statutes, as created
15by this act, and how the scope and functions of the department of health planning
16and finance affect the scope and functions of the department of health and family
17services, the office of the commissioner of insurance, and the board on aging and
18long-term care and the duties or powers of any other state agency. Following
19approval by the health policy board, the department of health planning and finance
20shall convey these decisions to, and cooperate with, the legislative reference bureau
21in the drafting of proposed legislation that is necessary to implement those decisions,
22for introduction in the legislature in 2010 by the appropriate committee of the
23legislature.
SB51,25,524 (e) Within 2 months after the first day of the 36th month after the appointment
25of the first secretary of health planning and finance under paragraph (c), the health

1policy board shall evaluate, in writing, the performance of the secretary, shall decide
2whether or not to continue the appointment, and shall provide a copy of the
3evaluation to the governor. If the health policy board decides to discontinue the
4appointment, the board shall, within 6 months, implement the decision and appoint
5a successor.
SB51, s. 16 6Section 16. Nonstatutory provisions; legislative reference bureau.
SB51,25,127 (1) Drafting proposed legislation to implement the health plan. The
8legislative reference bureau shall, after meeting with and receiving the decisions of
9the department of health planning and finance with respect to the health plan, as
10specified in chapter 152 of the statutes, as created by this act, prepare in proper form
11proposed legislation that shall relate to those decisions, for introduction in the
12legislature in 2010 by the appropriate committee of the legislature.
SB51, s. 17 13Section 17. Effective dates. This act takes effect on the day after publication,
14except as follows:
SB51,25,1615 (1) The treatment of sections 20.430 (1) (b) and 152.10 of the statutes takes
16effect on July 1, 2010.
SB51,25,1717 (End)
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