Chs. SFP 2 & 7 - Ages at state fair park and the state fair park bond schedule.
Summary of Final Regulatory Flexibility Analysis:
This rule proposal has minimal effect on small businesses in Wisconsin. To the extent that it does effect small businesses, it grants them additional rights without imposing any additional costs.
This rule changes several references in SFP rules from 18 years of age to 17 years of age. This means that if something was previously prohibited for persons under 18 years of age, it is now prohibited for persons under 17 years of age. There is one exception to this lowering of age. Current rules require persons serving, selling or vending alcoholic beverages to be 18 years of age or older, That provision was not changed. These changes do not have a negative impact on small businesses.
The other thing this rule does is establish a bond schedule for persons who violate provisions of SFP 1-6. Since this will only apply to persons who violate the rules, it is not anticipated that this will have an effect on small businesses. While it is true that small businesses may be faced with paying a forfeiture, that is completely within their control because they are able to determine whether they will violate the rules and, therefore, whether they will be subject to the bond.
Summary of Comments from Legislative Committees:
On March 23, 1998, the Board submitted the above rule for legislative committee review. On March 24, 1998, the rule was referred to the Senate Committee on Agriculture and Environmental Resources. On April 21, 1998, the rule was withdrawn from the Senate Committee on Agriculture and Environmental Resources and reassigned to the Senate Committee on Transportation, Agriculture, and Rural Affairs. On April 1, 1998, the rule was referred to the Assembly Committee on Tourism and Recreation. Neither the Senate Committees nor the Assembly Committee took any action during their review periods.
14.   Tourism (CR 97-155)
SS. Tour 1.02, 1.03 and 1.05 - Relating to the joint effort marketing program.
Summary of Final Regulatory Flexibility Analysis:
These proposed rules will have no significant economic impact on small businesses, as defined in s. 227.114 (1) (a), Stats.
Summary of Comments:
No comments were reported.
15.   Transportation (CR 97-154)
Ch. Trans 512 - Transportation Infrastructure Loan Program.
Summary of Final Regulatory Flexibility Analysis:
This proposed rule will have no significant adverse impact on small businesses.
Summary of Comments:
No comments were reported.
E x e c u t i v e O r d e r s
The following is a listing of recent Executive Orders issued by the Governor.

  Executive Order 333. Relating to a Proclamation that the Flag of the United States and the Flag of the State of Wisconsin be Flown at Half-Staff on Memorial Day.
  Executive Order 334. Relating to the Repeal and Re-Establishment of the State Interagency Coordinating Council.
  Executive Order 335. Relating to the Creation of the Governor's Blue Ribbon Task Force on Aquaculture.
  Executive Order 336. Relating to a Proclamation that the Flag of the United States and the Flag of the State of Wisconsin be Flown at Half-Staff as a Mark of Respect for the Memory of the Late Barry M. Goldwater, Former United States Senator from the State of Arizona.
  Executive Order 337. Relating to a Proclamation of a State of Emergency.
Public Notices
Public Notice
Health & Family Services
(Medical Assistance Reimbursement of Nursing Homes)
State of Wisconsin Medicaid Nursing Facility Payment Plan: FY 98-99
The State of Wisconsin reimburses Medicaid-certified nursing facilities for long-term care and health care services provided to eligible persons under the authority of Title XIX of the Federal Social Security Act and ss. 49.43 to 49.47, Wisconsin Statutes. This program, administered by the State's Department of Health and Family Services, is called Medical Assistance (MA) or Medicaid. Federal statutes and regulations require that a state plan be developed that provides the methods and standards for setting payment rates for nursing facility services covered by the payment system. A plan that describes the nursing home reimbursement system for Wisconsin is now in effect as approved by the Federal Health Care Financing Administration (HCFA).
The Department is proposing changes in the methodology for establishing rates of payment to nursing homes in the plan describing the nursing home reimbursement system. The changes will be effective July 1, 1998. The proposed changes that comprise this plan amendment will not be finalized until the public comment period is concluded. The public comment period will continue until at least September 1, 1998. The plan amendment's changes will be effective retroactive to July 1, 1998. Rates for facilities will be final only after they are set pursuant to the methodologies that are ultimately adopted. A computer model is used to ensure that the methods conform to the budget. A printout of the budgetary impact of the methods as a whole and rates in aggregate is generated. Individuals and organizations may obtain or review copies of the draft proposed changes covered by the plan amendment, draft copies of the model printout, and a worksheet that may be used to calculate approximate individual facility rates based on the proposed methodologies (i.e., the proposed rates). Opportunity to comment on the proposed changes will be provided in public meetings. See the end of this notice for information about the public meetings and where to send for or to review copies of the draft proposed changes and the printout.
The proposed changes would update the payment system and make various payment-related policy changes. Some of the changes are necessary to implement policies that were included in the Wisconsin 1997-99 Budget Act; some of the changes are technical in nature; some clarify various payment plan provisions.
The estimated increase in annual aggregate expenditures attributable to these changes for nursing homes serving MA recipients is approximately $30,322,500 all funds ($18,193,500 federal), excluding patient liability.
Proposed Changes
Proposed changes are as follows:
1. Modify the methodology to distribute approximately 3.5% or $30,322,500 (all funds), excluding patient liability, whichever is less, in the payment rate year of July 1, 1998, through June 30, 1999. Specifically, we will create Section 7.00 to provide the methods for an increase for all rate elements except capital. Section 7.00 will contain a sample rate calculation included as part of the plan amendment, the policy on applicable formula maximums drafted to clarify the implementation of the Section 7.00 rate on rate payment system, and references to other sections of the plan. The Department will update the parameters for calculating the capital rates.
2. Revise various references to specific years and related provisions to clarify what is the base year, and to incorporate Section 7.00, the rate year and various payment policies that are specific to a given year.
3. Clarify and update the bed banking provisions.
4. Incorporate technical and style revisions as needed in select sections requiring clarification.
5. Incorporate miscellaneous changes as necessary to implement the intent of the payment plan.
Copies of the Proposed Changes:
Copies of the proposed changes may be obtained free of charge by calling or writing as follows:
Regular Mail
Attention: Nursing Home Medicaid Payment Plan
Bureau of Health Care Financing
Division of Health
P.O. Box 309
Madison, WI 53701-0309
Telephone (608) 264-6730
Attention: Nursing Home Medicaid Payment Plan
FAX number (608) 264-7720
Copies of the proposed changes will be available for review at the main office of any county department of social services or human services from July 15 through at least September 1.
Since changes will be continuously developed during the public comment period, additional materials will be developed and will be available by the options above or by attending the public meetings. If you request copies of the proposed changes, you will receive a copy of the final changes or the final plan amendment.
Before finalizing the plan amendment, the Department may modify its proposed changes after considering the comments received during the public comment period. The plan amendment will not be submitted to the federal government until after the public comment period and will be effective retroactively to July 1, 1998.
Written Comments
Except for the public meetings, only written comments will be considered. Written comments on the proposed changes may be sent by FAX, E-mail, or regular mail to the Bureau of Health Care Financing. The FAX number is (608) 264-7720. The E-mail address is: Regular mail may be sent to the above address. All written comments will be reviewed and considered.
The written comments will be available for public review between the hours of 7:45 a.m. and 4:30 p.m. daily in Room 250 of the State Office Building, 1 West Wilson Street, Madison, Wisconsin. Revisions may be made in the proposed changes, based on comments received.
Public Meetings
There will also be public meetings to seek input on the proposed plan amendment. If you would like to be sent a public meeting notice, please fax or write using the above addresses. The proposed changes may be revised, based on comments received at these forums.
Public Notice
Health & Family Services
(Medical Assistance Reimbursement of Hospitals)
Links to Admin. Code and Statutes in this Register are to current versions, which may not be the version that was referred to in the original published document.