Disability Insurance
Employer % Contribution
Level ____ ______ _______ _______
Long-Term Care Insurance
Employer % Contribution
Level ____ ______ _______ _______
Other ______________________ ______ _______ _______
Total Fringe Benefit Cost _______ _______ _______
Total Salary and Fringe Benefit Cost _______ _______ _______
QEO1 Increased/decreased salary cost as a percentage of base
Year total salary and fringe benefit cost _______
QEO1 Increased/decreased fringe benefit cost as a percentage of base Year total salary and fringe benefit cost _______
QEO2 Increased/decreased salary cost as a percentage of QEO1
total salary and fringe benefit cost _____
QEO2 Increased/decreased fringe benefit cost as a percentage of
QEO1 total salary and fringe benefit cost ______
Attach a chart identifying the number of base year employees at each step and lane on any existing salary schedule. We swear that we completed this form in as accurate a manner as possible.
__________________________ _____________
Superintendent/ Date
Business Manager
__________________________ ____________
Treasurer Date
WISCONSIN EMPLOYMENT RELATIONS COMMISSION QUALIFIED ECONOMIC OFFER
INSTRUCTIONS
FORM C
Utilize the following instructions to determine the components of a qualified economic offer.
Note: If payment of any appropriate salary increase would raise your fringe benefit costs (due to resultant social security and retirement cost increases) above 1.7% of Step 3 (base cost), then reduce the salary increase in the amount necessary to keep the combined cost of fringe benefits, steps, and average salary increase at 3.8% of Step 3 (base cost).
DEVELOPING A QUALIFIED ECONOMIC OFFER
When calculating any appropriate salary increase or decrease, include any increased or decreased salary cost in extended contracts, co-curricular pay, extra duty pay, etc., which is produced by salary schedule increases or decreases or payment of steps or lanes.
1. Complete Forms A and B.
2. Using the information on Form A, determine how the law requires you to proceed by identifying the cost combination that applies to the first 12-month period of your offer.
A. If the combined costs identified by Step 6 (fringe benefits) and Step 8 (steps), are less than 3.8% of Step 3 (base cost), then you must do the following for all employees who are actually represented by the labor organization for the purpose of collective bargaining and contract administration:
1. Maintain all fringe benefits identified on Form B and the district's percentage contribution toward the cost thereof.
2. Pay all eligible employees any salary increase to which they are entitled by virtue of an additional year of service on the salary schedule. Include longevity payments if they are part of the salary schedule.
3. Pay an average salary increase to all employees in an amount determined by the difference between 3.8% of Step 3 (base cost) and the combined cost of Step 6 (fringe benefits) and Step 8 (steps) and in a manner which does not alter the relationship between steps and lanes in your existing salary structure. The options available for distribution of the general salary increase are a uniform dollar amount increase on each salary cell; or a uniform % increase to each salary cell; or an increase in the base which increases each cell in accordance with the existing salary structure.
B. If the combined costs identified by Step 6 (fringe benefits) and Step 8 (steps) are 3.8% of Step 3 (base cost), then you must do the following for all employees who are actually represented by the labor organization for the purposes of collective bargaining and contract administration:
1. Maintain all fringe benefits identified on Form B and the district's percentage contribution toward the cost thereof.
2. Pay all eligible employees any salary increase to which they are entitled by virtue of an additional year of service on the salary schedule. Include longevity payments if they are part of the salary schedule.
C. If the combined costs identified by Step 6 (fringe benefits) and Step 8 (steps) are more than 3.8% of Step 3 (base cost) but the cost of Step 6 (fringe benefits) is less than 3.8% of Step 3 (base cost), then you must do the following for all employees who are actually represented by the labor organization for the purposes of collective bargaining and contract administration:
1. Maintain all fringe benefits identified on Form B and the district's percentage contribution toward the cost thereof.
2. Calculate the prorated portion of Step 7 (steps) which can be funded by 3.8% of Step 3 (base cost) minus the cost identified by Step 5 (fringe benefits). To identify the proration percentage, identify the amount of money available to fund steps and divide by the amount of money necessary to fully fund steps.
3. Pay the same prorated salary increase to all eligible employees entitled thereto by virtue of an additional year of employment on the salary schedule. Include longevity payments if they are part of the salary schedule. For example, if the foregoing calculation would allow payment of half of the Step 7 (steps) salary increase to eligible Step 1 employees, you must pay one-half of the salary increase to which any of your actual employees are entitled by virtue of an additional year of service on the salary schedule during the first 12 months of your offer.
D. If the cost identified by Step 6 (fringe benefits) is 3.8% of Step 3 (base cost), then you must do the following for all employees who are actually represented by the labor organization for the purposes of collective bargaining the contract administration:
1. Maintain all fringe benefits identified on Form B and the district's percentage contribution toward the cost thereof.
E. If the cost identified by Step 6 (fringe benefits) is more than 3.8% of Step 3 (base cost), then you must do the following for all employees who are actually represented by the labor organization for the purposes of collective bargaining and contract administration:
1. Maintain all fringe benefits identified on Form B and the district's percentage contribution toward the cost thereof.
2. You may decrease the salary of all employees in an amount determined by the difference between the cost identified by Step 6 (fringe benefits) and 3.8% of Step 3 (base cost) and in a manner which does not alter the relationship between steps and lanes on your existing salary structure. The options available for distribution of the average salary decrease are a uniform dollar amount decrease on each salary cell; or a uniform % decrease on each salary cell; or a decrease in the base which decreases each cell in accordance with the existing salary structure.
For the second year or portion thereof, repeat your evaluation of options A-E utilizing the costs identified in Steps 9-14 of Form A.
Initial Regulatory Flexibility Analysis
The proposed rule will have no economic impact on small business.
Fiscal Estimate
The proposed rule will have no fiscal impact.
Contact Person
The agency contact person is Peter G. Davis, General Counsel, Wisconsin Employment Relations Commission. (608 266-2993
/peter.davis@werc.state.wi.
Notice of Hearings
Health and Family Services
NOTICE IS HEREBY GIVEN that pursuant to ss.
49.498 (14),
50.02 (1),
(2) (a),
(b) 2.,
(bm),
(bn),
(d), and
(3) (a) to
(d),
50.03 (4) (a) 1. a.,
50.095 (3) (am),
50.098, and
227.11 (2) (a), Stats. and interpreting ss.
49.498,
49.499,
50.02 (1),
50.03,
50.04,
50.05,
50.065,
50.07,
50.09,
50.095,
50.135, and
50.14, Stats., the Department of Health and Family services proposes to repeal, renumber, renumber and amend, amend, and create rules relating to nursing homes and affecting small businesses.
Hearing Date(s) and Location(s)
Date and Time
|
Location
|
July 24, 2006
9:00 a.m. to 3:00 p.m.
|
Southeastern Regional Office
819 North 6th Street, Room 40
Milwaukee, WI
|
July 25, 2006
9:00 a.m. to 3:00 p.m.
|
Wilson Street State Office Building
1 West Wilson Street, Room 751
Madison, WI
|
July 26, 2006
9:00 a.m. to 3:00 p.m.
|
Northeastern Regional Office
200 North Jefferson Street
Room 152 A
Green Bay, WI
|
July 28, 2006
9:00 a.m. to 3:00 p.m.
|
Northern Regional Office
2187 North Stevens Street
Large Conference Room
Rhinelander, WI
|
July 31, 2006
9:00 a.m. to 3:00 p.m.
|
Western Regional Office
610 Gibson Street, Room 123
Eau Claire, WI
|
The hearing site is fully accessible to people with disabilities. If you are hearing impaired, do not speak English or have circumstances that might make communication at a hearing difficult; you require an interpreter or a non-English large print or taped version of the proposed rules, contact the person at the address or telephone number given below at least 10 days before the hearing. With less than 10 days notice, an interpreter may not be available.
Place Where Written Comments May be Submitted
Written comments may be submitted at the public hearing or submitted to the Department using the Wisconsin Administrative Rule Website at
http://adminrules.wisconsin.gov . Comments may also be submitted to Otis Woods, Director, Department of Health and Family Services, Bureau of Quality Assurance, 1 West Wilson, Room 1150, P.O. Box 2969, Madison, WI 53701-2969, phone: (608) 267-7185, fax: (608) 267-0352, e-mail:
Woodsol@dhfs.state.wi.us.
Deadline for Comment Submission
The deadline for submitting comments to the Department is 4:30 p.m. on August 1, 2006.
Analysis Prepared by the Department of Health and Family Services
Nursing homes are regulated by the Department under ch.
HFS 132, ch.
50, Stats., and, if a nursing home participates as a provider in the Medicaid and Medicare programs, the nursing home is also regulated by the Department under
42 CFR 483. Nursing home construction and remodeling is regulated by the Department of Commerce under chs.
Comm 61 to
65, the Commercial Building Code. Many of the provisions in ch.
HFS 132 are outdated and overly prescriptive, or are duplicative of ch.
50, Stats.,
42 CFR 483, or chs.
Comm 61 to
65. Through this rulemaking order the Department proposes to repeal or revise outdated or overly prescriptive rule provisions, and to repeal provisions that are duplicative of the requirements that are already stated in and monitored under ch.
50, Stats.,
42 CFR 483, or chs.
Comm 61 to
65.
In addition, the Department also proposes to create rule provisions requiring applicants for nursing home licensure to disclose the qualifications of any person with authority to manage the nursing home; any occurrences that required closure of a residential or health care facility or that required moving its residents; and any financial difficulties that a person or business entity connected with the nursing home has had in operating a residential or health care facility. The Department further proposes to create a quality assurance and improvement committee to distribute funds as allowed under ss.
49.499 (2m), Stats., to nursing homes for innovative projects that improve the efficiency and cost effectiveness of operating a nursing home and that improve the quality of life of residents.
The Department believes that the proposed revisions to ch.
HFS 132 will not have an adverse effect on the health, safety, and welfare of existing or future residents of nursing homes as provisions that the Department believes provide greater protection of the health, safety, and welfare of residents than either ch.
50, Stats.,
42 CFR 483, or chs.
Comm 65 to
66 are retained. The additional application requirements are not expected to result in any increase in costs and the proposed removal of outdated, prescriptive, and duplicative provisions from ch.
HFS 132 will make it easier for nursing homes to achieve compliance and provide care to residents in a cost effective manner and ensure residents are protected from unanticipated closures due to financial instability of nursing home licensees and in fact lower costs. The proposed creation of the quality assurance committee and subsequent distribution of funds under s.
49.499 (2m), Stats., is expected to not only improve residents quality of life in nursing homes, but is expected to stimulate innovation and competition within and among nursing homes in a way that will result in the highest quality care to residents.
The proposed removal of outdated, overly prescriptive, or duplicative provisions include provisions relating to residents rights, community organization access, general medical records requirements, oxygen use, resident care planning, medical services, certain dietary standards related to sanitation, meal services and staff hygiene, pharmacy consultant, diagnostic services, emergency dental services, social worker qualification requirements, activity staffing requirements, certain active treatment requirements, requirements regarding short-term care admissions, general housekeeping and maintenance items, building requirements relative to corridor width, doors, locks, exit stairways, oxygen storage services, mechanical systems such as sewage, plumbing, telephone, lighting and ventilation, and certain design areas such as windows, bed capacity, grab bars, dining and activity areas, design of the food service area and ancillary areas. As indicated above, these requirements duplicate other rules or are outdated or overly prescriptive.
The Department proposes to retain provisions that the Department believes provide greater protection of the health, safety, and welfare of residents than either ch.
50, Stats.,
42 CFR 483, or chs.
Comm 65 to
66 or those that are not addressed in other law or regulations, including provisions relating to the following:
Rules requiring a facility to notify residents of basic services and fees, and practice nondiscriminatory treatment based on pay source were kept as these regulations afford residents greater protection that was not available in either ch.
50, Stats., or federal regulation.
Rules pertaining to locked units were retained as no other regulations address this issue.
Rules pertaining to the nursing home administrator were retained. Although federal regulations address this requirement, ch.
HFS 132 is more prescriptive requiring the administrator be full-time and requiring prompt notice to the Department when a vacancy occurs.
Rules addressing admissions of residents who are developmentally disabled, under the age of eighteen and day care clients were also kept as no other rules govern their care.
Rules relating to involuntary discharge. In this area, ch.
HFS 132 provides greater protection for residents.
Rules requiring the provision of basic nursing care. These provisions reflect a basic standard of practice not found in other regulations.
Several nurse staffing rules. There are no comparable federal standards. Chapter
HFS 132 requires a registered nurse to be on duty based on the number of residents in need of skilled nursing care.
Provisions relating to pharmacy services were also retained because there is no federal counterpart.
Requirements were also kept for specific resident care equipment such as mattresses, pillows, linens, over bed tables, window coverings, etc., as the federal regulations are too broad.
Rules requiring a disaster plan and training for staff were maintained because there is no federal counterpart.
Effect on Small Business (Initial Regulatory Flexibility Analysis)
The Department licenses approximately 340 private and 60 government owned nursing homes to accept patients with specific categories of health care needs. Skilled nursing facilities (SNFs) and intermediate care facilities (ICFs) provide primarily medical care to restore individuals to their rehabilitative potential. Institutions for mental diseases (IMDs) serve residents with psychotic and nonpsychotic mental illness. Ninety percent of these homes are skilled nursing facilities that generally have a permanent core staff of registered or licensed practical nurses and other staff who provide the elderly, and other individuals, with nursing and personal care services that include assistance with activities of daily living such as bathing, toilet use, eating and dressing, skin care, rehabilitative services for mental illness, and special treatment such as tracheostomy care, ostomy care, respiratory treatment, and tube feedings. Analysis of the data compiled in the Wisconsin Department of Health and Family Services, Division of Public Health, Bureau of Health Information and Policy Wisconsin Nursing Homes and Residents, 2004 (PPH 5374-04) September 2005 suggests that at least 40% of all licensed facilities have 85 or fewer beds and average gross annual revenues below $5 million assuming a 100% occupancy rate and annual per bed charges of $56,000. Approximately 81% of these beds are in privately owned facilities. The department approximates, however, that only about 10% of the privately owned facilities meet the definition of small business because some of these facilities are part of large corporations owning several facilities and employing more than 25 employees.
Through this rulemaking order the Department proposes to do the following:
Repeal or revise outdated or overly prescriptive rule provisions;
Repeal provisions that are duplicative of the regulations that are already stated in and monitored under ch.
50, Stats.,
42 CFR 483, or chs.
Comm 61 to
65;
Create rule provisions requiring applicants for nursing home licensure to disclose, in the application, the qualifications of any person with authority to manage the nursing home; any occurrences requiring closure of a residential or health care facility and relocating its residents; and any financial difficulties that a person or business entity connected with the nursing home has had in operating a residential or health care facility; and
Create a quality assurance and improvement committee to distribute funds as allowed under ss.
49.499 (2m), Stats., to nursing homes for innovative projects that improve the efficiency and cost effectiveness of operating a nursing home and that improve the quality of life of residents.
