STATE OF WISCONSIN DEPARTMENT OF ADMINISTRATION DOA-2049 (C04/2011) | Division of Executive Budget and Finance 101 East Wilson Street, 10th Floor P.O. Box 7864 Madison, WI 53707-7864 FAX: (608) 267-0372 |
ADMINISTRATIVE RULES – FISCAL ESTIMATE |
1. Fiscal Estimate Version |
☑ Original ☐ Updated ☐ Corrected |
2. Administrative Rule Chapter Title and Number INS 1728 |
3. Subject Injured Patients and Families Compensation Fund Annual fund and Mediation Panel Fees for the fiscal year beginning July 1, 2015 and affecting small business |
4. State Fiscal Effect: |
☑ No Fiscal Effect ☐ Indeterminate | ☐ Increase Existing Revenues ☐ Decrease Existing Revenues NONE | ☐ Increase Costs ☐ Yes ☐ No May be possible to absorb within agency’s budget. ☐ Decrease Costs NONE |
5. Fund Sources Affected: ☐ GPR ☐ FED ☐ PRO ☐ PRS ☑ SEG ☐ SEG-S | 6. Affected Ch. 20, Stats. Appropriations: None |
7. Local Government Fiscal Effect: |
☑ No Fiscal Effect ☐ Indeterminate | ☐ Increase Revenues ☐ Decrease Revenues | ☐ Increase Costs ☐ Decrease Costs NONE |
8. Local Government Units Affected: ☐ Towns ☐ Villages ☐ Cities ☐ Counties ☐ School Districts ☐ WTCS Districts ☐ Others: None |
9. Private Sector Fiscal Effect (small businesses only): |
☑ No Fiscal Effect ☐ Indeterminate | ☐ Increase Revenues ☑ Decrease Revenues ☐ Yes ☑ No May have significant economic impact on a substantial number of small businesses | ☐ Increase Costs ☐ Yes ☑ No May have significant economic impact on a substantial number of small businesses ☐ Decrease Costs |
10. Types of Small Businesses Affected: |
Small businesses that employ physicians or other health care professionals participating in the Fund. |
11. Fiscal Analysis Summary |
No significant impact. Decease of 34% for fund fees and slight increase for medical mediation fees. |
12. Long-Range Fiscal Implications |
None |
13. Name - Prepared by Julie E. Walsh | Telephone Number (608) 264-8101 | Date May 8, 2015 |
14. Name – Analyst Reviewer | Telephone Number | Date |
Signature—Secretary or Designee | Telephone Number (608) 267-1233 | Date |