9. Analysis and supporting documentation that OCI used in support of OCI’s determination of the rule’s effect on small business or in preparation of an economic impact analysis:
This decrease in fund fees will have a positive effect on small businesses in Wisconsin, particularly those that employ physicians and other health care professionals. The mediation panel fee is assessed only on physicians and hospitals, not on corporations or other health care entities that will incur the slight increase for fiscal year 2016. The proposed rule will affect only those small businesses that pay the fund fees and mediation panel fees on behalf of their employed physicians. The fund fee decrease and mediation panel fee increase will not have a significant effect nor should it negatively affect the small business’s ability to compete with other providers.
10. Effect on small business:
This rule will have little or no effect on small businesses. The decrease of fund fees and slight increase in mediation panel contained in the proposed rule will require providers to pay reduced fund fees which will decrease the operational expenses for the providers which will greatly outweigh the slight increase in mediation panel fees. The increase in mediation panel fees contained in this proposed rule should not result in a significant fiscal effect on the private sector.
11. A copy of any comments and opinion prepared by the Board of Veterans Affairs under s. 45.03 (2m), Stats., for rules proposed by the Department of Veterans Affairs. None.
12. Agency contact person:
A copy of the full text of the proposed rule changes, analysis and fiscal estimate may be obtained from the Web site at: http://oci.wi.gov/ocirules.htm or by contacting Inger Williams, OCI Services Section, at:
Phone: (608) 264-8110
Address: 125 South Webster St – 2nd Floor, Madison WI 53703-3474
Mail: PO Box 7873, Madison, WI 53707-7873
13. Place where comments are to be submitted and deadline for submission:
The deadline for submitting comments is 4:00 p.m. on June 23, 2015.
Mailing address:
Julie E. Walsh
Legal Unit - OCI Rule Comment for Rule Ins 1701
Office of the Commissioner of Insurance
PO Box 7873
Madison WI 53707-7873
Street address:
Julie E. Walsh
Legal Unit - OCI Rule Comment for Rule Ins 1701
Office of the Commissioner of Insurance
125 South Webster St – 2nd Floor
Madison WI 53703-3474
Email address:
Julie E. Walsh
The proposed rule changes are:
SECTION 1. Ins 17.01 (3) is amended to read:
Ins 17.01 (3) FEE SCHEDULE. The following fee schedule shall be effective July 1, 2013 2015:
(a)
For physicians-- $0$13.50.(b)
For hospitals, per occupied bed-- $0$2.75.SECTION 2. Ins 17.28 (6) is repealed and recreated to read:
(6) Fee schedule. The following fee schedule is in effect from July 1, 2015 to June 30, 2016:
(a)
Except as provided in pars. (b) to (f) and sub. (6e), for a physician forwhom this state is a principal place of practice:
Class 1…. $865 Class 3….$ 3,461
Class 2…. $1,558 Class 4….$ 5,711
(b) For a resident acting within the scope of a residency or fellowship program:
Class 1….. $ 433 Class 3….$ 1,732
Class 2….. $ 779 Class 4….$ 2,858
(c) For a resident practicing part-time outside the scope of a residency or fellowship program:
All classes……………………………… $ 519
(d) For a Medical College of Wisconsin, Inc., full-time faculty member:
Class 1….. $ 346 Class 3… .$ 1,383
Class 2…..$ 622 Class 4… .$ 2,282
(e) For physicians who practice part-time:
1. For a physician who practices fewer than 500 hours during the fiscal year, limited to office practice and nursing home and house calls, and who does not practice obstetrics or surgery or assist in surgical procedures: ..$ 216.
2. For a physician who practices 1040 hours or less during the fiscal year, including those who practice fewer than 500 hours during the fiscal year whose practice is not limited to office practice, nursing homes or house calls or who do practice obstetrics, surgery or assist in surgical procedures:
Class 1…..$ 519 Class 3….$ 2,078
Class 2…..$ 935 Class 4….$ 3,428
(f) For a physician for whom this state is not a principal place of practice:
Class 1…..$ 433 Class 3….$ 1,732
Class 2…..$ 779 Class 4….$ 2,858
(g) For a nurse anesthetist for whom this state is a principal place of practice: $ 213
(h) For a nurse anesthetist for whom this state is not a principal place of practice:……………………………………………………………………………………………$ 107
(i) For a hospital, all of the following fees:
1. Per occupied bed………………………………………………………………………$ 52
2. Per 100 outpatient visits during the last calendar year for which totals are available:………………………………………………………………………………………….$ 2.61
(j) For a nursing home, as described under s. 655.002 (1) (j), Stats., that is wholly owned and operated by a hospital and that has health care liability insurance separate from that of the hospital by which it is owned and operated: Per occupied bed……………………………………………………………………….…..$ 10
(k) For a partnership comprised of physicians or nurse anesthetists, organized for the primary purpose of providing the medical services of physicians or nurse anesthetists, all of the following fees:
1. a. If the total number of partners and employed physicians and nurse anesthetists is from 2 to 10…………………………………………………………………………………………$ 30
b. If the total number of partners and employed physicians and nurse anesthetists is from 11 to 100……………………………………………………………………………………..$ 299
c. If the total number of partners and employed physicians and nurse anesthetists exceeds 100……………………………………………………..……………………………..…$ 744
2. The following fee for each full-time equivalent allied health care professional employed by the partnership as of the most recent completed survey submitted:
Employed Health Care Professionals Fund Fee
Nurse Practitioners……………………………………………………..………………..….$ 216
Advanced Nurse Practitioners……………………………………….……………..…………303
Nurse Midwives………………………………………………………..…..…………………1,903
Advanced Nurse Midwives………………………………………………..…………………1,990
Advanced Practice Nurse Prescribers ………………………………..…………..…………..303
Chiropractors……………………………………………………………………………..……...346
Dentists…………………………………………………………………..………………..……..173
Oral Surgeons……………………………………………………………………..…………..1,298
Podiatrists-Surgical…………………………………………………….………………..……3,678
Optometrists………………………………………………………..…………..……………….173
Physician Assistants……………………………………………………………………..…..173
(L) For a corporation, including a service corporation, with more than one shareholder organized under ch. 180, Stats., for the primary purpose of providing the medical services of physicians or nurse anesthetists, all of the following fees:
