Wisconsin Legislature: 27,4434

27,4423 Section 4423 . 560.183 (7) of the statutes is repealed.

27,4424 Section 4424 . 560.183 (8) (intro.) of the statutes is amended to read:

560.183 (8) Administrative contract. (intro.) From the appropriation under s. 20.143 (1) (fd) (f), the department shall contract with the board of regents of the University of Wisconsin System for administrative services from the office of rural health of the department of professional and community development of the University of Wisconsin Medical School. Under the contract, the office of rural health shall do all of the following:

27,4425 Section 4425 . 560.183 (8) (a) of the statutes is repealed.

27,4426 Section 4426 . 560.183 (8) (b) of the statutes is amended to read:

560.183 (8) (b) Advise the department and rural health development council on the identification of eligible practice areas with an extremely high need for medical care.

27,4426n Section 4426n. 560.183 (9) of the statutes is created to read:

560.183 (9) Expanded loan assistance program. The department may agree to repay loans as provided under this section on behalf of a physician under an expanded physician loan assistance program that is funded through federal funds in addition to state matching funds. To be eligible for loan repayment under the expanded physician loan assistance program, a physician must fulfill all of the requirements for loan repayment under this section, as well as all of the following:

(a) The physician must be a U.S. citizen.

(b) The physician may not have a judgment lien against his or her property for a debt to the United States.

1. Accept medicare assignment as payment in full for services or articles provided.

2. Use a sliding fee scale or a comparable method of determining payment arrangements for patients who are not eligible for medicare or medical assistance and who are unable to pay the customary fee for the physician's services.

3. Practice at a public or private nonprofit entity in a health professional shortage area.

27,4427 Section 4427 . 560.184 (1) (a) of the statutes is renumbered 560.184 (1) (ad) and amended to read:

560.184 (1) (ad) “Council" has the meaning given in s. 560.183 (1) (a) means the rural health development council.

27,4428 Section 4428 . 560.184 (1) (ac) of the statutes is created to read:

560.184 (1) (ac) “Clinic hours" has the meaning given in s. 560.183 (1) (ac).

27,4429 Section 4429 . 560.184 (1) (am) of the statutes is amended to read:

560.184 (1) (am) “Eligible practice area" means a primary care shortage area, an obstetric shortage area, a state or federal prison, an area health education center program established under 42 USC 295g-1, an American Indian reservation or trust lands of an American Indian tribe.

27,4429p Section 4429p. 560.184 (1) (bp) of the statutes is created to read:

560.184 (1) (bp) “Health professional shortage area" has the meaning given in s. 560.183 (1) (aj).

27,4430 Section 4430 . 560.184 (1) (c) of the statutes is repealed.

27,4431 Section 4431 . 560.184 (3) (a) of the statutes is amended to read:

560.184 (3) (a) The department shall enter into a written agreement with the health care provider. In the agreement, the health care provider shall agree to practice at least 32 clinic hours per week for 3 years in one or more eligible practice areas in this state primarily in an eligible practice area, except that a health care provider in the expanded loan assistance program under sub. (8) may only agree to practice at a public or private nonprofit entity in a health professional shortage area.

27,4432 Section 4432 . 560.184 (3) (b) of the statutes is amended to read:

560.184 (3) (b) The agreement shall specify that the responsibility of the department to make the payments under the agreement is subject to the availability of funds in the appropriations under s. 20.143 (1) (fc) (f) and (jL).

27,4433 Section 4433 . 560.184 (4) (a) of the statutes is amended to read:

560.184 (4) (a) Ten percent Up to 40% of the principal of the loan or $2,500 $10,000, whichever is less, during the first year of practice participation in the program under this section.

27,4434 Section 4434 . 560.184 (4) (b) of the statutes is amended to read:

560.184 (4) (b) An Up to an additional 12.5% 40% of the principal of the loan or $3,125 $10,000, whichever is less, during the 2nd year of practice participation in the program under this section.

27,4435 Section 4435 . 560.184 (4) (c) of the statutes is amended to read:

560.184 (4) (c) An Up to an additional 15% 20% of the principal of the loan or $3,750 $5,000, whichever is less, during the 3rd year of practice participation in the program under this section.

27,4436 Section 4436 . 560.184 (4) (d) of the statutes is repealed.

27,4437 Section 4437 . 560.184 (4) (e) of the statutes is repealed.

27,4438 Section 4438 . 560.184 (5) (a) of the statutes is amended to read:

560.184 (5) (a) The obligation of the department to make payments under an agreement entered into under sub. (3) is subject to the availability of funds in the appropriations under s. 20.143 (1) (fc) (f) and (jL).

27,4439 Section 4439 . 560.184 (5) (b) (intro.) of the statutes is amended to read:

560.184 (5) (b) (intro.) If the cost of repaying the loans of all eligible applicants, when added to the cost of loan repayments scheduled under existing agreements, exceeds the total amount in the appropriations under s. 20.143 (1) (fc) (f) and (jL), the department shall establish priorities among the eligible applicants based upon the following considerations:

27,4439b Section 4439b. 560.184 (5) (b) 1. of the statutes is amended to read:

560.184 (5) (b) 1. The degree to which there is an extremely high need for medical care in the eligible practice area or health professional shortage area in which an eligible applicant desires to practice.

27,4439c Section 4439c. 560.184 (5) (b) 2. of the statutes is amended to read:

560.184 (5) (b) 2. The likelihood that an eligible applicant will remain in the eligible practice area or health professional shortage area in which he or she desires to practice after the loan repayment period.

27,4439d Section 4439d. 560.184 (5) (b) 3. of the statutes is amended to read:

560.184 (5) (b) 3. The per capita income of the eligible practice area or health professional shortage area in which an eligible applicant desires to practice.

27,4439e Section 4439e. 560.184 (5) (b) 4. of the statutes is amended to read:

560.184 (5) (b) 4. The financial or other support for health care provider recruitment and retention provided by individuals, organizations or local governments in the eligible practice area or health professional shortage area in which an eligible applicant desires to practice.

27,4439f Section 4439f. 560.184 (5) (b) 5. of the statutes is amended to read:

560.184 (5) (b) 5. The geographic distribution of the health care providers who have entered into loan repayment agreements under this section and the geographic location of the eligible practice area or health professional shortage area in which an eligible applicant desires to practice.

27,4440 Section 4440 . 560.184 (6m) of the statutes is created to read:

560.184 (6m) Penalties. The department shall, by rule, establish penalties to be assessed by the department against health care providers who breach an agreement entered into under sub. (3) (a). The rules shall do all of the following:

(a) Specify what actions constitute a breach of the agreement.

(b) Provide specific penalty amounts for specific breaches.

27,4441 Section 4441 . 560.184 (7) (intro.) of the statutes is amended to read:

560.184 (7) Administrative contract. (intro.) From the appropriation under s. 20.143 (1) (fd) (f), the department shall contract with the board of regents of the University of Wisconsin System for administrative services from the office of rural health of the department of professional and community development of the University of Wisconsin Medical School. Under the contract, the office of rural health shall do all of the following:

27,4441n Section 4441n. 560.184 (8) of the statutes is created to read:

560.184 (8) Expanded loan assistance program. The department may agree to repay loans as provided under this section on behalf of a health care provider under an expanded health care provider loan assistance program that is funded through federal funds in addition to state matching funds. To be eligible for loan repayment under the expanded health care provider loan assistance program, a health care provider must fulfill all of the requirements for loan repayment under this section, as well as all of the following:

(a) The health care provider must be a U.S. citizen.

(b) The health care provider may not have a judgment lien against his or her property for a debt to the United States.

1. Accept medicare assignment as payment in full for services or articles provided.

3. Practice at a public or private nonprofit entity in a health professional shortage area.

27,4442 Section 4442 . 560.185 (1) of the statutes is amended to read:

560.185 (1) Advise the department as provided in s. 560.183 (7) and on other on matters related to the physician loan assistance program under s. 560.183 and the health care provider loan assistance program under s. 560.184.

27,4442c Section 4442c. 560.19 (1) (intro.) and (b) of the statutes are consolidated, renumbered 560.19 (1) and amended to read:

560.19 (1) In this section: (b) “Hazardous, “hazardous pollution prevention" has the meaning given in s. 299.13 (1) (c).

27,4442e Section 4442e. 560.19 (1) (a) of the statutes is repealed.

27,4442g Section 4442g. 560.19 (3) (intro.) of the statutes is repealed.

27,4442i Section 4442i. 560.19 (3) (a) of the statutes is renumbered 560.19 (3) and amended to read:

560.19 (3) In coordination with the hazardous pollution prevention program under s. 36.25 (30), and the department of natural resources and the council, conduct the department shall conduct an education, environmental management and technical assistance program to promote hazardous pollution prevention among businesses in the state.

27,4442k Section 4442k. 560.19 (3) (b) of the statutes is repealed.

27,4442m Section 4442m. 560.19 (4) of the statutes is repealed.

27,4443 Section 4443 . Subchapter III (title) of chapter 560 [precedes 560.41] of the statutes is amended to read:

CHAPTER 560

SUBCHAPTER III
permit information and
REGULATORY business development:
assistance bureau center

27,4444 Section 4444 . 560.41 (1) of the statutes is repealed and recreated to read:

560.41 (1) “Brownfields" means abandoned, idle or underused industrial or commercial facilities or sites, the expansion or redevelopment of which is adversely affected by actual or perceived environmental contamination.

27,4445 Section 4445 . 560.41 (1m) of the statutes is created to read:

560.41 (1m) “Center" means the business development assistance center in the department.

27,4446 Section 4446 . 560.42 (title) of the statutes is amended to read:

560.42 (title) Responsibilities related to permits.

27,4447 Section 4447 . 560.42 (1) (a) (intro.) of the statutes is amended to read:

560.42 (1) (a) (intro.) The bureau center shall expedite the process of applying for permits, of reviewing and making determinations on permit applications and of issuing permits as follows:

27,4448 Section 4448 . 560.42 (1) (a) 1. of the statutes is amended to read:

560.42 (1) (a) 1. The bureau center shall discharge its responsibilities under sub. (2) in a manner designed to expedite the process.

27,4449 Section 4449 . 560.42 (1) (a) 2. of the statutes is amended to read:

560.42 (1) (a) 2. Upon request by a person applying for a permit and to the extent possible, the bureau center shall resolve misunderstandings between the person and the appropriate regulatory agency and shall prevent or mitigate delays in the process.