2. A business' certification and the limit on the amount of tax credits that the business may claim.
3. The extension or revocation of a business' certification.
(b) The department shall annually verify information submitted to the department under ss. 71.07 (2di), (2dm), (2dx), and (3g), 71.28 (1di), (1dm), (1dx), and (3g), and 71.47 (1di), (1dm), (1dx), and (3g).
(5) The department shall promulgate rules for the operation of this section, including rules related to all the following:
(a) Criteria for designating an area as a technology zone.
(b) A business' eligibility for certification, including definitions for all of the following:
1. New or expanding business.
2. High-technology business.
(c) Certifying a business, including use of the factors under sub. (3) (b).
(d) Standards for establishing the limit on the amount of tax credits that a business may claim.
(e) Standards for extending a business' certification, including what measures, in addition to job creation, the department will use to determine the growth of a specific business and how the department will establish baselines against which to measure growth.
(f) Reporting requirements for certified businesses.
(g) The exchange of information between the department of commerce and the department of revenue.
(h) Reasons for revoking a business' certification.
(i) Standards for changing the boundaries of a technology zone.
16,3713c
Section 3713c. 562.057 (4m) (a) 1. of the statutes is renumbered 562.057 (4m) (a) and amended to read:
562.057 (4m) (a) For a racetrack at which $25,000,000 or more was wagered during During the calendar year immediately preceding the year in which the applicant proposes to conduct wagering on simulcast races, at least 250 275 race performances were conducted at the racetrack during that period.
16,3713d
Section 3713d. 562.057 (4m) (a) 2. of the statutes is repealed.
16,3713e
Section 3713e. 562.057 (4m) (b) of the statutes is repealed.
16,3713jm
Section 3713jm. 562.065 (4) of the statutes is amended to read:
562.065 (4) Unclaimed prizes. Any A licensee under s. 562.05 (1) (b) shall pay to the department 50% of any winnings on a race which that are not claimed within 90 days after the end of the period authorized for racing in that year under s. 562.05 (9) shall be paid to the department. The department shall credit moneys received under this subsection to the appropriation accounts under ss. 20.455 (2) (g) and 20.505 (8) (g). The licensee may retain the remaining 50% of the winnings.
16,3713k
Section 3713k. 563.04 (14) of the statutes is created to read:
563.04 (14) Promulgate rules relating to the sale of equal shares of single raffle tickets to one or more purchasers under a Class A raffle license under s. 563.92 (1m).
16,3713kg
Section 3713kg. 563.92 (1m) of the statutes is amended to read:
563.92 (1m) The department may issue a Class A license for the conduct of a raffle in which some or all of the tickets for that raffle are sold on days other than the same day as the raffle drawing and in which equal shares of a single ticket may be sold to one or more purchasers. The department may issue a Class B license for the conduct of a raffle in which all of the tickets for that raffle are sold on the same day as the raffle drawing.
16,3713km
Section 3713km. 563.93 (2) of the statutes is amended to read:
563.93 (2) No raffle ticket may exceed $50 $100 in cost.
16,3713kp
Section 3713kp. 563.93 (9) of the statutes is created to read:
563.93 (9) If a person who holds a Class A license sells equal shares of a single ticket to one or more purchasers, the person shall, prior to the raffle drawing for which the shares were sold, purchase any shares of the ticket that have not been sold.
16,3733r
Section 3733r. 601.41 (1) of the statutes is amended to read:
601.41 (1) Duties. The commissioner shall administer and enforce chs. 600 to 655 and ss. 59.52 (11) (c), 66.0137 (4) and (4m), 120.13 (2) (b) to (g), 149.13 and 149.144 and shall act as promptly as possible under the circumstances on all matters placed before the commissioner.
16,3735
Section 3735. 601.47 (2) of the statutes is amended to read:
601.47 (2) Annual report. The commissioner shall determine the form for and have printed the report required in s. 601.46 (3), in number sufficient and shall have the report published in sufficient quantity to meet all requests for copies. The commissioner shall distribute copies upon request to any person who pays the reasonable price thereof determined for the report under sub. (1).
16,3737m
Section 3737m. 601.73 (2) (c) of the statutes is amended to read:
601.73 (2) (c) Default judgment. No plaintiff or complainant is entitled to a judgment by default in any proceeding in which process is served under this section and s. 601.72 until the expiration of 45 days after the date of mailing of the process under par. (b). If the proceeding is to foreclose or otherwise enforce a lien or security interest, the plaintiff or complainant is not entitled to a judgment by default under this paragraph until the expiration of 20 days after the date of mailing of the process under par. (b).
16,3741amb
Section 3741amb. 607.25 of the statutes is created to read:
607.25 Loan to general fund. No later than the first day of the 2nd month after the effective date of this section .... [revisor inserts date], the life fund shall make a loan of $850,000 to the general fund. Notwithstanding s. 604.03 (2), no interest shall be charged on the loan during the period of the loan. The general fund shall repay the loan from moneys lapsed to the general fund from the appropriation under s. 20.515 (2) (a) at the end of the 2001-03 fiscal biennium, if any, and from moneys lapsed to the general fund from the appropriation under s. 20.515 (2) (g) in the amounts specified in s. 40.98 (6m). If the secretary of administration determines that the moneys lapsed from these appropriations will not be sufficient to repay the loan within a reasonable period of time, as determined by the secretary and the commissioner, the secretary shall transfer from the general fund to the life fund an amount sufficient to repay the loan.
16,3741amc
Section 3741amc. Chapter 609 (title) of the statutes is amended to read:
CHAPTER 609
MANAGED CARE Defined network PLANS
16,3741amg
Section 3741amg. 609.01 (1d) of the statutes is amended to read:
609.01 (1d) "Enrollee" means, with respect to a managed care defined network plan, preferred provider plan, or limited service health organization, a person who is entitled to receive health care services under the plan.
16,3741amp
Section 3741amp. 609.01 (3c) of the statutes is renumbered 609.01 (1b) and amended to read:
609.01 (1b) "Managed care Defined network plan" means a health benefit plan that requires an enrollee of the health benefit plan, or creates incentives, including financial incentives, for an enrollee of the health benefit plan, to use providers that are managed, owned, under contract with, or employed by the insurer offering the health benefit plan.
16,3741amt
Section 3741amt. 609.01 (3m) of the statutes is amended to read:
609.01 (3m) "Participating" means, with respect to a physician or other provider, under contract with a managed care defined network plan, preferred provider plan, or limited service health organization to provide health care services, items or supplies to enrollees of the managed care defined network plan, preferred provider plan, or limited service health organization.
16,3741bmg
Section 3741bmg. 609.01 (4) of the statutes is amended to read:
609.01 (4) "Preferred provider plan" means a health care plan offered by an organization established under ch. 185, 611, 613, or 614 or issued a certificate of authority under ch. 618 that makes available to its enrollees, without referral and for consideration other than predetermined periodic fixed payments, coverage of either comprehensive health care services or a limited range of health care services, regardless of whether the health care services are performed by participating or nonparticipating providers participating in the plan.
16,3741bmp
Section 3741bmp. 609.01 (5) of the statutes is amended to read:
609.01 (5) "Primary provider" means a participating primary care physician, or other participating provider authorized by the managed care defined network plan, preferred provider plan, or limited service health organization to serve as a primary provider, who coordinates and may provide ongoing care to an enrollee.
16,3741bmt
Section 3741bmt. 609.05 (1) of the statutes is amended to read:
609.05 (1) Except as provided in subs. (2) and (3), a limited service health organization, preferred provider plan, or managed care defined network plan shall permit its enrollees to choose freely among participating providers.
16,3741cmg
Section 3741cmg. 609.05 (2) of the statutes is amended to read:
609.05 (2) Subject to s. 609.22 (4) and (4m), a limited service health organization, preferred provider plan, or managed care defined network plan may require an enrollee to designate a primary provider and to obtain health care services from the primary provider when reasonably possible.
16,3741cmp
Section 3741cmp. 609.05 (3) of the statutes is amended to read:
609.05 (3) Except as provided in ss. 609.22 (4m), 609.65, and 609.655, a limited service health organization, preferred provider plan, or managed care defined network plan may require an enrollee to obtain a referral from the primary provider designated under sub. (2) to another participating provider prior to obtaining health care services from that participating provider.
16,3741cmr
Section 3741cmr. 609.10 (5) of the statutes is amended to read:
609.10 (5) The commissioner may establish by rule standards in addition to those any established under s. 609.20 for what constitutes adequate notice and complete and understandable information under sub. (1) (c).
16,3741cmt
Section 3741cmt. 609.17 of the statutes is amended to read:
609.17 Reports of disciplinary action. Every limited service health organization, preferred provider plan, and managed care defined network plan shall notify the medical examining board or appropriate affiliated credentialing board attached to the medical examining board of any disciplinary action taken against a participating provider who holds a license or certificate granted by the board or affiliated credentialing board.
16,3741dmg
Section 3741dmg. 609.20 (title) of the statutes is amended to read:
609.20 (title) Rules for preferred provider and managed care defined network plans.
16,3741dmp
Section 3741dmp. 609.20 (intro.) of the statutes is renumbered 609.20 (1m) (intro.) and amended to read:
609.20 (1m) (intro.) The commissioner shall may promulgate rules relating to preferred provider plans and managed care defined network plans for all any of the following purposes, as appropriate:
16,3741dmt
Section 3741dmt. 609.20 (1) of the statutes is renumbered 609.20 (1m) (a).
16,3741emg
Section 3741emg. 609.20 (2) of the statutes is renumbered 609.20 (1m) (b).
16,3741emp
Section 3741emp. 609.20 (2m) of the statutes is created to read:
609.20 (2m) Any rule promulgated under this chapter shall recognize the differences between preferred provider plans and other types of defined network plans, take into account the fact that preferred provider plans provide coverage for the services of nonparticipating providers, and be appropriate to the type of plan to which the rule applies.
16,3741fmp
Section 3741fmp. 609.22 (1) of the statutes is amended to read:
609.22 (1) Providers. A managed care defined network plan shall include a sufficient number, and sufficient types, of qualified providers to meet the anticipated needs of its enrollees, with respect to covered benefits, as appropriate to the type of plan and consistent with normal practices and standards in the geographic area.
16,3741fmt
Section 3741fmt. 609.22 (2) of the statutes is amended to read:
609.22 (2) Adequate choice. A managed care defined network plan that is not a preferred provider plan shall ensure that, with respect to covered benefits, each enrollee has adequate choice among participating providers and that the providers are accessible and qualified.
16,3741gmg
Section 3741gmg. 609.22 (3) of the statutes is amended to read:
609.22 (3) Primary provider selection. A managed care defined network plan that is not a preferred provider plan shall permit each enrollee to select his or her own primary provider from a list of participating primary care physicians and any other participating providers that are authorized by the managed care defined network plan to serve as primary providers. The list shall be updated on an ongoing basis and shall include a sufficient number of primary care physicians and any other participating providers authorized by the plan to serve as primary providers who are accepting new enrollees.
16,3741gmp
Section 3741gmp. 609.22 (4) (a) 1. of the statutes is amended to read:
609.22 (4) (a) 1. If a managed care
defined network plan that is not a preferred provider plan requires a referral to a specialist for coverage of specialist services, the managed care defined network plan
that is not a preferred provider plan shall establish a procedure by which an enrollee may apply for a standing referral to a specialist. The procedure must specify the criteria and conditions that must be met in order for an enrollee to obtain a standing referral.
16,3741gmt
Section 3741gmt. 609.22 (4) (a) 2. of the statutes is amended to read:
609.22 (4) (a) 2. A managed care
defined network plan that is not a preferred provider plan may require the enrollee's primary provider to remain responsible for coordinating the care of an enrollee who receives a standing referral to a specialist. A managed care defined network plan that is not a preferred provider plan may restrict the specialist from making any secondary referrals without prior approval by the enrollee's primary provider. If an enrollee requests primary care services from a specialist to whom the enrollee has a standing referral, the specialist, in agreement with the enrollee and the enrollee's primary provider, may provide primary care services to the enrollee in accordance with procedures established by the managed care defined network plan that is not a preferred provider plan.
16,3741hmg
Section 3741hmg. 609.22 (4) (a) 3. of the statutes is amended to read:
609.22 (4) (a) 3. A managed care
defined network plan that is not a preferred provider plan must include information regarding referral procedures in policies or certificates provided to enrollees and must provide such information to an enrollee or prospective enrollee upon request.
16,3741hmp
Section 3741hmp. 609.22 (4m) (a) of the statutes is amended to read:
609.22 (4m) (a) A managed care defined network plan that provides coverage of obstetric or gynecologic services may not require a female enrollee of the managed care defined network plan to obtain a referral for covered obstetric or gynecologic benefits provided by a participating provider who is a physician licensed under ch. 448 and who specializes in obstetrics and gynecology, regardless of whether the participating provider is the enrollee's primary provider. Notwithstanding sub. (4), the managed care defined network plan may not require the enrollee to obtain a standing referral under the procedure established under sub. (4) (a) for covered obstetric or gynecologic benefits.
16,3741hmt
Section 3741hmt. 609.22 (4m) (b) (intro.) of the statutes is amended to read:
609.22 (4m) (b) (intro.) A managed care defined network plan under par. (a) may not do any of the following:
16,3741img
Section 3741img. 609.22 (4m) (c) of the statutes is amended to read:
609.22 (4m) (c) A managed care defined network plan under par. (a) shall provide written notice of the requirement under par. (a) in every policy or group certificate issued by the managed care defined network plan.
16,3741imp
Section 3741imp. 609.22 (5) of the statutes is amended to read:
