274,23
Section
23. 153.50 (3) (d) of the statutes is amended to read:
153.50 (3) (d) Require that a purchaser of data under this chapter subchapter sign and have notarized the data use agreement of the department, the entity, or the data organization, as applicable.
274,24
Section
24. 153.50 (3m) of the statutes is amended to read:
153.50 (3m) Provider, administrator, or insurer measures to ensure patient identity protection. A health care provider that is not a hospital or ambulatory surgery center or an insurer or an administrator shall, before submitting information required by the department, or by the data organization under contract under s. 153.05 (2r), under this chapter subchapter, convert to a payer category code as specified by the department or the data organization, as applicable, any names of an insured's payer or other insured's payer.
274,25
Section
25. 153.50 (5) (a) 4. b. of the statutes is amended to read:
153.50 (5) (a) 4. b. Any federal or state statutory requirement to uphold the patient confidentiality provisions of this chapter subchapter or patient confidentiality provisions that are more restrictive than those of this chapter subchapter; or, if the latter evidence is inapplicable, an agreement, in writing, to uphold the patient confidentiality provisions of this chapter subchapter.
274,26
Section
26. 153.50 (6) (a) of the statutes is amended to read:
153.50 (6) (a) The department or entity under contract under s. 153.05 (2m) (a) may not require a health care provider submitting health care information under this chapter subchapter to include the patient's name, street address or social security number.
274,27
Section
27. 153.50 (6) (b) of the statutes is amended to read:
153.50 (6) (b) The department may not require under this chapter subchapter a health care provider that is not a hospital or ambulatory surgery center to submit uniform patient billing forms.
274,28
Section
28. 153.50 (6) (c) (intro.) of the statutes is amended to read:
153.50 (6) (c) (intro.) A health care provider that is not a hospital or ambulatory surgery center may not submit any of the following to the department under the requirements of this chapter subchapter:
274,29
Section
29. 153.55 of the statutes is amended to read:
153.55 Protection of confidentiality. Data obtained under this chapter subchapter is not subject to inspection, copying or receipt under s. 19.35 (1).
274,30
Section
30. 153.60 (1) of the statutes is amended to read:
153.60 (1) The department shall, by the first October 1 after the commencement of each fiscal year, estimate the total amount of expenditures under this chapter
subchapter for the department for that fiscal year for data collection, database development and maintenance, generation of data files and standard reports, orientation and training provided under s. 153.05 (9) (a) and contracting with the data organization under s. 153.05 (2r). The department shall assess the estimated total amount for that fiscal year, less the estimated total amount to be received for purposes of administration of this chapter subchapter under s. 20.435 (1) (hi) during the fiscal year and the unencumbered balance of the amount received for purposes of administration of this chapter subchapter under s. 20.435 (1) (hi) from the prior fiscal year, to health care providers, other than hospitals and ambulatory surgery centers, who are in a class of health care providers from whom the department collects data under this chapter subchapter in a manner specified by the department by rule. The department shall work together with the department of regulation and licensing to develop a mechanism for collecting assessments from health care providers other than hospitals and ambulatory surgery centers. No health care provider that is not a facility may be assessed under this subsection an amount that exceeds $75 per fiscal year. All payments of assessments shall be credited to the appropriation under s. 20.435 (1) (hg).
274,31
Section
31. 153.75 (2) (a) of the statutes is amended to read:
153.75 (2) (a) Exempting certain classes of health care providers that are not hospitals or ambulatory surgery centers from providing all or portions of the data required under this chapter subchapter.
274,32
Section
32. 153.75 (2) (c) of the statutes is amended to read:
153.75 (2) (c) Providing for the efficient collection, analysis and dissemination of health care information which the department may require under this chapter
subchapter.
274,33
Section
33. Subchapter II (title) of chapter 153 [precedes 153.80] of the statutes is created to read:
CHAPTER 153
subchapter II
Electronic health information
exchange
274,34
Section
34. 153.80 of the statutes is created to read:
153.80 Definitions. In this subchapter:
(1) "Department" means the department of health services.
(2) "Health care provider" has the meaning given in s. 146.81 (1) and includes an ambulatory surgery center, which has the meaning given for "ambulatory surgical center" under
42 CFR 416.2.
(3) "Secretary" means the secretary of health services.
(4) "State-designated entity" means a nonprofit corporation designated by the state as eligible to apply for and receive grants under
42 USC 300jj-33 from the secretary of the U.S. department of health and human services.
274,35
Section
35. 153.81 of the statutes is created to read:
153.81 Requirements for designation and funding. (1) The state may designate a nonprofit corporation that is incorporated under ch. 181 as the state-designated entity only if the secretary determines that all of the following conditions are satisfied:
(a) The articles of incorporation or bylaws of the corporation state that a purpose of the corporation is to use information technology to improve health care quality and efficiency through the authorized and secure electronic exchange and use of health information.
(b) The corporation annually evaluates, analyzes, and reports to the secretary on the progress toward implementing statewide health information exchange and how the health information exchange efforts are enabling meaningful use of certified electronic health record technology, as defined in
42 USC 300jj and by the U.S. department of health and human services by regulation, by health care providers.
(c) The corporation complies with the requirements to be a qualified state-designated entity under
42 USC 300jj-33 (f) (2) to (5) and to receive a grant under
42 USC 300jj-33.
(d) The governing structure and bylaws of the corporation allow it to consult and consider recommendations from all of the persons specified under
42 USC 300jj-33 (g) (1) to (10) in carrying out statewide health information exchange.
(e) The board of directors of the corporation includes all of the following persons:
1. The state health officer, as defined under s. 250.01 (9), or his or her designee.
2. The person who is appointed by the secretary to be the director of the Medical Assistance program, or his or her designee.
3. One person who is specified by the governor, or his or her designee.
4. One or more persons who represent each of the following such that the representation of the public and private health sector is balanced in the board's representation:
a. Health care providers.
b. Health insurers or health plans.
c. Employers who purchase or self-insure employee health care.
d. Health care consumers or consumer advocates.
e. Higher education.
(f) The corporation agrees to fulfill all of the following purposes:
1. Building substantial health information exchange capacity statewide to support all of the following:
a. Health care providers' meaningful use of electronic health records.
b. Population health improvement.
c. Reporting of health care performance.
2. Developing policies and recommending legislation that advance efficient statewide and interstate health information exchange and that protect consumer privacy.
3. Developing or facilitating the creation of a statewide technical infrastructure that supports statewide health information exchange and enables interoperability among users of health information.
4. Coordinating between the Medical Assistance and public health programs to enable information exchange and promote meaningful use of electronic health records.
5. Providing oversight and accountability for health information exchange to protect the public interest.
6. Increasing public awareness of and support for statewide health information exchange and fostering agreement among health care providers and other users of health care information on an approach to statewide health information exchange.
7. Adopting standards for health information exchange in accordance with national standards, implementation protocols, and reporting requirements.
8. Prioritizing among health information exchange services according to the needs of the residents of this state.
9. Managing and sustaining funding necessary to develop and sustain statewide health information infrastructure and services.
10. Conducting or overseeing health information exchange business and technical operations, including providing technical assistance to health information organizations and other health information exchanges.
11. Developing or facilitating the creation and use of shared directories and technical services, as applicable to statewide health information exchange.
12. Creating a model, uniform statewide patient consent and authorization process to allow electronic access to, review of, or disclosure of a patient's identifiable health care information.
13. Certifying regional health information exchange networks, if any, and confirming that any regional health information exchange network meets the criteria to participate in and connect to the statewide health information exchange network.
14. Monitoring health information technology and health information exchange efforts nationally and facilitating alignment of statewide, interstate, and national health information exchange strategies.
15. Developing programs and initiatives to promote and advance health information exchange to improve the safety, quality, and efficiency of health care and to reduce waste due to redundancy and administrative costs.
(2) The department may make payments to a nonprofit corporation that is incorporated under ch. 181 to support health information exchange if the secretary determines that the conditions under sub. (1) are satisfied.
274,36
Section
36. 153.82 of the statutes is created to read:
153.82 Creation of corporation. (1) The secretary may organize and assist in maintaining a nonstock, nonprofit corporation under ch. 181 for all of the purposes specified under s. 153.81 (1) (f).
(2) If the secretary organizes a corporation under sub. (1), the secretary shall appoint all of the individuals specified under s. 153.81 (1) (e) 1. to 4. as initial directors of the board of the corporation.
(3) The assets and liabilities of the corporation under sub. (1) shall be separate from all other assets and liabilities of the state, of all political subdivisions of the state, and of the department. The state, any political subdivision of the state, and the department do not guarantee any obligation of or have any obligation to the corporation. The state, any political subdivision of the state, and the department are not liable for any debt or liability of the corporation.
274,37
Section
37. 153.85 of the statutes is renumbered 153.76 and amended to read:
153.76 Civil liability. Except as provided in s. 153.86 153.77, any person violating s. 153.50 or rules promulgated under s. 153.75 (1) (a) is liable to the patient for actual damages and costs, plus exemplary damages of up to $1,000 for a negligent violation and up to $5,000 for an intentional violation.
274,38
Section
38. 153.86 of the statutes is renumbered 153.77, and 153.77 (1) (intro.), as renumbered, is amended to read:
153.77 (1) (intro.) A health care provider that submits information to the department under this chapter subchapter is immune from civil liability for all of the following:
274,39
Section
39. 153.90 of the statutes is renumbered 153.78, and 153.78 (2), as renumbered, is amended to read:
153.78 (2) Any person who violates this chapter subchapter or any rule promulgated under the authority of this chapter subchapter, except ss. 153.45 (5), 153.50 and 153.75 (1) (a), as provided in s. 153.85 153.76 and sub. (1), shall forfeit not more than $100 for each violation. Each day of violation constitutes a separate offense, except that no day in the period between the date on which a request for a hearing is filed under s. 227.44 and the date of the conclusion of all administrative and judicial proceedings arising out of a decision under this section constitutes a violation.
274,40
Section
40. 895.043 (2) of the statutes is amended to read:
895.043 (2) Scope. This section does not apply to awards of double damages or treble damages, or to the award of exemplary damages under ss. 46.90 (9) (a) and (b), 51.30 (9), 51.61 (7), 55.043 (9m) (a) and (b), 103.96 (2), 134.93 (5), 146.84 (1) (b) and (bm), 153.85
153.76, 252.14 (4), 252.15 (8) (a), 610.70 (7) (b), 943.245 (2) and (3) and 943.51 (2) and (3).
