SB369-SSA2,5,1918 (a) The identification of health insurance plan data policy issues that require
19extensive research.
SB369-SSA2,5,2120 (b) Recommended health insurance plan data collection, analysis and
21dissemination techniques for meeting the needs of policy makers and the public.
SB369-SSA2,5,2322 (c) Any recommended adjustments to the health insurance plan data collection
23and dissemination systems improvement plan under sub. (5).
SB369-SSA2,5,25 24(5) Beginning on January 1, 1996, the health insurance plan data oversight
25board shall do all of the following:
SB369-SSA2,6,2
1(a) Develop recommendations on the use of health insurance plan performance
2measures, including recommendations on standardizing measures.
SB369-SSA2,6,43 (b) Develop a health insurance plan data collection and dissemination systems
4improvement plan for this state that addresses the following areas:
SB369-SSA2,6,65 1. Identification of health insurance plan data collection needs of the state, with
6priority given to data collection necessary to support public policy decisions.
SB369-SSA2,6,87 2. Identification of existing data that can be obtained from the public or the
8private sector and the cost of obtaining the data.
SB369-SSA2,6,109 3. An analysis of the costs and benefits of linking data from existing public and
10private data systems to obtain needed health insurance plan data.
SB369-SSA2,6,1311 4. Identification of data in addition to that under subds. 2. and 3., that should
12be collected on an ongoing basis and data that should be collected on a one-time or
13periodic basis and the costs of collecting the data.
SB369-SSA2,6,1414 5. Recommendations on the collection and dissemination of all of the following:
SB369-SSA2,6,1515 a. Comparisons of costs, including costs of health insurance plan premiums.
SB369-SSA2,6,1716 b. Information on costs of various health care services that is available through
17existing data collection mechanisms.
SB369-SSA2,6,1918 c. Information not currently available that addresses overall costs and charges
19for care for selected high-cost or high-volume conditions and episodes of care.
SB369-SSA2,6,2420 (c) In developing the plan under par. (b), the board shall give consideration to
21the administrative costs imposed on health care providers and insurers as a result
22of state data collection requirements and shall seek to minimize those costs,
23consistent with providing necessary information about the performance of health
24insurance plans.
SB369-SSA2,7,2
1(d) 1. Review existing health insurance plan data collection undertaken by
2state agencies, and where appropriate, recommend any of the following:
SB369-SSA2,7,33 a. Elimination of unnecessary data collection.
SB369-SSA2,7,54 b. Modifications to existing data collection that will improve the utility of the
5data or reduce the administrative costs to the public and private sectors.
SB369-SSA2,7,76 c. Steps that would improve linkages between data systems if the linkages
7would assist policymakers in evaluating policy issues and alternatives.
SB369-SSA2,7,108 2. As part of the review and recommendations under subd. 1., study issues
9associated with consolidating all health insurance plan data collection and
10dissemination that is performed by state agencies into a single state agency.
SB369-SSA2,7,15 11(6) (a) Beginning on January 1, 1997, the board shall direct the office, except
12as provided under par. (b), to apply the health insurance plan data collection and
13dissemination systems improvement plan under sub. (5) to the collection and
14dissemination of health insurance plan performance measures from all of the
15following:
SB369-SSA2,7,1616 1. Health care providers under s. 153.05 (8).
SB369-SSA2,7,1817 2. An insurer, as defined in s. 600.03 (27), that provides health insurance to a
18resident of this state.
SB369-SSA2,7,2019 3. The data bases of programs of state agencies under which health and mental
20health services are provided.
SB369-SSA2,7,2121 4. Other sources identified in sub. (5) (b) 2.
SB369-SSA2,7,2522 (b) The board may select private contractors or a partnership of public and
23private entities to perform the duty assigned to the office under par. (a). The board
24shall first promulgate rules that specify the selection criteria and the manner in
25which the health insurance plan performance measures shall be disseminated.
SB369-SSA2,8,4
1(c) By June 30, 1997, and biennially thereafter, the board shall submit a report
2to the appropriate standing committees under s. 13.172 (3), to the commissioner and
3to the governor, concerning the recommendations made under sub. (5) and progress
4made toward the implementation of those recommendations.
SB369-SSA2,8,95 (d) By January 1, 1998, the board shall submit a report to the appropriate
6standing committees under s. 13.172 (3), to the commissioner and to the governor,
7concerning the application of the health insurance plan data collection and
8dissemination systems improvement plan to health insurance plan performance
9measures under par. (a) or (b).
SB369-SSA2,8,14 10(7) State agencies that receive requests for information and assistance from the
11board under this section shall assist the board and provide access to information that
12is not patient-identifiable to enable the board to complete its tasks. The office of the
13commissioner of insurance shall reimburse state agencies for these services from the
14appropriation under s. 20.145 (1) (g).
SB369-SSA2, s. 12 15Section 12 . Nonstatutory provisions.
SB369-SSA2,8,19 16(1) Initial appointments of members of the health insurance plan oversight
17board
. Notwithstanding the length of terms specified in section 15.735 (3) of the
18statues, as created by this act, the initial members of the health insurance plan
19oversight board shall be appointed for the following terms:
SB369-SSA2,8,21 20(a) The members specified in section 15.735 (3) (a) and (c) of the statutes, as
21created by this act, for terms expiring on May 1, 1999.
SB369-SSA2,8,23 22(b) The members specified in section 15.735 (3) (b), (d) and (e) of the statutes,
23as created by this act, for terms expiring on May 1, 2001.
SB369-SSA2,9,8 24(2)  Committees of health insurance plan oversight board. After first
25consulting with the office of health care information and soliciting names of

1appropriate persons from other sources, the health insurance plan oversight board
2shall provide the commissioner of insurance with recommendations of persons as
3members of an ethics and confidentiality committee, a technical systems
4administration committee and a performance and measurement committee of the
5health insurance plan oversight board. Each committee shall have as a member at
6least one licensed physician. By the first day of the 7th month beginning after the
7effective date of this subsection, the commissioner of insurance shall appoint the
8recommended persons as members of the committees.
SB369-SSA2,9,13 9(3) Report on state agency consolidation. By July 1, 1996, the health
10insurance plan oversight board, as created by this act, shall submit a report to the
11legislature in the manner provided under section 13.172 (3) of the statutes,
12concerning the board's recommendations as to consolidation of health insurance plan
13collection and dissemination by state agencies into a single state agency.
SB369-SSA2,9,19 14(4) Report on health insurance plan. By January 1, 1997, the health
15insurance plan oversight board, as created by this act, shall submit a report to the
16legislature in the manner provided under section 13.172 (3) of the statutes, to the
17commissioner of insurance and to the governor, concerning the development of the
18health insurance plan data collection and dissemination systems improvement plan
19under section 153.07 (5) (b) of the statutes, as created by this act.
SB369-SSA2,9,24 20(5) Report on recommended statutory or rules changes. By January 1, 1997,
21the health insurance plan oversight board, as created by this act, shall submit a
22report to the legislature in the manner provided under section 13.172 (3) of the
23statutes, to the commissioner of insurance and to the governor, concerning the
24board's recommendations for changes in state statutes or administrative rules

1needed to implement policies for the release of health insurance plan data under
2section 153.07 (3) (b) of the statutes, as created by this act.
SB369-SSA2,10,9 3(6) Report on health institute or publicly sponsored program. By June 30,
41997, the health insurance plan oversight board, as created by this act, shall submit
5a report to the legislature in the manner provided under section 13.172 (3) of the
6statutes, to the commissioner of insurance and to the governor, concerning the
7board's findings regarding the feasibility of developing a health institute or
8instituting a publicly sponsored program for private health insurance plan data
9collection under section 153.07 (3) (c) of the statutes, as created by this act.
Loading...
Loading...