AB100-ASA1, s. 2250 7Section 2250. 149.16 (title) of the statutes is created to read:
AB100-ASA1,1359,8 8149.16 (title) Plan administrator.
AB100-ASA1, s. 2251 9Section 2251. 149.16 (1) of the statutes is created to read:
AB100-ASA1,1359,1110 149.16 (1) The department shall contract with an organization or other person
11to administer the plan.
AB100-ASA1, s. 2252 12Section 2252. 150.21 (1) of the statutes is amended to read:
AB100-ASA1,1359,1313 150.21 (1) The construction or total replacement of a new nursing home.
AB100-ASA1, s. 2253 14Section 2253. 150.21 (3) of the statutes is amended to read:
AB100-ASA1,1359,1615 150.21 (3) A capital expenditure, other than a renovation or replacement, that
16exceeds $1,000,000 by or on behalf of a nursing home.
AB100-ASA1, s. 2254 17Section 2254. 150.21 (4) of the statutes is amended to read:
AB100-ASA1,1359,1918 150.21 (4) An expenditure, other than a renovation or replacement, that
19exceeds $600,000 for clinical equipment by or on behalf of a nursing home.
AB100-ASA1, s. 3035v 20Section 3035v. 150.31 (4) of the statutes is amended to read:
AB100-ASA1,1359,2421 150.31 (4) The department may decrease the statewide bed limit in facilities
22primarily serving the developmentally disabled in order to account for any decreased
23use of beds at the a state centers center for the developmentally disabled due to the
24community integration program under s. 46.275.
AB100-ASA1, s. 2255 25Section 2255. 150.31 (5t) of the statutes is created to read:
AB100-ASA1,1360,3
1150.31 (5t) The department shall decrease the statewide bed limits specified
2in sub. (1) to account for any reduction in the licensed bed capacity of a nursing home
3that has relinquished use of a bed, as specified in s. 49.45 (6m) (ap) 4.
AB100-ASA1, s. 2256 4Section 2256. 150.35 (3m) (a) 3. of the statutes is amended to read:
AB100-ASA1,1360,85 150.35 (3m) (a) 3. All applications for activities that are specified in s. 150.21
6(3), that are renovations with capital expenditures which do not exceed $1,500,000
7and that do not include additions, the replacement of a nursing home or an increase
8in the bed capacity of a nursing home
.
AB100-ASA1, s. 2257 9Section 2257. 150.39 (2) of the statutes is amended to read:
AB100-ASA1,1360,1310 150.39 (2) The cost of renovating or providing an equal number of nursing home
11beds or of an equal expansion would be consistent with the cost at similar nursing
12homes, and the applicant's per diem rates would be consistent with those of similar
13nursing homes.
AB100-ASA1, s. 2258 14Section 2258. 153.01 (4) of the statutes is created to read:
AB100-ASA1,1360,1515 153.01 (4) "Department" means the department of health and family services.
AB100-ASA1, s. 2259 16Section 2259. 153.01 (4m) of the statutes is repealed.
AB100-ASA1, s. 2260 17Section 2260. 153.01 (6) of the statutes is repealed.
AB100-ASA1, s. 2261 18Section 2261. 153.05 (1) (c) 1. of the statutes is amended to read:
AB100-ASA1,1360,2319 153.05 (1) (c) 1. Identification of charges in each hospital's most recent entire
20fiscal year for up to 100 charge elements, as selected by the office department, and
21identification of the increase or decrease in charges for each of these charge elements
22from amounts charged during the hospital's entire fiscal year that is nearest in time
23to the hospital's most recent entire fiscal year.
AB100-ASA1, s. 2262 24Section 2262. 153.05 (1) (e) of the statutes is amended to read:
AB100-ASA1,1361,4
1153.05 (1) (e) Final audited financial statements of hospitals that include, for
2a hospital's most recent entire fiscal year, as dollar amounts, the amounts of revenue
3and expenditures for the hospital, in categories specified in rules promulgated by the
4commissioner department.
AB100-ASA1, s. 2263 5Section 2263. 153.05 (2) of the statutes is amended to read:
AB100-ASA1,1361,126 153.05 (2) The office department shall provide copies of reports published
7under ss. 153.10 to 153.35 at no charge to hospitals assessed under s. 153.60 (1) and,
8if assessed, at no charge to ambulatory surgery centers assessed under s. 153.60 (2).
9The office department shall provide copies of the reports to any person, upon the
10person's request, and the board shall advise the office department as to whether the
11copies shall be provided at no charge or at a charge not to exceed the cost of printing,
12copying and mailing the report to the person.
AB100-ASA1, s. 2264 13Section 2264. 153.05 (3) of the statutes is amended to read:
AB100-ASA1,1361,1614 153.05 (3) Upon request of the office department, state agencies shall provide
15health care information to the office department for use in preparing reports under
16ss. 153.10 to 153.35.
AB100-ASA1, s. 2265 17Section 2265. 153.05 (4) of the statutes is amended to read:
AB100-ASA1,1361,2418 153.05 (4) (a) The office department, under rules promulgated by the
19commissioner department, shall require hospitals to use, and private-pay patients
20and payers who are insurers to accept, uniform patient billing forms, shall require
21hospitals to submit to the office department the information provided on the billing
22forms, including, for an injury, the external cause of the event, and may require
23payers who are insurers to use a standard set of definitions for base data reporting
24under a uniform patient billing form.
AB100-ASA1,1362,6
1(b) The office department, under rules promulgated by the commissioner
2department, may require ambulatory surgery centers to use uniform patient billing
3forms and other information, and, if so requiring, shall require ambulatory surgery
4centers to submit to the office department the information provided on the billing
5forms, including, for an injury, the external cause of the event, using a standard set
6of definitions for base data reporting.
AB100-ASA1, s. 2266 7Section 2266. 153.05 (5) of the statutes is amended to read:
AB100-ASA1,1362,88 153.05 (5) The office department:
AB100-ASA1,1362,119 (a) Shall require hospitals to submit information regarding medical
10malpractice, staffing levels and patient case-mix, and expenditures related to labor
11relations consultants, as specified by the office department.
AB100-ASA1,1362,1612 (b) May require hospitals to submit to the office department information from
13sources identified under sub. (1) (a) to (e) that the office department deems necessary
14for the preparation of reports, plans and recommendations under ss. 153.10 to 153.35
15and any other reports required of the office department in the form specified by the
16office department.
AB100-ASA1,1362,2017 (bm) Shall require a hospital to submit to the office department information
18from sources identified under sub. (1) (e) by the date that is 4 months following the
19close of the hospital's fiscal year unless the office department grants an extension of
20time to file the information.
AB100-ASA1, s. 2267 21Section 2267. 153.05 (6) of the statutes is amended to read:
AB100-ASA1,1363,222 153.05 (6) If the requirements of s. 153.07 (2) are first met, the office
23department may contract with a public or private entity that is not a major
24purchaser, payer or provider of health care services in this state for the provision of
25data processing services for the collection, analysis and dissemination of health care

1information under sub. (1) or the department of health and family services shall
2provide the services under s. 153.07 (2).
AB100-ASA1, s. 2268 3Section 2268. 153.05 (6m) of the statutes is amended to read:
AB100-ASA1,1363,114 153.05 (6m) If the requirements of s. 153.07 (2) are first met, the office
5department may contract with the group insurance board for the provision of data
6collection and analysis services related to health maintenance organizations and
7insurance companies that provide health insurance for state employes or the
8commissioner department shall provide the services under s. 153.07 (2). The office
9department shall establish contract fees for the provision of the services. All moneys
10collected under this subsection shall be credited to the appropriation under s. 20.145
11(8)
20.435 (1) (kx).
AB100-ASA1, s. 2269 12Section 2269. 153.05 (7) of the statutes is amended to read:
AB100-ASA1,1363,1613 153.05 (7) The office department may require each insurer authorized to write
14disability insurance to submit to the office department information obtained on
15uniform patient billing forms regarding reported claims for health care services
16which insureds who are residents of this state obtain in another state.
AB100-ASA1, s. 2270 17Section 2270. 153.05 (8) of the statutes is amended to read:
AB100-ASA1,1364,218 153.05 (8) Beginning April 1, 1992, the office department shall collect, analyze
19and disseminate, in language that is understandable to lay persons, health care
20information under the provisions of this chapter, as determined by rules
21promulgated by the commissioner department, from health care providers, as
22defined by rules promulgated by the commissioner department, other than hospitals
23and ambulatory surgery centers. Data from physicians shall be obtained through
24sampling techniques in lieu of collection of data on all patient encounters and data

1collection procedures shall minimize unnecessary duplication and administrative
2burdens.
AB100-ASA1, s. 2271 3Section 2271. 153.05 (9) of the statutes is amended to read:
AB100-ASA1,1364,74 153.05 (9) The office department shall provide orientation and training to
5physicians, hospital personnel and other health care providers to explain the process
6of data collection and analysis and the procedures for data verification,
7interpretation and release.
AB100-ASA1, s. 2272 8Section 2272. 153.05 (11) of the statutes is amended to read:
AB100-ASA1,1364,129 153.05 (11) In order to elicit public comment concerning the reports required
10under ss. 153.10 to 153.35, the office department shall, following the release of the
11reports and by a date that is determined by the board, provide notice of and hold
12public hearings.
AB100-ASA1, s. 2273 13Section 2273. 153.05 (12) of the statutes is amended to read:
AB100-ASA1,1364,1614 153.05 (12) The office department shall, to the extent possible and upon
15request, assist members of the public in interpreting data in health care information
16disseminated by the office department.
AB100-ASA1, s. 2274 17Section 2274. 153.07 (1) of the statutes is amended to read:
AB100-ASA1,1364,2018 153.07 (1) The board shall advise the director of the office department with
19regard to the collection, analysis and dissemination of health care information
20required by this chapter.
AB100-ASA1, s. 2275 21Section 2275. 153.07 (2) of the statutes is amended to read:
AB100-ASA1,1365,822 153.07 (2) The board, upon advice of the office department, shall first
23determine whether to contract for services pursuant to s. 153.05 (6) or (6m). If the
24board determines to contract for such services, it shall approve specifications for a
25contract including the length of the contract and the standards for determining

1potential contractor conflicts with the purposes of the office department as specified
2under s. 153.05 (1). In the alternative, the board may direct the office to have the
3department of health and family services
department to provide the services under
4s. 153.05 (6) or (6m). The board may subsequently determine to contract for these
5services in subsequent years. If the board decides to bid the contract for services
6under s. 153.05 (6) or (6m), the department of health and family services may offer
7a bid as would any other potential contractor. The board shall evaluate a contractor's
8performance 6 months prior to the close of each existing contract.
AB100-ASA1, s. 2276 9Section 2276. 153.07 (3) of the statutes is amended to read:
AB100-ASA1,1365,1110 153.07 (3) The board shall approve all rules which are proposed by the
11commissioner department for promulgation to implement this chapter.
AB100-ASA1, s. 2277 12Section 2277. 153.08 (2) (b) of the statutes is amended to read:
AB100-ASA1,1365,2413 153.08 (2) (b) No sooner than 15 days after a notice is published under par. (a)
14and no later than 15 days before the date of the proposed rate change, conducts a
15public hearing on the proposed rate change. The hearing shall be on the expected
16impact of the proposed rate change on health care costs, the expected improvement,
17if any, in the local health care delivery system, and any other issue related to the
18proposed rate change. Management staff, if any, of the hospital proposing the rate
19change and, if possible, at least 3 members of the governing board of any
20not-for-profit hospital proposing the rate change shall attend the public hearing to
21review public testimony. The hospital shall record accurate minutes of the meeting
22and shall provide copies of the minutes and any written testimony presented at the
23hearing to the office of health care information in the office of the commissioner of
24insurance
department within 10 days after the date of the public hearing.
AB100-ASA1, s. 2278 25Section 2278. 153.10 (1) of the statutes is amended to read:
AB100-ASA1,1366,5
1153.10 (1) Beginning in 1990 and quarterly thereafter, the office department
2shall prepare and submit to the governor and the chief clerk of each house of the
3legislature for distribution to the legislature under s. 13.172 (2), in a manner that
4permits comparisons among hospitals, a report setting forth all of the following for
5every hospital for the preceding quarter:
AB100-ASA1,1366,76 (a) The charges for up to 100 health care services or diagnostic-related groups
7selected by the office department.
AB100-ASA1,1366,98 (b) The utilization and charge information for ambulatory surgery and other
9outpatient health care services selected by the office department.
AB100-ASA1, s. 2279 10Section 2279. 153.15 of the statutes is amended to read:
AB100-ASA1,1366,16 11153.15 Small area analysis reports. Beginning in 1990 and annually
12thereafter, the office department shall prepare and submit to the governor and the
13chief clerk of each house of the legislature for distribution to the legislature under
14s. 13.172 (2) reports identifying health care services or procedures provided by one
15or more hospitals in specific areas of the state for which the rate of utilization of the
16service or procedure is significantly different than the state or area average.
AB100-ASA1, s. 2280 17Section 2280. 153.20 of the statutes is amended to read:
AB100-ASA1,1366,25 18153.20 Uncompensated health care services report. (1) Beginning in
191990 and annually thereafter, the office department shall prepare and submit to the
20governor and to the chief clerk of each house of the legislature for distribution to the
21legislature under s. 13.172 (2) a report setting forth the number of patients to whom
22uncompensated health care services were provided by each hospital and the total
23charges for the uncompensated health care services provided to the patients for the
24preceding year, together with the number of patients and the total charges that were
25projected by the hospital for that year in the plan filed under sub. (2).
AB100-ASA1,1367,5
1(2) Beginning in 1990 and annually thereafter, every hospital shall file with
2the office department a plan setting forth the projected number of patients to whom
3uncompensated health care services will be provided by the hospital and the
4projected total charges for the uncompensated health care services to be provided to
5the patients for the ensuing year.
AB100-ASA1, s. 2281 6Section 2281. 153.25 of the statutes is amended to read:
AB100-ASA1,1367,13 7153.25 Mortality and morbidity report. Beginning in 1990 and annually
8thereafter, the office department shall prepare and submit to the governor and to the
9chief clerk of each house of the legislature for distribution to the legislature under
10s. 13.172 (2) reports setting forth mortality and morbidity rates for every hospital.
11Before the release of a report under this section, the office department shall provide
12the physicians, hospitals or other health care providers identified in the report with
13the opportunity to review and comment under s. 153.40 (6).
AB100-ASA1, s. 2282 14Section 2282. 153.30 of the statutes is amended to read:
AB100-ASA1,1367,20 15153.30 Health care insurance report. Beginning in 1990 and annually
16thereafter, the office department and the office of the commissioner of insurance may
17jointly prepare and submit to the governor, and to the legislature under s. 13.172 (2),
18a report specifying, to the extent possible, on a regional basis, the number, nature of
19coverage and costs of health care coverage plans covering residents of this state
20during the preceding year.
AB100-ASA1, s. 2283 21Section 2283. 153.35 (intro.) of the statutes is amended to read:
AB100-ASA1,1368,2 22153.35 (title) Report by the office department. (intro.) The office
23department shall annually, by October 1, under rules promulgated by the
24commissioner department, submit under s. 13.172 (3) a report to the legislature for

1distribution to standing committees with jurisdiction over health matters, that shall
2include all of the following:
AB100-ASA1, s. 2284 3Section 2284. 153.35 (1) of the statutes is amended to read:
AB100-ASA1,1368,64 153.35 (1) The range, median and mean of charges and increases or decreases
5in specific charges by hospitals for up to 100 charge elements, as selected by the office
6department, as reported to the office department under s. 153.05 (1) (c) 1.
AB100-ASA1, s. 2285 7Section 2285. 153.40 (1) of the statutes is amended to read:
AB100-ASA1,1368,148 153.40 (1) Prior to data submission, hospitals, ambulatory surgery centers or
9other health care providers shall review discharge data for accuracy and shall obtain
10verification by the physician of the principal and secondary diagnoses and primary
11and secondary procedures. The verification shall occur within the time specified by
12rules promulgated by the commissioner department for data submission to the office
13department. If the verification is not made on a timely basis, the hospital or other
14health care provider shall submit the data noting the lack of verification.
AB100-ASA1, s. 2286 15Section 2286. 153.40 (2) of the statutes is amended to read:
AB100-ASA1,1368,2316 153.40 (2) The office department shall be responsible for assuring that
17appropriate editing is conducted for all submitted data to identify systematic errors,
18missing data, values beyond an allowed range, illegal codes within a range, illogical
19sequence of dates, diagnoses and procedures inconsistent with age and sex, other
20data failing internal consistency checks and other patterns inconsistent with what
21would be expected. The office department shall notify hospitals, ambulatory surgery
22centers or, beginning April 1, 1992, other health care providers of missing or incorrect
23information under this subsection.
AB100-ASA1, s. 2287 24Section 2287. 153.40 (3) of the statutes is amended to read:
AB100-ASA1,1369,4
1153.40 (3) Hospitals, ambulatory surgery centers or, beginning April 1, 1992,
2other health care providers shall be responsible for resolving the errors found by the
3editing under sub. (2) and shall resubmit corrected data within 10 working days after
4receiving written notification from the office department of the errors.
AB100-ASA1, s. 2288 5Section 2288. 153.40 (4) of the statutes is amended to read:
AB100-ASA1,1369,86 153.40 (4) The office department shall send edited and corrected data to
7hospitals, ambulatory surgery centers or, beginning April 1, 1992, other health care
8providers for a 10-working-day review period before the data are released.
AB100-ASA1, s. 2289 9Section 2289. 153.40 (5) of the statutes is amended to read:
AB100-ASA1,1369,1310 153.40 (5) The office department may, by rules promulgated by the
11commissioner department, require that other forms of data verification, including
12reabstracting studies and comparisons with information collected from other data
13systems, be conducted prior to the release of physician-specific data.
AB100-ASA1, s. 2290 14Section 2290. 153.40 (6) of the statutes is amended to read:
AB100-ASA1,1369,2315 153.40 (6) At least 30 calendar days prior to the release of a report under s.
16153.25, the office department shall notify a physician, hospital or other health care
17provider identified in the report of the office's department's intent to release the
18report. The notification shall include a copy of the draft report and a statement that
19those identified may submit comments on the report to the office department. If the
20office department receives comments prior to the release of the report, the office
21department shall append the comments to the report. If the office department
22receives comments after the report is released, the office department shall make the
23comments available to anyone requesting the comments.
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