AB100-ASA1,1714,2523
560.183
(1) (b) "Physician"
has the meaning given in means a physician, as
24defined in s. 448.01 (5)
, who specializes in family practice, general internal medicine,
25general pediatrics, obstetrics and gynecology, or psychiatry.
AB100-ASA1,1715,83
560.183
(1) (cm) "Primary care shortage area" means
a shortage area
4established under sub. (7), in which the ratio of the population to the number of
5physicians who provide primary care is more than 2,500 to one, or an area that is in
6a primary care health professional shortage area as determined by the federal
7department of health and human services under
42 CFR part 5, appendix A
,
8excluding a state or federal prison.
AB100-ASA1, s. 3026
9Section
3026. 560.183 (1) (d) of the statutes is renumbered 560.183 (1) (ap)
10and amended to read:
AB100-ASA1,1715,1411
560.183
(1) (ap) "
Psychiatric
Mental health shortage area" means an area that
12is designated by the federal department of health and human services under
42 CFR
13part 5, appendix C, as having a shortage of psychiatric
manpower professionals,
14excluding a state or federal prison and a state or county mental hospital.
AB100-ASA1,1716,216
560.183
(3) (a) The department shall enter into a written agreement with the
17physician. In the agreement, the physician shall agree to practice
at least 32 clinic
18hours per week for 3 years in one or more eligible practice areas in this state
19primarily in an eligible practice area, except that a physician specializing
in
20obstetrics may only agree to practice obstetrics in an obstetric shortage area and a
21physician specializing in psychiatry may only agree to practice psychiatry in a
22psychiatric mental health shortage area
and a physician in the expanded loan
23assistance program under sub. (9) may only agree to practice at a public or private
24nonprofit entity in a health professional shortage area. The physician shall also
1agree to care for patients who are insured or for whom health benefits are payable
2under medicare, medical assistance or any other governmental program.
AB100-ASA1,1716,64
560.183
(3) (b) The agreement shall specify that the responsibility of the
5department to make the payments under the agreement is subject to the availability
6of funds in the appropriations under s. 20.143 (1)
(fe) (f) and (jm).
AB100-ASA1,1716,108
560.183
(4) (a)
Ten percent Up to 40% of the principal of the loan or
$5,000 9$20,000, whichever is less, during the first year of
practice participation in the
10program under this section.
AB100-ASA1,1716,1412
560.183
(4) (b)
An Up to an additional
12.5% 40% of the principal of the loan
13or
$6,250 $20,000, whichever is less, during the 2nd year of
practice participation in
14the program under this section.
AB100-ASA1,1716,1816
560.183
(4) (c)
An Up to an additional
15% 20% of the principal of the loan or
17$7,500 $10,000, whichever is less, during the 3rd year of
practice participation in the
18program under this section.
AB100-ASA1,1716,2422
560.183
(5) (a) The obligation of the department to make payments under an
23agreement entered into under sub. (3) (b) is subject to the availability of funds in the
24appropriations under s. 20.143 (1)
(fe) (f) and (jm).
AB100-ASA1, s. 3035
25Section
3035. 560.183 (5) (b) (intro.) of the statutes is amended to read:
AB100-ASA1,1717,5
1560.183
(5) (b) (intro.) If the cost of repaying the loans of all eligible applicants,
2when added to the cost of loan repayments scheduled under existing agreements,
3exceeds the total amount in the appropriations under s. 20.143 (1)
(fe) (f) and (jm),
4the department shall establish priorities among the eligible applicants based upon
5the following considerations:
AB100-ASA1,1717,97
560.183
(5) (b) 1. The degree to which there is an extremely high need for
8medical care in the eligible practice area
or health professional shortage area in
9which the physician desires to practice.
AB100-ASA1,1717,1311
560.183
(5) (b) 2. The likelihood that a physician will remain in the eligible
12practice area
or health professional shortage area in which he or she desires to
13practice after the loan repayment period.
AB100-ASA1,1717,1615
560.183
(5) (b) 3. The per capita income of the eligible practice area
or health
16professional shortage area in which a physician desires to practice.
AB100-ASA1,1717,2118
560.183
(5) (b) 4. The financial or other support for physician recruitment and
19retention provided by individuals, organizations, or local governments in the eligible
20practice area
or health professional shortage area in which a physician desires to
21practice.
AB100-ASA1,1718,223
560.183
(5) (b) 5. The geographic distribution of the physicians who have
24entered into loan repayment agreements under this section and the geographic
1distribution of the eligible practice areas
or health professional shortage areas in
2which the eligible applicants desire to practice.
AB100-ASA1,1718,64
560.183
(6m) Penalties. The department shall, by rule, establish penalties to
5be assessed by the department against physicians who breach an agreement entered
6into under sub. (3) (a). The rules shall do all of the following:
AB100-ASA1,1718,77
(a) Specify what actions constitute a breach of the agreement.
AB100-ASA1,1718,88
(b) Provide specific penalty amounts for specific breaches.
AB100-ASA1,1718,109
(c) Provide exceptions for certain actions, including breaches resulting from
10death or disability.
AB100-ASA1,1718,1813
560.183
(8) Administrative contract. (intro.) From the appropriation under
14s. 20.143 (1)
(fd) (f), the department shall contract with the board of regents of the
15University of Wisconsin System for administrative services from the office of rural
16health of the department of professional and community development of the
17University of Wisconsin Medical School. Under the contract, the office of rural health
18shall do all of the following:
AB100-ASA1,1718,2321
560.183
(8) (b) Advise the department and
rural health development council
22on the identification of eligible practice areas with an extremely high need for
23medical care.
AB100-ASA1,1719,6
1560.183
(9) Expanded loan assistance program. The department may agree
2to repay loans as provided under this section on behalf of a physician under an
3expanded physician loan assistance program that is funded through federal funds
4in addition to state matching funds. To be eligible for loan repayment under the
5expanded physician loan assistance program, a physician must fulfill all of the
6requirements for loan repayment under this section, as well as all of the following:
AB100-ASA1,1719,77
(a) The physician must be a U.S. citizen.
AB100-ASA1,1719,98
(b) The physician may not have a judgment lien against his or her property for
9a debt to the United States.
AB100-ASA1,1719,1010
(c) The physician must agree to do all of the following:
AB100-ASA1,1719,1211
1. Accept medicare assignment as payment in full for services or articles
12provided.
AB100-ASA1,1719,1513
2. Use a sliding fee scale or a comparable method of determining payment
14arrangements for patients who are not eligible for medicare or medical assistance
15and who are unable to pay the customary fee for the physician's services.
AB100-ASA1,1719,1716
3. Practice at a public or private nonprofit entity in a health professional
17shortage area.
AB100-ASA1, s. 3041
18Section
3041. 560.184 (1) (a) of the statutes is renumbered 560.184 (1) (ad)
19and amended to read:
AB100-ASA1,1719,2120
560.184
(1) (ad) "Council"
has the meaning given in s. 560.183 (1) (a) means
21the rural health development council.
AB100-ASA1,1719,2323
560.184
(1) (ac) "Clinic hours" has the meaning given in s. 560.183 (1) (ac).
AB100-ASA1,1720,4
1560.184
(1) (am) "Eligible practice area" means a primary care shortage area,
2an obstetric shortage area, a state or federal prison, an area health education center
3program established under 42 USC 295g-1, an American Indian reservation or trust
4lands of an American Indian tribe.
AB100-ASA1,1720,76
560.184
(1) (bp) "Health professional shortage area" has the meaning given in
7s. 560.183 (1) (aj).
AB100-ASA1,1720,1510
560.184
(3) (a) The department shall enter into a written agreement with the
11health care provider. In the agreement, the health care provider shall agree to
12practice
at least 32 clinic hours per week for 3 years in one or more eligible practice
13areas in this state
primarily in an eligible practice area, except that a health care
14provider in the expanded loan assistance program under sub. (8) may only agree to
15practice at a public or private nonprofit entity in a health professional shortage area.
AB100-ASA1,1720,1917
560.184
(3) (b) The agreement shall specify that the responsibility of the
18department to make the payments under the agreement is subject to the availability
19of funds in the appropriations under s. 20.143 (1)
(fc) (f) and (jL).
AB100-ASA1,1720,2321
560.184
(4) (a)
Ten percent Up to 40% of the principal of the loan or
$2,500 22$10,000, whichever is less, during the first year of
practice participation in the
23program under this section.
AB100-ASA1,1721,3
1560.184
(4) (b)
An Up to an additional
12.5% 40% of the principal of the loan
2or
$3,125 $10,000, whichever is less, during the 2nd year of
practice participation in
3the program under this section.
AB100-ASA1,1721,75
560.184
(4) (c)
An Up to an additional
15% 20% of the principal of the loan or
6$3,750 $5,000, whichever is less, during the 3rd year of
practice participation in the
7program under this section.
AB100-ASA1,1721,1311
560.184
(5) (a) The obligation of the department to make payments under an
12agreement entered into under sub. (3) is subject to the availability of funds in the
13appropriations under s. 20.143 (1)
(fc) (f) and (jL).
AB100-ASA1, s. 3053
14Section
3053. 560.184 (5) (b) (intro.) of the statutes is amended to read:
AB100-ASA1,1721,1915
560.184
(5) (b) (intro.) If the cost of repaying the loans of all eligible applicants,
16when added to the cost of loan repayments scheduled under existing agreements,
17exceeds the total amount in the appropriations under s. 20.143 (1)
(fc) (f) and (jL), the
18department shall establish priorities among the eligible applicants based upon the
19following considerations:
AB100-ASA1,1721,2321
560.184
(5) (b) 1. The degree to which there is an extremely high need for
22medical care in the eligible practice area
or health professional shortage area in
23which an eligible applicant desires to practice.
AB100-ASA1,1722,3
1560.184
(5) (b) 2. The likelihood that an eligible applicant will remain in the
2eligible practice area
or health professional shortage area in which he or she desires
3to practice after the loan repayment period.
AB100-ASA1,1722,65
560.184
(5) (b) 3. The per capita income of the eligible practice area
or health
6professional shortage area in which an eligible applicant desires to practice.
AB100-ASA1,1722,118
560.184
(5) (b) 4. The financial or other support for health care provider
9recruitment and retention provided by individuals, organizations or local
10governments in the eligible practice area
or health professional shortage area in
11which an eligible applicant desires to practice.
AB100-ASA1,1722,1613
560.184
(5) (b) 5. The geographic distribution of the health care providers who
14have entered into loan repayment agreements under this section and the geographic
15location of the eligible practice area
or health professional shortage area in which an
16eligible applicant desires to practice.
AB100-ASA1,1722,2018
560.184
(6m) Penalties. The department shall, by rule, establish penalties to
19be assessed by the department against health care providers who breach an
20agreement entered into under sub. (3) (a). The rules shall do all of the following:
AB100-ASA1,1722,2121
(a) Specify what actions constitute a breach of the agreement.
