AB1-SSA1-SA2,340,2
2"
Section 329r. 146.50 (4) (title) of the statutes is amended to read:
AB1-SSA1-SA2,340,43
146.50
(4) (title)
Ambulance staffing
and operational plans; limitations;
4rules.
AB1-SSA1-SA2, s. 329s
5Section 329s. 146.50 (4) (c) of the statutes is renumbered 146.50 (4) (c) (intro.)
6and amended to read:
AB1-SSA1-SA2,340,177
146.50
(4) (c) (intro.) Notwithstanding par. (a), the department may
8promulgate rules that establish standards for
approval by the department of
9operational plans for the staffing of ambulances in which the primary services
10provided are those which an emergency medical technician - intermediate is
11authorized to provide or those which an emergency medical technician - paramedic
12is authorized to provide.
Rules promulgated by the department under this
13paragraph may permit the department to approve an operational plan, for services
14that an emergency medical technician-paramedic is authorized to provide, that is
15submitted by an ambulance service provider that provided these services before
16January 1, 2000, only if the operational plan specifies all of the following for the
17transport of a patient in a prehospital setting:
AB1-SSA1-SA2,340,2419
146.50
(4) (c) 1. That the ambulance service provider ensures, in writing, that
20the ambulance is staffed with at least 2 emergency medical technicians-paramedic,
21licensed registered nurses, licensed physician assistants, or physicians or a
22combination of any 2 of these, who are trained in the use of all skills authorized by
23rule for an emergency medical technician-paramedic and are designated by the
24medical director of the ambulance service.
AB1-SSA1-SA2,341,52
146.50
(4) (c) 2. That the ambulance staff, as specified in subd. 1., is dispatched
3from the same site, together, to the scene of an emergency. This subdivision does not
4apply if the ambulance service provider, as of October 1, 2001, dispatched ambulance
5staff from multiple sites to the scene of an emergency.
AB1-SSA1-SA2,341,107
146.50
(4) (c) 3. That if an emergency medical technician-paramedic arrives
8at the scene of an emergency prior to the arrival of the ambulance staff, as specified
9in subd. 1., the emergency medical technician-paramedic may provide services using
10all skills authorized by rule for an emergency medical technician-paramedic.".
AB1-SSA1-SA2,341,1413
146.50
(13) (a) The department may promulgate rules necessary for
14administration of this section
, as limited under sub. (4) (c).".
AB1-SSA1-SA2,341,1817
146.83
(1) (b) Receive a copy of the patient's health care records upon payment
18of
reasonable costs fees, as established by rule under sub. (3m).
AB1-SSA1-SA2,341,2220
146.83
(1) (c) Receive a copy of the health care provider's X-ray reports or have
21the X-rays referred to another health care provider of the patient's choice upon
22payment of
reasonable costs fees, as established by rule under sub. (3m).
AB1-SSA1-SA2,342,7
1146.83
(3m) The department shall, by rule, prescribe fees that are based on an
2approximation of actual costs. The fees, plus applicable state tax, are the maximum
3amount that a health care provider may charge under sub. (1) (b) for duplicate
4patient health care records and under sub. (1) (c) for duplicate X-ray reports or the
5referral of X-rays to another health care provider of the patient's choice. The rule
6shall also permit the health care provider to charge for actual postage or other actual
7delivery costs.".
AB1-SSA1-SA2,342,1110
150.01
(2g) "Ambulatory surgery center" has the meaning given in
42 CFR
11416.2.
AB1-SSA1-SA2,342,1413
150.01
(8g) "Construction" means the establishment, erection, building,
14purchase, or other acquisition of a hospital or ambulatory surgery center.
AB1-SSA1-SA2,342,1616
150.01
(9m) "Critical access hospital" has the meaning given in s. 50.33 (1g).".
AB1-SSA1-SA2,342,19
18"
Section 336p. Subchapter VI (title) of chapter 150 [precedes150.93] of the
19statutes is amended to read:
AB1-SSA1-SA2,342,24
22MORATORIUM ON CONSTRUCTION
23
OF HOSPITAL
BEDS and ambulatory
24
surgery center limitations
AB1-SSA1-SA2,343,6
4150.935 Limitations on hospitals and ambulatory surgery centers. (2) 5As a condition of hospital approval under s. 50.35, no person may, by or on behalf of
6a hospital, do any of the following:
AB1-SSA1-SA2,343,97
(a) Increase, or obligate for a capital expenditure to increase, the number of
8approved beds of the hospital that are available on the effective date of this
9paragraph .... [revisor inserts date].
AB1-SSA1-SA2,343,1310
(b) Expand an existing service of the hospital, unless the primary purpose of
11the expanded service is to provide free or reduced-cost health or dental care to
12individuals who are determined by the department to be underserved or to have low
13income.
AB1-SSA1-SA2,343,1414
(c) Engage in construction, except for the purpose of any of the following:
AB1-SSA1-SA2,343,1615
1. Consolidation of hospitals, if the consolidation does not increase the number
16of available beds of the hospitals.
AB1-SSA1-SA2,343,1817
2. As a response to damage caused by a natural disaster, including an
18earthquake, or by a fire.
AB1-SSA1-SA2,343,2019
3. To eliminate a threat to the safety to patients, staff, or the general public that
20is due to a physical defect of the hospital.
AB1-SSA1-SA2,343,2321
(d) 1. Before January 1, 2003, engage in upgrading renovation, except for
22routine maintenance or maintenance to eliminate a threat to the safety of patients,
23staff, or the general public that is due to a physical defect of the hospital.
AB1-SSA1-SA2,344,424
2. If a hospital seeks an opinion from the department concerning whether a
25proposed project of the hospital violates subd. 1., the department shall issue the
1opinion. If the hospital, after completing the project, is found to be in violation of
2subd. 1., the violation does not affect the status of the hospital's approval under s.
350.35 unless the actual, completed project differs materially from the proposed
4project for which the department issued an opinion.
AB1-SSA1-SA2,344,6
5(3) As a condition of hospital approval under s. 50.35, a hospital shall do all of
6the following:
AB1-SSA1-SA2,344,107
(a) If the hospital is certified under s. 49.45 (2) (a) 11. as a provider of medical
8assistance or certified as a provider of services under medicare, as defined in s. 49.45
9(3) (L) 1. b., or if the hospital obtains this certification, accept as patients individuals
10who are medical assistance recipients or medicare beneficiaries.
AB1-SSA1-SA2,344,1711
(b) Operate a 24-hour emergency room or, for a hospital approved under s.
1250.35 as of the effective date of this paragraph .... [revisor inserts date], have in effect
13an agreement with another hospital with a 24-hour emergency room under which
14that other hospital consents to receive patients in need of emergency care that are
15transferred to it by the hospital that does not operate a 24-hour emergency room.
16This paragraph does not apply to a hospital that is an inpatient facility, as defined
17in s. 51.01 (10) or that is certified under s. 49.45 (2) (a) 11. as a rehabilitation hospital.
AB1-SSA1-SA2,344,19
18(4) No person may, by or on behalf of an ambulatory surgery center, do any of
19the following:
AB1-SSA1-SA2,344,2320
(a) Expand an existing service of the ambulatory surgery center unless the
21primary purpose of the new service is to provide free or reduced-cost health or dental
22care to individuals who are determined by the department to be underserved or to
23have low income.
AB1-SSA1-SA2,344,2424
(b) Engage in construction, except for the purposes of any of the following:
AB1-SSA1-SA2,345,2
11. As a response to damage caused by a natural disaster, including an
2earthquake, or by a fire.
AB1-SSA1-SA2,345,43
2. To eliminate a threat to the safety of patients, staff, or the general public that
4is due to a physical defect of the ambulatory surgery center.
AB1-SSA1-SA2,345,85
(c) 1. Before January 1, 2003, engage in upgrading renovation, except for
6routine maintenance or maintenance to eliminate a threat to the safety of patients,
7staff, or the general public that is due to a physical defect of the ambulatory surgery
8center.
AB1-SSA1-SA2,345,159
2. If an ambulatory surgery center seeks an opinion from the department
10concerning whether a proposed project of the ambulatory surgery center violates
11subd. 1., the department shall issue the opinion. If the opinion of the department is
12that the proposed project does not violate subd. 1., an ambulatory surgery center,
13after completing the project, may not be found to be in violation of subd. 1. unless the
14actual, completed project differs materially from the proposed project for which the
15department issued the opinion.
AB1-SSA1-SA2,345,20
16(5) If an ambulatory surgery center is certified under s. 49.45 (2) (a) 11. as a
17provider of medical assistance or certified as a provider of services under medicare,
18as defined in s. 49.45 (3) (L) 1. b., or if an ambulatory surgery center obtains this
19certification, the ambulatory surgery center shall accept as patients individuals who
20are medical assistance recipients or medicare beneficiaries.
AB1-SSA1-SA2,345,22
21(6) The department shall promulgate as a rule a definition of "upgrading
22renovation," for the purposes of subs. (2) (d) 1. and (4) (c) 1.
AB1-SSA1-SA2,346,2
23(7) The department may, under s. 50.35, revoke or suspend approval for a
24hospital that violates sub. (2) or fails to comply with sub. (3) or 2002 Wisconsin Act
1.... (this act), section 9123 (5qr), after giving reasonable notice, a fair hearing, and,
2if appropriate as determined by the department, a reasonable opportunity to comply.
AB1-SSA1-SA2, s. 336rf
3Section 336rf. 150.935 (2) (d) 1. of the statutes, as created by 2001 Wisconsin
4Act .... (this act), is amended to read:
AB1-SSA1-SA2,346,85
150.935 (2) (d) 1.
Before January 1, 2003, engage
Engage in upgrading
6renovation
, as defined by rule by the department, except for routine maintenance or
7maintenance to eliminate a threat to the safety of patients, staff, or the general
8public that is due to a physical defect of the hospital.".
AB1-SSA1-SA2, s. 336rh
9Section 336rh. 150.935 (4) (c) 1. of the statutes, as created by 2001 Wisconsin
10Act .... (this act), is amended to read:
AB1-SSA1-SA2,346,1411
150.935
(4) (c) 1.
Before January 1, 2003, engage Engage in upgrading
12renovation
, as defined by rule by the department, except for routine maintenance or
13maintenance to eliminate a threat to the safety of patients, staff, or the general
14public that is due to a physical defect of the ambulatory surgery center.
AB1-SSA1-SA2, s. 336rL
15Section 336rL. 150.935 (7) of the statutes, as created by 2001 Wisconsin Act
16.... (this act), is amended to read:
AB1-SSA1-SA2,346,2117
150.935
(7) The department may, under s. 50.35, revoke or suspend approval
18for a hospital that violates sub. (2) or fails to comply with sub. (3)
or 2002 Wisconsin
19Act .... (this act), section 9123 (5qr), after giving reasonable notice, a fair hearing,
20and, if appropriate as determined by the department, a reasonable opportunity to
21comply.".
AB1-SSA1-SA2,347,2
1160.257 Exceptions for aquifer storage and recovery systems. (1) In
2this section:
AB1-SSA1-SA2,347,43
(a) "Aquifer storage and recovery system" means all of the aquifer storage and
4recovery wells and related appurtenances that are part of a municipal water system.
AB1-SSA1-SA2,347,75
(b) "Aquifer storage and recovery well" means a well through which treated
6drinking water is placed underground for the purpose of storing and later recovering
7the water through the same well for use as drinking water.
AB1-SSA1-SA2,347,118
(c) "Municipal water system" means a community water system, as defined in
9s. 281.62 (1) (a), that is owned by a city, village, town, county, town sanitary district,
10utility district, public inland lake protection and rehabilitation district, or municipal
11water district, or by a privately owned water utility serving any of the foregoing.
AB1-SSA1-SA2,347,1212
(d) "Specified substance" means one of the following:
AB1-SSA1-SA2,347,1414
2. Bromodichloromethane.
AB1-SSA1-SA2,347,1515
3. Dibromochloromethane.
AB1-SSA1-SA2,347,1917
(e) "Treated drinking water" means potable water that has been treated so that
18it complies with the primary drinking water standards promulgated under ss. 280.11
19and 281.17 (8).
AB1-SSA1-SA2,348,2
20(2) Notwithstanding s. 160.19 (1) and (2), the department is not required to
21promulgate or amend rules that define design or management criteria for aquifer
22storage and recovery systems to minimize the amount of a specified substance in
23groundwater or to maintain compliance with the preventive action limit for a
24specified substance, however, the department shall promulgate rules that define
25design or management criteria for aquifer storage and recovery systems to maintain
1compliance with drinking water standards promulgated under ss. 280.11 and 281.17
2(8).
AB1-SSA1-SA2,348,6
3(3) Notwithstanding s. 160.21 (2), the point of standards application for an
4aquifer storage and recovery well with respect to a specified substance is 1,200 feet
5from the aquifer storage and recovery well and at any other well that is within 1,200
6feet from the aquifer storage and recovery well.".
AB1-SSA1-SA2,348,139
165.755
(1) (b) A court may not impose the crime laboratories and drug law
10enforcement assessment under par. (a) for a violation of s. 101.123 (2) (a), (am) 1., (ar)
11or (bm) or (5) (b) or for a violation of a state law or municipal or county ordinance
12involving a nonmoving traffic violation
, a headlamp violation under s. 347.065 (1), 13or a safety belt use violation under s. 347.48 (2m).".
AB1-SSA1-SA2,348,2316
165.065
(2) The assistant attorney general in charge of antitrust investigations
17and prosecutions is to cooperate actively with the antitrust division of the U.S.
18department of justice in everything that concerns monopolistic practices in
19Wisconsin, and also to cooperate actively with the department of agriculture, trade
20and consumer protection in the work which this agency is carrying on
under s. 100.20
21of the marketing law with regard to monopolistic practices in the field of agriculture
22and with the federal trade commission on matters arising in or affecting Wisconsin
23which pertain to its jurisdiction.
AB1-SSA1-SA2,349,113
165.25
(4) (ar) The department of justice shall
furnish all legal services
4required by represent the department of agriculture, trade and consumer protection
5in any court action relating to the enforcement of
ss. 100.171, 100.173, 100.174,
6100.175, 100.177, 100.18, 100.182, 100.20, 100.205, 100.207, 100.209, 100.21,
7100.28, 100.37, 100.42, 100.50 and 100.51 and chs. 126, 136, 344, 704, 707, and 779 8ch. 126 and 100.01 to 100.03, 100.05 to 100.07, 100.14, 100.183 to 100.19, 100.201,
9100.22, 100.235, 100.27, 100.285 to 100.297, 100.33 to 100.36, 100.45, 100.47, and
10100.48, together with any other services as are necessarily connected to the legal
11services.
AB1-SSA1-SA2,349,1713
165.25
(11) Consumer protection administration and enforcement. 14Administer and enforce ss. 100.15 to 100.182, 100.20, 100.205, 100.207 to 100.2095,
15100.28, 100.31, 100.37 to 100.44, 100.46, 100.50, and 100.52 and chs. 136, 344, 704,
16707, and 779. The department may issue general or special orders in administering
17and enforcing these provisions.".
AB1-SSA1-SA2,349,20
19"
Section 338dg. 165.055 (1) of the statutes is renumbered 165.055 and
20amended to read:
