SB44-SSA1,822,85
153.05
(3) (a) Upon request of the department
for health care information
6relating to health care providers other than hospitals and ambulatory surgery
7centers, state agencies shall provide
that health care information to the department
8for use in preparing reports under this chapter.
SB44-SSA1,822,1310
153.05
(3) (b) Upon request of the entity under contract under sub. (2m) (a) for
11health care information relating to hospitals and ambulatory surgery centers, state
12agencies shall provide that health care information to the entity for use in preparing
13reports under this chapter.
SB44-SSA1, s. 2092i
14Section 2092i. 153.05 (5) of the statutes is renumbered 153.05 (5) (a) and
15amended to read:
SB44-SSA1,822,2016
153.05
(5) (a) Unless sub. (13)
(a) applies, the department may require health
17care providers
other than hospitals and ambulatory surgery centers to submit to the
18department information specified by rule under s. 153.75 (1) (n) for the preparation
19of reports, plans
, and recommendations in the form specified by the department by
20rule.
SB44-SSA1,822,2522
153.05
(5) (b) Unless sub. (13) (b) applies, the entity under contract under sub.
23(2m) (a) may require hospitals and ambulatory surgery centers to submit to the
24entity information for the preparation of reports, plans, and recommendations in the
25form specified by the entity.
SB44-SSA1,823,52
153.05
(6) The department may contract with a public or private
entity 3organization that is not a major purchaser, payer or provider of health care services
4in this state for the provision of data processing services for the collection, analysis
5and dissemination of health care information under sub. (1)
(a).
SB44-SSA1,823,197
153.05
(6r) The department shall study and, based on the results of the study,
8may develop and implement a voluntary system of health care plan reporting that
9enables purchasers and consumers to assess the performance of health care plans
10and the health care providers
, other than hospitals and ambulatory surgery centers, 11that are employed or reimbursed by the health care plans. The department shall
12undertake the study and any development and implementation in cooperation with
13private health care purchasers, the board, the department of employee trust funds,
14the office of the commissioner of insurance, the interagency coordinating council
15created under s. 15.107 (7), major associations of health care providers, health care
16plans and consumers. If implemented, the department shall operate the system in
17a manner so as to enable purchasers, consumers, the public, the governor and
18legislators to assess the performance of health care plans and health care providers
19other than hospitals and ambulatory surgery centers.
SB44-SSA1, s. 2093bg
20Section 2093bg. 153.05 (8) of the statutes is renumbered 153.05 (8) (a) and
21amended to read:
SB44-SSA1,824,922
153.05
(8) (a) Unless sub. (13)
(a) applies, the department shall collect, analyze
23and disseminate, in language that is understandable to
lay persons laypersons,
24claims information and other health care information, as adjusted for case mix and
25severity, under the provisions of this chapter, as determined by rules promulgated
1by the department, from health care providers
, other than hospitals and ambulatory
2surgery centers, specified by rules promulgated by the department. Data from
those 3health care providers may be obtained through sampling techniques in lieu of
4collection of data on all patient encounters and data collection procedures shall
5minimize unnecessary duplication and administrative burdens. If the department
6collects
health care provider-specific data from health care plans
data that is specific
7to health care providers other than hospitals and ambulatory surgery centers, the
8department shall attempt to avoid collecting the same data from
those health care
9providers.
SB44-SSA1,824,1811
153.05
(8) (b) Unless sub. (13) (b) applies, the entity under contract under sub.
12(2m) (a) shall collect, analyze, and disseminate, in language that is understandable
13to laypersons, claims information and other health care information, as adjusted for
14case mix and severity, under the provisions of this chapter, from hospitals and
15ambulatory surgery centers. Data from hospitals and ambulatory surgery centers
16may be obtained through sampling techniques in lieu of collection of data on all
17patient encounters, and data collection procedures shall minimize unnecessary
18duplication and administrative burdens.
SB44-SSA1, s. 2093c
19Section 2093c. 153.05 (9) of the statutes is renumbered 153.05 (9) (a) and
20amended to read:
SB44-SSA1,824,2421
153.05
(9) (a) The department shall provide orientation and training to health
22care providers
, other than hospitals and ambulatory surgery centers, who submit
23data under this chapter
, to explain the process of data collection and analysis and the
24procedures for data verification, comment, interpretation
, and release.
SB44-SSA1,825,4
1153.05
(9) (b) The entity under contract under sub. (2m) (a) shall provide
2orientation and training to hospitals and ambulatory surgery centers that submit
3data under this chapter, to explain the process of data collection and analysis and the
4procedures for data verification, comment, interpretation, and release.
SB44-SSA1,825,97
153.05
(12) (b) The entity under contract under sub. (2m) (a) shall, to the extent
8possible and upon request, assist members of the public in interpreting data in
9health care information disseminated by the entity.
SB44-SSA1, s. 2094c
10Section 2094c. 153.05 (13) of the statutes is renumbered 153.05 (13) (a) and
11amended to read:
SB44-SSA1,825,1812
153.05
(13) (a) The department may waive the requirement under sub. (1)
(a),
13(5)
(a), or (8)
(a) for a health care provider
, other than a hospital or ambulatory
14surgery center, who requests the waiver and presents evidence to the department
15that the requirement under sub. (1)
(a), (5)
(a), or (8)
(a) is burdensome, under
16standards established by the department by rule. The department shall develop a
17form for use by
a the health care provider in submitting a request under this
18subsection paragraph.
SB44-SSA1,825,2520
153.05
(13) (b) The entity under contract under sub. (2m) (a) may waive the
21requirement under sub. (1) (b), (5) (b), or (8) (b) for a hospital or ambulatory surgery
22center that requests the waiver and presents evidence to the entity that the
23requirement under sub. (1) (b), (5) (b), or (8) (b) is burdensome. The entity shall
24develop a form for use by the hospital or ambulatory surgery center in submitting a
25request under this paragraph.
SB44-SSA1,826,42
153.07
(1) The board shall advise the department with regard to the collection,
3analysis and dissemination of health care information required
of the department 4by this chapter.
SB44-SSA1,826,86
153.07
(4) (b) Provide oversight on the standard reports
required of the
7department under this chapter, including the
reports report under
ss. 153.20 and s. 8153.21
(1).
SB44-SSA1,826,1110
153.07
(4) (c) Develop the overall strategy and direction for implementation of
11the department's duties and powers under this chapter.
SB44-SSA1,826,1413
153.08
(5) The entity under contract under s. 153.05 (2m) (a) shall annually
14publish a hospital rate increase report that contains all of the following information:
SB44-SSA1,826,1515
(a) For each hospital that publishes a notice under sub. (4), all of the following:
SB44-SSA1,826,1716
1. The name of the hospital and the city, village, or town in which the hospital
17is located.
SB44-SSA1,826,1818
2. The date the rate increase is to take effect.
SB44-SSA1,826,1919
3. The annualized percentage rate increase that will result.
SB44-SSA1,826,2020
4. The geographic area of analysis in which the hospital is located.
SB44-SSA1,826,2121
(b) A list of hospitals that have closed since 1993.
SB44-SSA1, s. 2094i
22Section 2094i. 153.10 of the statutes is renumbered 153.10 (1) and amended
23to read:
SB44-SSA1,827,324
153.10
(1) The department shall prepare, and submit to the governor and the
25chief clerk of each house of the legislature for distribution to the legislature under
1s. 13.172 (2), standard reports
concerning health care providers other than hospitals
2and ambulatory surgery centers that the department prepares and shall collect
3information necessary for preparation of those reports.
SB44-SSA1,827,95
153.10
(2) The entity under contract under s. 153.05 (2m) (a) shall prepare, and
6submit to the governor and the chief clerk of each house of the legislature for
7distribution to the legislature under s. 13.172 (2), standard reports concerning
8hospitals and ambulatory surgery centers that the entity prepares and shall collect
9information necessary for preparation of those reports.
SB44-SSA1,827,18
11153.20 Uncompensated health care services report. (1) The
department 12entity under contract under s. 153.05 (2m) (a) shall prepare, and submit to the
13governor and to the chief clerk of each house of the legislature for distribution to the
14legislature under s. 13.172 (2), an annual report setting forth the number of patients
15to whom uncompensated health care services were provided by each hospital and the
16total charges for the uncompensated health care services provided to the patients for
17the preceding year, together with the number of patients and the total charges that
18were projected by the hospital for that year in the plan filed under sub. (2).
SB44-SSA1,827,23
19(2) Every hospital shall file with the
department entity under contract under
20s. 153.05 (2m) (a) an annual plan setting forth the projected number of patients to
21whom uncompensated health care services will be provided by the hospital and the
22projected total charges for the uncompensated health care services to be provided to
23the patients for the ensuing year.
SB44-SSA1, s. 2094L
24Section 2094L. 153.21 of the statutes is renumbered 153.21 (1) and amended
25to read:
SB44-SSA1,828,6
1153.21
(1) The department shall prepare and submit to the governor and to the
2chief clerk of each house of the legislature for distribution to the legislature under
3s. 13.172 (2) an annual guide to assist consumers in selecting health care providers
4other than hospitals and ambulatory surgery centers and health care plans. The
5guide shall be written in language that is understandable to
lay persons laypersons.
6The department shall widely publicize and distribute the guide to consumers.
SB44-SSA1,828,158
153.21
(2) The entity under contract under s. 153.05 (2m) (a) shall prepare and
9submit to the governor and to the chief clerk of each house of the legislature for
10distribution to the legislature under s. 13.172 (2) an annual guide to assist
11consumers in selecting hospitals and ambulatory surgery centers. The guide shall
12be written in language that is understandable to laypersons and shall include data
13derived from the annual survey of hospitals conducted by the American Hospital
14Association and the annual hospital fiscal survey. The entity shall widely publicize
15and distribute the guide to consumers.
SB44-SSA1,828,22
17153.22 Patient-level data utilization, charge, and quality report. (1) 18The entity under contract under s. 153.05 (2m) (a) shall prepare and submit to the
19governor and to the chief clerk of each house of the legislature for distribution to the
20legislature under s. 13.172 (2), an annual report that summarizes utilization, charge,
21and quality data on patients treated by hospitals and ambulatory surgery centers
22during the most recent calendar year.
SB44-SSA1,828,24
24153.45 (title)
Release of data by department.
SB44-SSA1, s. 2094r
1Section 2094r. 153.45 (1) (b) 1. of the statutes is renumbered 153.46 (1) (b) and
2amended to read:
SB44-SSA1,829,83
153.46
(1) (b) For information that is submitted by hospitals or ambulatory
4surgery centers, public use data files that do not permit the identification of specific
5patients, employers
, or health care providers
, as defined by rules promulgated by the
6department. The identification of patients, employers
, or health care providers shall
7be protected by all necessary means, including the deletion of patient identifiers and
8the use of calculated variables and aggregated variables.
SB44-SSA1, s. 2094s
9Section 2094s. 153.45 (1) (b) 2. of the statutes is renumbered 153.45 (1) (b),
10and 153.45 (1) (b) (intro.), as renumbered, is amended to read:
SB44-SSA1,829,2211
153.45
(1) (b) (intro.) For information that is submitted by health care
12providers other than hospitals or ambulatory surgery centers, public use data files
13that do not permit the identification of specific patients, employers
, or health care
14providers, as defined by rules promulgated by the department. The identification of
15patients, employers
, or health care providers shall be protected by all necessary
16means, including the deletion of patient identifiers; the use of calculated variables
17and aggregated variables; the specification of counties as to residence, rather than
18zip codes; the use of 5-year categories for age, rather than exact age; not releasing
19information concerning a patient's race
or, ethnicity
, or dates of admission,
20discharge, procedures
, or visits; and masking sensitive diagnoses and procedures by
21use of larger diagnostic and procedure categories. Public use data files under this
22subdivision paragraph may include only the following:
SB44-SSA1, s. 2094t
23Section 2094t. 153.45 (1) (c) (intro.) of the statutes is amended to read:
SB44-SSA1,830,1024
153.45
(1) (c) (intro.) Custom-designed reports containing portions of the data
25under par. (b). Of information submitted by health care providers that are not
1hospitals or ambulatory surgery centers, requests under this paragraph for data
2elements other than those available for public use data files under par. (b)
2.,
3including the patient's month and year of birth, require review and approval by the
4independent review board before the data elements may be released. Information
5that contains the name of a health care provider that is not a hospital or ambulatory
6surgery center may be released only if the independent review board first reviews
7and approves the release or if the department promulgates rules that specify
8circumstances under which the independent review board need not review and
9approve the release. Reports under this paragraph may include the patient's zip code
10only if at least one of the following applies:
SB44-SSA1,830,1512
153.45
(2) The department shall provide to other
entities agencies or to
13organizations the data necessary to fulfill their statutory mandates for
14epidemiological purposes or to minimize the duplicate collection of similar data
15elements.
SB44-SSA1,830,2117
153.45
(3) The department may, but is not required to, release health care
18provider-specific and employer-specific data
that relates to health care providers
19other than hospitals and ambulatory surgery centers, except in public use data files
20as specified under sub. (1) (b), in a manner that is specified in rules promulgated by
21the department.
SB44-SSA1,831,323
153.45
(5) The department may not release any health care information that
24is subject to rules promulgated under s. 153.75 (1) (b) until the verification, comment
25and review procedures required under those rules have been complied with. Nothing
1in this subsection prohibits release of
health care provider-specific information to
2the a health care provider
that is not a hospital or ambulatory surgery center, to
3whom the information
relates is specific.
SB44-SSA1,831,7
5153.46 Release of data by entity. (1) After completion of data verification,
6comment, and review procedures, the entity under contract under s. 153.05 (2m) (a)
7shall release data, together with comments, if any, in the following forms:
SB44-SSA1,831,88
(a) Standard reports.
SB44-SSA1,831,119
(c) Custom-designed reports containing portions of the data under par. (b).
10Reports under this paragraph may include the patient's zip code only if at least one
11of the following applies:
SB44-SSA1,831,1212
1. Other potentially identifying data elements are not released.
SB44-SSA1,831,1313
2. Population density is sufficient to mask patient identity.
SB44-SSA1,831,1514
3. Other potentially identifying data elements are grouped to provide
15population density sufficient to protect identity.
SB44-SSA1,831,1616
4. Multiple years of data elements are added to protect identity.
SB44-SSA1,831,19
17(1m) After completion of data verification and review procedures specified
18under s. 153.01 (4j), the entity may, but is not required to, release special data
19compilations.
SB44-SSA1,831,23
20(2) The entity under contract under s. 153.05 (2m) (a) shall provide to the
21department and to any other organization or agency the data necessary to fulfill the
22department's, organization's, or agency's statutory mandates for epidemiological
23purposes.
SB44-SSA1,832,2
24(3) The entity under contract under s. 153.05 (2m) (a) may, but is not required
25to, release hospital-specific, ambulatory surgery center-specific, and hospital or
1ambulatory surgery center employer-specific data, except in public use data files as
2specified under sub. (1) (b).
SB44-SSA1,832,5
3(4) The entity under contract under s. 153.05 (2m) (a) shall, as limited by this
4section and s. 153.50, provide equal access to the data collected and reports
5generated by the entity to all requesters that pay the fees under s. 153.65 (2).
SB44-SSA1,832,8
6(5) The entity under contract under s. 153.05 (2m) (a) shall provide to the
7department, without charge, claims and provider survey information that is
8requested by or required to be provided to the department.
SB44-SSA1,832,11
9(6) No person who purchases a data compilation or report under s. 153.65 (2)
10may release or sell the data sets so purchased, except that the department may
11release data and information as part of reports created by the department.
SB44-SSA1,832,1713
153.50
(3) Departmental measures Measures to ensure protection of patient
14identity. (intro.) To ensure that the identity of patients is protected when
15information obtained by the department
or by the entity under contract under s.
16153.05 (2m) (a) is disseminated, the department
and the entity shall do all of the
17following:
SB44-SSA1,832,2219
153.50
(3) (a) Aggregate any data element category containing small numbers
,
20using. The department, in so doing, shall use procedures that are developed by the
21department and approved by the board and that follow commonly accepted
22statistical methodology.
SB44-SSA1, s. 2095d
23Section 2095d. 153.50 (3) (b) (intro.) of the statutes is amended to read:
SB44-SSA1,833,3
1153.50
(3) (b) (intro.) Remove and destroy all of the following data elements on
2the uniform patient billing forms that are received by the department
or by the entity 3under the requirements of this chapter:
SB44-SSA1,833,65
153.50
(3) (b) 7. The patient's account number, after use only as verification of
6data by the department
or by the entity.