LRB-1552/P1
FFK:wlj
2023 - 2024 LEGISLATURE
DOA:......Bollhorst, BB0391 - Low-value Care Analysis Grant
For 2023-2025 Budget -- Not Ready For Introduction
An Act ...; relating to: the budget.
Analysis by the Legislative Reference Bureau
HEAlth and human services
General health and human services
Low-value care analysis grant
In each of the 2023-24 and 2024-25 fiscal years, this bill requires DHS to award a grant of up to $900,000 to an organization for the purpose of conducting a data analysis of claims under the Medical Assistance program and under health insurance plans offered to state employees to identify low-value care. The grant recipient must report is findings, including any recommendations for providing effective and efficient care, to DHS and ETF, who must then distribute the grant recipient's findings to certain health care providers, health care maintenance organizations, and insurance companies.
For further information see the state fiscal estimate, which will be printed as an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:
Section 9119.
Nonstatutory provisions; Health Services.
(1) Low-value care analysis grant. From the appropriation under s. 20.435 (1) (b), in the 2023-24 and 2024-25 fiscal years, the department of health services shall award a grant in an amount not to exceed $900,000 in each fiscal year to an organization for the purpose of conducting a data analysis of claims under the medical assistance program administered by the department of health services and claims under health care coverage plans offered by the state under s. 40.51 (6) to identify low-value care. The recipient of the grant under this subsection shall report the organization's findings, including any recommendations for providing effective and efficient care, to the department of health services and the department of employee trust funds. The department of health services and the department of employee trust funds shall distribute the findings reported under this subsection to health care providers that provide services covered by the medical assistance program or a health care coverage plan and to health maintenance organizations and insurance companies that provide health insurance to state employees.
(End)
