The attached report is submitted in accordance with s.
49.45(2)(a)21 of the Wis. Stats., which directs the Department of Health and Social Services to report annually on Wisconsin Medicaid recipient access to obstetric and pediatric services. The report outlines the variety of federal and state mandates and initiatives that have been established to encourage increased provision of these important services by physicians and other professions. It also outlines the increased use of medical services by Medicaid eligible children and pregnant women.
As this report indicates, at least 50 percent of the total number of primary care physicians in each of the 12 regions developed for State Plan Amendment report provided pediatric and obstetric serves to Wisconsin Medicaid recipients, in compliance with the federal standards.
Access to pediatric and obstetric care for Medicaid recipients will continue as a focus of Departmental efforts.
Sincerely,
Joe Leean
Secretary, DHSS
Referred to committee on Health.
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Agency Reports
State of Wisconsin
Legislative Audit Bureau
Madison
October 31, 1995
To the Honorable, the Legislature:
We have completed an evaluation of the Department of Corrections' inmate transportation system. Each month, the Department transports 37 percent of all inmates in its custody, primarily for reassignment from one institution to another and to provide inmates with off-site medical services. We estimate annual costs for vehicles and actual staff time spent transporting inmates are approximately $2.26 million.
The Department has an excellent safety record in transporting inmates, with only one serious escape incident in the last ten years. Nevertheless, as the number of inmates has grown and the State has built more correctional facilities, managing transportation services has become more complex and costly. The Department has taken some actions to increase efficiency by attempting to reduce staff overtime and by partially centralizing transportation services. However, further efficiencies are possible by establishing standard transportation systems for both interfacility and medical transfers. By scheduling trips in advance and following standard routes, we estimate the Department could reduce interfacility trip costs by between 34.1 and 38.0 percent and medical trip costs by between 20.7 and 22.0 percent, while maintaining current safety levels.
In addition to saving through greater efficiency, the Department can also achieve reduced transportation costs by decreasing the demand for trips. We have identified options for the Department to limit the number of referrals for off-site medical care that require transportation. These include expanded screening and prior approval of off-site referrals, expanded use of currently available tele-medicine technology, and careful exploration of privatization options.
A separate, detailed management letter describing our recommendations and options for restructuring the existing transportation system has been delivered to the Department and is available upon request.
We appreciate the courtesy and cooperation extended to us by Department of Corrections staff. The Department's response is the appendix.
Sincerely,
dale cattanach
State Auditor
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Representative Jensen asked unanimous consent that the rules be suspended and that Assembly Joint Resolution 64 be withdrawn and taken up at this time. Granted.
Assembly Joint Resolution 64
Relating to: proclaiming November 4 to November 11, 1995, the "Week of National Remembrance and the Closing of the 50th Anniversary of World War II".
Representative Jensen asked unanimous consent that Representative Zukowski be made a coauthor of Assembly Joint Resolution 64. Granted.
The question was: Shall Assembly Joint Resolution 64 be adopted?
The roll was taken.
The result follows:
A614
Ayes - Representatives Ainsworth, Albers, Baldus, Baldwin, Baumgart, Bell, Black, Bock, Boyle, Brancel, Brandemuehl, Carpenter, Coggs, Coleman, Cullen, Dobyns, Dueholm, Duff, Freese, Gard, Goetsch, Green, Grobschmidt, Gronemus, Grothman, Gunderson, Hahn, Handrick, Hanson, Harsdorf, Hasenohrl, Hoven, Huber, Hubler, Huebsch, Hutchison, Jensen, Johnsrud, Kaufert, Kelso, Klusman, Kreibich, Kreuser, Krug, Krusick, Kunicki, La Fave, Ladwig, F. Lasee, Lazich, Lehman, Linton, Lorge, Meyer, Murat, Musser, Nass, Olsen, Ott, Otte, Ourada, Owens, Plache, Plombon, Porter, R. Potter, Powers, Reynolds, Riley, Robson, Rutkowski, Ryba, Schneider, Schneiders, Seratti, Silbaugh, Springer, Travis, Turner, Underheim, Urban, Vander Loop, Vrakas, Walker, Ward, Wasserman, Wilder, Williams, Wirch, Wood, L. Young, R. Young, Ziegelbauer, Zukowski and Speaker Prosser - 95.
Noes - None.
Absent or not voting - Representatives Foti, Morris-Tatum, Notestein and Skindrud - 4.
Motion carried.
Representative Jensen asked unanimous consent that all members of the Assembly be made coauthors of Assembly Joint Resolution 64. Granted.
Representative Jensen asked unanimous consent that the rules be suspended and that Assembly Joint Resolution 64 be immediately messaged to the Senate. Granted.
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Representative Green asked unanimous consent for a leave of absence for part of today's session for Representative Foti. Granted.
Freese Speaker Pro Tempore Freese in the chair.
Representative Green asked unanimous consent that the Assembly stand recessed for until 1:00 P.M. Granted.
The Assembly stood recessed.
10:50 P.M.
__________________
4:15 P.M.
The Assembly reconvened.
Freese Speaker Pro Tempore Freese in the chair.
__________________
CALL OF THE ASSEMBLY
Representative Jensen requested a call of the Assembly. There were sufficient seconds.
The Sergeant-at-Arms was directed to close the doors and the Chief Clerk to call the roll.
The Chief Clerk called the roll.
Representative Jensen asked unanimous consent that the call of the Assembly be lifted. Granted.
__________________
Representative Potter asked unanimous consent for a leave of absence for the remainder of today's session for Representatives Notestein and Reynolds. Granted.
__________________
Representative Jensen asked unanimous consent that the rules be suspended and that Assembly Joint Resolution 65 be withdrawn and taken up at this time. Granted.
Assembly Joint Resolution 65
Relating to: the life and public service of Yitzhak Rabin.
Representative Robson asked unanimous consent to be made a coauthor of Assembly Joint Resolution 65. Granted.
Representative Jensen asked unanimous consent that all members of the Assembly be made coauthors of Assembly Joint Resolution 65. Granted.
The question was: Shall Assembly Joint Resolution 65 be adopted?
Motion carried.
Representative Jensen asked unanimous consent that the rules be suspended and that Assembly Joint Resolution 65 be immediately messaged to the Senate. Granted.
Representative Jensen asked unanimous consent that the rules be suspended and that Assembly Bill
606 be withdrawn and taken up at this time. Granted.
Assembly Bill 606
Relating to: a grant for training employes of a food processing plant that has closed and making an appropriation.
Assembly amendment 1 to Assembly Bill 606 offered by Representatives Freese, Brandemuehl, Powers and Johnsrud.
The question was: Shall Assembly amendment 1 to Assembly Bill 606 be adopted?
Motion carried.
The question was: Shall Assembly Bill 606 be ordered engrossed and read a third time?
Motion carried.
Representative Jensen asked unanimous consent that the rules be suspended and that Assembly Bill
606 be given a third reading. Granted.
The question was: Assembly Bill 606 having been read three times, shall the bill be passed?
The roll was taken.
The result follows:
A615
Ayes - Representatives Ainsworth, Albers, Baldus, Baldwin, Baumgart, Bell, Black, Bock, Boyle, Brancel, Brandemuehl, Carpenter, Coggs, Coleman, Cullen, Dobyns, Dueholm, Duff, Foti, Freese, Goetsch, Green, Grobschmidt, Gronemus, Grothman, Gunderson, Hahn, Handrick, Hanson, Harsdorf, Hasenohrl, Hoven, Huber, Hubler, Huebsch, Hutchison, Jensen, Johnsrud, Kaufert, Kelso, Klusman, Kreibich, Kreuser, Krug, Krusick, Kunicki, La Fave, Ladwig, F. Lasee, Lazich, Lehman, Linton, Meyer, Morris-Tatum, Murat, Musser, Nass, Olsen, Ott, Otte, Owens, Plache, Plombon, Porter, R. Potter, Powers, Riley, Robson, Rutkowski, Ryba, Schneider, Schneiders, Seratti, Silbaugh, Skindrud, Springer, Travis, Turner, Underheim, Urban, Vander Loop, Vrakas, Walker, Ward, Wasserman, Wilder, Williams, Wirch, Wood, L. Young, R. Young, Ziegelbauer, Zukowski and Speaker Prosser - 94.
Noes - Representatives Lorge and Ourada - 2.
Absent or not voting - Representatives Gard, Notestein and Reynolds - 3.
Motion carried.
Representative Jensen asked unanimous consent that the rules be suspended and that Assembly Bill
606 be immediately messaged to the Senate. Granted.
Representative Jensen moved that Assembly Bill 149 be withdrawn from the committee on Urban and Local Affairs and referred to the committee on Rules.
Representative Carpenter moved that the motion to withdraw Assembly Bill 149 from the committee on Urban and Local Affairs and refer it to the committee on Rules be laid on the table.
The question was: Shall the motion to withdraw Assembly Bill 149 from the committee on Urban and Local Affairs and refer it to the committee on Rules be laid on the table?
The roll was taken.
The result follows:
Ayes - Representatives Baldus, Baldwin, Baumgart, Bell, Black, Bock, Boyle, Carpenter, Coggs, Cullen, Dueholm, Foti, Grobschmidt, Gronemus, Grothman, Hanson, Hasenohrl, Huber, Hubler, Kelso, Kreuser, Krug, Krusick, Kunicki, La Fave, F. Lasee, Lehman, Linton, Meyer, Morris-Tatum, Murat, Plache, Plombon, R. Potter, Riley, Robson, Ryba, Schneider, Springer, Travis, Turner, Vander Loop, Wasserman, Wilder, Williams, Wirch, L. Young, R. Young, Ziegelbauer and Speaker Prosser - 50.
