AB565, s. 21 13Section 21. 102.13 (3) of the statutes is amended to read:
AB565,15,214 102.13 (3) If 2 or more physicians, chiropractors, psychologists, dentists or
15podiatrists disagree as to the extent of an injured employe's temporary disability, the
16end of an employe's healing period, an employe's ability to return to work at suitable
17available employment or the necessity for further treatment or for a particular type
18of treatment, the department may appoint another physician, chiropractor,
19psychologist, dentist or podiatrist to examine the employe and render an opinion as
20soon as possible. The department shall promptly notify the parties of this
21appointment. If the employe has not returned to work, payment for temporary
22disability shall continue until the department receives the opinion. The employer
23or its insurance carrier or both shall pay for the examination and opinion. The
24employer or insurance carrier or both shall receive appropriate credit for any

1overpayment to the employe determined by the department after receipt of the
2opinion.
AB565, s. 22 3Section 22. 102.16 (1m) of the statutes is created to read:
AB565,15,124 102.16 (1m) (a) If an insurer or self-insured employer concedes by compromise
5under sub. (1) or stipulation under s. 102.18 (1) (a) that the insurer or self-insured
6employer is liable under this chapter for any health services provided to an injured
7employe by a health service provider, but disputes the reasonableness of the fee
8charged by the health service provider, the department may include in its order
9confirming the compromise or stipulation a determination as to the reasonableness
10of the fee or the department may notify, or direct the insurer or self-insured employer
11to notify, the health service provider under sub. (2) (b) that the reasonableness of the
12fee is in dispute.
AB565,15,2013 (b) If an insurer or self-insured employer concedes by compromise under sub.
14(1) or stipulation under s. 102.18 (1) (a) that the insurer or self-insured employer is
15liable under this chapter for any treatment provided to an injured employe by a
16health service provider, but disputes the necessity of the treatment, the department
17may include in its order confirming the compromise or stipulation a determination
18as to the necessity of the treatment or the department may notify, or direct the
19insurer or self-insured employer to notify, the health service provider under sub.
20(2m) (b) that the necessity of the treatment is in dispute.
AB565, s. 23 21Section 23. 102.16 (2) (a) of the statutes is amended to read:
AB565,16,1622 102.16 (2) (a) The department has jurisdiction under this subsection, sub. (1m)
23(a) and s. 102.17
to resolve a dispute between a health service provider and an insurer
24or self-insured employer over the reasonableness of a fee charged by the health
25service provider for health services provided to an injured employe who claims

1benefits under this chapter. The department shall deny payment of a health service
2fee that the department determines under this subsection, sub. (1m) (a) or s. 102.18
3(1) (b)
to be unreasonable. A health service provider and an insurer or self-insured
4employer that are parties to a fee dispute under this subsection are bound by the
5department's determination under this subsection on the reasonableness of the
6disputed fee, unless that determination is set aside on judicial review under par. (f)
7as provided in par. (f). A health service provider and an insurer or self-insured
8employer that are parties to a fee dispute under sub. (1m) (a) are bound by the
9department's determination under sub. (1m) (a) on the reasonableness of the
10disputed fee, unless that determination is set aside or modified by the department
11under sub. (1). An insurer or self-insured employer that is a party to a fee dispute
12under s. 102.17 and a health service provider are bound by the department's
13determination under s. 102.18 (1) (b) on the reasonableness of the disputed fee,
14unless that determination is set aside, reversed or modified by the department under
15s. 102.18 (3) or by the commission under s. 102.18 (3) or (4) or is set aside on judicial
16review under s. 102.23
.
AB565, s. 24 17Section 24. 102.16 (2) (b) of the statutes is amended to read:
AB565,16,2518 102.16 (2) (b) An insurer or self-insured employer that disputes the
19reasonableness of a fee charged by a health service provider or the department under
20sub. (1m) (a) or s. 102.18 (1) (bg) 1.
shall provide reasonable notice to the health
21service provider that the fee is being disputed. After receiving reasonable notice
22under this paragraph or under sub. (1m) (a) or s. 102.18 (1) (bg) 1. that a health
23service fee is being disputed, a health service provider may not collect the disputed
24fee from, or bring an action for collection of the disputed fee against, the employe who
25received the services for which the fee was charged.
AB565, s. 25
1Section 25. 102.16 (2) (d) of the statutes is amended to read:
AB565,17,162 102.16 (2) (d) For fee disputes that are submitted to the department before
3July 1, 1998 2000, the department shall analyze the information provided to the
4department under par. (c) according to the criteria provided in this paragraph to
5determine the reasonableness of the disputed fee. The department shall determine
6that a disputed fee is reasonable and order that the disputed fee be paid if that fee
7is at or below the mean fee for the health service procedure for which the disputed
8fee was charged, plus 1.5 standard deviations from that mean, as shown by data from
9a data base that is certified by the department under par. (h). The department shall
10determine that a disputed fee is unreasonable and order that a reasonable fee be paid
11if the disputed fee is above the mean fee for the health service procedure for which
12the disputed fee was charged, plus 1.5 standard deviations from that mean, as shown
13by data from a data base that is certified by the department under par. (h), unless
14the health service provider proves to the satisfaction of the department that a higher
15fee is justified because the service provided in the disputed case was more difficult
16or more complicated to provide than in the usual case.
AB565, s. 26 17Section 26. 102.16 (2) (f) of the statutes is amended to read:
AB565,17,2318 102.16 (2) (f) The department may set aside, reverse or modify a determination
19under this subsection within 30 days after the date of the determination.
A health
20service provider, insurer or self-insured employer that is aggrieved by a
21determination of the department under this subsection may seek judicial review of
22that determination in the same manner that compensation claims are reviewed
23under s. 102.23.
AB565, s. 27 24Section 27. 102.16 (2m) (a) of the statutes is amended to read:
AB565,18,20
1102.16 (2m) (a) The department has jurisdiction under this subsection, sub.
2(1m) (b) and s. 102.17
to resolve a dispute between a health service provider and an
3insurer or self-insured employer over the necessity of treatment provided for an
4injured employe who claims benefits under this chapter. The department shall deny
5payment for any treatment that the department determines under this subsection,
6sub. (1m) (b) or s. 102.18 (1) (b)
to be unnecessary. A health service provider and an
7insurer or self-insured employer that are parties to a dispute under this subsection
8over the necessity of treatment are bound by the department's determination under
9this subsection
on the necessity of that treatment, unless that determination is set
10aside on judicial review under par. (e) as provided in par. (e). A health service
11provider and an insurer or self-insured employer that are parties to a dispute under
12sub. (1m) (b) over the necessity of treatment are bound by the department's
13determination under sub. (1m) (b) on the necessity of that treatment, unless that
14determination is set aside or modified by the department under sub. (1). An insurer
15or self-insured employer that is a party to a dispute under s. 102.17 over the
16necessity of treatment and a health service provider are bound by the department's
17determination under s. 102.18 (1) (b) on the necessity of that treatment, unless that
18determination is set aside, reversed or modified by the department under s. 102.18
19(3) or by the commission under s. 102.18 (3) or (4) or is set aside on judicial review
20under s. 102.23
.
AB565, s. 28 21Section 28. 102.16 (2m) (b) of the statutes is amended to read:
AB565,19,522 102.16 (2m) (b) An insurer or self-insured employer that disputes the
23necessity of treatment provided by a health service provider or the department under
24sub. (1m) (b) or s. 102.18 (1) (bg) 2.
shall provide reasonable notice to the health
25service provider that the necessity of that treatment is being disputed. After

1receiving reasonable notice under this paragraph or under sub. (1m) (b) or s. 102.18
2(1) (bg) 2.
that the necessity of treatment is being disputed, a health service provider
3may not collect a fee for that disputed treatment from, or bring an action for collection
4of the fee for that disputed treatment against, the employe who received the
5treatment.
AB565, s. 29 6Section 29. 102.16 (2m) (e) of the statutes is amended to read:
AB565,19,127 102.16 (2m) (e) The department may set aside, reverse or modify a
8determination under this subsection within 30 days after the date of the
9determination.
A health service provider, insurer or self-insured employer that is
10aggrieved by a determination of the department under this subsection may seek
11judicial review of that determination in the same manner that compensation claims
12are reviewed under s. 102.23.
AB565, s. 30 13Section 30. 102.16 (3) of the statutes is amended to read:
AB565,19,2114 102.16 (3) No employer subject to this chapter may solicit, receive or collect any
15money from an employe or any other person or make any deduction from their wages,
16either directly or indirectly, for the purpose of discharging any liability under this
17chapter or recovering premiums paid on a contract described under s. 102.31 (1) (a);
18nor may any such employer sell to an employe or other person, or solicit or require
19the employe or other person to purchase, medical, chiropractic, podiatric,
20psychological, dental or hospital tickets or contracts for medical, surgical, hospital
21or other health care treatment which is required to be furnished by that employer.
AB565, s. 31 22Section 31. 102.17 (1) (e) of the statutes is amended to read:
AB565,20,623 102.17 (1) (e) The department may, with or without notice to either party, cause
24testimony to be taken, or an inspection of the premises where the injury occurred to
25be made, or the time books and payrolls of the employer to be examined by any

1examiner, and may direct any employe claiming compensation to be examined by a
2physician, chiropractor, psychologist, dentist or podiatrist. The testimony so taken,
3and the results of any such inspection or examination, shall be reported to the
4department for its consideration upon final hearing. All ex parte testimony taken
5by the department shall be reduced to writing and either party shall have
6opportunity to rebut such testimony on final hearing.
AB565, s. 32 7Section 32. 102.17 (1) (g) of the statutes is amended to read:
AB565,20,198 102.17 (1) (g) Whenever the testimony presented at any hearing indicates a
9dispute, or is such as to create doubt as to the extent or cause of disability or death,
10the department may direct that the injured employe be examined or autopsy be
11performed, or an opinion of a physician, chiropractor, dentist, psychologist or
12podiatrist be obtained without examination or autopsy, by an impartial, competent
13physician, chiropractor, dentist, psychologist or podiatrist designated by the
14department who is not under contract with or regularly employed by a compensation
15insurance carrier or self-insured employer. The expense of such examination shall
16be paid by the employer or, if the employe claims compensation under s. 102.81, from
17the uninsured employers fund. The report of such examination shall be transmitted
18in writing to the department and a copy thereof shall be furnished by the department
19to each party, who shall have an opportunity to rebut such report on further hearing.
AB565, s. 33 20Section 33. 102.18 (1) (bg) of the statutes is created to read:
AB565,21,321 102.18 (1) (bg) 1. If the department finds under par. (b) that an insurer or
22self-insured employer is liable under this chapter for any health services provided
23to an injured employe by a health service provider, but that the reasonableness of the
24fee charged by the health service provider is in dispute, the department may include
25in its order under par. (b) a determination as to the reasonableness of the fee or the

1department may notify, or direct the insurer or self-insured employer to notify, the
2health service provider under s. 102.16 (2) (b) that the reasonableness of the fee is
3in dispute.
AB565,21,104 2. If the department finds under par. (b) that an employer or insurance carrier
5is liable under this chapter for any treatment provided to an injured employe by a
6health service provider, but that the necessity of the treatment is in dispute, the
7department may include in its order under par. (b) a determination as to the
8necessity of the treatment or the department may notify, or direct the employer or
9insurance carrier to notify, the health service provider under s. 102.16 (2m) (b) that
10the necessity of the treatment is in dispute.
AB565, s. 34 11Section 34. 102.28 (3) (a) (intro.) of the statutes is amended to read:
AB565,21,1812 102.28 (3) (a) (intro.) An employer may file with the department an application
13for exemption from the duty to pay compensation under this chapter with respect to
14any employe who signs the waiver described in subd. 1. and the affidavit described
15in subd. 2. if an authorized representative of the religious sect to which the employe
16belongs signs the affidavit specified in subd. 3. and signs the agreement and provides
17the proof of financial ability
described in subd. 4. An application for exemption under
18this paragraph shall include all of the following:
AB565, s. 35 19Section 35. 102.28 (3) (a) 4. of the statutes is amended to read:
AB565,22,420 102.28 (3) (a) 4. An agreement signed by an authorized representative of the
21religious sect to which the employe belongs to provide the financial and medical
22assistance described in subd. 3. to the employe and to the employe's dependents if the
23employe sustains an injury which, but for the waiver under subd. 1., the employer
24would be liable for under s. 102.03, and proof of the financial ability of the religious
25sect to provide that financial and medical assistance which the religious sect may

1establish by maintaining, in an amount determined by the department, a surety
2bond issued by a company authorized to do business in this state, an irrevocable
3letter of credit from a financial institution, as defined in s. 705.01 (3), or some other
4financial commitment approved by the department
.
AB565, s. 36 5Section 36. 102.28 (3) (b) 4. of the statutes is amended to read:
AB565,22,116 102.28 (3) (b) 4. The religious sect to which the employe belongs has agreed to
7provide the financial and medical assistance described in subd. 3. to the employe and
8to the dependents of the employe if the employe sustains an injury that, but for the
9waiver under par. (a) 1., the employer would be liable for under s. 102.03 and that
10the religious sect has the financial ability to provide that financial and medical
11assistance
.
AB565, s. 37 12Section 37. 102.28 (3) (c) of the statutes is amended to read:
AB565,23,613 102.28 (3) (c) An employe who has signed a waiver under par. (a) 1. and an
14affidavit under par. (a) 2., who sustains an injury that, but for that waiver, the
15employer would be liable for under s. 102.03, who at the time of the injury was a
16member of a religious sect whose authorized representative has filed an affidavit
17under par. (a) 3. and an agreement and proof of financial responsibility under par.
18(a) 4. and who as a result of the injury becomes dependent on the religious sect for
19financial and medical assistance, or the employe's dependent, may request a hearing
20under s. 102.17 (1) to determine if the religious sect has provided the employe and
21his or her dependents with a standard of living and medical treatment that are
22reasonable when compared to the general standard of living and medical treatment
23for members of the religious sect. If, after hearing, the department determines that
24the religious sect has not provided that standard of living or medical treatment, or
25both, the department may order the religious sect to provide alternative benefits to

1that employe or his or her dependent, or both, in an amount that is reasonable under
2the circumstances, but not in excess of the benefits that the employe or dependent
3could have received under this chapter but for the waiver under par. (a) 1. If the
4religious sect does not provide the alternative benefits as ordered by the department,
5the department may use the financial commitment under par. (a) 4. to pay the
6alternative benefits ordered, including any penalties that may be appropriate.
AB565, s. 38 7Section 38. 102.28 (3) (d) of the statutes is amended to read:
AB565,23,138 102.28 (3) (d) The department shall provide a form for the application for
9exemption of an employer under par. (a) (intro.), the waiver and affidavit of an
10employe under par. (a) 1. and 2., the affidavit of a religious sect under par. (a) 3. and
11the agreement and proof of financial responsibility of a religious sect under par. (a)
124. A properly completed form is prima facie evidence of satisfaction of the conditions
13under par. (b) as to the matter contained in the form.
AB565, s. 39 14Section 39. 102.29 (3) of the statutes is amended to read:
AB565,23,1815 102.29 (3) Nothing in this chapter shall prevent an employe from taking the
16compensation he or she may be entitled to under it and also maintaining a civil action
17against any physician, chiropractor, psychologist, dentist or podiatrist for
18malpractice.
AB565, s. 40 19Section 40. 102.29 (8) of the statutes is amended to read:
AB565,24,220 102.29 (8) No student of a public school, as described in s. 115.01 (1), or a private
21school, as defined in s. 115.001 (3r), who is named under s. 102.077 as an employe
22of the school district or private school for purposes of this chapter and who makes a
23claim for compensation under this chapter may make a claim or maintain an action
24in tort against the employer that provided the work training or work experience from

1which the claim arose. This subsection does not apply to injuries occurring after
2December 31, 1997 1999.
AB565, s. 41 3Section 41. 102.29 (8r) of the statutes is created to read:
AB565,24,94 102.29 (8r) No participant in a food stamp employment and training program
5under s. 49.124 (1m) who, under s. 49.124 (1m) (d), is provided worker's
6compensation coverage by the department or by a Wisconsin works agency, as
7defined in s. 49.001 (9), and who makes a claim for compensation under this chapter
8may make a claim or maintain an action in tort against the employer who provided
9the employment and training from which the claim arose.
AB565, s. 42 10Section 42. 102.29 (9) of the statutes is amended to read:
AB565,24,1811 102.29 (9) No participant in a work experience component of a job opportunities
12and basic skills program who, under s. 49.193 (6) (a), is considered to be an employe
13of the agency administering that program, or who, under s. 49.193 (6) (a), is provided
14worker's compensation coverage by the person administering the work experience
15component, and who makes a claim for compensation under this chapter may make
16a claim or maintain an action in tort against the employer who provided the work
17experience from which the claim arose. This subsection does not apply to injuries
18occurring after December 31, 1997 February 28, 1998.
AB565, s. 43 19Section 43. 102.42 (2) (a) of the statutes is amended to read:
AB565,25,1020 102.42 (2) (a) Where the employer has notice of an injury and its relationship
21to the employment the employer shall offer to the injured employe his or her choice
22of any physician, chiropractor, psychologist, dentist or podiatrist licensed to practice
23and practicing in this state for treatment of the injury. By mutual agreement, the
24employe may have the choice of any qualified practitioner not licensed in this state.
25In case of emergency, the employer may arrange for treatment without tendering a

1choice. After the emergency has passed the employe shall be given his or her choice
2of attending practitioner at the earliest opportunity. The employe has the right to
3a 2nd choice of attending practitioner on notice to the employer or its insurance
4carrier. Any further choice shall be by mutual agreement. Partners and clinics are
5deemed to be one practitioner. Treatment by a practitioner licensed to practice and
6practicing in this state
on referral from another practitioner is deemed to be
7treatment by one practitioner. Except by mutual agreement, an employer or
8worker's compensation insurer is not liable for treatment provided by a practitioner
9not licensed to practice and practicing in this state on referral from another
10practitioner.
AB565, s. 44 11Section 44. 102.42 (2) (a) of the statutes, as affected by 1997 Wisconsin Act ....
12(this act), is repealed and recreated to read:
AB565,25,2413 102.42 (2) (a) Where the employer has notice of an injury and its relationship
14to the employment the employer shall offer to the injured employe his or her choice
15of any physician, chiropractor, psychologist, dentist or podiatrist licensed to practice
16and practicing in this state for treatment of the injury. By mutual agreement, the
17employe may have the choice of any qualified practitioner not licensed in this state.
18In case of emergency, the employer may arrange for treatment without tendering a
19choice. After the emergency has passed the employe shall be given his or her choice
20of attending practitioner at the earliest opportunity. The employe has the right to
21a 2nd choice of attending practitioner on notice to the employer or its insurance
22carrier. Any further choice shall be by mutual agreement. Partners and clinics are
23deemed to be one practitioner. Treatment by a practitioner on referral from another
24practitioner is deemed to be treatment by one practitioner.
AB565, s. 45 25Section 45. 102.42 (6) of the statutes is amended to read:
AB565,26,12
1102.42 (6) Treatment rejected by employe. Unless the employe shall have
2elected Christian Science treatment in lieu of medical, surgical, dental, hospital or
3sanatorium treatment, no compensation shall be payable for the death or disability
4of an employe, if the death be caused, or insofar as the disability may be aggravated,
5caused or continued (a) by an unreasonable refusal or neglect to submit to or follow
6any competent and reasonable medical or, surgical or dental treatment, (b) or, in the
7case of tuberculosis, by refusal or neglect to submit to or follow hospital or
8sanatorium treatment when found by the department to be necessary. The right to
9compensation accruing during a period of refusal or neglect under (b) to submit to
10or follow hospital or sanatorium treatment when found by the department to be
11necessary in the case of tuberculosis
shall be barred, irrespective of whether
12disability was aggravated, caused or continued thereby.
AB565, s. 46 13Section 46. 102.82 (1) of the statutes is amended to read:
AB565,26,2014 102.82 (1) An uninsured employer shall reimburse the department for any
15payment made under s. 102.81 (1) to an employe of the uninsured employer or to an
16employe's dependents, less amounts repaid by the employe or dependents under s.
17102.81 (4) (b). The reimbursement owed under this subsection is due within 30 days
18after the date on which the department notifies the uninsured employer that the
19reimbursement is owed. Interest shall accrue on amounts not paid when due at the
20rate of 1% per month.
AB565, s. 47 21Section 47. 102.83 (8) of the statutes is amended to read:
AB565,27,922 102.83 (8) Any officer or director of an uninsured employer that is a corporation
23and any member or manager of an uninsured employer that is a limited liability
24company
may be found individually and jointly and severally liable for the payments,
25interest, costs and other fees specified in a warrant under this section if after proper

1proceedings for the collection of those amounts from the corporation or limited
2liability company
, as provided in this section, the corporation or limited liability
3company
is unable to pay those amounts to the department. The personal liability
4of the officers and directors of a corporation or of the members and managers of a
5limited liability company
as provided in this subsection survives dissolution,
6reorganization, bankruptcy, receivership, assignment for the benefit of creditors,
7judicially confirmed extension or composition, or any analogous situation of the
8corporation or limited liability company and shall be set forth in a determination or
9decision issued under s. 102.82.
AB565, s. 48 10Section 48 . Initial applicability.
AB565,27,1511 (1) Temporary help agencies. The treatment of section 102.04 (2m) of the
12statutes first applies to reimbursement sought or received by a temporary help
13agency, as defined in section 102.01 (2) (f) of the statutes, on the effective date of this
14subsection, notwithstanding that the reimbursement is of a payment made before
15the effective date of this subsection.
AB565,27,1816 (2) Elections by corporate officers. The treatment of section 102.076 (1) of
17the statutes first applies to elections under that subsection that are in effect on the
18effective date of this subsection.
AB565,27,2119 (3) Computations of earnings. The treatment of section 102.11 (1) (d) of the
20statutes first applies to injuries or deaths occurring on the effective date of this
21subsection.
AB565,27,2222 (4) Fee and necessity of treatment disputes.
AB565,27,2523 (a) The treatment of sections 102.16 (1m) and 102.18 (1) (bg) of the statutes first
24applies to orders under section 102.16 (1) and 102.18 (1) (b) of the statutes issued on
25the effective date of this paragraph.
AB565,28,3
1(b) The treatment of section 102.16 (2) (f) and (2m) (e) of the statutes first
2applies to determinations under section 102.16 (2) and (2m) of the statutes made 30
3days before the effective date of this paragraph.
AB565,28,44 (5) Out-of-state treatment.
AB565,28,75 (a) The amendment of section 102.42 (2) (a) of the statutes first applies to
6referrals made to a practitioner not licensed and practicing in this state on referral
7by another practitioner on the effective date of this paragraph.
AB565,28,108 (b) The repeal and recreation of section 102.42 (2) (a) of the statutes first applies
9to referrals made to a practitioner by another practitioner on the effective date of this
10paragraph.
AB565,28,1111 (6) Uninsured employers.
AB565,28,1412 (a) The treatment of section 102.82 (1) of the statutes first applies to
13reimbursements of which the department of workforce development provides notice
14on the effective date of this paragraph.
AB565,28,1815 (b) The treatment of section 102.83 (8) of the statutes first applies to the
16members and managers of a limited liability company that is unable to pay an
17amount owed to the uninsured employers fund on the effective date of this
18paragraph.
AB565, s. 49 19Section 49. Effective dates.This act takes effect on January 1, 1998, or on the
20day after publication whichever is later, except as follows:
AB565,28,2221 (1) Out-of-state treatment. The repeal and recreation of section 102.42 (2) (a)
22of the statutes and Section 48 (5) (b ) this act take effect on January 1, 2000.
AB565,28,2323 (End)
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