SB315,7,16 15(4t) "Health care provider" has the meaning given in s. 146.81 (1) and includes
16an ambulatory surgery center.
SB315, s. 19 17Section 19. 153.05 (1) (intro.) of the statutes is renumbered 153.05 (1) and
18amended to read:
SB315,8,419 153.05 (1)  In order to provide to hospitals, health care providers, insurers,
20consumers, governmental agencies and others information concerning hospital
21service utilization, charges, revenues, expenditures, mortality and morbidity rates

22health care providers and uncompensated health care services, and in order to
23provide information to assist in peer review for the purpose of quality assurance, the
24office department shall collect, analyze and disseminate health care information, in
25language that is understandable to lay persons, health care information obtained

1from the following data sources:
. This chapter shall be administered by a bureau of
2health care information. The bureau of health care information shall coordinate its
3activities with persons with responsibility for medical assistance administration and
4collection and analysis of health statistics.
SB315, s. 20 5Section 20. 153.05 (1) (a) to (e) of the statutes are repealed.
SB315, s. 21 6Section 21. 153.05 (2) of the statutes is repealed.
SB315, s. 22 7Section 22. 153.05 (3) of the statutes is amended to read:
SB315,8,108 153.05 (3) Upon request of the office department, state agencies shall provide
9health care information to the office department for use in preparing reports under
10ss. 153.10 to 153.35
this chapter.
SB315, s. 23 11Section 23. 153.05 (4) of the statutes is repealed.
SB315, s. 24 12Section 24. 153.05 (5) (intro.) and (b) of the statutes are consolidated,
13renumbered 153.05 (5) and amended to read:
SB315,8,1914 153.05 (5)  The office: (b) May department may require hospitals health care
15providers
to submit to the office department information from sources identified
16under sub. (1) (a) to (e)
that the office department deems necessary for the
17preparation of reports, plans and recommendations under ss. 153.10 to 153.35 and
18any other reports required of the office
in the form specified by the office department
19by rule
.
SB315, s. 25 20Section 25. 153.05 (5) (a) and (bm) of the statutes are repealed.
SB315, s. 26 21Section 26. 153.05 (6) of the statutes is amended to read:
SB315,9,222 153.05 (6) If the requirements of s. 153.07 (2) are first met, the office The
23department
may contract with a public or private entity that is not a major
24purchaser, payer or provider of health care services in this state for the provision of
25data processing services for the collection, analysis and dissemination of health care

1information under sub. (1) or the department of health and family services shall
2provide the services under s. 153.07 (2)
.
SB315, s. 27 3Section 27. 153.05 (6m) of the statutes is amended to read:
SB315,9,114 153.05 (6m) If the requirements of s. 153.07 (2) are first met, the office The
5department
may contract with the group insurance board for the provision of data
6collection and analysis services related to health maintenance organizations and
7insurance companies that provide health insurance for state employes or the
8commissioner shall provide the services under s. 153.07 (2)
. The office department
9shall establish contract fees for the provision of the services. All moneys collected
10under this subsection shall be credited to the appropriation under s. 20.145 (8) (kx)
1120.435 (1) (hg).
SB315, s. 28 12Section 28. 153.05 (6r) of the statutes is created to read:
SB315,9,2413 153.05 (6r) The department shall study and, based on the results of the study,
14may develop and implement a voluntary system of health care plan reporting that
15enables purchasers and consumers to assess the performance of health care plans
16and the health care providers that are employed or reimbursed by the health care
17plans. The department shall undertake the study and any development and
18implementation in cooperation with private health care purchasers, the board, the
19department of employe trust funds, the office of the commissioner of insurance, the
20interagency coordinating council created under s. 15.107 (7), major associations of
21health care providers, health care plans and consumers. If implemented, the
22department shall operate the system in a manner so as to enable purchasers,
23consumers, the public, the governor and legislators to assess the performance of
24health care plans and health care providers.
SB315, s. 29 25Section 29. 153.05 (7) of the statutes is repealed.
SB315, s. 30
1Section 30. 153.05 (8) of the statutes is amended to read:
SB315,10,132 153.05 (8) Beginning April 1, 1992, the office The department shall collect,
3analyze and disseminate, in language that is understandable to lay persons, health
4care
claims information and other health care information under the provisions of
5this chapter, as determined by rules promulgated by the commissioner department,
6from health care providers, as defined specified by rules promulgated by the
7commissioner, other than hospitals and ambulatory surgery centers department.
8Data from physicians shall health care providers may be obtained through sampling
9techniques in lieu of collection of data on all patient encounters and data collection
10procedures shall minimize unnecessary duplication and administrative burdens. If
11the department collects health care provider-specific data from health care plans,
12the department shall attempt to avoid collecting the same data from health care
13providers.
SB315, s. 31 14Section 31. 153.05 (9) of the statutes is amended to read:
SB315,10,1815 153.05 (9) The office department shall provide orientation and training to
16physicians, hospital personnel and other health care providers who submit data
17under this chapter
to explain the process of data collection and analysis and the
18procedures for data verification, interpretation and release.
SB315, s. 32 19Section 32. 153.05 (11) of the statutes is repealed.
SB315, s. 33 20Section 33. 153.05 (12) of the statutes is amended to read:
SB315,10,2321 153.05 (12) The office department shall, to the extent possible and upon
22request, assist members of the public in interpreting data in health care information
23disseminated by the office department.
SB315, s. 34 24Section 34. 153.07 (1) of the statutes is amended to read:
SB315,11,3
1153.07 (1) The board shall advise the director of the office department with
2regard to the collection, analysis and dissemination of health care information
3required by this chapter.
SB315, s. 35 4Section 35. 153.07 (2) of the statutes is repealed.
SB315, s. 36 5Section 36. 153.07 (3) of the statutes is amended to read:
SB315,11,76 153.07 (3) The board shall approve all rules which are proposed by the
7commissioner department for promulgation to implement this chapter.
SB315, s. 37 8Section 37. 153.07 (4) of the statutes is created to read:
SB315,11,99 153.07 (4) The board and the department shall jointly do all of the following:
SB315,11,1010 (a) Develop the rules that are required or authorized under this chapter.
SB315,11,1211 (b) Provide oversight on the standard reports under this chapter, including the
12reports under ss. 153.20 and 153.21.
SB315,11,1413 (c) Develop the overall strategy and direction for implementation of this
14chapter.
SB315,11,1615 (d) Provide information on their activities to the interagency coordinating
16council created under s. 15.107 (7).
SB315, s. 38 17Section 38. 153.08 (2) (intro.) and (a) of the statutes are consolidated,
18renumbered 153.08 (2) and amended to read:
SB315,12,219 153.08 (2) No hospital may increase its rates or charge any payer an amount
20exceeding its rates that are in effect on May 12, 1992, unless the hospital first does
21all of the following: (a) Causes
causes to be published a class 1 notice under ch. 985
22in the official newspaper designated under s. 985.04 or 985.05 or in a newspaper
23likely to give notice in the area where the hospital is located, no sooner than 45 days
24and no later than 30 days before the proposed rate change is to take effect. The notice

1shall describe the proposed rate change and the time and place for the public hearing
2required under sub. (2)
.
SB315, s. 39 3Section 39. 153.08 (2) (b) of the statutes is repealed.
SB315, s. 40 4Section 40. 153.10 (1) (intro.) of the statutes is renumbered 153.10 and
5amended to read:
SB315,12,12 6153.10 Health care data reports. Beginning in 1990 and quarterly
7thereafter, the office
The department shall prepare , and submit to the governor and
8the chief clerk of each house of the legislature for distribution to the legislature under
9s. 13.172 (2), in a manner that permits comparisons among hospitals, a report setting
10forth all of the following for every hospital for the preceding quarter:
standard
11reports that the department prepares and shall collect information necessary for
12preparation of those reports.
SB315, s. 41 13Section 41. 153.10 (1) (a) and (b) and (2) of the statutes are repealed.
SB315, s. 42 14Section 42. 153.15 of the statutes is repealed.
SB315, s. 43 15Section 43. 153.20 (1) and (2) of the statutes are amended to read:
SB315,12,2316 153.20 (1) Beginning in 1990 and annually thereafter, the office The
17department
shall prepare, and submit to the governor and to the chief clerk of each
18house of the legislature for distribution to the legislature under s. 13.172 (2) a, an
19annual
report setting forth the number of patients to whom uncompensated health
20care services were provided by each hospital and the total charges for the
21uncompensated health care services provided to the patients for the preceding year,
22together with the number of patients and the total charges that were projected by the
23hospital for that year in the plan filed under sub. (2).
SB315,13,3 24(2) Beginning in 1990 and annually thereafter, every Every hospital shall file
25with the office a department an annual plan setting forth the projected number of

1patients to whom uncompensated health care services will be provided by the
2hospital and the projected total charges for the uncompensated health care services
3to be provided to the patients for the ensuing year.
SB315, s. 44 4Section 44. 153.21 of the statutes is created to read:
SB315,13,10 5153.21 Consumer guide. The department shall prepare and submit to the
6governor and to the chief clerk of each house of the legislature for distribution to the
7legislature under s. 13.172 (2) an annual guide to assist consumers in selecting
8health care providers and health care plans. The guide shall be written in language
9that is understandable to lay persons. The department shall widely publicize and
10distribute the guide to consumers.
SB315, s. 45 11Section 45. 153.25 of the statutes is repealed.
SB315, s. 46 12Section 46. 153.30 of the statutes is repealed.
SB315, s. 47 13Section 47. 153.35 of the statutes is repealed.
SB315, s. 48 14Section 48. 153.40 of the statutes is repealed.
SB315, s. 49 15Section 49. 153.45 (1) (intro.), (a), (b) and (c), (2) and (3) of the statutes are
16amended to read:
SB315,13,1917 153.45 (1) (intro.)  After completion of data verification and review procedures
18under s. 153.40 specified by the department by rule, the office department shall
19release data in the following forms:
SB315,13,2020 (a) Standard reports in accordance with ss. 153.10 to 153.35.
SB315,13,2521 (b) Public use tapes data files which do not permit the identification of specific
22patients, physicians, employers or other health care providers, as defined by rules
23promulgated by the commissioner
. The identification of these groups shall be
24protected by all necessary means, including the deletion of patient identifiers and the
25use of calculated variables and aggregated variables.
SB315,14,2
1(c) Custom-designed subfile tapes, other electronic media, special data
2compilations or reports containing portions of the public use tape data under par. (b).
SB315,14,5 3(2) The office department shall provide to other entities the data necessary to
4fulfill their statutory mandates for epidemiological purposes or to minimize the
5duplicate collection of similar data elements.
SB315,14,9 6(3) The office department shall release physician-specific health care
7provider-specific
and employer-specific data, except in public use tapes data files as
8specified under sub. (1) (b), in a manner that is specified in rules promulgated by the
9commissioner department.
SB315, s. 50 10Section 50. 153.45 (4) of the statutes is created to read:
SB315,14,1211 153.45 (4) The department shall prohibit purchasers of data from rereleasing
12individual data elements of health care data files.
SB315, s. 51 13Section 51. 153.45 (5) of the statutes is created to read:
SB315,14,1814 153.45 (5) The department may not release any health care information that
15is subject to rules promulgated under s. 153.75 (1) (b) until the verification and
16review procedures required under those rules have been complied with. Nothing in
17this subsection prohibits release of health care provider-specific information to the
18health care provider to whom the information relates.
SB315, s. 52 19Section 52. 153.50 of the statutes is amended to read:
SB315,15,6 20153.50 Protection of patient confidentiality. Patient-identifiable data
21obtained under this chapter and contained in the discharge data base of the office is
22not subject to inspection, copying or receipt under s. 19.35 (1) and may not be released
23by the office, except to the patient or to a person granted permission for release by
24the patient and except that a hospital, a physician, health care provider or the agent
25of a hospital or physician or the commissioner health care provider may have access

1to patient-identifiable data to ensure the accuracy of the information in the
2discharge data base. The department of health and family services may have access
3to the discharge data base for the purposes of completing epidemiological reports and
4eliminating the need to maintain a data base that duplicates that of the office, if the
5department of health and family services does not release or otherwise provide
6access to the patient-identifiable data.
SB315, s. 53 7Section 53. 153.60 (title) of the statutes is amended to read:
SB315,15,9 8153.60 (title) Assessments to fund operations of office the department
9and board.
SB315, s. 54 10Section 54. 153.60 (1) of the statutes is amended to read:
SB315,16,311 153.60 (1) The office department shall, by the first October 1 after the
12commencement of each fiscal year, estimate the total amount of expenditures for the
13office department and the board for that fiscal year for data collection, data base
14development and maintenance, generation of data files and standard reports,
15orientation and training provided under s. 153.05 (9) and maintaining the board
.
16The office department shall assess the estimated total amount for that fiscal year less
17the estimated total amount to be received for purposes of administration of this
18chapter
under s. 20.145 (8) (hi), (hj), (kx) and (mr) 20.435 (1) (hi) during the fiscal year
19and the unencumbered balances of the amounts received for purposes of
20administration of this chapter
under s. 20.145 (8) (hi), (hj) and (mr) 20.435 (1) (hi)
21from the prior fiscal year, to hospitals in proportion to each hospital's respective gross
22private-pay patient revenues during the hospital's most recently concluded entire
23fiscal year
health care providers, who are in a class of health care providers from
24whom the department collects data under this chapter in a manner specified by the
25department by rule
. Each hospital health care provider shall pay the assessment on

1or before December 1. All payments of assessments shall be deposited in the
2appropriation under s. 20.145 (8) (hg) 20.435 (1) (hg) and may be used solely for
3purposes of this chapter
.
SB315, s. 55 4Section 55. 153.60 (2) of the statutes is repealed.
SB315, s. 56 5Section 56. 153.60 (3) of the statutes is created to read:
SB315,16,166 153.60 (3) The department shall, by the first October 1 after the
7commencement of each fiscal year, estimate the total amount of expenditures
8required for the collection, database development and maintenance and generation
9of public data files and standard reports for health care plans that voluntarily agree
10to supply health care data under s. 153.05 (6r). The department shall assess the
11estimated total amount for that fiscal year to health care plans in a manner specified
12by the department by rule and may enter into an agreement with the office of the
13commissioner of insurance for collection of the assessments. Each health plan that
14voluntarily agrees to supply this information shall pay the assessments on or before
15December 1. All payments of assessments shall be deposited in the appropriation
16under s. 20.435 (1) (hg) and may be used solely for the purposes of s. 153.05 (6r).
SB315, s. 57 17Section 57. 153.65 of the statutes is amended to read:
SB315,16,25 18153.65 Provision of special information; user fees. The office department
19may provide, upon request from a person, a data compilation or a special report based
20on the information collected by the office under s. 153.05 (1), (3), (4) (b), (5), (7) or (8)
21or 153.08
department. The office department shall establish user fees for the
22provision of these compilations or reports, payable by the requester, which shall be
23sufficient to fund the actual necessary and direct cost of the compilation or report.
24All moneys collected under this section shall be credited to the appropriation under
25s. 20.145 (8) 20.435 (1) (hi).
SB315, s. 58
1Section 58. 153.75 (1) (intro.), (b), (f), (k) and (L) of the statutes are amended
2to read:
SB315,17,43 153.75 (1) (intro.)  Following approval by the board, the commissioner
4department shall promulgate the following rules:
SB315,17,75 (b) Establishing procedures under which hospitals and health care providers
6are permitted to review and verify patient-related information prior to its
7submission to the office
.
SB315,17,98 (f) Governing the release of physician-specific health care provider-specific
9and employer-specific data under s. 153.45 (3).
SB315,17,1110 (k) Establishing methods and criteria for assessing hospitals and ambulatory
11surgery centers
health care providers under s. 153.60 (1).
SB315,17,1312 (L) Defining the term "uncompensated health care services" for the purposes
13of ss. 153.05 (1) (d) and s. 153.20.
SB315, s. 59 14Section 59. 153.75 (1) (c), (d), (e), (i) and (j) of the statutes are repealed.
SB315, s. 60 15Section 60. 153.75 (1) (m), (n), (o), (p), (q), (r) and (s) of the statutes are created
16to read:
SB315,17,1817 153.75 (1) (m) Specifying the classes of health care providers from whom claims
18data and other health care information will be collected.
SB315,17,1919 (n) Specifying the uniform data set of health care information to be collected.
SB315,17,2120 (o) Specifying the means by which the information in par. (b) will be collected,
21including the procedures for submission of data by electronic means.
SB315,17,2522 (p) Specifying the methods for using and disseminating health care data in
23order for health care providers to provide health care that is effective and
24economically efficient and for consumers and purchasers to make informed decisions
25in selecting health care plans and health care providers.
SB315,18,2
1(q) Specifying the information to be provided in the consumer guide under s.
2153.21.
SB315,18,43 (r) Specifying the standard reports that will be issued by the department in
4addition to those required in ss. 153.20 and 153.21.
SB315,18,55 (s) Defining "individual data elements" for purposes of s. 153.45 (4).
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