LRB-2637/1
MES&JK&DAK:bjk&jld:rs
2007 - 2008 LEGISLATURE
February 4, 2008 - Introduced by Representatives Hraychuck, Garthwaite,
Staskunas, Berceau, Boyle, Cullen, Fields, Hilgenberg, Hixson, Mason,
Molepske, Musser, Nelson, Roth, Sheridan, Shilling, Sinicki, Soletski,
Turner, Vruwink, A. Williams
and Toles, cosponsored by Senators Kreitlow,
Harsdorf, Coggs, Hansen, Roessler
and Schultz. Referred to Committee on
Health and Healthcare Reform.
AB748,1,6 1An Act to amend 71.05 (6) (a) 15., 71.21 (4), 71.26 (2) (a), 71.34 (1) (g), 71.45 (2)
2(a) 10. and 77.92 (4); and to create 49.45 (2) (a) 25g., 71.07 (5r), 71.10 (4) (cd),
371.28 (5r), 71.30 (3) (dr), 71.47 (5r) and 71.49 (1) (dr) of the statutes; relating
4to:
creating a nonrefundable individual and corporate income tax credit for
5health care providers who provide services to Medical Assistance recipients at
6a higher than average rate.
Analysis by the Legislative Reference Bureau
This bill creates a nonrefundable individual and corporate income tax credit for
primary care physicians and dentists who provide services to Medical Assistance
(MA) recipients at a high rate of service, compared to other physicians and dentists
who serve MA patients. The credit is for certain costs of providing medical and dental
services that are not reimbursed under the MA program. Sole proprietorships and
corporations may claim the credit. Partnerships, limited liability companies, and
tax-option corporations compute the credit but pass it on to the partners, members,
and shareholders in proportion to their ownership interests.
The credit that may be claimed is equal to a physician's or dentist's
unreimbursed costs that are incurred in the taxable year to which the claim relates.
Because the credit is nonrefundable, it may only be claimed up to the amount of the
taxpayer's tax liability. The bill defines unreimbursed costs as the difference
between a physician's or dentist's usual and customary charges for providing a

medical or dental service, and the amount paid to the physician or dentist for
providing such services to MA recipients. The bill defines rate of service as the
percentage of a dentist's or physician's patients who receive MA, and defines high
rate of service as a rate of service provided by a dentist or a physician to MA
recipients that is at least 200 percent greater than the average rate of service
provided by all dentists or physicians, as required to be determined by the
Department of Health and Family Services.
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:
AB748, s. 1 1Section 1. 49.45 (2) (a) 25g. of the statutes is created to read:
AB748,2,52 49.45 (2) (a) 25g. Determine the average rate of service to medical assistance
3recipients provided by all dentists, as defined in s. 447.01 (7), and physicians, as
4defined in s. 448.01 (5), for purposes of computing a high rate of service of a dentist
5or physician under ss. 71.07 (5r), 71.28 (5r), and 71.47 (5r).
AB748, s. 2 6Section 2. 71.05 (6) (a) 15. of the statutes is amended to read:
AB748,2,117 71.05 (6) (a) 15. The amount of the credits computed under s. 71.07 (2dd), (2de),
8(2di), (2dj), (2dL), (2dm), (2dr), (2ds), (2dx), (3g), (3n), (3s), (3t), (3w), (5b), (5d), and
9(5e), (5f), and (5h), and (5r) and not passed through by a partnership, limited liability
10company, or tax-option corporation that has added that amount to the partnership's,
11company's, or tax-option corporation's income under s. 71.21 (4) or 71.34 (1) (g).
AB748, s. 3 12Section 3. 71.07 (5r) of the statutes is created to read:
AB748,2,1413 71.07 (5r) High rate of medical and dental services tax credit. (a)
14Definitions. In this subsection:
AB748,2,1715 1. "Claimant" means a sole proprietor, a partner, a member of a limited liability
16company, or a shareholder of a tax-option corporation who is a physician or dentist
17who provides a high rate of service and who files a claim under this subsection.
AB748,3,3
12. "Dentist" means a dentist, as defined in s. 447.01 (7), who is licensed under
2ch. 447, who practices general or pediatric dentistry, and who provides services to
3medical assistance recipients.
AB748,3,74 3. "High rate of service" means a rate of service provided by a dentist or a
5physician to medical assistance recipients that is at least 200 percent greater than
6the average rate of service provided by all dentists or physicians, as determined by
7the department of health and family services.
AB748,3,88 4. "Medical assistance" has the meaning given in s. 49.43 (8).
AB748,3,119 5. "Physician" means a physician, as defined in s. 448.01 (5), specializing in
10family medical practice, general internal medicine, or pediatrics and who provides
11services to medical assistance recipients.
AB748,3,1312 6. "Rate of service" means the percentage of a dentist's or physician's patients
13who receive medical assistance.
AB748,3,1914 7. "Unreimbursed costs" means the difference between either a physician's
15usual and customary charges for providing a service specified under s. 49.46 (2) (a)
161., and the amount paid to the physician under s. 49.45 (3) for providing such service
17to recipients of medical assistance, or the difference between a dentist's usual and
18customary charges for providing a dental service, and the amount paid to the dentist
19under s. 49.45 (3) for providing such service to recipients of medical assistance.
AB748,3,2320 (b) Filing claims. Subject to the limitations provided in this subsection, a
21claimant may claim as a credit against the tax imposed under s. 71.02, up to the
22amount of those taxes, an amount equal to the claimant's unreimbursed costs that
23are incurred in the taxable year to which the claim relates.
AB748,3,2524 (c) Limitations. 1. No credit may be allowed under this subsection unless it
25is claimed within the time period under s. 71.75 (2).
AB748,4,2
12. The carry-over provisions of s. 71.28 (4) (e) and (f), as they apply to the credit
2under s. 71.28 (4), apply to the credit under this subsection.
AB748,4,113 3. Partnerships, limited liability companies, and tax-option corporations may
4not claim the credit under this subsection, but the eligibility for, and the amount of,
5that credit shall be determined on the basis of their economic activity, not that of their
6partners, members, or shareholders. A partnership, limited liability company, or
7tax-option corporation shall compute the amount of credit that each of its partners,
8members, or shareholders may claim and shall provide that information to each of
9them. Partners, members of limited liability companies, and shareholders of
10tax-option corporations may claim the credit in proportion to their ownership
11interest.
AB748,4,2112 4. For a claimant who is a nonresident or part-year resident of this state and
13who is a single person or a married person filing a separate return, multiply the
14credit for which the claimant is eligible under par. (b) by a fraction the numerator of
15which is the individual's Wisconsin adjusted gross income and the denominator of
16which is the individual's federal adjusted gross income. If a claimant is married and
17files a joint return, and if the claimant or the claimant's spouse, or both, are
18nonresidents or part-year residents of this state, multiply the credit for which the
19claimant is eligible under par. (b) by a fraction the numerator of which is the couple's
20joint Wisconsin adjusted gross income and the denominator of which is the couple's
21joint federal adjusted gross income.
AB748,4,2322 (d) Administration. Subsection (9e) (d), to the extent that it applies to the credit
23under that subsection, applies to the credit under this subsection.
AB748, s. 4 24Section 4. 71.10 (4) (cd) of the statutes is created to read:
AB748,5,2
171.10 (4) (cd) The high rate of medical and dental services tax credit under s.
271.07 (5r).
AB748, s. 5 3Section 5. 71.21 (4) of the statutes is amended to read:
AB748,5,64 71.21 (4) Credits computed by a partnership under s. 71.07 (2dd), (2de), (2di),
5(2dj), (2dL), (2dm), (2ds), (2dx), (3g), (3n), (3s), (3t), (3w), (5b), (5e), (5f), (5g), and (5h),
6and (5r)
and passed through to partners shall be added to the partnership's income.
AB748, s. 6 7Section 6. 71.26 (2) (a) of the statutes is amended to read:
AB748,5,258 71.26 (2) (a) Corporations in general. The "net income" of a corporation means
9the gross income as computed under the Internal Revenue Code as modified under
10sub. (3) minus the amount of recapture under s. 71.28 (1di) plus the amount of credit
11computed under s. 71.28 (1), (3), (4), and (5) minus, as provided under s. 71.28 (3) (c)
127., the amount of the credit under s. 71.28 (3) that the taxpayer added to income
13under this paragraph at the time that the taxpayer first claimed the credit plus the
14amount of the credit computed under s. 71.28 (1dd), (1de), (1di), (1dj), (1dL), (1dm),
15(1ds), (1dx), (3g), (3n), (3t), (3w), (5b), (5e), (5f), (5g), and (5h), and (5r) and not passed
16through by a partnership, limited liability company, or tax-option corporation that
17has added that amount to the partnership's, limited liability company's, or
18tax-option corporation's income under s. 71.21 (4) or 71.34 (1) (g) plus the amount
19of losses from the sale or other disposition of assets the gain from which would be
20wholly exempt income, as defined in sub. (3) (L), if the assets were sold or otherwise
21disposed of at a gain and minus deductions, as computed under the Internal Revenue
22Code as modified under sub. (3), plus or minus, as appropriate, an amount equal to
23the difference between the federal basis and Wisconsin basis of any asset sold,
24exchanged, abandoned, or otherwise disposed of in a taxable transaction during the
25taxable year, except as provided in par. (b) and s. 71.45 (2) and (5).
AB748, s. 7
1Section 7. 71.28 (5r) of the statutes is created to read:
AB748,6,32 71.28 (5r) High rate of medical and dental services tax credit. (a)
3Definitions.
In this subsection:
AB748,6,64 1. "Claimant" means a corporation that includes at least one physician or
5dentist who provides a high rate of service and that files a claim under this
6subsection.
AB748,6,97 2. "Dentist" means a dentist, as defined in s. 447.01 (7), who is licensed under
8ch. 447, who practices general or pediatric dentistry, and who provides services to
9medical assistance recipients.
AB748,6,1310 3. "High rate of service" means a rate of service provided by a dentist or a
11physician to medical assistance recipients that is at least 200 percent greater than
12the average rate of service provided by all dentists or physicians, as determined by
13the department of health and family services.
AB748,6,1414 4. "Medical assistance" has the meaning given in s. 49.43 (8).
AB748,6,1715 5. "Physician" means a physician, as defined in s. 448.01 (5), specializing in
16family medical practice, general internal medicine, or pediatrics and who provides
17services to medical assistance recipients.
AB748,6,1918 6. "Rate of service" means the percentage of a dentist's or physician's patients
19who receive medical assistance.
AB748,6,2520 7. "Unreimbursed costs" means the difference between either a physician's
21usual and customary charges for providing a service specified under s. 49.46 (2) (a)
221., and the amount paid to the physician under s. 49.45 (3) for providing such service
23to recipients of medical assistance, or the difference between a dentist's usual and
24customary charges for providing a dental service, and the amount paid to the dentist
25under s. 49.45 (3) for providing such service to recipients of medical assistance.
AB748,7,4
1(b) Filing claims. Subject to the limitations provided in this subsection, a
2claimant may claim as a credit against the tax imposed under s. 71.23, up to the
3amount of those taxes, an amount equal to the claimant's unreimbursed costs that
4are incurred in the taxable year to which the claim relates.
AB748,7,65 (c) Limitations. 1. No credit may be allowed under this subsection unless it
6is claimed within the time period under s. 71.75 (2).
AB748,7,87 2. The carry-over provisions of sub. (4) (e) and (f), as they apply to the credit
8under sub. (4), apply to the credit under this subsection.
AB748,7,179 3. Partnerships, limited liability companies, and tax-option corporations may
10not claim the credit under this subsection, but the eligibility for, and the amount of,
11that credit shall be determined on the basis of their economic activity, not that of their
12partners, members, or shareholders. A partnership, limited liability company, or
13tax-option corporation shall compute the amount of credit that each of its partners,
14members, or shareholders may claim and shall provide that information to each of
15them. Partners, members of limited liability companies, and shareholders of
16tax-option corporations may claim the credit in proportion to their ownership
17interest.
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