SB62, s. 51 19Section 51 . 49.45 (5r) of the statutes is created to read:
SB62,28,2520 49.45 (5r) Supplemental funding for uncompensated care. Notwithstanding
21sub. (3) (e), from the appropriation account under s. 20.435 (4) (w), the department
22shall distribute $3,000,000 in each fiscal year to the University of Wisconsin Hospital
23and Clinics for care that is not otherwise compensated, except that the department
24may not make payments that exceed limitations based on customary charges under
2542 USC 1396b (i) (3).
SB62, s. 52
1Section 52. 49.45 (6m) (ag) (intro.) of the statutes is amended to read:
SB62,29,82 49.45 (6m) (ag) (intro.) Payment for care provided in a facility under this
3subsection made under s. 20.435 (4) (b), (gp), (o), (pa), or (w) shall, except as provided
4in pars. (bg), (bm), and (br), be determined according to a prospective payment
5system updated annually by the department. The payment system shall implement
6standards that are necessary and proper for providing patient care and that meet
7quality and safety standards established under subch. II of ch. 50 and ch. 150. The
8payment system shall reflect all of the following:
SB62, s. 53 9Section 53. 49.45 (6v) (b) of the statutes is amended to read:
SB62,29,1510 49.45 (6v) (b) The department shall, each year, submit to the joint committee
11on finance a report for the previous fiscal year, except for the 1997-98 fiscal year, that
12provides information on the utilization of beds by recipients of medical assistance in
13facilities and a discussion and detailed projection of the likely balances,
14expenditures, encumbrances and carry over of currently appropriated amounts in
15the appropriation accounts under s. 20.435 (4) (b), (gp), and (o).
SB62, s. 54 16Section 54. 49.45 (6x) (a) of the statutes is amended to read:
SB62,29,2217 49.45 (6x) (a) Notwithstanding sub. (3) (e), from the appropriation accounts
18under s. 20.435 (4) (b), (gp), (o), and (w), the department shall distribute not more
19than $4,748,000 in each fiscal year, to provide funds to an essential access city
20hospital, except that the department may not allocate funds to an essential access
21city hospital to the extent that the allocation would exceed any limitation under 42
22USC 1396b
(i) (3).
SB62, s. 55 23Section 55 . 49.45 (6y) (a) of the statutes is amended to read:
SB62,30,824 49.45 (6y) (a) Notwithstanding sub. (3) (e), from the appropriation accounts
25under s. 20.435 (4) (b), (gp), (o), and (w), the department shall may distribute funding

1in each fiscal year to provide supplemental payment to hospitals that enter into a
2contract under s. 49.02 (2) to provide health care services funded by a relief block
3grant, as determined by the department, for hospital services that are not in excess
4of the hospitals' customary charges for the services, as limited under 42 USC 1396b
5(i) (3). If no relief block grant is awarded under this chapter or if the allocation of
6funds to such hospitals would exceed any limitation under 42 USC 1396b (i) (3), the
7department may distribute funds to hospitals that have not entered into a contract
8under s. 49.02 (2).
SB62, s. 56 9Section 56. 49.45 (6y) (am) of the statutes is amended to read:
SB62,30,1610 49.45 (6y) (am) Notwithstanding sub. (3) (e), from the appropriation accounts
11under s. 20.435 (4) (b), (h), (gp), (o), and (w), the department shall distribute funding
12in each fiscal year to provide supplemental payments to hospitals that enter into
13contracts under s. 49.02 (2) with a county having a population of 500,000 or more to
14provide health care services funded by a relief block grant, as determined by the
15department, for hospital services that are not in excess of the hospitals' customary
16charges for the services, as limited under 42 USC 1396b (i) (3).
SB62, s. 57 17Section 57. 49.45 (6y) (ap) of the statutes is created to read:
SB62,30,2318 49.45 (6y) (ap) Notwithstanding sub. (3) (e), from the appropriation accounts
19under s. 20.435 (4) (o) and (xc), the department shall distribute not more than
20$8,000,000 in each fiscal year as supplemental payments to hospitals that satisfy the
21criteria established by the American College of Surgeons for classification as a Level
22I adult trauma center, except that the department may not make payments that
23exceed limitations based on customary charges under 42 USC 1396b (i) (3).
SB62, s. 58 24Section 58 . 49.45 (6y) (ar) of the statutes is created to read:
SB62,31,5
149.45 (6y) (ar) Notwithstanding sub. (3) (e), the department may, from the
2appropriation account under s. 20.435 (4) (xc), make supplemental payments to
3hospitals based on hospital performance, in accordance with a payment methodology
4developed by the department, except that the department may not make payments
5that exceed limitations based on customary charges under 42 USC 1396b (i) (3).
SB62, s. 59 6Section 59. 49.45 (6z) (a) (intro.) of the statutes is amended to read:
SB62,31,187 49.45 (6z) (a) (intro.) Notwithstanding sub. (3) (e), from the appropriation
8accounts under s. 20.435 (4) (b), (gp), (o), and (w), the department may distribute
9funding in each fiscal year to supplement payment for services to hospitals that enter
10into indigent care agreements, in accordance with the approved state plan for
11services under 42 USC 1396a, with relief agencies that administer the medical relief
12block grant under this chapter, if the department determines that the hospitals serve
13a disproportionate number of low-income patients with special needs. If no medical
14relief block grant under this chapter is awarded or if the allocation of funds to such
15hospitals would exceed any limitation under 42 USC 1396b (i) (3), the department
16may distribute funds to hospitals that have not entered into indigent care
17agreements. The department may not distribute funds under this subsection to the
18extent that the distribution would do any of the following:
SB62, s. 60 19Section 60. 49.45 (8) (b) of the statutes is amended to read:
SB62,31,2420 49.45 (8) (b) Reimbursement under s. 20.435 (4) (b), (gp), (o), and (w) for home
21health services provided by a certified home health agency or independent nurse
22shall be made at the home health agency's or nurse's usual and customary fee per
23patient care visit, subject to a maximum allowable fee per patient care visit that is
24established under par. (c).
SB62, s. 61 25Section 61. 49.45 (24m) (intro.) of the statutes is amended to read:
SB62,32,5
149.45 (24m) (intro.) From the appropriation accounts under s. 20.435 (4) (b),
2(gp), (o), and (w), in order to test the feasibility of instituting a system of
3reimbursement for providers of home health care and personal care services for
4medical assistance recipients that is based on competitive bidding, the department
5shall:
SB62, s. 62 6Section 62. 49.45 (52) of the statutes is amended to read:
SB62,32,167 49.45 (52) Payment adjustments. Beginning on January 1, 2003, the
8department may, from the appropriation account under s. 20.435 (7) (b), make
9Medical Assistance payment adjustments to county departments under s. 46.215,
1046.22, 46.23, or 51.42, or 51.437 or to local health departments, as defined in s. 250.01
11(4), as appropriate, for covered services under s. 49.46 (2) (a) 2. and 4. d. and f. and
12(b) 6. b., c., f., fm., g., j., k., L., Lm., and m., 9., 12., 12m., 13., 15., and 16. Payment
13adjustments under this subsection shall include the state share of the payments.
14The total of any payment adjustments under this subsection and Medical Assistance
15payments made from appropriation accounts under s. 20.435 (4) (b), (gp), (o), and (w),
16may not exceed applicable limitations on payments under 42 USC 1396a (a) (30) (A).
SB62, s. 63 17Section 63. 49.45 (59) of the statutes is created to read:
SB62,32,2218 49.45 (59) Health maintenance organization payments to hospitals. (a) The
19department shall, from the appropriation account under s. 20.435 (4) (xc), pay each
20health maintenance organization with which it contracts to provide medical
21assistance a monthly amount that the health maintenance organization shall use to
22make payments to hospitals under par. (b).
SB62,33,1023 (b) Health maintenance organizations shall pay all of the moneys they receive
24under par. (a) to eligible hospitals, as defined in s. 50.38 (1), within 15 days after
25receiving the moneys. The department shall specify in contracts with health

1maintenance organizations to provide medical assistance a method that health
2maintenance organizations shall use to allocate the amounts received under par. (a)
3among eligible hospitals based on the number of discharges from inpatient stays and
4the number of outpatient visits for which the health maintenance organization paid
5such a hospital in the previous month for enrollees who are recipients of medical
6assistance, except enrollees who receive medical assistance under s. 49.45 (23).
7Payments under this paragraph shall be in addition to any amount that a health
8maintenance organization is required by agreement between the health
9maintenance organization and a hospital to pay the hospital for providing services
10to the health maintenance organization's enrollees.
SB62,33,1411 (c) Each health maintenance organization that provides medical assistance
12shall report to the department each month the amount it paid each hospital under
13par. (b) and the percentage of the total payments it made under par. (b) that it paid
14to each hospital.
SB62,33,1915 (d) Each health maintenance organization that provides medical assistance
16shall report monthly to each hospital to which the health maintenance organization
17makes payments under par. (b) such information regarding the payments that the
18department specifies in its contract with the health maintenance organization to
19provide medical assistance.
SB62,33,2320 (e) 1. If the department determines that a health maintenance organization
21has not complied with a requirement under pars. (b) to (d), the department shall
22order the health maintenance organization to comply with the requirement within
2315 days after the department's determination of noncompliance.
SB62,34,3
12. The department may terminate a contract with a health maintenance
2organization to provide medical assistance if the health maintenance organization
3fails to comply with a requirement under pars. (b) to (d).
SB62,34,64 3. The department may audit a health maintenance organization to determine
5whether the health maintenance organization has complied with the requirements
6under pars. (b) to (d).
SB62,34,117 (f) The department shall specify in contracts with health maintenance
8organizations to provide medical assistance the method for adjusting payments
9under par. (b) to correct a health maintenance organization's inaccurate counting of
10inpatient discharges or outpatient visits in calculating a monthly payment to a
11hospital under par. (b).
SB62,34,2012 (g) If a health maintenance organization and hospital do not agree on the
13amount of a monthly payment that the health maintenance organization is required
14to pay the hospital under par. (b), either the health maintenance organization or the
15hospital, within 6 months after the first day of the month in which the payment is
16due, may request that the department determine the amount of the payment. The
17department shall determine the amount of the payment within 60 days after the
18request for a determination is made. The health maintenance organization or
19hospital is, upon request, entitled to a contested case hearing under ch. 227 on the
20department's determination.
SB62, s. 64 21Section 64. 49.472 (6) (a) of the statutes is amended to read:
SB62,35,222 49.472 (6) (a) Notwithstanding sub. (4) (a) 3., from the appropriation account
23under s. 20.435 (4) (b), (gp), or (w), the department shall, on the part of an individual
24who is eligible for medical assistance under sub. (3), pay premiums for or purchase
25individual coverage offered by the individual's employer if the department

1determines that paying the premiums for or purchasing the coverage will not be more
2costly than providing medical assistance.
SB62, s. 65 3Section 65. 49.472 (6) (b) of the statutes is amended to read:
SB62,35,74 49.472 (6) (b) If federal financial participation is available, from the
5appropriation account under s. 20.435 (4) (b), (gp), or (w), the department may pay
6medicare Part A and Part B premiums for individuals who are eligible for medicare
7and for medical assistance under sub. (3).
SB62, s. 66 8Section 66. 49.473 (5) of the statutes is amended to read:
SB62,35,139 49.473 (5) The department shall audit and pay, from the appropriation
10accounts under s. 20.435 (4) (b), (gp), and (o), allowable charges to a provider who is
11certified under s. 49.45 (2) (a) 11. for medical assistance on behalf of a woman who
12meets the requirements under sub. (2) for all benefits and services specified under
13s. 49.46 (2).
SB62, s. 67 14Section 67. 49.857 (1) (d) 12. of the statutes is amended to read:
SB62,35,1715 49.857 (1) (d) 12. A license or certificate of registration issued under ss. 138.09,
16138.12, 217.06, 218.0101 to 218.0163, 218.02, 218.04, 218.05, 224.72, 224.725,
17224.93 or subch. IV of ch. 551.
SB62, s. 68 18Section 68. 50.35 of the statutes is amended to read:
SB62,36,12 1950.35 Application and approval. Application for approval to maintain a
20hospital shall be made to the department on forms provided by the department. On
21receipt of an application, the department shall, except as provided in s. 50.498, issue
22a certificate of approval if the applicant and hospital facilities meet the requirements
23established by the department. The department shall issue a single certificate of
24approval for the University of Wisconsin Hospitals and Clinics Authority that
25applies to all of the Authority's inpatient and outpatient hospital facilities that meet

1the requirements established by the department and for which the Authority
2requests approval.
Except as provided in s. 50.498, this approval shall be in effect
3until, for just cause and in the manner herein prescribed, it is suspended or revoked.
4The certificate of approval may be issued only for the premises and persons or
5governmental unit named in the application and is not transferable or assignable.
6The department shall withhold, suspend or revoke approval for a failure to comply
7with s. 165.40 (6) (a) 1. or 2., but, except as provided in s. 50.498, otherwise may not
8withhold, suspend or revoke approval unless for a substantial failure to comply with
9ss. 50.32 to 50.39 or the rules and standards adopted by the department after giving
10a reasonable notice, a fair hearing and a reasonable opportunity to comply. Failure
11by a hospital to comply with s. 50.36 (3m) shall be considered to be a substantial
12failure to comply under this section.
SB62, s. 69 13Section 69. 50.38 of the statutes is created to read:
SB62,36,15 1450.38 Hospital assessment. (1) In this section "eligible hospital" means a
15hospital that is not any of the following:
SB62,36,1616 (a) A critical access hospital.
SB62,36,1717 (b) An institution for mental diseases, as defined in s. 46.011 (1m).
SB62,36,2018 (c) A general psychiatric hospital for which the department has issued a
19certificate of approval under s. 50.35 that applies only to the psychiatric hospital, and
20that is not a satellite of an acute care hospital.
SB62,36,25 21(2) For the privilege of doing business in this state, there is imposed on each
22eligible hospital an assessment each state fiscal year that is equal to a uniform
23percentage, determined under sub. (3), of the hospital's gross patient revenues, as
24reported under s. 153.46 (5) and determined by the department. The assessments
25shall be deposited in the hospital assessment fund.
SB62,37,4
1(3) The department shall establish the percentage under sub. (2) so that the
2total amount of assessments collected under this section in a state fiscal year is equal
3to the amount in the schedule under s. 20.005 (3) for the appropriation under s.
420.435 (4) (xc) for that fiscal year.
SB62,37,7 5(4) Except as provided in sub. (5), each eligible hospital shall pay the annual
6assessment under sub. (2) in 4 equal amounts that are due by September 30,
7December 31, March 31, and June 30 of each year.
SB62,37,12 8(5) At the discretion of the department, a hospital that is unable timely to make
9a payment by a date specified under sub. (4) may be allowed to make a delayed
10payment. A determination by the department that a hospital may not make a
11delayed payment under this subsection is final and is not subject to review under ch.
12227.
SB62,37,20 13(6) (a) 1. If the federal government does not provide federal financial
14participation under the federal Medicaid program for amounts collected under this
15section that are used to make payments under s. 49.45 (3) (e) 11. or (5r), that are
16transferred under sub. (8) and used to make payments from the Medical Assistance
17trust fund, or that are transferred under sub. (9) and expended under under s. 20.435
18(4) (jw), the department shall, from the fund from which the payment or expenditure
19was made, refund hospitals the amount for which the federal government does not
20provide federal financial participation.
SB62,37,2521 2. If the department makes a refund under subd. 1. as result of failure to obtain
22federal financial participation under the federal Medicaid program for a payment
23under s. 49.45 (3) (e) 11. or (5r) or a payment from the Medical Assistance trust fund,
24the department shall recoup the part of the payment for which the federal
25government does not provide federal financial participation.
SB62,38,2
13. Moneys recouped under subd. 2. for payments made from the hospital
2assessment fund shall be deposited in the hospital assessment fund.
SB62,38,43 4. Moneys recouped under subd. 2. for payments made from the Medical
4Assistance trust fund shall be deposited in the Medical Assistance trust fund.
SB62,38,85 (b) On June 30 of each state fiscal year, the department shall, from the
6appropriation account under s. 20.435 (4) (xc), refund to hospitals the difference
7between the amount in the schedule under s. 20.005 (3) for that appropriation and
8the amount expended or encumbered from that appropriation in the fiscal year.
SB62,38,119 (c) The department shall allocate any refund under this subsection to hospitals
10in proportion to the percentage of the total assessments collected under sub. (2) that
11each hospital paid.
SB62,38,14 12(7) By January 1 of each year the department shall report to the joint
13committee on finance all of the following information for the state fiscal year ending
14the previous June 30:
SB62,38,1515 (a) The amount each eligible hospital paid under sub. (2).
SB62,38,1716 (b) The amounts the department paid each health maintenance organization
17under s. 49.45 (59) (a).
SB62,38,1918 (c) The total amounts that each eligible hospital received from health
19maintenance organizations under s. 49.45 (59) (b).
SB62,38,2220 (d) The total amount of payment increases the department made, in connection
21with implementation of the hospital assessment under sub. (2), for inpatient and
22outpatient hospital services that are reimbursed on a fee-for-service basis.
SB62,38,2423 (e) The total amount of payments that the department made to each hospital
24under the Medical Assistance Program under subch. IV of ch. 49.
SB62,39,4
1(f) The portion of capitated payments that the department made to each health
2maintenance organization under the Medical Assistance Program under subch. IV
3of ch. 49 from appropriation accounts of general purpose revenues that is for
4inpatient and outpatient hospital services.
SB62,39,65 (g) The results of any audits conducted by the department under s. 49.45 (59)
6(e) 3. and any actions taken by the department as a result of the audits.
SB62,39,12 7(8) In each state fiscal year, the secretary of administration shall transfer from
8the hospital assessment fund to the Medical Assistance trust fund an amount equal
9to the amount in the schedule under s. 20.005 (3) for the appropriation under s.
1020.435 (4) (xc) for that fiscal year minus the state share of payments to hospitals
11under s. 49.45 (3) (e) 11., and minus any refunds paid to hospitals from the hospital
12assessment fund under sub. (6) (a) in that fiscal year.
SB62,39,16 13(9) On June 30 of each state fiscal year, the secretary of administration shall
14transfer from the Medical Assistance trust fund to the appropriation account under
15s. 20.435 (4) (jw), an amount equal to 0.5 percent of the amount transferred under
16sub. (8).
SB62, s. 70 17Section 70. 50.389 of the statutes is renumbered 50.377.
SB62, s. 71 18Section 71. 66.0615 (1m) (f) 2. of the statutes is amended to read:
SB62,39,2319 66.0615 (1m) (f) 2. Sections 77.51 (12m), (14) (c), (f) and (j) and, (14g), (15a),
20and (15b),
77.52 (3), (4), (6) and (13), (14), (18), and (19), 77.522, 77.58 (1) to (5) , (6m),
21and (7), 77.585, 77.59, 77.60, 77.61 (2), (3m), (5), (8), (9), and (12) to (14) (15), and
2277.62, as they apply to the taxes under subch. III of ch. 77, apply to the tax described
23under subd. 1.
SB62, s. 72 24Section 72. 67.045 (1) (h) of the statutes is created to read:
SB62,40,2
167.045 (1) (h) The debt is issued for the purpose of acquiring or installing
2energy efficient equipment.
SB62, s. 73 3Section 73. 70.111 (23) of the statutes is amended to read:
SB62,40,94 70.111 (23) Vending machines. All machines that automatically dispense soda
5water beverages, as defined in s. 97.29 (1) (i), and items included as a food or beverage
6under s. 77.54 (20) (a) and (b)
food and food ingredient, as defined in s. 77.51 (3t),
7upon the deposit in the machines of specified coins or currency, or insertion of a credit
8card, in payment for the soda water beverages, food or beverages food and food
9ingredient, as defined in s. 77.51 (3t)
.
SB62, s. 74 10Section 74. 71.01 (1b) of the statutes is amended to read:
SB62,40,1611 71.01 (1b) For purposes of s. 71.04 (7) (df) and, (dh), (dj), and (dk), "commercial
12domicile" means the location from which a trade or business is principally managed
13and directed, based on any factors the department determines are appropriate,
14including the location where the greatest number of employees of the trade or
15business work, have their office or base of operations, or from which the employees
16are directed or controlled.
SB62, s. 75 17Section 75. 71.01 (1n) of the statutes is amended to read:
SB62,40,2218 71.01 (1n) For purposes of s. 71.04 (7) (df) and, (dh), (dj), and (dk), "domicile"
19means an individual's true, fixed, and permanent home where the individual intends
20to remain permanently and indefinitely and to which, whenever absent, the
21individual intends to return, except that no individual may have more than one
22domicile at any time.
SB62, s. 76 23Section 76. 71.01 (5n) of the statutes is created to read:
SB62,41,3
171.01 (5n) For purposes of s. 71.05 (6) (a) 24. and (b) 46., "intangible expenses"
2include the following, to the extent that the amounts would otherwise be deductible
3in computing Wisconsin adjusted gross income:
SB62,41,64 (a) Expenses, losses, and costs for, related to, or directly or indirectly in
5connection with the acquisition, use, maintenance, management, ownership, sale,
6exchange, or any other disposition of intangible property.
SB62,41,87 (b) Losses related to, or incurred in connection directly or indirectly with,
8factoring transactions or discounting transactions.
SB62,41,99 (c) Royalty, patent, technical, and copyright fees.
SB62,41,1010 (d) Licensing fees.
SB62,41,1111 (e) Other similar expenses, losses, and costs.
SB62, s. 77 12Section 77. 71.01 (5p) of the statutes is created to read:
SB62,41,1513 71.01 (5p) "Intangible property" includes stocks, bonds, financial instruments,
14patents, patent applications, trade names, trademarks, service marks, copyrights,
15mask works, trade secrets, and similar types of intangible assets.
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