50.36(3L)
(3L) A hospital accredited by an approved national accrediting organization pursuant to
42 USC 1395bb (a) (1) is exempt from routine inspections and investigations to determine compliance with and is considered to be in compliance with the requirements for hospitals. The department may inspect an accredited hospital to investigate a complaint or comply with the request of the federal centers for medicare and medicaid services, including a request to validate the findings of the accrediting organization.
50.36(3m)
(3m) The department shall require a hospital that is accredited as a hospital by a national accrediting organization pursuant to
42 USC 1395bb (a) (1) to submit to the department evidence of current accreditation. Any evidence of accreditation and other accreditation-related correspondence or other materials submitted by or on behalf of a hospital to the department, except those submitted by a county mental health complex under
s. 51.08, under this subsection are not subject to inspection, copying, or receipt under
s. 19.35 (1) and may not be released by the department.
50.36(4)
(4) Except as provided in
sub. (3L), the department shall make or cause to be made such inspections and investigation, as are reasonably deemed necessary to obtain compliance with the requirements for hospitals. It shall afford an opportunity for representatives of the hospitals to consult with members of the staff of the department concerning compliance and noncompliance with the requirements for hospitals. If the department takes enforcement action against a hospital for a violation of the requirements for hospitals, and the department subsequently conducts an on-site inspection of the hospital to review the hospital's action to correct the violation, the department may, unless the hospital is operated by the state, impose a $200 inspection fee on the hospital.
50.36(5)
(5) Before providing emergency services in a hospital, medical and nursing personnel shall have proficiency in the use of an automated external defibrillator, as defined in
s. 256.15 (1) (cr), achieved through instruction provided by an individual, organization, or institution of higher education that is approved under
s. 46.03 (38) to provide such instruction.
50.36(6)
(6) If the department receives a credible complaint that a pharmacy located in a hospital has violated its duty to dispense contraceptive drugs and devices under
s. 450.095 (2), the department shall refer the complaint to the department of safety and professional services.
50.36(6m)(a)(a) The secretary or his or her designee may grant a variance to or a waiver from any of the requirements for hospitals if all of the following apply:
50.36(6m)(a)3.
3. The secretary or his her designee determines that the variance or waiver is necessary to protect the public health, safety, or welfare or to support the efficient and economic operation of the hospital.
50.36(6m)(b)
(b) A variance or waiver granted under
par. (a) may be for a stated term. If a variance or waiver is for a stated term, the secretary or his her designee may extend the variance or waiver upon request by the hospital if he or she determines that an extension is necessary to protect the public health, safety, or welfare or to support the efficient and economic operation of the hospital.
50.36 Cross-reference
Cross-reference: See also ch.
DHS 124, Wis. adm. code.
50.36 Annotation
A hospital owes a duty to its patients to exercise reasonable care in the selection of medical staff and in granting special privileges. Johnson v. Misericordia Community Hospital,
99 Wis. 2d 708,
301 N.W.2d 156 (1981).
50.37
50.37
Notification to accrediting organization. The department shall notify a national accrediting organization that has accredited a hospital and the board of governors of the injured patients and families compensation fund under
s. 619.04 (3) if the department has done any of the following:
50.37(1)
(1) Suspended or revoked the hospital's approval under
s. 50.35.
50.37(2)
(2) Issued an order to the hospital.
50.37(4)
(4) Recommended to the federal centers for medicare and medicaid services that the hospital be decertified from the federal medicare program under
42 USC 1395 to
1395ccc or the federal medicaid program under
42 USC 1396 to
1396r-3 for failure to meet a condition of participation under the program.
50.375
50.375
Emergency contraception for sexual assault victims. 50.375(1)(a)
(a) “Emergency contraception" means a drug, medicine, oral hormonal compound, mixture, preparation, instrument, article, or device that is approved by the federal food and drug administration and that prevents a pregnancy after sexual intercourse. “Emergency contraception" does not include a drug, medicine, oral hormonal compound, mixture, preparation, instrument, article, or device of any nature that is prescribed to terminate the pregnancy of a female.
50.375(1)(c)
(c) “Victim" means a female who alleges or for whom it is alleged that she suffered sexual assault and who, as a result of the sexual assault, presents as a patient at a hospital that provides emergency services.
50.375(2)
(2) A hospital that provides emergency services to a victim shall do all of the following:
50.375(2)(a)
(a) Provide to the victim medically and factually accurate and unbiased written and oral information about emergency contraception and its use and efficacy.
50.375(2)(b)
(b) Orally inform the victim of all of the following:
50.375(2)(b)1.
1. Her option to receive emergency contraception at the hospital.
50.375(2)(b)2.
2. Her option to report the sexual assault to a law enforcement agency.
50.375(2)(b)3.
3. Any available options for her to receive an examination to gather evidence regarding the sexual assault.
50.375(2)(c)
(c) Except as specified in
sub. (4), immediately provide to the victim upon her request emergency contraception, in accordance with instructions approved by the federal food and drug administration. If the medication is taken in more than one dosage, the hospital shall provide all subsequent dosages to the victim for later self administration.
50.375(3)
(3) A hospital that provides emergency care shall ensure that each hospital employee who provides care to a victim has available medically and factually accurate and unbiased information about emergency contraception.
50.375(4)
(4) No hospital may be required to provide emergency contraception to a victim who is pregnant, as indicated by a test for pregnancy.
50.375(5)
(5) The department shall respond to any complaint received by the department concerning noncompliance by a hospital with the requirements of
subs. (2) and
(3) and shall periodically review hospital procedures to determine whether a hospital is in compliance with the requirements.
50.375 History
History: 2007 a. 102.
50.377(1)(1) Whoever violates a requirement under
s. 50.375 (2) or
(3) may be required to forfeit not less than $2,500 nor more than $5,000 for each violation.
50.377(2)
(2) The department may directly assess forfeitures provided for under
sub. (1). If the department determines that a forfeiture should be assessed for a particular violation, the department shall send a notice of assessment to the hospital. The notice shall specify the amount of the forfeiture assessed, the violation and the statute or rule alleged to have been violated, and shall inform the hospital of the right to a hearing under
sub. (3).
50.377(3)
(3) A hospital may contest an assessment of a forfeiture by sending, within 10 days after receipt of notice under
sub. (2), a written request for a hearing under
s. 227.44 to the division of hearings and appeals created under
s. 15.103 (1). The administrator of the division may designate a hearing examiner to preside over the case and recommend a decision to the administrator under
s. 227.46. The decision of the administrator of the division shall be the final administrative decision. The division shall commence the hearing within 30 days after receipt of the request for a hearing and shall issue a final decision within 15 days after the close of the hearing. Proceedings before the division are governed by
ch. 227. In any petition for judicial review of a decision by the division, the party, other than the petitioner, who was in the proceeding before the division shall be the named respondent.
50.377(4)
(4) All forfeitures shall be paid to the department within 10 days after receipt of notice of assessment or, if the forfeiture is contested under
sub. (3), within 10 days after receipt of the final decision after exhaustion of administrative review, unless the final decision is appealed and the order is stayed by court order. The department shall remit all forfeitures paid to the secretary of administration for deposit in the school fund.
50.377(5)
(5) The attorney general may bring an action in the name of the state to collect any forfeiture imposed under this section if the forfeiture has not been paid following the exhaustion of all administrative and judicial reviews. The only issue to be contested in any such action shall be whether the forfeiture has been paid.
50.377 History
History: 2007 a. 102;
2009 a. 2 s.
70.
50.378
50.378
Victim advocates. 50.378(1)(b)
(b) “Victim of sexual assault, human trafficking, or child sexual abuse" means a person who alleges or for whom it is alleged that he or she suffered from a violation of
s. 940.22,
940.225, or
940.302, involving a commercial sex act, or
s. 948.02,
948.025, or
948.05 to
948.11 and who, as a result of the alleged violation, presents as a patient at a hospital that provides emergency services.
50.378(2)
(2) Right to accompaniment by a victim advocate. 50.378(2)(a)(a) Except as provided in
par. (f) or
(g), a hospital that provides emergency services to a victim of sexual assault, human trafficking, or child sexual abuse shall, at the request of the victim, permit a victim advocate to accompany the victim to any examination or consultation that is performed at the hospital as a result of the violation.
50.378(2)(b)1.1. A parent, guardian, or legal custodian of a minor who is at least 10 years of age and who is a victim of sexual assault, human trafficking, or child sexual abuse may make a request under
par. (a) for a victim advocate to accompany the minor victim of sexual assault, human trafficking, or child sexual abuse.
50.378(2)(b)2.
2. A treating medical provider may make a request under
par. (a) for a victim advocate to accompany a minor who has not attained the age of 10 and who is a victim of sexual assault, human trafficking, or child sexual abuse.
50.378(2)(c)
(c) A minor who is a victim of sexual assault, human trafficking, or child sexual abuse may make a request under
par. (a) for a victim advocate to accompany him or her without the consent of his or her parent, guardian, or legal custodian.
50.378(2)(d)
(d) The hospital shall notify the victim and, if the victim is a minor who is at least 10 years of age, the victim's parent, guardian, or legal custodian, of his or her right to be accompanied by a victim advocate and of his or her rights under
par. (h). The hospital may make notification under this paragraph using a form provided by the department under
sub. (4) (c).
50.378(2)(e)
(e) A victim may request exclusion of a victim advocate at any examination or consultation that is performed at the hospital as a result of the sexual assault, human trafficking, or child sexual abuse. The victim advocate shall comply with a request under this paragraph.
50.378(2)(f)
(f) The hospital need not delay examining or treating the victim pending the arrival of a victim advocate, if the delay would endanger the health or safety of the victim or risk the loss of evidence.
50.378(2)(g)
(g) The hospital may exclude the victim advocate if any of the following occurs:
50.378(2)(g)1.
1. The presence or continued presence of the victim advocate obstructs the provision of necessary medical care to the victim.
50.378(2)(g)2.
2. The victim advocate fails to comply with hospital policies governing the conduct of individuals accompanying patients in the hospital.
50.378(2)(g)3.
3. The hospital has knowledge that the victim advocate, in his or her role as a victim advocate at any hospital, has taken one of the following actions and is more likely than not to take that action again:
50.378(2)(g)3.a.
a. Failing to agree to or comply with confidentiality requirements relating to another individual at a hospital.
50.378(2)(h)
(h) If a hospital has excluded a specific victim advocate under
par. (g), the hospital shall, at the request of the victim, permit a different victim advocate to accompany the victim.
50.378(3)
(3) Immunity from liability. A hospital and its employees or agents are immune from civil liability for allowing a victim advocate to accompany a victim, for any failure to comply with any requirement in
sub. (2), and for any act or omission by a victim advocate.
50.378(4)(a)(a) The department shall respond to any complaint received by the department concerning noncompliance by a hospital with the requirements of
sub. (2).
50.378(4)(b)
(b) The department, in cooperation with the department of justice, shall develop guidelines for, and provide assistance to, hospitals that are subject to the requirements of
sub. (2).
50.378(4)(c)
(c) The department shall prescribe a form to be used by hospitals that provide emergency services to victims of sexual assault, human trafficking, or child sexual abuse to provide notification to victims and, if a victim is a minor who is at least 10 years of age, the victim's parent, guardian, or legal custodian, of his or her right to be accompanied by a victim advocate under
sub. (2). The form shall include all of the following information:
50.378 History
History: 2015 a. 351.
50.38
50.38
Hospital assessment. 50.38(1)
(1) In this section “eligible hospital" means a hospital that is not any of the following:
50.38(1)(c)
(c) A general psychiatric hospital for which the department has issued a certificate of approval under
s. 50.35 that applies only to the psychiatric hospital, and that is not a satellite of an acute care hospital.
50.38(2)(a)(a) For the privilege of doing business in this state, there is imposed on each eligible hospital that is not a critical access hospital an assessment each state fiscal year that is equal to a uniform percentage, determined under
sub. (3), of the hospital's gross patient revenues, as reported under
s. 153.46 (5) and determined by the department. The assessments shall be deposited in the hospital assessment fund.
50.38(2)(b)
(b) For the privilege of doing business in this state, there is imposed on each critical access hospital an assessment each state fiscal year that is equal to a uniform percentage, determined under
sub. (3), of the critical access hospital's gross inpatient revenues, as reported under
s. 153.46 (5) and determined by the department. The assessments shall be deposited in the critical access hospital assessment fund.
50.38(3)
(3) The department shall establish the percentage that is applicable under
sub. (2) (a) and
(b) so that the total amount of assessments collected under
sub. (2) (a) in a state fiscal year is equal to the amount in the schedule under
s. 20.005 (3) for the appropriation under
s. 20.435 (4) (xc) for that fiscal year.
50.38(4)
(4) Except as provided in
sub. (5), each eligible hospital shall pay the applicable annual assessment under
sub. (2) in 4 equal amounts that are due by September 30, December 31, March 31, and June 30 of each year.
50.38(5)
(5) At the discretion of the department, a hospital that is unable timely to make a payment by a date specified under
sub. (4) may be allowed to make a delayed payment. A determination by the department that a hospital may not make a delayed payment under this subsection is final and is not subject to review under
ch. 227.
50.38(6)(a)1.1. If the federal government does not provide federal financial participation under the federal Medicaid program for amounts collected under
sub. (2) (a) that are used to make payments required under
s. 49.45 (3) (e) 11. or
(5r), that are transferred under
sub. (8) and used to make payments from the Medical Assistance trust fund, or that are transferred under
sub. (9) and expended under
s. 20.435 (4) (jw), the department shall, from the fund from which the payment or expenditure was made, refund eligible hospitals, other than critical access hospitals, the amount for which the federal government does not provide federal financial participation.
50.38(6)(a)2.
2. If the department makes a refund under
subd. 1. as result of failure to obtain federal financial participation under the federal Medicaid program for a payment required under
s. 49.45 (3) (e) 11. or
(5r) or a payment from the Medical Assistance trust fund, the department shall recoup the part of the payment for which the federal government does not provide federal financial participation.
50.38(6)(a)3.
3. Moneys recouped under
subd. 2. for payments made from the hospital assessment fund shall be deposited in the hospital assessment fund.
50.38(6)(a)4.
4. Moneys recouped under
subd. 2. for payments made from the Medical Assistance trust fund shall be deposited in the Medical Assistance trust fund.
50.38(6)(b)
(b) On June 30 of each state fiscal year, the department shall, from the appropriation account under
s. 20.435 (4) (xc), refund to eligible hospitals, other than critical access hospitals, the difference between the amount in the schedule under
s. 20.005 (3) for that appropriation and the amount expended or encumbered from that appropriation in the fiscal year.
50.38(6)(c)
(c) The department shall allocate any refund under this subsection to eligible hospitals, other than critical access hospitals, in proportion to the percentage of the total assessments collected under
sub. (2) (a) that each hospital paid.
