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LRB-1473/1
TJD:amn&wlj
January 2017 Special Session
2017 - 2018 LEGISLATURE
February 17, 2017 - Introduced by Committee on Assembly Organization,
Representatives Nygren, Quinn, Novak, Ripp, Felzkowski, Murphy, Ballweg,
Tranel, Petryk, Kleefisch, Billings, Kolste, Wachs, Mursau, Vruwink,
Fields, Kulp, Sargent, Spiros, Tusler, Skowronski, Swearingen, Rohrkaste,
E. Brooks, Ohnstad, Bernier, Zepnick, Sinicki, Edming, Doyle, Krug,
Petersen, Jagler, Born, VanderMeer, Loudenbeck, Subeck, Brostoff,
Spreitzer and Zamarripa, cosponsored by Senators Darling, Vukmir,
Harsdorf, Olsen, Testin, Lasee, Wanggaard, Carpenter, Wirch and Cowles,
by request of Governor Scott Walker. Referred to Committee on Health.
AB9,1,2 1An Act to amend 20.435 (5) (bw); and to create 51.448 of the statutes; relating
2to:
addiction medicine consultation program and making an appropriation.
Analysis by the Legislative Reference Bureau
This bill requires the Department of Health Services to create and administer
an addiction medicine consultation program to assist participating clinicians in
providing enhanced care to patients with substance addiction and to provide referral
support for patients with a substance abuse disorder, and to provide additional
services. DHS must review proposals submitted by organizations seeking to provide
consultation services through this consultation program and must designate sites
based on the organizations' submitted proposals. DHS must select qualified
providers to provide consultation program services that meet certain criteria
specified in the bill.
While the bill requires a consultation provider to have the capability to provide
services by telephone, a consultation provider may provide services by certain other
means of communication including in-person conference. A consultation provider
may also provide the following services, which are eligible for funding from DHS:
certain second opinion diagnostic and medication management evaluations and
certain in-person or Internet site-based educational seminars and refresher courses
provided to any participating clinician who uses the consultation program.
The bill requires a consultation provider to report to DHS any information it
requests. The bill also requires the organization to conduct interviews and annual
surveys of participating clinicians who use the consultation program and submit
that information to DHS.

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:
AB9,1 1Section 1. 20.435 (5) (bw) of the statutes is amended to read:
AB9,2,52 20.435 (5) (bw) Child psychiatry and addiction medicine consultation program
3programs. Biennially, the amounts in the schedule for operating the child psychiatry
4consultation program under s. 51.442 and the addiction medicine consultation
5program under s. 51.448
.
AB9,2 6Section 2. 51.448 of the statutes is created to read:
AB9,2,9 751.448 Addiction medicine consultation program. (1) In this section,
8“participating clinicians" includes physicians, nurse practitioners, and physician
9assistants.
AB9,2,15 10(2) Beginning July 1, 2017, the department shall create and administer an
11addiction medicine consultation program to assist participating clinicians in
12providing enhanced care to patients with substance use addiction and to provide
13referral support for patients with a substance abuse disorder, and to provide
14additional services described in this section. The addiction medicine consultation
15program created under this section is not an emergency referral service.
AB9,3,2 16(3) The department shall review proposals submitted by organizations seeking
17to provide consultation services through the addiction medicine consultation
18program under this section and shall designate sites, in a number determined by the
19department, based on the submitted proposals. The department shall select and
20provide moneys to organizations to provide consultation services through the

1addiction medicine consultation program in a manner that maximizes medically
2appropriate access and services as described under sub. (4).
AB9,3,8 3(4) The department shall select qualified organizations to provide addiction
4medicine consultation program services through the sites designated in sub. (3).
5Each site shall make available its own qualified provider or consortium of providers.
6To be a qualified provider in the addiction medicine consultation program under this
7section, an organization shall successfully demonstrate it meets all of the following
8criteria:
AB9,3,109 (a) The organization has the required infrastructure to be located within the
10geographic service area of the proposed site.
AB9,3,1211 (b) Any individual who would be providing consulting services through the
12addiction medicine consultation program is located in this state.
AB9,3,1513 (c) The organization enters into a contract with the department agreeing to
14satisfy all of the following criteria as a condition of providing services through the
15addiction medicine consultation program:
AB9,3,1816 1. The organization has at the time of participation in the addiction medicine
17consultation program a physician who is board-certified in addiction psychiatry or
18addiction medicine.
AB9,3,2019 2. The organization operates during the normal business hours of Monday to
20Friday between 8 a.m. and 5 p.m., excluding holidays.
AB9,3,2221 3. The organization shall be able to provide consultation services as promptly
22as is practicable.
AB9,3,2323 4. The organization shall provide all of the following services:
AB9,4,3
1a. Support for participating clinicians to assist in the management of addiction
2or substance abuse and to provide referral support for patients with a substance use
3addiction.
AB9,4,54 b. A triage-level assessment to determine the most appropriate response to
5each request, including appropriate referrals to other mental health professionals.
AB9,4,66 c. When medically appropriate, diagnostic and therapeutic feedback.
AB9,4,87 d. Recruitment of other practices in the site's service territory to the provider's
8services.
AB9,4,109 5. The organization shall have the capability to provide consultation services
10by telephone, at a minimum.
AB9,4,14 11(5) (a) An organization that provides consultation services through the
12addiction medicine consultation program under this section may provide services by
13teleconference, video conference, voice over Internet protocol, electronic mail, pager,
14or in-person conference.
AB9,4,1715 (b) The organization that provides consultation services through the addiction
16medicine consultation program under this section may provide any of the following
17services, which are eligible for funding from the department:
AB9,4,2218 1. Second opinion diagnostic and medication management evaluations
19conducted either by a physician who is board-certified in addiction psychiatry or
20addiction medicine or a physician with extensive and documented experience in
21treating substance use disorders, either by in-person conference or by
22teleconference, video conference, or voice over Internet protocol.
AB9,4,2523 2. In-person or Internet site-based educational seminars and refresher
24courses provided to any participating clinician who uses the addiction medicine
25consultation program on a medically appropriate topic within addiction medicine.
AB9,5,3
1(6) An organization that provides consultation services through the addiction
2medicine consultation program under this section shall report to the department any
3information as requested by the department.
AB9,5,5 4(7) An organization that provides consultation services through the addiction
5medicine consultation program under this section shall do all of the following:
AB9,5,106 (a) Conduct annual surveys of participating clinicians who use the addiction
7medicine consultation program under this section to assess the amount of addiction
8medicine consultation provided, self-perceived levels of confidence in providing
9addiction medicine services, and the satisfaction with the consultations and the
10educational opportunities provided.
AB9,5,1711 (b) Immediately after a clinical practice group begins using the addiction
12medicine consultation program under this section and again 6 to 12 months later,
13conduct an interview of participating clinicians from that practice group to assess the
14barriers to and benefits of participation to make future improvements and to
15determine the participating clinician's treatment abilities, confidence, and
16awareness of relevant resources before and after using the addiction medicine
17consultation program.
AB9,5,2018 (c) Annually, submit to the department survey results under par. (a),
19summaries of interviews under par. (b), and a description of the impact of the
20program under this section.
AB9,3 21Section 3. Fiscal changes.
AB9,6,522 (1) Addiction medicine consultation program. In the schedule under section
2320.005 (3) of the statutes for the appropriation to the department of health services
24under section 20.435 (5) (bw) of the statutes, the dollar amount for fiscal year
252017-18 is increased by $500,000 to create and operate the addiction medicine

1consultation program under section 51.448 of the statutes. In the schedule under
2section 20.005 (3) of the statutes for the appropriation to the department of health
3services under section 20.435 (5) (bw) of the statutes, the dollar amount for fiscal year
42018-19 is increased by $500,000 to create and operate the addiction medicine
5consultation program under section 51.448 of the statutes.
AB9,4 6Section 4. Effective dates. This act takes effect on the day after publication,
7except as follows:
AB9,6,98 (1) The treatment of section 20.435 (5) (bw) of the statutes takes effect on July
91, 2017.
AB9,6,1010 (End)
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