Amendment SA3-SSA2-SB45

SB45-SSA2-SA3,19 Section 19. 36.47 of the statutes is created to read:

SB45-SSA2-SA3,7,16 36.47 Parkinson’s disease registry. (1) Definitions. In this section:

SB45-SSA2-SA3,7,18 (a) “Department” means the Population Health Institute, or its successor, at the University of Wisconsin-Madison School of Medicine and Public Health.

SB45-SSA2-SA3,7,19 (a) “Health care facility” has the meaning given in s. 155.01 (6).

SB45-SSA2-SA3,7,21 (b) “Health care provider” means a physician, surgeon, physician assistant, or nurse practitioner.

SB45-SSA2-SA3,8,3 (c) “Parkinsonism” means a condition that causes a combination of the movement abnormalities seen in Parkinson’s disease, including tremor at rest, slow movements, muscle rigidity, stooped posture, or unsteady or shuffling gait, which often overlap with and can evolve from what appears to be Parkinson’s disease. “Parkinsonism” includes multiple system atrophy, dementia with Lewy bodies, corticobasal degeneration, and progressive supranuclear palsy.

SB45-SSA2-SA3,8,8 (d) “Parkinson’s disease” means a chronic and progressive neurologic disorder resulting from deficiency of the neurotransmitter dopamine as the consequence of specific degenerative changes in the basal ganglia, which is characterized by tremor at rest, slow movements, muscle rigidity, stooped posture, and unsteady or shuffling gait.

SB45-SSA2-SA3,8,10 (2) Consultation by the department of health services. The department of health services may do all of the following:

SB45-SSA2-SA3,8,12 (a) Assist the department in the establishment and maintenance of a Parkinson’s disease registry, as provided under sub. (3).

SB45-SSA2-SA3,8,14 (b) Make recommendations to the department on the data to be collected in the Parkinson’s disease registry.

SB45-SSA2-SA3,8,15 (c) Advise the department on the Parkinson’s disease registry.

SB45-SSA2-SA3,8,17 (d) Make recommendations to the department on the best practices for the establishment of the Parkinson’s disease registry under sub. (3).

SB45-SSA2-SA3,8,23 (3) Parkinson’s disease registry. (a) By no later than the first day of the 19th month beginning after the effective date of this paragraph .... [LRB inserts date], the department shall, after consultation with the department of health services, establish and maintain a Parkinson’s disease registry for the collection, storage, and dissemination of information about the incidence and prevalence of Parkinson’s disease and parkinsonisms in this state.

SB45-SSA2-SA3,9,2 (b) The department shall collect and store in the Parkinson’s disease registry data reported under s. 255.18 (2) by health care providers and health care facilities.

SB45-SSA2-SA3,9,4 (c) The department shall prescribe the format for reporting information to the department under s. 255.18 (2).

SB45-SSA2-SA3,9,14 (d) The department shall create, and regularly review and revise, a list of information that health care providers and health care facilities must report, subject to s. 255.18 (2) (d), to the department under s. 255.18 (2). The list shall include the incident of a patient’s Parkinson’s disease or parkinsonism; necessary triggering diagnostic conditions, consistent with the latest version of the International Statistical Classification of Diseases and Related Health Problems; resulting case data on issues including diagnosis, treatment, and survival; and patient demographic information, including age, gender, and race. The Board of Regents of the University of Wisconsin System may promulgate rules to implement and administer this paragraph.

SB45-SSA2-SA3,9,18 (e) The University of Wisconsin-Madison may enter into agreements in order for the department to securely and confidentially receive information from data reporting entities and their associated electronic medical records vendors related to Parkinson’s disease testing, diagnosis, and treatment.

SB45-SSA2-SA3,9,23 (f) 1. The University of Wisconsin-Madison may enter into agreements in order for the department to disclose data collected in the Parkinson’s disease registry to another state’s Parkinson’s disease registry, a federal Parkinson’s disease control agency, a local health officer, or a researcher who proposes to conduct research on Parkinson’s disease.

SB45-SSA2-SA3,9,24 2. Before disclosing data containing confidential information to an entity under subd. 1., the University of Wisconsin-Madison shall require the entity to specify the purpose for the requested disclosure, agree in writing to maintain the confidentiality of the information and, if the entity is a researcher, provide all of the following to the University of Wisconsin-Madison:

SB45-SSA2-SA3,10,5 a. A written protocol to perform research.

SB45-SSA2-SA3,10,9 b. Documentation of approval of the research protocol by an institutional review board of a domestic institution that has a federalwide assurance approved by the office for human research protections of the federal department of health and human services.

SB45-SSA2-SA3,10,12 c. Documentation that demonstrates to the University of Wisconsin- Madison’s satisfaction that the researcher has established procedures and has the capability to maintain the confidentiality of the information.

SB45-SSA2-SA3,10,17 (4) Website. (a) By no later than the first day of the 19th month beginning after the effective date of this paragraph .... [LRB inserts date], the department shall establish and maintain a public website dedicated to the Parkinson’s disease registry under sub. (3). The department shall include on the website all of the following:

SB45-SSA2-SA3,10,19 1. Downloadable annual reports on the incidence and prevalence of Parkinson’s disease in this state.

SB45-SSA2-SA3,10,22 2. Relevant data, as determined by the department, about Parkinson’s disease and parkinsonisms for the 5-year period prior to the effective date of this subdivision .... [LRB inserts date].

SB45-SSA2-SA3,10,24 3. Other helpful resources about Parkinson’s disease, as determined by the department.

SB45-SSA2-SA3,11,2 (b) By no later than January 1 of each year, the department shall update the information specified in par. (a) 1. on the website maintained under par. (a).

SB45-SSA2-SA3,11,5 (c) The department shall publish on its website notice of the reporting requirement under s. 255.18 no fewer than 90 days before the reporting requirement takes effect.

SB45-SSA2-SA3,11,8 (5) Confidentiality. (a) Any information reported to the department under s. 255.18 (2) that could identify an individual who is the subject of the report or a health care provider submitting the report is confidential.

SB45-SSA2-SA3,11,11 (b) To ensure privacy, the department shall use a coding system for the data stored in the Parkinson’s disease registry that removes any identifying information about an individual who is the subject of a report under s. 255.18.

SB45-SSA2-SA3,11,15 (c) 1. If the University of Wisconsin-Madison or the department discloses confidential information as authorized under sub. (3) (f), the University of Wisconsin-Madison or department may include in the disclosure only the information necessary for the purpose specified under sub. (3) (f) 2.

SB45-SSA2-SA3,11,19 2. A person who obtains confidential information from the University of Wisconsin-Madison or the department under sub. (3) (f) may use the information only for the purpose specified under sub. (3) (f) 2. and may not redisclose the information.

SB45-SSA2-SA3,11,22 (d) The department shall maintain an accurate record of all persons given access to confidential information under this section. The record shall include all of the following:

SB45-SSA2-SA3,11,23 1. The name of the person authorizing access.

SB45-SSA2-SA3,11,24 2. The title, address, and organizational affiliation of any person given access.

SB45-SSA2-SA3,12,1 3. The dates of access.

SB45-SSA2-SA3,12,2 4. The specific purpose for which the information is to be used.

SB45-SSA2-SA3,12,4 (e) The department shall make the records maintained under par. (d) available for public inspection during the department’s normal operating hours.

SB45-SSA2-SA3,12,9 (f) Confidential information under this section is not available for subpoena and may not be disclosed, discoverable, or compelled to be produced in any civil, criminal, administrative, or other proceeding. Confidential information under this section is not admissible as evidence in any civil, criminal, administrative, or other tribunal or court for any reason.

SB45-SSA2-SA3,20 Section 20. 36.61 (1) (ab) of the statutes is created to read:

SB45-SSA2-SA3,12,13 36.61 (1) (ab) “Behavioral health provider” means an individual who, under ch. 457, is certified as a social worker or licensed as a clinical social worker, a marriage and family therapist, or a professional counselor.

SB45-SSA2-SA3,21 Section 21. 36.61 (1) (ae) of the statutes is created to read:

SB45-SSA2-SA3,12,16 36.61 (1) (ae) “Dental assistant” means an individual who holds a certified dental assistant credential issued by a national credentialing organization.

SB45-SSA2-SA3,22 Section 22. 36.61 (1) (af) of the statutes is created to read:

SB45-SSA2-SA3,12,19 36.61 (1) (af) “Dental auxiliary” means an expanded function dental auxiliary holding a certification under s. 447.04 (3).

SB45-SSA2-SA3,23 Section 23. 36.61 (1) (am) of the statutes is amended to read:

SB45-SSA2-SA3,12,24 36.61 (1) (am) “Eligible practice area” has the meaning given in s. 36.60 (1) (ag), except that, with respect to a dental hygienist, dental assistant, dental auxiliary, or dental therapist, “eligible practice area” means a dental health shortage area or a free or charitable clinic.

SB45-SSA2-SA3,24 Section 24. 36.61 (1) (b) of the statutes is renumbered 36.61 (1) (b) (intro.) and amended to read:

SB45-SSA2-SA3,13,3 36.61 (1) (b) (intro.) “Health care provider” means a any of the following:

SB45-SSA2-SA3,13,4 1. A dental therapist,.

SB45-SSA2-SA3,13,5 2. A dental hygienist,.

SB45-SSA2-SA3,13,6 3. A physician assistant,.

SB45-SSA2-SA3,13,7 4. A nurse-midwife, or.

SB45-SSA2-SA3,13,8 5. A nurse practitioner.

SB45-SSA2-SA3,25 Section 25. 36.61 (1) (b) 6., 7., 8., 9. and 10. of the statutes are created to read:

SB45-SSA2-SA3,13,11 36.61 (1) (b) 6. A medical assistant.

SB45-SSA2-SA3,13,12 7. A dental assistant.

SB45-SSA2-SA3,13,13 8. A dental auxiliary.

SB45-SSA2-SA3,13,14 9. A behavioral health provider.

SB45-SSA2-SA3,13,15 10. A substance abuse treatment provider.

SB45-SSA2-SA3,26 Section 26. 36.61 (1) (c) of the statutes is created to read:

SB45-SSA2-SA3,13,20 36.61 (1) (c) “Medical assistant” means an individual who has received a medical assistant technical diploma from a technical college under ch. 38 or who has successfully completed the national certification examination for medical assistants.

SB45-SSA2-SA3,27 Section 27. 36.61 (1) (f) of the statutes is created to read:

SB45-SSA2-SA3,13,24 36.61 (1) (f) “Substance abuse treatment provider” means an individual who is certified as a substance abuse counselor, clinical supervisor, or prevention specialist under s. 440.88.

SB45-SSA2-SA3,28 Section 28. 36.61 (2) of the statutes is renumbered 36.61 (2) (a) and amended to read:

SB45-SSA2-SA3,14,7 36.61 (2) (a) The Except as provided in par. (b), the board may repay, on behalf of a health care provider, up to $25,000 in educational loans obtained by the health care provider from a public or private lending institution for education related to the health care provider’s field of practice, as determined by the board with the advice of the council.

SB45-SSA2-SA3,29 Section 29. 36.61 (2) (b) of the statutes is created to read:

SB45-SSA2-SA3,14,10 36.61 (2) (b) For a health care provider that is a medical assistant, the board’s repayment under par. (a) may not exceed $12,500.

SB45-SSA2-SA3,30 Section 30. 36.61 (3) (a) of the statutes is amended to read:

SB45-SSA2-SA3,14,18 36.61 (3) (a) The board shall enter into a written agreement with the health care provider. In the agreement, the health care provider shall agree to practice at least 32 clinic hours per week for 3 years in one or more eligible practice areas in this state or in a rural area, except that a health care provider in the expanded loan assistance program under sub. (8) who is not a dental therapist, dental assistant, dental auxiliary, or dental hygienist may only agree to practice at a public or private nonprofit entity in a health professional shortage area.

SB45-SSA2-SA3,31 Section 31. 36.61 (4) of the statutes is renumbered 36.61 (4) (am), and 36.61 (4) (am) (intro.), as renumbered, is amended to read:

SB45-SSA2-SA3,14,23 36.61 (4) (am) (intro.) Principal Except as provided in par. (bm), principal and interest due on loans, exclusive of any penalties, may be repaid by the board at the following rate:

SB45-SSA2-SA3,32 Section 32. 36.61 (4) (bm) of the statutes is created to read:

SB45-SSA2-SA3,15,3 36.61 (4) (bm) For a health care provider that is a medical assistant, principal and interest due on loans, exclusive of any penalties, may be repaid by the board at the following rate:

SB45-SSA2-SA3,15,5 1. Up to 40 percent of the principal of the loan or $5,000, whichever is less, during the first year of participation in the program under this section.

SB45-SSA2-SA3,15,8 2. Up to an additional 40 percent of the principal of the loan or $5,000, whichever is less, during the 2nd year of participation in the program under this section.

SB45-SSA2-SA3,15,11 3. Up to an additional 20 percent of the principal of the loan or $2,500, whichever is less, during the 3rd year of participation in the program under this section.

SB45-SSA2-SA3,33 Section 33. 36.61 (5) (b) 1. of the statutes is amended to read:

SB45-SSA2-SA3,15,19 36.61 (5) (b) 1. The degree to which there is an extremely high need for medical care in the eligible practice area, health professional shortage area, or rural area in which an eligible applicant who is not a dental therapist, dental assistant, dental auxiliary, or dental hygienist desires to practice and the degree to which there is an extremely high need for dental care in the dental health shortage area or rural area in which an eligible applicant who is a dental therapist, dental assistant, dental auxiliary, or dental hygienist desires to practice.

SB45-SSA2-SA3,34 Section 34. 36.61 (8) (c) 3. of the statutes is amended to read:

SB45-SSA2-SA3,16,2 36.61 (8) (c) 3. Practice at a public or private nonprofit entity in a health professional shortage area, if the health care provider is not a dental therapist, dental assistant, dental auxiliary, or dental hygienist, or in a dental health shortage area, if the health care provider is a dental therapist, dental assistant, dental auxiliary, or dental hygienist.

SB45-SSA2-SA3,35 Section 35. 36.62 (2) of the statutes is amended to read:

SB45-SSA2-SA3,16,7 36.62 (2) Advise the board on the amount, up to $25,000 for health care providers other than medical assistants and up to $12,500 for medical assistants, to be repaid on behalf of each health care provider who participates in the health care provider loan assistance program under s. 36.61.

SB45-SSA2-SA3,36 Section 36. 38.04 (25) of the statutes is created to read:

SB45-SSA2-SA3,16,12 38.04 (25) Adoption of artificial intelligence. From the appropriation under s. 20.292 (1) (f), the board may award grants to district boards to support the district boards with the adoption and use of artificial intelligence in areas including the following:

SB45-SSA2-SA3,16,13 (a) Educator recruitment, retention, and upskilling.

SB45-SSA2-SA3,16,14 (b) Curriculum and resource development to meet employer demand.

SB45-SSA2-SA3,16,15 (c) Stackable credential development.

SB45-SSA2-SA3,16,16 (d) Infrastructure development.