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EmR1306

Filed with LRB:  June 10, 2013

Publication Date:  June 12, 2013

Effective Dates:  June 12, 2013 through November 8, 2013

Hearing Date:  July 23, 2013

EMERGENCY ORDER AMENDING, REPEALING AND CREATING A RULE.

Office of the Commissioner of Insurance

 

Rule No. 042-13:  To amend s. Ins 17.01 (3), and 17.28 (3) (c) and to repeal and recreate s. Ins 17.28 (6), Wis. Admin. Code.

 

Relating to: Injured Patients and Families Compensation Fund Annual Fund and Mediation Panel Fees, and ISO code amendments for the fiscal year beginning July 1, 2013, and affecting small business.

 

The statement of scope for this rule SS 042-13, was approved by the Governor on April 16, 2013, published in Register No. 688, on April 30, 2013, and approved by the Commissioner on May 10, 2013. 

 

This emergency rule was approved by the Governor on June 4, 2013.

______________________________________________________________________________

FINDING OF EMERGENCY

The Commissioner of Insurance finds that an emergency exists and that the attached rule is necessary for the immediate preservation of the public peace, health, safety, or welfare. Facts constituting the emergency are as follows:

These changes must be in place with an effective date prior to July 1, 2013 in order for the new fiscal year assessments to be issued in accordance with s. 655.27 (3), Wis. Stats.  The permanent rule-making process cannot be completed prior to the effective date of the new fee schedule.  The fiscal year fund fees were established by the Board of Governors at the meeting held on December 19, 2012 and the mediation panel fees established by the Board of Governors at the meeting held on March 20, 2013.

______________________________________________________________________

ANALYSIS PREPARED BY THE OFFICE OF THE COMMISSIONER OF INSURANCE (OCI)

    1.     Statutes interpreted:

ss. 655.27 (3), and 655.61, Wis. Stats.

    2.     Statutory authority:

ss. 601.41 (3), 655.004, 655.27 (3) (b), and 655.61, Wis. Stats.

   3.      Explanation of OCI’s authority to promulgate the proposed rule:

The injured patients and families compensation fund (“fund”), was established by and operated under Ch. 655, Stats.  The commissioner of insurance with approval of the board of governors (“board”) is required to annually set the fees for the fund and the medical mediation panel by administrative rule.  The proposed fees comply with the limitation delineated in s. 655.27 (3) (br), Stats.  Section 655.04, Stats., provides that the director of state courts and the commissioner may promulgate rules necessary to enable them to perform their responsibilities under this chapter.  Pursuant to s. 655.27 (3) (b), Stats., the commissioner, after approval by the board, shall by rule set the fees to the fund and s. 655.61, Stats., requires the board, by rule, to set the fees charged to health care providers at a level sufficient to provide the necessary revenue to fund the medical mediation panels.  Further, s. 601.41 (3), Stats., provides that the commissioner shall have rule-making authority pursuant to s. 227.11 (2), Stats.

    4.     Related statutes or rules:

None.

    5.     Plain language analysis:

This proposed rule establishes the fees that participating health care providers must pay to the fund for the fiscal year beginning July 1, 2013.  These fees represent a 5% decrease from fees paid for the 2012-2013 fiscal year.  The board approved these fees at its meeting on December 19, 2012, based on the recommendation of the board's actuarial and underwriting committee and reports of the fund’s actuaries. 

The board is also required to promulgate by rule the annual fees for the operation of the injured patients and families compensation medical mediation system, based on the recommendation of the director of state courts.  The recommendation of the director of state courts was reviewed by the board’s actuarial and underwriting committee.  This rule implements the funding level approved by the board on March 20, 2013 by establishing mediation panel fees for the next fiscal year at $0 for physicians and $0 per occupied bed for hospitals, representing a decrease of $22.50 per physician and a decrease of $4.50 per occupied bed for hospitals from 2012-13 fiscal year mediation panel fees.

Finally this rule includes changes to the Insurance Services Office (ISO) code listing to address corrections to several classification specialties as well as new classification specialties.  ISO codes are the numerical designation for a health care provider’s specialty and are used to classify the provider for assessment purposes.  Errors identified in the ISO codes or specialty narratives for three specialties have been corrected.  A third specialty had duplicate listings resulting in the exclusion of another specialty which has now been added.  The Doctor of Osteopathy (D.O.) designated ISO codes have been added for two specialties previously listed only under the Doctor of Medicine (M.D.) ISO codes.

    6.     Summary of and comparison with any existing or proposed federal statutes and regulations:

To the fund board’s and OCI’s knowledge there is no existing or proposed federal regulation that is intended to address fund rates, administration or to fund medical mediation panel activities.

    7.     Comparison with rules in adjacent states:

To the fund board’s and OCI’s knowledge there are no similar rules in the adjacent states to compare this rule to as none of adjacent states have a fund created by statute where rates are directed to be established yearly by rule as is true in Wisconsin.

    8.     A summary of the factual data and analytical methodologies that OCI used in support of the proposed rule:

None.  This rule establishes annual fund fees pursuant to the requirements of the above-noted Wisconsin statutes.  The recommendation to the board regarding the fund fee and the medical mediation panel assessment is developed and reviewed annually by the fund’s actuaries and the board’s actuarial and underwriting committee.  The actuarial and underwriting committee after review and discussion with the fund’s actuaries present the information and the actuaries report to the board for consideration.  This proposed rule reflects the rates approved by the board at the December 19, 2012 and March 20, 2013 board meetings.

    9.     Analysis and supporting documentation that OCI used in support of OCI’s determination of the rule’s effect on small business or in preparation of an economic impact analysis:

This decrease in fund fees will have a positive effect on small businesses in Wisconsin, particularly those that employ physicians and other health care professionals.  The mediation panel fee is assessed only on physicians and hospitals, not on corporations or other health care entities that will also benefit from the reduction to zero fees for fiscal year 2014.  The fund fee decrease will affect only those small businesses that pay the fund fees and mediation panel fees on behalf of their employed physicians.  The fund fee decrease will not have a significant effect nor should it negatively affect the small business’s ability to compete with other providers. 

  10.     Effect on small business:

This rule will have little or no effect on small businesses.  The decrease contained in the proposed rule will require providers to pay reduced fund fees which will decrease the operational expenses for the providers.  The decrease in fees promulgated by this rule should not result in a significant fiscal effect on the private sector. 

  11.     A copy of any comments and opinion prepared by the Board of Veterans Affairs under s. 45.03 (2m), Stats., for rules proposed by the Department of Veterans Affairs.

                  None.

  12.     Agency contact person:

A copy of the full text of the proposed rule changes, analysis and fiscal estimate may be obtained from the Web site at: http://oci.wi.gov/ocirules.htm

or by contacting Inger Williams, OCI Services Section, at:

Phone:          (608) 264-8110

Email:           inger.williams@wisconsin.gov

Address:       125 South Webster St – 2nd Floor, Madison WI 53703-3474

Mail:             PO Box 7873, Madison, WI 53707-7873

  13.     Place where comments are to be submitted and deadline for submission:

The deadline for submitting comments is 4:00 p.m. on the 14th day after the date for the hearing stated in the Notice of Hearing.

Mailing address:

Julie E. Walsh

Legal Unit - OCI Rule Comment for Rule Ins 1701

Office of the Commissioner of Insurance

PO Box 7873

Madison WI 53707-7873

Street address:

Julie E. Walsh

Legal Unit - OCI Rule Comment for Rule Ins 1701

Office of the Commissioner of Insurance

125 South Webster St – 2nd Floor

Madison WI 53703-3474

Email address:

Julie E. Walsh

Julie.Walsh@wisconsin.gov

Web site: http://oci.wi.gov/ocirules.htm

 

______________________________________________________________________

The proposed rule changes are:

SECTION 1. Ins 17.01 (3) is amended to read:

Ins 17.01 (3) FEE SCHEDULE.  The following fee schedule shall be effective July 1, 2012 2013:

(a)   For physicians--  $22.50$0.

(b)   For hospitals, per occupied bed-- $4.50$0.

 

SECTION 2. Ins 17.28 (3) (c) 1., 2., and 3., are amended to read:

Ins 17.28 (3) (c) 1.  Class 1:

 

 

Administrative Medicine

80120

 

Aerospace Medicine

80230

 

Allergy

80254

 

Allergy (D.O.)

84254

 

Cardiovascular Disease—no surgery or catheterization

80255

 

Cardiovascular Disease—no surgery or catheterization (D.O.)

84255

 

Dermatology—no surgery

80256

 

Dermatology—no surgery (D.O.)

84256

 

Diabetes—no surgery

80237

 

Endocrinology—no surgery

80238

 

Endocrinology—no surgery (D.O.)

84238

 

Family or General Practice—no surgery

80420

 

Family or General Practice—no surgery (D.O.)

84420

 

Forensic Medicine—Legal Medicine

80240

 

Forensic Medicine—Legal Medicine (D.O.)

84240

 

Gastroenterology—no surgery

80241

 

Gastroenterology—no surgery (D.O.)

84241

 

General Preventive Medicine—no surgery

80231

 

General Preventive Medicine—no surgery (D.O.)

84231

 

Geriatrics—no surgery

80243

 

Geriatrics—no surgery (D.O.)

84243

 

Gynecology—no surgery

80244

 

Gynecology—no surgery (D.O.)

84244

 

Hematology—no surgery

80245

 

Hematology—no surgery (D.O.)

84245

 

Hypnosis

80232

 

Infectious Diseases—no surgery

80246

 

Infectious Diseases—no surgery (D.O.)

84246

 

Internal Medicine—no surgery

80257

 

Internal Medicine—no surgery  (D.O.)

84257

 

Laryngology—no surgery

80258

 

Manipulator (D.O.)

84801

 

Neoplastic Disease—no surgery

80259

 

Nephrology—no surgery

80260

 

Nephrology – no surgery (D.O.)

84260

 

Neurology—no surgery

80261

 

Neurology—no surgery (D.O.)

84261

 

Nuclear Medicine

80262

 

Nuclear Medicine (D.O.)

84262

 

Nutrition

80248

 

Occupation Medicine

80233

 

Occupation Medicine (D.O.)

84233

 

Oncology – no surgery

80302

 

Oncology – no surgery (D.O.)

84302

 

Ophthalmology—no surgery

80263

 

Ophthalmology—no surgery (D.O.)

84263

 

Osteopathy—manipulation only

84801

 

Otology – no surgery

80247

80264

Otorhinolaryngology—no surgery

80265

 

Otorhinolaryngology—no surgery (D.O.)

84265

 

Pain Management – no surgery

80208

 

Pain Management – no surgery (D.O.)

84208

 

Pathology—no surgery

80266

 

Pathology—no surgery (D.O.)

84266

 

Pediatrics—no surgery

80267

 

Pediatrics—no surgery (D.O.)

84267

 

Pharmacology—Clinical

80234

 

Physiatry—Physical Medicine (D.O.)

84235

 

Physiatry—Physical Medicine & Rehabilitation

80235

 

Physicians—no surgery

80268

 

Physicians—no surgery (D.O.)

84268

 

Psychiatry

80249

 

Psychiatry—(D.O.)

84249

 

Psychoanalysis

80250

 

Psychosomatic Medicine

80251

 

Psychosomatic Medicine (D.O.)

84251

 

Public Health

80236

 

Pulmonary Disease—no surgery

80269

 

Pulmonary Disease—no surgery (D.O.)

84269

 

Radiology—diagnostic

80253

 

Radiology—diagnostic (D.O.)

84253

 

Radiopaque dye

80449

 

Radiopaque dye (D.O.)

84449

 

Rheumatology—no surgery

80252

 

Rheumatology—no surgery (D.O.)

84252

 

Rhinology – no surgery

80264

80247

Shock Therapy

80431

 

Shock Therapy (D.O.)

84431

 

Shock Therapy—insured

80162

 

Urgent Care—Walk-in or After Hours

80424

 

Urgent Care—Walk-in or After Hours (D.O.)

84424

 

Urology—no surgery

80121

 

 

 

 

2.     Class 2:

 

 

Acupuncture

 80437

 

Acupuncture (D.O.)

 84437

 

Anesthesiology

 80151

 

Anesthesiology (D.O.)

 84151

 

Angiography-Arteriography—catheterization

 80422

 

Angiography-Arteriography—catheterization (D.O.)

 84422

 

Broncho-Esophagology

 80101

 

Cardiovascular Disease—minor surgery

 80281

 

Cardiovascular Disease—minor surgery (D.O.)

 84281

 

Colonoscopy-ERCP-Pneu or mech esoph dil (D.O.)

 84443

 

Colonoscopy-ERCP-pneu. or mech.

 80443

 

Dermatology—minor surgery

 80282

 

Dermatology – minor surgery (D.O.)

 84282

 

Diabetes – minor surgery

 80271

 

DermatologyDiabetes—minor surgery (D.O.)

 84282

84271

Emergency Medicine—No Major Surgery

 80102

 

Emergency Medicine—No Major Surgery (DO)

 84102

 

Employed Physician or Surgeon

 80177

 

Employed Physician or Surgeon (D.O.)

 84177

 

Endocrinology—minor surgery

 80272

 

Endocrinology—minor surgery (D.O.)

 84272

 

Family Practice—and general practice minor surgery—No OB

 80423

 

Family Practice—and general practice minor surgery—No OB (D.O.)

 84423

 

Family or General Practice—including OB

 80421

 

Family or General Practice – including OB (D.O.)

 84421

 

Gastroenterology—minor surgery

 80274

 

Gastroenterology—minor surgery (D.O.)

 84274

 

Geriatrics—minor surgery

 80276

 

Geriatrics—minor surgery (D.O.)

 84276

 

Gynecology—minor surgery

 80277

 

Gynecology—minor surgery (D.O.)

 84277

 

Hematology—minor surgery

 80278

 

Hematology—minor surgery (D.O.)

 84278

 

Hospitalist

 80296

 

Hospitalist (D.O.)

 84296

 

Infectious Diseases—minor surgery

 80279

 

Intensive Care Medicine

 80283

 

Intensive Care Medicine (D.O.)

 84283

 

Internal Medicine—minor surgery

 80284

 

Internal Medicine—minor surgery (D.O.)

 84284

 

Laparoscopy

 80440

 

Laparoscopy (D.O.)

 84440

 

Laryngology—minor surgery

 80285

 

Myelography – Discogram-Pneumoencephalo

 80428

 

Myelography-Discogram-Pneumoencephalo (D.O.)

 84428

 

Needle Biopsy

 80446

 

Needle Biopsy (D.O.)

 84446

 

Nephrology—minor surgery

 80287

 

Neonatology

 80298

 

Neonatology (D.O.)

 84298

 

Neoplastic Disease—minor surgery

 80286

 

Neurology—minor surgery

 80288

 

Neurology—minor surgery (D.O.)

 84288

 

Oncology – minor surgery

 80301

 

Oncology – minor surgery (D.O.)

 84301

 

Ophthalmology—minor surgery

 80289

 

Ophthalmology—minor surgery (D.O.)

 84289

 

Otology – minor surgery

 80290

 

Otorhinolaryngology—minor surgery

 80291

 

Otorhinolaryngology—minor surgery (D.O.)

 84291

 

Pain Management – Basic procedures

 80182

 

Pain Management – Basic procedures (D.O.)

 84182

 

Pathology—minor surgery

 80292

 

Pathology—minor surgery (D.O.)

 84292

 

Pediatrics—minor surgery

 80293

 

Pediatrics—minor surgery (D.O.)

 84293

 

Phlebography-Lymphangeography

 80434

 

Phlebography-Lymphangeography (D.O.)

 84434

 

Physicians—minor surgery

 80294

 

Physicians – minor surgery (D.O.)

 84294

 

Radiation Therapy—lasers

 80425

 

Radiation Therapy—lasers (D.O.)

 84425

 

Radiation Therapy – other than lasers

 80165

 

Radiology—diagnostic-interventional
procedures

 80280

 

Radiology—diagnostic-interventional
procedures (D.O.)

 84280

 

Rhinology – minor surgery

 80270

 

Surgery—Colon & Rectal

 80115

 

Surgery —Endocrinology

 80103

 

Surgery—Gastroenterology

 80104

 

Surgery – Gastroenterology (D.O.)

 84104

 

Surgery—General Practice or Family Practice

 80117

 

Surgery—General Practice or Family Practice  (D.O.)

 84117

 

Surgery—Geriatrics

 80105

 

Surgery—Neoplastic

 80107

 

Surgery—Nephrology

 80108

 

Surgery—Ophthalmology

 80114

 

Surgery—Ophthalmology (D.O.)

 84114

 

Surgery—Urological

 80145

 

Surgery—Urological (D.O.)

 84145

 

 

 

 

3.     Class 3:

 

 

Emergency Medicine—includes major surgery

 80157

Emergency Medicine—includes major surgery (D.O.)

 84157

Otology—surgery

 80158

Radiation Therapy – employed physician

 80163

Radiation Therapy – employed physician (D.O.)

 84163

Shock Therapy – employed physician

 80161

Shock Therapy – employed physician (D.O.)

 84161

Surgery—Abdominal

 80166

Surgery – Bariatrics

 80476

Surgery – Bariatrics (D.O.)

 84476

Surgery—Cardiac

 80141

Surgery—Cardiovascular Disease

 80150

Surgery—Cardiovascular Disease (D.O.)

 84150

Surgery—General

 80143

Surgery—General (D.O.)

 84143

Surgery—Gynecology

 80167

Surgery—Gynecology (D.O.)

 84167

Surgery—Hand

 80169

Surgery—Head & Neck

 80170

Surgery – Laryngology

 80106

Surgery—Orthopedic

 80154

Surgery—Orthopedic (D.O.)

 84154

Surgery—Otorhinolaryngology-no plastic
surgery

 80159

Surgery—Plastic

 80156

Surgery—Plastic (D.O.)

 84156

Surgery—Plastic-Otorhinolaryngology

 80155

Surgery—Plastic-Otorhinolaryngology (D.O.)

 84155

Surgery—Rhinology

 80160

Surgery—Thoracic

 80144

Surgery—Thoracic (D.O.)

 84144

Surgery—Traumatic

 80171

Surgery—Traumatic (D.O.)

 84171

Surgery—Vascular

 80146

Surgery – Vascular (D.O.)

 84146

Weight Control—Bariatrics

 80180

 

 

SECTION 3. Ins 17.28 (6) is repealed and recreated to read:

(6)Fee schedule.  The following fee schedule is in effect from July 1, 2013 to June 30, 2014:

(a)    Except as provided in pars. (b) to (f) and sub. (6e), for a physician for

whom this state is a principal place of practice:

                                Class 1…. $1,457                 Class 3….$  5,828

 

                                Class 2…. $2,623                Class 4….$9,616

 

     (b)  For a resident acting within the scope of a residency or fellowship program:

                                Class 1….. $  729                Class 3….$2,916

                                Class 2….. $1,312    Class 4….$4,811

     (c)  For a resident practicing part-time outside the scope of a residency or fellowship program:

                                All classes………………………………   $874

    

     (d)  For a Medical College of Wisconsin, Inc., full-time faculty member:

Class 1….. $  583                 Class 3… .$2,332

Class 2…..$1,049                  Class 4… .$3,848

     (e)  For physicians who practice part-time:

     1.  For a physician who practices fewer than 500 hours during the fiscal year, limited to office practice and nursing home and house calls, and who does not practice obstetrics or surgery or assist in surgical procedures: ..$  364

     2.  For a physician who practices 1040 hours or less during the fiscal year, including those who practice fewer than 500 hours during the fiscal year whose practice is not limited to office practice, nursing homes or house calls or who do practice obstetrics, surgery or assist in surgical procedures:

                                Class 1…..$   874                 Class 3….$3,496

                                Class 2…..$1,573                Class 4….$5,768

     (f)  For a physician for whom this state is not a principal place of practice:

                                Class 1…..$  729                  Class 3….$2,916

                                Class 2…..$1,312                 Class 4….$4,811

     (g)  For a nurse anesthetist for whom this state is a principal place of practice:                                                                                                             $  358

     (h)  For a nurse anesthetist for whom this state is not a principal place of practice:……………………………………………………………………………………………$  179

     (i)  For a hospital, all of the following fees:

     1.  Per occupied bed………………………………………………………………………$    87

2.  Per 100 outpatient visits during the last calendar year for which totals are available:………………………………………………………………………………………….$  4.35

     (j)  For a nursing home, as described under s. 655.002 (1) (j), Stats., that is wholly owned and operated by a hospital and that has health care liability insurance separate from that of the hospital by which it is owned and operated:

     Per occupied bed……………………………………………………………………….…..$   17

     (k)  For a partnership comprised of physicians or nurse anesthetists, organized for the primary purpose of providing the medical services of physicians or nurse anesthetists, all of the following fees:

     1.  a.  If the total number of partners and employed physicians and nurse anesthetists is from 2 to 10…………………………………………………………………………………………$   51

            b.  If the total number of partners and employed physicians and nurse anesthetists is from 11 to 100……………………………………………………………………………………..$  503

            c.  If the total number of partners and employed physicians and nurse anesthetists exceeds 100……………………………………………………..……………………………..…$1,252

     2.  The following fee for each full-time equivalent allied health care professional employed by the partnership as of the most recent completed survey submitted:

     Employed Health Care Professionals                                                                     Fund Fee

                              Nurse Practitioners……………………………………………………..………………..….$   364

             Advanced Nurse Practitioners……………………………………….……………..…………510

                              Nurse Midwives………………………………………………………..…..…………………3,205

             Advanced Nurse Midwives………………………………………………..…………………3,351

Advanced Practice Nurse Prescribers ………………………………..…………..…………..510

Chiropractors……………………………………………………………………………..……...583

Dentists…………………………………………………………………..………………..……..291

                                 Oral Surgeons……………………………………………………………………..…………..2,186

                     Podiatrists-Surgical…………………………………………………….………………..……6,192

Optometrists………………………………………………………..…………..……………….291

Physician Assistants………………………………………………………………………..…..291

     (L)  For a corporation, including a service corporation, with more than one shareholder organized under ch. 180, Stats., for the primary purpose of providing the medical services of physicians or nurse anesthetists, all of the following fees:

     1.  a.  If the total number of shareholders and employed physicians and nurse anesthetists is from 2 to 10……………………………………………………………...…….$   51

           b.  If the total number of shareholders and employed physicians and nurse anesthetists is from 11 to 100…………………………………………………………..……$  503

           c.  If the total number of shareholders and employed physicians or nurse anesthetists exceeds 100……………………………………………………….…………….$1,252

     2.  The following fee for each full-time equivalent allied health care professional employed by the corporation as of the most recent completed survey submitted:

Employed Health Care Professionals                             Fund Fee

     Nurse Practitioners…………………………………………….………………………….$   364

     Advanced Nurse Practitioners………………………………..……..………………………510

     Nurse Midwives………………………………………………..……………………………3,205

     Advanced Nurse Midwives………………………………….………..……………………3,351

     Advanced Practice Nurse Prescribers        ……………………..………………………..……….510 Chiropractors…………………………………………………….………………..…………...583

Dentists………………………………………………………………………..………………..291

     Oral Surgeons…………………………………………………….………..………………..2,186

     Podiatrists-Surgical………………………………………………..……………..…………6,192

Optometrists…………………………………………………………..……………..………….291

     Physician Assistants…………………………………………………..……..………………..291

     (m)  For a corporation organized under ch. 181, Stats., for the primary purpose of providing the medical services of physicians or nurse anesthetists, all of the following fees:

     1.  a.  If the total number of employed physicians and nurse anesthetists is from 1 to 10……………………………………………………………..……………………………….$    51

          b.  If the total number of employed physicians and nurse anesthetists is from 11 to 100……………………………………………………………………………………………...$  503

          c.  If the total number of employed physicians or nurse anesthetists exceeds 100………………………………………………………………………………………..……….$1,252

     2.  The following fee for each full-time equivalent allied health care professional employed by the corporation as of the most recent completed survey submitted:

Employed Health Care Professionals            Fund Fee

     Nurse Practitioners ……………………………………………………………….……….$   364

     Advanced Nurse Practitioners…………………………………………………….……….…510

     Nurse Midwives…………………………………………………………………………....…3,205

     Advanced Nurse Midwives…………………………………………………………….……3,351

     Advanced Practice Nurse Prescribers        …………………………………………………….…..510

Chiropractors………………………………………………………………………………..…...583

Dentists……………………………………………………………………..………………..…..291

     Oral Surgeons……………………………………………………………….………..…..…..2,186

     Podiatrists-Surgical…………………………………………………..…….….………..……6,192

Optometrists…………………………………………………………………………….……….291

     Physician Assistants …………………………………………………………………………..291

     (n)  For an operational cooperative sickness care plan as described under s. 655.002 (1) (f), Stats., all of the following fees:

     1.  Per 100 outpatient visits during the last calendar year for which totals are available…………………………………………………………………………….………………$0.11

     2.  2.5% of the total annual fees assessed against all of the employed physicians.

     3.  The following fee for each full-time equivalent allied health care professional employed by the operational cooperative sickness plan as of the most recent completed survey submitted:

Employed Health Care Professionals            Fund Fee

     Nurse Practitioners…………………………………………………………………..…….$   364

     Advanced Nurse Practitioners…………………………………………………………….…510

     Nurse Midwives………………………………………………………………………..…….3,205

     Advanced Nurse Midwives…………………………………………………..…………….3,351

     Advanced Practice Nurse Prescribers        ………………………………………..……………..510

Chiropractors……………………………………………………………………..……….…...583

Dentists……………………………………………………………………………………..…..291

     Oral Surgeons………………………………………………………………………..….…..2,186

     Podiatrists-Surgical………………………………………………………………..……..…6,192

Optometrists………………………………………………………………………….…..…….291

     Physician Assistants……………………………………………………….…………..……..291

     (o)  For a freestanding ambulatory surgery center, as defined in s. DHS 120.03 (13), per 100 outpatient visits during the last calendar year for which totals are available:………………………………………………………………………………………….$22.73

     (p)  For an entity affiliated with a hospital, the greater of $100 or whichever of the following applies:

     1.  7.0% of the amount the entity pays as premium for its primary health care liability insurance, if it has occurrence coverage.

     2.  10.0% of the amount the entity pays as premium for its primary health care liability insurance, if it has claims-made coverage.

     (q)  For an organization or enterprise not specified as a partnership or corporation that is organized and operated in this state for the primary purpose of providing the medical services of physicians or nurse anesthetists, all of the following fees:

     1.  a.  If the total number of employed physicians and nurse anesthetists is from 1 to 10………………………………………………………………………………...………………$   51

     b. If the total number of employed physicians and nurse anesthetists is from 11 to 100……………………………………………………………………………………………...$   503

     c.  If the total number of employed physicians or nurse anesthetists exceeds

100………………………………………………………………………………………………$1,252

     2. The following for each full-time equivalent allied health care professional employed by the organization or enterprise not specified as a partnership, corporation, or an operational cooperative health care plan as of the most recent completed survey submitted:

Employed Health Care Professionals            Fund Fee

     Nurse Practitioners……………………………………………………………………….$   364

     Advanced Nurse Practitioners…………………………………………..…..………………510

     Nurse Midwives………………………………………………………………..……………3,205

     Advanced Nurse Midwives…………………………………………………….…..………3,351

     Advanced Practice Nurse Prescribers        …………………………………………..…………..510

Chiropractors………………………………………………………………………...………...583

Dentists…………………………………………………………………………..……………..291

     Oral Surgeons………………………………………………………………..………………2,186

     Podiatrists-Surgical……………………………………………………………..……………6,192

Optometrists………………………………………………………………………….……….….291

     Physician Assistants………………………………………………………………..…………..291

 

SECTION 4. These changes may be enforced under s. Ins 17.01 (2) (d) and (e).

 

SECTION 5. EFFECTIVE DATE.  These emergency rule changes will take effect on the date of publication as provided in s. 227.24(1)(c), Stats.

 

 

 

Dated at Madison, Wisconsin, this    7th     day of     June   , 2013.

 

 

 

                                                                    _________________________________________

                                                                     Theodore K. Nickel

                                                                     Commissioner of Insurance

 


 

Office of the Commissioner of Insurance

Fiscal Estimate

 

for Section Ins 17.01, 17.28 (3) (c) and (6) relating to Injured Patients and Families Compensation Fund Annual fund and Mediation Panel Fees and ISO code amendments for the fiscal year beginning July 1, 2013 and affecting small business

 

 

 

This rule change will have no significant effect on the private sector as this proposed rule reduces fees to participants in the fund and reduces mediation panel fees to zero.  The fund is a segregated account and does not impact state funds.  The rule decreases fees and therefore does not have an effect on county, city, village, town, school district, technical college district and sewerage district fiscal liabilities and revenues. 

 

 


STATE OF WISCONSIN

DEPARTMENT OF ADMINISTRATION

DOA-2049 (C04/2011)

               Division of Executive Budget and Finance

101 East Wilson Street, 10th Floor

P.O. Box 7864

Madison, WI  53707-7864

FAX: (608) 267-0372

 

ADMINISTRATIVE RULES – FISCAL ESTIMATE

 

1.   Fiscal Estimate Version

 

 

 

 

       Original     Updated     Corrected

 

 

2.   Administrative Rule Chapter Title and Number

     INS 1728

 

3.   Subject

      Injured Patients and Families Compensation Fund Annual fund and Mediation Panel Fees and ISO code amendments for the fiscal year beginning July 1, 2013 and affecting small business

 

4.  State Fiscal Effect:  

 

 No Fiscal Effect

 

 Indeterminate

 

 Increase Existing Revenues

 

 Decrease Existing Revenues

 Increase Costs

      Yes      No    May be possible to absorb

                                   within agency’s  budget.

 Decrease Costs

 

5.   Fund Sources Affected:

 GPR        FED       PRO      PRS     SEG      SEG-S

6.   Affected Ch. 20, Stats. Appropriations:

None

 

7.   Local Government Fiscal Effect:

 

 No Fiscal Effect

 

 Indeterminate

 Increase Revenues

 

 Decrease Revenues

 Increase Costs

 

 Decrease Costs

 

8.  Local Government Units Affected:

 Towns       Villages      Cities      Counties      School Districts     WTCS Districts  Others: None

 

9.   Private Sector Fiscal Effect (small businesses only):

 

 No Fiscal Effect

 

 Indeterminate

 

 

 Increase Revenues

 

 Decrease Revenues

 

      Yes     No       May have significant

                                      economic impact on a

                                     substantial number of 

                                     small businesses

 Increase Costs

 

      Yes    No    May have significant

                                  economic impact on a

                                  substantial number of

                                  small businesses

 

 Decrease Costs

 

10.   Types of Small Businesses Affected:

 

Small businesses that employ physicians or other health care professionals participating in the Fund.

 

11.   Fiscal Analysis Summary

 

No significant impact.  Slight decrease in fund fees and zero medical mediation fees.

 

12.   Long-Range Fiscal Implications

 

None

 

13.   Name - Prepared by

Julie E. Walsh

Telephone Number

(608) 264-8101

Date

June 5, 2013

 

14.   Name – Analyst Reviewer

     

Telephone Number

     

Date

     

 

Signature—Secretary or Designee

 

Telephone Number

(608) 267-3782

Date

June 7, 2013

 

 

 

 

 

 

 

 

Wi_seal

 
State  of  Wisconsin  /  OFFICE OF THE COMMISSIONER OF INSURANCE

 

125 South Webster Street · P.O. Box 7873

Madison, Wisconsin 53707-7873

Phone: (608) 266-3585 · Fax: (608) 266-9935

E-Mail: ociinformation@wisconsin.gov

Web Address: oci.wi.gov

 

 

Scott Walker, Governor

Theodore K. Nickel, Commissioner

 

Wisconsin.gov

 
 

 

 

 

 

 

 

 

 

 


STATE OF WISCONSIN                                              ³

                                                                                ³   SS

OFFICE OF THE COMMISSIONER OF INSURANCE     ³

 

 

          I, Theodore K. Nickel, Commissioner of Insurance and custodian of the official records, certify that the annexed emergency rule affecting Section Ins 17.01, 17.28 (3) and 17.28 (6), Wis. Adm. Code, relating to the Injured Pateints and Families Compensation Fund annual fund and mediation panel fees, and ISO code amendments for the fiscal year beginning July 1, 2013 and affecting small business, is duly approved and adopted by this Office on June 7, 2013.

 

          I further certify that I have compared this copy with the original on file in this Office and that it is a true copy of the original, and the whole of the original.

 

IN TESTIMONY WHEREOF, I have hereunto set my hand at 125 South Webster Street, Madison, Wisconsin,

on June 7, 2013.

 

 

 

                                                  _______________________________________

                                                  Theodore K. Nickel

                                                  Commissioner of Insurance

 

Links to Admin. Code and Statutes in this Register are to current versions, which may not be the version that was referred to in the original published document.