SECTION 1. Ins 17.01 (3) (intro.) is amended to read:
Ins 17.01 (3) FEE SCHEDULE. The following fee schedule shall be effective July 1, 1995 1996.
SECTION 2. Ins 17.28 (6) is repealed and recreated to read:
Ins 17.28 (6) FEE SCHEDULE. The following fee schedule is in effect from July 1, 1996, to June 30, 1997:
(a) Except as provided in pars. (b) to (g) and (6e), for a physician for whom this state is a principal place of practice:
Class 1 $3,215
Class 2 $6,430
Class 3 $13,825
Class 4 $19,290
(b) For a resident acting within the scope of a residency or fellowship program:
Class 1 $1,608
Class 2 $3,216
Class 3 $6,914
Class 4 $9,648
(c) For a resident practicing part-time outside the scope of a residency or fellowship program:
All classes $1,929
(d) For a medical college of Wisconsin, inc., full-time faculty member:
Class 1 $1,286
Class 2 $2,572
Class 3 $5,530
Class 4 $7,716
(e) 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:
$804
(f) For a physician for whom this state is not a principal place of practice:
Class 1 $1,608
Class 2 $3,216
Class 3 $6,914
Class 4 $9,648
(g) For a nurse anesthetist for whom this state is a principal place of practice:
$824
(h) For a nurse anesthetist for whom this state is not a principal place of practice:
$412
(i) For a hospital:
1. Per occupied bed $203; plus
2. Per 100 outpatient visits during the last calendar year for which totals are available
$10.17
(j) For a nursing home, as described under s. 655.002 (1) (j), Stats., which is wholly owned and operated by a hospital and which has health care liability insurance separate from that of the hospital by which it is owned and operated:
Per occupied bed $38
(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, whichever of the following is applicable:
1. If the total number of partners and employed physicians and nurse anesthetists is from 2 to 10
$115
2. If the total number of partners and employed physicians and nurse anesthetists is from 11 to 100
$1,150
3. If the total number of partners and employed physicians and nurse anesthetists exceeds 100
$2,876
(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, whichever of the following is applicable:
1. If the total number of shareholders and employed physicians and nurse anesthetists is from 2 to 10
$115
2. If the total number of shareholders and employed physicians and nurse anesthetists is from 11 to 100
$1,150
3. If the total number of shareholders and employed physicians or nurse anesthetists exceeds 100
$2,876
(m) For a corporation organized under ch. 181, Stats., for the primary purpose of providing the medical services of physicians or nurse anesthetists, whichever of the following is applicable:
1. If the total number of employed physicians and nurse anesthetists is from 1 to 10
$115
2. If the total number of employed physicians and nurse anesthetists is from 11 to 100
$1,150
3. If the total number of employed physicians or nurse anesthetists exceeds 100
$2,876
(n) For an operational cooperative sickness care plan:
1. Per 100 outpatient visits during the last calendar year for which totals are available
$0.25; plus
2. 2.5% of the total annual fees assessed against all of the employed physicians.
(o) For a freestanding ambulatory surgery center, as defined in s. Ins 120.03 (10):
Per 100 outpatient visits during the last calendar year for which totals are available
$49
(p) For an entity affiliated with a hospital, the greater of $100 or whichever of the following applies:
1. 15% of the amount the entity pays as premium for its primary health care liability insurance, if it has occurrence coverage.
2. 20% of the amount the entity pays as premium for its primary health care liability insurance, if it has claims-made coverage.
SECTION 3. Ins 17.26 (4) (a) is amended to read:
Ins 17.26 Payments for future medical expenses. (4) ADMINISTRATION. (a) If a settlement, panel award or judgment is subject to s. 655.015, Stats., the insurer or other person responsible for payment shall, within 30 days after the date of the settlement, panel award or judgment, pay the fund the amount in excess of $25,000
$100,000 and shall provide the fund with an executed copy of the document setting forth the terms under which payments for medical expenses are to be made.
SECTION 4. INITIAL APPLICABILITY. This rule first applies on July 1, 1996.
Fiscal Estimate
The Patients Compensation Fund (Fund) is a segregated fund. Annual fund fees are established to become effective each July 1, based on actuarial estimates of the Fund's needs for payment of medical malpractice claims. The proposed fees were approved by the Fund's Board at its February 21, 1996 meeting.
There is no effect on GPR.
The increase in segregated revenues is approximately $5 million and represents an overall 10% increase in the Fund's projected revenue of $50 million for fiscal year 1995-96. Estimated revenue for fiscal year 1996-97 is approximately $55 million.
The Fund is required to assess, collect and remit mediation panel fees to the state court system. These mediation panel fee levels remain constant with last year's rates. The projected target base is $300,000.
Medical Examining Board
Notice is hereby given that pursuant to authority vested in the Medical Examining Board in ss. 15.08 (5) (b), 227.11 (2), 448.01 (11) and 448.02 (3), Stats., and interpreting s. 448.01 (11), Stats., the Medical Examining Board will hold a public hearing at the time and place indicated below to consider an order to amend s. Med 10.02 (2) (q), relating to unprofessional conduct.
Hearing Information
April 25, 1996 Room 179A
