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
Thursday 1400 East Washington Ave.
9:00 A.M. Madison, WI
Written Comments
Interested people are invited to present information at the hearing. People appearing may make an oral presentation but are urged to submit facts, opinions and argument in writing as well. Facts, opinions and argument may also be submitted in writing without a personal appearance by mail addressed to:
Office of Administrative Rules
Dept. of Regulation & Licensing
P.O. Box 8935
Madison, WI 53708
Written comments must be received by May 6, 1996 to be included in the record of rule-making proceedings.
Analysis Prepared by the Dept. of Regulation & Licensing
Statutes authorizing promulgation: ss. 15.08 (5) (b), 227.11 (2), 448.01 (11) and 448.02 (3)
Statute interpreted: s. 448.01 (11)
In this proposed rule-making order, the Medical Examining Board amends s. Med 10.02 (2) (q), to remedy the failure of the present rule to provide authority for the Board to bring disciplinary action against a licensee who has been subject to an adverse licensure action in another jurisdiction, which adverse action is either not the result of formal disciplinary proceedings, as when an application for an initial license in the other jurisdiction is denied or is granted on a limited basis, or is taken without any finding of misconduct, as often happens when the adverse action is taken pursuant to a stipulation by which it is agreed that no such finding shall be made.
Text of Rule
SECTION 1. Med 10.02 (2) (q) is amended to read:
Med 10.02 (2) (q) Having a license, certificate, permit, registration, or other practice privilege credential granted by another state or by any agency of the federal government to practice medicine and surgery or treat the sick, limited, restricted, suspended, or revoked, or having been subject to other
disciplinary adverse action by the state licensing authority or by any agency of the federal government, including but not limited to the denial or limitation of an original credential, or the surrender of a credential, whether or not accompanied by findings of negligence or unprofessional conduct.
Fiscal Estimate
1. The anticipated fiscal effect on the fiscal liability and revenues of any local unit of government of the proposed rule is: $0.00.
2. The projected anticipated state fiscal effect during the current biennium of the proposed rule is: $0.00.
3. The projected net annualized fiscal impact on state funds of the proposed rule is: $0.00.
Initial Regulatory Flexibility Analysis
These proposed rules will be reviewed by the Department through its Small Business Review Advisory Committee to determine whether there will be an economic impact on a substantial number of small businesses, as defined in s. 227.114 (1) (a), Stats.
Copies of Rule & Contact Person
Copies of this proposed rule are available without cost upon request to:
Pamela Haack (608) 266-0495
Office of Administrative Rules
Dept. of Regulation & Licensing
1400 East Washington Ave., Room 171
P.O. Box 8935
Madison, WI 53708
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), 448.04 (1) (f) and 448.40 (1), Stats., and interpreting s. 448.05 (5), Stats., the Medical Examining Board will hold a public hearing at the time and place indicated below to consider an order to repeal s. Med 8.11; to amend ch. Med 8 (title), ss. Med 8.01, 8.02 (2), (3) and (4), 8.03, 8.05, 8.05 (1) (intro.), (cm), (2) (b) 4., 5., 6., (c) and (4), 8.06 (1) (intro.) and (2) (a), 8.07 (1) and (2) (intro.), 8.08 (1), (2) (intro.), (a), (b), (c), (d), (e) 1., 2. and 3., 8.09 and 8.10; and to create s. Med 8.02 (3m), relating to physician assistants.
Hearing Information
April 25, 1996 Room 179A
Thursday 1400 East Washington Ave.
9:15 A.M. Madison, WI
Written Comments
Interested people are invited to present information at the hearing. People appearing may make an oral presentation but are urged to submit facts, opinions and argument in writing as well. Facts, opinions and argument may also be submitted in writing without a personal appearance by mail addressed to:
Office of Administrative Rules
Dept. of Regulation & Licensing
P.O. Box 8935
Madison, WI 53708
Written comments must be received by May 10, 1996 to be included in the record of rule-making proceedings.
Analysis Prepared by the Dept. of Regulation & Licensing
Statutes authorizing promulgation: ss. 15.08 (5) (b), 227.11 (2), 448.04 (1) (f) and 448.40 (1)
Statute interpreted: s. 448.05 (5)
In this proposed rule-making order, the Medical Examining Board amends the current administrative code relating to physician assistants to reflect the name change that took place in 1993 Wis. Act 105. That legislation changed the term “physician's assistant” to “physician assistant.”
This rule-making order further clarifies when a physician delegates the preparation of a prescription to a physician assistant, what items are required to be on that prescription so that a pharmacist will be able to fill the prescription.
And, finally, s. Med 8.11 is repealed. This section required the Board to review prescribing requirements for physician assistants and to report to the Legislature no later than January 1, 1986 the Board's recommendations to the rule. This section is antiquated and therefore being repealed.
Text of Rule
