This is the preview version of the Wisconsin State Legislature site.
Please see http://docs.legis.wisconsin.gov for the production version.
SB59,681,2019 (c) The experience the applicant has running a nonprofit organization or a
20business.
SB59,681,2221 (d) The preferences of the governing bodies with jurisdiction over the area in
22which the applicants are located.
SB59,681,2423 (e) The ability of the applicant to keep records confidential and maintain a safe
24and secure facility.
SB59,681,2525 (f) The ability of the applicant to abide by the prohibitions under sub. (4).
SB59,682,4
1(4) Prohibitions. The department may issue a license under this section to an
2applicant only if the applicant has been a resident of this state for at least the 2 years
3immediately preceding the application. The department may not issue a license to,
4and must revoke a license of, any entity to which any of the following applies:
SB59,682,65 (a) The entity is located within 500 feet of a public or private elementary or
6secondary school, including a charter school.
SB59,682,97 (b) The dispensary distributes to a treatment team a number of cannabis plants
8or an amount of usable cannabis that, in the period of distribution, results in the
9treatment team possessing more than the maximum authorized amount.
SB59,682,1310 (c) The dispensary possesses a number of cannabis plants or an amount of
11usable cannabis that exceeds the combined maximum authorized amount for all of
12the treatment teams that use the dispensary by a number or an amount determined
13by the department by rule to be unacceptable.
SB59,682,16 14(5) Licensing procedure; fees; license term. (a) An application for a license
15under this section shall be in writing on a form provided by the department and
16include the licensing application fee under par. (b) 1.
SB59,682,1817 (b) 1. A licensing application fee shall be an amount determined by the
18department but not less than $250.
SB59,682,2019 2. The annual fee for a dispensary shall be an amount determined by the
20department but not less than $5,000.
SB59,682,2321 (c) A dispensary license is valid unless revoked. Each license shall be issued
22only for the applicant named in the application and may not be transferred or
23assigned.
SB59,682,2524 (d) The department shall approve or deny an application for a dispensary
25license within 60 days after receiving it.
SB59,683,6
1(6) Distribution of medical tetrahydrocannabinols. (a) A dispensary may
2deliver or distribute tetrahydrocannabinols and drug paraphernalia to a member of
3a treatment team only if done in a face-to-face transaction, if the dispensary receives
4a copy of the qualifying patient's written certification or registry identification card,
5and if the tetrahydrocannabinols are contained in or derived from cannabis grown
6in this state under par. (f).
SB59,683,87 (b) A dispensary may possess or manufacture tetrahydrocannabinols and drug
8paraphernalia with the intent to deliver or distribute under par. (a).
SB59,683,129 (c) An entity operating under policies determined under sub. (2) and rules
10promulgated under sub. (9) may possess tetrahydrocannabinols, possess or
11manufacture tetrahydrocannabinols with the intent to deliver or distribute to a
12dispensary, or deliver or distribute tetrahydrocannabinols to a dispensary.
SB59,683,1413 (d) A dispensary may have 2 locations, one for cultivation or production and one
14for distribution.
SB59,683,2015 (e) A dispensary shall have all tetrahydrocannabinols and cannabis tested for
16mold, fungus, pesticides, and other contaminants and may not distribute
17tetrahydrocannabinols or cannabis that test positive for mold, fungus, pesticides, or
18other contaminants if the contaminants, or level of contaminants, are identified by
19the testing laboratories under sub. (7) to be potentially unsafe to a qualifying
20patient's health.
SB59,683,2321 (f) A dispensary or an entity operating under policies determined under sub.
22(2) and rules promulgated under sub. (9) may cultivate cannabis, including
23cultivating cannabis outdoors.
SB59,684,2 24(7) Testing laboratories. The department shall register entities as
25tetrahydrocannabinols-testing laboratories. The laboratories may possess or

1manufacture tetrahydrocannabinols and drug paraphernalia and shall perform the
2following services:
SB59,684,43 (a) Test cannabis and tetrahydrocannabinols produced for dispensaries for
4potency and for mold, fungus, pesticides, and other contaminants.
SB59,684,65 (b) Research findings related to medication with tetrahydrocannabinols,
6including findings that identify potentially unsafe levels of contaminants.
SB59,684,117 (c) Provide training to persons who hold registry identification cards,
8treatment teams, persons employed by dispensaries, and entities that grow cannabis
9and distribute to dispensaries cannabis and tetrahydrocannabinols, as provided by
10policies determined under sub. (2) and rules promulgated under sub. (9), on the
11following:
SB59,684,1312 1. The safe and efficient cultivation, harvesting, packaging, labeling, and
13distribution of cannabis and tetrahydrocannabinols.
SB59,684,1414 2. Security and inventory accountability procedures.
SB59,684,1515 3. The most recent research on medication with tetrahydrocannabinols.
SB59,684,19 16(8) Confidentiality. The department may disclose to a law enforcement
17agency only information necessary to verify that a dispensary has a license issued
18under this section, an entity is complying with policies determined under sub. (2) and
19rules promulgated under sub. (9), or an entity is registered under sub. (7).
SB59,685,3 20(9) Rules. The department may promulgate rules to administer and enforce
21this section. The department may use the procedure under s. 227.24 to promulgate
22rules under this section. Notwithstanding s. 227.24 (1) (c) and (2), emergency rules
23promulgated under this subsection remain in effect until January 1, 2023, or the date
24on which permanent rules take effect, whichever is sooner. Notwithstanding s.
25227.24 (1) (a) and (3), the department is not required to provide evidence that

1promulgating a rule under this subsection as an emergency rule is necessary for the
2preservation of the public peace, health, safety, or welfare and is not required to
3provide a finding of emergency for a rule promulgated under this subsection.
SB59,1103 4Section 1103 . 100.30 (2) (am) 1m. a., b., c., d. and e. and (c) 1g. and 1r. of the
5statutes are amended to read:
SB59,685,166 100.30 (2) (am) 1m. a. In the case of the retail sale of motor vehicle fuel by a
7refiner at a retail station owned or operated either directly or indirectly by the
8refiner, the refiner's lowest selling price to other retailers or to wholesalers of motor
9vehicle fuel on the date of the refiner's retail sale, less all trade discounts except
10customary discounts for cash, plus any excise, sales or use taxes imposed on the
11motor vehicle fuel or on its sale and any cost incurred for transportation and any
12other charges not otherwise included in the invoice cost of the motor vehicle fuel, plus
13a markup of 9.18 percent of that amount to cover a proportionate part of the cost of
14doing business
; or the average posted terminal price at the terminal located closest
15to the retail station plus a markup of 9.18 percent of the average posted terminal
16price to cover a proportionate part of the cost of doing business
; whichever is greater.
SB59,686,417 b. In the case of the retail sale of motor vehicle fuel by a wholesaler of motor
18vehicle fuel, who is not a refiner, at a retail station owned or operated either directly
19or indirectly by the wholesaler of motor vehicle fuel, the invoice cost of the motor
20vehicle fuel to the wholesaler of motor vehicle fuel within 10 days prior to the date
21of sale, or the replacement cost of the motor vehicle fuel, whichever is lower, less all
22trade discounts except customary discounts for cash, plus any excise, sales or use
23taxes imposed on the motor vehicle fuel or on its sale, and any cost incurred for
24transportation and any other charges not otherwise included in the invoice cost or
25replacement cost of the motor vehicle fuel, plus a markup of 9.18 percent of that

1amount to cover a proportionate part of the cost of doing business
; or the average
2posted terminal price at the terminal located closest to the retail station plus a
3markup of 9.18 percent of the average posted terminal price to cover a proportionate
4part of the cost of doing business
; whichever is greater.
SB59,686,165 c. In the case of the retail sale of motor vehicle fuel by a person other than a
6refiner or a wholesaler of motor vehicle fuel at a retail station, the invoice cost of the
7motor vehicle fuel to the retailer within 10 days prior to the date of sale, or the
8replacement cost of the motor vehicle fuel, whichever is lower, less all trade discounts
9except customary discounts for cash, plus any excise, sales or use taxes imposed on
10the motor vehicle fuel or on its sale and any cost incurred for transportation and any
11other charges not otherwise included in the invoice cost or the replacement cost of
12the motor vehicle fuel, plus a markup of 6 percent of that amount to cover a
13proportionate part of the cost of doing business
; or the average posted terminal price
14at the terminal located closest to the retailer plus a markup of 9.18 percent of the
15average posted terminal price to cover a proportionate part of the cost of doing
16business
; whichever is greater.
SB59,686,2517 d. In the case of a retail sale of motor vehicle fuel by a refiner at a place other
18than a retail station, the refiner's lowest selling price to other retailers or to
19wholesalers of motor vehicle fuel on the date of the refiner's retail sale, less all trade
20discounts except customary discounts for cash, plus any excise, sales or use taxes
21imposed on the motor vehicle fuel or on its sale and any cost incurred for
22transportation and any other charges not otherwise included in the invoice cost of
23the motor vehicle fuel to which shall be added a markup to cover a proportionate part
24of the cost of doing business, which markup, in the absence of proof of a lesser cost,
25shall be 3 percent of the cost to the retailer as set forth in this subd. 1m. d
.
SB59,687,10
1e. In the case of a retail sale of motor vehicle fuel by a person other than a refiner
2at a place other than a retail station, the invoice cost of the motor vehicle fuel to the
3retailer within 10 days prior to the date of the sale, or the replacement cost of the
4motor vehicle fuel, whichever is lower, less all trade discounts except customary
5discounts for cash, plus any excise, sales or use taxes imposed on the motor vehicle
6fuel or on its sale and any cost incurred for transportation and any other charges not
7otherwise included in the invoice cost or the replacement cost of the motor vehicle
8fuel to which shall be added a markup to cover a proportionate part of the cost of doing
9business, which markup, in the absence of proof of a lesser cost, shall be 3 percent
10of the cost to the retailer as set forth in this subd. 1m. e
.
SB59,687,1911 (c) 1g. With respect to the wholesale sale of motor vehicle fuel by a refiner, “cost
12to wholesaler" means the refiner's lowest selling price to other retailers or to
13wholesalers of motor vehicle fuel on the date of the refiner's wholesale sale, less all
14trade discounts except customary discounts for cash, plus any excise, sales or use
15taxes imposed on the motor vehicle fuel or on its sale and any cost incurred for
16transportation and any other charges not otherwise included in the invoice cost of
17the motor vehicle fuel, to which shall be added a markup to cover a proportionate part
18of the cost of doing business, which markup, in the absence of proof of a lesser cost,
19shall be 3 percent of the cost to the wholesaler as set forth in this subdivision
.
SB59,688,520 1r. With respect to the wholesale sale of motor vehicle fuel by a person other
21than a refiner, “cost to wholesaler" means the invoice cost of the motor vehicle fuel
22to the wholesaler of motor vehicle fuel within 10 days prior to the date of the sale or
23the replacement cost of the motor vehicle fuel, whichever is lower, less all trade
24discounts except customary discounts for cash, plus any excise, sales or use taxes
25imposed on the motor vehicle fuel or on its sale and any cost incurred for

1transportation and any other charges not otherwise included in the invoice cost or
2the replacement cost of the motor vehicle fuel to which shall be added a markup to
3cover a proportionate part of the cost of doing business, which markup, in the absence
4of proof of a lesser cost, shall be 3 percent of the cost to the wholesaler as set forth
5in this subdivision
.
SB59,1104 6Section 1104. 102.01 (2) (ad) of the statutes is repealed.
SB59,1105 7Section 1105. 102.01 (2) (ar) of the statutes is repealed.
SB59,1106 8Section 1106. 102.01 (2) (dm) of the statutes is amended to read:
SB59,688,119 102.01 (2) (dm) “Order" means any decision, rule, regulation, direction,
10requirement, or standard of the department or the division, or any other
11determination arrived at or decision made by the department or the division.
SB59,1107 12Section 1107. 102.04 (2r) (b) of the statutes is amended to read:
SB59,688,1613 102.04 (2r) (b) The franchisor has been found by the department or the division
14to have exercised a type or degree of control over the franchisee or the franchisee's
15employees that is not customarily exercised by a franchisor for the purpose of
16protecting the franchisor's trademarks and brand.
SB59,1108 17Section 1108. 102.07 (8) (c) of the statutes is amended to read:
SB59,688,2118 102.07 (8) (c) The division department may not admit in evidence any state or
19federal law, regulation, or document granting operating authority , or a license when
20determining whether an independent contractor meets the conditions specified in
21par. (b) 1. or 3.
SB59,1109 22Section 1109. 102.07 (17m) of the statutes is amended to read:
SB59,689,223 102.07 (17m) A participant in a trial employment match program job
24subsidized employment placement under s. 49.147 (3) is an employee of any

1employer under this chapter for whom the participant is performing service at the
2time of the injury.
SB59,1110 3Section 1110. 102.07 (20) of the statutes is amended to read:
SB59,689,124 102.07 (20) An individual who is performing services for a person participating
5in the self-directed services option, as defined in s. 46.2897 (1), for a person receiving
6long-term care benefits under s. 46.27, 46.275 , or 46.277 or under any children's
7long-term support waiver program on a self-directed basis, or for a person receiving
8the Family Care benefit, as defined in s. 46.2805 (4), or benefits under the Family
9Care Partnership program, as described in s. 49.496 (1) (bk) 3., on a self-directed
10basis and who does not otherwise have worker's compensation coverage for those
11services is considered to be an employee of the entity that is providing financial
12management services for that person.
SB59,1111 13Section 1111. 102.11 (1) (am) 1. of the statutes is amended to read:
SB59,689,2014 102.11 (1) (am) 1. The employee is a member of a class of employees that does
15the same type of work at the same location and, in the case of an employee in the
16service of the state, is employed in the same office, department, independent agency,
17authority, institution, association, society, or other body in state government or, if the
18department or the division determines appropriate, in the same subunit of an office,
19department, independent agency, authority, institution, association, society, or other
20body in state government.
SB59,1112 21Section 1112. 102.12 of the statutes is amended to read:
SB59,690,15 22102.12 Notice of injury, exception, laches. No claim for compensation may
23be maintained unless, within 30 days after the occurrence of the injury or within 30
24days after the employee knew or ought to have known the nature of his or her
25disability and its relation to the employment, actual notice was received by the

1employer or by an officer, manager or designated representative of an employer. If
2no representative has been designated by posters placed in one or more conspicuous
3places where notices to employees are customarily posted, then notice received by
4any superior is sufficient. Absence of notice does not bar recovery if it is found that
5the employer was not misled by that absence. Regardless of whether notice was
6received, if no payment of compensation, other than medical treatment or burial
7expense, is made, and if no application is filed with the department within 2 years
8after the date of the injury or death or the date the employee or his or her dependent
9knew or ought to have known the nature of the disability and its relation to the
10employment, the right to compensation for the injury or death is barred, except that
11the right to compensation is not barred if the employer knew or should have known,
12within the 2-year period, that the employee had sustained the injury on which the
13claim is based. Issuance of notice of a hearing on the motion of the department or
14the division
has the same effect for the purposes of this section as the filing of an
15application. This section does not affect any claim barred under s. 102.17 (4).
SB59,1113 16Section 1113. 102.13 (1) (c) of the statutes is amended to read:
SB59,690,2417 102.13 (1) (c) So long as the employee, after a written request of the employer
18or insurer that complies with par. (b), refuses to submit to or in any way obstructs
19the examination, the employee's right to begin or maintain any proceeding for the
20collection of compensation is suspended, except as provided in sub. (4). If the
21employee refuses to submit to the examination after direction by the department, the
22division,
or an examiner, or in any way obstructs the examination, the employee's
23right to the weekly indemnity that accrues and becomes payable during the period
24of that refusal or obstruction, is barred, except as provided in sub. (4).
SB59,1114 25Section 1114. 102.13 (1) (d) 2. of the statutes is amended to read:
SB59,691,5
1102.13 (1) (d) 2. Any physician, chiropractor, psychologist, dentist, physician
2assistant, advanced practice nurse prescriber, or podiatrist who attended a worker's
3compensation claimant for any condition or complaint reasonably related to the
4condition for which the claimant claims compensation may be required to testify
5before the division department when the division department so directs.
SB59,1115 6Section 1115. 102.13 (1) (d) 3. of the statutes is amended to read:
SB59,691,137 102.13 (1) (d) 3. Notwithstanding any statutory provisions except par. (e), any
8physician, chiropractor, psychologist, dentist, physician assistant, advanced
9practice nurse prescriber, or podiatrist attending a worker's compensation claimant
10for any condition or complaint reasonably related to the condition for which the
11claimant claims compensation may furnish to the employee, employer, worker's
12compensation insurer, or department, or division information and reports relative to
13a compensation claim.
SB59,1116 14Section 1116. 102.13 (1) (f) of the statutes is amended to read:
SB59,691,1715 102.13 (1) (f) If an employee claims compensation under s. 102.81 (1), the
16department or the division may require the employee to submit to physical or
17vocational examinations under this subsection.
SB59,1117 18Section 1117. 102.13 (2) (a) of the statutes is amended to read:
SB59,692,419 102.13 (2) (a) An employee who reports an injury alleged to be work-related
20or files an application for hearing waives any physician-patient,
21psychologist-patient, or chiropractor-patient privilege with respect to any condition
22or complaint reasonably related to the condition for which the employee claims
23compensation. Notwithstanding ss. 51.30 and 146.82 and any other law, any
24physician, chiropractor, psychologist, dentist, podiatrist, physician assistant,
25advanced practice nurse prescriber, hospital, or health care provider shall, within a

1reasonable time after written request by the employee, employer, worker's
2compensation insurer, or department, or division, or its representative, provide that
3person with any information or written material reasonably related to any injury for
4which the employee claims compensation.
SB59,1118 5Section 1118. 102.13 (3) of the statutes is amended to read:
SB59,692,186 102.13 (3) If 2 or more physicians, chiropractors, psychologists, dentists, or
7podiatrists disagree as to the extent of an injured employee's temporary disability,
8the end of an employee's healing period, an employee's ability to return to work at
9suitable available employment or the necessity for further treatment or for a
10particular type of treatment, the department or the division may appoint another
11physician, chiropractor, psychologist, dentist, or podiatrist to examine the employee
12and render an opinion as soon as possible. The department or the division shall
13promptly notify the parties of this appointment. If the employee has not returned
14to work, payment for temporary disability shall continue until the department or the
15division
receives the opinion. The employer or its insurance carrier, or both, shall
16pay for the examination and opinion. The employer or insurance carrier, or both,
17shall receive appropriate credit for any overpayment to the employee determined by
18the department or the division after receipt of the opinion.
SB59,1119 19Section 1119. 102.13 (4) of the statutes is amended to read:
SB59,693,920 102.13 (4) The right of an employee to begin or maintain proceedings for the
21collection of compensation and to receive weekly indemnities that accrue and become
22payable shall not be suspended or barred under sub. (1) when an employee refuses
23to submit to a physical examination, upon the request of the employer or worker's
24compensation insurer or at the direction of the department, the division, or an
25examiner, that would require the employee to travel a distance of 100 miles or more

1from his or her place of residence, unless the employee has claimed compensation for
2treatment from a practitioner whose office is located 100 miles or more from the
3employee's place of residence or the department, division, or examiner determines
4that any other circumstances warrant the examination. If the employee has claimed
5compensation for treatment from a practitioner whose office is located 100 miles or
6more from the employee's place of residence, the employer or insurer may request,
7or the department, the division, or an examiner may direct, the employee to submit
8to a physical examination in the area where the employee's treatment practitioner
9is located.
SB59,1120 10Section 1120. 102.13 (5) of the statutes is amended to read:
SB59,693,1911 102.13 (5) The department or the division may refuse to receive testimony as
12to conditions determined from an autopsy if it appears that the party offering the
13testimony had procured the autopsy and had failed to make reasonable effort to
14notify at least one party in adverse interest or the department or the division at least
1512 hours before the autopsy of the time and place at which the autopsy would be
16performed, or that the autopsy was performed by or at the direction of the coroner
17or medical examiner or at the direction of the district attorney for purposes not
18authorized under ch. 979. The department or the division may withhold findings
19until an autopsy is held in accordance with its directions.
SB59,1121 20Section 1121. 102.14 (title) of the statutes is amended to read:
SB59,693,22 21102.14 (title) Jurisdiction of department and division; advisory
22committee council.
SB59,1122 23Section 1122. 102.14 (1) of the statutes is amended to read:
SB59,693,2524 102.14 (1) Except as otherwise provided, this chapter shall be administered by
25the department and the division.
SB59,1123
1Section 1123. 102.14 (2) of the statutes is amended to read:
SB59,694,92 102.14 (2) The council on worker's compensation shall advise the department
3and the division in carrying out the purposes of this chapter, shall submit its
4recommendations with respect to amendments to this chapter to each regular
5session of the legislature, and shall report its views upon any pending bill relating
6to this chapter to the proper legislative committee. At the request of the chairpersons
7of the senate and assembly committees on labor, the department shall schedule a
8meeting of the council with the members of the senate and assembly committees on
9labor to review and discuss matters of legislative concern arising under this chapter.
SB59,1124 10Section 1124. 102.15 (1) of the statutes is amended to read:
SB59,694,1211 102.15 (1) Subject to this chapter, the division department may adopt its own
12promulgate rules of procedure and may change the same from time to time.
SB59,1125 13Section 1125. 102.15 (2) of the statutes is amended to read:
SB59,694,1514 102.15 (2) The division department may provide by rule the conditions under
15which transcripts of testimony and proceedings shall be furnished.
SB59,1126 16Section 1126. 102.16 (1) of the statutes is repealed and recreated to read:
SB59,695,617 102.16 (1) Any controversy concerning compensation or a violation of sub. (3),
18including a controversy in which the state may be a party, shall be submitted to the
19department in the manner and with the effect provided in this chapter. Every
20compromise of any claim for compensation may be reviewed and set aside, modified,
21or confirmed by the department within one year after the date on which the
22compromise is filed with the department, the date on which an award has been
23entered based on the compromise, or the date on which an application for the
24department to take any of those actions is filed with the department. Unless the
25word “compromise" appears in a stipulation of settlement, the settlement shall not

1be considered a compromise, and further claim is not barred except as provided in
2s. 102.17 (4) regardless of whether an award is made. The employer, insurer or
3dependent under s. 102.51 (5) shall have equal rights with the employee to have a
4compromise or any other stipulation of settlement reviewed under this subsection.
5Upon petition filed with the department under this subsection, the department may
6set aside the award or otherwise determine the rights of the parties.
SB59,1127 7Section 1127. 102.16 (1m) (a) of the statutes is amended to read:
SB59,695,248 102.16 (1m) (a) If an insurer or self-insured employer concedes by compromise
9under sub. (1) or stipulation under s. 102.18 (1) (a) that the insurer or self-insured
10employer is liable under this chapter for any health services provided to an injured
11employee by a health service provider, but disputes the reasonableness of the fee
12charged by the health service provider, the department or the division may include
13in its order confirming the compromise or stipulation a determination made by the
14department under sub. (2) as to the reasonableness of the fee or, if such a
15determination has not yet been made, the department or the division may notify, or
16direct the insurer or self-insured employer to notify, the health service provider
17under sub. (2) (b) that the reasonableness of the fee is in dispute. The department
18or the division shall deny payment of a health service fee that the department
19determines under sub. (2) to be unreasonable. A health service provider and an
20insurer or self-insured employer that are parties to a fee dispute under this
21paragraph are bound by the department's determination under sub. (2) on the
22reasonableness of the disputed fee, unless that determination is set aside, reversed,
23or modified by the department under sub. (2) (f) or is set aside on judicial review as
24provided in sub. (2) (f).
SB59,1128 25Section 1128. 102.16 (1m) (b) of the statutes is amended to read:
SB59,696,24
1102.16 (1m) (b) If an insurer or self-insured employer concedes by compromise
2under sub. (1) or stipulation under s. 102.18 (1) (a) that the insurer or self-insured
3employer is liable under this chapter for any treatment provided to an injured
4employee by a health service provider, but disputes the necessity of the treatment,
5the department or the division may include in its order confirming the compromise
6or stipulation a determination made by the department under sub. (2m) as to the
7necessity of the treatment or, if such a determination has not yet been made, the
8department or the division may notify, or direct the insurer or self-insured employer
9to notify, the health service provider under sub. (2m) (b) that the necessity of the
10treatment is in dispute. Before determining under sub. (2m) the necessity of
11treatment provided to an injured employee, the department may, but is not required
12to, obtain the opinion of an expert selected by the department who is qualified as
13provided in sub. (2m) (c). The standards promulgated under sub. (2m) (g) shall be
14applied by an expert and by the department in rendering an opinion as to, and in
15determining, necessity of treatment under this paragraph. In cases in which no
16standards promulgated under sub. (2m) (g) apply, the department shall find the facts
17regarding necessity of treatment. The department or the division shall deny
18payment for any treatment that the department determines under sub. (2m) to be
19unnecessary. A health service provider and an insurer or self-insured employer that
20are parties to a dispute under this paragraph over the necessity of treatment are
21bound by the department's determination under sub. (2m) on the necessity of the
22disputed treatment, unless that determination is set aside, reversed, or modified by
23the department under sub. (2m) (e) or is set aside on judicial review as provided in
24sub. (2m) (e).
SB59,1129 25Section 1129. 102.16 (1m) (c) of the statutes is amended to read:
SB59,697,20
1102.16 (1m) (c) If an insurer or self-insured employer concedes by compromise
2under sub. (1) or stipulation under s. 102.18 (1) (a) that the insurer or self-insured
3employer is liable under this chapter for the cost of a prescription drug dispensed
4under s. 102.425 (2) for outpatient use by an injured employee, but disputes the
5reasonableness of the amount charged for the prescription drug, the department or
6the division
may include in its order confirming the compromise or stipulation a
7determination made by the department under s. 102.425 (4m) as to the
8reasonableness of the prescription drug charge or, if such a determination has not
9yet been made, the department or the division may notify, or direct the insurer or
10self-insured employer to notify, the pharmacist or practitioner dispensing the
11prescription drug under s. 102.425 (4m) (b) that the reasonableness of the
12prescription drug charge is in dispute. The department or the division shall deny
13payment of a prescription drug charge that the department determines under s.
14102.425 (4m) to be unreasonable. A pharmacist or practitioner and an insurer or
15self-insured employer that are parties to a dispute under this paragraph over the
16reasonableness of a prescription drug charge are bound by the department's
17determination under s. 102.425 (4m) on the reasonableness of the disputed
18prescription drug charge, unless that determination is set aside, reversed, or
19modified by the department under s. 102.425 (4m) (e) or is set aside on judicial review
20as provided in s. 102.425 (4m) (e).
SB59,1130 21Section 1130. 102.16 (2) (a) of the statutes is amended to read:
SB59,698,1022 102.16 (2) (a) Except as provided in this paragraph, the department has
23jurisdiction under this subsection, the department and the division have jurisdiction
24under
sub. (1m) (a), and the division has jurisdiction under s. 102.17 to resolve a
25dispute between a health service provider and an insurer or self-insured employer

1over the reasonableness of a fee charged by the health service provider for health
2services provided to an injured employee who claims benefits under this chapter. A
3health service provider may not submit a fee dispute to the department under this
4subsection before all treatment by the health service provider of the employee's
5injury has ended if the amount in controversy, whether based on a single charge or
6a combination of charges for one or more days of service, is less than $25. After all
7treatment by a health service provider of an employee's injury has ended, the health
8service provider may submit any fee dispute to the department, regardless of the
9amount in controversy. The department shall deny payment of a health service fee
10that the department determines under this subsection to be unreasonable.
SB59,1131 11Section 1131. 102.16 (2) (b) of the statutes is amended to read:
Loading...
Loading...