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LRB-5046/1
JPC:wlj
2021 - 2022 LEGISLATURE
November 11, 2021 - Introduced by Senators Ballweg, Cowles and Felzkowski,
cosponsored by Representatives Rozar, Brooks, Krug, Moses, Subeck and
Wichgers. Referred to Committee on Labor and Regulatory Reform.
SB700,1,2 1An Act relating to: modifying administrative rules related to home health
2agencies.
Analysis by the Legislative Reference Bureau
This bill makes changes to the administrative rules related to home health
agencies. Home health agencies provide skilled nursing and other therapeutic
services on a visiting basis to persons in their homes. Under current administrative
rules, a practitioner develops an initial plan of care for every patient within 72 hours
of the patient's acceptance for care to a home health agency. This bill extends to 120
hours the deadline for practitioners to develop an initial plan of care. Current
administrative rules require a registered nurse or other therapist providing skilled
care to a patient who is under the care of a home health agency to make supervisory
visits to the patient's residence at least every two weeks. If a patient is receiving only
personal care services, current administrative rules require a registered nurse to
make supervisory visits to the patient's residence at least every 60 days. This bill
allows a registered nurse or skilled therapist to make the supervisory visits remotely
under certain conditions. This bill also eliminates the requirement under current
administrative rules that a home health agency establish a professional advisory
body that advises the agency on professional issues.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
SB700,1
1Section 1. DHS 133.05 (2) of the administrative code is repealed.
SB700,2 2Section 2. DHS 133.07 (1) of the administrative code is amended to read:
SB700,2,53 DHS 133.07 (1) Requirement. An evaluation of the home health agency's total
4program shall be conducted at least once a year by the advisory group required by
5s. DHS 133.05 (2),
home health agency staff and consumers.
SB700,3 6Section 3. DHS 133.18 (3) of the administrative code is created to read:
SB700,2,97 DHS 133.18 (3) Supervisory visits under this section may be conducted
8remotely using multimedia communication technology that permits 2-way,
9real-time, interactive communications.
SB700,4 10Section 4. DHS 133.20 (1) of the administrative code is amended to read:
SB700,2,1911 DHS 133.20 (1) Requirement. A plan of care, including physician's, advanced
12practice nurse prescriber's, or physician assistant's orders, shall be established for
13every patient accepted for care and shall be incorporated in the patient's medical
14record. An initial plan shall be developed within 72 120 hours of acceptance. The
15total plan of care shall be developed in consultation with the patient, home health
16agency staff, contractual providers, and the patient's physician, advanced practice
17nurse prescriber, or physician assistant and shall be signed and dated by the
18physician, advanced practice nurse prescriber, or physician assistant within 20
19working days following the patient's admission for care.
SB700,5 20Section 5. Effective date.
SB700,2,2221 (1) Notwithstanding s. 227.265, this act takes effect on the day after
22publication.
SB700,2,2323 (End)
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