146.89(6)(b)(b) While serving as a volunteer health care provider under this section, an advanced practice nurse who has a certificate to issue prescription orders under s. 441.16 (2) is not required to maintain in effect malpractice insurance.
146.89 HistoryHistory: 1989 a. 206; 1991 a. 269; 1993 a. 28, 490; 1995 a. 27 ss. 4378 to 4380, 9126 (19); 1997 a. 27, 57, 67; 1999 a. 23; 2003 a. 92; 2005 a. 188; 2007 a. 20 s. 9121 (6) (a); 2007 a. 201; 2009 a. 93, 134; 2011 a. 32, 216; 2013 a. 241, 344; 2015 a. 55, 188; 2015 a. 195 ss. 25, 26, 82; 2019 a. 57; 2021 a. 23, 100, 130; 2023 a. 55, 87; s. 13.92 (1) (bm) 2.
146.903146.903Disclosures required of health care providers and hospitals.
146.903(1)(1)Definitions. In this section:
146.903(1)(a)(a) “Ambulatory surgical center” has the meaning given in 42 CFR 416.2.
146.903(1)(b)(b) “Clinic” means a place, other than a residence or a hospital, that is used primarily for the provision of nursing, medical, podiatric, dental, chiropractic, or optometric care and treatment.
146.903(1)(br)(br) “Health care information organization” means an organization that gathers data from health care providers or hospitals regarding utilization and quality of health care services and that produces reports on the comparative quality of health care services provided by health care providers or hospitals.
146.903(1)(c)(c) “Health care provider” has the meaning given in s. 146.81 (1) (a) to (L) and includes a clinic and an ambulatory surgical center but does not include a nursing home, as defined in s. 50.01 (3).
146.903(1)(d)(d) “Hospital” has the meaning given in s. 50.33 (2).
146.903(1)(e)(e) “Median billed charge” means one of the following:
146.903(1)(e)1.1. For a health care provider, the amount the health care provider charged, before any discount or contractual rate applicable to certain patients or payers was applied, during the first 2 calendar quarters of the most recently completed calendar year, as calculated by arranging the charges in that reporting period from highest to lowest and selecting the middle charge in the sequence or, for an even number of charges, selecting the 2 middle charges in the sequence and calculating the average of the 2.
146.903(1)(e)2.2. For a hospital, the amount the hospital charged, before any discount or contractual rate applicable to certain patients or payers was applied, during the 4 calendar quarters for which the hospital most recently reported data under ch. 153, as calculated by arranging the charges in the reporting period from highest to lowest and selecting the middle charge in the sequence or, for an even number of charges, selecting the 2 middle charges in the sequence and calculating the average of the 2.
146.903(1)(f)(f) “Medicare” means coverage under part A or part B of Title XVIII of the federal Social Security Act, 42 USC 1395 to 1395dd.
146.903(1)(g)(g) “Public information” means information that any person may access from a health care information organization, regardless of whether the organization charges a fee for the information.
146.903(2)(2)Department duties.
146.903(2)(a)(a) The department shall do all of the following:
146.903(2)(a)1.1. Categorize health care providers by type.
146.903(2)(a)2.2. For each type of health care provider, annually identify the 25 presenting conditions for which that type of health care provider most frequently provides health care services.
146.903(2)(a)3.3. Prescribe the methods by which health care providers shall calculate and present median billed charges and Medicare and private 3rd-party payer payments under sub. (3) (b).
146.903(2)(b)(b) In performing the duties under par. (a), the department shall consult with organizations in this state that do all of the following:
146.903(2)(b)1.1. Develop performance measures for assessing the quality of health care services.
146.903(2)(b)2.2. Guide the collection, validation, and analysis of data related to measures described under subd. 1.
146.903(2)(b)3.3. Report results of assessments of the quality of health care services.
146.903(2)(b)4.4. Share best practices of organizations that provide health care services.
146.903(3)(3)Health care provider disclosure of charges.
146.903(3)(a)(a) Except as provided in par. (g), a health care provider or the health care provider’s designee shall, upon request by and at no cost to a health care consumer, disclose to the consumer within a reasonable period of time after the request, the median billed charge, assuming no medical complications, for a health care service, diagnostic test, or procedure that is specified by the consumer and that is provided by the health care provider.
146.903(3)(am)(am) A health care provider that submits data to a health care information organization shall, when it makes a disclosure to a consumer under par. (a), make available to the consumer any public information reported by the health care information organization regarding the quality of health care services provided by the health care provider compared to the quality of health care services provided by other health care providers that is relevant to the health care service, diagnostic test, or procedure specified by the consumer under par. (a). A health care provider may make the information available to the consumer by providing the consumer a paper copy of the information or by providing the consumer the address of an Internet site where the information is posted. If the health care provider submits data to more than one health care information organization and more than one of the health care information organizations reports to the health care provider public information on comparative quality that is relevant to the health care service, diagnostic test, or procedure, the health care provider is required under this paragraph to make available to the consumer public information reported by only one of the health care information organizations.
146.903(3)(b)(b) Except as provided in par. (g), a health care provider shall prepare a single document that lists the following charge information, assuming no medical complications, for diagnosing and treating each of the 25 presenting conditions identified for the health care provider’s provider type under sub. (2):
146.903(3)(b)1.1. The median billed charge.