The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
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1Section 1
. 49.45 (3) (e) 9m. of the statutes is created to read:
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49.45
(3) (e) 9m. a. In this subdivision, “hospital-associated service” has the
3meaning given in s. 50.33 (2d).
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b. Before January 1, 2022, any hospital-associated service that is provided by
5a hospital in accordance with s. 50.36 (5m) that is of the type for which payment could
6be claimed as an inpatient hospital service under the federal Medicare program,
42
7USC 1395 et seq., shall be included as part of and reimbursed or paid as an inpatient
8service under this section.
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9Section 2
. 49.45 (4r) of the statutes is created to read:
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49.45
(4r) Utilization data. (a) In this subsection, “health care data
11aggregator” means a data organization or entity that collects, analyzes, and
12disseminates health care information under subch. I of ch. 153 and that requests the
13department to provide data under this subsection.
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(b) Semiannually, the department shall provide to any health care data
15aggregator all Medical Assistance program fee-for-service and managed care
16encounter claims data and data specifications maintained by the department.
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(c) Within 5 business days or a longer period specified by the department, of the
18receipt of data under par. (b), a health care data aggregator shall create a data set
19from the data received that is de-identified health information, as described in
42
20CFR 164.514 (a), and that meets the requirements for de-identification described in
2142 CFR 164.514 (b) and then shall destroy the original data provided by the
1department under par. (b). The health care data aggregator shall make the
2de-identified data set available to the public and may disseminate custom data sets
3and reports if the data sets and reports contain only de-identified health
4information.
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(d) Data provided by the department to a health care data aggregator under
6par. (b) are not subject to inspection or copying under s. 19.35. A health care data
7aggregator shall comply with the requirements under s. 153.50 (3) to ensure
8protection of patient identity with regard to data received and made available or
9disseminated under this subsection.
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10Section 3
. 50.33 (2d) of the statutes is created to read:
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50.33
(2d) “Hospital-associated service” means a health care service that
12meets all of the following conditions:
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(a) The service is of the same type as those furnished by a hospital in an
14inpatient or outpatient facility.
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(b) The service is of a type for which a payment could be claimed as a hospital
16service under the federal Medicare program,
42 USC 1395 et seq.
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(c) The service is provided at a location other than in a facility approved by the
18department under s. 50.35.
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(d) The service is provided in a home setting before January 1, 2022.
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20Section 4
. 50.36 (5m) of the statutes is created to read:
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50.36
(5m) If the federal centers for medicare and medicaid services has
22approved a hospital to provide any hospital-associated service, the department may
23apply to and enforce upon the hospital as the state standard for the
24hospital-associated service any rule or standard that is required by the centers for
1medicare and medicaid services for the service. This subsection does not apply on
2or after January 1, 2022.
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3Section 5
. 50.49 (6m) (d) of the statutes is created to read:
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50.49
(6m) (d) A hospital that is providing hospital-associated services in
5accordance with s. 50.36 (5m).
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6Section
6. 440.094 of the statutes is created to read:
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7440.094 Practice by health care providers from other states. (1) 8Definitions. In this section:
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(a) “Credential” means a license, permit, certificate, or registration.
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(b) “Health care employer” means a system, care clinic, care provider,
11long-term care facility, or any entity whose employed, contracted, or affiliated staff
12provide health care service to individuals in this state.
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(c) “Health care provider” means an individual who holds a valid, unexpired
14credential granted by another state or territory that authorizes or qualifies the
15individual to perform acts that are substantially the same as the acts that any of the
16following are licensed or certified to perform:
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1. A registered nurse, licensed practical nurse, or nurse midwife licensed under
18ch. 441, or advanced practice nurse prescriber certified under ch. 441.
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2. A chiropractor licensed under ch. 446.
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3. A dentist licensed under ch. 447.
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4. A physician, physician assistant, perfusionist, or respiratory care
22practitioner licensed or certified under subch. II of ch. 448.
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5. A physical therapist or physical therapist assistant licensed under subch. III
24of ch. 448 or who holds a compact privilege under subch. IX of ch. 448.