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 Wisconsin Administrative Code (Last Updated: January 10, 2017)
 Agency Ins. Office of the Commissioner of Insurance
 Chapter ERules. Emergency Rules

  EmR1108. Relating to: Annual injured patients and families compensation fund fees, medical mediation panel fees, and provider classifications for the fiscal year beginning July 1, 2011  

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    ins017_EmR1108.pdf Insurance – Revises Ins 17 – EmR1108

     

    Publication Date:                                                     June 10, 2011

    Effective Date:                                                         June 10, 2011 through November 6, 2011

     

    EmR1108

    ORDER OF THE OFFICE OF THE COMMISSIONER OF INSURANCE

    AND THE

    BOARD OF GOVERNORS OF THE INJURED PATIENTS AND FAMILIES COMPENSATION FUND

    AMENDING, AND REPEALING AND RECREATING A RULE

     

          To amend ss. Ins 17.01 (3) and 17.28 (3) (c), Wis. Adm. Code, and to repeal and recreate s. Ins 17.28 (6), Wis. Adm. Code, relating to annual injured patients and families compensation fund fees, medical mediation panel fees, and provider classifications for the fiscal year beginning July 1, 2011.

    _____________________________________________________________________________

     

    FINDING OF EMERGENCY

    The Commissioner of Insurance finds that an emergency exists and that the attached rule is necessary for the immediate preservation of the public peace, health, safety, or welfare. Facts constituting the emergency are as follows:

                These changes must be in place with an effective date of July 1, 2011 for the new fiscal year assessments.  The fiscal year fees were established by the Board of Governors at meeting on February 16, 2011.  Although the permanent version is currently under review by the Legislature, it cannot be published in time to meet the necessary effective date.

    _____________________________________________________________________________

     

    ANALYSIS PREPARED BY THE OFFICE OF THE COMMISSIONER OF INSURANCE (OCI)

    1. Statutes interpreted:

    ss. 655.27 (3), and 655.61, Wis. Stats.

        2.     Statutory authority:

    ss.  601.41 (3), 655.004, 655.27 (3) (b), and 655.61, Wis Stats.

       3.      Explanation of OCI’s authority to promulgate the proposed rule under these statutes:

    The commissioner of insurance, with the approval of the board of governors (board) of the injured patients and families compensation fund (fund), is required to establish by administrative rule the annual fees which participating health care providers must pay to the fund and the annual fee due for the operation of the medical mediation panel.

        4.     Related statutes or rules:

    None

        5.     The plain language analysis and summary of the proposed rule:

    This rule establishes the fees that participating health care providers must pay to the fund for the fiscal year beginning July 1, 2011.  These fees represent a 8.5% increase from fees paid for the 2010-11 fiscal year.  The board approved these fees at its meeting on February 16, 2011, based on the recommendation of the board's actuarial and underwriting committee and reports of the fund’s actuaries. 

    This rule includes additions to the Insurance Services Office (ISO) code listing to address new classification specialties.  ISO codes are the numerical designation for a health care provider’s specialty and are used to classify the provider for assessment purposes.

    The board is also required to promulgate by rule the annual fees for the operation of the injured patients and families compensation mediation system, based on the recommendation of the director of state courts.  The recommendation of the director of state courts was reviewed by the board’s actuarial and underwriting committee.  This rule implements the funding level approved by the board by establishing mediation panel fees for the next fiscal year at $25.00 for physicians and $5.00 per occupied bed for hospitals, representing a decrease of $3.00 per physician and a decrease of $1.00 per occupied bed for hospitals from 2010-11 fiscal year mediation panel fees.

        6.     Summary of and preliminary comparison with any existing or proposed federal regulation that is intended to address the activities to be regulated by the proposed rule:

    To the fund board’s and OCI’s knowledge there is no existing or proposed federal regulation that is intended to address patient compensation fund rates, administration or activities.

        7.     Comparison of similar rules in adjacent states as found by OCI:

    To the fund board’s and OCI’s knowledge there are no similar rules in the adjacent states to compare this rule to as none of adjacent states have a patients compensation fund created by statute where rates are directed to be established yearly by rule as is true in Wisconsin.

        8.     A summary of the factual data and analytical methodologies that OCI used in support of the proposed rule and how any related findings support the regulatory approach chosen for the proposed rule:

    None.  This rule establishes annual fund fees pursuant to the requirements of the above-noted Wisconsin statutes.

        9.     Any analysis and supporting documentation that OCI used in support of OCI’s determination of the rule’s effect on small businesses under s. 227.114:

    This increase in fund fees will have an effect on some small businesses in Wisconsin, particularly those that employ physicians and other health care professionals.  The mediation panel fee is assessed only on physicians and hospitals, not on corporations or other health care entities.  The fund fee increases will affect only those small businesses that pay the fund fees and mediation panel fees on behalf of their employed physicians.  However, the fund fee increase will not have a significant effect nor should it negatively affect the small business’s ability to compete with other providers. 

      10.     See the attached Private Sector Fiscal Analysis.

    The increase in fees promulgated by this rule does not result in a significant fiscal effect on the private sector.  Although a health care provider may pass this increase on to its patients, there will not be a significant fiscal effect on the private sector as a result of this proposed rule.

      11.     A description of the Effect on Small Business:

    This rule will have little or no effect on small businesses.  The increase contained in the proposed rule will require providers to pay an increased fund fee which will increase the operational expenses for the providers.  However, this increase is not considered to be significant and will have no effect on the provider’s competitive abilities.

     

     

    12. Agency contact person:

    A copy of the full text of the proposed rule changes, analysis and fiscal estimate may be obtained from the Web site at: http://oci.wi.gov/ocirules.htm

    or by contacting Inger Williams, OCI Services Section, at:

    Phone:          (608) 264-8110

    Email:           inger.williams@wisconsin.gov

    Address:       125 South Webster St – 2 nd Floor, Madison WI 53703-3474

    Mail:             PO Box 7873, Madison, WI 53707-7873

      13.     Place where comments are to be submitted and deadline for submission:

    The deadline for submitting comments is 4:00 p.m. on the 14 th day after the date for the hearing stated in the Notice of Hearing.

    Mailing address:

    Theresa L. Wedekind

    Legal Unit - OCI Rule Comment for Rule Ins 1701

    Office of the Commissioner of Insurance

    PO Box 7873

    Madison WI 53707-7873

    Street address:

    Theresa L. Wedekind

    Legal Unit - OCI Rule Comment for Rule Ins 1701

    Office of the Commissioner of Insurance

    125 South Webster St – 2 nd Floor

    Madison WI 53703-3474

    Email address:

    Theresa L. Wedekind

    theresa.wedekind@wisconsin.gov

    Web site: http://oci.wi.gov/ocirules.htm

     

    ----------------------------------------------------------------------------------------------------------------------

    TEXT OF RULE:

    SECTION 1. Ins 17.01 (3) is amended to read :

                      Ins 17.01 (3) FEE SCHEDULE.  The following fee schedule shall be effective July 1, 2010 2011 :

    (a)     For physicians--  $ 28.00 25.00 .

    (b)    For hospitals, per occupied bed-- $ 6.00 5.00 .

    SECTION 2. Ins 17.28 (3)(c) is amended to read:

     

    (c)  “Class” means a group of physicians whose specialties or types of practice are similar in their degree of exposure to loss. The specialties and types of practice and the applicable Insurance Services Office, Inc., codes included in each fund class are the following:

    1.  Class 1:

     

     

    Administrative Medicine

    80120

    Aerospace Medicine

    80230

    Allergy

    80254

    Allergy (D.O.)

    84254

    Cardiovascular Disease—no surgery or catheterization

    80255

    Cardiovascular Disease—no surgery or catheterization (D.O.)

    84255

    Dermatology—no surgery

    80256

    Dermatology—no surgery (D.O.)

    84256

    Diabetes—no surgery

    80237

    Endocrinology—no surgery

    80238

    Endocrinology—no surgery (D.O.)

    84238

    Family or General Practice—no surgery

    80420

    Family or General Practice—no surgery (D.O.)

    84420

    Forensic Medicine—Legal Medicine

    80240

    Forensic Medicine—Legal Medicine (D.O.)

    84240

    Gastroenterology—no surgery

    80241

    Gastroenterology—no surgery (D.O.)

    84241

    General Preventive Medicine—no surgery

    80231

    General Preventive Medicine—no surgery (D.O.)

    84231

    Geriatrics—no surgery

    80243

    Geriatrics—no surgery (D.O.)

    84243

    Gynecology—no surgery

    80244

    Gynecology—no surgery (D.O.)

    84244

    Hematology—no surgery

    80245

    Hematology—no surgery (D.O.)

    84245

    Hypnosis

    80232

    Infectious Diseases—no surgery

    80246

    Infectious Diseases—no surgery (D.O.)

    84246

    Internal Medicine—no surgery

    80257

    Internal Medicine—no surgery  (D.O.)

    84257

    Laryngology—no surgery

    80258

    Manipulator (D.O.)

    84801

    Neoplastic Disease—no surgery

    80259

    Nephrology—no surgery

    80260

    Nephrology – no surgery (D.O.)

    84260

    Neurology—no surgery

    80261

    Neurology—no surgery (D.O.)

    84261

    Nuclear Medicine

    80262

    Nuclear Medicine (D.O.)

    84262

    Nutrition

    80248

    Occupation Medicine

    80233

    Occupation Medicine (D.O.)

    84233

    Oncology – no surgery

    80302

    Oncology – no surgery (D.O.)

    84302

    Ophthalmology—no surgery

    80263

    Ophthalmology—no surgery (D.O.)

    84263

    Osteopathy—manipulation only

    84801

    Otology – no surgery

    80247

    Otorhinolaryngology—no surgery

    80265

    Otorhinolaryngology—no surgery (D.O.)

    84265

    Pain Management – no surgery

    80208

    Pain Management – no surgery (D.O.)

    84208

    Pathology—no surgery

    80266

    Pathology—no surgery (D.O.)

    84266

    Pediatrics—no surgery

    80267

    Pediatrics—no surgery (D.O.)

    84267

    Pharmacology—Clinical

    80234

    Physiatry—Physical Medicine (D.O.)

    84235

    Physiatry—Physical Medicine & Rehabilitation

    80235

    Physicians—no surgery

    80268

    Physicians—no surgery (D.O.)

    84268

    Psychiatry

    80249

    Psychiatry—(D.O.)

    84249

    Psychoanalysis

    80250

    Psychosomatic Medicine

    80251

    Psychosomatic Medicine (D.O.)

    84251

    Public Health

    80236

    Pulmonary Disease—no surgery

    80269

    Pulmonary Disease—no surgery (D.O.)

    84269

    Radiology—diagnostic

    80253

    Radiology—diagnostic (D.O.)

    84253

    Radiopaque dye

    80449

    Radiopaque dye (D.O.)

    84449

    Rheumatology—no surgery

    80252

    Rheumatology—no surgery (D.O.)

    84252

    Rhinology – no surgery

    80264

    Shock Therapy

    80431

    Shock Therapy (D.O.)

    84431

    Shock Therapy—insured

    80162

    Urgent Care—Walk-in or After Hours

    80424

    Urgent Care—Walk-in or After Hours (D.O.)

    84424

    Urology

    80121

    2.       Class 2:

     

     

    Acupuncture

     80437

    Acupuncture (D.O.)

     84437

    Anesthesiology

     80151

    Anesthesiology (D.O.)

     84151

    Angiography-Arteriography—catheterization

     80422

    Angiography-Arteriography—catheterization (D.O.)

     84422

    Broncho-Esophagology

     80101

    Cardiovascular Disease—minor surgery

     80281

    Cardiovascular Disease—minor surgery (D.O.)

     84281

    Colonoscopy-ERCP-Pneu or mech esoph dil (D.O.)

     84443

    Colonoscopy-ERCP-pneu. or mech.

     80443

    Dermatology—minor surgery

     80282

    Dermatology – minor surgery (D.O.)

     84282

    Diabetes – minor surgery

     80271

    Dermatology—minor surgery (D.O.)

     84282

    Emergency Medicine—No Major Surgery

     80102

    Emergency Medicine—No Major Surgery (DO)

     84102

    Employed Physician or Surgeon

     80177

    Employed Physician or Surgeon (D.O.)

     84177

    Endocrinology—minor surgery

     80272

    Endocrinology—minor surgery (D.O.)

     84272

    Family Practice—and general practice minor surgery—No OB

     80423

    Family Practice—and general practice minor surgery—No OB (D.O.)

     84423

    Family or General Practice—including OB (D.O.)

     84421

    Family or General Practice—including OB

     80421

    Family or General Practice – including OB (D.O.)

     84421

    Gastroenterology—minor surgery

     80274

    Gastroenterology—minor surgery (D.O.)

     84274

    Geriatrics—minor surgery

     80276

    Geriatrics—minor surgery (D.O.)

     84276

    Gynecology—minor surgery

     80277

    Gynecology—minor surgery (D.O.)

     84277

    Hematology—minor surgery

     80278

    Hematology—minor surgery (D.O.)

     84278

    Hospitalist

     80296

    Hospitalist (D.O.)

     84296

    Infectious Diseases—minor surgery

     80279

    Intensive Care Medicine

     80283

    Intensive Care Medicine (D.O.)

     84283

    Internal Medicine—minor surgery

     80284

    Internal Medicine—minor surgery (D.O.)

     84284

    Laparoscopy

     80440

    Laparoscopy (D.O.)

     84440

    Laryngology—minor surgery

     80285

    Myelography – Discogram-Pneumoencephalo

     80428

    Myelography-Discogram-Pneumoencephalo (D.O.)

     84428

    Needle Biopsy

     80446

    Needle Biopsy (D.O.)

     84446

    Nephrology—minor surgery

     80287

    Neonatology

     80298

    Neonatology (D.O.)

     84298

    Neoplastic Disease—minor surgery

     80286

    Neurology—minor surgery

     80288

    Neurology—minor surgery (D.O.)

     84288

    Oncology – minor surgery

     80301

    Oncology – minor surgery (D.O.)

     84301

    Ophthalmology—minor surgery

     80289

    Ophthalmology—minor surgery (D.O.)

     84289

    Otology – minor surgery

     80290

    Otorhinolaryngology—minor surgery

     80291

    Otorhinolaryngology—minor surgery (D.O.)

     84291

    Pain Management – Basic procedures

     80182

    Pain Management – Basic procedures (D.O.)

     84182

    Pathology—minor surgery

     80292

    Pathology—minor surgery (D.O.)

     84292

    Pediatrics—minor surgery

     80293

    Pediatrics—minor surgery (D.O.)

     84293

    Phlebography-Lymphangeography

     80434

    Phlebography-Lymphangeography (D.O.)

     84434

    Physicians—minor surgery

     80294

    Physicians – minor surgery (D.O.)

     84294

    Radiation Therapy—lasers

     80425

    Radiation Therapy—lasers (D.O.)

     84425

    Radiation Therapy – other than lasers

     80165

    Radiology—diagnostic-interventional
    procedures

     80280

    Radiology—diagnostic-interventional
    procedures (D.O.)

     84280

    Rhinology – minor surgery

     80270

    Surgery—Colon & Rectal

     80115

    Surgery —Endocrinology

     80103

    Surgery—Gastroenterology

     80104

    Surgery – Gastroenterology (D.O.)

     84104

    Surgery—General Practice or Family Practice

     80117

    Surgery—General Practice or Family Practice  (D.O.)

     84117

    Surgery—Geriatrics

     80105

    Surgery—Neoplastic

     80107

    Surgery—Nephrology

     80108

    Surgery—Ophthalmology

     80114

    Surgery—Urological

     80145

    Surgery—Urological (D.O.)

     84145

    3.       Class 3:

     

     

    Emergency Medicine—includes major surgery

     80157

    Emergency Medicine—includes major surgery (D.O.)

     84157

    Otology—surgery

     80158

    Radiation Therapy – employed physician

     80163

    Radiation Therapy – employed physician (D.O.)

     84163

    Shock Therapy – employed physician

     80161

    Shock Therapy – employed physician (D.O.)

     84161

    Surgery—Abdominal

     80166

    Surgery – Bariatrics

     80476

    Surgery – Bariatrics (D.O.)

     84476

    Surgery—Cardiac

     80141

    Surgery—Cardiovascular Disease

     80150

    Surgery—Cardiovascular Disease (D.O.)

     84150

    Surgery—General

     80143

    Surgery—General (D.O.)

     84143

    Surgery—Gynecology

     80167

    Surgery—Gynecology (D.O.)

     84167

    Surgery—Hand

     80169

    Surgery—Head & Neck

     80170

    Surgery – Laryngology

     80106

    Surgery—Orthopedic

     80154

    Surgery—Orthopedic (D.O.)

     84154

    Surgery—Otorhinolaryngology-no plastic
    surgery

     80159

    Surgery—Plastic

     80156

    Surgery—Plastic (D.O.)

     84156

    Surgery—Plastic-Otorhinolaryngology

     80155

    Surgery—Plastic-Otorhinolaryngology (D.O.)

     84155

    Surgery—Rhinology

     80160

    Surgery—Thoracic

     80144

    Surgery—Thoracic (D.O.)

     84144

    Surgery—Traumatic

     80171

    Surgery—Vascular

     80146

    Surgery – Vascular (D.O.)

     84146

    Weight Control—Bariatrics

     80180

    4.       Class 4:

     

     

    Surgery—Neurology

     80152

    Surgery—Neurology (D.O.)

     84152

    Surgery—Obstetrics

     80168

    Surgery—OB/GYN

     80153

    Surgery—OB/GYN (D.O.)

     84153

     

     

    Section 3.  Ins 17.28 (6) is repealed and recreated to read:

     

    (6)   Fee schedule.   The following fee schedule is in effect from July 1, 2011 to June 30, 2012:

    (a)      Except as provided in pars. (b) to (f) and sub. (6e), for a physician for

    whom this state is a principal place of practice:

                                     Class 1…. $1,461     Class 3….$5,844

     

                                     Class 2…. $2,629                 Class 4….$9,643

     

         (b)  For a resident acting within the scope of a residency or fellowship program:

                                     Class 1….. $  731                 Class 3….$2,922

                                     Class 2….. $1,314    Class 4….$4,822

         (c)  For a resident practicing part-time outside the scope of a residency or fellowship program:

                                     All classes………………………………  $877

         (d)  For a Medical College of Wisconsin, Inc., full-time faculty member:

    Class 1….. $  588 Class 3….$2,352

    Class 2…..$1,051   Class 4….$3,881

         (e)  For physicians who practice part-time:

         1.  For a physician who practices fewer than 500 hours during the fiscal year, limited to office practice and nursing home and house calls, and who does not practice obstetrics or surgery or assist in surgical procedures:         ..$  365

         2.  For a physician who practices 1040 hours or less during the fiscal year, including those who practice fewer than 500 hours during the fiscal year whose practice is not limited to office practice, nursing homes or house calls or who do practice obstetrics, surgery or assist in surgical procedures:

                                     Class 1…..$   877    Class 3….$3,507

                                     Class 2…..$1,579  Class 4….$5,786

         (f)  For a physician for whom this state is not a principal place of practice:

                                     Class 1…..$  731     Class 3….$2,922

                                     Class 2…..$1,314                  Class 4….$4,822

         (g)  For a nurse anesthetist for whom this state is a principal place of practice:                                                                                                            $   358

         (h)  For a nurse anesthetist for whom this state is not a principal place of practice:……………………………………………………………………………………………$  179

         (i)  For a hospital, all of the following fees:

         1.  Per occupied bed………………………………………………………………………$    88

    2.  Per 100 outpatient visits during the last calendar year for which totals are available:………………………………………………………………………………………….$  4.41

         (j)  For a nursing home, as described under s. 655.002 (1) (j), Stats., that is wholly owned and operated by a hospital and that has health care liability insurance separate from that of the hospital by which it is owned and operated:

         Per occupied bed……………………………………………………………………….…..$   18

         (k)  For a partnership comprised of physicians or nurse anesthetists, organized for the primary purpose of providing the medical services of physicians or nurse anesthetists, all of the following fees:

         1.  a.  If the total number of partners and employed physicians and nurse anesthetists is from 2 to 10……………………………………………………………………$   51

                 b.  If the total number of partners and employed physicians and nurse anesthetists is from 11 to 100………………………………………………………………..$  504

                c.  If the total number of partners and employed physicians and nurse anesthetists exceeds 100……………………………………………………..………………$1,255

         2.  The following fee for each full-time equivalent allied health care professional employed by the partnership as of the most recent completed survey submitted:

     

         Employed Health Care Professionals                                                                       Fund Fee

         Nurse Practitioners…………………………………………………………………..….$   365

         Advanced Nurse Practitioners…………………………………………………..…………511

         Nurse Midwives…………………………………………………………..…………………3,214

         Advanced Nurse Midwives……………………………………………..…………………3,359   

         Advanced Practice Nurse Prescribers ………………………………………..…………..511        

         Chiropractors…………………………………………………………………………..……...584

         Dentists…………………………………………………………………………………..……..292

         Oral Surgeons…………………………………………………………………..…………..2,192

         Podiatrists-Surgical…………………………………………………………………..……6,209

         Optometrists…………………………………………………………………..……………….292

         Physician Assistants……………………………………………………………………..…..292

         (L)  For a corporation, including a service corporation, with more than one shareholder organized under ch. 180, Stats., for the primary purpose of providing the medical services of physicians or nurse anesthetists, all of the following fees:

         1.  a.  If the total number of shareholders and employed physicians and nurse anesthetists is from 2 to 10……………………………………………………………...…….$   51

               b.  If the total number of shareholders and employed physicians and nurse anesthetists is from 11 to 100…………………………………………………………..……$  504

               c.  If the total number of shareholders and employed physicians or nurse anesthetists exceeds 100……………………………………………………….…………….$1,255

         2.  The following fee for each full-time equivalent allied health care professional employed by the corporation as of the most recent completed survey submitted:

    Employed Health Care Professionals               Fund Fee

         Nurse Practitioners……………………………………………………………………….$   365

         Advanced Nurse Practitioners……………………………………..………………………511

         Nurse Midwives………………………………………………..……………………………3,214

         Advanced Nurse Midwives…………………………………………..……………………3,359   

         Advanced Practice Nurse Prescribers ……………………………………………..……..511        

         Chiropractors……………………………………………………………………..…………...584

         Dentists………………………………………………………………………..………………..292

         Oral Surgeons……………………………………………………………..………………..2,192

         Podiatrists-Surgical……………………………………………………………..…………6,209

         Optometrists………………………………………………………………………..………….292

         Physician Assistants………………………………………………………..………………..292

     

         (m)  For a corporation organized under ch. 181, Stats., for the primary purpose of providing the medical services of physicians or nurse anesthetists, all of the following fees:

         1.  a.  If the total number of employed physicians and nurse anesthetists is from 1 to 10……………………………………………………………..……………………………….$    51

              b.  If the total number of employed physicians and nurse anesthetists is from 11 to 100…………………………………………………………………………………………..$  504

              c.  If the total number of employed physicians or nurse anesthetists  exceeds 100………………………………………………………………………………………..……….$1,255

         2.  The following fee for each full-time equivalent allied health care professional employed by the corporation as of the most recent completed survey submitted:

    Employed Health Care Professionals               Fund Fee

         Nurse Practitioners……………………………………………………………………….$   365

         Advanced Nurse Practitioners…………………………………………………………..…511

         Nurse Midwives…………………………………………………………………………..…3,214

         Advanced Nurse Midwives…………………………………………………………..……3,359   

         Advanced Practice Nurse Prescribers ………………………………………………..…..511        

         Chiropractors……………………………………………………………………………..…...584

         Dentists……………………………………………………………………………………..…..292

         Oral Surgeons………………………………………………………………………..……..2,192

         Podiatrists-Surgical…………………………………………………..……………………6,209

         Optometrists…………………………………………………………………………….…….292

         Physician Assistants………………………………………………………………………..292

         (n)  For an operational cooperative sickness care plan as described under s. 655.002 (1) (f), Stats., all of the following fees:

         1.  Per 100 outpatient visits during the last calendar year for which totals are available…………………………………………………………………………….………………$0.11

         2.  3.24% of the total annual fees assessed against all of the employed physicians.

         3.  The following fee for each full-time equivalent allied health care professional employed by the operational cooperative sickness plan as of the most recent completed survey submitted:

    Employed Health Care Professionals               Fund Fee

         Nurse Practitioners……………………………………………………………………….$   365

         Advanced Nurse Practitioners…………………………………………………………..…511

         Nurse Midwives………………………………………………………………………..……3,214

         Advanced Nurse Midwives…………………………………………………..……………3,359   

         Advanced Practice Nurse Prescribers ………………………………………..…………..511        

         Chiropractors……………………………………………………………………..…………...584

         Dentists……………………………………………………………………………………..…..292

         Oral Surgeons………………………………………………………………………..……..2,192

         Podiatrists-Surgical………………………………………………………………..………6,209

         Optometrists………………………………………………………………………….……….292

         Physician Assistants……………………………………………………….………………..292

         (o)  For a freestanding ambulatory surgery center, as defined in s. DHS 120.03 (13), per 100 outpatient visits during the last calendar year for which totals are available:………………………………………………………………………………………….$22.79

         (p)  For an entity affiliated with a hospital, the greater of $100 or whichever of the following applies:

         1.  7.5% of the amount the entity pays as premium for its primary health care liability insurance, if it has occurrence coverage.

         2.  11% of the amount the entity pays as premium for its primary health care liability insurance, if it has claims-made coverage.

         (q)  For an organization or enterprise not specified as a partnership or corporation that is organized and operated in this state for the primary purpose of providing the medical services of physicians or nurse anesthetists, all of the following fees:

         1.  a.  If the total number of employed physicians and nurse anesthetists is from 1 to 10………………………………………………………………………………...…………… $   51

         b. If the total number of employed physicians and nurse anesthetists is from 11 to 100……………………………………………………………………………………………...$   504

         c.  If the total number of employed physicians or nurse anesthetists exceeds

    100………………………………………………………………………………………………$1,255

         2. The following for each full-time equivalent allied health care professional employed by the organization or enterprise not specified as a partnership, corporation, or an operational cooperative health care plan as of the most recent completed survey submitted:

    Employed Health Care Professionals              Fund Fee

         Nurse Practitioners……………………………………………………………………….$   365

         Advanced Nurse Practitioners…………………………………………..…………………511

         Nurse Midwives………………………………………………………………..……………3,214

         Advanced Nurse Midwives………………………………………………………..………3,359   

         Advanced Practice Nurse Prescribers ………………………………………..…………..511        

         Chiropractors………………………………………………………………………..………...584

         Dentists…………………………………………………………………………..……………..292

         Oral Surgeons………………………………………………………………..……………..2,192

         Podiatrists-Surgical……………………………………………………………..…………6,209

         Optometrists………………………………………………………………………….……….292

         Physician Assistants………………………………………………………………..………..292

     

     

    SECTION 4.  These changes will first apply to fund fees and mediation panel fees for fiscal year 2012 beginning July 1, 2011.

     

     SECTION 5 .  These emergency rule changes will take effect upon publication as provided in s. 227.24(1)(c), Stats.

     

     

    Dated at Madison, Wisconsin, this            day of                             , 2011.

     

     

                                                                        

                                                                        _________________________________________

                                                                         Theodore K. Nickel

                                                                         Commissioner of Insurance

     


    Division of Executive Budget and Finance                                                   Wisconsin Department of Administration

    DOA-2047 (R10/2000)

                                                              FISCAL ESTIMATE WORKSHEET

                                                        Detailed Estimate of Annual Fiscal Effect

     

                x   ORIGINAL               UPDATED

    LRB Number

        

    Amendment No. if Applicable

        

                  CORRECTED           SUPPLEMENTAL

     

    Bill Number

        

    Administrative Rule Number

    INS 1701

    Subject

                 annual injured patients and families compensation fund fees, mediation panel fees, and provider classifications

    One-time Costs or Revenue Impacts for State and/or Local Government (do not include in annualized fiscal effect):

                   None

                                  Annualized Costs:

    Annualized Fiscal impact on State funds from:

     

     

    A.    State Costs by Category

                  State Operations - Salaries and Fringes

     

    Increased Costs

     

    $     0     

    Decreased Costs

     

    $     -0    

     

     

                  (FTE Position Changes)

     

     

           ( 0   FTE)

     

           ( -0   FTE)

     

     

                  State Operations - Other Costs

     

     

           0     

     

           -0     

     

     

                  Local Assistance

     

     

           0     

     

           -0     

     

     

                  Aids to Individuals or Organizations

     

     

           0     

     

           -0     

     

     

                        TOTAL State Costs by Category

     

     

    $     0     

     

    $     -0     

     

    B.    State Costs by Source of Funds

     

                  GPR

    Increased Costs

     

    $     0     

    Decreased Costs

     

    $     -0     

     

     

                  FED

     

     

           0     

     

           -0     

     

     

                  PRO/PRS

     

     

           0     

     

           -0     

     

     

                  SEG/SEG-S

     

     

           0     

     

           -0     

     

         C.   State Revenues     Complete this only when proposal will increase or decrease state revenues (e.g., tax increase, decrease in license fee, etc.)

                  GPR Taxes

    Increased Rev.

     

    $     0     

    Decreased Rev.

     

    $     -0     

     

     

                  GPR Earned

     

     

           0     

     

           -0     

     

     

                  FED

     

     

           0     

     

           -0     

     

     

                  PRO/PRS

     

     

           0     

     

           -0     

     

     

                  SEG/SEG-S

     

     

           0     

     

           -0     

     

     

                        TOTAL State Revenues

     

     

    $     0 None

     

    $     -0 None

     

     

    NET ANNUALIZED FISCAL IMPACT        

                                                                                                STATE                                             LOCAL

    NET CHANGE IN COSTS                                $                              None    0             $                           None     0    

     

    NET CHANGE IN REVENUES                        $                              None    0             $                            None    0     

     

    Prepared by:

    Telephone No.

    Agency

            Theresa L. Wedekind

            (608) 266-0953

            Insurance

    Authorized Signature:

    Telephone No.

    Date  (mm/dd/ccyy)

     

                

                

     


    Division of Executive Budget and Finance                                             Wisconsin Department of Administration

    DOA-2048 (R10/2000)

                                                                    FISCAL ESTIMATE

     

     

                 x   ORIGINAL               UPDATED

     

      LRB Number

        

      Amendment No. if Applicable

        

     

                   CORRECTED           SUPPLEMENTAL

     

      Bill Number

        

      Administrative Rule Number

      INS 1701

    Subject

             annual injured patients and families compensation fund fees, mediation panel fees, and provider classifications

     

    Fiscal Effect

           State:   x   No State Fiscal Effect

     

           Check columns below only if bill makes a direct appropriation

      Increase Costs - May be possible to Absorb

           or affects a sum sufficient appropriation.

         Within Agency's Budget     Yes         No

             Increase Existing Appropriation           Increase Existing Revenues

     

             Decrease Existing Appropriation          Decrease Existing Revenues

     

             Create New Appropriation

      Decrease Costs

     

     

     

    Local: x   No local government costs

     

     

    1.

    Increase Costs

    3.  Increase Revenues

    5.  Types of Local Governmental Units Affected:

     

          Permissive   Mandatory

              Permissive  Mandatory

           Towns     Villages    Cities

    2.

    Decrease Costs

    4.  Decrease Revenues

           Counties  Others _____

     

          Permissive   Mandatory

              Permissive  Mandatory

           School Districts               WTCS Districts

    Fund Sources Affected

                 GPR      FED      PRO     PRS     x  SEG      SEG-S

    Affected Chapter 20 Appropriations

                

    Assumptions Used in Arriving at Fiscal Estimate

     

    The Injured Patients and Families Compensation Fund (IPFCF or Fund) is a segregated fund.  Annual Fund fees are established to become effective each July 1 based the Fund’s needs for payment of medical malpractice claims.  The proposed fees were approved by the Fund’s Board of Governors at its February 16, 2011, meeting and represent an increase of 8.5% over fiscal year 2011 fund fees.

     

    The Fund is a unique fund; there are no other funds like it in the country.  The Fund provides unlimited liability coverage and participation is mandatory.  These two features make this Fund unique compared to funds in other states.  The only persons who will be affected by this rule change are the Fund participants themselves as the IPFCF is fully funded through assessments paid by Fund participants. 

     

    There is no effect on GPR.

     

     

    Long-Range Fiscal Implications

     

          None

    Prepared by:

    Telephone No.

    Agency

            Theresa L. Wedekind

            (608) 266-0953

       Insurance

    Authorized Signature:

    Telephone No.

    Date  (mm/dd/ccyy)