SB579, s. 27 16Section 27. 153.50 (6) (b) of the statutes is amended to read:
SB579,10,1917 153.50 (6) (b) The department may not require under this chapter subchapter
18a health care provider that is not a hospital or ambulatory surgery center to submit
19uniform patient billing forms.
SB579, s. 28 20Section 28. 153.50 (6) (c) (intro.) of the statutes is amended to read:
SB579,10,2321 153.50 (6) (c) (intro.) A health care provider that is not a hospital or ambulatory
22surgery center may not submit any of the following to the department under the
23requirements of this chapter subchapter:
SB579, s. 29 24Section 29. 153.55 of the statutes is amended to read:
SB579,11,2
1153.55 Protection of confidentiality. Data obtained under this chapter
2subchapter is not subject to inspection, copying or receipt under s. 19.35 (1).
SB579, s. 30 3Section 30. 153.60 (1) of the statutes is amended to read:
SB579,11,224 153.60 (1) The department shall, by the first October 1 after the
5commencement of each fiscal year, estimate the total amount of expenditures under
6this chapter subchapter for the department for that fiscal year for data collection,
7database development and maintenance, generation of data files and standard
8reports, orientation and training provided under s. 153.05 (9) (a) and contracting
9with the data organization under s. 153.05 (2r). The department shall assess the
10estimated total amount for that fiscal year, less the estimated total amount to be
11received for purposes of administration of this chapter subchapter under s. 20.435
12(1) (hi) during the fiscal year and the unencumbered balance of the amount received
13for purposes of administration of this chapter subchapter under s. 20.435 (1) (hi) from
14the prior fiscal year, to health care providers, other than hospitals and ambulatory
15surgery centers, who are in a class of health care providers from whom the
16department collects data under this chapter subchapter in a manner specified by the
17department by rule. The department shall work together with the department of
18regulation and licensing to develop a mechanism for collecting assessments from
19health care providers other than hospitals and ambulatory surgery centers. No
20health care provider that is not a facility may be assessed under this subsection an
21amount that exceeds $75 per fiscal year. All payments of assessments shall be
22credited to the appropriation under s. 20.435 (1) (hg).
SB579, s. 31 23Section 31. 153.75 (2) (a) of the statutes is amended to read:
SB579,12,3
1153.75 (2) (a) Exempting certain classes of health care providers that are not
2hospitals or ambulatory surgery centers from providing all or portions of the data
3required under this chapter subchapter.
SB579, s. 32 4Section 32. 153.75 (2) (c) of the statutes is amended to read:
SB579,12,75 153.75 (2) (c) Providing for the efficient collection, analysis and dissemination
6of health care information which the department may require under this chapter
7subchapter.
SB579, s. 33 8Section 33. Subchapter II (title) of chapter 153 [precedes 153.80] of the
9statutes is created to read:
SB579,12,1010 CHAPTER 153
SB579,12,1311 subchapter II
12 Electronic health information
13 exchange
SB579, s. 34 14Section 34. 153.80 of the statutes is created to read:
SB579,12,15 15153.80 Definitions. In this subchapter:
SB579,12,16 16(1) "Department" means the department of health services.
SB579,12,19 17(2) "Health care provider" has the meaning given in s. 146.81 (1) and includes
18an ambulatory surgery center, which has the meaning given for "ambulatory surgical
19center" under 42 CFR 416.2.
SB579,12,20 20(3) "Secretary" means the secretary of health services.
SB579,12,23 21(4) "State-designated entity" means a nonprofit corporation designated by the
22state as eligible to apply for and receive grants under 42 USC 300jj-33 from the
23secretary of the U.S. department of health and human services.
SB579, s. 35 24Section 35. 153.81 of the statutes is created to read:
SB579,13,4
1153.81 Requirements for designation and funding. (1) The state may
2designate a nonprofit corporation that is incorporated under ch. 181 as the
3state-designated entity only if the secretary determines that all of the following
4conditions are satisfied:
SB579,13,85 (a) The articles of incorporation or bylaws of the corporation state that a
6purpose of the corporation is to use information technology to improve health care
7quality and efficiency through the authorized and secure electronic exchange and
8use of health information.
SB579,13,139 (b) The corporation annually evaluates, analyzes, and reports to the secretary
10on the progress toward implementing statewide health information exchange and
11how the health information exchange efforts are enabling meaningful use of certified
12electronic health record technology, as defined in 42 USC 300jj and by the U.S.
13department of health and human services by regulation, by health care providers.
SB579,13,1614 (c) The corporation complies with the requirements to be a qualified
15state-designated entity under 42 USC 300jj-33 (f) (2) to (5) and to receive a grant
16under 42 USC 300jj-33.
SB579,13,1917 (d) The governing structure and bylaws of the corporation allow it to consult
18and consider recommendations from all of the persons specified under 42 USC
19300jj-33
(g) (1) to (10) in carrying out statewide health information exchange.
SB579,13,2120 (e) The board of directors of the corporation includes all of the following
21persons:
SB579,13,2222 1. The state health officer, as defined under s. 250.01 (9), or his or her designee.
SB579,13,2423 2. The person who is appointed by the secretary to be the director of the Medical
24Assistance program, or his or her designee.
SB579,13,2525 3. One person who is specified by the governor, or his or her designee.
SB579,14,3
14. One or more persons who represent each of the following such that the
2representation of the public and private health sector is balanced in the board's
3representation:
SB579,14,44 a. Health care providers.
SB579,14,55 b. Health insurers or health plans.
SB579,14,66 c. Employers who purchase or self-insure employee health care.
SB579,14,77 d. Health care consumers or consumer advocates.
SB579,14,88 e. Higher education.
SB579,14,99 (f) The corporation agrees to fulfill all of the following purposes:
SB579,14,1110 1. Building substantial health information exchange capacity statewide to
11support all of the following:
SB579,14,1212 a. Health care providers' meaningful use of electronic health records.
SB579,14,1313 b. Population health improvement.
SB579,14,1414 c. Reporting of health care performance.
SB579,14,1715 2. Developing policies and recommending legislation that advance efficient
16statewide and interstate health information exchange and that protect consumer
17privacy.
SB579,14,2018 3. Developing or facilitating the creation of a statewide technical infrastructure
19that supports statewide health information exchange and enables interoperability
20among users of health information.
SB579,14,2321 4. Coordinating between the Medical Assistance and public health programs
22to enable information exchange and promote meaningful use of electronic health
23records.
SB579,14,2524 5. Providing oversight and accountability for health information exchange to
25protect the public interest.
SB579,15,3
16. Increasing public awareness of and support for statewide health information
2exchange and fostering agreement among health care providers and other users of
3health care information on an approach to statewide health information exchange.
SB579,15,54 7. Adopting standards for health information exchange in accordance with
5national standards, implementation protocols, and reporting requirements.
SB579,15,76 8. Prioritizing among health information exchange services according to the
7needs of the residents of this state.
SB579,15,98 9. Managing and sustaining funding necessary to develop and sustain
9statewide health information infrastructure and services.
SB579,15,1210 10. Conducting or overseeing health information exchange business and
11technical operations, including providing technical assistance to health information
12organizations and other health information exchanges.
SB579,15,1413 11. Developing or facilitating the creation and use of shared directories and
14technical services, as applicable to statewide health information exchange.
SB579,15,1715 12. Creating a model, uniform statewide patient consent and authorization
16process to allow electronic access to, review of, or disclosure of a patient's identifiable
17health care information.
SB579,15,2118 13. Certifying regional health information exchange networks, if any, and
19confirming that any regional health information exchange network meets the
20criteria to participate in and connect to the statewide health information exchange
21network.
SB579,15,2422 14. Monitoring health information technology and health information
23exchange efforts nationally and facilitating alignment of statewide, interstate, and
24national health information exchange strategies.
SB579,16,3
115. Developing programs and initiatives to promote and advance health
2information exchange to improve the safety, quality, and efficiency of health care and
3to reduce waste due to redundancy and administrative costs.
SB579,16,6 4(2) The department may make payments to a nonprofit corporation that is
5incorporated under ch. 181 to support health information exchange if the secretary
6determines that the conditions under sub. (1) are satisfied.
SB579, s. 36 7Section 36. 153.82 of the statutes is created to read:
SB579,16,10 8153.82 Creation of corporation. (1) The secretary may organize and assist
9in maintaining a nonstock, nonprofit corporation under ch. 181 for all of the purposes
10specified under s. 153.81 (1) (f).
SB579,16,13 11(2) If the secretary organizes a corporation under sub. (1), the secretary shall
12appoint all of the individuals specified under s. 153.81 (1) (e) 1. to 4. as initial
13directors of the board of the corporation.
SB579,16,19 14(3) The assets and liabilities of the corporation under sub. (1) shall be separate
15from all other assets and liabilities of the state, of all political subdivisions of the
16state, and of the department. The state, any political subdivision of the state, and
17the department do not guarantee any obligation of or have any obligation to the
18corporation. The state, any political subdivision of the state, and the department are
19not liable for any debt or liability of the corporation.
SB579, s. 37 20Section 37. 153.85 of the statutes is renumbered 153.76 and amended to read:
SB579,16,24 21153.76 Civil liability. Except as provided in s. 153.86 153.77, any person
22violating s. 153.50 or rules promulgated under s. 153.75 (1) (a) is liable to the patient
23for actual damages and costs, plus exemplary damages of up to $1,000 for a negligent
24violation and up to $5,000 for an intentional violation.
SB579, s. 38
1Section 38. 153.86 of the statutes is renumbered 153.77, and 153.77 (1)
2(intro.), as renumbered, is amended to read:
SB579,17,53 153.77 (1) (intro.) A health care provider that submits information to the
4department under this chapter subchapter is immune from civil liability for all of the
5following:
SB579, s. 39 6Section 39. 153.90 of the statutes is renumbered 153.78, and 153.78 (2), as
7renumbered, is amended to read:
SB579,17,158 153.78 (2) Any person who violates this chapter subchapter or any rule
9promulgated under the authority of this chapter subchapter, except ss. 153.45 (5),
10153.50 and 153.75 (1) (a), as provided in s. 153.85 153.76 and sub. (1), shall forfeit
11not more than $100 for each violation. Each day of violation constitutes a separate
12offense, except that no day in the period between the date on which a request for a
13hearing is filed under s. 227.44 and the date of the conclusion of all administrative
14and judicial proceedings arising out of a decision under this section constitutes a
15violation.
SB579, s. 40 16Section 40. 895.043 (2) of the statutes is amended to read:
SB579,17,2117 895.043 (2) Scope. This section does not apply to awards of double damages
18or treble damages, or to the award of exemplary damages under ss. 46.90 (9) (a) and
19(b), 51.30 (9), 51.61 (7), 55.043 (9m) (a) and (b), 103.96 (2), 134.93 (5), 146.84 (1) (b)
20and (bm), 153.85 153.76, 252.14 (4), 252.15 (8) (a), 610.70 (7) (b), 943.245 (2) and (3)
21and 943.51 (2) and (3).
SB579,17,2222 (End)
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