2009 Wisconsin Act 146
Information Regarding Health Care Charges and Quality
Act 146 was enacted on March 9, 2010 and is effective January 1, 2011.
(exit DHS; PDF, 42 KB)
specifies requirements for hospitals, insurance plans, health care providers,
and the Department of Health Services (DHS) related to disclosure of information
about the cost and quality of health care services. A
(exit DHS; PDF, 41 KB) by the Wisconsin Legislative Council is available.
The final Act 146 Implementation Plan (PDF,
282 KB) is available. Appendix 2 (PDF, 155 KB) lists the five CPT services to include in
the physician report for each medical condition. Appendix 3 (PDF,
is a report template for physicians to use in preparing consumer information to comply with Act 146.
The implementation plan does not directly address requirements
on hospitals and insurance plans except for those in section 5(5); nor
does it refer to requirements for health care providers except for those
in sections 5(2), 5(3)(b) through (f), and 5(5), which relate to the
creation of a standard report for patients, and to the enforcement of Act
requirements. Hospitals, insurance plans and health care providers should
be alert to other requirements in the Act that are not described in this plan.
The Department of Health Services, Division of Quality Assurance (DQA) is responsible for
investigating all complaints over which the Department has jurisdiction.
If any individual believes that a hospital or physician has violated 2009 Wisconsin Act
146 regarding the disclosure of health care charges and quality
information, that individual has the right to file a complaint. Physicians practicing individually
or in associations of three or fewer physicians are exempt under the law.
The Wisconsin Department of Safety and Professional Services (formerly Regulation and Licensing)
is the state agency responsible for credentialing
and regulating physicians in Wisconsin. If you have a complaint that a physician is in violation of a relevant
condition or rule related to the profession, you may contact the Department of Safety and Professional
Services at the following link:
http://dsps.wi.gov/ or use the toll-free number 1-877-617-1565.
There are several ways to file a complaint with the Division of Quality
Assurance. Refer to the options listed below:
- Contact the Division of Quality Assurance at (608) 266-8481.
- File a complaint using the Online
Complaint Intake System.
- Call the toll-free number: 1-800-642-6552.
The Department has developed a listserv for communications between DHS and
Sign up for the Act 146 listserv here.
The Act requires the Department to adjust annually the amounts that a health care provider may charge for
providing copies of a patient's health care records;
see current fee schedule here (PDF, 13 KB).
May 22, 2014