reglab/housing_qa huggingface dataset:
WI Stat § 648.20 (2021)
2021 Wisconsin Statutes & Annotations|Chapter 648 - Regulation of care management organizations.|648.20 - Examinations.

648.20  Examinations. (1) Power to examine. (a) To inform himself or herself about a matter related to the enforcement of this chapter, the commissioner may examine the affairs and condition of any permittee.(b) So far as reasonably necessary for an examination under par. (a), the commissioner may examine the accounts, records, or documents so far as they relate to the permittee, of any of the following:1. An officer, manager, employee, or person who has executive authority over or is in charge of any segment of the permittee's affairs.2. A person controlling or having a contract under which the person has the right to control the permittee whether exclusively or with others.3. A person who is under the control of the permittee, or a person who is under the control of a person who controls or has a right to control the permittee whether exclusively or with others.(c) On demand, every permittee shall make available to the commissioner for examination any of its own accounts, records, documents, or evidences of transactions.(d) On order of the commissioner any examinee under this chapter shall bring to the office for examination such records as the order reasonably requires. (2)  Audits or actuarial or other evaluations. In lieu of all or part of an examination under sub. (1), or in addition to it, the commissioner may order an independent audit by certified public accountants or an actuarial or other evaluation by actuaries or other experts approved by the commissioner of any permittee. Any accountant, actuary, or other expert selected is subject to rules respecting conflicts of interest promulgated by the commissioner. Any audit or evaluation under this section is subject to s. 648.25, so far as applicable. (3)  Alternatives to examination. In lieu of all or part of an examination under this section, the commissioner may accept the report of an audit already made by certified public accountants or of an actuarial or other evaluation already made by actuaries or other experts approved by the commissioner, or the report of an examination made by another government agency in this state, the federal government, or another state. (4)  Purpose and scope of examination. An examination may but need not cover comprehensively all aspects of the permittee's affairs and condition. The commissioner shall determine the exact nature and scope of each examination, and in doing so shall take into account all relevant factors, including the length of time the permittee has been doing business, the length of time the permittee has been certified by the department, the nature of the business being examined, the nature of the accounting records available, and the nature of examinations performed elsewhere.History:  2009 a. 28.
WI Stat § 648.25 (2021)
2021 Wisconsin Statutes & Annotations|Chapter 648 - Regulation of care management organizations.|648.25 - Conducting examinations.

648.25  Conducting examinations. (1) Order of examination. For each examination under s. 648.20, the commissioner shall issue an order stating the scope of the examination and designating the examiner in charge. Upon demand, a copy of the order shall be provided to the examinee. (2)  Access to examinee. Any examiner authorized by the commissioner shall, for the purposes of the examination, have access at all reasonable hours to the premises and to any property of the examinee. (3)  Cooperation. The officers, employees, and agents of the examinee shall comply with every reasonable request of the examiners for assistance in any matter relating to the examination. No person may obstruct or interfere with the examination in any way other than by legal process. (4)  Correction of books. If the commissioner finds the accounts or records to be inadequate for proper examination of the condition and affairs of the permittee or improperly kept or posted, the commissioner may employ experts to rewrite, post, or balance them at the expense of the permittee. (5)  Report on examination. The examiner in charge of an examination shall make a proposed report of the examination, including information and analysis ordered in sub. (1), together with the examiner's recommendations. Preparation of the proposed report may include conferences with the examinee or the examinee's representatives at the option of the examiner in charge. The commissioner shall serve the final examination report on the examinee. (6)  Copies for board. The permittee shall furnish copies of the final examination report to each member of its board or governing body. (7)  Report as evidence. In any proceeding by or against the permittee or any officer or agent of the permittee the final examination report shall be admissible as evidence of the facts stated in the report. In any proceeding commenced under this chapter, the final examination report shall be admissible as evidence of the facts stated in the report. In any proceeding by or against the examinee, the facts asserted in any final examination report properly admitted in evidence shall be presumed to be true in the absence of contrary evidence.History:  2009 a. 28.
WI Stat § 648.27 (2021)
2021 Wisconsin Statutes & Annotations|Chapter 648 - Regulation of care management organizations.|648.27 - Costs.

648.27  Costs. (1) Costs to be paid by care management organizations. Permittees shall pay the reasonable estimate of costs of examinations under s. 648.20, of review of applications under s. 648.05, and of analysis and financial monitoring of care management organizations by the commissioner and the department, including overhead and fixed costs, by a system of regular annual billings. (2)  Determination of costs. Annually, the commissioner shall determine the estimated costs under sub. (1) for the commissioner and the department. The commissioner shall serve a request for payment on each permittee allocating the cost to each permittee in an amount that the commissioner determines reflects the permittee's proportionate share of projected enrollment in the department's annual contracting period. (3)  Payment deadline. The permittee shall pay the amount determined by the commissioner within 30 days of service of the request for payment under sub. (2).History:  2009 a. 28.
WI Stat § 648.30 (2021)
2021 Wisconsin Statutes & Annotations|Chapter 648 - Regulation of care management organizations.|648.30 - Nondisclosure of information.

648.30  Nondisclosure of information. (1) Types of information. The office may refuse to disclose and may prevent any other person from disclosing any of the following:(a) Testimony, reports, records, and information that are obtained, produced, or created in the course of an inquiry under s. 648.15.(b) Testimony, reports, records, and information that are obtained, produced, or created in the course of an examination under s. 648.20.(c) Testimony, reports, records, communications, and information that are obtained by the office from, or provided by the office to, any of the following, under a pledge of confidentiality or for the purpose of assisting or participating in monitoring activities or in the conduct of any inquiry, investigation, or examination:1. The National Association of Insurance Commissioners.2. An agent or employee of the National Association of Insurance Commissioners.3. The insurance commissioner of another state.4. An agent or employee of the insurance commissioner of another state.5. An international, federal, state, or local regulatory or law enforcement agency, including the department.6. An agent or employee of an agency described in subd. 5. (2)  Waiver and applicability of the privilege. Section 601.465 (2m) (a) to (d) applies to the privilege under sub. (1).History:  2009 a. 28.
WI Stat § 648.50 (2021)
2021 Wisconsin Statutes & Annotations|Chapter 648 - Regulation of care management organizations.|648.50 - Management changes.

648.50  Management changes. (1) Approval required. No proposed plan of merger or other plan for acquisition of control of a permittee may be executed unless the commissioner, after consulting with the department, approves the plan. (2)  Grounds for approval. The commissioner shall approve the plan under this section if the commissioner finds, after a hearing, that it would not violate the law or be contrary to the interests of the public, the department, or the enrollees. (3)  Information required. A permittee shall report to the commissioner any changes in directors or principal officers after a permit is issued, together with biographical data on the new director or officer that the commissioner requires by rule.History:  2009 a. 28.
WI Stat § 648.55 (2021)
2021 Wisconsin Statutes & Annotations|Chapter 648 - Regulation of care management organizations.|648.55 - Commissioner's summary orders.

648.55  Commissioner's summary orders. (1) The commissioner, after consulting with the department, may make and serve an order on a permittee, requiring it to stop providing services under the department contract, or to take corrective measures, without notice and before hearing, if it appears to the commissioner that irreparable harm to the property or business of the permittee or to the interests of its enrollees or the public, will occur unless the commissioner acts with immediate effect and one of the following applies:(a) The permittee is not in compliance with a rule establishing standards for the financial condition of care management organizations.(b) Grounds exist to suspend or revoke the permittee's permit. (2) An order issued under this subsection is effective immediately. (3) The permittee has the rights provided under s. 601.62. The commissioner may serve upon the permittee notice of hearing under the procedures under s. 601.62 simultaneously with service of the order under sub. (1). (4) The commissioner may keep proceedings under this section confidential.History:  2009 a. 28.
WI Stat § 648.65 (2021)
2021 Wisconsin Statutes & Annotations|Chapter 648 - Regulation of care management organizations.|648.65 - Enrollee immunity.

648.65  Enrollee immunity. (1) Immunity. An enrollee of a care management organization is not liable for health care, service, equipment, or supply charges that are covered under the care management organization's contract with the department. (2)  Prohibited recovery attempts. No person may bill, charge, collect a deposit from, seek compensation from, file or threaten to file with a credit reporting agency with respect to, or have any recourse against an enrollee or any person acting on the enrollee's behalf, for any health care, service, equipment, or supply charges for which the enrollee or person acting on his or her behalf is not liable under sub. (1). (3)  Immunity not affected. The immunity of an enrollee under subs. (1) and (2) is not affected by any of the following:(a) A breach or default on an agreement by the care management organization or the failure of any person to compensate the provider.(b) The insolvency of the care management organization or any person contracting with the care management organization or the commencement or the existence of conditions permitting the commencement of insolvency, delinquency, or bankruptcy proceedings involving the care management organization or other person, regardless of whether the care management organization or other person has agreed to compensate, directly or indirectly, the provider for health care, services, equipment, or supplies for which the enrollee is not liable under sub. (1)(c) The inability of the provider or other person who is owed compensation for health care, services, equipment, or supplies to obtain compensation from the care management organization.History:  2009 a. 28.
WI Stat § 648.75 (2021)
2021 Wisconsin Statutes & Annotations|Chapter 648 - Regulation of care management organizations.|648.75 - Insolvency funding.

648.75  Insolvency funding. (1) Deposit required. A permittee shall deposit an amount established by the contract with the department, and not less than $250,000, using the procedures under s. 601.13. (2)  Release of deposit. A deposit under this section may be released only with the approval of the commissioner, after consulting with the department, by the procedures under s. 601.13 (10) and only in one of the following circumstances:(a) To pay an assessment under sub. (3).(b) To pay creditors of the permittee according to the priority determined by the department if the permittee is insolvent, dissolves, or is subject to an insolvency proceeding, including a bankruptcy proceeding. (3)  Assessment. The department may assess an amount from each permittee's deposit for the purpose of funding arrangements for, or to pay expenses related to, services for enrollees of an insolvent or financially hazardous permittee. The department's assessment shall be allocated to each permittee's deposit in an amount that reflects the permittee's proportionate share of projected enrollment in the department's annual contracting period. The commissioner may authorize release, and the department of administration shall pay to the department the assessed amount for the purposes of this subsection. (4)  Restoration. A permittee shall restore its deposit that is subject to an assessment under sub. (3) within 30 days after the assessment, unless the office, after consulting with the department, authorizes a longer period, which shall not exceed 2 years. (5)  Recovery. The department may recover, and may file a claim or bring civil action to recover, from the insolvent or financially hazardous permittee any amount that the department assesses and pays under sub. (3). Any amount recovered shall be restored to each permittee's deposit in the same proportion as the assessment.History:  2009 a. 28.
WI Stat § 655.003 (2021)
2021 Wisconsin Statutes & Annotations|Chapter 655 - Health care liability and injured patients and families compensation.|655.003 - Exemptions for public employees and facilities and volunteers.

655.003  Exemptions for public employees and facilities and volunteers. Except as provided in s. 655.002 (1) (c), this chapter does not apply to a health care provider that is any of the following: (1) A physician or a nurse anesthetist who is a state, county or municipal employee, or federal employee or contractor covered under the federal tort claims act, as amended, and who is acting within the scope of his or her employment or contractual duties. (2) A facility that is exempt under s. 50.39 (3) or operated by any governmental agency. (3) Except for a physician or nurse anesthetist who meets the criteria under s. 146.89 (5) (a), a physician or a nurse anesthetist who provides professional services under the conditions described in s. 146.89, with respect to those professional services provided by the physician or nurse anesthetist for which he or she is covered by s. 165.25 and considered an agent of the department, as provided in s. 165.25 (6) (b). History:  1989 a. 187, 206; 1991 a. 214; 2013 a. 241.
WI Stat § 655.004 (2021)
2021 Wisconsin Statutes & Annotations|Chapter 655 - Health care liability and injured patients and families compensation.|655.004 - Rule-making authority.

655.004  Rule-making authority. The director of state courts, department and commissioner may promulgate such rules under ch. 227 as are necessary to enable them to perform their responsibilities under this chapter.History:  1975 c. 37; Sup. Ct. Order, 88 Wis. 2d xiii (1979); 1987 a. 27; Stats. 1987 s. 655.004; 1989 a. 187 s. 28.
WI Stat § 655.005 (2021)
2021 Wisconsin Statutes & Annotations|Chapter 655 - Health care liability and injured patients and families compensation.|655.005 - Health care provider employees.

655.005  Health care provider employees. (1) Any person listed in s. 655.007 having a claim or a derivative claim against a health care provider or an employee of the health care provider, for damages for bodily injury or death due to acts or omissions of the employee of the health care provider acting within the scope of his or her employment and providing health care services, is subject to this chapter. (2) The fund shall provide coverage, under s. 655.27, for claims against the health care provider or the employee of the health care provider due to the acts or omissions of the employee acting within the scope of his or her employment and providing health care services. This subsection does not apply to any of the following:(a) An employee of a health care provider if the employee is a physician or a nurse anesthetist or is a health care practitioner who is providing health care services that are not in collaboration with a physician under s. 441.15 (2) (b) or under the direction and supervision of a physician or nurse anesthetist.(b) A service corporation organized under s. 180.1903 by health care professionals, as defined under s. 180.1901 (1m), if the board of governors determines that it is not the primary purpose of the service corporation to provide the medical services of physicians or nurse anesthetists. The board of governors may not determine under this paragraph that it is not the primary purpose of a service corporation to provide the medical services of physicians or nurse anesthetists unless more than 50 percent of the shareholders of the service corporation are neither physicians nor nurse anesthetists. (2t) Subsection (2) does not affect the liability of a health care provider described in s. 655.002 (1) (d), (e), (em), or (f) for the acts of its employees.History:  1985 a. 340; 1987 a. 27; Stats. 1987 s. 655.005; 1989 a. 187; 1991 a. 214; 1993 a. 473; 1995 a. 167; 2001 a. 52; 2005 a. 36.Although not a health care provider, because an unlicensed 1st-year resident physician was a borrowed employee of the hospital where the resident allegedly performed negligent acts, the relation of employer and employee existed between the resident and hospital, and accordingly, the resident was an employee of a health care provider within the meaning of ch. 655 and s. 893.55 (4). Phelps v. Physicians Insurance Company of Wisconsin, Inc. 2009 WI 74, 319 Wis. 2d 1, 768 N.W.2d 615, 06-2599.Chapter 655 does not permit claims other than those listed in ss. 655.005 (1) and 655.007. Because ch. 655 exclusively governs all claims arising out of medical malpractice against health care providers and their employees, and because the legislature did not include bystander claims in s. 655.005 (1) or 655.007, negligent infliction of emotional distress claims arising out of medical malpractice are not actionable under Wisconsin law. Phelps v. Physicians Insurance Company of Wisconsin, Inc. 2009 WI 74, 319 Wis. 2d 1, 768 N.W.2d 615, 06-2599.
WI Stat § 655.006 (2021)
2021 Wisconsin Statutes & Annotations|Chapter 655 - Health care liability and injured patients and families compensation.|655.006 - Remedy.

655.006  Remedy. (1) (a) On and after July 24, 1975, every patient, every patient's representative and every health care provider shall be conclusively presumed to have accepted to be bound by this chapter.(b) Except as otherwise specifically provided in this chapter, this subsection also applies to minors. (2) This chapter does not apply to injuries or death occurring, or services rendered, prior to July 24, 1975.History:  1975 c. 37; 1987 a. 27; Stats. 1987 s. 655.006.
WI Stat § 655.009 (2021)
2021 Wisconsin Statutes & Annotations|Chapter 655 - Health care liability and injured patients and families compensation.|655.009 - Actions against health care providers.

655.009  Actions against health care providers. An action to recover damages on account of malpractice shall comply with the following: (1)  Complaint. The complaint in such action shall not specify the amount of money to which the plaintiff supposes to be entitled. (2)  Medical expense payments. The court or jury, whichever is applicable, shall determine the amounts of medical expense payments previously incurred and for future medical expense payments. (3)  Venue. Venue in a court action under this chapter is in the county where the claimant resides if the claimant is a resident of this state, or in a county specified in s. 801.50 (2) (a) or (c) if the claimant is not a resident of this state.History:  1975 c. 37, 198, 199; 1983 a. 253; 1985 a. 340.Discretionary changes of venue under s. 801.52 are applicable to actions under ch. 655. Hoffman v. Memorial Hospital of Iowa County, 196 Wis. 2d 505, 538 N.W.2d 627 (Ct. App. 1995), 94-2490.
WI Stat § 655.01 (2021)
2021 Wisconsin Statutes & Annotations|Chapter 655 - Health care liability and injured patients and families compensation.|655.01 - Forms.

655.01  Forms. The director of state courts shall prepare and cause to be printed, and upon request furnish free of charge, such forms and materials as the director deems necessary to facilitate or promote the efficient administration of this chapter.History:  1975 c. 37, 199; Sup. Ct. Order, 88 Wis. 2d xiii (1979); 1989 a. 187 s. 28.
WI Stat § 655.013 (2021)
2021 Wisconsin Statutes & Annotations|Chapter 655 - Health care liability and injured patients and families compensation.|655.013 - Attorney fees.

655.013  Attorney fees. (1) With respect to any act of malpractice after July 24, 1975, for which a contingency fee arrangement has been entered into before June 14, 1986, the compensation determined on a contingency basis and payable to all attorneys acting for one or more plaintiffs or claimants is subject to the following unless a new contingency fee arrangement is entered into that complies with subs. (1m) and (1t):(a) The determination shall not reflect amounts previously paid for medical expenses by the health care provider or the provider's insurer.(b) The determination shall not reflect payments for future medical expense in excess of $25,000. (1m) Except as provided in sub. (1t), with respect to any act of malpractice for which a contingency fee arrangement is entered into on and after June 14, 1986, in addition to compensation for the reasonable costs of prosecution of the claim, the compensation determined on a contingency basis and payable to all attorneys acting for one or more plaintiffs or claimants is subject to the following limitations:(a) Except as provided in par. (b), 33 1/3 percent of the first $1,000,000 recovered.(b) Twenty-five percent of the first $1,000,000 recovered if liability is stipulated within 180 days after the date of filing of the original complaint and not later than 60 days before the first day of trial.(c) Twenty percent of any amount in excess of $1,000,000 recovered. (1t) A court may approve attorney fees in excess of the limitations under sub. (1m) upon a showing of exceptional circumstances, including an appeal. (2) An attorney shall offer to charge any client in a malpractice proceeding or action on a per diem or per hour basis. Any such agreement shall be made at the time of the employment of the attorney. An attorney's fee on a per diem or per hour basis is not subject to the limitations under sub. (1) or (1m).History:  1975 c. 37, 199; 1985 a. 340.