Latest News

  • Thursday, June 29, 2023 7:24 AM | WiSCA (Administrator)

    Although most of the activity the State Capitol is currently focused on the 2023-25 state budget bill – the state’s two-year spending plan – lawmakers are still working on stand-alone legislation, some of which could impact WISCA members and the surgery center industry in Wisconsin. Fortunately, the WISCA Government Affairs Team – headed by Andy Engel and Caty McDermott from Hamilton Consulting – closely monitor and lobby on legislative proposals important to WISCA.

    However, you can also track the bills and issues WISCA is lobbying on during the 2023-24 legislative session. Please CLICK HERE to review WISCA’s legislative activity on the state of Wisconsin’s Eye on Lobbying website.

  • Thursday, June 29, 2023 7:23 AM | WiSCA (Administrator)

    Earlier this month, the Wisconsin Legislature passed legislation (Assembly Bill 245), which was subsequently signed by Gov. Tony Evers, to eliminate the state’s personal property tax. WISCA considered elimination of the personal property tax a top legislative priority, as the antiquated tax was an unnecessary financial and administrative burden for surgery centers across Wisconsin.

    The personal property tax was initially implemented in the 1830’s, before Wisconsin was a state, to fund the territorial government. At the time, Wisconsin did not have an income or sales tax. Lawmakers have been chipping away at the personal property tax for decades, and the passage of AB 245 – a sweeping bipartisan bill that also provides an increase in state funding to local governments – finally completes the job in abolishing the tax.

    Senator Dan Knodl (R-Germantown), who spearheaded efforts to eliminate the tax, said, “With this legislation signed into law, the personal property tax has been finally eliminated. I have been working towards this moment throughout my time in the legislature and it is such a relief knowing this tax will no longer burden our small business owners.”

    Previously, when a business purchased an item (i.e., personal property), not only did they have to pay sales tax on it, but they also had to pay personal property taxes on the item for as long as they owned it. Under the new law, Wisconsin businesses – including ASCs –  will receive long-overdue tax relief. 

  • Thursday, June 29, 2023 7:20 AM | WiSCA (Administrator)

    Author: Andrew Engel – WISCA Lobbyist (Hamilton Consulting)

    On June 15, JFC approved a motion on the Department of Health Services, including the following provisions:

    • Funds Medicaid cost-to-continue ($113 million GPR in FY 24 and $240 million GPR in FY 25)
    • Increases hospital reimbursement rates ($8.7 million GPR in FY 24 and $17.8 million GPR in FY 25)
    • Increases primary care provider reimbursement rates for evaluation & management procedure codes to 70% of Medicare rates
    • Increases the maximum Disproportionate Share Hospital (DSH) allocation from $47.5 million to $71.6 million
    • Provides parity for chiropractic services to physician rates for all procedure codes for which both a chiropractor and physician are allowed to claim reimbursement
    • Prohibits MA payment for puberty-blocking drugs or gender reassignment surgery
    • Provides $15 million GPR to increase direct care and services portion of MCO cap rates for direct care & services

    The DHS budget motion also included a requirement for Family Care, Partnership and PACE MCOs to report information on their executive leadership salaries and the amounts retrieved by the state under contractual risk corridors. It requires MCOs and DHS to track and annually report to the legislature the total authorized and provided care plan hours by service category and MCO.

    The motion from Republican leaders did not include the 12-month Medicaid extension for postpartum women requested by Gov. Evers and many interest groups. Despite broad bipartisan support, Assembly Republican leadership remains opposed to this policy.

  • Thursday, May 25, 2023 9:09 AM | WiSCA (Administrator)

    WISCA works closely with our national association partner – the Ambulatory Surgery Center Association (ASCA) – on advocacy and other issues important to our members. In fact, the WISCA Government Affairs Team joins a national ASCA state chapter call twice a month for a federal regulatory and legislative briefing and closely follows their published Government Affairs Updates. Here is the latest federal government affairs news from ASCA:

    • COVID-19 Public Health Emergency

    The Biden administration allowed the official declaration of a public health emergency (PHE) due to the COVID-19 pandemic to expire on Thursday, May 11, 2023. Numerous waivers expired along with the PHE declaration, including the Hospitals Without Walls initiative that allowed ASCs to bill as hospitals. About 100 ASCs had enrolled in the program, and ASCA has yet to hear of any facilities that plan on formally enrolling as hospitals.

    ASCA expects the Centers for Medicare & Medicaid Services (CMS) to release more guidance regarding removing survey requirements due to the expiration of the PHE, particularly in its 2024 OPPS/ASC Payment Rule.

    • Medicare Enrollment

    ASCA understands that many facilities are experiencing delays in receiving their initial CMS Certification Numbers (CCN) and Provider Transaction Account Numbers (PTAN). ASCA staff is scheduled to speak with CMS about this issue.

  • Thursday, May 25, 2023 9:04 AM | WiSCA (Administrator)

    Author: By WI Senator Rachael Cabral-Guevara (R-Appleton)

    As a healthcare provider myself, I’ve seen firsthand the dramatic changes the industry has gone through in the last two decades. Digitization, growth in specialty care, and diversification of service models have all helped advance how providers deliver care to patients.

    Then a pandemic hit. This dramatically increased burnout, wore on the mental health of staff, and others simply left because of overburdensome restrictions. As a result, the entire healthcare system is still reeling from historic drops in staffing levels, with the pipeline of students entering the profession not keeping up with demand.

    Hospitals are now relying on traveling nurses, who can come at a cost almost three times as much as nursing staff. Nursing homes, who were struggling to recruit before the pandemic, are now closing entire wings of their facilities. Meanwhile, the shortage of providers in rural areas remains an issue and the pace of attracting professionals to Wisconsin has been slow.

    What can be done? As chair of the Senate Committee on Health this session, I’ve made it my mission to address these workforce issues head-on. There is no “silver bullet” solution–both investment and regulatory reform is necessary to improve Wisconsin’s nation-leading healthcare system.

    I’m focused on three specific areas to achieve this:

    • Boosting the attractiveness of healthcare professions to students. By highlighting healthcare professions and the rewarding nature of care, we can and should do a better job encouraging internships and other work-based learning programs for students to be exposed to healthcare. We also have opportunities to offer some loan forgiveness for our highest-need professions, reducing the financial burden on those who wish to pursue a career in the field.

    • Streamlining the school-to-work pipeline. I’ve proposed letting students who have completed their education and training to enter the workforce without waiting on a bureaucratic process that–in some cases–can last months. This would keep students here after college, allow them to enter the workforce immediately, and so long as their employer consents, start treating patients.

    • Allowing healthcare professionals to practice at the full extent of their scope. This includes our nurses, who are now operating in an environment that hinders their ability to practice independently. By unleashing this group of healthcare professionals, we can help solve two issues: attract more nurses to Wisconsin (which is desperately needed) and expand the pool of providers able to set up shop in areas that need it most.

    Though we can and should do more than this, we need to start somewhere. This is our opportunity to break down barriers, build a robust patient-focused system, and deliver more accessible care to Wisconsinites.

    Let’s keep moving forward!

    Sen. Rachael Cabral-Guevara (R-Appleton) served one term in the state assembly and currently represents the 19th Senate District in the Wisconsin State Senate. She serves as chair for the Senate Committee on Health and Vice Chair for the Senate Committee on Mental Health, Substance Abuse Prevention, Children, and Families.

  • Thursday, May 25, 2023 9:02 AM | WiSCA (Administrator)

    The 2023-24 legislative session is in full swing, and although the state budget bill is consuming most of the attention and activity in the State Capitol, numerous stand-alone bills are being introduced and considered by lawmakers. The WISCA Government Affairs Team – helmed by Andy Engel at Hamilton Consulting – is actively lobbying on legislation of interest to WISCA members.

    Members can follow the activity in the Capitol with the WISCA Legislative Tracker that provides key information on the bills WISCA is working on under the Capitol dome. The Bill Tracker, which you can find below, includes the bill number, a description of the bill, its status, and WISCA’s position on the proposal:

    ·        Bill: Assembly Bill 144 / Senate Bill 158

    • Description: This legislation, which aims to expedite occupational licensing in Wisconsin, would require the state to grant preliminary occupational credentials to health care professionals. More specifically, the bill requires the Department of Safety and Professional Services to grant a preliminary credential to an individual who has met all the requirements for a permanent credential, including having completed all education, training, and supervised experience requirements. In addition, an applicant for a preliminary license must also: 1.) Attest that they do not have a disqualifying arrest or conviction record; 2.) Verify that the position they have been hired for is within the scope of their practice; and 3.) Confirm that they have applied for a permanent credential. Finally, the health care employer that hired the applicant must verify that the individual has – to the best of the health care employer's knowledge – completed the required education, training, and supervised experience necessary for a permanent credential. 

    ·     Status: AB 144 was introduced and referred to the Assembly Regulatory Licensing Reform Committee. The committee held a public hearing on the bill on 04/12/23. SB 158 was introduced and referred to the Senate Committee on Licensing, Constitution, and Federalism.

    ·     WAO Position: SUPPORT

    The WISCA Government Affairs Team  is also closely watching legislation (AB 245 / SB 301) to eliminate the personal property tax in Wisconsin. The proposal, which is supported by WISCA, was passed by the full Assembly and is under further consideration by the Senate.

    WISCA will continue to monitor these proposals and report back to the membership on their status in future editions of the WISCA Advocacy Newsletter.

  • Thursday, May 25, 2023 9:00 AM | WiSCA (Administrator)

    Author: Andrew Engel - WISCA Lobbyist (Hamilton Consulting)

    Several legislators have authored a bill to create hospital price transparency requirements in Wisconsin. The authors, Sens. Felzkowski (R-Irma) and Bradley (R-Franklin) and Reps. Brooks (R-Saukville) and Rozar (R-Marshfield), are referring to the legislation as the “Know Your Healthcare Costs Act.”

    The bill, which would NOT apply to ASCs, requires hospitals to create a publicly available, machine-readable digital file containing a list of standard charges for certain items and services, and a consumer-friendly list of standard charges for “shoppable services.” These lists of standard charges must be made publicly, readily available on the hospital’s website and to internet search engines, and periodically updated.

    The requirements are very similar to federal price transparency rules enacted in 2021, but with additional state-level enforcement provisions and penalties. Notably, the bill directs the Department of Health Services to levy daily fines against a noncompliant hospital. Similar legislation has been enacted on a bipartisan basis in Texas and Colorado.

    Some observers have criticized the federal rules for a lack of “teeth,” so to speak, with insignificant penalties and a lack of enforcement against hospitals that fail to comply. Sen. Felzkowski has said that any hospital complying with the federal rules would be in compliance with her legislation.

    A “shoppable service” refers to a nonemergency service that a hospital can schedule in advance, as opposed to emergency and acute care services. According to one estimate, cited by the bill’s authors, about 80 percent of healthcare goods and services are shoppable.

    Wisconsin Manufacturers and Commerce, the state’s chamber of commerce and largest business association, released a statement in support of the bill: “Informed health care consumers create a competitive market. Therefore, it is vitally important for employers and their employees to have access to transparent and easily understood medical cost data.” The statement also notes that Wisconsin has the fourth highest hospital costs in the nation.

    This week, a coalition of free-market policy advocates published a letter to legislators encouraging them to support the bill. The coalition includes the Wisconsin Institute for Law & Liberty (WILL), Institute for Reforming Government, Cicero Institute, Opportunity Solutions Project, Americans for Prosperity, and Badger Institute.

    In October of last year, WILL released a report calling for the enactment of price transparency requirements in Wisconsin. For example, WILL found that a typical CT scan can cost anywhere from $858 to $2,803 in Wisconsin. The report notes that the rise of high-deductible health plans has incentivized many healthcare consumers to compare providers and choose those offering lower prices.

    The Wisconsin Hospital Association is opposed to the bill.

  • Wednesday, May 10, 2023 7:20 AM | WiSCA (Administrator)

    WISCA President Amanda Sosnosky provided freshman state lawmaker Rep. Nate Gustafson (R-Neenah) with a tour of the Orthopedic Surgery Center of the Fox Valley.  In addition to a tour of the facility, there was great conversation about the benefits of patient care in an ACS setting, as well as some of the regulatory and workforce challenges faced by the industry.

  • Wednesday, March 29, 2023 6:24 AM | WiSCA (Administrator)

    The next deadline for submitting Ambulatory Surgical Center Quality Reporting (ASCQR) Program data for several measures is Monday, May 15.  ASCs must submit 2022 data via the Hospital Quality Reporting secure portal for ASC-9: Endoscopy/Polyp Surveillance: Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients, ASC-13: Normothermia and ASC-14: Unplanned Anterior Vitrectomy. In addition, the next quarterly data submission deadline for ASC-20: COVID-19 Vaccination Coverage Among Health Care Personnel is also Monday, May 15, and covers the data collected in the fourth quarter of 2022, October 1 through December 31. For ASC-20, facilities must select one week per month on which to report to meet the quarterly submission requirement.

    The ASCQR Program provides a Web-Based Measure Status Listing that allows facilities to check their data submission status for web-based measures in the program. Enter your ASC’s NPI or CCN in the ASC Facility and CCN Lookup section to see your facility’s submission status. ASCs that fail to meet ASCQR Program requirements are subject to a 2 percent cut to their fee-for-service (FFS) Medicare reimbursements. ASCA has resources available to help, starting with the main Quality Reporting webpage. To ensure you are ready for compliance in 2023, the “How to Meet Medicare’s 2023 ASC Quality Reporting (ASCQR) Program Requirements” resource takes you through the measures that remain in the program for 2023 and what you need to do to avoid penalties in 2024. Additional resources, including the ASCQR Program Specifications Manual, are available on the ASCQR Program website. If you have questions, contact the ASCQR Program Support Contractor at 866.800.8756 or through the Quality Question and Answer Tool.

  • Thursday, March 23, 2023 12:44 PM | WiSCA (Administrator)

    Sign-up to host a legislative tour of your ASC

    With the 2023-24 legislative well underway – and legislators busy at work on critical health care policy – it is more important than ever for WISCA members to strengthen their relationships with their state lawmakers and educate them on the ASC model of care, the regulatory challenges we face, and the legislative solutions we need to increase access to affordable, quality care provided in the ASC setting. Rember, decisions state legislators make in the Capitol building can have a significant impact on the ASC industry, your organization, and your profession.

    One of the best ways you – as a  WISCA member— can engage your local legislators is to invite them to tour your ASCs to illustrate firsthand the many benefits of surgery center care. These visits provide a tremendous advocacy opportunity, which is why WISCA members across the state have already hosted numerous successful legislative tours. But we need to maintain the enthusiasm for this critical grassroots advocacy program, and WISCA is excited and ready to set-up additional tours today.

    If you would like to host a legislative tour at your site, please contact the WISCA office at We will work with you and your legislators to coordinate the meetings and will provide participating members with full support, including legislator bios, advocacy tips, issue briefings, and supporting documents.   

Association of Wisconsin Surgery Centers
563 Carter Court, Suite B Kimberly WI 54136
920-560-5627 I

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