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Protecting Your Interests at the Wisconsin State Capitol
Equipped with one of the most experienced and influential government affairs team in Madison, the WCA tracks every move in the Capitol that might impact Wisconsin chiropractors.
Legislative & Regulatory Issues
We keep our members informed of regulatory changes and advocate on behalf of the entire chiropractic industry on key legislative issues.
The 2019-2020 session of the Wisconsin Legislature began in January and the WCA Government Affairs team is monitoring the following issues affecting chiropractic.
Medicare modernization - The American Chiropractic Association is championing the modernization of Medicare with the introduction of HR 3654 - the Chiropractic Medicare Modernization Act of 2019. This bi-partisan legislation ensures that Americans with Medicare have full coverage of all services provided by their chiropractor.
The WCA Board of Directors voted unanimously to fully support this legislation. The WCA is mobilizing its members and their patients to contact their Congressional representatives to support this bill.
To learn more about HR 3654 including how to contact your congressional representative go to http://www.acatoday.org/.
Online Continuing Education for Wisconsin Chiropractors - The Chiropractic Examining Board (CEB) is developing an administrative rule that would allow Wisconsin chiropractors to obtain some of their required continuing education credits through online courses. The WCA Board of Directors supports online CE. WCA President Dr. Gene Yellen Shiring and WCA Executive Director and CEO John Murray have been working with members of the CEB to develop a rule that allows for online CE while maintaining the quality and integrity standards required by state law. A final rule is expected later in 2019 with implementation expected in 2022.
Workers' Compensation Fee Schedule - A consortium of business groups, led by the state's largest business lobby the Wisconsin Manufacturers and Commerce (WMC), are once again pushing the idea of imposing a medical fee schedule on providers who care for workers injured on the job. The WCA Government Affairs team is very closely monitoring the actions of the Wisconsin Worker's Compensation Advisory Council (WCAC) where this proposals would begin to take shape. WCAC has recommended a Medicare-style fee schedule in past sessions only to have it run into strong opposition from WCA and other health care provider groups. The WCA will oppose a WC fee schedule and any other changes to the current system that would limit access to chiropractic care for patients injured in WC cases.
Governor Evers vetoes Medicaid Reimbursement Increase for chiropractors
As part of his ongoing battle with the Republican-controlled Wisconsin Legislature over accepting additional federal Medicaid funding, Governor Evers vetoed a WCA backed budget provision that increased reimbursement of chiropractors who treat Medicaid patients.
In his budget veto message, Governor Evers provided the following reasons for vetoing this provision:
I am partially vetoing section 126 [as it relates to s. 20.865 (4) (a)] by lining out the amounts under s. 20.865 (4) (a) and writing in smaller amounts that reduce the appropriation by $500,000 GPR in each fiscal year. I object to the appropriation of these funds without the infusion of federal tax dollars and resulting state savings from Medicaid expansion that would have allowed us to make investments like this. Expanding Medicaid to individuals up to 138 percent of the poverty line not only ensures access to affordable, quality coverage for Wisconsinites, it would have allowed a robust investment in our providers in Wisconsin. However, in absence of these critical federal dollars and resulting state savings, the limited resources that remain must be invested in expanding patient care first before we can increase payments to health providers. This partial veto is part of a larger write-down of the Joint Committee on Finance GPR supplemental appropriation. I am requesting the Department of Administration secretary not to allot these funds.
“We are disappointed that our hard fought budget provision was vetoed as part of a larger political battle between the Governor and the Legislature but we will keep working toward payment parity for chiropractors within Medicaid,” said WCA Executive Director John Murray.
Medicaid parity bill being drafted by Rep. Chuck Wichgers
Rep. Chuck Wichgers
At the request of the Wisconsin Chiropractic Association, Rep. Chuck Wichgers (R-Muskego) is drafting legislation that would allow Wisconsin chiropractors to provide more treatment options to their Medicaid patients and require equal payment for same or similar services.
Modeled after legislation introduced in Ohio at the request of the Ohio State Chiropractic Association, the draft legislation would:
- Require the Wisconsin Department of Health Services (DHS) to cover and provide reimbursement for any services provided by a licensed chiropractor acting within their scope of practice.
- Require DHS to reimburse a chiropractor no less than it reimburses a physician providing the same or similar service covered by Medicaid.
- Require managed care organizations with a Medicaid contract to comply with the requirements of the bill.
The plan is to complete the legislative drafting process and introduce the bill before the end of 2019.