July 27, 2018
Wisconsin's 12th Senate District contains communities in Florence, Forest, Langlade, Lincoln, Marathon, Marinette, Menominee, Oconto, Oneida, Shawano, and Vilas Counties.

Committee Assignments:
  • Joint Committee on Finance
  • Sporting Heritage, Mining, and Forestry Committee (Chair)
  • Agriculture, Small Business, and Tourism Committee (Vice-Chair)
  • Revenue, Financial Institutions, and Rural Issues Committee
  • Joint Survey Committee on Tax Exemptions
Direct Primary Care

I mentioned in a previous update that the legislature has begun holding study committees on a variety of topics. On Tuesday, the Legislative Council Study Committee on Direct Primary Care (DPC) held its first meeting. Direct primary care is an emerging form of health care delivery and payment model. Under a DPC model, a patient generally pays a monthly or annual fee to a physician in return for all or most primary care services including clinical, laboratory, and consultative services, and care coordination and comprehensive care management. No claims are sent to insurance providers which generally keeps prices low. 
Legislative Study Committee on Direct Primary Care
The Study Committee's official direction is to review the emergence of DPC as a healthcare delivery option and assess its potential impact on the healthcare delivery system and health outcomes in the state. The committee will recommend legislation regarding requirements for direct primary care arrangements in the private market. In addition, the committee is directed to review options for incorporation of direct primary care arrangements into the fee-for-service and managed-care parts of the Medical Assistance (MA) program and assess its potential impact on the functionality, efficiency, and effectiveness of service delivery and health outcomes in both parts of the MA program. The committee will recommend legislation regarding a direct primary care pilot in the MA program, including an evaluation of the impact of the pilot on service delivery and health outcomes for participating individuals and the MA program as a whole.

DPC legislation was introduced last legislative session by Senator Chris Kapenga and Representative Joe Sanfelippo.

On Tuesday, the committee began with an overview from three DPC providers. The presenters included:
  • Dr. Steve Bondow (MD), DPC Physician, BondowMD Direct, Delafield, WI.
  • Dr. Philip Eskew (DO, JD, MBA), DPC Physician and Attorney, Corizon Health,
    DPC Frontier, Proactive MD, DPC Coalition, Torrington, WY.
  • Dr. Joshua Umbehr (MD), DPC Physician, Atlas MD Concierge Family Practice and
    Atlas CRM, LLC, Bel Aire, KS.
Legislative Council then gave a brief overview of the committee assignments which was followed by a presentation from two members of the UW Population Health Institute and the director of the Wisconsin Council on Medical Education and Workforce.

The Office of the Commissioner of Insurance gave the final presentation of the day. The presenters explained how DPC fits into the current regulatory framework for insurance.

If you would like more information on the DPC study committee, please click here. Our next meeting will take place August 29th. 
Survey Results

A few months ago, I sent out my spring legislative survey. Over the next few weeks I plan on reporting back the results from the responses we have received. We received over 1,100 responses which is 300 more than the last legislative survey I sent out.

Today we will start with the first question on the survey which asked where Wisconsin should devote its budget surplus.
As you can see, property tax relief was the leading response with additional transportation funding coming in second. K-12 education was the third most popular response followed by income tax cut, higher education, and finally putting more money away into the rainy day fund. 

*Percentages do not add up to 100% due to an additional "other" option that wasn't included
Mother Breaks Daughter's Fish Record

Brenda Carter is the state's newest state fish record holder but the lifelong angler is finding the honor a tad bittersweet: she broke the catch and release record for pumpkinseed set a year ago by her daughter, Erika Carter.

"You never plan to catch something that big," she says. "It's a gift.

"That record was not something that was a goal for me. Erika goes to UW-Stevens Point for fisheries and she was very excited to have set the record."

Yet when mother and daughter were fishing July 3 on Lake Noquebay in Marinette County and mom hauled in the 9-inch pumpkinseed, Erika was the one encouraging her mother to see if it was a record fish.

"She was looking up record requirements online while I was measuring the fish," Brenda Carter says. "We thought we had to beat the record by one-half inch but Erika saw we only needed to beat it by one-quarter inch, and my fish did. She encouraged me to fill out the paperwork and send it in to get the record."

The Carters caught their two record pumpkinseeds on the same water, where the family owns a cabin, a year and a day apart. Brenda was fishing with Erika in 2017 when she caught her record pumpkinseed.

"It was one of those weird things," Brenda Carter says. "My daughter says (her mom setting the new fish record) gives her a goal to shoot for. It could be by the end of the summer. We hope to catch a bigger one someday!"

The state fish records and their new owners are listed. To see more state fish records and to learn what to do if you think you've caught a record fish, go to and search "record fish."
Brenda and Ericka Carter showing off their record fish (Photo courtesy of DNR)
Need ID?

 The Wisconsin 2018 partisan primary is weeks away and the Wisconsin Department of Transportation Division of Motor Vehicles (DMV) wants to be sure people know how to obtain identification, free of charge, that is valid for voting.

Most persons already have valid identification for voting purposes (driver license, identification card, military or student ID card, passport, etc.). There is no separate “voter ID.” Anyone unsure if their identification meets the requirements should visit the Wisconsin Elections Commission website to check.

For persons who need identification to show at the polls for voting, DMV offers free Wisconsin IDs and has a process, called Voter ID Petition Process, if the required documents needed for an ID are not readily available. This process, available free of charge, can be used to quickly obtain a receipt valid to take to the polls for voting while the remaining documents or verifications are obtained. A list of the required documents is available at

Anyone with questions related to obtaining an ID to vote should call DMV’s Voter ID hotline at (844) 588-1069. Any questions regarding voter eligibility, poll locations, voter registration information or other election information should be directed to the Wisconsin Elections Commission at

Start now at or at a local DMV Customer Service Center. To find a DMV, check hours, services and wait times, visit\centers.
District 12 Events
Start Date Upcoming Event Location
July 25 - 29 Langlade County Youth Fair Antigo
July 27-29 Phelps Men's Softball Tournament Phelps
July 27-29 Northwoods Art Tour
July 28 Forest Fest Eagle River
July 28 Kentuck Day Festival Crandon
August 1-4 Antique Outboard and Motor Show Tomahawk
August 2 MASH Blood Drive Merrill
August 2 After Loon Delight Craft Show Minocqua
August 3 8th Annual Open House at Trout Lake Station Boulder Junction
August 3-4 Eagle River Antique Show & Sale Eagle River
August 3-4 Bowler Bash Bowler
August 3-4 Pig in the Pines: Bacon, BBQ & Bands St. Germain
August 3-4 Presque Isle's Oktoberfest in August Presque Isle
August 4 Lakewood Arts and Crafts Show Lakewood
August 4 Normal Park Craft Festival Merrill
August 4 Phelps Fireman's Pig Roast and Picnic Phelps
August 4 Wabeno Art & Music Festival Wabeno
August 4 Lions Club Annual Community Soup Laona
August 4 Stovewood Daze Jennings
August 2-5 Oneida County Fair Rhinelander
August 4-5 Annual Arbor Vitae Firemen's Picnic Arbor Vitae
August 5 Hazelhurst Lions Pancake Breakfast Hazelhurst
August 18-19 Hazelhurst Flea Market Hazelhurst
August 19 Classic Car Show Hazelhurst
August 28 Blood Drive Hazelhurst
Contact Me:
Mail: Senator Tom Tiffany, PO Box 7882, Madison, WI, 53707
Phone: (608) 266-2509  Fax: (608) 282-3552
As always, if you have any events for our calendar, comments or thoughts regarding the subjects of this newsletter, please feel free to contact me.
Copyright © 2018 Office of State Senator Tom Tiffany, All rights reserved.

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