Wyoming

SUMMARY

Wyoming was one of the first states to enact a law to allow out-of-state regulated insurers to sell insurance products domestically in an attempt to increase competition and decrease the cost of entering the new market. Although Wyoming has made limited strides in health care cost transparency, the Wyoming Hospital Association has attempted to fill in the gap by offering a price disclosure database for its hospitals online. A coalition of Wyoming employers is also interested in obtaining charge data across all insureds in order to better negotiate rates directly with providers.

LEGISLATION/REGULATION

Legislative Calendar

Wyoming’s current regular legislative has ended for 2017.

 

Recent Legislative Developments

Healthcare Transparency

  • None identified.

 

Healthcare Cost

  • None identified.

 

Healthcare Markets

  • None identified.

 

Key Statutes

Healthcare Markets

 

  • Stat. Ann. § 26-18-201 through 208 directs the insurance commissioner to identify five states with insurance laws similar to Wyoming for the purpose of creating a “multi-state consortium with reciprocity agreements for [the] approval, offer, sale, rating, including medical underwriting, renewal and issuance of individual medical and surgical health insurance policies.” The legislature expects that by combining the population of several states under one regulator, insurance companies will be able to introduce lower cost products to residents.

 

  • Stat. Ann. 26-18-301 through 307 mandates that the insurance commissioner shall approve for sale in Wyoming any individual or small employer health insurance policy or high deductible plan that is currently approved for issuance in another state provided that the insurance company subjects itself to Wyoming’s regulatory authority and conforms with the strictures of that article. Presumptively, this act will increase the number of options available to Wyoming consumers.

 

 

  • Stat. Ann. § 26-34-134 regarding Health Maintenance Organizations, requires that a provider willing to meet the established terms and conditions required of any provider interested in entering into an agreement to furnish healthcare services to enrollees in the HMO cannot be excluded. The terms and conditions cannot discriminate against a provider on the basis of an inability to provide specified health services within the entire HMO service area.

 

  • Stat. Ann. § 26-43-113 Wyoming operates a high risk pool called the Wyoming Health Insurance Pool to provide health insurance to residents who are denied health insurance. The Pool is statutorily slated to terminate on June 30, 2015. Premium rates for the high risk pool are frozen pursuant to SB 84, enacted & signed by the governor as Chapter No. 113, 3/1/2013, for the period beginning July 1, 2013 through June 30, 2015.

 

LITIGATION/ENFORCEMENT 

  • None identified.

 

KEY RESOURCES

Wyoming State Legislature

Wyoming Office of the Attorney General

Wyoming Department of Insurance