Overview
Wyoming was one of the first states to permit out-of-state regulated insurers to sell insurance products domestically to increase competition and decrease the cost to enter the market. Wyoming also requires studies of high hospital costs in the state, loss of medical services, and the use of out-of-state providers. While this statutory-mandated study is not yet complete, Wyoming Hospital Association attempts to compensate by offering an online price disclosure database for its hospitals. A coalition of Wyoming employers is also interested in obtaining charge data across all insured in order to better negotiate rates directly with providers. Additionally, the state adopted a resolution in support of promoting health care billing transparency, health savings accounts, and more.
In market consolidation oversight, Wyoming requires notification of nonprofit hospital mergers to the Attorney General. Additionally, the state requires approval of general nonprofit corporation mergers, as well as court approval of nonprofit hospitals mergers.
For 2024, Wyoming passed two pieces of key healthcare legislation. HB14 requires health insurers and contracted utilization review entities to follow prior authorization regulations, and includes transparency requirements, minimum qualifications for who can make adverse determinations, and provider exemptions from prior authorization requirements. The state also passed SF100, requiring swift payment of clean claims made by pharmacies.
See below for an overview of existing Wyoming state mandates. Click on citation tab for detailed information of specific statutes (click link to download statute text).
State Action
Latest Legislative Session: 1/10/2023 - 3/3/2023 (2023 term). *Current session bill updates are ongoing. Check back weekly for updates.
SB 100 – Wyoming
Introduced: 2024 Status: Enacted
AN ACT relating to the insurance code; providing regulations for payment of claims from insurers or the insurer’s intermediary to pharmacies; providing definitions; requiring rulemaking; providing applicability; and providing for effective dates.
SB 35 – Wyoming
Introduced: 2020 Status: Inactive / Dead
Health care claims database reporting. AN ACT relating to health care; requiring the reporting of state of Wyoming employee health care claims data as specified; providing conditions; providing a sunset date; and providing for an …
SB 38 – Wyoming
Introduced: 2020 Status: Enacted
Health insurance costs-bundled payment study. AN ACT relating to state health insurance; requiring the department of administration and information to study and make recommendations for bundled payments to health care providers under the state employees’ …
SF 0075 – Wyoming
Introduced: 2018 Status: Enacted
PRESCRIPTION DRUGS AUTHORIZATION OF INTERCHANGEABLE BIOLOGICAL PRODUCTS: Would permit a pharmacist to substitute an interchangeable biological for the prescribed original biologic product or substitute the generic equivalent of a prescribed pharmaceutical, unless the prescriber has …
SF 09 – Wyoming
Introduced: 2018 Status: Enacted
HEALTH INSURANCE MARKETS: Allows foreign insurers to seek authority to write lines of insurance if, in the commissioner’s opinion adequate provisions do not already exist within state markets, or adequate competition does not exist between …
Wyo. Stat. § 17-19-1101. Approval of plan of merger: Wyoming Nonprofit Corporation Act – Wyoming
Introduced: Status: Enacted
Subject to the limitations set forth in W.S. 17-19-1102, one (1) or more nonprofit corporations may merge into a business or nonprofit corporation, if the plan of merger is approved as provided in W.S. 17-19-1103.
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Wyo. Stat. § 17-19-1102. Limitations on mergers by public benefit or religious corporations: Wyoming Nonprofit Corporation Act – Wyoming
Introduced: Status: Enacted
Without the prior approval of a district court in a proceeding which the secretary of state has been given written notice, a public benefit or religious corporation may merge only with certain entities. Without the …
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Wyo. Stat. § 17-19-1106. Merger with foreign corporation: Wyoming Nonprofit Corporation Act – Wyoming
Introduced: Status: Enacted
Except as provided in W.S. 17-19-1102, one (1) or more foreign business or nonprofit corporations may merge with one (1) or more domestic nonprofit corporations if certain conditions are satisfied.
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Wyo. Stat. § 17-19-1108. Merger with a governmental subdivision: Wyoming Nonprofit Corporation Act – Wyoming
Introduced: Status: Enacted
Except for W.S. 17-19-1102, this article does not apply if a public benefit, mutual benefit or religious corporation merges with a governmental subdivision.
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Wyo. Stat. § 17-19-1111. Limitations on consolidations by public benefit or religious corporations: Wyoming Nonprofit Corporation Act – Wyoming
Introduced: Status: Enacted
Without the prior approval of the district court in a proceeding which the secretary of state has been given written notice, a public benefit or religious corporation may consolidate only with certain entities. Without the …
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Additional Resources
STATE BUDGET
Wyoming has a biennial budget cycle that begins in July. Wyoming adopted its 2019-2020 budget during the 2018 legislative session. To view Wyoming’s FY 2019-2020 Budget, click here.
KEY RESOURCES
Wyoming Office of the Attorney General
Wyoming Department of Insurance