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.
HB 0107 – Wyoming
Introduced: 2018 Status: Inactive / Dead
PHARMACY BENEFIT MANAGERS – PROHIBITED PRACTICES: Would prohibit insurers and pharmacy benefit managers from penalizing pharmacy or pharmacist for disclosing to the consumer information about the cost of the prescription drug or the availability of …
HB 110 – Wyoming
Introduced: 2022 Status: Enacted
AN ACT relating to professions and occupations; providing for the licensure of persons practicing behavior analysis; providing licensure exemptions; providing for the suspension or revocation of behavior analysis licenses; providing for criminal history background checks; …
HB 111 – Wyoming
Introduced: 2021 Status: Enacted
AN ACT relating to health care; prohibiting discrimination in the provision of health care services and insurance for organ transplants and related procedures based on a person’s disability; providing definitions; providing for enforcement and authorizing …
HB 117 – Wyoming
Introduced: 2022 Status: Enacted
AN ACT relating to professions and occupations; entering into a compact with other states to allow licensed occupational therapist and licensed occupational therapy assistants licensed in one compact state to exercise a multistate licensure privilege …
HB 14 – Wyoming
Introduced: 2024 Status: Enacted
AN ACT relating to the insurance code; requiring health insurers and contracted utilization review entities to follow prior authorization regulations as specified; providing legislative findings; providing definitions; requiring rulemaking; and providing for effective dates.
Wyo. Stat. § 26-13-104. Home office false advertising prohibited: Unfair Trade Practices Act – Wyoming
Introduced: Status: Enacted
No person shall make in any manner in any advertising or other communication medium any advertisement, announcement or statement containing any assertion, representation or statement with respect to the business of insurance or with respect …
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Wyo. Stat. § 26-13-105. “Twisting” prohibited: Unfair Trade Practices Act – Wyoming
Introduced: Status: Enacted
No person shall make or issue, nor cause to be made or issued, any written or oral statement misrepresenting or making incomplete comparisons as to the terms, conditions or benefits contained in any policy for …
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Wyo. Stat. § 26-13-106. False or misleading financial statements prohibited: Unfair Trade Practices Act – Wyoming
Introduced: Status: Enacted
No person shall file with any supervisory or other public official or in any manner place or cause to be placed before any other person, any false statement of financial condition of an insurer with …
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Wyo. Stat. § 26-13-108. Boycott, coercion and intimidation prohibited; exception: Unfair Trade Practices Act – Wyoming
Introduced: Status: Enacted
No person shall enter into any agreement to commit, or by any concerted action commit, any act of boycott, coercion or intimidation resulting in unreasonable restraint of or any monopoly in any business of insurance, …
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Wyo. Stat. § 26-13-111. Exceptions to provisions on discrimination, rebates and stock inducements: Unfair Trade Practices Act – Wyoming
Introduced: Status: Enacted
Nothing in W.S. 26-13-109 and 26-13-110 includes within the definition of discrimination or rebates any of the practices mentioned in this section.
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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