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. § 26-13-114. Securities operations and advisory board contracts as insurance inducement prohibited: Unfair Trade Practices Act – Wyoming
Introduced: Status: Enacted
No insurer or other person shall offer, issue or deliver or permit its agents, officers or employees to offer, issue or deliver, in this or any other state, agency company stock or other capital stock, …
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Wyo. Stat. § 26-13-115. Desist orders by commissioner; appeal; violation of order: Unfair Trade Practices Act – Wyoming
Introduced: Status: Enacted
If the commissioner finds that any person in this state, after a hearing in which the person is notified of the hearing and the charges against him, has engaged or is engaging in any act …
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Wyo. Stat. § 26-13-116. Procedures for undefined deceptive practices: Unfair Trade Practices Act – Wyoming
Introduced: Status: Enacted
If the commissioner’s report charges a violation of this chapter and if the method of competition, act or practice is not discontinued, the commissioner, through the attorney general, at any time after service of the …
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Wyo. Stat. § 26-13-119. Interlocking ownership and management: Unfair Trade Practices Act – Wyoming
Introduced: Status: Enacted
Any insurer may retain, invest in or acquire the whole or any part of the capital stock of any other insurer, or have a common management with any other insurer unless by reason thereof the …
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Wyo. Stat. § 26-13-121. Illegal dealing in premiums; excess charges for insurance: Unfair Trade Practices Act – Wyoming
Introduced: Status: Enacted
No person shall willfully collect any sum as premium or charge for insurance in excess of the premium or charge applicable to the insurance. Additionally, in cases where classifications, premiums or rates are not required …
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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