Medicaid expansion study.

Wyoming's SF 146 requires state departments to study the potential costs and benefits of expanding Medicaid, directly affecting state agencies (insurance, family services, health, and library) and future policy decisions. The study must analyze enrollment demographics, provider reimbursement impacts (including hospitals and physicians), administrative costs, income cliffs in welfare programs, and compare findings to previous studies and Oregon's Medicaid expansion experience. It mandates specific cost breakdowns showing federal vs. state expenses under different federal match scenarios (90% vs. 50% for benefits) and includes health status impact analysis based on academic literature. The bill does not expand Medicaid but provides a framework for evaluating such a change.