Healthcare

HB 117 requires Wyoming abortion providers to obtain written informed consent before performing an elective abortion, ensuring patients receive complete information about the procedure and alternatives. The bill defines coercion (e.g., threatening job loss, scholarship revocation, or physical harm) as a violation, allowing women harmed by negligent or non-consensual abortions to sue providers. It creates civil liability for providers who fail to verify consent or knowingly perform abortions under coercion. The law applies directly to abortion providers and patients in Wyoming, focusing on preventing coercion through legal accountability.

Wyoming's SF 19 allows schools to stock and administer epinephrine using auto-injectors, nasal sprays, or other FDA-approved devices for severe allergic reactions without requiring a student-specific prescription. It directly affects schools, school nurses, and trained staff by enabling them to provide emergency treatment to students experiencing anaphylaxis. The bill requires schools to develop allergy management guidelines, track incidents, and maintain records of trained personnel, while also providing liability protection for good-faith administration (excluding gross negligence). It updates definitions to include all approved epinephrine delivery methods and specifies that administering stock epinephrine does not constitute the practice of medicine.

This Wyoming bill (SF 122) shortens deadlines for health insurers and independent review organizations to evaluate whether medical services are necessary. It reduces the insurer review period from 45 to 21 days and requires external review organizations to complete decisions within 21 days of receiving a request. The changes directly affect health insurers, patients (claimants), and independent review organizations handling coverage disputes. The bill takes effect July 1, 2026, and does not alter coverage criteria, only the timing for decisions.

This bill updates Wyoming's Medicaid eligibility rules by codifying current state criteria into law. It directly affects individuals applying for Wyoming Medicaid, requiring applicants to be U.S. citizens or lawfully present, Wyoming residents, and meet one of several specific criteria (such as disability, supplemental security income eligibility, hospice care, or tuberculosis infection). The bill prevents Medicaid expansion beyond current eligibility levels as of July 1, 2026, without legislative approval. The Department of Health must finalize implementing rules by October 1, 2026, and the new rules apply to applications submitted or renewed on or after July 1, 2027.

This bill allows Wyoming's county memorial hospitals and hospital districts to file for bankruptcy under a process designed for local governments (Chapter 9 of the U.S. Bankruptcy Code) to address debt challenges without dissolving the hospital. County memorial hospitals must get approval from the county commissioners before filing, while hospital districts must publicly post their bankruptcy plan for seven days and hold a public meeting before trustees vote. Hospital districts no longer require a vote of the public to initiate bankruptcy proceedings. The changes take effect on July 1, 2026.

HB 4 would add birthing center services to Wyoming's Medicaid program, allowing Medicaid to cover care provided by qualifying birthing centers. This directly affects Medicaid recipients who use birthing centers and the centers themselves, which must meet state definitions under existing law. The bill amends the Medicaid coverage list to include these services, effective July 1, 2026. This change expands access to Medicaid-covered birth services beyond traditional hospitals.