Wyoming2007Active
HB0166
Wyoming Medicaid Pay for Performance
Last scannedOct 19, 2026, 2:19 AM
In one sentence
This bill directs the state department to create a system where Medicaid providers can earn small extra payments for meeting specific quality standards in areas like well-child care and cancer screenings.
What it does
- Requires the state department to develop and implement a pay-for-performance system for medical service providers.
- Allows providers to earn performance payments if they meet quality standards and improve care for qualified recipients.
- Limits performance payments to no more than 2% of the normal payment for services.
- Requires the plan to provide incentives for well baby and child care, cervical, breast, and colorectal cancer screenings, and prompt aspirin administration for heart attacks.
- Requires participating providers to share outcome measures and performance data with the department as prescribed by rules.
- Requires the department to report to specific legislative committees on the status of the system by November 1, 2007.
- Sets an end date for the program on June 30, 2011.
Who it affects
- Medical service providers who treat Medicaid patients.
- The state department responsible for Medicaid.
- Qualified recipients of Medicaid services.
Limits and unknowns
- The bill was recommended not to pass by the House committee in February 2007.
- The specific quality standards and data requirements are to be determined by the department through rules and regulations, not listed in the bill text.
- The department must negotiate terms with the U.S. Secretary of Health and Human Services, which may affect the final implementation.
Plain language
Terms to know
- Pay for performance
- A system where providers receive extra payments for meeting quality standards and improving care.
- Sunset
- A provision that repeals or ends a law or program on a specific date.
- Waiver
- Permission from the federal government to change standard Medicaid rules, which the department may apply for to implement the plan.
Official record
Sources
Public statements
Why lawmakers voted
Last checked Aug 8, 11:20 PM
Couldn't find a published reason.
Wyoming roll calls
Recorded votes
1 roll call
H10 Recommended Do Not Pass 1-8-0-0-02007-02-28 · House1 yes 8 no
- Yes
- 1
- No
- 8
- Absent
- 0
- Excused
- 0
- Conflict
- 0
Official activity
Bill history
- H10 Recommended Do Not PassHouse
- H Introduced and Referred to H10; No Report Prior to CoW CutoffHouse
- H Received for IntroductionHouse
- Bill Number AssignedLSO