Wyoming Medicaid Program Reform and Redesign
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Bill No.: <billno> Drafter: <drafterinit> Bill No.: SF0060 Drafter: JWL LSO No.: 13LSO-0338 Effective Date: 3/15/2013 Enrolled Act No.: SEA0082 Chapter No.: CH0117 Prime Sponsor: Joint Labor, Health & Social Services Interim Committee Catch Title: Medicaid reform. Subject: Authorizes and provides direction to Department of Health for specified Medicaid reforms. Summary/Major Elements: This act directs the Department of Health to proceed with a reform and redesign of the Medicaid program as studied pursuant to 2012 legislation. Significant items to be implemented include: o Incentives for healthy lifestyles, measurable performance outcomes and decreased use of emergency rooms; o Increased managed care with differential tiers of service; o Expansion of prenatal services for all women whose children are likely to be Medicaid-eligible; o Increased fraud prevention; o Use of a capitated payment model instead of fee-for-service; o Increasing the number of waiver clients by offering services based on individual client needs and individual budget amounts; o Replacement whenever possible of high-cost residential services with lower-cost, community-integrated services. The act requires at least two informational meetings for input from clients, guardians and service providers. The act authorizes the department to contract with experts and consultants, and exempts the department from state procurement requirements for purposes of this act. Comments: Status reports required from Department of Health to the Joint Labor, Health & Social Services Interim Committee by October 1, 2013 and October 1, 2014.
Public statements
Last checked Aug 8, 7:30 PM
R · S30
Why they voted this way
The speaker supports adopting the report because it removes a vague amendment that could lead to litigation and replaces it with language that achieves the original intent while creating a better final product.
Why they voted this way
The speaker supports the report because it removes a prescriptive amendment and replaces it with a plan to determine client needs, addressing concerns about adding people to waivers without new funding.
R · S30
Why they voted this way
The lawmaker opposes concurring with the House amendments because a new temporary technical assistance program contains vague language that could be used as grounds for litigation against the state's new system.
R · H03
Why they voted this way
The lawmaker opposes the amendment because he believes adding language requiring legislative approval before implementation will signal a lack of commitment, causing the federal government to refuse to begin negotiations.
Why they voted this way
The lawmaker urges support for the amendment because he is concerned that without it, the bill effectively moves ahead to implement managed care immediately rather than just studying it.
Why they voted this way
The lawmaker urges a vote against the amendment because she believes it will delay the process by a full year and that all necessary questions have already been answered in committee.
Why they voted this way
The lawmaker urges a vote against the amendment because she believes there is still too much uncertainty regarding federal implementation and that the state should wait to see how other programs develop before committing.
H05
Why they voted this way
The lawmaker expresses concern about the amendment because he questions whether the legislature could politically take away insurance from thousands of people if the federal government fails to meet its funding obligations.
R · H37
Why they voted this way
The lawmaker opposes the amendment because he believes it is unnecessary at this time since the governor has already directed the department to continue studying the option.
Why they voted this way
The lawmaker supports the amendment because she believes it saves money, covers uninsured citizens who face life-threatening situations without insurance, and that there is no practical reason to delay.
Why they voted this way
The lawmaker supports the amendment because he views the financial data showing a net gain for the state as compelling evidence that rejecting it would be illogical.
R · H54
Why they voted this way
The lawmaker opposes the amendment because he believes the proposal sounds too good to be true and that Wyoming should exercise caution rather than relying on other states or federal promises.
Wyoming roll calls
10 roll calls
Official activity
Changes
12 stored
Failed 2nd reading by KROEKER
Failed 2nd reading by ZWONITZ,DN
Failed 2nd reading by WILSON
Withdrawn 3rd reading by DAVISON
Adopted Committee of the Whole by DAVISON
Adopted Committee of the Whole by DAVISON
Adopted Committee of the Whole by DAVISON
Withdrawn Committee of the Whole by GREENE
Adopted, Corrected Standing Committee by H10
Adopted Standing Committee by H02
Adopted 2nd reading by CRAFT
Adopted Standing Committee by SCOTT