Why they voted this way
The speaker supports the bill because it allows for a gradual transition to new case management standards and permits exceptions in areas with few providers.
Public statementFloor statement at 32:05 Watch the statement
Wyoming2014Enacted
HB0169
Medicaid Waiver Case Management System
Last scannedOct 18, 2026, 2:19 AM
In one sentence
This law allows the Wyoming Department of Health to apply for federal waivers to modify conflict-of-interest rules for case management in rural and frontier areas while protecting existing client relationships.
What it does
- Allows the Department of Health to apply for waivers or permissions to allow exceptions to federal conflict-free case management definitions for rural and frontier areas.
- Requires the department to implement a system using a neutral third party to ensure no conflicts of interest exist.
- Allows the department to phase in the independent case management system over time, consistent with federal law.
- Permits an individual or agency to provide both case management and direct services to specific clients if the services are provided under conflict-free circumstances.
- Requires a three-year transition period for updated case manager educational standards and allows credit for prior case manager experience.
- Ensures that the conflict-of-interest requirement does not affect any client-case manager relationship that existed on or before July 1, 2014, and has been continuously maintained.
Who it affects
- The Wyoming Department of Health.
- Case managers working in Medicaid waiver programs.
- Clients in developmental disability and acquired brain injury waiver programs.
- Individuals or agencies providing case management or direct services in rural and frontier areas.
Limits and unknowns
- The department is allowed, but not required, to apply for these waivers.
- The waivers must be approved by the Center for Medicare and Medicaid Services.
- The rules must remain consistent with federal law.
Plain language
Terms to know
- Conflict of interest
- A situation where a person or agency has competing interests that could affect their professional judgment, such as providing both management and direct care.
- Waiver
- Official permission from a higher authority to ignore or change a specific rule.
- Neutral third party
- An outside organization that is not involved in providing services, used to check for fairness and conflicts.
Official record
Sources
Read the official summary
Bill No.: <billno> Drafter: <drafterinit> Bill No.: HB0169 Drafter: LGC LSO No.: 14LSO-0419 Effective Date: 7/1/2014 Enrolled Act No.: HEA0058 Chapter No.: CH0045 Prime Sponsor: Representative Davison Catch Title: Medicaid waiver programs-case management system. Subject: Medicaid waiver programs. Summary/Major Elements: In 2013, the legislature passed Medicaid reform which required the department of health to provide for a case management system for the developmental disability waiver program that is free of conflicts of interest. This bill amends the conflict of interest requirement to ensure that the requirement will not be administered to affect any client case manager relationship existing and continuously maintained on or before July 1, 2014. The bill directs the department to apply for waivers or permissions to allow exceptions to federal conflict free case management definitions for rural areas.
Public statements
Why lawmakers voted
Last checked Aug 7, 6:18 AM
Why they voted this way
The lawmaker supports the amendment because it ensures trained case managers remain in their jobs and do not leave the state.
Public statementFloor statement at 1:13:45 Watch the statement
Lee Filer
D · H12
Why they voted this way
The lawmaker supports the amendment to prevent losing federal funding for case management and to ensure clients retain their familiar case managers who work with families.
Public statementFloor statement at 1:14:06 Watch the statement
Why they voted this way
The lawmaker opposes Division 2 because setting a future date for grandfathering creates a perverse incentive to sign up just before that deadline, which contradicts best practices.
Public statementFloor statement at 1:18:57 Watch the statement
Why they voted this way
The lawmaker supports keeping the July 1st date to provide a clear model for case managers and providers, arguing that changing it would disrupt their planning.
Public statementFloor statement at 1:20:09 Watch the statement
Why they voted this way
The lawmaker supports the amendment because it provides clarity and allows existing case managers time for preparation and planning regarding their relationships.
Public statementFloor statement at 1:21:44 Watch the statement
Why they voted this way
The lawmaker states her son is in the program and would lose his current case manager if the bill does not pass, as state rules currently prevent a provider from also acting as a case manager.
Public statementFloor statement at 57:30 Watch the statement
Why they voted this way
The lawmaker opposes the bill, stating that federal CMS directives require a conflict-free system to prevent fraud where providers direct people to services they profit from.
Public statementFloor statement at 58:14 Watch the statement
Why they voted this way
The lawmaker supports the amendment, arguing that in Wyoming's small community where everyone is related, having someone involved with a program makes it work better.
Public statementFloor statement at 59:43 Watch the statement
If a lawmaker is not listed, we couldn't find a published reason.
Wyoming roll calls
Recorded votes
6 roll calls
H Did Concur 55-4-1-0-02014-03-05 · House55 yes 4 no
- Yes
- 55
- No
- 4
- Absent
- 0
- Excused
- 1
- Conflict
- 0
Yes 55
Albert P Sommers Jr.H20Allen M JaggiH19Carl R LoucksH59Catherine R ConnollyH13Dan R KirkbrideH04David E NorthrupH50David H BlevinsH25David R MillerH55Dn.Donald E Burkhart JrH15Elaine HarveyH26Eric BarlowR · H03Garry C PiiparinenH49Gerald GayH36Glenn W MonizH46Gregory R BlikreH53Hans HuntH02James W ByrdH44Jerry D PaxtonH47John C EklundH10John L FreemanH60John W PattonH29Katherine K ColemanH30Kathleen DavisonH18Keith M GingeryH23Ken A EsquibelH41Kendell R KroekerH35Kermit C BrownH14Lee FilerD · H12Lloyd LarsenR · H54Lynn HutchingsR · H42Mark SemlekH01Mary A ThroneH11Matt TeetersH05Michael D GreearH27Michael K MaddenH40Nathan A WintersH28Nicholas BNorine A KasperikH32Richard L CannadyH06Rita CampbellH34Rosie M BergerH51Ruth A PetroffH16Samuel P KroneH24Stanley L BlakeH39Stephen D WattH17Steve HarshmanR · H37Susan S WilsonH07Thomas A LockhartH57Thomas F ReederH58Thomas J WaltersH38Timothy M StubsonH56Troy R MaderH52W. Patrick P GogglesH33Zwonitzer
Excused 1
S Passed 3rd Reading 26-4-0-0-02014-03-05 · Senate26 yes 4 no
- Yes
- 26
- No
- 4
- Absent
- 0
- Excused
- 0
- Conflict
- 0
Yes 26
Anderson JL S28Bernadine CraftS12Bill LandenR · S27Cale CaseR · S25Charles ScottR · S30Chris RothfussD · S09Curtis MeierS03Dan DockstaderR · S16Drew A PerkinsS29Eli D BeboutS26Floyd EsquibelS08Fred M EmerichS05Henry R CoeS18John C SchifferS22John HastertS13John J HinesS23Leland G ChristensenS17Leslie J NuttingS07Michael J Mr. Von FlaternS24Nicholas POgden DriskillR · S01Paul R BarnardS15Ray R PetersonS19Stan CooperS14Tony RossS04Wayne H JohnsonS06
S10 Recommended Do Pass 4-1-0-0-02014-02-28 · Senate4 yes 1 no
- Yes
- 4
- No
- 1
- Absent
- 0
- Excused
- 0
- Conflict
- 0
H Passed 3rd Reading 56-3-1-0-02014-02-24 · House56 yes 3 no
- Yes
- 56
- No
- 3
- Absent
- 0
- Excused
- 1
- Conflict
- 0
Yes 56
Albert P Sommers Jr.H20Allen M JaggiH19Carl R LoucksH59Catherine R ConnollyH13Dan R KirkbrideH04David E NorthrupH50David H BlevinsH25David R MillerH55Dn.Donald E Burkhart JrH15Elaine HarveyH26Eric BarlowR · H03Garry C PiiparinenH49Gerald GayH36Glenn W MonizH46Gregory R BlikreH53Hans HuntH02James W ByrdH44Jerry D PaxtonH47John C EklundH10John L FreemanH60John W PattonH29Katherine K ColemanH30Kathleen DavisonH18Keith M GingeryH23Ken A EsquibelH41Kendell R KroekerH35Kermit C BrownH14Lee FilerD · H12Lloyd LarsenR · H54Lynn HutchingsR · H42Mark H BakerH48Mark SemlekH01Martha D HalversonH22Mary A ThroneH11Matt TeetersH05Michael K MaddenH40Nathan A WintersH28Nicholas BNorine A KasperikH32Richard L CannadyH06Rita CampbellH34Robert M McKimH21Rosie M BergerH51Ruth A PetroffH16Samuel P KroneH24Stanley L BlakeH39Stephen D WattH17Steve HarshmanR · H37Thomas F ReederH58Thomas J WaltersH38Timothy M StubsonH56Tom Lubnau IIH31Troy R MaderH52W. Patrick P GogglesH33Zwonitzer
Excused 1
H10 Recommended Do Pass 6-3-0-0-02014-02-20 · House6 yes 3 no
H Introduced and Referred to H10 51-8-1-0-02014-02-14 · House51 yes 8 no
- Yes
- 51
- No
- 8
- Absent
- 0
- Excused
- 1
- Conflict
- 0
Yes 51
Albert P Sommers Jr.H20Allen M JaggiH19Carl R LoucksH59Dan R KirkbrideH04David E NorthrupH50David H BlevinsH25David R MillerH55Dn.Donald E Burkhart JrH15Eric BarlowR · H03Garry C PiiparinenH49Gerald GayH36Glenn W MonizH46Gregory R BlikreH53Hans HuntH02Jerry D PaxtonH47John C EklundH10John L FreemanH60John W PattonH29Katherine K ColemanH30Kathleen DavisonH18Keith M GingeryH23Ken A EsquibelH41Kendell R KroekerH35Kermit C BrownH14Lloyd LarsenR · H54Lynn HutchingsR · H42Mark H BakerH48Mark SemlekH01Martha D HalversonH22Matt TeetersH05Michael K MaddenH40Nathan A WintersH28Nicholas BNorine A KasperikH32Richard L CannadyH06Rita CampbellH34Robert M McKimH21Rosie M BergerH51Ruth A PetroffH16Samuel P KroneH24Stanley L BlakeH39Stephen D WattH17Steve HarshmanR · H37Thomas A LockhartH57Thomas F ReederH58Thomas J WaltersH38Timothy M StubsonH56Tom Lubnau IIH31W. Patrick P GogglesH33Zwonitzer
No 8
Excused 1
Official activity
Bill history
- Assigned Chapter NumberLSO
- Governor Signed HEA0058Governor
- S President Signed HEA No. 0058Senate
- H Speaker Signed HEA No. 0058House
- Assigned Number HEA0058LSO
- H Did ConcurHouse
- H Received for ConcurrenceHouse
- S Passed 3rd ReadingSenate
- Amendment FailedSenate
- Amendment FailedSenate
- Amendment AdoptedSenate
- S Passed 2nd ReadingSenate
- S Passed CoWSenate
- S Amendments AdoptedSenate
- Amendment AdoptedSenate
- S Placed on General FileSenate
- S10 Recommended Do PassSenate
- S Introduced and Referred to S10Senate
- S Received for IntroductionSenate
- H Passed 3rd ReadingHouse
Changes
Amendments
11 stored
Filed 2nd reading by FILER
Adopted, Corrected 2nd reading by FILER
Failed, Corrected 2nd reading by FILER
Withdrawn 2nd reading by DAVISON
Adopted 3rd reading by DAVISON
Filed 3rd reading by FILER
Filed 3rd reading by ROTHFUSS
Adopted 3rd reading by ROTHFUSS
Failed 3rd reading by ROTHFUSS
Failed 3rd reading by ROTHFUSS
Adopted Committee of the Whole by PETERSON