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HB0057

Wyoming Private Hospital Assessment Act

Last scannedOct 19, 2026, 2:19 AM

In one sentence

This law requires private hospitals in Wyoming to pay a fee into a state fund, which is used to secure federal matching funds to increase Medicaid payments to those hospitals.

What it does

  • Creates a state fund called the Private Hospital Assessment Account.
  • Requires private hospitals to pay a yearly fee based on their net patient revenue.
  • Limits the fee to no more than 2% of revenue in the first year and 0.5% increases in later years without new legislative approval.
  • Uses the fees to get federal matching funds for Medicaid.
  • Pays the combined funds back to hospitals as 'quarterly adjustment payments' to reach the upper payment limit.
  • Sets a 5% penalty for hospitals that do not pay their fees on time.

Who it affects

  • Private hospitals licensed in Wyoming that are not owned or operated by the state or local governments.
  • The Wyoming Department of Health, which manages the fund and collects fees.
  • The State Treasurer, who invests the money in the fund.

Limits and unknowns

  • The exact fee percentage for each year is determined by the Department of Health, not fixed in the law.
  • The law does not specify how much money will be in the fund or the exact dollar amount of payments to hospitals.
  • If the federal government disapproves the state's plan, hospitals must refund any excess money they received.

Plain language

Terms to know

Upper payment limit
The maximum amount of money federal law allows Medicaid to pay a hospital.
Net patient revenue
The total money a hospital earns from patients, minus certain costs, as reported on their Medicare cost report.
Quarterly adjustment payment
The extra Medicaid money paid to hospitals four times a year to help them reach the upper payment limit.

Official record

Sources

Source checked
Read the official summary

Summary for LSO115 Bill No.: HB0057 Effective : 7/1/2016 LSO No.: 16LSO-0259 Enrolled Act No.: HEA No. 0024 Chapter No.: 93 Prime Sponsor: Joint Labor, Health & Social Services Interim Committee Catch Title: Upper payment limit program-private hospitals. Subject: Provides increased Medicaid reimbursements for private hospitals who pay into a state fund which is used to obtain matching fu nds from the federal government Summary/Major Elements: This bill establish es the Private Hospital Assessment Act. The Act require s the Department of Health to seek a state Medicaid plan amendment which will require all private hospitals to pay an assessment into a fund maintained by the state . Monies in the fund will be used to obtain matching funds from the federal government which, in turn, will be combined with the original assessments and returned to private hospitals in the form of increased Medicaid reimbursements. Distributions back to private hospitals will be made in an amount necessary to comp ensate private hospitals up to the “ upper payment limit ” set by applicable federal law. The payment s made to private hospitals are labeled “ quart erly adjustment payment s .” The amount of the assessment imposed on each private hospital is based on each hospital’ s net patient revenue. T he bill , however, sets limits on the amount of the assessment that can be imposed. The Department of Health is allowed to collect up to 1% of the paid assessments for administrative expenses. The bill provides penalties for a failure to pay the required assessment . Comments: Thi s bill creates a major new program, the Private Hospital Assessment Act. The above summary is not an official publication of the Wyoming Legislature and is not an official statement of legislative intent. While the Legislative Service Office endeavored to provide accurate information in this summary, it should not be relied upon as a comprehensive abstract of the bill .

Public statements

Why lawmakers voted

Last checked Aug 7, 12:53 AM

Voted Yes

Why they voted this way

The lawmaker supports the bill because it allows private hospitals to contribute non-federal funds to match federal money, thereby increasing total Medicaid payments and drawing down more federal funding. He also notes that this addresses systematic underpayment of providers by the current system.

Public statementFloor statement at 33:42 Watch the statement
Voted No

Why they voted this way

The lawmaker opposes the bill because it imposes a tax on hospitals that is redistributed to other providers and represents a step toward Medicaid expansion.

Public statementFloor statement at 55:36 Watch the statement
Voted Yes

Why they voted this way

The lawmaker supports the bill because private hospitals requested it and estimates it will bring $9.7 million in Medicaid dollars to cover uncompensated care.

Public statementFloor statement at 56:20 Watch the statement

If a lawmaker is not listed, we couldn't find a published reason.

Wyoming roll calls

Recorded votes

7 roll calls

S 3rd Reading:Passed 29-1-0-0-02016-03-01 · Senate29 yes 1 no
S02 - Appropriations:Recommend Do Pass 5-0-0-0-02016-02-26 · Senate5 yes 0 no
S10 - Labor:Recommend Do Pass 5-0-0-0-02016-02-26 · Senate5 yes 0 no
H 3rd Reading:Passed 48-12-0-0-02016-02-23 · House48 yes 12 no
H02 - Appropriations:Recommend Do Pass 7-0-0-0-02016-02-15 · House7 yes 0 no
H10 - Labor:Recommend Amend and Do Pass 7-2-0-0-02016-02-15 · House7 yes 2 no
H Introduced and Referred to H10 - Labor 51-7-2-0-02016-02-09 · House51 yes 7 no

Official activity

Bill history

  1. Assigned Chapter NumberLSO
  2. Governor Signed HEA No. 0024Governor
  3. S President Signed HEA No. 0024Senate
  4. H Speaker Signed HEA No. 0024House
  5. Assigned Number HEA No. 0024LSO
  6. S 3rd Reading:Passed 29-1-0-0-0Senate
  7. S 2nd Reading:PassedSenate
  8. S COW:PassedSenate
  9. S Placed on General FileSenate
  10. S02 - Appropriations:Recommend Do Pass 5-0-0-0-0Senate
  11. S COW:Rerefer to S02 - AppropriationsSenate
  12. S Placed on General FileSenate
  13. S10 - Labor:Recommend Do Pass 5-0-0-0-0Senate
  14. S Introduced and Referred to S10 - LaborSenate
  15. S Received for IntroductionSenate
  16. H 3rd Reading:Passed 48-12-0-0-0House
  17. H 2nd Reading:PassedHouse
  18. Amendment AdoptedHouse
  19. H 2nd Reading:Laid BackHouse
  20. H COW:PassedHouse

Changes

Amendments

2 stored

HB0057H2001

Adopted 2nd reading by Larsen

HB0057HS001

Adopted Standing Committee by House Labor