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Wyoming2024Enacted

HB0014

Prior Authorization Regulations

Last scannedAug 25, 2026, 2:25 AM

In one sentence

This act requires health insurers and contracted utilization review entities to follow specific prior authorization regulations, including providing clear information about requirements online.

What it does

  • Requires health insurers and contracted utilization review entities to follow detailed prior authorization regulations as specified in the bill.
  • Provides definitions for key terms such as 'adverse determination', 'authorization', and 'step therapy protocol'.
  • Requires the Department of Insurance to create rules regarding statistics on prior authorizations and adverse determinations.
  • Ensures that health insurers provide clear information about their prior authorization requirements online.

Who it affects

  • Health insurers and contracted utilization review entities in Wyoming.
  • Enrollees of health insurance plans covered by the act.

Limits and unknowns

  • The 'gold carding' section has a delayed effective date of January 1, 2026.
  • Some sections may require further clarification through rulemaking by the Department of Insurance.

Plain language

Terms to know

Adverse determination
A decision to deny, reduce or terminate benefit coverage for health care services because they are not medically necessary or experimental/investigational.
Authorization
An approved prior authorization request.
Step therapy protocol
A program that establishes the sequence of prescription drugs for a medical condition, deemed appropriate and covered by health insurers or plans.

Official record

Sources

Validated

Official summary

Bill Summary - 24LSO-0068 Bill No.: HB0014 Effective: Multiple Dates LSO No.: 24LSO-0068 Enrolled Act No.: HEA No. 0014 Chapter No.: 19 Prime Sponsor: Joint Labor, Health & Social Services Interim Committee Catch Title: Prior authorization regulations. Has Report: No Subject: Regulates the prior authorization process. Summary/Major Elements: This bill requires health insurers and contracted utilization review entities to follow prior authorization regulations that are specified within the bill. The bill authorizes "gold carding", where health care providers would be able to forego prior authorization requirements for certain procedures or medications if they reach a specified threshold of approved prior authorization requests. The bill requires the Department of Insurance to undergo rulemaking and provides definitions. Comments: Has a Delayed Effective Date of January 1, 2026 for the gold carding section of the bill. 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 11, 6:23 PM

Voted Yes

Why they voted this way

The lawmaker supports the bill because Wyoming currently lacks statutes on prior authorization, and this legislation will ensure timely approvals for patients and payments for providers while lowering insurance costs.

Public statementFloor statement at 1:09:31 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 Concur:Passed 61-0-1-0-02024-02-28 · House61 yes 0 no
S 3rd Reading:Passed 31-0-0-0-02024-02-28 · Senate31 yes 0 no
S10 - Labor:Recommend Amend and Do Pass 5-0-0-0-02024-02-23 · Senate5 yes 0 no
H 3rd Reading:Passed 61-0-1-0-02024-02-19 · House61 yes 0 no
H10 - Labor:Recommend Amend and Do Pass 9-0-0-0-02024-02-14 · House9 yes 0 no
H Introduced and Referred to H10 - Labor 56-4-2-0-02024-02-12 · House56 yes 4 no

Official activity

Bill history

  1. Assigned Chapter Number 19LSO
  2. Governor Signed HEA No. 0014 Governor
  3. S President Signed HEA No. 0014Senate
  4. H Speaker Signed HEA No. 0014House
  5. Assigned Number HEA No. 0014LSO
  6. H Concur:Passed 61-0-1-0-0House
  7. H Received for ConcurrenceHouse
  8. S 3rd Reading:Passed 31-0-0-0-0Senate
  9. S 2nd Reading:PassedSenate
  10. S COW:PassedSenate
  11. S Placed on General FileSenate
  12. S10 - Labor:Recommend Amend and Do Pass 5-0-0-0-0Senate
  13. S Introduced and Referred to S10 - LaborSenate
  14. S Received for IntroductionSenate
  15. H 3rd Reading:Passed 61-0-1-0-0House
  16. H 2nd Reading:PassedHouse
  17. H COW:PassedHouse
  18. H Placed on General FileHouse
  19. H10 - Labor:Recommend Amend and Do Pass 9-0-0-0-0House
  20. H Introduced and Referred to H10 - Labor 56-4-2-0-0House

Changes

Amendments

2 stored

HB0014HS001

The amendment modifies the bill to include definitions for new terms like 'step therapy protocol' and 'health care provider', changes references from 'physician' to 'health care provider', extends authorization timelines, and adds provisions related to step therapy protocols.

HB0014SS001

The amendment changes specific sections of the bill by removing certain references to old law numbers and replacing them with new ones.