Wyoming2025Inactive
HB0076
Changes to Health Insurance Prior Authorization
Last scannedOct 23, 2026, 2:19 AM
In one sentence
The bill requires health insurance prior authorization decisions and appeals in Wyoming to be handled by licensed healthcare providers within the state.
What it does
- Requires that all adverse determinations for prior authorizations must be made by a Wyoming-licensed healthcare provider.
- Specifies that all appeals of these prior authorization decisions must also be reviewed by Wyoming-licensed healthcare providers.
- Limits applicability to cases where prior authorization adverse determinations are made or appealed on or after July 1, 2025.
Who it affects
- Health insurance companies in Wyoming
- Utilization review entities that work with health insurers in Wyoming
Limits and unknowns
- The bill only applies to prior authorization decisions and appeals made on or after July 1, 2025.
- It does not specify what happens if there are no Wyoming-licensed healthcare providers available for a specific case.
Plain language
Terms to know
- Prior Authorization
- A process where a healthcare provider needs approval from an insurance company before providing certain medical services.
- Adverse Determination
- When an insurance company denies or limits coverage for a requested service, treatment, or supply.
Official record
Sources
Official activity
Bill history
- H:Died in Committee Returned Bill Pursuant to HR 5-4House
- H No report prior to CoW CutoffHouse
- H Introduced and Referred to H10 - LaborHouse
- H Received for IntroductionHouse
- Bill Number AssignedLSO