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HB0122

Wyoming Rural Health Transformation Program

Last scannedAug 25, 2026, 2:25 AM

In one sentence

This act establishes a program to improve healthcare in rural areas of Wyoming using federal funds, creates an advisory committee and fund for long-term support.

What it does

  • Creates the Wyoming Rural Health Transformation Advisory Committee to oversee health initiatives.
  • Establishes a perpetuity fund with annual distributions for ongoing health projects like hospital incentives and EMS regionalization.
  • Authorizes investment of funds in equities and other assets as permitted by state law.
  • Authorizes spending on specific healthcare programs such as telemedicine, workforce education, and care coordination.

Who it affects

  • Rural communities in Wyoming
  • Healthcare providers and hospitals in rural areas

Limits and unknowns

  • Does not specify how much federal funding Wyoming will receive.
  • Details about future rulemaking and studies are outlined but not fully defined.

Plain language

Terms to know

Perpetuity fund
A fund that provides ongoing financial support for a specific purpose, like healthcare initiatives.
Annual required distribution
The amount of money from the perpetuity fund that must be spent each year on approved health projects.

Official record

Sources

Validated

Official summary

Bill Summary - 26LSO-0400 Bill No.: HB0122 Effective: Immediately LSO No.: 26LSO-0400 Enrolled Act No.: HEA No. 0021 Chapter No.: 61 Prime Sponsor: Joint Appropriations Committee Catch Title: Wyoming rural health transformation program. Has Report: No Subject: Rural health program funding. Summary/Major Elements: This act implements Wyoming’s rural health transformation plan under the federal Rural Health Transformation Program and creates an advisory committee. This act establishes an expenditure account and a perpetuity fund with annual required distributions and purpose-dedicated shares for ongoing health initiatives related to critical access hospital incentives, EMS regionalization, workforce education and physician post-graduate medical education. This act authorizes the investment of funds, including the investment in equities and corporate stocks, as authorized under Article 16, Section 6(a)(ii)(B) of the Wyoming Constitution. This act authorizes expenditures for time-limited initiatives for integrated primary care, technology adoption, exercise and nutrition programs, a statewide tele-specialist platform, workforce education startup costs, care coordination, centralized billing capacity, nonemergency transportation coordination and administration. This act requires reporting and fiscal controls for recipients and requires the State Budget Department, in consultation with the Department of Health, to maintain an electronic reporting portal. This act requires rulemaking and directs the Joint Labor, Health and Social Services Interim Committee to study specified topics. This act appropriates federal funds received for deposit into the perpetuity fund and for the time-limited initiatives. Comments: Creates a major program; Requires legislative appointments. 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, 1:58 PM

Evie Brennan

R · S31

Voted Yes

Why they voted this way

The lawmaker opposes the amendment because they believe the bill as currently written is thoughtful and specifically addresses Wyoming's healthcare needs without requiring changes.

Public statementFloor statement at 56:18 Watch the statement

Bob Ide

R · S29

Voted No

Why they voted this way

The lawmaker opposes the bill because it creates another government program, increases dependence on federal funding from a debt-ridden government, and facilitates half a billion dollars in spending.

Public statementFloor statement at 1:00:15 Watch the statement
Voted Yes

Why they voted this way

The lawmaker supports the bill as a necessary measure to address high healthcare costs and poor outcomes caused by existing federal programs, acknowledging that passing it is required despite past policy choices.

Public statementFloor statement at 1:05:13 Watch the statement

Tim Salazar

R · S26

Voted Yes

Why they voted this way

The lawmaker supports the bill because it involves legislative oversight to protect against unfunded mandates after federal money is exhausted, ensuring the state does not bear sole responsibility for future programs.

Public statementFloor statement at 1:05:51 Watch the statement

John Bear

R · H31

Voted Yes

Why they voted this way

The lawmaker supports the bill because it allows legislators and communities to decide how $45 million in federal funds will be spent on health programs, while also establishing a perpetuity fund to extend the program's life for decades.

Public statementFloor statement at 1:36:32 Watch the statement

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

Wyoming roll calls

Recorded votes

5 roll calls

S 3rd Reading:Passed 26-5-0-0-02026-03-04 · Senate26 yes 5 no
S02 - Appropriations:Recommend Do Pass 4-0-1-0-02026-02-25 · Senate4 yes 0 no
H 3rd Reading:Passed 57-0-5-0-02026-02-19 · House57 yes 0 no
H02 - Appropriations:Recommend Amend and Do Pass 7-0-0-0-02026-02-12 · House7 yes 0 no
H Introduced and Referred to H02 - Appropriations 61-0-1-0-02026-02-10 · House61 yes 0 no

Official activity

Bill history

  1. Assigned Chapter Number 61LSO
  2. Governor Signed HEA No. 0021 Governor
  3. S President Signed HEA No. 0021Senate
  4. H Speaker Signed HEA No. 0021House
  5. Assigned Number HEA No. 0021LSO
  6. S 3rd Reading:Passed 26-5-0-0-0Senate
  7. S 3rd Reading:Laid BackSenate
  8. S 2nd Reading:PassedSenate
  9. S 2nd Reading:Laid BackSenate
  10. S COW:PassedSenate
  11. S Placed on General FileSenate
  12. S02 - Appropriations:Recommend Do Pass 4-0-1-0-0Senate
  13. S Introduced and Referred to S02 - AppropriationsSenate
  14. S Received for IntroductionSenate
  15. H 3rd Reading:Passed 57-0-5-0-0House
  16. H 2nd Reading:PassedHouse
  17. H COW:PassedHouse
  18. H Placed on General FileHouse
  19. H02 - Appropriations:Recommend Amend and Do Pass 7-0-0-0-0House
  20. H Introduced and Referred to H02 - Appropriations 61-0-1-0-0House

Changes

Amendments

2 stored

HB0122HS001

Adopted Standing Committee by House Appropriations Committee

HB0122S3001

Failed 3rd reading by Senator Scott