Back to Wyoming
Wyoming2026Enacted

SF0004

Medicaid Rate Increase for EMS Services

Last scannedAug 25, 2026, 2:25 AM

In one sentence

This law increases Medicaid reimbursement rates for emergency medical services provided by ground ambulances to match Medicare rates and requires a report on costs.

What it does

  • Increases Medicaid reimbursement rates for emergency medical services from ground ambulance providers to 100% of current Medicare rates, effective July 1, 2026.
  • Requires the Department of Health to develop enhanced fee schedules for rural and super-rural areas where these services are provided.
  • Funds $1.3 million from state money and another $1.3 million from federal funds to cover the increased reimbursement rates over two years.
  • Requires a report by October 31, 2027, detailing additional costs due to higher reimbursement rates.

Who it affects

  • Ground ambulance service providers who receive Medicaid payments for emergency medical services.
  • The Department of Health responsible for setting fee schedules and reporting on the impact of increased reimbursements.

Limits and unknowns

  • The law only applies to emergency medical services provided by ground ambulances and does not cover other types of Medicaid services.
  • It is unclear how the increased costs will affect overall Medicaid spending beyond the two-year period covered in this act.

Plain language

Terms to know

Medicaid
A government program that helps certain people pay for medical care.
Emergency Medical Services (EMS)
Medical services provided by ambulance crews to treat patients during emergencies.

Official record

Sources

Validated

Official summary

Bill Summary - 26LSO-0135 Bill No.: SF0004 Effective: 7/1/2026 LSO No.: 26LSO-0135 Enrolled Act No.: SEA No. 0034 Chapter No.: 69 Prime Sponsor: Joint Labor, Health & Social Services Interim Committee Catch Title: Medicaid rate increase-EMS services. Has Report: Yes Subject: Increases the Medicaid reimbursement rate for emergency medical services. Summary/Major Elements: This act increases the Medicaid reimbursement rate for emergency medical services provided by ground ambulance service providers to one hundred percent (100%) of the current Medicare rate. The Department of Health is required to develop enhanced Medicaid rural and super-rural fee schedules for emergency medical services provided by ground ambulance service providers. This act requires the Department of Health to report to the Joint Appropriations Committee and the Joint Labor, Health and Social Services Interim Committee regarding the additional costs incurred by the increased reimbursement rates. This act provides an appropriation for purposes of increasing the reimbursement rates. Comments: Requires a report to the Joint Appropriations Committee and the Joint Labor, Health and Social Services Interim Committee on or before October 31, 2027. 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, 12:43 AM

Evie Brennan

R · S31

Voted Yes

Why they voted this way

The lawmaker supports concurrence because they believe the House made good work by amending the bill to require the Department of Health to develop enhanced Medicaid fees for rural and super-rural emergency medical services.

Public statementFloor statement at 5:54 Watch the statement
Voted Yes

Why they voted this way

The lawmaker supports the bill as a necessary rate increase to help EMS services, distinguishing it from Medicaid expansion.

Public statementFloor statement at 53:24 Watch the statement

Ken Clouston

R · H32

Voted No

Why they voted this way

The lawmaker supports voting for the amendment and bill, noting it raises rates from a historical low of 68% to 110%.

Public statementFloor statement at 53:44 Watch the statement
Voted No

Why they voted this way

The lawmaker supports the bill because municipalities are losing EMS services due to insufficient reimbursement from state and federal levels, citing a specific example of high costs versus low reimbursement.

Public statementFloor statement at 56:21 Watch the statement
Voted Yes

Why they voted this way

The lawmaker supports the amendment as a necessary adjustment to cover costs for EMS providers, ensuring they remain ready to serve seniors and maternal health needs.

Public statementFloor statement at 58:03 Watch the statement

Evie Brennan

R · S31

Voted Yes

Why they voted this way

The lawmaker supports the bill because rural emergency medical services are at risk of being lost due to a lack of funding and reimbursement, which this legislation addresses by increasing rates to cover costs.

Public statementFloor statement at 1:19:10 Watch the statement

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

Wyoming roll calls

Recorded votes

9 roll calls

S Concur:Passed 28-1-2-0-02026-03-02 · Senate28 yes 1 no
H 3rd Reading:Passed 34-23-5-0-02026-03-02 · House34 yes 23 no
Amendment failed 22-38-2-0-02026-02-27 · House22 yes 38 no
H02 - Appropriations:Recommend Do Pass 6-1-0-0-02026-02-25 · House6 yes 1 no
H10 - Labor:Recommend Do Pass 5-3-1-0-02026-02-23 · House5 yes 3 no
S 3rd Reading:Passed 29-1-1-0-02026-02-18 · Senate29 yes 1 no
S02 - Appropriations:Recommend Do Pass 4-0-1-0-02026-02-13 · Senate4 yes 0 no
S10 - Labor:Recommend Do Pass 5-0-0-0-02026-02-11 · Senate5 yes 0 no
S Introduced and Referred to S10 - Labor 25-6-0-0-02026-02-09 · Senate25 yes 6 no

Official activity

Bill history

  1. Assigned Chapter Number 69LSO
  2. Governor Signed SEA No. 0034 Governor
  3. H Speaker Signed SEA No. 0034House
  4. S President Signed SEA No. 0034Senate
  5. Assigned Number SEA No. 0034LSO
  6. S Concur:Passed 28-1-2-0-0Senate
  7. S Received for ConcurrenceSenate
  8. H 3rd Reading:Passed 34-23-5-0-0House
  9. H 2nd Reading:PassedHouse
  10. H COW:PassedHouse
  11. H Placed on General FileHouse
  12. H02 - Appropriations:Recommend Do Pass 6-1-0-0-0House
  13. H COW:Rerefer to H02 - AppropriationsHouse
  14. H Placed on General FileHouse
  15. H10 - Labor:Recommend Do Pass 5-3-1-0-0House
  16. H Introduced and Referred to H10 - LaborHouse
  17. H Received for IntroductionHouse
  18. S 3rd Reading:Passed 29-1-1-0-0Senate
  19. S 2nd Reading:PassedSenate
  20. S COW:PassedSenate

Changes

Amendments

2 stored

SF0004H2001

Failed 2nd reading by Representative Sherwood

SF0004HW001

Adopted Committee of the Whole by Representative Rodriguez-Williams