SF0049 • 2016

Direct primary care-insurance exemption.

AN ACT relating to insurance; exempting direct primary care agreements from insurance regulation; specifying requirements for exemption; providing definitions; and providing for an effective date.

Enacted

This bill passed the Legislature and reached final enactment based on the latest official action.

Sponsor: Labor
Last action: 2016-03-02
Official status: enrolled
Effective date: 2/29/2016

Plain English Breakdown

The plain English breakdown is still being put together. The official documents below are already here.

Bill History

2016-03-02 LSO
Assigned Chapter Number
2016-02-29 Governor
Governor Signed SEA No. 0004
2016-02-25 House
H Speaker Signed SEA No. 0004
2016-02-24 Senate
S President Signed SEA No. 0004
2016-02-24 LSO
Assigned Number SEA No. 0004
2016-02-24 House
H 3rd Reading:Passed 60-0-0-0-0
2016-02-23 House
H 2nd Reading:Passed
2016-02-22 House
H COW:Passed
2016-02-19 House
H Placed on General File
2016-02-19 House
H10 - Labor:Recommend Do Pass 9-0-0-0-0
2016-02-16 House
H Introduced and Referred to H10 - Labor
2016-02-12 House
H Received for Introduction
2016-02-12 Senate
S 3rd Reading:Passed 30-0-0-0-0
2016-02-11 Senate
S 2nd Reading:Passed
2016-02-10 Senate
S COW:Passed
2016-02-10 Senate
S Placed on General File
2016-02-10 Senate
S10 - Labor:Recommend Do Pass 5-0-0-0-0
2016-02-08 Senate
S Introduced and Referred to S10 - Labor 29-0-1-0-0
2016-02-05 Senate
S Received for Introduction
2016-01-26 LSO
Bill Number Assigned

Official Summary Text

Summary for LSO115
Bill No.:
SF0049
Effective
:
2/29/2016
LSO No.:
16LSO-0070

Enrolled Act No.:
SEA No. 0004

Chapter No.:
6

Prime Sponsor:
Joint Labor, Health & Social Services Interim Committee

Catch Title:
Direct primary care-insurance exemption.

Subject:

Exempts

direct primary care agree
ments from insurance regulation

Summary/Major Elements:

This bill makes direct primary care agreements exe
mpt from insurance regulation.

Direct primary care agreements are written agreements between a patient and a health care provider which describe health care services to be provided in exchange for the payment of a periodic fee and which prevent the health care provider from seeking additional
reimbursement from the patient’
s insurance or other third parties.

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
.

Current Bill Text

Read the full stored bill text

ORIGINAL
Senate
File No
.
SF0049

ENROLLED ACT NO. 4,

SENATE

SIXTY-FOUR LEGISLATURE OF THE STATE OF WYOMING
2016 Budget Session

AN ACT relating to insurance; exempting direct primary care agreements from insurance regulation; specifying requirements for exemption; providing definitions; and providing for an effective date.

Be It Enacted by the Legislature of the State of Wyoming:

Section 1
.

W.S. 26
‑
1
‑
104
(a) by creating
a
new paragraph (vi)
and 26
‑
22
‑
301
by creating
a
new subsection
(c)
are amended to read:

26
‑
1
‑
104
.

Applicability of provisions.

(a)

This code does not apply to:

(vi)

A d
irect primary care
agreement
. A direct primary care agreement means a written agreement that:

(A)

Is between a patient or their legal r
epresentative and a health

care provider;

(B)

Allows either party to terminate th
e agreement in writing, without penalty or payment of a termination fee, at any time o
r after notice as specified
in the agreement which notice shall not exceed sixty (60) days
;

(C)

Describes the health

care services
to be provided in exchange for payment of a
periodic fee;

(D)

Specifies the periodic fee required and any
additional fees that may be charged;

(E)

May allow the periodic
fee
and
any additional
fees to be paid by a third party;

(F)

Prohib
its the provider from
charging or receiving add
itional compensation for health

care services
included in the periodic fee; and

(G)

Conspicuously and prominently states
that
the agreement is not health insurance and does not meet any individual health insurance mandate that may be required by federal law.

26
‑
22
‑
301
.

Prepaid hospital, medical
‑
surgical or other health service plans subject to provisions of code; exceptions.

(c)

This section does not apply to
a direct primary care agreement as defined in W.S. 26
‑
1
‑
104(a)(vi).

Section 2
.

This act is effective immediately upon completion of all acts necessary for a bill to become law as provided by Article 4, Section 8 of the Wyoming Constitution.

(END)

Speaker of the House

President of the Senate

Governor

TIME APPROVED: _________

DATE APPROVED: _________

I hereby certify that this act originated in the
Senate
.

Chief Clerk

1