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HB0109 • 2020

Electronic monitoring in long-term care facilities.

AN ACT relating to public health and safety; regulating electronic monitoring in long-term care facilities; providing guidelines and obligations for facilities and residents; providing penalties and evidentiary standards; requiring rulemaking; specifying applicability; and providing for effective dates.

Labor Privacy
Enacted

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

Sponsor
Representative Kirkbride
Last action
2020-03-17
Official status
enrolled
Effective date
10/1/2020

Plain English Breakdown

The summary provided does not cover all aspects of the bill text. Some details about liability waivers and specific requirements for device installation were omitted due to lack of clarity in how they fit into a simplified explanation.

Rules for Electronic Monitoring in Long-Term Care Facilities

This act sets rules for using cameras and other recording devices to monitor activities in long-term care facilities like nursing homes, including requirements for residents' consent and facility approval.

What This Bill Does

  • Allows long-term care facility residents to use fixed electronic monitoring devices if they get permission from the facility and all roommates (if any).
  • Requires each resident to sign a form acknowledging their right to use such devices and understanding the risks involved, including privacy concerns.
  • Specifies that facilities can install security cameras in common areas but not in private rooms without residents' consent.
  • Makes it clear that recordings made by these devices are owned by either the facility or the resident, depending on who installed them.

Who It Names or Affects

  • Residents of long-term care facilities
  • Long-term care facilities and their employees

Terms To Know

Electronic Monitoring Device
A camera or other surveillance instrument with a fixed position that captures, records, transmits or broadcasts audio, video or both.
Facility
An assisted living facility or nursing care facility certified to provide long-term care services.

Limits and Unknowns

  • The rules about electronic monitoring devices do not apply until October 1, 2020.
  • Some parts of the act are effective immediately upon enactment.

Amendments

These notes stay tied to the official amendment files and metadata from the legislature.

HB0109H2001

2nd reading • Representative Kirkbride

Divided

Plain English: The amendment removes certain language about positions and adds details about cameras or other devices being placed, used, and their placement in rooms for electronic monitoring in long-term care facilities.

  • Removes the term 'position' and replaces it with 'camera or other device'.
  • Adds words after 'that is', specifying that a camera or device must be 'placed, used or'.
  • Inserts a semicolon after 'room' and removes the rest of the line.
  • Deletes an entire line on page 3.
  • The amendment text does not provide full context for all changes, making it hard to explain every detail clearly.
HB0109H2001.01

2nd reading • Representative Kirkbride

Corrected, Adopted

Plain English: The amendment changes the wording to specify that cameras or other devices can be placed or used in long-term care facilities for monitoring purposes.

  • Replaces the word 'position' with 'camera or other device'.
  • Adds words after 'that is' to say 'placed, used or'.
  • Deletes text after 'room' and removes the entire line following it.
  • The exact impact of these changes on how monitoring devices are used in long-term care facilities is not fully explained by the amendment text alone.
HB0109H2001.02

2nd reading • Representative Kirkbride

Corrected, Failed

Plain English: The amendment changes the requirement for electronic monitoring in long-term care facilities by specifying that it must be 'intentional' rather than just any form of monitoring.

  • Changes the wording from requiring 'a' form of electronic monitoring to requiring 'an intentional' form of electronic monitoring.
  • The amendment text is very brief and does not provide context on what constitutes 'intentional' electronic monitoring, leaving some aspects unclear.
HB0109H3001

3rd reading • Representative Clem

Withdrawn

Plain English: The amendment removes a specific line from the bill's first page, which is part of an act related to electronic monitoring in long-term care facilities.

  • Removes line 8 on the first page of HB0109.
  • The exact content and significance of the removed line are not provided, making it unclear what specific change this amendment would make to the bill.
HB0109H3002

3rd reading • Representative Olsen

Adopted

Plain English: The amendment changes who owns recordings made by electronic monitoring devices in long-term care facilities.

  • Adds that any recording made by an electronic monitoring device is owned by the facility but can be used reasonably by residents as per department rules.
  • Changes ownership of recordings to the resident or their representative, with the facility allowed to use them according to department rules.
  • The amendment alternates between two different versions of who owns the recordings, which might cause confusion about the final intent.
HB0109H3003

3rd reading • Representative Olsen

Adopted

Plain English: The amendment changes parts of HB0109 by adding new language that allows long-term care facilities to be protected from certain civil damages related to the use and release of recordings made by electronic monitoring devices, except in cases involving gross negligence or willful misconduct.

  • Adds a clause allowing facilities to waive liability for civil damages related to the use or release of recordings made by electronic monitoring devices, excluding instances of gross negligence or willful misconduct.
  • The amendment text is specific and clear but does not provide context on how this change affects other parts of the bill or its overall impact.
HB0109H3004

3rd reading • Representative Kirkbride

Divided

Plain English: The amendment changes the wording in several places to specify that certain types of electronic monitoring incidents must be unintentional and adds 'civil' before 'action'.

  • Changes 'a' to 'an unintentional' on page 9, line 2.
  • Adds 'civil' after 'any' on page 11, line 1.
  • Changes 'any' to 'an unintentional' on page 11, line 2.
  • Deletes 'of a type' and another entire line on page 14.
  • The exact impact of these changes is unclear without more context about the original bill's provisions.
HB0109H3004.01

3rd reading • Representative Kirkbride

Corrected, Adopted

Plain English: The amendment removes specific wording related to the type and placement of electronic monitoring devices in long-term care facilities.

  • Removes 'of a type' from the bill text.
  • Deletes an entire line from the original bill.
  • Removes words up to and including 'that is' from another part of the text.
  • The exact impact of these deletions on the overall regulation of electronic monitoring in long-term care facilities is not clear without additional context.
HB0109H3004.02

3rd reading • Representative Kirkbride

Corrected, Failed

Plain English: The amendment changes the wording of certain sections in the bill to specify that only unintentional violations are considered, and adds 'civil' before 'action' in another section.

  • Changes 'a' to 'an unintentional' on page 9, line 2.
  • Adds 'civil' after 'any' on page 11, line 1.
  • Changes 'any' to 'an unintentional' on page 11, line 2.
  • The amendment text does not explain the full context or implications of these changes, so it's unclear how they will affect the overall bill.
HB0109HS001

Standing Committee • House Labor, Health and Social Services Committee

Corrected, Adopted

Plain English: The amendment changes the definition of electronic monitoring devices to include 'permanent fixed and stationary' types, adds a new section limiting facility access to recordings, removes certain evidentiary standards, and deletes specific penalty provisions.

  • Changes the term for electronic monitoring devices from 'fixed' to 'permanent fixed and stationary'.
  • Adds a new clause that restricts facilities and their employees from accessing video or audio recordings captured by these devices except as specified in the act.
  • Removes language related to evidentiary standards after the word 'Evidence'.
  • Deletes specific penalty provisions.
  • The exact nature of the deleted penalty provisions is not clear from the amendment text alone.
HB0109SW001

Committee of the Whole • Senator Bouchard

Corrected, Withdrawn

Plain English: The amendment removes language about the placement of electronic monitoring devices in rooms and clarifies that personal electronic devices like phones and computers are not considered 'electronic monitoring devices' when used for regular communication.

  • Removes specific language about placing electronic monitoring devices in resident rooms.
  • Defines that personal electronic devices such as cell phones, computers, tablets, etc., do not count as 'electronic monitoring devices' if they are being used for live communication.
  • The exact impact of removing the specific placement language is unclear without knowing what was originally there.
  • It's not clear how this amendment affects other parts of the bill related to electronic monitoring in long-term care facilities.
HB0109SW002

Committee of the Whole • Senator Bouchard

Failed

Plain English: The amendment would add a provision that no long-term care facility will be required to allow or use electronic monitoring.

  • Adds an exemption for facilities from being compelled to implement electronic monitoring.
  • The exact impact on existing regulations and voluntary implementation of electronic monitoring is not specified in the amendment text.
HB0109SW003

Committee of the Whole • Senator Bouchard

Withdrawn

Plain English: The amendment changes the time limit for a long-term care facility to approve the installation and use of an electronic monitoring device requested by a resident or their representative.

  • Changes the approval timeframe from unspecified to no more than seventy-two (72) hours after the request is submitted.
  • The original text does not specify a time limit, so the exact change in process before this amendment is unclear.
HB0109SW004

Committee of the Whole • Senator Baldwin

Adopted

Plain English: The amendment changes the definition of an 'electronic monitoring device' to specify it as a fixed-position video camera or surveillance instrument that can capture, record, transmit, or broadcast audio and/or video from inside a resident's room.

  • Removes previous definitions of electronic monitoring devices added by other amendments.
  • Adds a new definition for 'electronic monitoring device' which specifies it must be fixed in position and installed in a resident's room.
  • The amendment does not provide details on how the device operates or its specific functions beyond capturing, recording, transmitting, or broadcasting audio/video.
  • It is unclear what other types of surveillance instruments besides video cameras are included under this definition.
HB0109SS001

Standing Committee • Senate Labor, Health and Social Services Committee

Adopted

Plain English: The amendment changes the bill to focus on security surveillance instead of electronic monitoring in long-term care facilities.

  • Replaces references to 'electronic monitoring' with 'security surveillance devices'.
  • Removes specific mentions of 'monitoring devices' and 'electronic monitoring device'.
  • The amendment does not provide details on what constitutes security surveillance devices or how they differ from electronic monitoring.

Bill History

  1. 2020-03-17 LSO

    Assigned Chapter Number 126

  2. 2020-03-17 Governor

    Governor Signed HEA No. 0089

  3. 2020-03-12 Senate

    S President Signed HEA No. 0089

  4. 2020-03-12 House

    H Speaker Signed HEA No. 0089

  5. 2020-03-12 LSO

    Assigned Number HEA No. 0089

  6. 2020-03-12 House

    H Concur:Passed 36-22-2-0-0

  7. 2020-03-11 House

    H Received for Concurrence

  8. 2020-03-11 Senate

    S 3rd Reading:Passed 16-12-2-0-0

  9. 2020-03-10 Senate

    S 2nd Reading:Passed

  10. 2020-03-09 Senate

    S COW:Passed

  11. 2020-03-04 Senate

    S Placed on General File

  12. 2020-03-04 Senate

    S10 - Labor:Recommend Amend and Do Pass 4-1-0-0-0

  13. 2020-02-28 Senate

    S Introduced and Referred to S10 - Labor

  14. 2020-02-28 Senate

    S Received for Introduction

  15. 2020-02-27 House

    H 3rd Reading:Passed 33-25-2-0-0

  16. 2020-02-26 House

    H 2nd Reading:Passed

  17. 2020-02-25 House

    H COW:Passed

  18. 2020-02-18 House

    H Placed on General File

  19. 2020-02-18 House

    H10 - Labor:Recommend Amend and Do Pass 6-3-0-0-0

  20. 2020-02-12 House

    H Introduced and Referred to H10 - Labor 46-13-1-0-0

  21. 2020-02-07 House

    H Received for Introduction

  22. 2020-02-05 LSO

    Bill Number Assigned

Official Summary Text

Bill Summary - 20LSO-0406
Bill No.:

HB0109

Effective:

Multiple Dates

LSO No.:

20LSO-0406

Enrolled Act No.:

HEA No. 0089

Chapter No.:

126

Prime Sponsor:

Kirkbride

Catch Title:

Electronic monitoring in long-term care facilities.

Subject:

Authorizing and regulating electronic monitoring in long-term care facilities.

Summary/Major Elements:
The act authorizes the installation and regulation of security surveillance devices by long-term care facilities and electronic monitoring devices by residents of those facilities. The act allows residents to seek to install and use fixed electronic monitoring devices in the resident's room, subject to meeting the requirements of the act and receiving consent from the resident's roommate (if any).
The act requires each long-term care facility resident to sign a form that acknowledges the right to use electronic monitoring devices in one's room, the possibility that other residents and the facility may be using electronic devices and the security and privacy risks associated with using electronic monitoring devices, among other things.
A resident who seeks to use electronic monitoring must complete an acknowledgment and waive any claim of liability against the facility associated with the release or use of recordings from devices.
The act provides that electronic monitoring devices cannot be installed in a room without a resident gaining permission from all other residents in the room. A resident can seek to switch rooms or roommates in order to be able to use electronic monitoring.
The act requires a resident to gain approval from the facility before installing and using monitoring devices, and a facility cannot unnecessarily impair or impede a resident's use of the devices. The resident is responsible for all associated costs of monitoring.
The act provides for the admissibility of electronic recordings in judicial and administrative actions and limits the criminal and civil liability.
The act requires the Department of Health to promulgate relevant rules.

Comments:
The act may be cited as the Long-term Care Electronic Monitoring Act.
The act has a split effective date. The rulemaking authority is effective immediately; the remaining provisions are effective on October 1, 2020.
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
20LSO-0406

ORIGINAL House

ENGROSSED
Bill No
.
HB0109

ENROLLED ACT NO. 89,

HOUSE OF REPRESENTATIVES

SIXTY-FIFTH LEGISLATURE OF THE STATE OF WYOMING
2020 Budget Session

AN ACT relating to public health and safety; regulating electronic monitoring in long-term care facilities; providing guidelines and obligations for facilities and residents; providing penalties and evidentiary standards; requiring rulemaking; specifying applicability; and providing for effective dates.

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

Section 1
.

W.S. 35
‑
2
‑
1201 through 35
‑
2
‑
1208 are created to read:

ARTICLE 12
ELECTRONIC MONITORING OF LONG-TERM CARE

35
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2
‑
1201.

Short title.

This act may be cited as the "Long-term Care Electronic Monitoring Act."

35
‑
2
‑
1202.

Definitions.

(a)

As used in this act:

(i)

"Capacity to consent" means an individual's ability to:

(A)

Understand and appreciate the significant benefits, risks and alternatives to proposed health care;

(B)

Understand and appreciate the nature and consequences of making decisions concerning one's person; and

(C)

Make and communicate a health care decision.

(ii)

"Department" means the Wyoming department of health;

(iii)

"Electronic monitoring" means the placement and use of an electronic monitoring device by a resident in the resident's room pursuant to the requirements of this act;

(iv)

"Electronic monitoring device" means a video camera or other surveillance instrument with a fixed position that captures, records, transmits or broadcasts audio, video or both and that is installed in a resident's room and used for electronic monitoring of the resident and activities in the room;

(v)

"Facility" means an assisted living facility or a nursing care facility certified, licensed or otherwise authorized or permitted by law to provide long-term care in the facility's ordinary course of business and through its employees acting within the scope of their duties;

(vi)

"Resident" means a person who is eighteen (18) years or older residing at a facility;

(vii)

"Resident's representative" means an individual with a power of attorney for health care or other legal authority to make health care decisions on behalf of a resident who lacks capacity to consent;

(viii)

"Resident's room" means a resident's private or shared primary living space within a long-term care facility;

(ix)

"This act" means W.S. 35
‑
2
‑
1201 through 35
‑
2
‑
1208.

35
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2
‑
1203.

Authorized electronic monitoring; applicability.

(a)

No facility or resident of a facility shall engage in electronic monitoring or use electronic monitoring devices except as provided in this act.

(b)

Notwithstanding W.S. 7
‑
3
‑
702, nothing in this act shall be construed to authorize or permit the use of an electronic monitoring device for the nonconsensual interception or unauthorized recording, storage or disclosure of private communications or actions occurring in a resident's room.

(c)

A facility may install and use security surveillance devices in the facility's common areas and other locations except for resident rooms as the facility deems necessary for monitoring the facility. Any recording made by security surveillance devices under this subsection shall be the property of the facility.

(d)

A resident or resident's representative may seek to install and use electronic monitoring devices in the resident's room pursuant to the requirements of this act. Any recording made by an electronic monitoring device under this subsection shall be the property of the resident or the resident's representative but may be used by a facility as provided by rule of the department.

35
‑
2
‑
1204.

Authorized electronic monitoring; notice.

(a)

Every facility where electronic monitoring devices are in use shall post and maintain a notice or
signage in a conspicuous location at or near the facility's main entrances stating that electronic monitoring devices may be in use in or throughout the facility.

(b)

A facility shall post and maintain notice or signage in a conspicuous location at the entrance to each resident's room where an electronic monitoring device is being used. The notice or signage shall state that the resident's room is being monitored by an electronic monitoring device.

(c)

When electronic monitoring or security surveillance is used at a facility, upon admission or at any other necessary time as determined by the facility, a facility shall obtain the resident's or the resident's representative's signature on a form furnished by the department and provided to the resident or representative by the facility. The form must at a minimum list the following:

(i)

That each resident has the right to use electronic monitoring devices in the resident's room, provided that any other residents in the room consent to the electronic monitoring;

(ii)

That the use of unauthorized electronic monitoring devices or covert placement of an electronic monitoring device is prohibited;

(iii)

That other residents in the facility may be using electronic monitoring devices in their rooms;

(iv)

That a resident may file a grievance with the facility if a facility interferes with a resident's right to use electronic monitoring and that a resident may
file a grievance with the department if the facility fails to resolve or respond to the grievance;

(v)

The security and privacy risks associated with the use of electronic monitoring devices;

(vi)

Any other provisions required by the department pursuant to rules promulgated in accordance with this act.

35
‑
2
‑
1205.

Capacity; request; consent; records.

(a)

A resident with capacity to consent may request and consent to electronic monitoring pursuant to the provisions of this act. For a resident who lacks capacity to consent, the resident's representative may request and consent to electronic monitoring, provided the use of electronic monitoring does not contravene any prior expressed wishes of the resident and the resident does not object to electronic monitoring.

(b)

A resident or the resident's representative shall request to use electronic monitoring in the resident's room using a form provided by the department and furnished to the resident or representative by the facility. The form required under this subsection shall require the resident or his representative to:

(i)

Acknowledge that, by using an electronic monitoring device, the resident may reveal personal or sensitive information, including health
‑
related information, to individuals with authorized access to the electronic monitoring device and confirm that the resident or his representative consents to any disclosure;

(ii)

Waive any claim of liability against the facility for any civil damages for any release or use of a recording made by security surveillance devices under the control or in the custody of the facility or for a violation of the resident's right to privacy in connection with the use of electronic monitoring devices, except for acts or omissions constituting gross negligence or willful or wanton misconduct;

(iii)

Acknowledge that the consent of other residents residing in the same room is required and that the other residents residing in the same room may limit the resident's use of an electronic monitoring device;

(iv)

Specify the desired type and number of devices, the proposed date of installation and a copy of any contracts with commercial entities that will oversee the installation and maintenance of the electronic monitoring devices;

(v)

Acknowledge that facility approval of the type, number, location and installation of electronic monitoring devices is required before installation;

(vi)

Acknowledge that the resident is responsible for all fees associated with the electronic monitoring device including purchase, installation, removal, maintenance, internet connectivity and repair of any damage or markings resulting from installation;

(vii)

Complete any other requirements specified by the department.

(c)

No resident shall install an electronic monitoring device in the resident's room without the consent of any other resident residing in the same room. A
resident may obtain the consent of all other residents in the same room by using a form furnished by the department and provided to the resident by the facility. The form shall require the consenting resident or his representative to:

(i)

Acknowledge that he is not required to consent and may revoke his consent at any time;

(ii)

Acknowledge the resident's right to impose limits on electronic monitoring pursuant to W.S. 35
‑
2
‑
1206(g);

(iii)

Waive any claim of liability against the facility for any civil damages for any release or use of a recording made by an electronic monitoring device under the control or in the custody of the facility or for a violation of the resident's right to privacy in connection with the use of electronic monitoring devices, except for acts or omissions constituting gross negligence or willful or wanton misconduct;

(iv)

Complete any other requirements specified by the department.

(d)

A resident requesting to use electronic monitoring may request to switch rooms or roommates, subject to availability and at the resident's expense. A facility unable to accommodate a resident's request shall reevaluate the request at least one (1) time every two (2) weeks until the facility is able to accommodate the request. A facility shall not be responsible for its inability to accommodate a resident's request at the time of the request.

(e)

A resident or resident's representative who consented as provided in subsection (c) of this section may revoke that consent at any time and for any reason. If consent is revoked, a resident must immediately cease using any electronic monitoring devices in the room. A facility shall have authority to remove or disable any electronic monitoring device from a room after consent is revoked and if the resident does not immediately cease using the device.

(f)

All facilities shall obtain and retain all forms submitted by residents under this act. Forms shall be retained consistent with requirements for retaining medical records consistent with state and federal law.

35
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2
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1206.

Facility rules; installation of electronic monitoring devices; accommodation by facility.

(a)

A facility shall not refuse to admit, remove or retaliate against a resident who requests to use, uses or declines to consent to use electronic monitoring in his room pursuant to this act.

(b)

A facility may develop policies governing the placement and installation of electronic monitoring devices, subject to the provisions of this act and any rules promulgated by the department.

(c)

A facility shall not unnecessarily impair or impede a resident's use of electronic monitoring devices but may require installation of devices by a licensed contractor or facility personnel and may limit the placement of devices to maintain resident privacy and dignity.

(d)

A resident shall obtain the facility's approval before installing or using any electronic monitoring device, subject to the consent of any other resident residing in the same room as required under W.S. 35
‑
2
‑
1205(c).

(e)

A resident or the resident's representative shall be responsible for all costs associated with purchasing, installing, using, maintaining, servicing and removing electronic monitoring devices. For electronic monitoring devices requiring an internet connection, the facility may restrict or limit a resident's use of the facility's network services for those devices and may charge a reasonable fee to the resident using the facility's internet for electronic monitoring.

(f)

All electronic monitoring devices used by facilities and residents in facilities shall be conspicuous and in plain view. The facility is responsible for ensuring that no electronic monitoring device is installed in a location that:

(i)

Jeopardizes the privacy or dignity of any resident;

(ii)

Contravenes any imposed limitation on its placement or use as set forth by the department, the facility, the resident or any other resident residing in the same room;

(iii)

Jeopardizes the safety of a resident, employee, visitor or other person;

(iv)

Violates federal, state or local regulations.

(g)

Any resident residing in a room with electronic monitoring may establish limits on the use of electronic monitoring. The resident may impose limits restricting monitoring during specific times, in the presence of specific individuals, during times of personal care and treatment or for any other reason. Upon request by the resident, the facility shall make reasonable efforts to disable or obscure the electronic monitoring devices and to accommodate the resident's requested limits on electronic monitoring when the facility can reasonably do so. The facility shall document all limits requested by the resident and the facility's efforts to accommodate those requests.

(h)

A facility or employee of the facility shall not have access to video or audio recordings captured by an electronic monitoring device except as specified in this act.

35
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2
‑
1207.

Admissibility of electronic monitoring; liability; reporting.

(a)

No court or state agency shall admit into evidence or consider during any proceeding any recording created using an electronic monitoring device in a facility unless the recording is otherwise admissible under the Wyoming Rules of Evidence.

(b)

Upon request, a facility shall receive a copy of any recording that a party uses in an administrative proceeding against the facility.

(c)

A facility shall have no criminal or civil liability for:

(i)

Disclosing a recording made by an electronic monitoring device for any purpose pursuant to this act; and

(ii)

The disclosure of a recording for any purpose not authorized by this act by a resident, the resident's representative or any agent of the resident or the resident's representative.

(d)

A facility that provides internet or network access to a resident for the resident's electronic monitoring device shall not be liable for any network security breach caused by or resulting in unauthorized access to the electronic monitoring devices or any data captured, recorded, transmitted or broadcasted by the devices.

(e)

A facility shall have no civil or criminal liability for a violation of a resident's right to privacy that arises out of any electronic monitoring conducted in accordance with this act.

35
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2
‑
1208.

Electronic monitoring devices; rulemaking; compliance with rules.

(a)

The department shall promulgate rules necessary to implement this act including rules for receiving and resolving grievances received from residents.

(b)

Any resident or facility using an electronic monitoring device before, on or after October 1, 2020 shall comply with this act.

Section 2.

Before October 1, 2020, the department of health shall promulgate rules necessary to implement the provisions of this act.

Section 3
.

(a)

Except as provided in subsection (b) of this section, 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.

(b)

Section 1 of this act is effective October 1, 2020.

(END)

Speaker of the House

President of the Senate

Governor

TIME APPROVED: _________

DATE APPROVED: _________

I hereby certify that this act originated in the House.

Chief Clerk

1