SF0035 • 2020

Health care claims database reporting.

AN ACT relating to health care; requiring the reporting of state of Wyoming employee health care claims data as specified; providing conditions; providing a sunset date; and providing for an effective date.

Labor

Did Not Pass

The latest official action shows that this bill did not move forward in that session.

Sponsor: Labor
Last action: 2020-03-06
Official status: inactive
Effective date: 3/1/2020

Plain English Breakdown

The bill did not pass in its session.

Health Care Claims Database Reporting

The bill requires the state of Wyoming to report health care claims data from its employee insurance plan to a multi-payer database, with certain conditions and limitations.

What This Bill Does

Requires the governor's approval for submitting health care claims data from the state employees' and officials' group insurance plan to a multi-payer health care claims database.
Specifies that submission must be beneficial to Wyoming employers and residents without disclosing personally identifiable information.
Allows the Department of Health to provide services instead of paying monetary charges for data collection and analysis.

Who It Names or Affects

The governor
State employees and officials covered under the group insurance plan

Terms To Know

Multi-payer health care claims database: A system that collects and stores health care claim information from multiple sources, such as different insurance providers or employers.
Sunset date: The date when a law or program is set to end unless it is renewed by the legislature.

Limits and Unknowns

The bill did not pass and was not enacted into law.
Details about how the data will be used after submission are limited to improving the state's insurance plan operation, subject to confidentiality laws.

Amendments

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

SF0035HS001

Standing Committee • House Labor, Health and Social Services Committee

Adopted

Plain English: The amendment modifies the bill by specifying that health care claims data must be submitted by the state of Wyoming, removing certain conditions about licensing or selling the data to other parties, and adding restrictions on how the data can be used.

Adds language requiring health care claims data to be submitted 'by the state of Wyoming'.
Removes lines that discuss licensing or selling the data to other entities.
Inserts new text stating that the data shall not be licensed or sold by any party except as specified, and can only be used in aggregate form for employers and insurers under applicable laws.

The exact implications of removing certain conditions about licensing and selling the data are unclear without additional context.

SF0035SS001

Standing Committee • Senate Labor, Health and Social Services Committee

Adopted

Plain English: The amendment adds a requirement that data submitted to a health care claims database will benefit Wyoming's employers and residents, and it specifies how the data can be used by the state.

Adds language stating that submitting data to the database is beneficial for Wyoming’s employers and residents.
Inserts new section (e) specifying that data submitted to a health care claims database is considered a public asset owned by the state of Wyoming, and may be used to review and improve the operation of the state employees' insurance plan.

The amendment does not provide specific details on how exactly the data will benefit employers and residents.
It's unclear what additional limitations or confidentiality requirements might apply beyond those mentioned in the text.

Bill History

2020-03-06 House
H 3rd Reading:Failed 27-31-2-0-0
2020-03-05 House
H 2nd Reading:Passed
2020-03-04 House
H COW:Passed
2020-02-28 House
H Placed on General File
2020-02-28 House
H10 - Labor:Recommend Amend and Do Pass 5-3-1-0-0
2020-02-24 House
H Introduced and Referred to H10 - Labor
2020-02-18 House
H Received for Introduction
2020-02-17 Senate
S 3rd Reading:Passed 29-0-1-0-0
2020-02-14 Senate
S 2nd Reading:Passed
2020-02-13 Senate
S COW:Passed
2020-02-12 Senate
S Placed on General File
2020-02-12 Senate
S10 - Labor:Recommend Amend and Do Pass 5-0-0-0-0
2020-02-10 Senate
S Introduced and Referred to S10 - Labor 29-0-1-0-0
2020-02-07 Senate
S Received for Introduction
2020-01-10 LSO
Bill Number Assigned

Current Bill Text

Read the full stored bill text

20LSO-0254
2020
STATE OF WYOMING
20LSO-0254
ENGROSSED
3.0

SENATE FILE NO. SF0035

Health care claims database reporting.

Sponsored by: Joint Labor, Health & Social Services Interim Committee

A BILL

for

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

Section 1
.

W.S. 9
‑
3
‑
220 is created to read:

9
‑
3
‑
220.

Health care claims data reporting
.

(a)

Upon approval of the governor and in consultation with the department of insurance and the department of health, the department of administration and information shall submit health care claims data from the state
employees' and officials' group insurance plan to a multi
‑
payer health care claims database that includes data from Wyoming employers if the governor finds:

(i)

That the costs of submitting the data to the claims database are reasonable in light of the likely benefits of submitting the data to the claims database for Wyoming employers, the state of Wyoming and the Wyoming public;

(ii)

That, without disclosing personally identifiable information, the database makes sufficient information available to the public to allow the database to serve a substantial public benefit;

(iii)

That submission of the data to the database will be beneficial to Wyoming's employers and residents;

(iv)

That, pursuant to a written agreement, data submitted to the database will be used, disclosed and stored in compliance with all relevant state and federal
laws and that no personally identifiable information will be publicly disclosed;

(v)

That other relevant factors weighing against the submission of data to the claims database do not substantially outweigh the benefits of submitting the data.

(b)

All data submitted to a multi
‑
payer health care claims database pursuant to subsection (a) of this section shall be submitted, stored and disclosed in compliance with all state and federal laws regarding disclosure of confidential health care data and no personally identifiable information shall be publicly disclosed.

(c)

The department of health may provide in
‑
kind services for data collection and analysis in lieu of the state paying part or all of any monetary charges to any claims database under subsection (a) of this section.

(d)

Data submitted to a multi
‑
payer health care claims database pursuant to subsection (a) of this section shall be considered a public asset, shall not become the property of any person other than the state of Wyoming and,
subject only to confidentiality or other limitations imposed by state or federal law, may be used to review and improve operation of the state employees' and officials' group insurance plan.

(e)

This section is repealed on July 1, 2025.

Section 2
.

W.S. 9
‑
3
‑
205(a) by creating a new paragraph (xvii) is amended to read:

9
‑
3
‑
205.

Administration and management of group insurance program; powers and duties; adoption of rules and regulations; interfund borrowing authority
.

(a)

The department shall administer and manage the state employees' and officials' group insurance program and, subject to the provisions of this act:

(xvii)

Submit any information required by W.S. 9
‑
3
‑
220 to a multi
‑
payer health care claims database.

Section 3.

This act is effective July 1, 2020
.

(END)

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SF0035