WyomingHB 822025 General SessionHouseWALLET

AN ACT relating to the insurance code; requiring health insurance carriers to follow specified guidelines regarding health care provider credentialing; specifying that health carriers shall not be required to violate or fail to meet requirements of a nationally recognized accrediting entity; providing definitions; specifying applicability; requiring rulemaking; and providing for effective dates.

Sponsored By: null Labor

Signed by Governor

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Bill Overview

Analyzed Economic Effects

4 provisions identified: 3 benefits, 1 costs, 0 mixed.

Back pay for new in-network providers

Beginning July 1, 2025, if you later become in-network and had a fully signed contract before care, the insurer must pay you back. They must reimburse all covered, reimbursable services starting from the date they got your completed application. Federal law can override this rule.

Faster credentialing timelines for providers

Beginning July 1, 2025, insurers must confirm they got your credentialing application within 7 days and give a contact. If it is incomplete, they must tell you within 30 days what is missing. You then have 30 days to finish it; if you miss that, the clock resets. The insurer must finish credentialing within 60 days. The 60-day clock pauses during an incomplete fix and resumes after you submit a complete application. You get written or electronic notice of the decision.

Standard credentialing form and start dates

The Insurance Department must set one standard credentialing application by rule. Dental and vision plans do not have to use it. New definitions apply, including that pharmacy benefit managers are not health carriers. These rules apply to applications sent on or after July 1, 2025. Most of the law starts July 1, 2025. The rulemaking section takes effect immediately upon enactment.

Insurers can deny, honor accreditor rules

Starting July 1, 2025, insurers do not have to approve credentialing applications, unless another Wyoming law requires approval. Also, nothing in this law makes an insurer break standards from a nationally recognized accreditor.

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Sponsors & Cosponsors

Sponsor

  • null Labor

    Affiliation unavailable

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 97 • No: 5

Senate vote 2/18/2025

S 3rd Reading:Passed 30-1-0-0-0

Yes: 30 • No: 1

Senate vote 2/12/2025

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

Yes: 4 • No: 0

House vote 1/20/2025

H 3rd Reading:Passed 55-4-3-0-0

Yes: 55 • No: 4

House vote 1/15/2025

H10 - Labor:Recommend Do Pass 8-0-1-0-0

Yes: 8 • No: 0

Actions Timeline

  1. Governor Signed HEA No. 0012

    2/24/2025Governor
  2. Assigned Chapter Number 39

    2/24/2025
  3. S President Signed HEA No. 0012

    2/19/2025Senate
  4. S 3rd Reading:Passed 30-1-0-0-0

    2/18/2025Senate
  5. Assigned Number HEA No. 0012

    2/18/2025
  6. H Speaker Signed HEA No. 0012

    2/18/2025House
  7. S 2nd Reading:Passed

    2/14/2025Senate
  8. S COW:Passed

    2/13/2025Senate
  9. S10 - Labor:Recommend Do Pass 4-0-1-0-0

    2/12/2025Senate
  10. S Placed on General File

    2/12/2025Senate
  11. S Introduced and Referred to S10 - Labor

    2/10/2025Senate
  12. H 3rd Reading:Passed 55-4-3-0-0

    1/20/2025House
  13. S Received for Introduction

    1/20/2025Senate
  14. H 2nd Reading:Passed

    1/17/2025House
  15. H COW:Passed

    1/16/2025House
  16. H10 - Labor:Recommend Do Pass 8-0-1-0-0

    1/15/2025House
  17. H Placed on General File

    1/15/2025House
  18. H Introduced and Referred to H10 - Labor

    1/14/2025House
  19. H Received for Introduction

    1/2/2025House
  20. Bill Number Assigned

    12/30/2024

Bill Text

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