# Wyoming HB 122: AN ACT relating to the federal rural health transformation program funds; establishing the Wyoming rural health transformation program; creating an advisory committee; creating a perpetuity fund; authorizing investments as specified; creating an expenditure account; continuously appropriating an annually required distribution; providing for governance, fiscal controls, accountability and reporting requirements; authorizing expenditures, initiatives, grants and awards; providing for deposits and appropriations; requiring rulemaking; directing studies; and providing for an effective date. Wyoming HB 122, AN ACT relating to the federal rural health transformation program funds; establishing the Wyoming rural health transformation program; creating an advisory committee; creating a perpetuity fund; authorizing investments as specified; creating an expenditure account; continuously appropriating an annually required distribution; providing for governance, fiscal controls, accountability and reporting requirements; authorizing expenditures, initiatives, grants and awards; providing for deposits and appropriations; requiring rulemaking; directing studies; and providing for an effective date., is a 2026 Budget Session House bill sponsored by null Appropriations; status signed, last action 2026-03-06 (Assigned Chapter Number 61); PRIA reads it as touching household money (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/WY-HB122-2026 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Wyoming HB 122 - State: Wyoming - Session: 2026 Budget Session - Title: AN ACT relating to the federal rural health transformation program funds; establishing the Wyoming rural health transformation program; creating an advisory committee; creating a perpetuity fund; authorizing investments as specified; creating an expenditure account; continuously appropriating an annually required distribution; providing for governance, fiscal controls, accountability and reporting requirements; authorizing expenditures, initiatives, grants and awards; providing for deposits and appropriations; requiring rulemaking; directing studies; and providing for an effective date. - Status: signed - Chamber: House - Introduced: 2026-02-08 - Last action: 2026-03-06, Assigned Chapter Number 61 - Sponsor: null Appropriations - Cosponsors: 0 - Touches household money: yes - Roll calls: 5 (155 yes, 5 no in all) - Economic provisions PRIA read: 13 ## Summary No summary available. ## Bill overview: provisions PRIA read - Coordinated care for high-risk Medicare-Medicaid patients: benefit, low. The law targets 8.2% of temporary initiative funds for competitive grants coordinating care in one or more counties. Models must serve high-risk people who qualify for both Medicare and Medicaid. Funding can cover capped startup costs, monthly payments per assigned participant, and performance paym… - Coordinated medical rides for seniors and others: benefit, low. The law targets 2.0% of temporary initiative funds for a centralized platform coordinating nonemergency medical transportation. It supports scheduling, coordination, and billing for trips to health appointments. Intended users include seniors, people with disabilities, and other eligible population… - Grants expand rural primary care options: benefit, low. The law targets 36.4% of temporary initiative money for competitive grants expanding federally qualified health centers and their geographic reach. Grants support facility or practice conversions combining primary care with behavioral health, pregnancy and gynecological care, dental care, and preve… - More connected care for rural patients: benefit, low. The law targets 15.1% of temporary initiative funds for health technology grants requiring joint applications from at least two providers. Projects must bring care closer to patients’ homes, improve systems’ ability to work together, strengthen coordination, and reduce administrative work. Another… - More support for regional rural ambulance services: benefit, low. The law targets 26.9% of the annual distribution for regional emergency medical services, subject to available funds and permitted allocation changes. Support includes ongoing readiness payments and grants for ambulances, compatible equipment, and regional dispatch. At least two ground ambulance pr… - Rural hospital support and medical debt relief: benefit, low. The law targets 40.7% of the annual distribution for participating critical access hospitals, subject to available money and permitted allocation changes. Funding supports tiered incentives, one-time grants, fixed-cost payments, and medical debt relief for Wyoming residents. Hospitals must operate… - Wyoming grants support exercise and healthy eating: benefit, low. The law targets 9.8% of temporary initiative money for competitive grants to Wyoming-based groups promoting exercise and healthy eating. Priority goes to projects showing measurable gains in exercise or outdoor recreation participation, or evidence-based nutrition practices. The committee can recom… - Permanent funding supports Wyoming rural health: benefit, low. The law creates a permanent rural health fund managed by the state treasurer, with investment earnings kept in the fund. Each $1 million principal deposit gets one purpose-specific share; smaller deposits get fractional shares. These shares determine how annual spending is divided among purposes. F… - Wyoming splits funding for rural health: benefit, low. The law creates Wyoming’s rural health program within the Department of Health, which must adopt rules and follow the federally approved state plan. In federal fiscal year 2026, 80% of Wyoming’s federal award goes into a permanent fund and 20% funds temporary initiatives. Each later federal fiscal… - Grants expand Wyoming health care training: benefit, low. The law targets 8.2% of temporary initiative funds for competitive grants to Wyoming educational institutions starting or expanding health training. Schools must commit to creating and maintaining a specified number of training positions. Eligible fields include nursing, emergency medical services,… - Rural health funding excludes specified procedures: cost, low. State agencies and recipients cannot use Wyoming rural health transformation funds for abortions. They also cannot fund specified sex-trait modification procedures defined by federal regulations. These restrictions apply alongside other state and federal legal limits. They limit this program’s spen… - Stricter spending rules for rural health providers: cost, low. A nine-member voting advisory committee appointed by the governor oversees the program, with agency members and nonvoting legislative liaisons. It reviews fund operations and investments, advises on spending, and issues written recommendations requiring a department response. Grants, awards, or spe… - Training help with Wyoming service commitments: mixed, medium. The law targets 21.6% of the annual distribution for individual health training awards covering tuition, fees, and stipends. Eligible fields include nursing, emergency medical services, clinical behavioral health, and undergraduate medical education. Recipients must provide Wyoming health care for… ## Sponsors and cosponsors - Sponsor: null Appropriations ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-03-04 | Senate | S 3rd Reading:Passed 26-5-0-0-0 | pass | 26 | 5 | | | 2026-02-25 | Senate | S02 - Appropriations:Recommend Do Pass 4-0-1-0-0 | pass | 4 | 0 | | | 2026-02-19 | House | H 3rd Reading:Passed 57-0-5-0-0 | pass | 57 | 0 | | | 2026-02-12 | House | H02 - Appropriations:Recommend Amend and Do Pass 7-0-0-0-0 | pass | 7 | 0 | | | 2026-02-10 | House | H Introduced and Referred to H02 - Appropriations 61-0-1-0-0 | pass | 61 | 0 | | ## Actions (22) - 2026-03-06: Assigned Chapter Number 61 - 2026-03-06: Governor Signed HEA No. 0021 (Governor) - 2026-03-05: S President Signed HEA No. 0021 (Senate) - 2026-03-05: H Speaker Signed HEA No. 0021 (House) - 2026-03-04: Assigned Number HEA No. 0021 - 2026-03-04: S 3rd Reading:Passed 26-5-0-0-0 (Senate) - 2026-03-03: S 3rd Reading:Laid Back (Senate) - 2026-03-02: S 2nd Reading:Passed (Senate) - 2026-02-27: S 2nd Reading:Laid Back (Senate) - 2026-02-26: S COW:Passed (Senate) - 2026-02-25: S Placed on General File (Senate) - 2026-02-25: S02 - Appropriations:Recommend Do Pass 4-0-1-0-0 (Senate) - 2026-02-23: S Introduced and Referred to S02 - Appropriations (Senate) - 2026-02-19: S Received for Introduction (Senate) - 2026-02-19: H 3rd Reading:Passed 57-0-5-0-0 (House) - 2026-02-17: H 2nd Reading:Passed (House) - 2026-02-16: H COW:Passed (House) - 2026-02-12: H Placed on General File (House) - 2026-02-12: H02 - Appropriations:Recommend Amend and Do Pass 7-0-0-0-0 (House) - 2026-02-10: H Introduced and Referred to H02 - Appropriations 61-0-1-0-0 (House) - 2026-02-09: H Received for Introduction (House) - 2026-02-08: Bill Number Assigned ## Bill text - Engrossed: [PDF](https://wyoleg.gov/2026/Engross/HB0122.pdf) - Enrolled: [PDF](https://wyoleg.gov/2026/Enroll/HB0122.pdf) - Introduced: [PDF](https://wyoleg.gov/2026/Introduced/HB0122.pdf) ## Related bills - SF 101: AN ACT relating to the protection of constitutional rights; amending the Second Amendment Protection Act as specified; creating exceptions to the Second Amendm… (vetoed) - HB 178: AN ACT relating to labor and employment; prohibiting public employers and specified organizations from automatic deductions of dues and uniform assessments as… (vetoed) - SF 81: AN ACT relating to K-12 public school finance; implementing the 2025 cost of education study as modified by the legislature; modifying the education resource b… (became law) - SF 1: AN ACT to make appropriations for the fiscal biennium commencing July 1, 2026 and ending June 30, 2028; providing definitions; providing for appropriations and… (signed) - HB 145: AN ACT relating to taxation and revenue; amending the collection of and process for alternative fuel taxes; providing a per kilowatt hour license tax on electr… (signed) - HB 102: AN ACT relating to crimes and offenses; specifying that using artificial intelligence to commit a criminal offense shall not be a defense to the offense; estab… (signed) ## Sources - [Engrossed (PDF)](https://wyoleg.gov/2026/Engross/HB0122.pdf) - [Enrolled (PDF)](https://wyoleg.gov/2026/Enroll/HB0122.pdf) - [Introduced (PDF)](https://wyoleg.gov/2026/Introduced/HB0122.pdf) ## Related - [SF 101: AN ACT relating to the protection of constitutional rights; amending the Second…](https://policyrisk.com/state-bill/WY-SF101-2026) - [HB 178: AN ACT relating to labor and employment; prohibiting public employers and speci…](https://policyrisk.com/state-bill/WY-HB178-2026) - [SF 81: AN ACT relating to K-12 public school finance; implementing the 2025 cost of ed…](https://policyrisk.com/state-bill/WY-SF81-2026) - [SF 1: AN ACT to make appropriations for the fiscal biennium commencing July 1, 2026 a…](https://policyrisk.com/state-bill/WY-SF1-2026) - [HB 145: AN ACT relating to taxation and revenue; amending the collection of and process…](https://policyrisk.com/state-bill/WY-HB145-2026) - [HB 102: AN ACT relating to crimes and offenses; specifying that using artificial intell…](https://policyrisk.com/state-bill/WY-HB102-2026) - [Wyoming bills](https://policyrisk.com/states/wyoming/bills) - [Wyoming state hub](https://policyrisk.com/states/wyoming) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/WY-HB122-2026 (as of 2026-11-01).