WyomingHB 822025 General SessionHouse

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

2 provisions identified: 2 benefits, 0 costs, 0 mixed.

Health providers get payments during network review

This payment rule applies to Wyoming provider applications submitted on or after July 1, 2025. Once approved as a participating network provider, the provider must receive payment for covered, reimbursable services from the completed-application receipt date. A fully signed contract with the insurer must be in effect before those services are provided. The payment requirement does not apply where federal law overrides it.

New insurance review deadlines for health providers

For applications submitted on or after July 1, 2025, Wyoming health insurers must follow deadlines for checking providers' qualifications. Insurers must confirm receipt and give reviewer contact information within 7 calendar days. They must identify missing items in writing or electronically within 30 calendar days of receipt. Providers have 30 calendar days after that notice to complete the application, or the timelines restart. Insurers must finish within 60 calendar days of receipt and send a written or electronic decision. The 60-day clock pauses after an incomplete-application notice and resumes after the insurer verifies the completed submission. Approval is not guaranteed, except where existing state law requires it. The Wyoming Department of Insurance must set rules for one standard application; this rulemaking requirement took effect upon enactment. Dental and vision insurance are exempt from using that application. These requirements exclude pharmacy benefit managers and do not require insurers to break nationally recognized accreditation standards.

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. Assigned Chapter Number 39

    2/24/2025
  2. Governor Signed HEA No. 0012

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

    2/19/2025Senate
  4. H Speaker Signed HEA No. 0012

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

    2/18/2025
  6. S 3rd Reading:Passed 30-1-0-0-0

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

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

    2/13/2025Senate
  9. S Placed on General File

    2/12/2025Senate
  10. S10 - Labor:Recommend Do Pass 4-0-1-0-0

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

    2/10/2025Senate
  12. S Received for Introduction

    1/20/2025Senate
  13. H 3rd Reading:Passed 55-4-3-0-0

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

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

    1/16/2025House
  16. H Placed on General File

    1/15/2025House
  17. H10 - Labor:Recommend Do Pass 8-0-1-0-0

    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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