1 | 1 | | 2025 |
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2 | 2 | | STATE OF WYOMING |
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3 | 3 | | 25LSO-06801HB0284 |
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4 | 4 | | HOUSE BILL NO. HB0284 |
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5 | 5 | | Required hospital services. |
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6 | 6 | | Sponsored by: Representative(s) Provenza, Larsen, L, Strock |
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7 | 7 | | and Wharff and Senator(s) Barlow, Brennan, |
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8 | 8 | | Gierau and Schuler |
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9 | 9 | | A BILL |
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10 | 10 | | for |
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11 | 11 | | 1 AN ACT relating to public health and safety; requiring |
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12 | 12 | | 2 hospitals licensed by the department of health to provide |
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13 | 13 | | 3 specified services; authorizing hospitals to apply to the |
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14 | 14 | | 4 department of health to waive obstetrics, labor and |
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15 | 15 | | 5 delivery services as specified; making conforming |
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16 | 16 | | 6 amendments; and providing for an effective date. |
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17 | 17 | | 7 |
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18 | 18 | | 8 |
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19 | 19 | | 9 |
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20 | 20 | | 10. W.S. 35-2-915 is created to read: |
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21 | 21 | | 11 |
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22 | 22 | | 12 |
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23 | 23 | | 13 |
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24 | 24 | | 14 2025STATE OF WYOMING25LSO-06802HB02841 (a) A hospital licensed through the department and |
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25 | 25 | | 2 whose support, either in whole or in part, is derived from |
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26 | 26 | | 3 public funds and provides inpatient acute care shall: |
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27 | 27 | | 4 |
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28 | 28 | | 5 (i) Offer the following minimum services as |
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29 | 29 | | 6 defined by the department: |
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30 | 30 | | 7 |
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31 | 31 | | 8 (A) Emergency services; |
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32 | 32 | | 9 |
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33 | 33 | | 10 (B) Radiology services; |
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34 | 34 | | 11 |
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35 | 35 | | 12 (C) Laboratory services; and |
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36 | 36 | | 13 |
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37 | 37 | | 14 (D) Nursing services. |
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38 | 38 | | 15 |
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39 | 39 | | 16 (ii) Offer, subject to the waiver provision of |
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40 | 40 | | 17 subsection (b) of this section, obstetrics, labor and |
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41 | 41 | | 18 delivery services. |
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42 | 42 | | 19 |
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43 | 43 | | 20 (b) A hospital licensed by the department whose |
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44 | 44 | | 21 support, either in whole or in part, is derived from public |
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45 | 45 | | 22 funds and that seeks to waive the requirement to offer |
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46 | 46 | | 23 obstetrics, labor and delivery services under paragraph 2025STATE OF WYOMING25LSO-06803HB0284 |
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47 | 47 | | 1 (a)(ii) of this section shall submit an application to the |
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48 | 48 | | 2 department. The application shall include: |
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49 | 49 | | 3 |
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50 | 50 | | 4 (i) Sufficient information to demonstrate one of |
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51 | 51 | | 5 the following: |
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52 | 52 | | 6 |
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53 | 53 | | 7 (A) Continued maintenance of obstetrics, |
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54 | 54 | | 8 labor and delivery services would place undue financial |
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55 | 55 | | 9 hardship on the hospital; |
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56 | 56 | | 10 |
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57 | 57 | | 11 (B) That patient volume for the obstetrics, |
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58 | 58 | | 12 labor and delivery services is too low to ensure staff |
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59 | 59 | | 13 competency and availability; or |
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60 | 60 | | 14 |
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61 | 61 | | 15 (C) Personnel, equipment or medical |
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62 | 62 | | 16 expertise necessary to provide obstetrics, labor and |
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63 | 63 | | 17 delivery services are not reasonably available at the |
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64 | 64 | | 18 hospital. |
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65 | 65 | | 19 |
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66 | 66 | | 20 (ii) A signed letter from the board of county |
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67 | 67 | | 21 commissioners in the county where the hospital is located |
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68 | 68 | | 22 if the hospital is operated by the state or a political |
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69 | 69 | | 23 subdivision of the state, or, if a publicly owned hospital, 2025STATE OF WYOMING25LSO-06804HB0284 |
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70 | 70 | | 1 a signed letter from the applicable hospital board of |
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71 | 71 | | 2 trustees, that: |
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72 | 72 | | 3 |
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73 | 73 | | 4 (A) Attests to the fact that the waived |
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74 | 74 | | 5 obstetrics, labor and delivery services cannot be provided |
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75 | 75 | | 6 at the hospital, pursuant to paragraph (b)(i) of this |
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76 | 76 | | 7 section; and |
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77 | 77 | | 8 |
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78 | 78 | | 9 (B) Concurs with the hospital's rationale |
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79 | 79 | | 10 for requesting the waiver. |
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80 | 80 | | 11 |
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81 | 81 | | 12 (c) When a complete application for a waiver is |
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82 | 82 | | 13 submitted, the department shall make a determination on the |
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83 | 83 | | 14 waiver not later than thirty (30) calendar days after |
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84 | 84 | | 15 receiving the application. The department may waive the |
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85 | 85 | | 16 requirements of subsection (a) of this section if the |
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86 | 86 | | 17 elements of paragraph (b)(i) of this section are proven by |
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87 | 87 | | 18 the applicable hospital. |
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88 | 88 | | 19 |
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89 | 89 | | 20 (d) As used in this section, "hospital" means as |
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90 | 90 | | 21 defined by W.S. 35-2-901(a)(xiii)(A) and |
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91 | 91 | | 22 35-2-901(a)(xiii)(C). |
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92 | 92 | | 23 2025STATE OF WYOMING25LSO-06805HB02841W.S. 35-2-901(a)(xxvii) is amended to |
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93 | 93 | | 2 read: |
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94 | 94 | | 3 |
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95 | 95 | | 4 |
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96 | 96 | | 5 |
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97 | 97 | | 6 (a) As used in this act: |
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98 | 98 | | 7 |
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99 | 99 | | 8 (xxvii) "This act" means W.S. 35-2-901 through |
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100 | 100 | | 935-2-915. |
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101 | 101 | | 10 |
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102 | 102 | | 11. This act is effective July 1, 2025 |
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103 | 103 | | 12 |
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104 | 104 | | 13 (END) |
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