2025 STATE OF WYOMING 25LSO-06801HB0284 HOUSE BILL NO. HB0284 Required hospital services. Sponsored by: Representative(s) Provenza, Larsen, L, Strock and Wharff and Senator(s) Barlow, Brennan, Gierau and Schuler A BILL for 1 AN ACT relating to public health and safety; requiring 2 hospitals licensed by the department of health to provide 3 specified services; authorizing hospitals to apply to the 4 department of health to waive obstetrics, labor and 5 delivery services as specified; making conforming 6 amendments; and providing for an effective date. 7 8 9 10. W.S. 35-2-915 is created to read: 11 12 13 14 2025STATE OF WYOMING25LSO-06802HB02841 (a) A hospital licensed through the department and 2 whose support, either in whole or in part, is derived from 3 public funds and provides inpatient acute care shall: 4 5 (i) Offer the following minimum services as 6 defined by the department: 7 8 (A) Emergency services; 9 10 (B) Radiology services; 11 12 (C) Laboratory services; and 13 14 (D) Nursing services. 15 16 (ii) Offer, subject to the waiver provision of 17 subsection (b) of this section, obstetrics, labor and 18 delivery services. 19 20 (b) A hospital licensed by the department whose 21 support, either in whole or in part, is derived from public 22 funds and that seeks to waive the requirement to offer 23 obstetrics, labor and delivery services under paragraph 2025STATE OF WYOMING25LSO-06803HB0284 1 (a)(ii) of this section shall submit an application to the 2 department. The application shall include: 3 4 (i) Sufficient information to demonstrate one of 5 the following: 6 7 (A) Continued maintenance of obstetrics, 8 labor and delivery services would place undue financial 9 hardship on the hospital; 10 11 (B) That patient volume for the obstetrics, 12 labor and delivery services is too low to ensure staff 13 competency and availability; or 14 15 (C) Personnel, equipment or medical 16 expertise necessary to provide obstetrics, labor and 17 delivery services are not reasonably available at the 18 hospital. 19 20 (ii) A signed letter from the board of county 21 commissioners in the county where the hospital is located 22 if the hospital is operated by the state or a political 23 subdivision of the state, or, if a publicly owned hospital, 2025STATE OF WYOMING25LSO-06804HB0284 1 a signed letter from the applicable hospital board of 2 trustees, that: 3 4 (A) Attests to the fact that the waived 5 obstetrics, labor and delivery services cannot be provided 6 at the hospital, pursuant to paragraph (b)(i) of this 7 section; and 8 9 (B) Concurs with the hospital's rationale 10 for requesting the waiver. 11 12 (c) When a complete application for a waiver is 13 submitted, the department shall make a determination on the 14 waiver not later than thirty (30) calendar days after 15 receiving the application. The department may waive the 16 requirements of subsection (a) of this section if the 17 elements of paragraph (b)(i) of this section are proven by 18 the applicable hospital. 19 20 (d) As used in this section, "hospital" means as 21 defined by W.S. 35-2-901(a)(xiii)(A) and 22 35-2-901(a)(xiii)(C). 23 2025STATE OF WYOMING25LSO-06805HB02841W.S. 35-2-901(a)(xxvii) is amended to 2 read: 3 4 5 6 (a) As used in this act: 7 8 (xxvii) "This act" means W.S. 35-2-901 through 935-2-915. 10 11. This act is effective July 1, 2025 12 13 (END)