This amendment adds provisions allowing the governor to authorize deviations from statutory fund allocation percentages to reach federal agreements and directs a legal analysis of potential discriminatory Medicare/Medicaid reimbursement practices.
- Adds a new Section 5 authorizing the governor to deviate from the percentages, shares, allocations and distributions specified in the fund allocation statutes (W.S. 35-25-702, 35-25-704, 35-25-706 and 35-25-707) if necessary to reach or implement an agreement with the federal government for Wyoming to receive federal rural health transformation funds, with a requirement that the Department of Health notify the Legislative Service Office and the Joint Labor, Health and Social Services Interim Committee within 30 days of any adjustment. (Page 27, lines 7-16)
- Requires the governor, when authorizing deviations, to give special consideration to whether the proposed federal agreement meaningfully aids Wyoming in addressing long-term problems created by high fixed costs for health care services. (Page 27, lines 18-23)
- Directs the governor to cause a legal analysis to be performed in consultation with the attorney general if an agreement with the federal government cannot be reached. The analysis must examine whether Medicare, Medicaid and other federal Centers for Medicare and Medicaid Services reimbursement is illegally discriminatory against Wyoming providers, including consideration of Wyoming's high fixed costs due to low population density and large distances, and whether federal action amounts to an illegal taking of private property for private providers. (Page 27, lines 25-39)
- Renumbers the existing Section 5 of the parent bill to Section 6 to accommodate the new Section 5. (Page 27, line 41)
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