SF0122

Failed

Medical necessity standard-timeline amendments.

Health insurers and independent review organizations must complete medical necessity determinations within revised timeframes.

Full legal title

AN ACT relating to the insurance code; amending the number of days a health insurer has to determine the medical necessity of a health care service; amending the number of days an independent review organization has to make an external review determination regarding medical necessity of a health care service; and providing for an effective date.

Health

Sponsor:

Co-sponsors: Representative(s) Erickson, Senator(s) Brennan

View on wyoleg.gov Introduced Text (PDF)Digest (PDF)Fiscal Note (PDF)

What does this bill do?

Reduces the timeline for health insurers and independent review organizations to make medical necessity determinations from 45 days to 21 days.

Reduces the time limit for insurers to complete internal medical necessity reviews and deliver decisions to claimants from 45 days to 21 days after receipt of a review request. (W.S. 26-40-201(d), Sec. 1)
Reduces the time limit for independent review organizations to provide written notice of their external review decision on medical necessity from 45 days to 21 days after receipt of the request. (W.S. 26-40-201(m), Sec. 1)

Effective: July 1, 2026

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Actions (12)

3/3/2026(House)

H:Died in Committee Returned Bill Pursuant to HR 5-4

3/3/2026(House)

H No report prior to CoW Cutoff

2/23/2026(House)

H Introduced and Referred to H10 - Labor

2/20/2026(House)

H Received for Introduction

2/20/2026(Senate)

Roll Call Votes (3)

S 3rd Reading:Passed 29-2-0-0-0

Key VotePassed

2/20/2026SenateYea 29Nay 2

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Yea: Anderson, Boner, Brennan, Cooper, Crago, Crum, Dockstader, Driskill, French, Hutchings, Gierau, Hicks, Ide, Jones, Landen, Kolb, Laursen, Love, McKeown, Nethercott, Olsen, Pappas, Pearson, Rothfuss, Salazar, Schuler, Scott, Steinmetz, Biteman

Nay: Barlow, Case

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S10 - Labor:Recommend Do Pass 5-0-0-0-0

Recommended

2/16/2026SenateYea 5Nay 0

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Yea: CRUM, HUTCHINGS, SCOTT, STEINMETZ, BRENNAN

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S Introduced and Referred to S10 - Labor 30-1-0-0-0

Unknown

2/13/2026SenateYea 30Nay 1

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Yea: Anderson, Barlow, Boner, Brennan, Cooper, Crago, Crum, Dockstader, Driskill, French, Gierau, Hutchings, Hicks, Ide, Jones, Kolb, Laursen, Landen, Love, McKeown, Olsen, Nethercott, Pearson, Pappas, Rothfuss, Schuler, Salazar, Scott, Steinmetz, Biteman

Nay: Case

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