Wyoming 2026 Session Status: Enacted

SF 4 — Medicaid rate increase-EMS services.

Last action — Governor Signed SEA No. 0034

Track this bill free

No card. One bill, free forever — alerts when it moves.

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed Senate
  4. ✓
    Passed House
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced December 01, 2025. Enacted.

Signed by Governor Mark Gordon (Republican) on March 06, 2026.

Prognosis

Advancing 50% · moderate confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Summary

This act increases the Medicaid reimbursement rate for emergency medical services provided by ground ambulance service providers to one hundred percent (100%) of the current Medicare rate. The Department of Health is required to develop enhanced Medicaid rural and super-rural fee schedules for emergency medical services provided by ground ambulance service providers. This act requires the Department of Health to report to the Joint Appropriations Committee and the Joint Labor, Health and Social Services Interim Committee regarding the additional costs incurred by the increased reimbursement rates. This act provides an appropriation for purposes of increasing the reimbursement rates. Comments: Requires a report to the Joint Appropriations Committee and the Joint Labor, Health and Social Services Interim Committee on or before October 31, 2027.

Bill Text

What changed in the latest version

70 added · 61 removed

Plain-language change summary

The updated bill now includes a requirement for the Department of Health to develop better Medicaid payment schedules for rural and super-rural ambulance services. This change is significant because it aims to ensure that emergency medical services in less populated areas are fairly compensated and can continue to operate effectively, ultimately improving access to critical care for residents in those regions. The new reimbursement structure applies from July 1, 2026, to June 30, 2028, ensuring timely support for these essential services.

→
Previous
Latest
S TATE OF W YOMING 26LSO-0135 SENATE FILE NO.
ORIGINAL SENATE ENGROSSED FILE NO.
SF0004 Medicaid rate increase-EMS services.
SF0004 ENROLLED ACT NO.
Sponsored by:
34, SENATE SIXTY-EIGHTH LEGISLATURE OF THE STATE OF WYOMING BUDGET SESSION AN ACT relating to medical assistance and services;
Joint Labor, Health & Social Services Interim Committee A BILL for AN ACT relating to medical assistance and services;
8 Be It Enacted by the Legislature of the State of Wyoming:
Be It Enacted by the Legislature of the State of Wyoming:
For the period beginning July 1, 2026 and ending June 30, 2028, services authorized under the Wyoming Medical Assistance and Services Act involving emergency medical services provided by ground ambulance service providers shall be reimbursed at one hundred percent (100%) of the current Medicare rate, not to exceed one hundred SF0004 STATE OF WYOMING 26LSO-0135 percent (100%) of the provider's or department's usual and customary billed charges.
For the period beginning July 1, 2026 and ending June 30, 2028, services authorized under the Wyoming Medical Assistance and Services Act involving emergency medical services provided by ground ambulance service providers shall be reimbursed at one hundred percent (100%) of the current Medicare rate, not to exceed one hundred percent (100%) of the provider's or department's usual and customary billed charges.
This reimbursement rate shall apply if the services were rendered during the period beginning July 1, 2026 and ending June 30, 2028.
The department of health shall develop enhanced Medicaid rural and super-rural fee schedules for emergency medical services provided by ground ambulance service providers.
6 Section 2.
These reimbursement rates shall apply if the services were rendered during the period beginning July 1, 2026 and ending June 30, 2028.
The department of health shall report to the joint appropriations committee and the joint labor, health and social services interim committee on or before October 31, 2027 regarding the additional costs incurred by the increased reimbursement rate required by this act.
Section 2.
The report required by this section shall include any recommendations for modifications to the reimbursement rate for emergency medical services provided by ground ambulance providers under the Wyoming Medical Assistance and Services Act.
The department of health shall report to the joint appropriations committee and the joint labor, health and social services interim committee on or before October 31, 2027 regarding the additional costs incurred by the increased reimbursement rates required by this act.
Section 3.
The report required by this section shall include any recommendations for modifications to the reimbursement rates for emergency medical services provided by ground ambulance providers under the Wyoming Medical Assistance and Services Act.
There is appropriated one million three hundred thousand dollars ($1,300,000.00) from the general fund and one million three hundred thousand dollars ($1,300,000.00) from federal funds to the department of health for purposes of increasing the reimbursement rate for services as provided by this act.
ORIGINAL SENATE ENGROSSED FILE NO.
This appropriation shall be for the period beginning July 1, 2026 and ending SF0004 STATE OF WYOMING 26LSO-0135 June 30, 2028.
SF0004 ENROLLED ACT NO.
34, SENATE SIXTY-EIGHTH LEGISLATURE OF THE STATE OF WYOMING BUDGET SESSION Section 3.
There is appropriated one million three hundred thousand dollars ($1,300,000.00) from the general fund and one million three hundred thousand dollars ($1,300,000.00) from federal funds to the department of health for purposes of increasing the reimbursement rates for services as provided by this act.
This appropriation shall be for the period beginning July 1, 2026 and ending June 30, 2028.
9 Section 4.
ORIGINAL SENATE ENGROSSED FILE NO.
SF0004 ENROLLED ACT NO.
34, SENATE SIXTY-EIGHTH LEGISLATURE OF THE STATE OF WYOMING BUDGET SESSION Section 4.
(END) SF0004
(END) Speaker of the House President of the Senate Governor TIME APPROVED:
_________ DATE APPROVED:
_________ I hereby certify that this act originated in the Senate.
Chief Clerk 3
⬇ Download PDF
View plain text versions (2)

Amendments

2 amendments

Click Show changes on an amendment above to see how it modifies the bill.

Action History

  1. Governor Signed SEA No. 0034

  2. Assigned Chapter Number 69

  3. Assigned Number SEA No. 0034

  4. S President Signed SEA No. 0034

  5. H Speaker Signed SEA No. 0034

  6. H 3rd Reading:Passed 34-23-5-0-0

  7. S Received for Concurrence

  8. S Concur:Passed 28-1-2-0-0

  9. H 2nd Reading:Passed

  10. H COW:Passed

  11. H02 - Appropriations:Recommend Do Pass 6-1-0-0-0

  12. H Placed on General File

  13. H COW:Rerefer to H02 - Appropriations

  14. H10 - Labor:Recommend Do Pass 5-3-1-0-0

  15. H Placed on General File

  16. H Introduced and Referred to H10 - Labor

  17. S 3rd Reading:Passed 29-1-1-0-0

  18. H Received for Introduction

  19. S 2nd Reading:Passed

  20. S COW:Passed

  21. S02 - Appropriations:Recommend Do Pass 4-0-1-0-0

  22. S Placed on General File

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

  24. :Rerefer to S02 - Appropriations

  25. S Introduced and Referred to S10 - Labor 25-6-0-0-0

  26. S Received for Introduction

  27. Bill Number Assigned

Sponsors

  • Health and Social Services Labor · Primary

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 0 co-sponsors · 92 not signed on

Sponsors (1)

  • Labor, Health and Social Services

Co-sponsors (0)

None.

Not signed on (92)

92 members have not signed on to this bill.

Show all 92 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does SF 4 do?
This act increases the Medicaid reimbursement rate for emergency medical services provided by ground ambulance service providers to one hundred percent (100%) of the current Medicare rate. The Department of Health is required to develop enhanced Medicaid rural and super-rural fee schedules for emergency medical services provided by ground ambulance service providers. This act requires the Department of Health to report to the Joint Appropriations Committee and the Joint Labor, Health and Social Services Interim Committee regarding the additional costs incurred by the increased reimbursement rates. This act provides an appropriation for purposes of increasing the reimbursement rates. Comments: Requires a report to the Joint Appropriations Committee and the Joint Labor, Health and Social Services Interim Committee on or before October 31, 2027.
Who sponsors SF 4?
SF 4 is sponsored by Labor, Health and Social Services.
What is the current status of SF 4?
This bill has been enacted into law. Introduced December 01, 2025. Enacted.
Where can I track SF 4?
Track SF 4 free on One Click Politics — get push/email alerts when it moves.

Make your voice heard on SF 4

Find the representatives who decide this bill and tell them where you stand — for yourself, or mobilize your whole list in one click with One Click Politics advocacy software.

Find my representatives → Run a campaign

Stay ahead of SF 4

Last checked for changes 3 months ago · updated continuously

One Click Politics tracks every bill in Congress and all 50 states.

Track this bill →