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WY SF0006

WY SF0006
Eligibility for Medicaid-criteria.


summary

Introduced
02/09/2026
In Committee
02/23/2026
Crossed Over
02/17/2026
Passed
Dead

Introduced Session

2026 Budget Session

Bill Summary

AN ACT relating to medical assistance and services; codifying current state criteria for Medicaid eligibility; specifying applicability; requiring rulemaking; and providing for effective dates.

AI Summary

This bill clarifies and codifies the existing criteria for eligibility for medical assistance, commonly known as Medicaid, in Wyoming. It specifies that applicants must be U.S. citizens or nationals with a valid social security number and proof of identity, or be lawfully present in the U.S., with an exception for children in the custody of the department of family services. Applicants must also be Wyoming residents or meet criteria outlined in the state's Medicaid plan, and they must fulfill at least one of several conditions, such as being determined disabled by Social Security guidelines, being eligible for Supplemental Security Income (SSI) or related programs, receiving hospice services under specific circumstances, qualifying for services through a Medicaid waiver or legislative expansion, being infected with tuberculosis and posing a threat to public health, or meeting other federal Medicaid requirements. The bill also includes provisions for children in the custody of the department of family services, those enrolled in the 1115 family planning waiver (until its expiration), individuals in the employed individuals with disabilities program, and those in the breast and cervical cancer treatment program. Importantly, any expansion of Medicaid eligibility beyond what was in place on January 1, 2026, requires legislative authorization, though the governor can temporarily expand eligibility to combat a public health emergency. The Department of Health is required to create necessary rules by October 1, 2026, and these eligibility criteria will apply to applications submitted or renewed on or after July 1, 2027.

Committee Categories

Health and Social Services

Sponsors (0)

No sponsors listed

Other Sponsors (1)

Labor, Health and Social Services (Joint)

Last Action

Placed on General File (on 02/23/2026)

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