Bill > SF0006

This bill establishes specific criteria for eligibility for medical assistance, commonly known as Medicaid, in Wyoming, codifying existing state rules and outlining new requirements. To be eligible, an applicant must be a U.S. citizen or national with a valid social security number and proof of identity, or be lawfully present in the United States, with an exception for children in the custody of the department of family services. Applicants must also be Wyoming residents or meet criteria in the Wyoming Medicaid state plan, and those intending to return to another state or country will not be considered residents. Furthermore, applicants must meet at least one of several conditions, including being determined disabled by Social Security guidelines, receiving or being eligible for Supplemental Security Income (SSI), or being entitled to hospice services under specific circumstances. Other eligibility pathways include qualifying for Medicaid waivers or expansions authorized by the legislature, being infected with tuberculosis and posing a threat to public health, being a child in foster care or residing in specific state institutions, being enrolled in the 1115 family planning waiver (until its expiration), being enrolled in the employed individuals with disabilities program, or being enrolled in the breast and cervical cancer treatment program. The bill also states that any expansion of Medicaid eligibility beyond January 1, 2026, requires legislative authorization, though the governor can authorize temporary expansions to combat public health emergencies. The Department of Health is mandated to create necessary rules by October 1, 2026, and these provisions will apply to applications submitted or renewed on or after July 1, 2027.