Environment
No direct effect
Neutral — no direct effect identified.
Benefits
- No material direct effect identified
Risks
- No material direct effect identified
StateWyomingEnacted
SF 4: Medicaid rate increase-EMS services.
Labor, Health and Social Services
SF 4 status: Enacted — Assigned Chapter Number 69 (updated Mar 6, 2026).
Source
OpenStates
Confidence
Low
Analysis basis
OpenStates summary
01
What this bill does
Official summary alongside an AI-generated read on where it stands and why.
Overall Score
78OUT OF 100
Score:78/100 civic fit
Risk:Low Risk
Impact:Moderate Impact 65/100
Constitutionality95%
Bipartisan90%
Public opinion80%
Bill 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.
02
Impact analysis
✦ AI analysisModeled effects across six domains, estimated from bill text and comparable legislation.
Economy
Positive outlook
70%
Benefits
- Increases reimbursement rates to 100% of Medicare
- Provides predictable revenue for ambulance providers
- Supports rural and super-rural service sustainability
Risks
- Increases ongoing state budget obligations
- Potential for future fiscal reliance on state funds
- Administrative burden on Department of Health
Society
Positive outlook
75%
Benefits
- Strengthens emergency infrastructure for rural communities
- Promotes equal access to emergency medical transport
- Supports service continuity for vulnerable demographics
Risks
- Relies on continuous legislative funding levels
- Potential for service gaps if reimbursements lag costs
- Focus on ground services may ignore air service needs
Technology Industry
No direct effect
Neutral — no direct effect identified.
Benefits
- No material direct effect identified
Risks
- No material direct effect identified
Civic Accountability
Positive outlook
80%
Benefits
- Mandates oversight via Joint Appropriations Committee
- Requires reporting to Joint Labor and Health Committees
- Establishes a firm October 2027 reporting deadline
Risks
- Reporting is retrospective after implementation
- Dependent on committee capacity for oversight
- Limited public-facing transparency of reports
Public Health & Safety
Positive outlook
85%
Benefits
- Secures operational viability of critical EMS responders
- Prevents insolvency for rural and super-rural providers
- Ensures reliability of emergency response systems
Risks
- Funding structure subject to legislative discretion
- No direct impact on clinical standards or training
- Limited scope focusing only on ground transport
03
How trustworthy & consequential it is
Sourcing already shown above, this is what the analysis found worth flagging.
Source
OpenStates
Official bill text or data from OpenStates.
Confidence
Low
Information is limited or incomplete.
Analysis basis
OpenStates summary
Source used for this bill's analysis.
Source note
Sustainability of enhanced fee schedules is contingent on future legislative budget prioritization.
Analysis scope
Source provided is a summary; actual implementation details depend on Department of Health rule-making.
04
Where it stands
Official recordAssigned Chapter Number 69
- IntroducedComplete
- CommitteeComplete
- Chamber votesComplete
- Final agreementComplete
- GovernorComplete
- EnactedComplete
05
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06
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