Joint Labor, Health and Social Services Interim Committee

Priority #: 1 Health Care System Problems Health care access and affordability continue to be the main health related problem. The Committee will study: ·Primary care, especially for non-Medicaid eligible persons below 100% of poverty level; ·Various models of hospital organization, governance, administration and funding as they affect market, funding and regulatory difficulties; ·Funding problems and regulatory issues related to safety net programs such as qualified health centers, rural health clinics and home and community based providers; ·Methods to encourage medical homes.

Priority #: 2 Response to federal actions/initiatives The Committee will monitor and respond to federal actions/initiatives, which may include: ·The decision in King v. Burwell regarding availability of tax subsidies in states with a federally operated exchange; ·The effect of the Affordable Care Act on small employer groups and the Wyoming Small Employer Health Reinsurance (WISER) program; ·The Affordable Care Act and the status of the Miner’s Hospital as a primary care provider; ·Other federal requirements regarding supervised agencies that need immediate action.

Priority #: 3 Medical Education, Retention and Service GapsThe state’s medical education programs directly impact health care provider availability. The Committee will study status and effectiveness regarding: · WWAMI; · The Wyoming Family Practice Residency program, including potential outreach and service to underserved areas; · Nursing education incentive programs, including possible adoption of the Interstate Nurse Licensure Compact.