Wyoming hospitals would publish prices and face debt collection limits

Licensed Wyoming hospitals would post price files for computers and readable lists for patients on their websites. Prices would cover inpatient and outpatient care at each hospital location, including cash prices and rates negotiated with insurers. Access would be free, without an account, personal information, or an access code. The patient list would cover at least 300 services patients can schedule ahead, including designated federal services the hospital provides. Hospitals would also disclose whether they receive federal drug discounts, the drugs covered, and their total annual discounts. The proposal sets July 1, 2026, as the start date. Hospitals would update both lists at least annually.

Hospitals would be barred from using debt collectors, suing, enforcing arbitration or mediation agreements, or reporting covered debts to credit agencies. These limits would cover patients and people responsible for their bills when a hospital materially violated disclosure rules on the date of care or purchase. Hospitals could still send bills. Refunds would not be required when no prohibited collection action occurred. With documentation, patients or people responsible for their bills could sue over a violation related to their care. Collection would pause during that lawsuit. A court finding would require repayment of amounts collected, a payment equal to the debt, legal costs, dismissal of collection suits, and removal of related credit reports. The proposal sets July 1, 2026, as the start date for these debt collection rules.

Covered facilities would report federal 340B drug discount program finances to the Wyoming Department of Health. Reporting would cover specified facilities authorized for the federal drug discount program with a Wyoming service address on January 1 of the reporting year, including affiliated offsite outpatient facilities. Reports would cover drug costs, payments, and use of savings, including free or reduced-cost care. Individual reports would stay confidential. The department would publish combined results without revealing confidential information. Facilities missing required information by November 15 would face a $1,000 daily fine. The proposal sets July 1, 2026, as its start date. Facilities would report the previous year's data before April 1 each year; the department would publish combined results before November 15.

The Wyoming Department of Health would monitor hospitals, require correction plans, and fine hospitals that fail to submit or follow those plans. These enforcement rules would cover licensed Wyoming hospitals. Hospitals would submit correction plans within 30 days of notice and act to follow them within 30 days of submission. The department would approve plans and check compliance. Critical access hospitals would face daily fines of $100 for a first offense, $500 for a second, and $1,000 for later offenses. Other hospitals would face $1,000 daily fines. Compliance would affect license renewal. Violations could lead to license restrictions, suspension, or loss. The department would publish violations, warnings, penalties, and requests for correction plans, updating the list every 30 days. Most requirements would start July 1, 2026, if enacted. Rulemaking would begin upon enactment. The public violation list specifies October 1, 2025, which conflicts with that schedule.