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HB 179
Wyoming House•Failed
Summary
HB 179, “Hospital pricing transparency”, was introduced in the House on Feb 11, 2026 by Rep. Daniel Singh (R) with 3 co-sponsors. It last saw action on Feb 13, 2026: Failed Introduction 31-29-2-0-0.
Record
Text
HB 179 has 3 co-sponsors and 1 roll call.
hb179/introduced.txt2026 26LSO-0305STATE OF WYOMINGHOUSE BILL NO. HB0179Hospital pricing transparency.Sponsored by: Representative(s) Singh, Rodriguez-Williamsand Wasserburger and Senator(s) BitemanA BILLfor1 AN ACT relating to public health and safety; requiring2 hospitals to list prices for medical items and services as3 specified; requiring the department of health to monitor4 and enforce the provisions of this act; requiring5 transparency regarding prescription drug pricing as6 specified; providing penalties; prohibiting collection7 actions as specified; requiring recommendations for8 proposed legislation; requiring reports; providing9 definitions; requiring rulemaking; making conforming10 amendments; and providing for effective dates.1112 Be It Enacted by the Legislature of the State of Wyoming:1314Section 1. W.S. 35-2-1501 through 35-2-1512 are15 created to read:1 HB01792026 STATE OF WYOMING 26LSO-030512ARTICLE 153HOSPITAL PRICE TRANSPARENCY ACT4535-2-1501. Short title; purpose.67(a) This act shall be known and may be cited as the8 "Hospital Price Transparency Act."910(b) The purpose of this act is to require hospitals11 to disclose prices for certain items and services, to12 provide civil penalties and to prohibit debt collection by13 hospitals in violation of this act.141535-2-1502. Definitions.1617(a) As used in this act:1819(i) "340B covered facility" means a facility20 described in 42 U.S.C. § 256b(a)(4)(L) through 42 U.S.C. §21 256b(a)(4)(O) that:222 HB01792026 STATE OF WYOMING 26LSO-03051(A) Is authorized to participate in the2 federal 340B drug pricing program under section 340B of the3 federal Public Health Service Act;45(B) Has a service address in this state as6 of January 1 of the reporting year; and78(C) Includes any offsite outpatient9 facility affiliated under the 340B program.1011(ii) "340B program" means the federal 340B drug12 pricing program established under 42 U.S.C. § 256b;1314(iii) "Charity care" means:1516(A) The unreimbursed cost to a facility of17 providing health care services; or1819(B) Otherwise financially supporting health20 care services:213 HB01792026 STATE OF WYOMING 26LSO-03051(I) To a person classified by the2 facility as financially indigent or medically indigent on3 an inpatient or outpatient basis; or45(II) To financially indigent patients6 through other nonprofit or public outpatient clinics,7 facilities or health care organizations.89(iv) "Department" means the department of10 health;1112(v) "De-identified maximum negotiated charge"13 means the highest charge a facility has negotiated with all14 third party payors for a facility item or service;1516(vi) "De-identified minimum negotiated charge"17 means the lowest charge a facility has negotiated with all18 third party payors for a facility item or service;1920(vii) "Discounted cash price" means the charge21 that applies to a person who pays cash, or a cash22 equivalent, for a facility item or service;234 HB01792026 STATE OF WYOMING 26LSO-03051(viii) "Facility" means a hospital licensed2 under title 35 of the Wyoming statutes;34(ix) "Facility item or service" means all items5 and services, including individual items and services and6 service packages, that may be provided by a facility to a7 patient in connection with an inpatient admission or an8 outpatient visit, including:910(A) Supplies and procedures;1112(B) Room and board;1314(C) Use of the facility and other areas,15 generally referred to as facility fees;1617(D) Services of health care providers,18 generally referred to as professional charges;1920(E) Prescription medication;2122(F) Any other item or service where a23 facility has established a standard charge.5 HB01792026 STATE OF WYOMING 26LSO-030512(x) "Financially indigent" means an uninsured or3 underinsured person who is accepted for care with no4 obligation or a discounted obligation to pay for the5 services rendered based on the facility's financial6 criteria and procedure used to determine if a patient is7 eligible for charity care. The criteria and procedure shall8 include income levels and means testing indexed to the9 federal poverty guidelines. A facility may determine that a10 person is financially or medically indigent under the11 facility's eligibility system after health care services12 are provided;1314(xi) "Gross charge" means the charge for a15 facility item or service that is reflected on a facility's16 list, less any discounts;1718(xii) "Machine-readable format" means a digital19 representation of information that can be imported or read20 into a computer system for processing;2122(xiii) "Medically indigent" means a person whose23 medical or hospital bills after payment by third party6 HB01792026 STATE OF WYOMING 26LSO-03051 payors exceed a specified percentage of the patient's2 annual gross income, as determined in accordance with the3 facility's eligibility system, and who is financially4 unable to pay the remaining bill;56(xiv) "Payor-specific negotiated charge" means7 the charge that a facility has negotiated with a third8 party payor for a facility item or service;910(xv) "Shoppable service" means a facility item11 or service that may be scheduled by a patient in advance;1213(xvi) "Standard charge" means the regular rate14 established by the facility for a facility item or service15 provided to a specific group of paying patients. The term16 includes any of the following:1718(A) The gross charge;1920(B) The payor-specific negotiated charge;2122(C) The de-identified minimum negotiated23 charge;7 HB01792026 STATE OF WYOMING 26LSO-030512(D) The de-identified maximum negotiated3 charge;45(E) The discounted cash price.67(xvii) "Third-party payor" means a person that8 is, by statute, contract or agreement, legally responsible9 for payment of a claim for a facility item or service;1011(xviii) "This act" means W.S. 35-2-1501 through12 35-2-1512.131435-2-1503. Public availability of price information;15 requirements.1617(a) Notwithstanding any other law, a facility shall18 make public on the home page of the facility's website:1920(i) A digital file in a machine-readable format21 that contains a list of all standard charges, expressed in22 dollar amounts, for all facility items or services as23 described by W.S. 35-2-1504;8 HB01792026 STATE OF WYOMING 26LSO-030512(ii) A list of standard charges for a limited3 set of shoppable services as provided by W.S. 35-2-15054 which list can be read by a human person.5635-2-1504. List of standard charges required.78(a) A facility shall:910(i) Maintain a list of all standard charges for11 all facility items or services in accordance with this12 section; and1314(ii) Make the list required under paragraph (i)15 of this subsection available at all times to the public,16 including by posting the list in the manner provided by17 this section.1819(b) The standard charges contained in the list20 required to be maintained by a facility under subsection21 (a) of this section shall reflect the standard charges22 applicable to each location of the facility, regardless of9 HB01792026 STATE OF WYOMING 26LSO-03051 whether the facility operates in more than one (1) location2 or operates under the same license as another facility.34(c) The list required by subsection (a) of this5 section shall include the following items, if applicable:67(i) A description of each facility item or8 service provided by the facility;910(ii) The following charges, expressed in dollar11 amounts if applicable, for each individual facility item or12 service when provided in either an inpatient or outpatient13 setting:1415(A) The gross charge;1617(B) The de-identified minimum negotiated18 charge;1920(C) The de-identified maximum negotiated21 charge;2223(D) The discounted cash price;10 HB01792026 STATE OF WYOMING 26LSO-030512(E) The payor-specific negotiated charge,3 listed by the name of the third party payor and any plan4 associated with the charge and displayed in a manner that5 clearly associates the charge with each third party payor6 and plan; and78(F) Any code used by the facility for9 purposes of accounting or billing for the facility item or10 service.1112(iii) Whether the facility receives any13 prescription drug discounts under 42 U.S.C. § 256b, and if14 so, the names of the discounted prescription drugs and the15 total amount of discounts received by the facility16 annually.1718(d) The list required by this section shall be19 displayed in a prominent location on the home page of the20 facility's publicly accessible website or accessible21 through a link on the home page of that website. If the22 facility operates multiple locations and maintains a single23 website, the list shall be posted for each location the11 HB01792026 STATE OF WYOMING 26LSO-03051 facility operates in a manner that clearly associates the2 list with the applicable location of the facility.34(e) The list required by this subsection shall:56(i) Be available:78(A) Free of charge;910(B) Without having to establish a user11 account or password;1213(C) Without having to submit personal14 identifying information;1516(D) Without having to enter a code to17 access the list.1819(ii) Be accessible to a user of an internet20 search engine to the extent necessary for the search engine21 to index and display the list as a result in response to a22 search query;2312 HB01792026 STATE OF WYOMING 26LSO-03051(iii) Be formatted in a manner prescribed by the2 department;34(iv) Be digitally searchable;56(v) Use the naming convention specified by the7 centers for Medicare and Medicaid services.89(f) In prescribing the format for the list described10 by paragraph (e)(iii) of this section, the department11 shall:1213(i) Develop a template that each facility shall14 use in formatting the list;1516(ii) Consider any applicable federal guidelines17 for formatting similar lists required by federal law or18 rule and ensure that the design of the template enables19 health care researchers to compare the charges contained in20 the lists maintained by each facility; and2122(iii) Design the template to be substantially23 similar to the template used by the centers for Medicare13 HB01792026 STATE OF WYOMING 26LSO-03051 and Medicaid services for purposes similar to those of this2 act, if the department determines that designing the3 template in that manner serves the purposes of paragraph4 (ii) of this subsection and that the department, consumers5 or patients benefit from developing and requiring that6 substantially similar design.78(g) Each facility shall update the list required by9 this section not less than annually. Each facility shall10 clearly indicate on the list the date that the list was11 updated.121335-2-1505. Drug pricing program reporting.1415(a) Before April 1 of each year, each 340B covered16 facility shall report all of following information and17 transactions to the department concerning the 340B covered18 facility's participation in the federal 340B program for19 the previous calendar year:2021(i) The facility's name, service address and22 340B program identification number;2314 HB01792026 STATE OF WYOMING 26LSO-03051(ii) The designation of facility type, as2 specified in 42 U.S.C. § 256b(a)(4), of the 340B covered3 facility;45(iii) The total acquisition cost for all6 prescription drugs obtained under the 340B program and7 dispensed or administered to patients;89(iv) The total payment amount received for all10 drugs obtained under the 340B program and dispensed or11 administered to patients;1213(v) The total payment made to pharmacies under14 contract to dispense drugs obtained under the 340B program;1516(vi) The number of claims for prescription drugs17 under the 340B program;1819(vii) How the 340B covered facility uses any20 savings from participating in the 340B program, including21 the amount of savings used for the provision of charity22 care, community benefits or a similar program of providing23 unreimbursed or subsidized health care;15 HB01792026 STATE OF WYOMING 26LSO-030512(viii) The total payments made to any other3 facility that is not a 340B covered facility and is not a4 contract pharmacy for managing any aspect of the 340B5 covered facility's 340B program;67(ix) The total payment made for any other8 administration expenses for the 340B program;910(x) The total number of prescription drugs11 dispensed or administered to patients for which a payment12 was reported under this subsection;1314(xi) The percentage of the 340B covered15 facility's claims that were for prescription drugs obtained16 under the 340B program;1718(xii) The number and percentage of low income19 patients of the 340B covered facility that were served by a20 sliding fee scale for a prescription drug dispensed or21 administered under the 340B program;2216 HB01792026 STATE OF WYOMING 26LSO-03051(xiii) The 340B covered facility's total2 operating costs;34(xiv) The 340B covered facility's total costs5 for charity care;67(xv) A copy of the 340B covered facility's8 financial assistance policy for the reporting year.910(b) The information required to be reported under11 subsection (a) of this section shall, to the extent12 feasible, be reported by payer type, including but not13 limited to the following:1415(i) Commercial health insurance;1617(ii) Medicaid;1819(iii) Medicare;2021(iv) Uninsured.2217 HB01792026 STATE OF WYOMING 26LSO-03051(c) The data submitted in the report required under2 subsection (a) of this section shall be confidential and3 shall not be available for public inspection.45(d) Before November 15 of each year and without6 revealing any confidential information, the department7 shall prepare a report that aggregates the data submitted8 under subsection (a) of this section and shall:910(i) Submit the report to the management council11 of the legislature in an electronic format;1213(ii) Post the report on the department's14 website.1516(e) The department shall impose a civil penalty of17 one thousand dollars ($1,000.00) per day on a 340B covered18 facility that fails to provide the information required19 under subsection (a) of this section by November 15 of any20 year.212235-2-1506. Consumer-friendly list of shoppable23 services; requirements.18 HB01792026 STATE OF WYOMING 26LSO-030512(a) A facility shall maintain and make publicly3 available a list of the standard charges described by W.S.4 35-2-1504(b) and (c) for not less than three hundred (300)5 shoppable services provided by the facility. Each facility6 may select the shoppable services to be included in the7 list, except that the list shall include:89(i) The seventy (70) services specified by the10 centers for Medicare and Medicaid services pursuant to 4511 C.F.R. part 180; or1213(ii) If the facility does not provide all of the14 shoppable services described by paragraph (i) of this15 subsection, all of the shoppable services the facility does16 provide. Services that are not provided but are Medicare17 and Medicaid listed services shall be identified by the18 facility; and1920(iii) Each location where a facility provides21 the shoppable service and whether the standard charges22 included in the list apply at that location.2319 HB01792026 STATE OF WYOMING 26LSO-03051(b) In selecting a shoppable service for purposes of2 inclusion in the list required by subsection (a) of this3 section, a facility shall:45(i) Consider how frequently the facility6 provides the service and the facility's billing rate for7 that service; and89(ii) Prioritize the selection of services that10 are among the services most frequently provided by the11 facility.1213(c) The list required by subsection (a) of this14 section shall be:1516(i) Displayed and offered in the manner17 prescribed by W.S. 35-2-1504(d) and (e);1819(ii) Searchable by service description, billing20 code and third party payor;2122(iii) Updated in the manner prescribed by W.S.23 35-2-1504(g);20 HB01792026 STATE OF WYOMING 26LSO-030512(iv) Accessible through an internet search3 engine in response to a search query of a user of the4 search engine; and56(v) Formatted in a manner that is consistent7 with the format prescribed by the department under W.S.8 35-2-1504(e)(iii).91035-2-1507. Reporting requirement.1112 Each time a facility updates a list as required by W.S.13 35-2-1504(g) and 35-2-1505(c)(iv), the facility shall14 submit the updated list to the department. The department15 shall prescribe the form in which the updated list shall be16 submitted to the department.171835-2-1508. Monitoring.1920(a) The department shall monitor each facility's21 compliance with the requirements of this act using any of22 the following methods:2321 HB01792026 STATE OF WYOMING 26LSO-03051(i) Evaluating complaints made by persons to the2 department regarding noncompliance with the act;34(ii) Reviewing any analysis prepared by any5 state or federal agency regarding noncompliance with this6 act;78(iii) Auditing the websites of facilities for9 compliance with this act;1011(iv) Confirming that each facility submitted the12 lists as required by W.S. 35-2-1506.1314(b) Notwithstanding any provision of law to the15 contrary, in considering an application for renewal of a16 facility's license or certificate, the department shall17 consider whether a facility is or has been in substantial18 compliance with this act.192035-2-1509. Material violation; corrective action21 plan.2222 HB01792026 STATE OF WYOMING 26LSO-03051(a) A facility materially violates this act if the2 facility fails to:34(i) Comply with the requirements of W.S.5 35-2-1503; or67(ii) Publicize the facility's standard charges8 in the form and manner required by W.S. 35-2-1504 and9 35-2-1505.1011(b) If the department determines that a facility has12 materially violated this act, the department shall issue a13 material violation notice to the facility and require that14 the facility submit a corrective action plan within thirty15 (30) days of receiving the material violation notice. The16 notice shall indicate the form and manner that the17 corrective action plan shall be submitted to the department18 and shall clearly state the date by which the facility19 shall submit the plan.2021(c) The facility that receives a notice under22 subsection (b) of this section shall:2323 HB01792026 STATE OF WYOMING 26LSO-03051(i) Submit a corrective action plan in the form,2 manner and by the specified date prescribed by the notice3 of violation; and45(ii) Act to comply with the plan within thirty6 (30) days of submitting the plan to the department.78(d) A corrective action plan submitted to the9 department under subsection (c) of this section shall:1011(i) Describe in detail the corrective action the12 facility will take to address any violation identified by13 the department in the notice provided under subsection (b)14 of this section; and1516(ii) Provide a date when the facility will17 complete the corrective action plan.1819(e) A corrective action plan is subject to review and20 approval by the department. After the department reviews21 and approves a facility's corrective action plan, the22 department shall monitor and evaluate the facility's23 compliance with the plan. If the department does not24 HB01792026 STATE OF WYOMING 26LSO-03051 approve the facility's corrective action plan, the2 department shall inform the facility of the deficiencies in3 the plan and require the facility to amend and resubmit the4 plan.56(f) A facility is considered to have failed to7 respond to the department's request to submit a corrective8 action plan if the facility fails to submit a corrective9 action plan:1011(i) In the form and manner specified in the12 notice under subsection (b) of this section; or1314(ii) By the date specified in the notice15 provided in subsection (b) of this section.1617(g) A facility is considered to have failed to comply18 with a corrective action plan if the facility fails to19 correct a violation within the specified period of time20 contained in the plan.212235-2-1510. Civil penalty; notice of violations.2325 HB01792026 STATE OF WYOMING 26LSO-03051(a) The department shall impose a civil penalty on a2 facility if the facility fails to:34(i) Respond to the department's notice to submit5 a corrective action plan; or67(ii) Comply with the requirements of a8 corrective action plan submitted to the department.910(b) The department shall impose a civil penalty on a11 noncompliant facility as follows:1213(i) For a facility categorized as a critical14 access hospital:1516(A) For a first offense, one hundred17 dollars ($100.00) per day for each day the facility fails18 to comply with subsection (a) of this section;1920(B) For a second offense, five hundred21 dollars ($500.00) per day for each day the facility fails22 to comply with subsection (a) of this section;2326 HB01792026 STATE OF WYOMING 26LSO-03051(C) For a third or subsequent offense, one2 thousand dollars ($1,000.00) per day for each day the3 facility fails to comply with subsection (a) of this4 section.56(ii) For all other facilities, one thousand7 dollars ($1,000.00) per day for each day the facility fails8 to comply with subsection (a) of this section.910(c) Beginning October 1, 2025, the department shall11 create and maintain a publicly available list on its12 website of facilities that have been found to be in13 violation of this act, that have been issued a civil14 penalty or sent a warning notice or that have been sent a15 request for a corrective action plan from the department.16 Such penalties, notices and communications shall be subject17 to public disclosure under 5 U.S.C. § 552, notwithstanding18 any exemptions or exclusions to the contrary, in full19 without redaction. The list required by this subsection20 shall be updated every thirty (30) days.212235-2-1511. Legislative recommendations.2327 HB01792026 STATE OF WYOMING 26LSO-03051 The department shall propose to the joint labor, health and2 social services interim committee any necessary3 recommendations for amending this act, including4 recommendations in response to amendments by the centers5 for Medicare and Medicaid services to 45 C.F.R. part 180,6 not later than October 1 of each year.7835-2-1512. Prohibiting collection action of debt9 against patients by noncompliant facilities.1011(a) As used in this section:1213(i) "Collection action" means any of the14 following actions taken with respect to a debt for items15 and services that were purchased from or provided to a16 patient by a facility on a date during which the facility17 was in material violation of this act:1819(A) Attempting to collect a debt from a20 patient or patient guarantor by referring the debt,21 directly or indirectly, to a debt collector, a collection22 agency or a third party payor retained by or on behalf of23 the facility;28 HB01792026 STATE OF WYOMING 26LSO-030512(B) Suing the patient or patient guarantor,3 or enforcing an arbitration or mediation agreement; or45(C) Directly or indirectly causing a report6 to be made to a consumer reporting agency.78(ii) "Collection agency" means any person who:910(A) Engages in a business mainly focused on11 debt collection;1213(B) Regularly collects or attempts to14 collect, directly or indirectly, debts owed, due or15 asserted to be owed or due to another;1617(C) Takes assignment of debts for18 collection purposes; or1920(D) Directly or indirectly solicits for the21 collection of debts owed, due or asserted to be owed or due22 to another.2329 HB01792026 STATE OF WYOMING 26LSO-03051(iii) "Consumer reporting agency" means any2 person who, for monetary fees, dues or on a cooperative3 nonprofit basis, regularly engages, in whole or in part, in4 the practice of assembling or evaluating consumer credit5 information or other information on consumers for the6 purpose of furnishing consumer reports to third parties.7 "Consumer reporting agency" shall include any person8 defined in 15 U.S.C. § 1681a(f) but shall not include any9 business entity that provides check verification or check10 guarantee services only;1112(iv) "Debt" means any obligation or alleged13 obligation of a consumer to pay money arising out of a14 transaction, whether or not the obligation has been reduced15 to a judgment. "Debt" shall not include a debt for16 business, investment, commercial or agricultural purposes;1718(v) "Debt collector" means any person employed19 or engaged by a collection agency to perform the collection20 of debts owed, due or asserted to be owed or due to21 another.2230 HB01792026 STATE OF WYOMING 26LSO-03051(b) A facility that is in material violation of this2 act on the date that items and services are purchased from3 or provided to a patient by the facility shall not initiate4 or pursue a collection action against the patient or5 patient guarantor for a debt owed for the items or6 services.78(c) If a patient provides documentation that a9 facility was in material violation of this act on a date10 that items or services were purchased by or provided to the11 patient and the facility takes collection action against12 the patient or patient guarantor, the patient or patient13 guarantor may file suit to determine if the facility14 materially violated this act on the date of the purchase15 and the violation is related to the items and services16 purchased. The facility shall not take a collection action17 against the patient or patient guarantor while the lawsuit18 is pending.1920(d) A facility that has been found by a court of21 competent jurisdiction to have materially violated this22 act:2331 HB01792026 STATE OF WYOMING 26LSO-03051(i) Shall require the facility to refund the2 payor any amount of the debt the payor has paid and shall3 pay a penalty to the patient or patient guarantor in an4 amount equal to the total amount of the debt;56(ii) Shall dismiss or cause to be dismissed any7 court action with prejudice and pay any attorney fees and8 costs incurred by the patient or patient guarantor relating9 to the action; and1011(iii) Remove or cause to be removed from the12 patient or patient guarantor's credit report any report13 made to a consumer reporting agency relating to the debt.1415(e) Nothing in this section shall:1617(i) Prohibit a facility from billing a patient,18 patient guarantor or third party payor for items or19 services provided to the patient; or2021(ii) Require a facility to refund any payment22 made to the facility for items or services provided to the32 HB01792026 STATE OF WYOMING 26LSO-03051 patient, provided no collection action is taken in2 violation of this section.34Section 2. W.S. 35‑2‑905(a) by creating a new5 paragraph (vi) is amended to read:6735-2-905. Conditions, monitoring or revoking a8 license.910(a) The division may place conditions upon a license,11 install a division approved monitor or manager at the12 owner's or operator's expense, suspend admissions, or deny,13 suspend or revoke a license issued under this act if a14 licensee:1516(vi) Violates any provision of W.S. 35-2-150117 through 35-2-1511.1819Section 3. The department of health shall promulgate20 all rules necessary to implement this act.2133 HB01792026 STATE OF WYOMING 26LSO-03051Section 4.23(a) Except as otherwise provided by subsection (b) of4 this section, this act is effective July 1, 2026.56(b) Sections 3 and 4 of this act are effective7 immediately upon completion of all acts necessary for a8 bill to become law as provided by Article 4, Section 8 of9 the Wyoming Constitution.1011(END)34 HB0179
AN ACT relating to public health and safety; requiring hospitals to list prices for medical items and services as specified; requiring the department of health to monitor and enforce the provisions of this act; requiring transparency regarding prescription drug pricing as specified; providing penalties; prohibiting collection actions as specified; requiring recommendations for proposed legislation; requiring reports; providing definitions; requiring rulemaking; making conforming amendments; and providing for effective dates.
Sponsors
Rep. Daniel Singh (R) sponsors HB 179, and 3 members have co-sponsored it.
History
HB 179 has taken 3 actions since Feb 11, 2026, the latest on Feb 13, 2026.
| Chamber | Action | |||
|---|---|---|---|---|
Feb 13, 2026 | House | Failed Introduction 31-29-2-0-0 | ||
Feb 11, 2026 | — | Bill Number Assigned | ||
Feb 11, 2026 | House | Received for Introduction |
Votes
HB 179 went to 1 roll call in the House, the latest on Feb 13, 2026 at 31–29.
| Chamber | Question | Yea | Nay | |||
|---|---|---|---|---|---|---|
Feb 13, 2026 | House | Failed Introduction 31-29-2-0-0 | 31 | 29 |
Source: wyoleg.gov · legiscan.com