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2015 WY ANNUAL CONVENTION YEARBOOK

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<strong>2015</strong> Wyoming Nurses Association<br />

Lobbyist Report<br />

Toni Decklever, MA, RN, WNA Lobbyist<br />

The Wyoming Nurses Association follows the bills that address our Legislative Agenda and draft legislation<br />

from the Labor, Health and Social Services Committee (LHSS). This committee has been working for the<br />

past two years to address Medicaid Expansion in our state. Though several bills were drafted during the<br />

<strong>2015</strong> session, none of them made it through the process.<br />

WNA’s biggest victory was the extension to 2020 of the Wyoming Investment in Nursing (WyIN) funding.<br />

There were a couple minor amendments that were adopted to the current statute including removing the<br />

required year of teaching experience as part of the criteria to apply for graduate degree funding assistance<br />

and allowing teaching at a community college as part of the payoff for doctoral education assistance.<br />

Though many bills did not make it through the entire process, it is possible that the committee or<br />

legislative sponsor will try to get it through next year when the body meets for the 2016 budget session.<br />

Some pieces of draft legislation will come from interim studies and committee meetings that are held<br />

between June and January.<br />

The first interim meeting held by the Labor Health and Social Services Committee took place on June 8-9<br />

in Casper. The Labor, Health and Social Services Committee had several items that were discussed. These<br />

items are based on the Priority List that was developed at the end of the <strong>2015</strong> session.<br />

Priority #: 1 Health Care System Problems<br />

Health care access and affordability continue to be the main health related problem. The Committee will study:<br />

• Primary care, especially for non-Medicaid eligible persons below 100% of poverty level;<br />

• Various models of hospital organization, governance, administration and funding as they affect market,<br />

funding and regulatory difficulties;<br />

• Funding problems and regulatory issues related to safety net programs such as qualified health centers,<br />

rural health clinics and home and community based providers;<br />

• Methods to encourage medical homes.<br />

Priority #: 2 Response to federal actions/initiatives<br />

The Committee will monitor and respond to federal actions/initiatives, which may include:<br />

• The decision in King v. Burwell regarding availability of tax subsidies in states with a federally operated<br />

exchange;<br />

• The effect of the Affordable Care Act on small employer groups and the Wyoming Small Employer<br />

Health Reinsurance (WISER) program;<br />

• The Affordable Care Act and the status of the Miner’s Hospital as a primary care provider;<br />

• Other federal requirements regarding supervised agencies that need immediate action.<br />

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