Wyoming Health Department discusses $296M funding for developmental disabilities waivers

In a pivotal meeting of the Joint Appropriations Committee on June 24, 2025, members of the Wyoming Legislature delved into the complexities of the state's Developmental Disabilities (DD) waiver programs. The discussion, led by senior fiscal analyst Elizabeth Martineau and Wyoming Department of Health Director Stefan Johansson, highlighted the critical need for funding and support for individuals with intellectual and developmental disabilities.

Martineau opened the session by presenting a comprehensive white paper detailing the two primary DD waiver programs: the Comprehensive Waiver and the Supports Waiver. These programs are designed to provide essential services to individuals from birth through all stages of life, including those with acquired brain injuries. The waivers allow states to offer Medicaid-funded services in community settings, waiving the requirement for institutional care, which is often more costly and less desirable for families.

The meeting revealed that the state has appropriated $296 million for the Comprehensive Waiver and $23 million for the Supports Waiver for the current biennium. However, the committee faced pressing concerns regarding a waitlist of 335 individuals—260 children and 60 adults—who are currently seeking assistance but have yet to receive it. The average wait time for these individuals is approximately 14 to 15 months, a situation that raises alarms among legislators about the adequacy of funding and resources.

Johansson emphasized the ongoing challenges in balancing the budget for new applicants, provider rates, and the needs of those already enrolled in the programs. He noted that while the state has historically prioritized funding for these programs, the increasing demand and limited resources create a complex policy landscape. The committee discussed the implications of a recent cost rebasing study, which did not recommend changes to service rates, citing insufficient data for long-term financial commitments.

As the meeting progressed, legislators expressed concerns about the implications of the waitlist on the health and safety of individuals in need. The Extraordinary Care Committee was mentioned as a mechanism to address urgent cases, but the overall sentiment was one of urgency to find solutions for those waiting for services.

The discussions underscored the importance of community-based care and the need for ongoing legislative support to ensure that individuals with disabilities receive the services they require. As Wyoming continues to navigate these challenges, the outcomes of this meeting could significantly impact the lives of many families across the state. The committee's next steps will be crucial in determining how effectively they can address the growing needs of their constituents.