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Appropriations committee works draft to create rural health perpetuity fund, pares back out‑of‑state telehealth language

Joint Appropriations Committee · January 15, 2026
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Summary

The committee reviewed 26LSO400 to create a perpetuity fund for federal rural health transformation awards, set aspirational program targets and reporting requirements, and removed out‑of‑state telehealth practice language pending separate consideration. Members asked LSO and the Department of Health for continued adjustments and scheduled follow‑up.

The Joint Appropriations Committee reviewed draft 26LSO400, legislation to implement Wyoming’s federal Rural Health Transformation award by creating a perpetuity fund, an advisory committee, and a suite of ongoing and time‑limited initiatives intended to improve rural health infrastructure and workforce.

LSO staff described a structure that seeks to hold a large portion of the federal award in a perpetuity fund invested and managed by the State Treasurer, with an annual required distribution (a working target of 4% of the fund) to finance four ongoing initiatives: critical access hospital incentives, EMS regionalization, workforce education supports and postgraduate medical education programs. The draft also lists several time‑limited initiatives (integrated primary care, technology adoption, diet and exercise infrastructure, telehealth platforms, workforce start‑up grants, care coordination, centralized billing, transportation coordination and…

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