Wyoming's Governor and Congressional delegation have been fighting to dismantle the Affordable Care Act for years.

But with Thursday’s Supreme Court ruling ruling “Obamacare” looks stronger than ever.

Wyoming Minority Floor Leader Mary Throne of Cheyenne says that might force state legislators to finally start talking about how they could work with federal healthcare policy.

Wyoming hospitals are breathing a sigh of relief following Thursday’s United States Supreme Court ruling on the Affordable Care Act.

The ruling allows 20,000 Wyoming residents to keep their subsidies to purchase health insurance via the federal Marketplace.

Wyoming Hospital Association president Eric Boley says, if the ruling had gone the other way, state hospitals would have seen a dramatic uptick in uncompensated care. But Wyoming hospitals are still facing imminent financial challenges.

Bob Beck

Earlier this year when the legislature voted down Medicaid expansion, lawmakers realized that some hospitals were struggling to make up for the fact that some people cannot afford to pay their medical bills.  So after a lot of discussion, they provided roughly three million dollars to be spread among the smaller rural hospitals. But some thought that was not enough, so two legislative committees are looking into what else can be done to help. 

Wyoming lawmakers are considering working with communities to allow them to determine their own health care needs.

The Joint Labor and Health committee is trying to find ways to improve health care in the state and reduce costs to hospitals. Hospitals say the care they are required to provide to poor and uninsured patients is costing them millions.

Miles Bryan


Think about the word, “scribe.” What pops into your head? Probably something from a humanities class in college or a History Channel documentary, right?

Well, if you have visited a doctor lately you might be envisioning something more modern. The medical scribe industry has been booming in recent years, fuelled largely by hospitals around the country switching to electronic medical record systems.

Miles Bryan

Kimberley Enyart was never interested in doing recreational drugs. But then she was in a car accident and her doctor prescribed a powerful opiate for the pain.

“It just, I don’t know it put me off in la-la land it made me feel better,” she said. “I don’t know, I loved it. I loved that high.”

When Enyart’s prescription ran out she did whatever she could to more from other doctors in town. Eventually, she moved on to dentists.

“I even had two back teeth pulled for it.”

Laramie’s Ivinson Memorial Hospital is considering an expansion that could lead to a new Internal Medicine Building among other things. 

Hospital CEO Doug Faus said the expansion also could include the Jeannie Ray Cancer Center, parking areas, and space for University of Wyoming Medical students who are part of the WWAMI  program. The biggest priority is the Internal Medicine building. Faus says a better facility will help recruit and keep doctors.


If you want to get the full picture of how the Title 25 process works in Wyoming you need to talk to Chel Bleckler. That’s because she spent over a decade working in an E.R. in Cody, where a big part of her job was working with Title 25 patients.

“Usually they came in with the police,” she said sitting on the couch of a counseling office in Cody. “And you could always tell the ones because they were crying or they were mad or they were handcuffed.”

Miles Bryan

The Cloud Peak Counseling Center in Worland looks more like a nursing home than a psychiatric hospital. It’s a small building with murals on the walls and a game room with leather couches. In fact it isn’t technically a hospital at all. It’s a “Crisis Stabilization Center:” a place where Title 25 patients in the area can be taken for psychiatric treatment for the first three days that they are held. It only has a few beds, but here in in the Bighorn Basin, where the nearest psychiatric hospital is hours away, it has had a huge impact.  

In an effort to increase medical services to rural communities, the Centers for Medicare and Medicaid Services (CMS) are now accepting applications for the Frontier Community Health Integration Project (F-CHIP).

Transparency is key for hospitals, doctor says

Jul 2, 2013

A doctor who will be speaking at the Renaissance Weekend in Jackson this week says transparency at hospitals can lead to better healthcare for patients. Dr. Marty Makary, a surgeon at Johns Hopkins Hospital and author of Unaccountable, a book about hospital transparency, says the lack of transparency at many hospitals stems from both data and historical attitudes.