To comply with the Affordable Care Act, Wyoming lawmakers still have to determine whether they want to provide more health insurance to people who cannot afford it, and what such a plan would look like. 

The legislature soundly defeated a proposal to expand the current Medicaid program, so the Wyoming Department of Health has pitched a new proposal where people could purchase a scaled-down version of Medicaid Insurance. 

Department Director Tom Forslund said that users would have to participate like consumers who have private insurance.

The Supreme Court, in a five-four decision, upheld the individual mandate in the Affordable Care Act. The justices ruled that the individual mandate is unconstitutional under the commerce clause, but can go ahead as a tax.

The individual mandate requires that all people must buy health insurance. For insurance companies, that means they’ll be getting a large, new pool of customers. In Wyoming, 17-percent of the population is currently uninsured, compared to a nationwide average of 16-percent.