Basic worker issues on table

Labor, Health panel needs attention

Interim work goes to heart of public policies affecting workers

Eyes on Medicaid expansion, unemployment insurance, and job safety

Wyoming workers need to watch what the Joint Labor, Health and Social Services Committee is doing this summer and fall. Over the next several months, this legislative panel is considering Medicaid Expansion, unemployment insurance, and worker safety – all of which go to the heart of public policies that directly affect the lives of workers and their families. During its meeting August 25 and 26 in Lovell, the committee reviewed all three matters. Here’s a quick look: MEDICAID EXPANSION: The state has the option under federal health reform law to extend Medicaid coverage to adults under 65 without children and with very low incomes (up to 138% of the federal poverty line). In the last General Session, the Legislature rejected calls to expand Medicaid, claiming that the federal government cannot be trusted to honor funding commitments in the Affordable Care Act. (Aside: Similar arguments are not made when it comes to taking federal dollars for highways and transportation, education, and other state programs that rely on federal aid.) The Joint Committee heard from the Department of Health, which recently published a report titled “The Wyoming Approach for Medicaid Expansion” laying out five potential plans to expand Medicaid. The committee did not discuss the department’s options. It instead discussed a raw draft of a limited expansion proposal that the state of Arkansas has proposed to the U.S. Department of Health and Human Services. The Arkansas plan includes the use of health savings accounts and requires co-pays for services from people who don’t have much money. “Everybody ought to have some skin in the game,” said Sen. Charles Scott, SD30, R-Casper. Scott has ardently opposed Medicaid expansion. Though Scott suggested he would oppose even an Arkansas-style expansion, other committee members expressed interest. The general support for the Arkansas plan troubled Rep. Mary Throne, HD11, D-Cheyenne. “We’re too excited about this Arkansas plan because it pleases us ideologically,” she said. It seemed to be a suggestion that the committee would prefer to score rhetorical points rather than produce more effective policies. The committee ultimately directed the LSO to draft a bill based on the Arkansas proposal. The committee also asked LSO to draft a bill based on the Department of Health’s preferred option approach labeled “Medicaid Fit.” Meanwhile, Northern Arapaho Tribal Liaison Gary Collins and Tribal Health Department Director Allison Sage asked the committee to take steps to allow the Wind River tribes to seek Medicaid expansion on the reservation through a waiver request to HHS. (The Casper Star-Tribune offers the perspective of Gov. Matt Mead and others here.) UNEMPLOYMENT INSURANCE/WORKER MISCONDUCT: The committee addressed unemployment insurance legislation that was passed during the recent session but vetoed by the governor. The new legislation seeks to define worker misconduct. Under Wyoming law, a worker fired for misconduct can be denied unemployment insurance benefits. A version of the bill passed by the House in the 2013 session was not opposed by advocates for workers. The Senate adopted amendments that significantly changed the bill. They made it virtually certain that employees discharged for inadvertent errors – such as failure to lock a door – could be denied unemployment insurance benefits. Proponents have said the bill mirrors a 1986 state Supreme Court decision that has guided state hearing officers in deciding contested unemployment insurance cases. At the Aug. 26 committee meeting, they proposed amendments stating that a worker must intentionally violate policy or take action contrary to the employer’s interests in order to be found guilty of misconduct. Rep. Throne raised a new concern, however, when she noted the bill does not include a court directive that “(i)nefficency or failure in good performance as a result of inability or incapacity” likewise shall not be considered misconduct by a worker. The committee will consider a new draft of the bill at its meeting in November. WORKER SAFETY: The committee heard a report from the Department of Workforce Services on the Safety Improvement Program. Under the program, businesses can get matching grants of up to $10,000 to start or improve company safety programs or to buy safety-related equipment. More than 45 companies have submitted applications; however, legislators questioned some of the grants, noting that they had gone to large companies with significant resources. (Laramie County School District No.2 is one of the grantees.) The Legislature needs a conversation to consider whether companies that have had a fatality in the last five years or that have been fined for serious violations should be eligible for the grants. Rep. Throne said the grants could be perceived as an “offset’’ to the state fines. It’s not clear when and if that conversation will be had by legislators.  


  1. Highlight on Wyoming: Medicaid Expansion Evolving into Political Tug-of-War - January 17, 2014

    […] Dan Neal, Executive Director of the Equality State Policy Center, wrote that opponents of Medicaid expansion argue the federal government cannot be trusted to honor its funding commitments under the ACA.  Neal notes that there is a flaw in this argument since Wyoming already accepts federal funding for other state programs such as education, and highway and transportation projects.  In 2013, the Wyoming Medicaid program served over 77,000 people at an annual cost of over $500 million, divided evenly between the state and federal governments.  The Director of the Wyoming Department of Health, Tim Forsland, claimed that expanding Medicaid program in Wyoming would save money by getting people off other programs.  State Senate Minority Floor Leader, Chris Rothfuss (D), declared that Wyoming is going to pay for healthcare; it’s just a question of how to do it and if people are pragmatic, it’s an awful lot of money to turn down. […]