Wyoming
As Wyoming maternity care continues to erode, lawmakers mull ‘band-aids’ – WyoFile
When Banner Health announced in September that it would pause labor and delivery services at Platte County Hospital in Wheatland, it marked the fifth Wyoming hospital in recent history to shutter a birth facility.
Like facilities before it in Evanston, Rawlins, Kemmerer and Riverton, the hospital called it a difficult decision. Provider challenges like physician recruitment, declining births and profitability in Wyoming are steep. The result is a loss of services and large gaps in service here.
As lawmakers on the Legislature’s Joint Labor, Health and Social Services Committee spent most of Thursday wading through measures aimed at fortifying maternity care in the state, they acknowledged that the trend will be difficult to reverse. There were many references to the draft bills as “band-aids” that could perhaps keep maternity care limping along in its current state.
Ultimately, the panel advanced two of the five measures. The only draft bill to receive unanimous support would authorize freestanding birth centers to be covered by Medicaid for births handled by midwives.
The second bill that advanced, a divisive measure that ignited lengthy debate, would set rules and regulations aimed at protecting pregnancy centers, which are typically intended to discourage women from seeking abortions. The bill would prohibit the state or any municipality from compelling a pregnancy center to perform abortions, provide abortion medication or counsel in favor of abortion, among other acts.
Critics wondered if the measure even belonged in the discussion of fortifying maternity care.
“Please abandon this misguided bill,” said Britt Boril, executive director of WyoUnited, a reproductive rights organization. “It in no way helps us solve our issues with the maternity care deserts that I know we have a shared desire to alleviate. In fact, it aims to shield unregulated pregnancy centers from oversight.”
The committee advanced the measure on a vote of 12-2. That puts it on track to be among the committee-sponsored bills going into the 2026 session, which are historically more likely to pass.
The problem
A dearth of maternal health care has made pregnancy and childbirth increasingly tricky in widening swaths of Wyoming. That means families going to extraordinary lengths to deliver babies; doctors spread thin or on the brink of burnout and hospitals juggling the complicated cost formulas in thinking about maintaining labor wards.
If the trend continues, experts worry that mothers will put off or forgo prenatal care, travel long distances in difficult weather or give birth in emergency rooms with nurses who aren’t trained in labor and delivery, which could have dangerous or even deadly results. Births in the state, meanwhile, continue to fall.
The erosion also poses existential threats to communities, as adequate health care is crucial to attracting young families to rural towns, state leaders say. And though lawmakers and health care professionals have been searching for solutions, no single answer has emerged.
Wyoming isn’t alone, and legislative staff furnished the Labor Committee with a report highlighting strategies implemented in other states to improve maternal health care. They include expanding Medicaid to cover doula services or permit telehealth; creating incentive programs for maternal health care professionals; and integrating midwives into the state health care system.
Wyoming does grant certified nurse midwives a full and independent practice authority and provides midwives with a 100% Medicaid reimbursement rate.
The measures before the committee on Thursday represented an array of strategies to ease operations and costs for maternal services.
What advanced, what didn’t
The committee first considered a bill that would provide for increased reimbursement for obstetric physician services and critical access hospitals. That includes reimbursing OB-GYN services at 105% of the current Medicare rate. Critical access hospitals that offer labor and delivery services authorized under Medicaid, meanwhile, would be reimbursed for inpatient services at 100% of the actual cost for the services.
The measure could help with physician retention and family practice residencies that serve Medicaid patients, Cheyenne OB-GYN Jacques Beveridge said. “I think it could go a long way,” he said.
The Wyoming Medical Society also supported it. “We see it as a stabilization measure,” said Executive Director Sheila Bush, noting that it could be one of many strategies aimed at making shifts, even small ones. Eric Boley with the Wyoming Hospital Association echoed that.

“I think this is one opportunity to work on a much bigger problem and a bigger process,” Boley said. “I think this is an important bill if we want to sustain what we currently have, but it will not fix those [facilities] that have closed.”
Lawmakers, apparently wary of increased state expenses, did not support the bill. It died on a vote of 6 to 8.
They did, however, support a bill regarding extending Medicaid coverage to freestanding birth centers. These facilities are designed to provide a comfortable setting for uncomplicated births. They are not part of hospitals, but often do have partnerships with nearby hospitals or doctors in case more specialized care, such as a cesarean section, is needed.
Birthing centers’ appeal relates in part to expenses. They come with lower fixed costs because they specialize in vaginal births without medical complications, need less equipment and employ midwives, who are paid less. They could establish in regions with delivery service gaps as an option for straightforward births.
The committee was favorable.
“I look at this program as bringing a little rain to the maternity desert,” said Sen. Lynn Hutchings, R-Cheyenne.
Lawmakers did not advance a related bill, which would mandate private insurance coverage parity for freestanding birthing center services.
Abortion debate
The pregnancy center bill took up most of the committee’s time. Sen. Charlie Scott, R-Casper, noted that the document’s format itself was unusual. “Is this a national bill that has been copied?” he asked.
The 12-page bill draft includes much preamble, including statements about national events. It prohibits municipalities from interfering in specified pregnancy centers operations, and would impose severe penalties. Under the bill, a pregnancy center or any person aggrieved by a violation of the act can sue for up to three times the actual damages sustained.
To present the bill as a maternity care solution is disingenuous, critics said Thursday. Pregnancy centers disguise themselves as medical facilities when their true intent is to advocate against abortions, Boril of WyoUnited said.
Emma Laurant urged the committee to stop spending energy on divisive abortion measures “and actually support increasing practical solutions, such as expanding birthing centers and attracting OBs to the state to take care of Wyoming women and their tangible health and any subsequent children they choose to have.”

Valerie Berry, executive director of LifeChoice Pregnancy Center in Cheyenne, defended her center as a sound medical facility that provides quality care from licensed professionals.
Sen. Scott wondered if there is a current crisis in Wyoming regarding pregnancy centers and threats. Berry said they are happening around the U.S., though she isn’t aware of issues in Cheyenne.
Denise Burke, senior counsel with Alliance Defending Freedom, said the bill “was designed to protect Wyoming’s pregnancy centers from censorship or discrimination simply because they do not offer, refer for or counsel in favor for abortion, abortion-inducing drugs or contraceptives.”
Burke, who resides in Kansas, also said she isn’t aware of any potential threats in Wyoming.
Rep. Rachel Rodriguez-Williams, R-Cody, who chairs the Wyoming Freedom Caucus and was lead sponsor on the abortion ban now before the state high court, pushed back on Scott’s question of the bill’s provenance. She drafted a previous version of it with staff, she said, and it’s modeled specifically for Wyoming.
Wyoming
(LETTERS) Wyoming Supreme Court judges, congressional responsibility, pregnancy and US involvement in the Middle East
Oil City News publishes letters, cartoons and opinions as a public service. The content does not necessarily reflect the opinions of Oil City News or its employees. Letters to the editor can be submitted by following the link at our opinion section.
Wyoming Supreme Court judge process better than federal’s
Dear Casper,
This letter is in response to Mr. Ross Schriftman’s letter to the editor from April 11. His opinion appears to be that the Wyoming process of selecting Wyoming Supreme Court justices is somehow flawed. Justices are selected through a merit-based assisted appointment process. When a vacancy occurs, a seven-member Judicial Nominating Commission recommends three candidates to the governor, who appoints one.
Appointed justices serve at least one year before standing in a nonpartisan retention election for an eight-year term.
The commission consists of the chief justice as chair/tie-breaker, three attorneys selected by the Wyoming State Bar and three non-attorneys appointed by the governor. The governor must select one of the three nominees provided by the commission to fill the vacancy.
After serving at least one year, justices stand for retention in the next general election. Voters cast a “yes” or “no” vote. If retained, the justice serves an eight-year term.
Candidates must be U.S. citizens, Wyoming residents for at least three years, licensed to practice law, and have at least nine years of legal experience. Justices must retire at age 70.
U.S. Supreme Court are appointed for life!
I would offer that the Wyoming process is superior to that of the U.S. Constitution. Voters are involved the process, which we are not at the federal level.
Wyoming justices can be impeached and removed from office by the state House of Representatives and Senate.
Michael Bond
Casper
Wyoming delegation must answer for President Trump’s Iran policy
Dear Casper,
Sent this to each of our Wyoming congressional delegates. I lived in Montana for years. These are the questions the Daily Montanan asked of their elected congressional representatives.
I ask the same questions of our Wyoming delegation. Montana got no answers. I doubt that we will either.
- President Donald Trump has continued to threaten to hit targets that would affect or kill civilians in Iran. Do you support his stated objectives and deadlines?
- Are you concerned that some of these targets could be construed as attacking civilians and therefore become war crimes?
- Do you have any concerns about wiping out an entire civilization, as Trump has threatened?
- If these are only rhetorical threats, what does that do to our stature in the world when we make threats, but don’t follow through with them?
- Polls have continued to show more than a majority of Americans do not support the efforts against Iran. Why do you support the effort?
- If you do not support the effort in Iran, at what point would you support Congressional intervention or oversight on the issue?
- Have you been briefed and do you believe that there are clear objectives in this war with Iran, and how can you communicate those with your constituents?
- The U.S. has repeatedly criticized Vladimir Putin and Russia for its invasion and treatment of the Ukrainian people and it sovereignty. How does that differ from America’s “excursion” into Iran?
- What is your message for Montanans who are seeing gas prices and the cost of living generally increase?
- Last week, President Trump said that America doesn’t have enough money for healthcare and childcare; further, those things must be left to the individual states in order to fund the military? Do you agree?
- President Trump continues to boost military budgets and request additional funding for the war in Iran. Do you support these?
Tami Munari
Laramie
Pregnancy is personal, not political
Dear Casper,
The recent Wyoming Supreme Court ruling, which affirmed abortion is health care, has caused some who disagree with the ruling to attack Wyoming’s judicial system.
In an opinion letter, candidate Ross Schriftman facetiously writes, “…our God-given First Amendment right of free speech does not apply when criticizing our fellow citizen judges.”
This is the first flaw in his logic because the Constitution was not written by God, therefore the right of freedom of speech was thought up and written by men. God is not the author nor guarantor of personal freedoms — our Constitution and judicial system are.
The second flaw in his argument references a letter signed by 111 professionally-trained, experienced, and well-respected Wyoming judges and attorneys explaining how the courts arrive at their rulings. It is illogical to claim we are all “citizen judges” because even though citizens have a constitutionally-guaranteed right to an opinion, it does not make every citizen a legal expert. The judges’ and attorneys’ excellent letter speaks for itself.
Mr. Schriftman claims the Supreme Court, “… create(d) an absurd definition of health care to include the intentional murder of pre-born human persons; something they did to justify overriding the equal protection clause… .” This logic is flawed because it is based on a conflation of an obsession with “pre-born human persons” and equal protection under the law.
There is significant disagreement on the issue of fetal personhood and who gets to determine it: the doctors? the lawyers? the pregnant woman? the anti-choice crowd?
Many understand and appreciate it has taken women almost 200 years to gain and keep Equal Protection Under the Law, and the disagreement over who is legally, materially, and morally responsible for a fertilized human egg has always been part this historical struggle. But it was the Roe v. Wade Supreme Court decision that finally established a constitutional right, for women and men, to private health care decisions and, since pregnancy is a health condition, that included abortion.
Even though it wasn’t explicit, Roe also effectively affirmed that bestowing of “personhood” is a private determination to be made by the pregnant woman and her God. But, sadly, here we are again, dealing with folks who mistakenly believe they have a right to interfere in someone else’s pregnancy.
The Rev. L Kee
Casper
Why does the U.S. keep troops in oil producing countries?
Dear Casper,
There are two facts that don’t ever seem to be considered by our government that cost us dearly.
Osama Bin Laden said the stationing of U.S. troops in the Middle East was the reason Al Qaeda attacked us on 9/11. Does the U.S. believe that the oil producing countries in the Middle East will only sell us oil if we force them to by stationing troops there? I’m not aware of any other countries that believe that.
The other fact is, the U.S. is the only country to ever use a nuclear weapon offensively. There are several countries that have nuclear weapons, including North Korea. The reason countries have been reluctant to use nuclear weapons is MAD, mutually assured destruction. Consequently, is it reasonable to expect Iran, should they develop a nuclear weapon, to attack the U.S., knowing that our superiority in nuclear capability would assure the complete destruction of their country? It clearly would be suicidal for them to do so.
But, just to be cautious, rather than destroying the entire country to deter Iran from acquiring a nuclear weapon, wouldn’t it make more sense to destroy their nuclear infrastructure?
Bill Douglass
Casper
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Wyoming
Wyoming’s Indigenous students can now apply for new UW scholarship
Wyoming
Artemis II Astronauts Credit Wyoming-Based NOLS For Prepping Them For Moon Mission
Before they ever left Earth, all of NASA’s Artemis II astronauts trained with the National Outdoor Leadership School (NOLS) — and for some, that preparation included long days navigating Wyoming’s backcountry.
That NOLS training was singled out by Artemis II Commander Reid Wiseman Thursday during the crew’s first group interview from NASA’s Johnson Space Center in Houston, Texas, after returning to Earth on April 10 from it’s 10-day mission to the moon and back.
He reflected on decision-making under pressure and how lessons learned through NOLS resurfaced during moments of stress and distraction.
“There’s a saying that we learned from one of our National Outdoor Leadership School instructors: integrity is not a one or a zero,” Wiseman said. “You can be in integrity, and you can be out of integrity — and I’ll be the first to admit that there were moments when I was out of integrity because sometimes the view or the human experience would just pull me away from the work.”
The partnership reflects a longstanding relationship between NOLS and NASA, the United States’ civilian space agency, and the Lander-based outdoor education organization.
Since 1999, NASA has worked with a variety of organizations and contracted NOLS for more than 45 wilderness expeditions designed to help astronauts prepare for the realities of long-duration spaceflight.
Those expeditions place crews in remote, resource-limited environments where communication, leadership and teamwork become essential for safety — conditions that mirror life inside a spacecraft.
In 2023, Cowboy State Daily chronicled the Artemis II astronauts training in the Cowboy State. At the time, the connection between Wyoming’s wind-carved wilderness and the engineered isolation of deep space felt philosophical.
Now, after completing their mission, the astronauts say the lessons they learned in Wyoming followed them all the way to lunar orbit.
From Wyoming Backcountry To The Moon
For NOLS instructors, the connection between wilderness leadership and spaceflight comes down to a single idea, what the school calls “expedition behavior.”
Rick Rochelle, senior faculty and leadership coach at NOLS, told Cowboy State Daily on Friday that the concept explains why NASA continues to partner with the organization decades after the relationship began.
“There’s a phrase that NOLS calls ‘expedition behavior,’ and that is clearly the most important part of why NASA works with us and how it translates,” Rochelle said.
The term was coined by NOLS founder Paul Petzoldt, a mountaineer who set an altitude record on K2 in 1938, served in the 10th Mountain Division during World War II and later built the school around the idea that leadership is defined by responsibility to others.
“He said it’s an awareness of others’ needs and the character to make those needs as important as your own,” Rochelle said. “It’s really about how to be a great team member.”
Lynn Petzold, also senior faculty at NOLS, said astronauts who train with the school are placed in situations where leadership theory becomes practical experience — where decisions must be made under stress, and reflection becomes part of daily operations.
“NOLS provides experience for astronauts to go through leadership theory, work under stress, and reflect and debrief — extracting the learnings from the day and implementing them moving forward,” Petzold said. “That’s how you continue to grow and become a better team.”
The wilderness setting itself plays a critical role.
Long stretches in remote terrain force participants to manage fatigue, communicate clearly and make decisions without outside support. These are conditions that closely resemble life inside a spacecraft.
“This ties to the previous question, which is being in an austere environment for long periods away from distractions,” Rochelle said.
Why Wyoming Keeps Showing Up In Spaceflight
The connection between Wyoming and human spaceflight has grown steadily over the past quarter century, turning Lander into an unlikely but consistent training ground for astronauts preparing to leave Earth.
In the Wyoming backcountry, that might mean navigating a sudden weather shift or managing exhaustion miles from the nearest road.
In space, the same principles scale to orbital mechanics, life-support systems, and the psychological weight of isolation.
For instructors who have watched astronauts move through Wyoming’s mountains and deserts, the pride in the Artemis II mission is personal, Rochelle said.
“These are amazing human beings,” he said. “They love each other. They’re mission-focused, and they clearly want to have a positive impact on all of humanity.”
Petzold agreed.
“These are awesome human beings who were excited to be part of this mission,” she said. “They had a lot to contribute as individuals, and as a group they really brought it together.
“NOLS is just really excited and proud to work with NASA and this crew to pave a new path forward as we return to the moon. We’re proud to have been a small part of it.”
The same training that teaches students to read about weather, manage fatigue and support teammates in the Wind River backcountry is now helping shape how astronauts operate in deep space.
Kolby Fedore can be reached at kolby@cowboystatedaily.com.
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