Healthcare POLICY GUIDE 2017

A PUBLICATION OF THE WYOMING MEDICAL SOCIETY 900382_WY_WY_Medical_Society_AD_v3-outlines.indd 1 8/10/16 4:01 PM Contents

LEGISLATIVE PREVIEW 2017 Welcome to the Healthcare Policy Guide 4

The Wyoming Medical Society (WMS) is the NEWS premier membership organization dedicated to New Faces Coming En Mass promoting the interests of Wyoming physicians and physician assistants through advocacy, education to the Legislature 6 and member services. WYOMING MEDICINE (ISSN-2154-1681) is published bi-annually by WMS WANTED: Providers to Serve at 122 East 17th Street, Cheyenne, Wyoming 82001. in the Legislature 10 Contact WMS at 307-635-2424 or [email protected].

WYOMING MEDICAL SOCIETY LEADERSHIP Joint Labor, Health Committee President Paul Johnson, MD Offers Experience and New Perspectives 16 Vice President Joe McGinley, MD, PhD Secretary/Treasurer Lisa Finkelstein, DO Joint Labor, Health and Social Past President Sigsbee Duck, MD, RPh Services Sees New Members Open Trustee David Wheeler, MD, PhD Learning New Subjects 20 AMA Delegate Stephen Brown, MD, MBA AMA Alt. Delegate Rob Monger, MD WMS Executive Director Sheila Bush LEGISLATIVE PROFILES

MAGAZINE EDITORIAL BOARD WYOMING MEDICAL SOCIETY Editor in Chief Robert Monger, MD Publisher Sheila Bush Physican Advocacy a Fundamental Managing Editor Tom Lacock Pillar of the Wyoming Medical Society 22

SUBSCRIPTIONS WYOMING HOSPITAL ASSOCIATION 24 To subscribe to WYOMING MEDICINE, write to WMS Department of Communications, P.O. Box AMERICAN CANCER SOCIETY 4009, Cheyenne, WY 82003. Subscriptions are CANCER ACTION NETWORK $10 per year. Unlocking Access to Palliative Care Articles published in WYOMING MEDICINE Teams Creates Better Health Outcomes represent the opinions of the authors and do not and Quality of Life necessarily reflect the policy or views of the Wyoming 26 Medical Society. The editor reserves the right to WYOMING ASSOCIATION OF MENTAL review and to accept or reject commentary and advertising deemed inappropriate. Publication of an HEALTH & SUBSTANCE ABUSE CENTERS advertisement is not to be considered an endorse- Doing the Right Thing Because ment by the Wyoming Medical Society of the product It’s the Right Thing to Do 28 or service involved.

WYOMING MEDICINE is printed by Print By WYOMING HEALTH RESOURCE NETWORK 30 Request, Cheyenne, Wyoming.

POSTMASTER Send address changes to Wyoming Medical Society, P.O. Box 4009, Cheyenne, WY 82003. WMS Membership List 32 4 WELCOME

Welcome to the Healthcare Policy Guide BY TOM LACOCK Wyoming Medical Society

Calm Before the Storm — The Chamber sits idle ahead of the 2017 Legislative session at its temporary quarters in the Jonah Business Building in Cheyenne. The Legislative session begins Jan. 10.

elcome to Wyoming Medicine’s second annual Leg- considerations the Wyoming Medical Society and its partner islative Preview. The Wyoming Medical Society has organizations listed in this guide use while determining wheth- W published Wyoming Medicine twice a year since er the organization chooses to support a bill. 2011. Last year the WMS decided to add a third publication of- To the new legislators coming to Cheyenne for the first time, fering an overview of the 2016 legislative session. The policy and to those returning, we also want to offer this as a publica- guide was very well-received so we as an organization have de- tion that puts a friendly face and contact information to some cided to continue its publication. of those who work in the capitol over the winter. They are in It is our hope that by using this publication healthcare pro- viders will understand what issues are set for debate during the this publication because they wish to be used as a resource any 2017 legislative session, which begins Jan. 10, 2017. It is also time you have a healthcare-related question. our hope that members of the who also Welcome to the 2017 legislative session and have a safe, pro- receive this publication have a better understanding for what ductive winter. ON THIS JOURNEY TOGETHER UNIQUELY WYOMING

We all want the same destination—effective, affordable healthcare for this great state. Dedicated to working closely with Wyoming healthcare providers, we’ll reach that goal together. Thank you for your partnership. 800.442.2376 • WYOMINGBLUE.COM 6 NEW LEGISLATIVE MAKE-UP

AnNew OLD Faces HabitComing in En a Mass NEWto the Legislature SettingBY TOM LACOCK Wyoming Medical Society Legislative Session to Commence in Jonah Building as Capitol Undergoes a Facelift

Steve Harshman (R-Casper) begins his term as the Speaker of The House this winter. Harshman has previously been the co-chair of the Joint Appropriations Committee.

ew people know the Wyoming Legislature better than Paseneaux says with a laugh. Joan Barron. From 1971-2014 Barron covered the Leg- Paseneaux says that class learned quickly as the lack of com- F islature from Cheyenne for the Casper Star-Tribune. puters on the floor of the house didn’t stop them from com- Even in retirement she continues to spend time in the capitol municating with each other during debate or votes. Paseneaux researching legislation for her continued Sunday column in the says Marlene Simons of Crook County was a veteran of the Star-Tribune. House and had some unique ways of letting her colleagues She has seen it all in her days covering the capitol, includ- know what she was thinking. ing high turnover in this year’s edition of the legislature. This “Marlene wore a beautiful leather pendant with a carved year’s legislature will welcome 23 new members, including two eagle on it,” explains Paseneaux. “If she had the votes with all former representatives moving into the senate. Barron says it is the boys in her area (Democrats and Republicans), the eagle common for about 20 percent turnover in the Legislature after on the pendant stayed as usual, face forward. But if not she each election. She says the highest turnover she can remember turned it face down and turned sideways so I could see it across was in 1993 when 27 of the 60-member house were freshmen. the room. I then communicated the message to fellow legisla- “With nearly half the house being new people, there were tor Glenda Stark via scratching my head either the right or left problems,” Barron says. “I remember John Marton of Buffalo side, and she in turn communicated to the other two. We would was the floor leader. The general file, which he managed, was go forward if we had the votes, or wait until we did.” bulging. Marton complained that the new committees were ap- Despite the memory of a challenging year in 1993, Barron proving all the bills. They were reluctant to kill any. Of course, said she believes a new legislature tends to get results most it bogged down the process but they did get through it.” years based on the leadership in both chambers. She points out Carolyn Paseneaux was a member of that rookie class and Senate President (R-Fremont County) and House said that class was a lot of fun, if somewhat undisciplined in the Speaker (R-Casper) are new to their positions early days of their first term. but they are veteran legislators and have both been committee “We weren’t as dignified in ‘93 as the new legislators will be chairmen. The big change could be that they are both consid- in 2017. We were out of order on the floor sometimes as our ered more conservative than their predecessors. training wasn’t as thorough as it is now for new legislators,” “They aren’t free spenders,” Barron says of Harshman and Wyoming Medicine 7

The Wyoming Legislative Service Office (LSO) offers a multi-day course on how to be a legislator. Pictured is a shot of freshmen legislators in 2016 taking part in the course by Don Richards of the LSO.

Bebout. “I think the big question is how far will they cut. They fect when local property taxes go down because mineral prices don’t seem to have any idea of raising taxes at all, which seems and income is down. With less local property tax money to work to be the big, bad word there.” with, the state’s share of the education funding goes up because Harshman has been the co-chair of the Joint Appropriations the local share goes down at a time when we have less money.” Committee and agrees that While Harshman isn’t the state’s budget woes will new to the house, he is new be front-and-center in this to his position as speaker of session. He says the Legisla- I think the big question is the house. Last year Kermit ture is three-quarters of the “ Brown was the house speaker way towards solving the gen- how far will they cut. They but decided not to run for re- eral funding issues of the state don’t seem to have any idea election. That left Rosie Berg- budget, but a lack of education er as the presumed speaker funding could be a bigger is- of raising taxes at all, which until she lost her seat in No- sue on the horizon. According seems to be the big, bad vember’s election. Speaker to some reports, that shortfall Pro Tem vacat- could reach $1.8 billion by the word there. ed his seat and place in GOP year 2020. ” leadership to make a run at JOAN BARRON “In the end we could ride the U.S. House of Representa- Former Casper Star-Tribune Writer this budget through the rest tives, and left his of the biennium and be fine,” position as Republican House says Harshman. “We are Whip to take a federal com- going to get close. There will probably be a few more reduc- mittee position in the administration of U.S. President-elect tions and probably spend some of our savings and maintain Donald Trump. That left the house with no returning Republi- that balance. cans in leadership. “The educational funding is this sort of double-whammy ef- Harshman said after the primary and election, he decided to 8 NEW LEGISLATIVE MAKE-UP

volunteer for the speaker position, one he says he is excited for. bills introduced but less bills get through,” Baldwin says. “God has a plan for us, so I try not to make too big of plans,” As far as having a new group of freshmen legislators in Harshman says. “The way the primaries turned out and the the State House, Harshman says he is looking forward to the way the leadership stepped changes. He cites the fact two down, there is a void. I think new legislators are just 29 I have the right kind of expe- Group genius — where the years old, while another, Aar- rience to make sure the thing “ on Clausen (R-Douglas), is in runs like it should, and really best ideas boil to the top, are his 30s. He adds that other guide us through some of the refined and then become the freshmen such as Jamie Flit- budget issues that are going ner (R-Big Horn) (the grand- to face us.” best product we can produce. daughter of former State Sen- (R-Kemmer- It is sometimes slow, and ator Eddie Moore), Casper er) spent two years in the businessmen house before winning election painful and frustrating, but (R-Casper), Jerry Obermuel- this fall to the Senate. He says ler (R-Casper) and others can he thinks the result of a state it sometimes produces the bring a fresh perspective to budget in need of cuts and a best product. the process. high number of legislators ” “That is what this is all will be less legislation making STEVE HARSHMAN about, bringing those new it through both chambers. (R-Casper) perspectives,” Harshman “I think we will spend less says. “Group genius — where time looking at trivial bills, the best ideas boil to the top, things like the jackalope as the state mythical creature and are refined and then become the best product we can produce. similar bills that are smaller things, and we will spend more It is sometimes slow, and painful and frustrating, but it some- time focusing on budgetary issues. I think there will be a lot of times produces the best product.” Working continuously to balance the SCALES OF JUSTICE.

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WANTED: Providers to Serve in the Legislature

BY TOM LACOCK Wyoming Medical Society

Sen. Fred Baldwin, PA-C (R-Kemmerer) joins the state senate after two years in the state house. Baldwin is one of two health care providers currently sitting in the Legislature with Tim Hallinan, MD (R-Campbell County) as the other.

efore he was Rep. (R-Casper), he was “Because it is a citizen legislature you can continue as a John Barrasso, MD, a fact not lost on those he served physician and don’t have to give up a career in medicine,” he B with in the Wyoming Legislature from 2003-07. continues. “Lawmakers would often come to me on issues related to While there is a need for more physicians to become involved healthcare and they would also come to me with specific medi- in politics, there are barriers including the time commitment cal questions. Some had aches and pains and, I was always and the financial cost of running and being elected to the happy to answer questions related specifically to their health,” legislature. says Barrasso. Barrasso is one of a number of Wyoming physicians who A Large Time and Financial Commitment have served in the State Legislature, including past lawmak- Kemmerer physician assistant Fred Baldwin spent two years ers such as Don Lawler, MD; Larry Meuli, MD; Harry Tipton, in the state house and now moves to the senate, representing MD; and George McMurtry, MD. According to the Legislative a large area that includes the communities of Pinedale, Mar- Service Office, 4 percent of those ever elected to the Wyoming bleton, Boulder, Diamondville, some of Rock Springs, some of Legislature worked in the healthcare industry. However, those Green River, and some of Evanston. Baldwin’s house seat was who have served in the Legislative body say there is a need previously held by his mother-in-law Kathy Davidson before for more physicians and physician assistants to take a role as she retired. lawmaker. “It is a huge area geographically,” Baldwin said. “It takes “Specifically from a medical standpoint it is important be- more than one day’s work just to put signs up for your cam- cause we are such a rural state and rural medicine is critically paign. It takes days; there are no straight connecting lines be- important in our state to get citizens the healthcare they need,” tween any of them.” says Barrasso. “Lots of things come out of Washington with a Baldwin says the time commitment to be a legislator is fierce one-size-fits-all approach and that doesn’t work for Wyoming. and he could not do it without the support of his employer, You want people with a medical background to help shape the the Kemmerer Hospital System and the other providers in the laws that affect Wyoming specifically. organization. Baldwin went to the board of the hospital with Leading the way in treating patients at their most vulnerable: before they’re born

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need a few more physicians.” Larry Meuli, MD, MPH, of Cheyenne is no stranger to the Wyoming Medical Society. He was named the WMS Physician of the Year in 2002, and served in the state house from 1997- 2006. During his time in the state house, Meulli was the medi- cal officer for the City-County Health Department in Cheyenne, and said had he not been employed in Cheyenne it would have been tough to serve. “If it weren’t for the fact the legislature was here in Chey- enne, I wouldn’t have been able to get to participate,” he says. “I was able to do both jobs, and I ended up going to the health department many evenings to sign off on charts.” Meuli ran for the state house after spending 12 years in the Wyoming Department of Health - including its predecessor, the Wyoming Division of Health and Medical Services - where he commonly presented the department’s budget to groups such as the Joint Appropriations Committee (the committee that does the majority of the state’s budget preparation). Years later he found himself on that committee and said it was where he really noticed his time was no longer his own. “On the appropriations committee, we would start meeting at maybe like 7:30 in the morning and meet for an hour or an hour and a half before the sessions started. And then we would work through the noon hour and then work after the session until 6:30, 7:30, 8 o’clock at night. “We spent four weeks before the session going through the Senator Barrasso is known by many as Wyoming’s Doctor. During governor’s budget and making recommendations to that bud- his 24 years as an orthopedic surgeon, Barrasso served as President get. Then everything that did not get put into the budget was of the Wyoming Medical Society and was named Wyoming Physician brought back by individuals who had their own projects or of the Year. causes, so we had to go through the system again.” For some physicians who work in private practice, serving in the state house or senate means closing up shop and losing a proposal for how to make up the time. He uses much of his wages for upwards of three months a year. That makes a run yearly vacation time and then swaps shifts in the emergency for office a non-starter for some. Meuli cautions that many of department with other providers. He also drives back to Kem- those he served with didn’t realize the financial hit they would merer on weekends to work at a clinic on Saturdays during take, and that led to some of his fellow lawmakers leaving the the session. body after one term. “During the session I come home every Saturday to do a Sat- “I found several of my compatriots in the legislature came urday clinic,” Baldwin says. “My patients said they wouldn’t vote for me if I didn’t come home and do a Saturday clinic. I give up part of my yearly vacation to go to session, and in exchange for the other providers covering my ER call I do some extra ER Because it is a citizen shifts. For example, I am on my fifth day of ER call right now in “ preparation to go to session. I took extra ER shifts to give them legislature you can continue breaks in January. That was part of the concession.” as a physician and don’t Timothy Hallinan, MD (R-Campbell County) is back in the state house this year after serving in 2010-11. He says he have to give up a career in also believes joining the legislature benefits from the voice of medicine. healthcare providers. ” “Quite a few bills involve physicians and I could voice the US SEN. JOHN BARRASSO, MD opinion of the profession from our point of view,” says Hal- (R-Wyoming) linan. “It is important to have a voice to the profession. There are plenty of lawyers and teachers in the legislature, and we Wyoming Medicine 13 in with the idea of this is going to be simple - 20 days one year and 40 days the next,” he says. “The thing everyone forgets is you have committee meetings at different places around the state. You spend a week a month if not more than that going to committee meetings and things like that. I know several of them who were in said, ‘I can’t afford this,’ so they dropped out after one term.” Baldwin agrees pointing out the legislature receives a $150 per diem for each day the legislature is in session or at an in- terim meeting. That cash doesn’t go far, especially for meetings in some of the state’s more expensive locations. “There is no insurance benefit, there is just a travel and per diem, and that is all you get,” says Baldwin. “In a lot of cases, say if you have a meeting in Jackson, there is no Jackson hotel that is within the per diem so we end up paying out-of-pocket. A lot of things come out-of-pocket.”

Why Do it? Despite the time and money, all three providers say the cost of serving in the legislature is well worth it. Meuli says he was asked consistently by other lawmakers his opinion on health- care-related bills. He says he served as the same time as Harry Tipton from Lander, McMurtry and Barrasso, and it was com- mon for them to get together to provide a united front regard- ing healthcare legislation. Baldwin says he received the same questions from lawmakers on the floor daily. He said his opin- Larry Meuli, MD was in the Wyoming Legislature from 1997-2006 ion seems to carry a great deal of weight with his peers due to and says the biggest surprise for his service was the combination his background in medicine. of time and finances involved in running a campaign. “Almost daily people ask me about whatever bill is up before

us, and ‘Is this a good idea or what do you think about it and how should we vote?’ It makes a huge difference,” says Bald- Quite a few bills involve win. “I think there is a need for more medical people in the “ legislature.” physicians and I could voice “We are a citizen legislature so everyone has jobs outside of the legislative meeting and the biggest lobbyists in the legis- the opinion of the profession lature are fellow legislators,” says Meuli “I became the source from our point of view. It is for health issues. People came up to me and said, ‘What do you think about this?’ I think that is one reason to have physicians important to have a voice in the Legislature. That is where legislators go to to get their information.” to the profession. There Barrasso points out his seat in the Wyoming Senate allowed are plenty of lawyers and him to voice the concerns of medical providers directly to law- makers, allowing for a pulpit to improve the practice of medi- teachers in the legislature, cine and he encouraged other physicians to step out and run and we need a few more for election to the legislature. physicians. How to Get Started ” Barrasso said before he decided to run for election to the REP. TIMOTHY HALLINAN, MD legislature in 2005, he spent about 15 years as the Doc of the (R-Campbell County) Day through the Wyoming Medical Society. This program asks physicians from around the state to donate a day of their time to sit in the house and senate chambers to aid legislators who 14 PROVIDERS WANTED IN THE LEGISLATURE

fall ill. There is a small exam room with supplies for physicians orientation sessions for new legislators before the start of the to use as well. session at the Jonah Business Center, the temporary home of Even more importantly, it allows physicians to get a feel for the capitol. Each of the two sessions will cover different con- the legislative process. All three physician legislators said the tent to help new members “get up to speed” on serving as a process and the proximity leads to lawmakers asking the Doc Wyoming legislator. The training includes anti-discrimination of the Day their opinions when healthcare-related topics reach and ethics training for all members, as well as training for new the floor. members of legislative leadership and committee chairmen. Barrasso said his involvement with Wyoming Medical Soci- This January the training will include sessions on the orga- ety helped him get a feel for the legislative process. nization of the legislature, organization and hierarchy of rules “I had been involved in Wyoming Medical Society as a past and procedures, and even logistical pieces such as where to find president in the WMS and I thought there were more things I printers and park at the Jonah. could do to help,” he says. “That is why I chose to run.” The Search for More Physician Lawmakers Other Resources for Aiding a Candidate Run Continues Nationally, there is an effort to encourage physicians to run Barrasso says his sales pitch for doctors and physician assis- for political office through AMPAC, a bipartisan political ac- tants considering a run is to consider the impact health policy tion committee of the American Medical Association. AMPAC has on the people of Wyoming. He referred to it as helping pa- seeks to find and support candidates for congressional offices tients in a different way. who make physicians and patients a top priority. AMPAC also Meuli says even if a physician cannot afford to run for office, strives to help more physicians get personally involved in poli- the next best idea is to get to know your legislators and make tics, and holds several workshops each year to educate physi- yourself a resource for them should they have healthcare-relat- cians about the intricacies of politics and political campaigns. ed questions. On February 17-19, AMPAC will host a candidate workshop For his part, Baldwin encourages medical providers to run in Washington, D.C., to teach candidates how to run a political for the impact it has on the practice of medicine. campaign. AMPAC also offers a campaign school featuring a “The sales pitch is if you expect changes, and good chang- simulated campaign for the U.S. House, complete with demo- es and appropriate changes the only way to do it is to get in- graphics and voting statistics. Attendees include physicians, volved,” says Baldwin. “Sometimes that means calling your spouses of physicians, residents and medical students interest- representative or senator. It makes a much bigger difference if ed in becoming more involved in politics. Barrasso was among you are actually participating in the process. If you want chang- the featured speakers of the school last April. es and expect good things to happen in medicine, you have to The Wyoming Legislative Service Office (LSO) does its part be a part of it. You can’t sit on the sidelines and let someone to help new legislators get a lay of the land. The LSO offers two else do it.”

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16 JOINT LABOR, HEALTH, AND SOCIAL SERVICES PREVIEW

Joint Labor, Health Committee Offers Experience and New Perspectives

BY TOM LACOCK Wyoming Medical Society

Rep. (R-Campbell County) has been named as the House Chair for the Joint Labor, Health, and Social Service Committee in 2017. He will take the place of Rep. (R-Lovell) who did not seek re-election this year.

nyone attending a Wyoming House Joint Labor, will be led once again by Charles Scott (R-Casper), who has Health, and Social Services Committee meeting dur- served in the Senate since 1983. The Senate Health Commit- A ing the 2017 legislative session would be wise to bring tee membership returns (R-Converse/Platte), Ray a legislative facebook with them, as the cast has made signifi- Peterson (R-Cowley), and sees Fred Baldwin, PA-C (R-Kem- cant changes from a year ago. merer) move over from the House Health Committee to the Leading the committee will be Rep. Eric Barlow (R-Campbell Senate Health Committee. The lone rookie on the committee is County), who has been on the committee since 2013. A veteri- (R-Laramie/Goshen). narian and rancher by trade, Barlow will be herding a com- mittee which returns just one other member - JoAnn Dayton A Holding Pattern for 2017 (D-Sweetwater County) - from a year ago. Joining Barlow and After two years of debating Medicaid expansion in the Wyo- Dayton on this year’s House committee include (R- ming Legislature, this year’s health committees will probably Campbell), (D-Jackson), Timothy Hallinan, MD be void of high-profile bills as the committees wait to see what (R-Campbell), Marti Halverson (R-Lincon/Sublette/Teton), the change in Presidential administration means to federal and Pat Sweeney (both R-Casper). health programs such as Medicaid. Barlow replaces Elaine Harvey (R-Lovell) as the House com- “We really were in a holding pattern on a lot of the big issues mittee chairman and says he has large shoes to fill. waiting on the outcome of the election,” Scott says. “With the “It is an honor to get the opportunity, and obviously there is (Donald) Trump victory, it is becoming increasingly clear to me a lot to learn and continue to learn about the issues and com- they will repeal Obamacare because it was collapsing under its plexities of the interests that are out there,” Barlow says. “Fol- own weight. I think next year is going to get interesting, because lowing Chairman Harvey is daunting in and of itself. She has once you repeal Obamacare, what do you replace it with?” been a tremendous mentor on a personal side, but also on a Scott says he is hearing there is a strong possibility that the policy side for how to approach challenging issues and hope new administration will offer the states block grants for Medic- to give people the best opportunities to advance their causes.” aid. That could mean the freedom for the state to design its own The Senate’s Labor, Health, and Social Service Committee benefits and process for distribution of benefits. YOUR BUSINESS IS HEALING OTHERS. OURS IS TAKING CARE OF YOU.

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the past two years. The gatekeeper is an organization named by the department of health which oversees and routes patients to different facilities based on the needs of the patient. While the legislature has made progress on the issue, Barlow says there is still room for improvement. “I have always been interested in this, and it goes back to Senate File 60 from 2013,” Barlow says. “We did a Medicaid re- form bill and I think we need to have an interim or two interim type of topic where we look at continuum of mental health care and find how we build that continuum.” The concept of a multi-payer claims database to house infor- mation about physicians, services and their costs was floated last year in a budget footnote that would allow the department of health to study the issue. The department of health released its study this summer along with ideas of how to proceed with such a database if the legislature wished to do so. Scott and Barlow both say they believe the concept is worth examining, but neither foresaw much action being taken on a database this session. Barlow says he thinks the footnote opened the door to the concept of a database, but he doubts large efforts on imple- While there are many new members of the Legislature this year, mentation takes place before a larger interim discussion. He there is some consistency, personified by Sen. Charles Scott (R-Natrona County) who returns to the Wyoming Legislature to said there could be smaller steps taken, such as discussion on chair the Senate Labor, Health, and Social Services Committee. whether the state employees insurance pool could become a Scott has been a member of the state senate since 1983. part of a multi-payer claims database. For his part, Scott says a similar database produced years ago by Hank Gardner under the Governor Dave Freudenthal administration offered some helpful information to issues of health care costs, but he said he “If they give us a Medicaid block grant, which seems like a doesn’t believe joining or developing a database is in the cards strong possibility, if it is a real block grant and we have signifi- this year because of a lack of available state funds. cant freedom in how we can structure the Medicaid program, “With Obamacare we got a decent comparison between juris- we can be creative,” Scott says. “Then the question becomes dictions and found Wyoming is considerably more expensive how much money will we get and how many people can we than other areas for the cost of healthcare, and we aren’t sure cover? We need to try to provide the essentials they need to why,” Scott says. “The database would be helpful in trying to have and not some of the frills Obamacare pushed. That will be figure out what they are, but you have privacy issues in those quite a response to that - getting it right. That is what we are things, and the fact is we can’t afford it this year.” looking forward to.” A bill to join a licensure compact for emergency medical services will also come out of the Joint Labor, Health and So- Work to be Done This Year cial Services committee. Scott says this will help those in rural While next year could be full of fireworks, there is work to be border areas respond to emergencies while addressing legal done this year as well. liability. Barlow says he has always been interested in the Title XXV Scott says he will also introduce a bill on his own, having efforts of the legislature, and that item will remain front-and- been approached to work on a bill that deals with laws on dura- center for lawmakers this year. Despite shrinking state reve- ble powers of attorney which came out of the Governor’s Task nues and nearly $249 million in cuts to state agencies this year, Force on Elder Abuse. Wyoming Governor has asked for a contingent ap- “This was (The Task Force’s) first priority so it is clear what propriation up to $21 million for Title XXV services in his 2017 the providers know who they are dealing with,” Scott says. supplemental budget for Title XXV services to the Wyoming Barlow says he has also been asked to put forth a bill to li- Department of Health. This will attempt to address a budget cense providers of acupuncture and oriental medicine. It will shortfall in the biennial budget for such services. be based on a previous year’s draft of a similar bill with the end Barlow sits on the Legislature’s Joint Subcommittee to Re- goal of developing a licensing board for acupuncture and ori- view Title XXV Issues. In addition, the legislature has allowed ental medicine practitioners outside the Board of Medicine. He Wyoming courts the ability to make outpatient commitments says around 27 providers in the state are licensed by a national of Title XXV patients, and instituted a gatekeeper policy over certifying board, and another 12 are in the process. As the region’s most comprehensive Neonatal Intensive Care Unit, the NICU at Children’s Hospital Colorado cares for acute conditions in its smallest, most vulnerable patients. We also recognize that the best place for these patients — and their families — is home. That’s why our goal is to get them home as soon as and safely as possible. For years, we’ve worked with local medical centers to deliver the best possible care for our patients in their home state. Our Care Alliance partners with community hospitals and providers, strengthened by shared medical records, guidelines and protocols, and frontline tools like HIPAA-secure teleconferencing. The result: a smoother, safer care transition for Wyoming families and kids.

PhysR_150048254_2016-02 Children’s Hospital Colorado complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-720-777-9800. CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-720-777-9800. 20 LEGISLATORS LEARNING NEW SUBJECTS Joint Labor, Health and Social Services Sees New Members Learning New Subjects BY SHEILA BUSH Wyoming Medical Society

he final meeting of the interim for any Legislative sub- committee is frenzied as the committee convenes for T the last time of the year and decides which bills to spon- sor before the start of the upcoming session. Making December’s Joint Labor, Health, and Social Services meeting in Cheyenne more interesting was the fact the 2016 committee members were joined by newly-appointed members of the subcommittee for the 2017 session. That meant seven new members on the House side of the committee, as well as a lot of time spent offering the new members an overview of committee work from the past year. Despite all that, the committee took on a two-day agenda Wyoming State Representatives (from left) Scott Clem (R-Campbell), that saw it discuss EMS licensure-interstate compact, WDH Mike Gierau (D-Teton), and (R-Laramie) watch debate during budget cut update, CHIP program amendments, Multi-payer the final Joint Labor, Health, and Social Services meeting of 2016 in Claims Database/State Administered Health Insurance, State December. Gierau and Clem will remain on the House Labor, Health, and Health Facilities, Title 25, the UW Family Residency Program, Social Services Committee through the 2017 legislative session. and Telehealth and Insurance Parity. Among the highlights were the vote to move forward an EMS Blue Cross Blue Sheild (BCBS) and Delta Dental. Licensure Compact as a committee bill, which generally means A new RFP for that contract was released Dec 1 and is due a better chance of passing the Legislature as a whole. The EMS back to the state Dec 20. BCBS is bidding on the contract with licensure compact is model legislation pertaining to EMS per- efforts to bring the program into compliance with the federal sonnel licensure and will require a minimum of 10 states adopt requirements. CHIP is authorized through September of 2019, the language through the legislative process to take effect. Thus but only funded through September of 2017. The concern is far there are seven states who have gone through the process that if a successful bidder is not chosen within the time frame including Idaho, Utah, and Colorado. Much like the physician that the contract reverts back to the state. WMS would have and nursing licensure compacts, Wyoming would benefit by concern if this contract was removed from the private sector streamlining the licensure process, by reducing liability for where it is administered currently and placed back within Med- EMS personnel, and by moving to standardized competen- icaid because reimbursements to providers currently within cy testing. CHIP are higher than what Medicaid would pay and the belief The committee also heard reports from the is that that would change if the state pulls this contract back Wyoming Department of Health on a few items of within state administration. UW Family Residencies were a big piece of the afternoon interest to Wyoming Medical Society members. with the University and WDH presenting the Final UW Resi- The Department of Health’s study on the Multi-Pay- dency study and Presentation and Rep. Sue Wilson presenting er Claims Database suggested the best way for such a da- the legislative update and context for the studies. The general tabase to develop was to join an existing database at a quoted message was that a lot of work needs yet to be done, but that cost to the state of $320,000 annually. The conversation re- the University will embark on a six month study with consul- garding the database was fairly brief with legislators indicating tants to analyze rural health care and Medical Education as a hesitation to do anything until they know more about what the whole, including WWAMI. The University will present recom- new Presidential administration will do with health policy. mendations to the UW Board of Trustees in June in advance KidCare CHIP remains a popular program of Wyoming phy- of their budget planning for the 2018 budget session. WMS sicians though there could be some changes coming to the Executive Director Sheila Bush testified to the importance of program. There are some amendments as a result of the 2009 the residency programs, the economic impact of physicians on CHIP Reauthorization ACT that requires a state to implement the local economy using 2014 AMA numbers and availing our aspects of managed care into CHIP programs facilitated in each organization as a trusted resource as the Committee navigates state. Wyoming’s CHIP program is currently administered by these difficult conversations.

22 WYOMING MEDICAL SOCIETY PROFILE Physican Advocacy a

NAME OF ORGANIZATION Wyoming Medical Society Fundamental ADDRESS 122 East 17th Street, Cheyenne, WY 82009 Pillar of the PHONE 307-635-2424 ORGANIZATIONAL LEADERSHIP AND PHONE Wyoming NUMBER DURING SESSION Medical Society BY TOM LACOCK Sheila Bush Tom Lacock Wyoming Medical Society Executive Director Communications Director 630-8602 277-6127 [email protected] [email protected] hysician advocacy is one of the fundamental pillars on WEBSITE which WMS is built, and this publication seeks to ex- wyomed.org P plain both the process of that advocacy and what issues will face the state’s physicians in 2017. We hope this will al- CORE CONSTITUENCY low physicians the time to discuss issues of concern with leg- Physicians and Physician Assistants of Wyoming islators or WMS staff who can also voice that concern to state ORGANIZATIONAL CAPSULE lawmakers. The Wyoming Medical Society was founded in 1903 to The WMS Board of Directors is composed of 22 members provide representation, advocacy and service to Wyoming representing their home areas from around the state. It meets physicians. We strive to be an efficient, member- driven, responsive organization, capable of anticipating each January as a group to offer the organization’s position on and responding swiftly to the changing health care bills released via the Wyoming Legislature’s website, or have environment. WMS serves our membership, and their been brought to the attention of WMS staff. The board votes patients, and works to improve the health of Wyoming’s on whether to monitor, support or oppose the bills brought citizens. The Wyoming Medical Society is, and always will before it. be, a staunch advocate for physicians. This is our core. All of our other activities revolve around this core. The litmus test for any bill seeking support by the WMS board has been whether it falls in line with stated WMS pri- ORGANIZATION’S PHILOSOPHY DURING SESSION orities taken up by the board of directors.The WMS places a The Wyoming Medical Society advocates for the state’s priority on: physicians and prides itself on being available to • Fair and predictable medical liability reform; lawmakers during most Legislative committee meetings where medical legislation is considered. The WMS is also • Access to care for Wyoming’s patients caused by available via phone or email at any time. physician shortages; • Patient safety through confidential reporting and correction of health system errors; • Program funding for Medicaid, the WWAMI pro- gram and UW Family Practice Residencies, as well as physician recruitment and loan repayment; Wyoming Medicine 23

• Scope of practice issues through responsible col- laboration between physicians and other health care providers; While Bush is the lead • Tobacco prevention as it relates to public health. This year the board of directors will meet in Cheyenne on advocate for the organization, Saturday, January 14 to discuss legislation and how it will di- the WMS strives to make rect its executive director, Sheila Bush, to advocate on the orga- the process inclusive nization’s behalf. The WMS has a reputation as an organization that understands healthcare-related issues, and is called upon for interested Wyoming repeatedly by legislators during the session to offer an honest physicians. WMS staff review of legislation and the impact on Wyoming’s physicians and patients. will alert membership of While Bush is the lead advocate for the organization, the upcoming hearings and the WMS strives to make the process inclusive for interested Wyo- ming physicians. WMS staff will alert membership of upcom- opportunities for physicians ing hearings and the opportunities for physicians to testify to testify on a law’s impact on a law’s impact on behalf of the WMS or as an independent on behalf of the WMS or as an physician. It is the hope of the WMS that this issue will help WMS mem- independent physician. bers understand the issues and opportunities to take part in the process this February in Cheyenne.

WYOMING ARMY NATIONAL GUARD MEDICAL BE THERE WHEN YOU’RE NEEDED MOST BENEFITS CAREER OPTIONS BONUSES - Medical and dental care for you and your - Medical Corps - Medical Corps: family (TRICARE Reserve Select) Providing a wide range of healthcare - $25,000 per year for a three-year contract - Up to $400,000 in low-cost life insurance to Soldiers at home and during - $20,000 per year for a two-year contract - Discounted and tax-free grocery and combat and covering every medical - $15,000 per year for a one-year contract shopping privileges at post exchanges and specialty from allergists to vascular - And with another three-year commitment, commissaries surgeons. your bonus may be renewable. - Free military air flights based on space availability - Students - Specialized Training Assistance Program - Free academic testing and counseling for Medical and dental students can serve (STRAP) stipend of $2,088/month. your spouse as a Healthcare Student Officer while - Access to recreational facilities on military attending medical or dental school. -Medical and Dental Student Stipend installations Healthcare Student Officers are placed Program (MDSSP) stipend of $2,088/month. - A retirement pension plan at the completion in non-deployable positions, are of 20 years of part-time service eligible to participate in substantial - Medical and Dental Corps are able to have financial assistance programs, and $40,000 per year and a total of $240,000 receive professional development student loans paid off. during their professional programs. WYOMINGARMY

Captain Christopher Kopf Call, Text, or Email OFFICE: 307.772.5218 CELL: 307.760.4320 [email protected] 24 WYOMING HOSPITAL ASSOCIATION PROFILE

Wyoming Hospital Association

NAME OF ORGANIZATION Wyoming Hospital Association

ADDRESS 2005 Warren Ave, Cheyenne, WY 82001

PHONE 307-632-9344

ORGANIZATIONAL LEADERSHIP AND PHONE NUMBER DURING SESSION

Eric Boley Neil Hilton President Vice President 307-727-7545 307-287-7446 [email protected] [email protected]

WEBSITE www.wyohospitals.com

CORE CONSTITUENCY The 26 Community Hospitals in Wyoming

ORGANIZATIONAL CAPSULE The Wyoming Hospital Association is a statewide organization dedicated to providing leadership, Wyoming Telehealth Network representation and advocacy for Wyoming hospitals. The for Association, through leadership and collaboration among Wyoming Providers and Patients all healthcare providers, promotes information and education that enables Wyoming hospitals to deliver high quality, adequately financed, cost-effective healthcare Join Teleheath and learn how it can: that is universally accessible to all Wyoming citizens. Formed in 1945, the vision of the Wyoming Hospital • Deliver continuing education directly to your o ce Association is to be Wyoming’s most trusted, respected and influential leader in health policy and advocacy, and a • Provide improved access to rural patients valued resource for information and education. and specialists

ORGANIZATION’S PHILOSOPHY DURING SESSION • Expand and diversify your practice The Wyoming Hospital Association advocates for Wyoming’s hospitals, from the largest regional medical Monthly webinars from 12:00 - 1:00 p.m. on the centers to the smallest rural critical access hospitals last Wednesday of every month, sponsored by – with one effective voice representing all. The WHA the Wyoming Telehealth Network (WyTN) focuses on all proposed legislation that may impact hospitals statewide, and the respective communities they serve. The WHA staff is open and available to all legislators regarding issues pertaining to hospitals and healthcare within Wyoming. The WHA is willing and able to provide clarification and details regarding the potential financial and operational impacts of proposed legislation. The WHA stands ready to advocate and educate on behalf of the hospitals of Wyoming. www.uwyo.edu/wind/wytn Join the game-changing providers of UCHealth.

We stand for the best of academic and ‘‘ community medicine— always with the benefit of our patients in mind. DR. TODD B. WHITSITT, Cardiologist’’

Medicine chose you. It inspires you. Now it’s empowered you to be part of something amazing. At University of Colorado Health, we are fearlessly providing patient centered care at the highest level. Offering the most innovative procedures, advanced treatments and medical technologies. And making a difference in peoples’ lives, every day. We’re a young organization, free from practicing medicine “the same old way.” And it shows—with Magnet® designations at several hospitals, many U.S. News & World Report “Best Hospital” rankings and Nightingale award winners. If you’re a physician or an advanced practitioner focused on improving the lives of others, join us—and discover how much it improves your own. Explore opportunities at joinuchealth.org

WE IMPROVE LIVES. 26 AMERICAN CANCER SOCIETY CANCER ACTION NETWORK PROFILE Unlocking Access to Palliative Care NAME OF ORGANIZATION American Cancer Society Cancer Action Network Teams Creates PHONE 307-287-1401

ORGANIZATIONAL LEADERSHIP AND PHONE Better Health NUMBER DURING SESSION Outcomes and Quality of Life BY JASON MINCER Government Relations State Director, Cancer Action Network

Jason Mincer Meredith Asay Government Relations 307-760-2354 his legislative session, lawmakers and providers can 307-287-1401 [email protected] help improve health outcomes and quality of life for [email protected] thousands of Wyoming residents battling cancer and T other chronic diseases. The solution: Palliative care. Palliative care is a patient-centered, coordinated care regi- men that addresses physical and emotional symptoms that Dawn Scott accompany a serious illness. Palliative care teams – often 307-761-2040 composed of physicians, nurses, pharmacists, social workers, [email protected] counselors, spiritual leaders and caregivers – focus on treating the symptoms people have, not just their disease. For anyone facing a chronic disease, palliative care can be life changing. Studies indicate most American adults know nothing about WEBSITE palliative care. Many individuals, including providers, mis- www.acscan.org/wyoming www.facebook.com/ACSCANwyo/ takenly equate palliative care with end-of-life care. Palliative care is appropriate at any age and stage of a diagnosis. When CORE CONSTITUENCY offered alongside curative treatment, it can help patients get Cancer patients, survivors and their caregivers well faster and easier. Palliative care is essential to achieving ORGANIZATIONAL CAPSULE comprehensive, cost-effective care that improves patient satis- ACS CAN is the nation’s leading cancer advocacy faction and health outcomes. organization that works every day to make cancer issues So why isn’t palliative care more readily available in Wyo- a national priority. Many of the most important decisions ming? Our rural geographic landscape and limited number of about cancer are made outside of your doctor’s office. cancer centers means patients often travel hundreds of miles or Instead, they are made by your state legislature, in even out of state for treatment. When cancer treatment takes Congress and in the White House. place in one community and palliative care happens at home, it ORGANIZATION’S PHILOSOPHY DURING SESSION can be difficult to manage. ACS CAN is the voice of cancer patients, survivors and In 2017, the American Cancer Society Cancer Action Net- their families in the halls of government. We support work (ACS CAN) will focus on passing statewide legislation to legislation that prevents cancer and that provides a better create a palliative care task force. The task force of physicians, quality of life for these patients and survivors. pain management specialists, patients and other key stake- holders would investigate palliative care problems in Wyoming and ways to improve access to this vital care. This legislation Wyoming Medicine 27 would not require any funding from the state budget. And be on the lookout for the bill this legislative session. You can help! Fill out a virtual postcard in support of this Let’s make sure our friends with cancer and other chronic dis- issue at www.cancerpostcards.org. These “postcards” will be eases have the best chance to survive and thrive. Contact Jason sent to state legislators illustrating the critical need for pallia- Mincer, ACS CAN Wyoming Government Relations Director, tive care programs in Wyoming. with any questions: [email protected]. 28 WYOMING ASSOCIATION OF MENTAL HEALTH & SUBSTANCE ABUSE CENTERS PROFILE Doing the Right Thing Because

NAME OF ORGANIZATION Wyoming Association of Mental Health & Substance it’s the Right Abuse Centers

ORGANIZATIONAL LEADERSHIP AND PHONE NUMBER DURING SESSION Thing to Do BY ERIN JOHNSON Wyoming Association of Mental Health & Substance Abuse Centers

he development of community-based mental health

Erin Johnson Bob Hartley and substance abuse centers has had a strong impact Executive Director WAMHSAC Board President T on the lives of many Wyoming individuals and families. 307-899-8889 307-746-8094 In 1969, the Wyoming Legislature made a conscious policy [email protected] [email protected] decision to support community-governed boards to deliver mental health services in local communities. Before this, peo- Peggy Hayes ple struggling with psychiatric and psychological problems WAMHSAC President, Directors — such as major depressive disorders, schizophrenia, bipolar 307-359-2885 disorders, and substance abuse problems — would be forced [email protected] to seek help at the emergency room at the local hospital or be locked up in jail. WEBSITE The 1970s were a growing period as mental health centers www.wamhsac.org started sprouting up in the smaller communities, and as the FACEBOOK local boards for the centers organized to push for statewide www.facebook.com/wamhsac change. The Wyoming Association of Mental Health & Sub- CORE CONSTITUENCY stance Abuse Centers (WAMHSAC) formed as an official as- Anyone touched by mental health & substance abuse sociation in 1991. needs; Clients, Families, and other healthcare providers In 1994, the state’s efforts to provide adequate services at the Wyoming State Hospital were publicly questioned when Pro- ORGANIZATIONAL CAPSULE WAMHSAC is composed of 19 centers throughout tection and Advocacy System, Inc. sued the state on behalf of Wyoming providing mental health and substance abuse patients, identified only as Chris S., et al., alleging inadequacy services in all 23 counties – most of these centers are and unavailability of appropriate facilities and services for peo- private, non-profit organizations with volunteer governing ple with mental illness. One of the main goals was to develop a boards of directors. Every center has the highest level of community system that would allow individuals to be served in accreditation. In addition, collectively the centers employ over 900 people statewide, and serve over 27,000 people local communities in lieu of hospitalization. on an annual basis. For the past 60 years, WAMHSAC In terms of mental health, the 2002 settlement of the Chris providers have offered essential mental health and S. lawsuit spurred improvements at the state hospital, devel- substance abuse services – inpatient and outpatient opment of community-based mental health services and in- – with a sliding fee scale, creating a safety net for all creased access to services. In the 2005 session, the legislature Wyomingites, regardless of a client’s ability to pay. created the Select Committee on Mental Health and Substance ORGANIZATION’S PHILOSOPHY DURING SESSION Abuse Services to find ways to improve mental health servic- Access to essential mental health and substance abuse es in Wyoming. Through their work, clients had equal access services in every county must be maintained. The private-public partnership between the legislature and throughout the state to a continuum of services, some provided community mental health and substance abuse centers locally, some provided regionally and others provided on a ensures access to quality care for those who need help statewide basis. managing mental illness and recovering from substance The last decade has been challenging. As Wyoming’s econo- abuse. Collaboration with legislators and stakeholders my has “busted,” the mental health and substance abuse sys- (both local and statewide) is key. tem has experienced its fair share of cuts. While the demand Wyoming Medicine 29

As Wyoming’s economy has “busted,” the mental health and substance abuse system has experienced its fair share of cuts. While the demand and need for services has increased, funding has decreased. and need for services has increased, funding has decreased. The most recent cuts made were in July 2016, when $12 mil- lion in reductions were made to behavioral health services by the Governor. This resulted in staff layoffs and reductions in employee benefits throughout the state. In addition, Medicaid reimbursement rates were reduced 3.3 percent. In 2017, WAMHSAC remains committed to provide essential services and high quality care for all Wyoming residents, re- gardless of their ability to pay. This safety net system of care co- ordinates with local governments, physicians, hospitals, child- serving agencies, education, housing, vocational rehabilitation, probation and courts. The creation of the mental health and substance abuse system of care in Wyoming has been a part- nership among legislators, governors, department of health and behavioral health division staff, advocates and profession- als. As we have during the past sixty years, WAMHSAC will continue this partnership to serve the behavioral health needs of the citizens of Wyoming. While we as an association understand the situation state agencies and the legislature are in, we will continue to ask for funding to be maintained, and for recent funding reductions to be reversed for a system that helps keep families together, our workforce healthier, and our most vulnerable populations safer. While this is not only the “right thing to do,” it is also the fiscally responsible direction. Investing in community-based services saves money with early interventions from unneces- sary hospitalizations, jail diversions, and emergency room vis- its, as well as lost productivity and work days for employers.

Safety Net Services Provided by WAMHSAC Centers include: • Emergency services; • Diversion services for Title XXV; • Intensive services for suicidal patients; • Medication management; • Rehabilitative services; • Residential treatment for substance abuse; • Intensive outpatient for mental health and substance abuse; • Family, group, and individual therapy; • Group/supported housing. Physicians From Your Wyoming Residency Programs Practice All Across The State!

Lovell Powell

Meeteetse

Riverton Arapahoe Afton

Rock Springs

The Casper and Cheyenne residency programs have been serving Wyoming communities since 1976 and 1980, respectively, and deliver comprehensive health care services to more than 12,000 people every year. The Cheyenne program is a residency model of 6-6-6: six first-year resident physicians, six second-year resident physicians and six third-year resident physicians. The Casper program is an 8-8-8 model. Thirty percent of our program graduates remain in Wyoming to practice family medicine throughout the state. Currently 100 family practice physicians from these programs practice in the state of Wyoming.

Ronald Malm, D.O. Beth Robitaille, M.D. Program Director Cheyenne Program Director Casper Clinical Associate Professor of Family Medicine Clinical Professor of Family Medicine 307-286-8347 w [email protected] 307-232-6021 w [email protected] Cheyenne Graduates Casper Graduates Thomas Andrew, MD Gillette Cara Johnson, DO Cheyenne Dan Radosevich, MD Laramie Andy Dunn, MD Casper Ann Thedieck, MD Laramie Mesha Dunn, MD Casper Cynthia Casey, MD Gillette Bryan Kaiser, MD Cheyenne Gene Duquette, DO Casper Troy Cadwell, MD Lovell Zach Deiss, MD Casper Afzal Khan, MD Cheyenne Sherill Fox, MD Casper Roy Bryan, MD Rawlins Karen Leung, MD Cheyenne Kelly McMillan, MD Gillette Dana Ideen, MD Casper Lane Russell, DO Gillette Caroline Kirsch, DO Casper David Lind, MD Cheyenne Tim Klinker, MD Casper Liz Hills, DO Rawlins Eric Lawrence, DO Casper Rex Wortham, MD Douglas Johnathon Medina, MD Cheyenne Vince Hinshaw, DO Rawlins Anne Macguire, MD Casper Joe Mickelson, MD Casper Patrick Yost, MD Douglas Derek Nevins, MD Cheyenne Nathan Ker, DO Douglas Michael Miller, DO Casper Evan Norby, DO Cheyenne Jim Morgan, MD Douglas Michele Mohr, MD Casper Lonnie Teague, MD Douglas April Rosalez, DO Casper M Todd Berry, MD Torrington Robert Oravec, MD Cheyenne Tom Roy, MD Casper Tabitha Gilroy, MD Arapahoe Joe Schoeber, MD Casper Bonnie Randolph, MD Torrington Vincent Ross, MD Cheyenne Jason Strand, MD Casper Greg Clifford, MD Lander Brian Veauthier, MD Casper Radu Segal, MD Cheyenne Brian Gee, MD Lander Marjorie Wells, MD Casper Grace Gosar, MD Buffalo Tharenie Sivarajah, MD Cheyenne Mel Meyer, MD Lander Drew Woodward, MD Casper Mark Moseman, MD Lander Lopa Zaveri, MD Cheyenne Kirk Bollinger, MD Cody Eric Ridgeway, MD Riverton Ryan Bower, MD Cody Lenis Alvarado, MD Cheyenne Scott Polley, MD Cody Jose Lopez, MD Torrington Samina Ayub, MD Cheyenne G Christopher Krell, MD Diane Noton, MD Meeteetse Kristina Behringer, MD Cheyenne Kemmerer Hallie Bischoff, DO Thermopolis Travis Bomengen, MD Thermopolis Nicole Comer, MD Powell Jason Bloomberg, MD Cheyenne Kevin Mahoney, MD Thermopolis Kurt Pettipiece, MD Thermopolis Rebecca Stroklund, DO Pinedale Tamara Cottam, MD Cheyenne Sean Beyer, MD Casper Nicole Summers, DO Thermopolis Tom Radosevich, MD Thermopolis Kurt Hunter, MD Rock Springs Joseph Dobson, MD Cheyenne Jake Johnson, DO Rock Springs D William Edgren, MD Cheyenne Jeffrey Behringer, MD Lusk Brian Darnell, DO Buffalo Brytton Long, DO Rock Springs H. Gonzalez, MD Buffalo Tom Walsh, MD Rock Springs Carol Fisher, MD Cheyenne Jeremy Starr, DO Kemmerer Cal Morrow, MD Evanston John Healey, MD Cheyenne Deborah Brackett, MD Powell Noel Stibor, MD Afton Mark Flinner, MD Worland Michael Herber, MD Cheyenne John Thurston, MD Worland Jeremy Kessler, MD Cheyenne David Dansie, DO Rock Springs Mark Babcock, DO Casper Mike Bruno, MD Casper Aaron Jagelski, MD Newcastle E. Brad Jepson, MD Cheyenne Ryan Clifford, MD Casper

Jonathon Medina, M.D. Travis Bomengen, M.D.

After graduating from the residency program in I attended Family Practice Internship and Residency Cheyenne, I started working in Colorado. I was training at the UW Family Practice Casper site in fortunate to meet some of my colleagues that were the late 90s, and have been practicing rural Family trained elsewhere. I realized just how great the Practice medicine in the state since. A short stint program in Cheyenne is (when we compared our in Sundance, and then Thermopolis since then. training). I decided to return to Wyoming and could Without a doubt I would not be in Wyoming not be happier. without the Residency program.

Wyoming Programs Meeting the Healthcare Needs of Wyoming Communities! 32 MEMBER LIST

Afton, WY David Driggers, MD John W. Pickrell, MD Demian Yakel, DO Phillip Haberman, MD A. John Meares, MD Michael Pieper, MD Mesha Dunn, MD Eugene Podrazik, MD Linda Yost, MD J. Sloan Hales, MD Jonathon Medina, MD Brian Tallerico, DO Diane R. Edwards, MD Lida Prypchan, MD Jerry L. Youmans, MD James Haller, MD Arthur Merrell, MD Martin Ellbogen Sr., MD John Purviance, MD Thor M. Hallingbye, MD R. Larry Meuli, MD Big Horn, WY Cheyenne, WY Rita Emch, MD Michael Quinn, MD Jonathan Herschler, MD Ahmad Alqaqa’a Jean Halpern, MD Samantha Michelena, MD David J. Erk, MD Edward D. Hobart, MD Thomas Radosevich, MD Ashley Aylward, PA-C Brian Hardy, MD Anne Miller, MD D. Scott Nickerson, MD Shawn Ficken, PA-C Jo Ann Ramsey, PA-C Lenis Alvarado-Benitez, MD Amy Jo Harnish, MD Robert Monger, MD Michael Flaherty, MD Robert Ratcliff, MD Rodney Anderson, MD James Harper, MD Michael Nelson, DO Big Piney, WY Adrian Fluture, MD Karri Reliford, PA-C Janet Anderson-Ray, MD William Harrison, MD Julie Neville, MD Carolyn Albritton-McDonald, MD Sherrill Fox, MD Dustin Roberts, MD Scott Andrew, PA-C Joanne Hassell, MD Evan Norby, DO William David Burnett, MD Jennifer L. Frary, PA-C Beth C. Robitaille, MD David Armstrong, DO Scott Hayden, MD Dimiter Orahovats, MD Shannon Evans, DO Timothy N. Frary, PA-C Joseph Rosen, MD Samina Ayub, MD Taylor H. Haynes, MD Marilu Orozco-Peterson, MD Billings, MT Ghazi Ghanem, MD John Roussalis, MD John Babson, MD John P Healey, MD Douglas S. Parks, MD Alan Dacre, MD Ronald Gibson, MD Louis Roussalis, MD Jean Denise Basta, MD Michael C. Herber, MD Ambrish Patel, PA-C Valerie K. Goen, PA-C Stuart J. Ruben, MD J. Richard Hillman, MD Dennis L. Paul, PA-C Buffalo, WY Maristela Batezini, MD Henry P. Gottsch, MD Cora Salvino, MD Rene Hinkle, MD John Paulus, DO Brian Darnell, DO Andrew Beaulieu, MD Todd Hammond, MD Angelo Santiago, MD Basu Hiregoudar, MD Zachory Pearce, DO Hermilio Gonzalez, MD Steven Beer, MD Bruce Hansen, DO Sam Scaling, MD W. Joesph Horam, MD Peter Perakos, MD Grace Gosar, MD Kristina Behringer, MD Todd Hansen, MD Robert Schlidt, MD Doug Hornberger, PA-C Kyle Piwonka, DO Lawrence Kirven, MD Casey Berry, MD Kevin Helling, MD Eric Schubert, MD Brian Horst, MD Seema Policepatil, MD Fred A. Matthews, MD Jacques Beveridge, MD Diane C. Henshaw, MD James Shaffer, MD Mark Howshar, MD Gergana Popova-Orahovats, MD Patrick D. Nolan, MD Wendy Braund, MD Wesley W. Hiser, MD Kamlesh S. Shah, MD Eric Hoyer, MD Daniel Possehn, DO Mark Schueler, MD Phillip Brenchley, MD Douglas Holmes, MD Benjamin Sheppard, MD James F. Broomfield, MD James Hubbard, MD Robert Prentice, MD Casper, WY Muhammad Hussieno, MD Susan Sheridan, MD Kimberly Broomfield, MD Donald Hunton, MD Take Pullos, MD Brock Anderson, MD Dana Ideen, MD Michael Sloan, MD John Bryant, MD Donald G. Iverson, MD Mark R. Rangitsch, MD James Anderson, MD Oleg Ivanov, MD Craig Smith, MD Kenneth Buran, MD Alireza Izadara, MD Steven Reeb, MD Mark Babcock, DO Ronald D. Iverson, MD Geoffrey Smith, MD Marian Bursten, MD Brad Jepson, MD Harlan R. Ribnik, MD John Bailey, MD Seth Iverson, MD Lane Smothers, MD Lisa Burton, MD Cara Johnson, DO Margaret L. “Peggy” Roberts, MD David Barahal, MD Oliver Jeffery, MB ChB Laura Smothers, MD James Bush, MD Paul Johnson, MD D. Jane Robinett, DO John Barrasso, MD Jungsook Johnson, MD Grady Snyder, MD Jerry Calkins, MD Randolph Johnston, MD Kevin Robinett, DO David Baxter, MD Ray B. Johnson, PA-C Carol Solie, MD Tracie Caller, MD Robert Kahn, MD Earl W. Robison, MD Todd Beckstead, MD John Paul Jones III, MD Albert Steplock, Jr., MD Carol Campbell, PA-C Robert R. Kanard, MD John Romano, MD Jerome Behrens, MD Mahesh Karandikar, MD Cory Stirling, MD Jeffrey Carlton, MD Matthew Kassel, DO Andrew Rose, MD Patricia Bell, DO Sharon Karnes, MD Renee Stirling, MD Jasper Chen, MD D. Michael Kellam, MD Stanley Sandick, MD Scott Bennion, MD Anje Kim, MD Lee Stowell, MD Hoo Feng Choo, MD Mary Louise Kerber, MD Carol J. Schiel, MD Joseph Bicek, MD Caroline Kirsch-Russell, DO Werner Studer, MD James Cole, MD Jeremy Kessler, MD Philip Schiel, MD John Billings, MD Thomas A Kopitnik, MD Daniel Sullivan, MD Mary Cole, MD William Ketcham, MD G. Douglas Schmitz, MD Jonathan Binder, MD Phillip Krmpotich, MD Daniel Sulser, MD Tamara Cottam, MD Afzal Khan, MD Greg Seitz, MD Warren Birch, MD Tom Landon, MD Matthew Swan, MD Harmon Davis II, MD Muhammad Khan, MD Larry Seitz, MD Darren Bowe, MD Eric Lawrence, DO Jay Swedberg, MD Robert Davis II, MD David Kilpatrick, MD Leah Selby, MD Charles Bowkley III, MD Anne MacGuire, MD Rowan Tichenor, MD Don Dickerson, MD Dan Kisicki, MD Reed Shafer, MD Gregory Brondos, MD Mary MacGuire, MD Robert Tobin, MD LeAyn Dillon, DO Kenneth Kranz, MD Kirk Shamley, MD Stephen Brown, MD James A. Maddy, MD Berton Toews, MD Joseph Dobson, MD Charles Kuckel, MD Michael Shannon, MD Michael Bruno, MD Paul Malsom, PA-C John M. Tooke, MD Douglas Edgren, MD Michael Kuhn, MD Philip Sharp, MD Nyasha Bullock, MD Allan Mattern, MD Brandon Trojan, MD Mohamed El-Tarabily, MD Oussama Lawand, MD Brent D. Sherard, MD Mary Burke, MD Joseph McGinley, MD, PhD Kati Tuma, PA-C Sarvin Emami, MD Donald J. Lawler, MD David Silver, MD Thomas Burke, MD Mark McGinley, MD Denise Tuttle, DO Sharon Eskam, MD Ronald LeBeaumont, MD Martha Silver, MD Jane Cassel, PA-C Lynnette McLagan, PA-C Brooke Umphlett, PA-C Phillip Eskew, DO Robert W. Leland, MD Paul V. Slater, MD Jeffery Christensen, DO Joseph Mickelson, MD Brian Veauthier, MD Claudio Feler, MD David M. Lind, MD Bruce Smith, MD Lydia Christiansen, MD Meredith H. Miller, MD Joseph Vigneri, MD Herman Feringa, MD Pat Lucas, PA-C G. L. Smith, MD Jeffrey Cloud, MD Michael V. Miller, DO Robert A. Vigneri, MD Carol A. Fischer, MD James Lugg, MD Reuben Smits, MD Alana Cozier, MD Matthew Mitchell, MD Samuel Vigneri, MD Mary-Ellen Foley, MD Charles Mackey, MD Danae Stampfli, MD Matthew Crull, MD Michele Mohr, MD Mark Vuolo, MD Jeremy Gates, MD Julie Maggiolo, MD Greg Stampfli, MD Eric (Frederick) Cubin, MD Joseph Monfre, MD Debra L. Walker, PA-C Karen Gelfan, MD Ronald L. Malm, DO Jakub Stefka, MD Alexandru David, MD Eric Munoz, MD Bob L. Welo, MD William P. Gibbens, MD Michael Martin, MD Ronald Stevens, MD Frederick Deiss, MD John L. Noffsinger, PA-C David Wheeler, MD Marie C. Glisson, PA-C Mohammed Mazhar, MD Jeffrey Storey, MD Zachory Deiss, MD David Norcross, MD Daniel White, MD Lakhman Gondalia, MD Theodore N. McCoy, MD Rex Stout, MD Frank Del Real, MD Robert Novick, MD Allan Wicks, MD Rayna Gravatt, MD Ronald McKee, MD Joyce Struna, PA-C Matthew Dodds, MD Steven Orcutt, MD Todd Witzeling, MD Amy Gruber, MD Shauna McKusker, MD Robert Stuart Jr., MD Mark Dowell, MD Rafael Perez, MD Cynthia Works, MD George Guidry, MD Scott McRae, MD Sandra Surbrugg, MD Wyoming Medicine 33

Donald B. Tardif, PA-C Douglas, WY John Stamato, MD Paul Ruttle, MD John Haeberle, MD Lisa Jarvis, PA-C Sodienye Tetenta, MD Deeanne Engle, MD Nicholas Stamato, MD Geoffrey Skene, DO Mark Hoffmann, MD William Jarvis, MD Kathleen Thomas, MD Terri Marso, PA-C Michael Stolpe, DO William Smith, MD Angele Howdeshell, MD Valerie Lengfelder, MD Celina Tolge, MD Mark Murphy, MD William Thompson, PA-C Martha Stearn, MD Lawrence Jenkins, MD Jacob Merrell, MD Thomas V. Toft, MD Mark Narotzky, MD Linda Walby, MD Simon Stertzer, MD Harry Jones, MD Bradley North, DO Richard E. Torkelson, MD Patrick Yost, MD Grace Wang, MD Martin Trott, MD Kent Kleppinger, MD Angela Redder, PA-C Melissa Tuck-White, MD Dennis Yutani, MD Billie Fitch Wilkerson, MD Christine Turner, MD Travis Klingler, MD Juanita Sapp, MD William Boyd Woodward Jr., MD Larry Van Genderen, MD Randall Martin, MD Elizabeth Spomer, MD Lindsay Tully, PA-C Elkhorn, NE Laura Vignaroli, MD James Martinchick, MD Michael Tracy, MD Kristine Van Kirk, MD Amber Cohn, MD Glenrock, WY Keri Wheeler, MD Clinton Merrill, MD Mark Wurzel, MD Ronald W. Waeckerlin, MD Charles L. Lyford, MD Linda Walby, MD Evanston, WY Rafael Williams, MD Darren Mikesell, DO John Wurzel, Sr., MD Michael Adams, MD Greeley, CO Hermann A Moreno, MD Philip L. (Bert) Wagner, MD Kelly, WY Rawlins, WY Jared Barton, MD Dennis Lower, MD Tom Nachtigal, MD Paul Washburn, MD David Shlim, MD Duane Abels, DO Jason Haack, MD Harold Pierce, MD Alison Watkins, PA-C Green River, WY David Cesko, MD Ardella Kemmler, MD Lander, WY Kenneth Robertson, MD, FACP Russell Williams Jr., MD Charles J. Amy, PA-C Elizabeth Hills, DO Thomas Simon, MD Charles Allen, MD Shaun Shafer, MD Bret Winter, MD Gordon Lee Balka, MD Gregory Johnson, MD Bailey Snyder, PA-C Mary Barnes, DO Galyn M. Stahl, MD John E. Winter, MD Connie Fauntleroy, MD Palur Sridharan, MD Spencer Weston, MD Richard Barnes, MD Gregory Wallace, MD Natalie Winter, MD Michael Holland, MD Lawrence Blinn, MD Michael Wasser, MD Riverton, WY Natalie Workman, MD Evansville, WY Jacob Johnson, MD Nancy Brewster, PA-C Kim Westbrook, MD Brooks Allison, MD Carol Wright Becker, MD Jack V. Richard, MD Kristine F. Sherwin, PA-C Cornelius Britt, MD Jason Brown, MD John Wright, MD Fort Collins, CO Hudson, WY Gregory Clifford, MD Lovell, WY Michael Fisher, MD William Wyatt, MD Brendan H. Fitzsimmons, MD Jason Merritt, MD Robert L. Darr, PA-C Perry Cook, MD Michael J. Ford, MD Robert York, MD David Hoffman, MD Gillette, WY Hulett, WY Peter Crane, MD Roger L. Gose, MD Georgia Young, DO Lowell Amiotte, MD Robert C. Cummings, PA-C David Doll, MD Lyman, WY Richard M. Harris, PA-C Katarzyna Zarzycki, MD Laura Anders, MD Thomas Dunaway, MD Steven Babcock, DO James Taylor, MD Jackson, WY Brian Gee, MD Richard C. Wecker, MD Cody, WY Gerald Baker, MD Giovannina Anthony, MD Marbleton, WY Ted Ajax, MD Phillip Gilbertson, MD James White, DO David Beck, MD James Balliro, MD Deborah S. Brackett, MD Tom Anderson, MD Garry Becker, MD Donald Gullickson, MD Joshua Beck, MD Meeteetse, WY Rock Springs, WY Jeffrey Balison, MD Angela Biggs, MD Justin Hopkin, MD Robert Berlin, MD Diane Noton, MD Peter Allyn, MD Hart Jacobsen, MD Jimmie Biles, Jr., MD Rodney Biggs, MD Andrew Bullington, MD Neal Asper, DO Troy Jones, MD Adair Bowbly-Joskow, MD Darlene Brown, DO Dennis Butcher, MD Moran, WY Charles Bongiorno, MD Cori Lamblin, MD Dale A. Lavallee, MD Ross Collie, MD Kris Canfield, MD Lars Conway, MD Michael Bowers, DO Clint McMahill, MD Gregory Cross Jr., MD Steven Clements, MD Marc Domsky, DO Newcastle, WY Elina Chernyak, MD Charles McMahon, MD Kathleen DiVincenzo, MD Thomas Davis, MD Lisa Jo Finkelstein, DO Michael L. Carpenter, PA-C Gerard Cournoyer, MD Robert Nagy, MD Stephen Emery, MD John P. Dunn, MD Roland Fleck, MD D. Charles Franklin, MD Steven Croft, MD Susan Pearson, MD Rand E. Flory, MD David Fall, MD Shirl George, MD Willis Franz, MD Brianne Crofts, MD Douglas Phipps, MD Randy Folker, MD Mindy Gilbert, PA-C Angus Goetz, DO Aaron Jagelski, MD Wallace Curry, MD Steven Platz, PA-C Allen Gee, MD Timothy Hallinan, MD Christopher Haling, MD Michael Jording, MD David Dansie, DO Carol Quillen, PA-C Lee K. Hermann, MD Landi Halloran, MD Bruce Hayse, MD Tonu (“Tony”) Kiesel, MD Amy Dolce, PA-C Jan Siebersma, MD Charles E. Jamieson, MD Sara Hartsaw, MD Christopher Hills, DO Peter Larsen, MD Sigsbee Duck, MD Cynthia Stevens, MD James L. (Bo) Johnson II, MD Jonathan M. Hayden, MD David Khoury, MD Jan E. Mason-Manzer, PA-C Chad Franks, MD Karla Wagner, MD Donald R. Koehler, MD Helen Iams, MD Randy Kjorstad, MD Lanny Reimer, MD Bird Gilmartin, MD Travis Walker, MD Bradley L. Low, DO Erik Johnsrud, MD Ludwig Kroner, III, MD Melissa Gowans, MD Pinedale, WY Hein H. Kalke, MD John Whipp, MD Gregory McCue, MD James Little, MD J. Thomas Johnston, MD Preetpal Grewal, DO Brahmananda Koduri, MD Mark Woodard, MD, PC Clint Merritt, PA-C Maura Jean Lofaro, MD David Kappenman, MD Augusto Jamias, MD Vijaya Koduri, MD Dale Myers, MD Phillip Lowe, MD Laramie, WY Rebecca Stroklund, DO Peter M Jensen, DO James LaManna, MD Mark O. Riley, PA-C Thomas McCallum, MD Nicole Alexander, PA-C Stephen “Buck” Wallace, MD Jeffrey Johnson, MD Catherine Schmidt, MD Joseph Lawrence, DO Heidi Michelsen-Jost, MD Debra Anderson, MD Samer Kattan, MD Frank Schmidt, MD John Mansell, MD Hayley Miller, MD Calvin Bell, DO Eureka, MT Charles Knight, MD Ronald Gardner, MD Tyler Weaver, MD Breck McCarty, MD Mary Neal, MD John Bragg, MD David Liu, MD Charles Welch, MD Craig McCarty, MD William Neal, MD Dave Brumbaugh, PA-C Powell, WY Brytton Long, DO Sally Whitman, PA-C Margaret McCreery, MD Kathryn Noyes, MD Marten Carlson, MD Michael K. Bohlman, MD Brandon Mack, MD Lisa Williams, MD Philip McMahill, MD Richard Ofstein, MD Charles Coffey, MD Robert Chandler, MD Guillermo Marroquin Galvez, MD Jay Winzenried, MD Kelly McMillin, MD Holly Payne, DO J. David Crecca, MD Kelly Christensen, MD Kerry McKenzie, PA-C James J. Naramore, MD John Payne, DO Nathan Eliason, MD Nicole Comer, MD Jolene Mitchell, DO Dallas, TX Kirtikumar L. Patel, MD Thomas Pockat, MD Derek Ewell, DO Sarah Durney, MD James Nelson, MD James Randolph, MD James Price, MD Travis Riddell, MD William Flock, MD Robert Ellis, MD Pritam Neupane, MD Denver, CO Jacob Rinker, MD Shannon Roberts, MD Marie Gempis, DO Lyle Haberland, MD Joseph Oliver, MD James E. Stoetzel, MD Paul Rigsby, DO Michael Rosenberg, MD Andrew Georgi, MD Lynn Horton, MD Melinda Poyer, DO 34 MEMBER LIST

William Sarette, MD Cheryl Varner, MD Gary Heath, MD Craig Luplow Dietric Hennings, MD Hannah Dupea, MD Richard Shamo, MD Charles F. Walter, MD Elizabeth Ridgway, MD Mathias McCormick Dane Hill, MD Jonathan Fausett, DO Jed Shay, MD Barry Wohl, MD Jacques Roux, MD Daniel McKearney Daniel Holst, MD Jaime Hajjari, MD Jean Stachon, MD Jeremy Zebroski, MD Anna Tryka, MD Natalie Meadows Katie Houmes, MD Adam Hoopes, DO Scott Sulentich, MD Richard Whalen, MD JayCee Mikesell Eric Howell, MD Spearfish, SD Michael Sutphin, MD Katelyn Miller Christopher Ideen, MD Brian Iutzi, MD William Forman, MD Worland, WY Wagner Veronese, MD Lauren Millett Erik Jacobson, MD Kyle Jordan, MD Richard Rush, MD Jad Wakim, MD Steamboat, CO Galen Mills Lauren Johnson, MD John Thurston, MD Eric Larsen, DO Donald Cantway, MD Krystal Jones, MD Jeffery Wheeler, MD Arla Mayne Mistica James McLennan, MD Chandra Yeshlur, MD Jeanne Hennemann, MD Wright, WY Dana Morin Matthew Kapeles, MD Brian Melville, DO Scott Johnston, MD Kayla Morrison Amy Kennedy, MD Saratoga, WY Sundance, WY Kevin Muller Max Kopitnik, MD Tyler Merchant, DO Dean Bartholomew, MD Janice Lumnitz, MD WWAMI Students Widya Adidharma Brittany Myers Dean Lorimer, MD Kody Nilsson, MD Edwin Sheils, PA-C Teton Village, WY Michael Alley Coulter Neves Elise Lowe, MD Timothy Nostrum, MD William Ward, MD John Feagin, MD Marcus Bailey Dan Nicholls Stephanie Lyden, MD Jack A. Larimer, MD Nena Panasuk, DO Seattle, WA Tyler Baldwin Megan Olson Andrew Maertens, MD Robert Hilt, MD Stanley E. Siegel, MD Kyle Price, MD Makenzie Bartsch Ross Orpet Mattson Mathey, MD Kenneth J. Wegner, MD Katrina Quick, MD Sheridan, WY Kelly Baxter Rishi Patel Maxwell Matson, MD Jason Ackerman, MD Thermopolis, WY Sean Bell Hannah Phillips Jarod McAterr, MD Brody Reid, MD Juli Ackerman, MD William Bolton, MD Danielle Borin Rachael Piver Megan McKay, MD Kody Seeley, DO Dan Alzheimer, MD W. Travis Bomengen, MD Millie Boyd Jason Reynolds David Mills, MD Boyd Tamanaha, MD Colleen Hanson, PA-C Caleb Rivera Trenton Morton, MD Fred J. Araas, MD Hannah Chapman Alexandria Ukleja, MD Mary Bowers, MD Joy Magruder, MD Brittany Christensen Olivia Rogers Mary Mrdutt, MD Kim Whitaker, MD Christopher Brown, MD Kevin Mahoney, MD Lydia Clark Justin Romano Jacob (Jake) Opfer, MD Heather Zimba, MD William Doughty, MD Vernon Miller, MD Glen Clinton Anna Rork Dhairyasheel Patel, MD Kurt Pettipiece, MD Benjamin Ross Travis Pecha, MD James Ferries, MD Alexander Colgan University of Debbie Roper, PA-C Kymberly Ross Tony Pedri, MD Lawrence Gill, MD Allison Dawson Wyoming Residents Luke Goddard, MD Nicole Summers, DO Lindsay Dodds Brian Schlidt Tyler Quest, MD – Cheyenne Hannah Hall (Tenney) MD Howard Willson, MD Brandon Douglass Casey Slattery Emily Read, MD Aaron Spurlock Hope Richards, MD Phillip Carron, MD Bradley Hanebrink, DO Timnath, CO Melissa Dozier Janelle Strampe Michael Sanderson, MD Jason Caswell, MD Amy Herring, PA-C Dale Brentlinger, MD Bryan Dugas Marilyn K. Horsley, PA-C Christopher Ellbogen Elise Sylar Griffen Sharpe, MD Dustin Durham, MD Torrington, WY Sarah Sowerwine, MD Karl Hunt, MD Roberta Enes Ellen Thompson Jonathan Egbert, MD Millard Todd Berry, MD William Trebelcock Alyse Springer, MD Ian Hunter, MD Bryan Feinstein Christian Flanders, MD Kay Buchanan, MD Greetha Sridharan, MD Tracy Jons, PA-C Andrew Fluckiger Jaryd Unangst Norma Cantu, MD Kevin Sun, MD Elisabeth Gehringer, DO Corey Jost, MD Aaron Freeman Isaac Wentz Ezdan Fluckiger, MD Filip Turcer, MD Christopher Godwin, DO Brian Laman, MD Rage Geringer Lindsay White Jose Lopez, MD Carley Udland, MD Kelly Lieb, PA-C Tappy Gish Stephanie White Cameron Grove, MD Bonnie Randolph, MD Ashley Ullrich, MD Gregory Marino, DO Alexandra Gobble Peter Wilcox Annie Le, DO Erica Rinker, MD David Wilson Jason Vergnani, MD Robert Marshall, MD Brittney Goeken Benjamin Leishman, DO Kayo Smith, MD Jory Wasserburger, MD Thomas Mayer, MD Laurel Green WWAMI Residents Marion Smith, MD Doug Watt, MD Bryce Lunt, MD Brenton Milner, MD Sarah Gregory Ryan Abbaszadeh, MD Sheila Sterkel, PA-C Orion Wells, MD Mahalia Marcotte, MD Scott Morey, PA-C Daniel Grissom Jeff Bank, MD Sawley Wilde, MD Howard L. Mussell, MD Tucson, AZ Andrea Habel John Barnes, MD Michael McGlue, MD Derek Wille, MD Suzanne Oss, MD William F. Flick, MD Levi Hamilton Landon Bluemel, MD Kathlene Mondanaro, DO Jason Otto, PA-C Thomas J. Gasser, MD Weston Hampton Clayton Brown, MD University of Amber Moss, DO Wyoming Residents Anthony Quinn, MD Vancouver, WA Isaac Hayward Catherine Cantway, MD William Ratliff, MD – Casper Jamie Alex Ramsay, MD John Glode, MD Kyle James Lindsay Capron, MD Sarah Abdellatif, DO Megan Schaaf, MD Amber Robbins, MD Teal Jenkins Tanner Clark, MD Daniel Burris, MD Mark Wefel, MD Stephanie Sander, PA-C Wheatland, WY Tricia Jensen Kimberly Cranford, MD Ty Battershell, MD Walter Saunders, MD Amanda Johnson Tobin Dennis, MD Jeffrey Cecil, MD Kristopher Schamber, MD Morgan Johnson Greg Dolan, MD Italicized Names denotes New Members in 2017 James Hawley, MD Dennis Schreffler, MD Nathaniel Kaan Steven Flynn, MD *Highlighted names denote Wyoming James Kahre, MD Timothy Scott, MD Amanda Kinley Jacquelin Foss, MD Medical Society Board Members Lauri A. Palmer, MD Chris T. Smith, MD Sarah Koch Matthew Fournier, MD Steve Peasley, MD Erin Strahan, PA-C Claire Korpela Sandra Gebhart (Smylie), MD Willard Woods Jr, MD Michael Strahan, MD Shay Lanoutee Alicia Gray, MD William Taylor, MD Wilson, WY Aislinn Lewis Ryan Griesbach, MD Seymour Thickman, MD Robert Curnow, MD Karren Lewis Kyle Hancock, MD James Ulibarri, MD Annie Fenn, MD Krista Lukos Eli Harris, MD Untitled-2 1 12/29/16 8:48 AM One Number Accesses Our Pediatric Surgical Specialists, Any Problem, Anytime.

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