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Wyoming has 5 community health centers across 19 sites serving 34,666 patients — the #50 FQHC state by patients outside California and Texas. As a non-expansion state, the uninsured are the biggest exposure, and the ACA premium-credit expiry is the dominant federal risk.
Patient-weighted across the 5 centers with UDS 2024 data.
Expiry of the enhanced ACA premium tax credits (end of 2025) is the dominant federal risk in this non-expansion state — it widens the coverage gap and raises uninsured/self-pay volume at FQHCs; Medicaid community-engagement (work) requirements (CMS-2454-IFC, full implementation Jan 1, 2027) compound the redetermination burden.
By patients (HRSA UDS 2024). Tap for the full profile.
| Organization | Patients | Sites | Uninsured | Revenue (990) | District |
|---|---|---|---|---|---|
| Community Health Center of Central Wyoming, Inc. Casper | 17,947 | 4 | 13.85% | $19M | WY-00 |
| University of Wyoming Laramie | 13,025 | 3 | 21.67% | — | WY-00 |
| Cheyenne Health and Wellness Center Cheyenne | 2,817 | 6 | 20.59% | — | WY-00 |
| Community Action of Laramie County, Inc. Cheyenne | 466 | 2 | 57.3% | $3M | WY-00 |
| Friends of the Community Action Partnership of Natrona County Casper | 411 | 4 | 68.13% | — | WY-00 |
1 hospital/university/county-operated: 1 university.
| District | Representative | Sites |
|---|---|---|
| WY-00 | Harriet M. Hageman | 29 |
Wyoming ranks #50 by FQHC patients and #47 by organization count among the 57 national-breadth states/territories (excludes California and Texas, which have dedicated dashboards). All 5 centers depend on the federal Community Health Center Fund, authorized only through December 31, 2026.
FQHC data from the HRSA bulk-sites file + UDS 2024 + IRS 990. State policy profile via NACHC/KFF/AANP. Federal items apply to all states; state items are Wyoming-only. Updated 2026-06-03.