CHEYENNE — Despite the largely symbolic state constitutional amendment concerning health-care choices that passed by a 77 percent landslide Tuesday, Wyoming Gov. Matt Mead announced yesterday the state is moving forward with implementation of Obamacare.

Mead noted that the Supreme Court's ruling on the individual mandate to purchase health insurance can't be overridden by the state, and couldn't think of a hypothetical where the amendment would lead to change over the federal system put in place by the Affordable Care Act.

"I wouldn't be surprised if there was further legal wrangling in the courts on that issue," he said.

Therefore, the state continues to mull the optional Medicaid expansion as well as its role in implementing an insurance exchange, which the federal government will put in place itself when Wyoming doesn't do so at the beginning of next year.

"We've continued with the Department of Health to study the fiscal impact in regard to the Affordable Care Act," Mead said during a press conference.

As part of that study, today the state released a third report required by the 2012 legislative session examining "recommendations for reforms or redesign of Wyoming Medicaid."

According to a Department of Health release, multiple packages of recommendations are included for three major areas within the program: health-care services, long-term care services and developmental disability and acquired brain services. Three paths to reform outlined in the report range from "moderate system redesign" to "transformation of the system."

To read the full report, visit the Wyoming Department of Health's website.

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