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Stefan Johansson

Stefan Johansson

Swedish former racing driver

May 29, 2026

25:42
And just for our listeners, CMS, that's Center for Medicare and Medicaid.
25:46
Uh, CMS said states cannot implement trust funds or endowments.
25:52
We looked at that with my office, with our governor's office, and believed that our perpetuity fund did not exactly meet those definitions of trust funds and endowments.
26:02
It's also a really creative concept in a state like Wyoming that has a huge geography and a small population to potentially long-term help sustain some of these more basic services like emergency departments, OBGYN services that we know we really struggle with in Wyoming, rural and frontier EMS or ambulance services.
26:23
And what we were really trying to do is balance that immediate need with trying to solve for some of these longer-term structural issues in the economics of healthcare in a state like Wyoming.
26:33
But ultimately through our negotiations over the past two months, it just didn't seem like we had a path in this first year.
26:40
While we're still somewhat disappointed that we couldn't get to the finish line on the perpetuity fund, we should see, uh, some really substantial financial improvements in some of these safety net providers in our rural communities.
27:03
Do you still have concerns about whether this money's gonna be sustainable?

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