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19 05, 2022

H 658

This bill proposes to provide Medicaid-equivalent coverage to all Vermonters by age bands over time, regardless of household income. It would direct the Agency of Human Services to seek approval for federal financial participation in the expanded coverage, with the State paying the full amount if the federal government does not approve the request. The bill would direct the Agency of Human Services and others to develop cost estimates for the Medicaid-equivalent coverage and a detailed implementation plan. The bill would also require the Department of Taxes to report on potential payroll tax design [...]

H 658
18 08, 2021

H 430

An act relating to eligibility for Dr. Dynasaur-like coverage for all incomeeligible children and pregnant individuals regardless of immigration status. This act requires the Agency of Human Services (AHS) to provide coverage equivalent to the coverage under the Dr. Dynasaur program to children and pregnant individuals who are not eligible for Dr. Dynasaur because of their immigration status. The coverage will become available beginning on July 1, 2022, subject to fiscal year 2023 appropriations. The act specifies that the same confidentiality provisions will apply to the new coverage as apply under the Medicaid program, [...]

H 430
18 08, 2021

H 104

An act relating to considerations in facilitating the interstate practice of health care professionals using telehealth. This act creates the Facilitation of Interstate Practice Using Telehealth Working Group to compile and evaluate methods for facilitating the practice of health care professionals throughout the United States using telehealth modalities. The Working Group, led by the Director of the Office of Professional Regulation, must provide its findings and recommendations to the legislative committees of jurisdiction by December 15, 2021.

H 104
18 08, 2021

S 117

An act relating to extending health care regulatory flexibility during and after the COVID-19 pandemic and to coverage of health care services delivered by audio-only telephone.

S 117
18 08, 2021

H 353

An act relating to pharmacy benefit management. This bill proposes to require pharmacy benefit managers to obtain licensure from, rather than register with, the Department of Financial Regulation. It would establish a detailed regulatory framework for regulating pharmacy benefit managers and would prohibit or restrict a number of pharmacy benefit management activities. The bill would recodify most of the existing statutory provisions relating to pharmacy benefit managers in one chapter, with some revisions. It would allow health insurance plan beneficiaries to choose their own pharmacies, limit direct solicitation by pharmacies and pharmacy benefit managers, [...]

H 353
18 08, 2021

H 357

An act relating to deemed licensure of out-of-state health care professionals. This bill proposes to deem an individual who is licensed, registered, or certified to provide health care services in any other U.S. jurisdiction as being licensed, registered, or certified to provide health care services in Vermont and to use telemedicine to provide health care services to patients located in Vermont.

H 357
18 08, 2021

H 102

An act relating to reducing prior authorization requirements in health insurance plans. This bill proposes to specify that the prior authorization requirements that health insurance plans must eliminate annually after review include those for which the request approval rate is 97 percent or higher. It would also modify the parameters of a prior authorization pilot program to specify that the program must be available to at least 30 percent of the insurer’s participating providers, at least 40 percent of whom must be primary care providers, and exempt those providers from prior authorization requirements for [...]

H 102
18 08, 2021

S 49

An act relating to the Green Mountain Care Board reporting when the growth of certain health care costs exceeds the rate of inflation. This bill proposes to require the Green Mountain Care Board to report to the General Assembly whenever the Board approves a health insurance rate, hospital budget, or accountable care organization budget at a level that represents an annual increase in excess of the cumulative Consumer Price Index rate of inflation.

S 49
17 08, 2021

Spotlight on State: Vermont

This is part of a series of summaries that highlight notable legislation and initiatives in health policy and reform of all 50 states. Check back on The Source as we roll out additional states each week. See Vermont page. Vermont has been active in cost containment and transparency through a number of state planning initiatives, rate and premium control, and the VHCURES all-payer claims database. Most notably, Vermont attempted to be the first state to operate a single-payer healthcare system, Green Mountain Care, in 2011; however, the state gave up on the plan in 2014 due [...]

Spotlight on State: Vermont