H 765 Vermont House · 2023-2024 Regular Session

An act relating to health insurance coverage for obesity care

This bill requires health insurance plans in Vermont, including Medicaid, to provide comprehensive coverage for obesity treatment. It directly affects individuals with obesity and the insurance companies that serve them. The law mandates coverage for FDA-approved anti-obesity medications, lifestyle interventions like nutrition counseling and exercise planning, bariatric surgery, and ensures equal cost-sharing for obesity care compared to other medical conditions. Coverage decisions must be based on medical necessity rather than solely on body mass index calculations, and prior authorization processes should not create unnecessary barriers to care. The changes will take effect for plans issued on or after January 1, 2025.
Bill status introduced 1 of 4 stages cleared
Introduction
Jan 2024
Committee Review
Floor Vote
Governor
Introduced Jan 11, 2024 Last action Jan 11, 2024