An act relating to Green Mountain Care Board authority to adjust a hospital’s reimbursement rates and to appoint a hospital observer

H.482 grants Vermont's Green Mountain Care Board new authority to adjust hospital reimbursement rates when a domestic health insurer faces an immediate solvency threat due to low capital levels. The Board can reduce rates for hospitals meeting specific financial criteria (e.g., over 135 days of cash on hand or a positive operating margin) but must ensure hospitals maintain at least 125 days of cash. It also allows the Board to appoint independent observers to monitor hospitals that misrepresent data or fail to comply with budget requirements, though this observer authority expires in 2030. The bill directly affects Vermont hospitals and insurers, aiming to balance insurer solvency with hospital financial stability through targeted rate adjustments and oversight.