An act relating to public employee health benefits and State health care cost transparency

H.580 would create a unified public employees' health plan covering current and retired State, school, municipal, and university workers in Vermont. It establishes an independent commission to design the plan and set cost-sharing between employers and employees, while removing health care from collective bargaining. The bill requires all public employee health insurance costs to be tracked in a single budget line item, mandating annual transparency reports on total costs, cost per covered person, and year-over-year trends. It also directs the Governor’s budget to present public employee health benefits and Medicaid costs together, along with detailed breakdowns of expenditures for other state health programs.