An act relating to the Medicaid school-based services program

S 200 transfers sole authority for Vermont's Medicaid school-based services program from the current shared arrangement to the Agency of Human Services (AHS), requiring AHS to ensure all federal Medicaid compliance. It establishes a School-Based Medicaid Reimbursement Fund managed by AHS, directing 55% of federal reimbursement funds to supervisory unions (groups managing multiple schools) based on submitted cost reports, and up to 25% to cover administrative costs for both the Agencies of Education and Human Services. The bill also mandates AHS to adopt rules for service eligibility, documentation, and provider requirements to meet federal standards. This directly affects supervisory unions receiving funds, the Agencies of Education and Human Services in their administrative roles, and students eligible for Medicaid-covered school health services.