An act relating to modifying the regulatory duties of the Green Mountain Care Board

S 63 requires Vermont's Green Mountain Care Board to establish annual budgets for general hospitals by September 15 and psychiatric hospitals (excluding state-run facilities) by December 15, with written decisions following. Hospitals must operate within these budgets, and violations can result in fines up to $100,000 or 0.1% of annual revenue for ongoing noncompliance. The Board may issue emergency orders without prior notice during immediate financial threats to hospitals or public safety, with hospitals entitled to a hearing within 30 days. This directly affects all Vermont hospitals under the Board's oversight.