Healthcare

This bill (H 545) authorizes Vermont's Commissioner of Health to issue immunization recommendations for both children and adults, including standing orders for healthcare providers. It requires health insurers to cover all recommended vaccines without any cost-sharing (like copays or deductibles) and allows the Department of Health to purchase vaccines directly from the CDC or other vendors at the lowest cost. The bill directly affects Vermont residents (ensuring free access to recommended vaccines), healthcare providers (who gain liability protection when following standing orders), and health insurers (mandated to cover costs). Key policy changes include eliminating out-of-pocket costs for recommended immunizations and establishing a new advisory committee to set annual vaccine funding assessments.

This bill (H 585) reforms health insurance company governance and pricing in Vermont. It requires health insurers to have boards where at least 75% of members are subscribers or public representatives (not providers), with the Governor appointing two public members. The bill also mandates a compensation committee with public representatives to review executive pay and limits primary care provider exemptions from prior authorization. Additionally, it allows limited age-based pricing in individual/small group insurance markets and begins implementing site-neutral billing for certain services. These changes directly affect health insurance companies operating in Vermont’s individual and small group markets.