Healthcare

This bill requires Vermont hospitals and health insurers to adopt reference-based pricing for services, setting payment limits based on Medicare rates starting in 2027. It mandates hospitals to report all outsourced clinical services (like emergency medicine or radiology) in budget reviews, closing loopholes where outsourced revenue bypassed oversight. Hospitals must display pricing both as a percentage of Medicare rates and in dollars, and use unique identifiers for off-campus services. The goal is to ensure price transparency, apply cost controls across all hospital services, and prevent surprise bills for patients receiving outsourced care.

H.550 requires Vermont’s Department of Corrections to establish standards for addressing, housing, and providing care to transgender, nonbinary, and intersex individuals in correctional facilities. It mandates that facilities use an inmate’s chosen name and pronouns, allow housing based on gender identity (not anatomy), and prohibit discrimination based on gender identity, anatomy, or sexual orientation. The bill also requires staff to ask inmates about gender identity during intake and to reassess housing for safety concerns. These provisions directly affect all transgender, nonbinary, and intersex people incarcerated in Vermont’s state facilities. The bill aims to ensure respect, safety, and access to appropriate medical care while addressing systemic barriers in correctional settings.