This bill would require Vermont health insurance plans to cover prosthetic and orthotic devices at least as comprehensively as Medicare does. It mandates coverage for medically necessary devices that meet specific criteria, including those needed for daily activities (like bathing, running, or strength training), with providers determining appropriateness. Insurers must also report claims data on these devices to the state for 2026-2028 and cannot deny coverage based on disability. The bill directly affects Vermont residents needing these devices and requires insurers to avoid annual/lifetime dollar limits or unfavorable cost-sharing for coverage.
Bill S 30 updates and reorganizes health insurance statutes in Vermont, primarily affecting health insurance policyholders and insurers. The bill establishes that, after three years from a policy's issue date, insurance companies generally cannot void the policy or deny claims based on applicant misstatements, unless those misstatements were fraudulent. Additionally, claims cannot be reduced or denied after three years due to pre-existing conditions not specifically excluded from coverage. This act also includes provisions for an "incontestable" clause in certain policies. The changes outlined in this act will take effect on September 1, 2025.
H 433 establishes a 10-year phased rollout of Green Mountain Care, Vermont's publicly financed health care program for all residents. It begins with universal primary care in Year 1, adds preventive dental and vision care in Year 2, and expands to additional services over the next eight years based on recommendations from the Green Mountain Care Board's Universal Health Care Advisory Group. The bill mandates that the Board verify specific criteria before implementation, including ensuring benefits have at least 80% actuarial value, maintaining economic sustainability, reducing administrative costs, and preventing duplication with existing insurance coverage. All Vermont residents are directly affected as the program aims to provide comprehensive coverage equivalent to the 2011 health care reform blueprint.
H.185 proposes creating a universal primary care program in Vermont, requiring the Green Mountain Care Board to develop a system that provides all Vermonters with free access to primary care services - including mental health, substance use treatment, and preventive care - without needing insurance enrollment. Key provisions eliminate cost-sharing for primary care, reduce administrative burdens on providers and insurers, and fund the program through allocated health insurance premiums and public funds. The bill also directs the Board to separate primary care practices from hospital control and fund medical training to increase provider supply. This program, planned to launch by 2028, directly affects all Vermont residents, primary care providers, and health insurers.
This bill creates a study committee to examine the benefits and barriers of blenderized tube feeding - a method of providing blended foods and liquids through a feeding tube - particularly for children. The committee, including health officials, caregivers, medical experts, and dietitians, will study impacts on health outcomes, costs of fresh food/blenders, insurance coverage gaps, and provider awareness. It must report findings and recommendations to legislative committees by January 15, 2026, to inform potential future policy changes. The bill does not implement immediate policy changes but establishes a process to address access barriers for patients relying on this feeding method.
This bill directs Vermont's Green Mountain Care Board to create a plan for implementing reference-based pricing for hospital services. It would require the Board to establish benchmarks (based on Medicare rates), outline a gradual implementation timeline, estimate cost savings, and include protections against balance billing for patients. The plan must address impacts on hospitals, quality of care, and alignment with state health reform efforts, with a submission deadline of February 1, 2026. This affects all Vermont hospitals and health insurance plans covering inpatient and outpatient services.
This bill requires Vermont employers to maintain full-time legislators' employment benefits (like health insurance) at the same level and cost during their legislative service, as if they were working continuously. It ensures legislators retain job seniority, benefits coverage, and protection from retaliation for taking this leave. Employers may require legislators to continue paying their usual share of benefit costs during the leave period. The law takes effect July 1, 2025, directly affecting state legislators who hold full-time jobs outside their legislative role.
Vermont's H.35 unmerges the individual and small group health insurance markets by raising the employee threshold for small employers from 50 to 100 workers. This change, effective January 1, 2016, allows businesses with up to 100 employees to access the Vermont Health Benefit Exchange for coverage, directly affecting small businesses and their employees. The bill updates definitions in Vermont law to reflect this expanded eligibility and permits employers growing beyond 100 employees to maintain Exchange participation if they continue offering Exchange plans. The measure was signed into law by Governor Scott on February 19, 2025.
This bill requires most health insurance plans and Vermont Medicaid to cover biomarker testing when supported by specific evidence, such as FDA approvals, drug labels, or nationally recognized clinical guidelines. It directly affects patients needing these tests (e.g., for cancer diagnosis or treatment) and insurers/Medicaid, mandating coverage for tests analyzing genes, proteins, or other biological markers in blood or tissue. Key provisions include limiting disruptions in care (e.g., avoiding repeated biopsies) and defining biomarker testing broadly to include advanced genetic sequencing. The requirement takes effect January 1, 2026, for new plans, with Medicaid coverage pending CMS approval.
This bill (H 239) would extend key rights to temporary Vermont state employees who work over 1,280 hours annually for two years. It requires temporary workers to receive comparable pay, whistleblower protections, sick/annual leave, and health insurance meeting ACA standards after six months of employment. The bill also prohibits termination without good cause and clarifies that such employees qualify as "State employees" for labor rights purposes. These changes apply to temporary workers in state agencies, colleges, and courts who meet the hour threshold, effective July 1, 2025.
