Maddy summaryThis bill establishes an annual inflation adjustment for Medicaid reimbursement rates paid to home- and community-based service providers in Vermont, ensuring their payments keep pace with rising costs. It requires the state health and disability departments to calculate this inflation factor each year and apply it to provider rates starting July 1. The legislation also mandates a comprehensive study of current payment rates, their adequacy, and the methods used to set them, with results due by January 15, 2024. Additionally, the study must examine how to align these rates with other payers and account for new state-mandated employer contributions like those from paid family leave or minimum wage laws.
Rep. Dan Noyes
Sponsored bills
Maddy summaryThis bill expands Vermont's Fair Employment Practices Act by legally defining "constructive discharge" to include situations where working conditions are so difficult or conduct is so outrageous that a reasonable employee would feel forced to resign. It also updates the state's legislative leave law to ensure all employed legislators can take time off for official duties without losing job status, seniority, or benefits, while requiring employers to maintain insurance and benefits at the same level as if the legislator were working. Employers must provide written notice within 14 days of filing for election or accepting a new position, and may appeal to the State Labor Relations Board if they can demonstrate that granting leave would cause unreasonable hardship. The changes apply to employers with more than five employees and take effect on July 1, 2023.
Maddy summaryThis bill creates a new grant program to fund afterschool and summer care services for children and youth in Vermont, with priority given to programs serving underserved communities. The program will be financed using revenue from the state's cannabis sales tax, which will be deposited into a dedicated special fund managed by an advisory committee. The advisory committee, composed of representatives from various state agencies and Vermont Afterschool, Inc., will oversee grant distribution and report annually on outcomes such as the number of children served and cost savings for families. Grants can be used by program operators for technical assistance, implementation, expansion, and sustainability, with administrative costs capped at $500,000 per year. The bill takes effect on July 1, 2023.
Maddy summaryThis bill proposes to improve emergency medical services in Vermont by providing $20 million annually from 2024 to 2028 to support ambulance operations, training, and equipment. It requires health insurance plans and Medicaid to cover emergency medical services for patients who do not need to be transported to a hospital. The legislation also establishes a refundable income tax credit for qualified emergency responders and creates a study committee to examine the EMS system. Additionally, the bill sets requirements for Medicaid reimbursement rates for ambulance services and restricts transporting patients to destinations where the ambulance service has a financial interest.
Maddy summaryThis bill requires three Vermont state departments to ask whether applicants or their family members have served in the U.S. Armed Forces on intake forms used to determine eligibility for programs and services. The Department for Children and Families, the Department of Vermont Health Access, and the Department of Disabilities, Aging, and Independent Living would each add this question to their application materials. The change applies to all individuals seeking assistance from these agencies and would take effect on July 1, 2023. The legislation does not specify how the information would be used or what benefits veterans might receive as a result of providing this data.
Maddy summaryThis bill establishes a legal framework for recovery residences in Vermont, which are shared living spaces designed to support individuals recovering from substance use disorders. It requires these residences to be certified by recognized organizations and mandates written rental agreements that outline policies, consequences for noncompliance, and alternative housing options for temporary removals. The legislation also directs municipalities to treat recovery residences as single-family homes for zoning purposes and requires the Department of Corrections to report on furloughed individuals residing in such facilities. Additionally, the bill creates a Recovery Stabilization Study Committee to further examine recovery housing needs and the bill aims to reduce homelessness and overdose deaths by expanding access to these supportive living environments.
Maddy summaryThis bill would exempt all U.S. military retirement income and military survivor benefit income from Vermont state income tax. It directly affects active and retired military personnel, as well as the surviving spouses and dependents of deceased service members who receive these benefits. The legislation amends existing tax code sections to remove military retirement and survivor benefits from taxable income, while also clarifying that taxpayers can only choose one income exclusion option if they qualify for multiple types of exemptions. The bill states its purpose is to honor and thank military retirees and their families for their service, and it applies retroactively to taxable years beginning on or after January 1, 2023.
Maddy summaryThis bill establishes a public prekindergarten education program in Vermont, making full-day early education available to three- and four-year-old children and five-year-olds not yet in kindergarten. It creates a new Department of Economic Empowerment by reorganizing the Department for Children and Families, adds a second Deputy Secretary to the Agency of Education with specific qualifications, and provides property tax exemptions for child care providers. The legislation also expands eligibility and payment rates for the Child Care Financial Assistance Program, creates a new Noncitizen Child Care Assistance Program, and introduces grants to support child care workforce retention.
Maddy summaryThis bill creates a new permanent position of Dementia Coordinator within Vermont's Agency of Human Services to help coordinate state efforts and community partnerships in supporting people with dementia and their families. The Coordinator would update the state's Alzheimer's action plan, manage grant funding for expanded services, streamline government programs to reduce duplication, oversee dementia-specific training, and collect and share data to improve care quality. The role requires a master's or bachelor's degree in human services, public health, or public administration with professional experience, and the Commission on Alzheimer's Disease and Related Disorders would recommend qualified candidates. An initial $150,000 appropriation funds the position in fiscal year 2024, with the Coordinator required to submit an annual report on dementia care status and legislative recommendations by December 1. The act takes effect on July 1, 2023.
Maddy summaryThis bill proposes to gradually implement Green Mountain Care, a publicly financed health care program for all Vermont residents, over a ten-year period. It would begin with primary care coverage in the first year, add preventive dental and vision care in the second year, and expand to additional services in subsequent years based on recommendations from an advisory group. The legislation requires the Green Mountain Care Board to analyze and report on financing sustainability, economic impact, and cost containment measures before full implementation. It also seeks a federal waiver to adjust health insurance benefits and funding to avoid duplication with Green Mountain Care coverage.