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VT H0721

VT H0721
An act relating to expanding access to Medicaid and Dr. Dynasaur


summary

Introduced
01/10/2024
In Committee
04/18/2024
Crossed Over
03/27/2024
Passed
Dead
05/10/2024

Introduced Session

2023-2024 Session

Bill Summary

This bill proposes to increase eligibility for the Dr. Dynasaur program and for Dr. Dynasaur-like coverage to include income-eligible young adults up to 26 years of age. The bill would increase the income eligibility thresholds for adults in the Medicaid program over time until they reach the same level as Dr. Dynasaur. The bill would require increased reimbursement rates to providers for delivering primary care, mental health, substance use disorder treatment, long-term care, and dental H.721 services to Medicaid beneficiaries. The bill would modify the appointments to and duties of the Clinical Utilization Review Board and increase the income eligibility thresholds for Medicare Savings Programs. The bill would require Dr. Dynasaur to cover mental health services for children and young adults without a specific diagnosis if they have faced certain adverse life experiences. The bill would direct the Agency of Human Service to develop a proposal for a public option for small businesses to use to purchase health coverage for their employees and require the Agency to propose a schedule of sliding-scale cost-sharing requirements for the Medicaid program. The bill would also require the Agency to recommend modifications to specialty care reimbursement rates and to report on potential changes to the structure of Vermont’s health insurance markets.

AI Summary

This bill, known as the "Medicaid Expansion Act of 2024," proposes to expand eligibility for Vermont's Medicaid program and Dr. Dynasaur, the state's children's health insurance program. It would increase Medicaid eligibility for adults up to 312% of the federal poverty level (FPL) by 2030 and extend Dr. Dynasaur coverage to all Vermont residents up to 26 years of age with incomes at or below 312% FPL by 2030. The bill also requires increased reimbursement rates to healthcare providers serving Medicaid and Dr. Dynasaur beneficiaries, expands eligibility for Medicare Savings Programs, and directs the Agency of Human Services to develop proposals for a public health insurance option and sliding-scale cost-sharing requirements for Medicaid. The bill also raises certain corporate income tax rates and securities registration fees to help fund these expansions.

Committee Categories

Budget and Finance, Health and Social Services

Sponsors (81)

Lori Houghton (D)* Julia Andrews (D),  Peter Anthony (D),  Angela Arsenault (D),  Daisy Berbeco (D),  Matt Birong (D),  Alyssa Black (D),  Tiff Bluemle (D),  Seth Bongartz (D),  Michelle Bos-Lun (D),  Lucy Boyden (D),  Jana Brown (D),  Jessica Brumsted (D),  Mollie Burke (D),  Elizabeth Burrows (D),  Tesha Buss (D),  Scott Campbell (D),  Melanie Carpenter (D),  Heather Chase (D),  Robin Chesnut-Tangerman (D),  Brian Cina (D),  Sara Coffey (D),  Esme Cole (D),  Peter Conlon (D),  Mari Cordes (D),  Leonora Dodge (D),  Karen Dolan (D),  David Durfee (D),  Caleb Elder (D),  Alice Emmons (D),  Bobby Farlice-Rubio (D),  Rey Garofano (D),  Leslie Goldman (D),  Edye Graning (D),  Troy Headrick (D),  Rebecca Holcombe (D),  Bob Hooper (D),  Mary Howard (D),  Noah Hyman (D),  Kathleen James (D),  Stephanie Jerome (D),  Emilie Kornheiser (D),  Emilie Krasnow (D),  Dennis Labounty (D),  Martin LaLonde (D),  Josie Leavitt (D),  Kate Logan (D),  Emily Long (D),  Kate McCann (D),  Mike McCarthy (D),  Topper McFaun (R),  Jubilee McGill (D),  Kristi Morris (D),  Mike Mrowicki (D),  Emma Mulvaney-Stanak (D),  William Notte (D),  Dan Noyes (D),  Kate Nugent (D),  Kate Nugent (D),  Carol Ode (D),  Kelly Pajala (I),  Avram Patt (D),  Phil Pouech (D),  Monique Priestley (D),  Barbara Rachelson (D),  Mike Rice (D),  Tristan Roberts (D),  Larry Satcowitz (D),  Amy Sheldon (D),  Katherine Sims (D),  Taylor Small (D),  Tom Stevens (D),  Mary-Katherine Stone (D),  Dave Templeman (D),  Tristan Toleno (D),  Dara Torre (D),  Chip Troiano (D),  Chea Waters Evans (D),  Dane Whitman (D),  Jonathan Williams (D),  Theresa Wood (D), 

Last Action

Referred to Committee on Finance per Senate Rule 31 (on 04/18/2024)

bill text


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Document Type Source Location
State Bill Page https://legislature.vermont.gov/bill/status/2024/H.721
Fiscal Note - H.721 – An act relating to expanding access to Medicaid and Dr. Dynasaur, As recommended by the Senate Committee on Health and Welfare https://ljfo.vermont.gov/assets/Publications/2023-2024-House-BIlls/b22ccc159c/GENERAL-374922-v11-2024_H_721_Medicaid_Expansion-SHW.pdf
Fiscal Note - H.721 – An act relating to expanding access to Medicaid and Dr. Dynasaur, As Passed by the House of Representatives https://ljfo.vermont.gov/assets/Publications/2023-2024-House-BIlls/c8a3ca8d83/GENERAL-374922-v9-2024_H_721_Medicaid_Expansion-HOUSE-PASSED.pdf
BillText https://legislature.vermont.gov/Documents/2024/Docs/BILLS/H-0721/H-0721%20As%20passed%20by%20the%20House%20Official.pdf
Fiscal Note - H.721 – An act relating to expanding access to Medicaid and Dr. Dynasaur, As recommended by the House Committees on Appropriations and Ways and Means https://ljfo.vermont.gov/assets/Publications/2023-2024-House-BIlls/fcc50391dc/GENERAL-374922-v8-2024_H_721_Medicaid_Expansion-HAC-WM.pdf
Fiscal Note - H.721 – An act relating to expanding access to Medicaid and Dr. Dynasaur, As recommended by the House Committee on Health Care, Draft 5.1 https://ljfo.vermont.gov/assets/Publications/2023-2024-House-BIlls/b873fcf94b/GENERAL-374922-v6-2024_H_721_Medicaid_Expansion-HHC.pdf
BillText https://legislature.vermont.gov/Documents/2024/Docs/BILLS/H-0721/H-0721%20As%20Introduced.pdf
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