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VT S0001

VT S0001
An act relating to providing Medicaid-equivalent coverage to all Vermonters


summary

Introduced
01/10/2025
In Committee
01/10/2025
Crossed Over
Passed
Dead

Introduced Session

2025-2026 Session

Bill Summary

This bill proposes to provide Medicaid-equivalent coverage to all Vermonters by age bands over time, regardless of household income. It would direct the Agency of Human Services to seek approval for federal financial participation in the expanded coverage, with the State paying the full amount if the federal government does not approve the request. The bill would direct the Agency of Human Services and others to develop cost estimates for the Medicaid-equivalent coverage and a detailed implementation plan. The bill would also require the Department of Taxes to report on potential payroll tax design options to support the State’s financial obligation in providing the Medicaid-equivalent coverage, both with and without the federal funding.

AI Summary

This bill proposes to establish a comprehensive Medicaid-equivalent healthcare coverage program for all Vermont residents, implemented gradually by age groups from 2029 to 2033. The coverage will include hospital, medical, dental, and prescription drug services, regardless of household income, beginning with individuals up to 26 years old in 2029 and expanding to include all residents by 2033. The Agency of Human Services will seek federal approval for the program through an amendment to Vermont's Global Commitment to Health Section 1115 Demonstration Waiver, with a commitment to fund the program with state-only dollars if federal financial participation is not approved. The bill requires the Agency to develop detailed cost estimates, analyze potential cost offsets in the healthcare system, and create an implementation plan. Additionally, the Department of Taxes will be tasked with exploring payroll tax options to support the program's funding, developing at least three potential tax structures and recommending the most administratively feasible approach. The bill aims to provide universal healthcare coverage to Vermonters, addressing potential financial challenges and seeking sustainable funding mechanisms.

Committee Categories

Health and Social Services

Sponsors (4)

Last Action

Senate Committee on Health and Welfare Hearing (00:00:00 1/31/2025 ) (on 01/31/2025)

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