Bill > H0040

This bill establishes a comprehensive licensing framework for freestanding birth centers in Vermont, with the primary goals of reducing healthcare costs, protecting women's access to reproductive healthcare, and ensuring women have more birthing options. The legislation creates a new chapter in state law defining birth centers as facilities where low-risk births are planned to occur outside a person's home, and mandates that all birth centers obtain a license from the Department of Health. The licensing process involves submitting an application, paying a $250 fee, and meeting specific standards including health and safety requirements, patient complaint procedures, and potential accreditation. The bill exempts birth centers from certificate of need requirements, which historically made establishing such centers difficult. Additionally, the legislation requires health insurance plans and Medicaid to cover prenatal, maternity, postpartum, and newborn services provided at licensed birth centers, including facility fees. The bill is supported by findings from national medical organizations and a 2018 Centers for Medicare and Medicaid Services report indicating that birth centers can offer safer, more cost-effective birthing options, particularly for low-risk pregnancies. The provisions will take effect on January 1, 2026, with preparatory steps beginning in 2025, making Vermont one of the last states to formally recognize and regulate freestanding birth centers.

Health and Social Services

https://legislature.vermont.gov/bill/status/2026/H.40