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VT H0102

VT H0102
An act relating to annual reporting on health care sharing plans and arrangements


summary

Introduced
01/28/2025
In Committee
01/28/2025
Crossed Over
Passed
Dead

Introduced Session

2025-2026 Session

Bill Summary

This bill proposes to require a person who is not authorized to offer health insurance in Vermont and who offers or intends to offer a health care sharing plan or arrangement to facilitate payment or reimbursement of health care costs or services for Vermont residents to report certain information annually to the Commissioner of Financial Regulation and to certify the accuracy of the information. The bill would direct the Commissioner of Financial Regulation to prepare an annual report summarizing the information and post it on the Department of Financial Regulation’s website.

AI Summary

This bill requires health care sharing plans or arrangements (organizations that help members share health care costs but are not traditional insurance) to submit detailed annual reports to Vermont's Commissioner of Financial Regulation if they operate in the state. The required reporting includes comprehensive information such as the number of participants, total fees collected, reimbursement requests submitted and approved, details about providers and third-party administrators, marketing materials, organizational structure, and financial data. Entities must submit this information by October 1, 2025, and annually thereafter, and certify its accuracy. If an organization fails to submit complete information, they may face administrative penalties up to $5,000 per day and potentially receive a cease and desist order. The Commissioner must then prepare and publish a public report summarizing the submitted information by April 1, 2026, and every October 1st thereafter, including information to help consumers understand these plans and file complaints. The bill aims to increase transparency and provide regulators and consumers with more information about these alternative health care cost-sharing arrangements, which are not traditional insurance and thus not subject to the same regulatory oversight.

Committee Categories

Health and Social Services

Sponsors (8)

Last Action

House Committee on Health Care Hearing (00:00:00 2/11/2025 ) (on 02/11/2025)

bill text


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