Bill > H0228

This bill aims to increase transparency and accountability in hospital staffing and compensation by requiring hospitals to provide detailed information to the Green Mountain Care Board about their employee composition and pay scales. Specifically, hospitals must now report the number of administrative employees versus direct patient care employees, as well as comprehensive salary information for executive and clinical leadership, including base salaries and total compensation. The bill directs the Green Mountain Care Board to review these details during hospital budget reviews, ensuring that the ratio of administrative to direct patient care staff aligns with national averages for similar hospitals. Moreover, the bill introduces a significant compensation cap, mandating that executive and clinic leadership salaries cannot exceed 10 times the wages of the hospital's lowest-paid patient care workers. Hospitals must make current compensation information available to the Board throughout the fiscal year, and these requirements will take effect on January 1, 2026, applying to hospital budgets for fiscal years 2027 and beyond. The goal is to promote more equitable compensation structures and ensure that hospital resources are primarily directed toward patient care rather than administrative overhead.

Health and Social Services

https://legislature.vermont.gov/bill/status/2026/H.228