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VT H0433

VT H0433
An act relating to incremental implementation of Green Mountain Care


summary

Introduced
02/28/2025
In Committee
02/28/2025
Crossed Over
Passed
Dead

Introduced Session

2025-2026 Session

Bill Summary

This bill proposes to implement Green Mountain Care, a publicly financed health care program for all Vermont residents, over time, starting with primary care in the first year, adding preventive dental and vision care in the second year, and incorporating additional health care services in later years. It would establish the Universal H.433 Health Care Advisory Group at the Green Mountain Care Board to provide recommendations to the General Assembly regarding the sequencing of and financing for the health care services to be added in the third through 10th years of Green Mountain Care’s implementation. The bill would also express legislative intent regarding funding sources for Green Mountain Care and would prohibit health insurance plans and rates from reflecting duplication of the coverage provided by Green Mountain Care.

AI Summary

This bill proposes to implement Green Mountain Care, a publicly financed health care program for all Vermont residents, through a gradual, 10-year expansion of benefits. In the first year (starting January 1, 2027), the program will cover primary care services, including mental health and substance use treatment, communicable disease testing, and recommended vaccines, with no cost-sharing. The second year will add preventive dental and vision services, including cleanings, exams, hearing aids, and screenings. For years three through 10, the bill establishes a Universal Health Care Advisory Group to recommend additional services to be added, such as prenatal care, diagnostic screenings, emergency services, physical therapy, and hospital care. The bill suggests potential financing through payroll and income taxes and intends for the benefit package to be at least as comprehensive as originally contemplated in 2011. The legislation also requires the state to seek federal waivers to modify health insurance exchanges and federal healthcare programs, ensures that existing healthcare coverage is not terminated, and prohibits health insurance plans from duplicating Green Mountain Care's coverage. Ultimately, the bill aims to create a comprehensive, publicly financed healthcare system that gradually expands to cover more services for Vermont residents.

Committee Categories

Health and Social Services

Sponsors (27)

Last Action

Read first time and referred to the Committee on Health Care (on 02/28/2025)

bill text


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