VermontH.2662025-2026 SessionHouseWALLET

An act relating to the 340B prescription drug pricing program

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 1 benefits, 0 costs, 2 mixed.

Stronger 340B drug discounts and access

The law requires manufacturers to give 340B discounts at the time of purchase, not as later rebates. They cannot block or limit deliveries to contract pharmacies or stop them from dispensing to eligible patients. They also cannot demand extra claims or use data unless federal HHS requires it. Covered entities, contract pharmacies, or injured people can sue for damages and fees, and each package can count as a separate violation. These state rules do not change how Vermont Medicaid pays and must align with federal law.

New caps on hospital outpatient drug bills

Beginning January 1, 2026, hospitals cannot bill more than 120% of CMS’s Average Sales Price for drugs they priced above 120% on April 1, 2025. For drugs at 120% or less on April 1, 2025, hospitals cannot raise the percent above that level. Hospitals update the ASP reference on January 1 and July 1 using the most recent quarter. Hospitals cannot raise other drug or service prices to make up the difference. Independent critical access hospitals that are not affiliated are exempt. If the Care Board finds harm to access, quality, or rural care, a hospital can ask for narrow commercial rate increases, and the caps stay unless the Board sets a different reference price.

Hospital 340B reports and vendor privacy

Hospitals in the 340B program must file a yearly report by January 31 for the prior hospital fiscal year. Reports show drug purchase costs, payments, what was paid to contract pharmacies and vendors, how revenue helped the community, and compliance steps. Vendor names and details are confidential, but go to the Office of the Health Care Advocate, which cannot share them. The first report is due by January 31, 2026. The reporting rule ends on January 1, 2031.

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Sponsors & Cosponsors

Sponsor

Alyssa Black
Democratic • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

No roll call votes available for this bill.

Actions Timeline

House message: Governor approved bill on June 11, 2025
6/13/2025Senate
Signed by Governor on June 11, 2025
6/11/2025House
Delivered to the Governor on June 5, 2025
6/5/2025House
House message: House concurred in Senate proposal of amendment to House proposal of amendment to Senate proposal of amendment
5/30/2025Senate
Rep. McCoy of Poultney moved to deliver the bill to the Governor forthwith, which was agreed to
5/30/2025House
Senate proposal of amendment to House proposal of amendment to Senate proposal of amendment concurred in
5/30/2025House
Rules suspended and taken up for immediate consideration as moved by Rep. McCoy of Poultney
5/30/2025House
Notice Calendar: Senate Proposal of Amendment to House Proposal of Amendment to Senate Proposal of Amendment
5/30/2025House
Senate Message: House proposal of amendment to Senate proposal of amendment concurred in with further proposal of amendment thereto
5/29/2025House
Rules suspended & messaged to House forthwith, on motion of Senator Baruth
5/29/2025Senate
Division of the Senate Y-20, N-10
5/29/2025Senate
House proposal of amendment to Senate proposal of amendment concurred in with further proposal of amendment as moved by Senator Williams
5/29/2025Senate
House proposal of amendment to Senate proposal of amendment, text
5/29/2025Senate
House proposal of amendment to Senate proposal of amendment
5/29/2025Senate
House proposal of amendment to Senate proposal of amendment
5/28/2025Senate
Entered on Notice Calendar
5/28/2025Senate
House message: House concurred in Senate proposal of amendment with proposal of amendment
5/27/2025Senate
Senate proposal of amendment concurred in with further amendment thereto, as offered by Rep. Berbeco of Winooski, Black of Essex, Cina of Burlington, Cordes of Bristol, Critchlow of Colchester, Demar of Enosburgh, Goldman of Rockingham, Houghton of Essex Junction, McFaun of Barre Town, Page of Newport City, and Powers of Waterford
5/23/2025House
Action Calendar: Senate Proposal of Amendment
5/23/2025House
Action Calendar: Action postponed until 5/23/2025
5/22/2025House
Rep. Black of Essex moved to postpone action until 5/23/2025, which was agreed to
5/21/2025House
Action Calendar: Action postponed until 5/21/2025
5/21/2025House
Rep. Black of Essex moved to postpone action until 5/21/2025, which was agreed to
5/20/2025House
Action Calendar: Senate Proposal of Amendment
5/20/2025House
Notice Calendar: Senate Proposal of Amendment
5/19/2025House

Bill Text

As Enacted (ACT 55)
6/18/2025
PDF
As Passed by Both Chambers
6/2/2025
PDF
As Passed by Both Chambers (Unofficial)
6/2/2025
PDF
House Proposal of Amendment (Unofficial)
5/28/2025
PDF
Senate Proposal of Amendment
5/19/2025
PDF
Senate Proposal of Amendment (Unofficial)
5/19/2025
PDF
As Passed by the House
3/20/2025
PDF
As Passed by the House (Unofficial)
3/20/2025
PDF
As Introduced
2/18/2025
PDF

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