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VermontH.4822025-2026 SessionHouseWALLET

An act relating to Green Mountain Care Board authority to adjust a hospital’s reimbursement rates and to appoint a hospital observer

Sponsored By: Sponsor information unavailable

Signed by Governor

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Bill Overview

Analyzed Economic Effects

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

Tighter oversight of hospital budgets

The Green Mountain Care Board can change commercial insurer payments to a hospital any time during the year to keep the hospital within its approved budget. The Board can require information from the hospital and from affiliates that control it; owning 20% or more creates a presumption of control. If a hospital misstates facts or is materially out of budget, the Board can appoint an independent observer when it is in the public interest. The observer can monitor operations, get information (including about network ties), and report to the Board and the Office of the Health Care Advocate; the hospital may have to pay the costs. These changes begin June 5, 2025, and the observer authority ends January 1, 2030.

Emergency cuts to hospital payments

When a Vermont health insurer hits a regulatory action level and faces an immediate solvency threat, the Green Mountain Care Board can cut what it pays certain hospitals. The Board first consults the Commissioner of Financial Regulation and limits cuts to what is needed. Only hospitals with over 135 days’ cash and a recent positive margin, or hospitals in strong networks, can be targeted. No order can push a hospital or network below 125 days’ cash on hand. Cuts last until the insurer’s risk-based capital is back above the company action level. Hospitals can seek relief and appeal. This authority starts June 5, 2025.

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Sponsors & Cosponsors

Sponsors

There is no primary sponsor on record.

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

No roll call votes available for this bill.

Actions Timeline

  1. House message: Governor approved bill on June 5, 2025

    6/9/2025Senate

  2. Signed by Governor on June 5, 2025

    6/5/2025House

  3. Delivered to the Governor on May 30, 2025

    5/30/2025House

  4. House message: House concurred in Senate proposal of amendment

    5/27/2025Senate

  5. Senate proposal of amendment concurred in

    5/23/2025House

  6. Action Calendar: Senate Proposal of Amendment

    5/23/2025House

  7. Notice Calendar: Senate Proposal of Amendment

    5/22/2025House

  8. Senate Message: Passed in concurrence with proposal of amendment

    5/21/2025House

  9. Division of the Senate Y-16, N-12

    5/20/2025Senate

  10. Read 3rd time & passed in concurrence with proposal of amendment

    5/20/2025Senate

  11. New Business/Third Reading

    5/20/2025Senate

  12. 3rd reading ordered

    5/16/2025Senate

  13. Proposal of amendment by Committee on Health and Welfare agreed to

    5/16/2025Senate

  14. Read 2nd time, reported favorably with proposal of amendment by Senator Cummings for Committee on Health and Welfare

    5/16/2025Senate

  15. Favorable report with proposal of amendment by Committee on Health and Welfare

    5/16/2025Senate

  16. Unfinished Business/Second Reading

    5/16/2025Senate

  17. Favorable report with proposal of amendment by Committee on Health and Welfare

    5/15/2025Senate

  18. Unfinished Business/Second Reading

    5/15/2025Senate

  19. Favorable report with proposal of amendment by Committee on Health and Welfare

    5/14/2025Senate

  20. New Business/Second Reading

    5/14/2025Senate

  21. Favorable report with proposal of amendment by Committee on Health and Welfare

    5/13/2025Senate

  22. Second Reading

    5/13/2025Senate

  23. Entered on Notice Calendar

    5/13/2025Senate

  24. Read 1st time & referred to Committee on Health and Welfare

    3/21/2025Senate

  25. Rules suspended and bill messaged forthwith to the Senate as moved by Rep. McCoy of Poultney

    3/21/2025House

Bill Text

  • As Enacted (ACT 49)

    6/11/2025

    PDF

  • As Passed by Both Chambers

    5/30/2025

    PDF

  • As Passed by Both Chambers (Unofficial)

    5/30/2025

    PDF

  • Senate Proposal of Amendment

    5/21/2025

    PDF

  • Senate Proposal of Amendment (Unofficial)

    5/21/2025

    PDF

  • As Passed by the House

    3/21/2025

    PDF

  • As Passed by the House (Unofficial)

    3/21/2025

    PDF

  • As Introduced

    3/17/2025

    PDF

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