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VermontH.962025-2026 SessionHouseWALLET

An act relating to increasing the monetary thresholds for certificates of need

Sponsored By: Rep. Mari Cordes

Signed by Governor

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Bill Overview

Analyzed Economic Effects

4 provisions identified: 4 benefits, 0 costs, 0 mixed.

Less CON review for non-hospital care

Non-hospital capital projects need a CON only if they cost over $10 million. One piece of diagnostic or therapeutic equipment needs a CON only if it costs over $5 million. A new service needs a CON only if yearly costs top $3 million in either of the next two budget years, and it was not offered in the past three years. The law removes CON review for ambulatory surgical centers and for hospitals starting home health. These changes take effect May 13, 2025.

Simpler path for very large projects

Projects expected to cost more than $50 million must first get a conceptual development CON. The old trigger was $30 million. Applicants may spend up to $10 million on planning before full review. The prior caps were $1.5 million for non-hospitals and $3 million for hospitals. These rules take effect May 13, 2025.

CON changes start now with transition

The law takes effect May 13, 2025, and applies to projects started on or after that date. If a pending case already has an interested party, the old thresholds and exclusions continue until a final decision. If no one has been granted interested party status, an applicant may withdraw the case under Board rules.

More projects exempt from CON review

Routine swaps of fully depreciated medical gear and common nonmedical fixtures are exempt from CON. Hospitals still include replacements in their budgets. Emergency and nonemergency ground ambulances and related supplies are exempt. Health projects owned by the State or largely State-funded are exempt. The State agency must tell the Board before starting or within 30 days of the contract. These exclusions take effect May 13, 2025.

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Sponsors & Cosponsors

Sponsor

  • Rep. Mari Cordes

    Affiliation unavailable

Cosponsors

  • Alyssa Black

    Democratic • House

  • Angela Arsenault

    Democratic • House

  • Brian J Cina

    Democrat/Progressive • House

  • Daisy Berbeco

    Democratic • House

  • Ela Chapin

    Democratic • House

  • Rep. Francis McFaun

    Affiliation unavailable

  • Herb Olson

    Democratic • House

  • Wendy K Harrison

    Democratic • Senate

  • Kate Logan

    Democrat/Progressive • House

  • Leslie Goldman

    Democratic • House

  • Michael J Marcotte

    Republican • House

  • Monique Priestley

    Democratic • House

  • Woodman H Page

    Republican • House

Roll Call Votes

No roll call votes available for this bill.

Actions Timeline

  1. House message: Governor approved bill on May 13, 2025

    5/14/2025Senate

  2. Signed by Governor on May 13, 2025

    5/13/2025House

  3. Delivered to the Governor on May 7, 2025

    5/7/2025House

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

    5/6/2025Senate

  5. Senate proposal of amendment concurred in

    5/2/2025House

  6. Action Calendar: Senate Proposal of Amendment

    5/2/2025House

  7. Notice Calendar: Senate Proposal of Amendment

    5/1/2025House

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

    4/30/2025House

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

    4/29/2025Senate

  10. New Business/Third Reading

    4/29/2025Senate

  11. 3rd reading ordered

    4/25/2025Senate

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

    4/25/2025Senate

  13. Reported favorably by Senator Gulick for Committee on Finance

    4/25/2025Senate

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

    4/25/2025Senate

  15. Favorable report by Committee on Finance

    4/25/2025Senate

  16. New Business/Second Reading

    4/25/2025Senate

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

    4/25/2025Senate

  18. Favorable report by Committee on Finance

    4/24/2025Senate

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

    4/24/2025Senate

  20. Second Reading

    4/24/2025Senate

  21. Entered on Notice Calendar

    4/24/2025Senate

  22. Referred to Committee on Finance per Senate Rule 31

    4/9/2025Senate

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

    4/9/2025Senate

  24. Second Reading

    4/9/2025Senate

  25. Entered on Notice Calendar

    4/9/2025Senate

Bill Text

  • As Enacted (ACT 15)

    5/20/2025

    PDF

  • As Passed by Both Chambers

    5/5/2025

    PDF

  • As Passed by Both Chambers (Unofficial)

    5/5/2025

    PDF

  • Senate Proposal of Amendment

    5/1/2025

    PDF

  • Senate Proposal of Amendment (Unofficial)

    5/1/2025

    PDF

  • As Passed by the House

    3/19/2025

    PDF

  • As Passed by the House (Unofficial)

    3/19/2025

    PDF

  • As Introduced

    1/27/2025

    PDF

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