VermontS.632025-2026 SessionSenateWALLET

An act relating to modifying the regulatory duties of the Green Mountain Care Board

Sponsored By: Virginia "Ginny" V Lyons (Democratic)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

5 provisions identified: 0 benefits, 1 costs, 4 mixed.

Patient data sharing and exchange rules

Starting July 1, 2025, your records in Vermont’s Health Information Exchange are shared by default unless you opt out. VITL can certify provider use of health IT and must send connectivity criteria to the Board each year by March 1; after approval, the Board issues an order within 90 days. The Health IT Plan can be updated more often, and it guides certificate-of-need reviews and State IT purchases. The Board gets a voting seat on the HIE Steering Committee. VITL is named the statewide exchange operator, must file a public annual report by January 15 and post meeting minutes, and the law ends the Board’s old duty to do an annual VITL budget approval.

Stronger rules and fees for accountable care organizations

Beginning July 1, 2025, the Board sets binding standards for accountable care organizations (ACOs) on reporting, patient protections, and financial strength. Starting January 1, 2027, ACOs must be certified to receive Medicaid or commercial payments; rules account for different sizes and models, and a streamlined option can apply to Medicare-only ACOs. The Board reviews ACO budgets beginning January 1, 2026, and the Health Care Advocate can get materials, ask questions, and testify. ACOs pay $10,000 to apply, $2,000 each year to keep certification, and $125,000 for each budget review. ACOs that contract with Medicaid must also follow public‑meeting rules starting July 1, 2025.

Tighter hospital budgets and penalties

Effective June 12, 2025, general hospitals use a fiscal year starting October 1, and non‑state psychiatric hospitals start on January 1. The Board sets each hospital’s annual budget on fixed timelines (by September 15/October 1 for general; December 15/December 31 for psychiatric), and hospitals must operate within it. The Board can fine a hospital up to $40,000 for a single violation, or up to $100,000 or 0.1% of gross annual revenue for continuing violations, and can seek court orders or issue emergency orders.

Who pays for the Care Board

Starting July 1, 2025, the Board’s costs are split: 40% State, 36% hospitals, 24% nonprofit hospital/insurer groups, and 8% ACOs. If an entity’s share is under $150, it pays $150; the extra collected reduces what others owe. Money charged under sections 9382 and 9441 is not part of this split.

Medicaid advisory rate cases end

On July 1, 2025, the law repeals Medicaid advisory rate cases. This removes that formal advisory process for reviewing Medicaid rates.

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Sponsors & Cosponsors

Sponsor

Virginia "Ginny" V Lyons
Democratic • Senate

Cosponsors

Ann E Cummings
Democratic • Senate
Martine Larocque L Gulick
Democratic • Senate

Roll Call Votes

No roll call votes available for this bill.

Actions Timeline

Senate Message: Signed by Governor June 12, 2025
6/13/2025House
Signed by Governor on June 12, 2025
6/13/2025Senate
Delivered to Governor on June 6, 2025
6/6/2025Senate
Senate Message: House proposal of amendment concurred in
5/21/2025House
As passed by Senate and House
5/20/2025Senate
House proposal of amendment concurred in
5/20/2025Senate
House proposal of amendment; text
5/20/2025Senate
New Business/House Proposal of Amendment
5/20/2025Senate
House proposal of amendment
5/16/2025Senate
Entered on Notice Calendar
5/16/2025Senate
House message: House passed bill in concurrence with proposal(s) of amendment
5/16/2025Senate
Read third time and passed in concurrence with proposal of amendment
5/14/2025House
Action Calendar: Third Reading
5/14/2025House
Third Reading ordered
5/13/2025House
Report of Committee on Health Care agreed to
5/13/2025House
Rep. Branagan of Georgia recommended for the Committee on Ways and Means
5/13/2025House
Rep. Critchlow of Colchester reported for the Committee on Health Care
5/13/2025House
Read second time
5/13/2025House
Action Calendar: Unfinished Business
5/13/2025House
Action Calendar: Favorable with Amendment
5/12/2025House
Notice Calendar: Favorable with Amendment
5/9/2025House
Referred to Committee on Ways and Means per Rule 35(a)
5/6/2025House
Notice Calendar: Favorable with Amendment
5/6/2025House
Read first time and referred to the Committee on Health Care
3/27/2025House
Read 3rd time & passed
3/25/2025Senate

Bill Text

As Enacted (ACT 62)
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
5/19/2025
PDF
House Proposal of Amendment (Unofficial)
5/19/2025
PDF
As Passed by the Senate
3/26/2025
PDF
As Passed by the Senate (Unofficial)
3/26/2025
PDF
As Introduced
2/10/2025
PDF

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