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VermontH.132025-2026 SessionHouseWALLET

An act relating to Medicaid payment rates for community-based service providers

Sponsored By: Theresa A Wood (Democratic)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

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

Yearly payment reviews for Medicaid care providers

Effective May 13, 2025, Vermont requires reasonable, adequate payment rates for community-based Medicaid care providers. Covered services operate under Vermont’s Global Commitment to Health Medicaid demonstration or its successor. They include home and community care for older adults and adults with disabilities, outside nursing homes, including enhanced residential care. They also include home health, hospice, adult day rehabilitation, and assistive community care. Mental health, substance use, developmental or intellectual disability, and brain injury supports are included outside clinical or private nonmedical residential settings. The state must use Vermont labor and operating costs and consider costs from government mandates, inflation, and labor-market changes. It may also consider regional wage, benefit, housing, and real estate costs. Rates must be recalculated at least yearly, with rate studies at least every five years. The state must set a predictable schedule for resetting base rates and a process for annual inflation adjustments. It must consider providers’ financial needs from client absences only as federal Medicaid rules allow. Designated and specialized service agencies must follow the same rate-setting framework. Providers at imminent risk of closing because of financial problems can request stabilization help, but approval and funding are not guaranteed. The state must report rates and needed funding to legislative committees each year as part of its budget presentation. An implementation report is required by January 15, 2026, covering the rate-study schedule and payment methodology. The law sets no payment amounts or direct household payments.

Sponsors & Cosponsors

Sponsor

  • Theresa A Wood

    Democratic • House

Cosponsors

  • Daniel A Noyes

    Democratic • House

Roll Call Votes

No roll call votes available for this bill.

Actions Timeline

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

    5/14/2025House

  2. Signed by Governor on May 13, 2025

    5/13/2025House

  3. Delivered to Governor on May 7, 2025

    5/7/2025House

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

    4/30/2025House

  5. Senate proposal of amendment concurred in

    4/29/2025House

  6. Action Calendar: Unfinished Business

    4/29/2025House

  7. Action Calendar: Senate Proposal of Amendment

    4/28/2025House

  8. Notice Calendar: Senate Proposal of Amendment

    4/25/2025House

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

    4/24/2025Senate

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

    4/23/2025Senate

  11. Pending third reading, motion to amend Senate proposal of amendment by Senator(s) Gulick, Cummings, Douglass, Hart, and Lyons agreed to

    4/23/2025Senate

  12. Proposal of amendment to be offered by Senator(s) Gulick

    4/23/2025Senate

  13. New Business/Third Reading

    4/23/2025Senate

  14. 3rd reading ordered

    4/22/2025Senate

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

    4/22/2025Senate

  16. Reported favorably by Senator Lyons for Committee on Appropriations

    4/22/2025Senate

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

    4/22/2025Senate

  18. Favorable report by Committee on Appropriations

    4/22/2025Senate

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

    4/22/2025Senate

  20. Second Reading

    4/22/2025Senate

  21. Favorable report by Committee on Appropriations

    4/18/2025Senate

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

    4/18/2025Senate

  23. Second Reading

    4/18/2025Senate

  24. Entered on Notice Calendar

    4/18/2025Senate

  25. Referred to Committee on Appropriations per Senate Rule 31

    4/9/2025Senate

Bill Text

  • As Enacted (ACT 14)Opens in a new window

    5/19/2025

    PDF

  • As Passed by Both Chambers

    5/5/2025

    PDF

  • As Passed by Both Chambers (Unofficial)

    5/5/2025

    PDF

  • Senate Proposal of Amendment

    4/25/2025

    PDF

  • Senate Proposal of Amendment (Unofficial)

    4/25/2025

    PDF

  • As Passed by the House

    2/21/2025

    PDF

  • As Passed by the House (Unofficial)

    2/21/2025

    PDF

  • As Introduced

    12/30/2024

    PDF

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