VermontH.2662025-2026 SessionHouseWALLET

An act relating to the 340B prescription drug pricing program

Sponsored By: Alyssa Black (Democratic)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

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

Hospitals face limits on outpatient drug charges

Beginning January 1, 2026, Vermont hospitals face limits on patient and insurer charges for drugs administered in outpatient or office settings. Drugs charged above 120% of average sales price on April 1, 2025, are capped at 120%. Other drugs keep the hospital's April 1, 2025, percentage ceiling. Average sales prices update each January 1 and July 1 using the latest federal quarterly calculations. Hospitals cannot offset these reductions by raising charges for other goods or services. Independent critical access hospitals without affiliation to another hospital or hospital network are exempt. The Green Mountain Care Board can approve targeted commercial rate increases when caps harm access, quality, or rural service sustainability. The caps continue unless the Board sets a different reference-based price for these drugs.

Stronger drug discount protections for eligible providers

Beginning June 11, 2025, drug makers must offer eligible providers and their contracted pharmacies 340B discounts at purchase, not later rebates. They cannot discriminate against these providers, block protected purchases, or interfere with dispensing to eligible patients. They cannot demand claims, use, purchase, or other data unless the federal health department requires sharing it. Federal bans on a pharmacy receiving drugs still apply; federal 340B rules and Vermont Medicaid's role as payor remain unchanged. Harmed providers, pharmacies, and other people can sue in Vermont Superior Court to stop violations. Courts can award compensation, punitive damages, costs, attorney's fees, and other appropriate relief. Each prohibited act counts separately; for discrimination violations, each affected drug package counts as a prohibited act.

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.

Bill Text

  • As Enacted (ACT 55)Opens in a new window

    6/18/2025

  • As Passed by Both Chambers

    6/2/2025

  • As Passed by Both Chambers (Unofficial)

    6/2/2025

  • House Proposal of Amendment (Unofficial)

    5/28/2025

  • Senate Proposal of Amendment

    5/19/2025

  • Senate Proposal of Amendment (Unofficial)

    5/19/2025

  • As Passed by the House

    3/20/2025

  • As Passed by the House (Unofficial)

    3/20/2025

  • As Introduced

    2/18/2025

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