# Vermont H.31: An act relating to claim edit standards and prior authorization requirements

Vermont H.31, An act relating to claim edit standards and prior authorization requirements, is a 2025-2026 Session House bill sponsored by Alyssa Black (Democratic); status signed, last action 2025-03-11 (House message: Governor approved bill on March 5, 2025); PRIA reads it as touching household money (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/VT-H31-2026
- As of: 2026-11-01
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Vermont H.31
- State: Vermont
- Session: 2025-2026 Session
- Title: An act relating to claim edit standards and prior authorization requirements
- Status: signed
- Chamber: House
- Introduced: 2025-01-14
- Last action: 2025-03-11, House message: Governor approved bill on March 5, 2025
- Sponsor: Alyssa Black (Democratic)
- Cosponsors: 0
- Touches household money: yes
- Economic provisions PRIA read: 2

## Summary

No summary available.

## Bill overview: provisions PRIA read

- Less prior approval for primary care orders: benefit, low. Health plans cannot require prior approval for admissions, items, services, treatments, or procedures ordered by a qualifying primary care provider. The provider must be contracted and enrolled with the plan as a primary care provider. Prescription drugs and out-of-network care are excluded from th…
- New claim-processing exceptions for Vermont health plans: mixed, low. Beginning January 1, 2026, health plans have three exceptions to Vermont's rules for checking medical claims. Plans can depart from these rules when needed to follow state or federal law or coverage requirements. They can also use rules they find more favorable to providers or address new codes the…

## Sponsors and cosponsors

- Sponsor: Alyssa Black (Democratic), House

## Actions (22)

- 2025-03-11: House message: Governor approved bill on March 5, 2025 (House)
- 2025-03-11: Signed by Governor on March 5, 2025 (House)
- 2025-02-28: Delivered to Governor on February 28, 2025 (House)
- 2025-02-26: Senate Message: Passed in concurrence (Senate)
- 2025-02-25: Read 3rd time & passed in concurrence (Senate)
- 2025-02-25: Unfinished Business/Third Reading (Senate)
- 2025-02-21: New Business/Third Reading (Senate)
- 2025-02-19: Reported favorably by Senator Lyons for Committee on Health and Welfare, read 2nd time and 3rd reading ordered (Senate)
- 2025-02-19: Favorable report by Committee on Health and Welfare (Senate)
- 2025-02-19: Second Reading (Senate)
- 2025-02-18: Favorable report by Committee on Health and Welfare (Senate)
- 2025-02-18: Second Reading (Senate)
- 2025-02-18: Entered on Notice Calendar (Senate)
- 2025-02-06: Read 1st time & referred to Committee on Health and Welfare (Senate)
- 2025-02-04: Read third time and passed (House)
- 2025-02-04: Action Calendar: Third Reading (House)
- 2025-01-31: Third Reading ordered (House)
- 2025-01-31: Rep. Black of Essex reported for the Committee on Health Care (House)
- 2025-01-31: Read second time (House)
- 2025-01-31: Action Calendar: Favorable (House)
- 2025-01-30: On Notice Calendar (House)
- 2025-01-14: Read first time and referred to the Committee on Health Care (House)

## Bill text

- As Enacted (ACT 3)Opens in a new window, 2025-03-07: [PDF](https://legislature.vermont.gov/Documents/2026/Docs/ACTS/ACT003/ACT003%20As%20Enacted.pdf)
- As Passed by Both Chambers, 2025-02-27: [PDF](https://legislature.vermont.gov/Documents/2026/Docs/BILLS/H-0031/H-0031 As Passed by Both House and Senate Official.pdf)
- As Passed by Both Chambers (Unofficial), 2025-02-27: [PDF](https://legislature.vermont.gov/Documents/2026/Docs/BILLS/H-0031/H-0031 As Passed by Both House and Senate Unofficial.pdf)
- As Passed by the House, 2025-02-06: [PDF](https://legislature.vermont.gov/Documents/2026/Docs/BILLS/H-0031/H-0031 As passed by the House Official.pdf)
- As Passed by the House (Unofficial), 2025-02-06: [PDF](https://legislature.vermont.gov/Documents/2026/Docs/BILLS/H-0031/H-0031 As Passed by the House Unofficial.pdf)
- As Introduced, 2025-01-13: [PDF](https://legislature.vermont.gov/Documents/2026/Docs/BILLS/H-0031/H-0031 As Introduced.pdf)

## Related bills

- S.328: An act relating to housing and common interest communities (signed)
- S.327: An act relating to economic development (signed)
- S.313: An act relating to transforming Vermont’s career technical education system (signed)
- S.323: An act relating to miscellaneous agricultural subjects (signed)
- S.326: An act relating to miscellaneous amendments to laws relating to motor vehicles (signed)
- S.298: An act relating to voter protections (signed)

## Sources
- [As Enacted (ACT 3)Opens in a new window (PDF)](https://legislature.vermont.gov/Documents/2026/Docs/ACTS/ACT003/ACT003%20As%20Enacted.pdf)
- [As Passed by Both Chambers (PDF)](https://legislature.vermont.gov/Documents/2026/Docs/BILLS/H-0031/H-0031 As Passed by Both House and Senate Official.pdf)
- [As Passed by Both Chambers (Unofficial) (PDF)](https://legislature.vermont.gov/Documents/2026/Docs/BILLS/H-0031/H-0031 As Passed by Both House and Senate Unofficial.pdf)
- [As Passed by the House (PDF)](https://legislature.vermont.gov/Documents/2026/Docs/BILLS/H-0031/H-0031 As passed by the House Official.pdf)
- [As Passed by the House (Unofficial) (PDF)](https://legislature.vermont.gov/Documents/2026/Docs/BILLS/H-0031/H-0031 As Passed by the House Unofficial.pdf)
- [As Introduced (PDF)](https://legislature.vermont.gov/Documents/2026/Docs/BILLS/H-0031/H-0031 As Introduced.pdf)

## Related
- [S.328: An act relating to housing and common interest communities](https://policyrisk.com/state-bill/VT-S328-2026)
- [S.327: An act relating to economic development](https://policyrisk.com/state-bill/VT-S327-2026)
- [S.313: An act relating to transforming Vermont’s career technical education system](https://policyrisk.com/state-bill/VT-S313-2026)
- [S.323: An act relating to miscellaneous agricultural subjects](https://policyrisk.com/state-bill/VT-S323-2026)
- [S.326: An act relating to miscellaneous amendments to laws relating to motor vehicles](https://policyrisk.com/state-bill/VT-S326-2026)
- [S.298: An act relating to voter protections](https://policyrisk.com/state-bill/VT-S298-2026)
- [Vermont bills](https://policyrisk.com/states/vermont/bills)
- [Vermont state hub](https://policyrisk.com/states/vermont)
- [All state legislation](https://policyrisk.com/state-bills)

Source: PRIA, https://policyrisk.com/state-bill/VT-H31-2026 (as of 2026-11-01).