An act relating to establishing the Vermont Prescription Drug Discount Card Program
Sponsored By: Alyssa Black (Democratic)
Signed by Governor
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 3 benefits, 0 costs, 0 mixed.
More drug payments count toward deductibles
Beginning July 1, 2026, qualifying payments by you or on your behalf count toward your health plan's prescription deductible. They also count toward applicable out-of-pocket limits and annual out-of-pocket maximums. This includes qualifying discount-card purchases made without using your plan's drug coverage. Third-party payments, financial help, discounts, coupons, and other price reductions count only when the drug has no generic or interchangeable biological alternative. They also qualify if you gained access through prior approval, step therapy, or an exceptions and appeals process. For purchases without using drug coverage, you must submit proof of the actual amount paid. Insurers and pharmacy benefit managers must provide a downloadable proof-of-payment form and an annual notice explaining this requirement. For high-deductible plans, payments count only to the extent that the plan keeps its health savings account eligibility.
New prescription discounts for Vermont residents
Beginning July 1, 2026, the State Treasurer runs a prescription drug discount card program for all Vermont residents. The Treasurer can pool purchasing power with other states, territories, regional groups, and nongovernmental organizations. These partnerships can negotiate discounts, centralize purchases, and arrange volume discounts; no specific savings are guaranteed. The law provides $50,000 from the General Fund in fiscal year 2027 to develop and implement the program. It also renames the Financial Literacy Trust Fund as the Financial Literacy and Economic Empowerment Trust Fund. The fund's purposes expand to include other economic empowerment opportunities for Vermonters and paying program administration costs. Program money from transfers, gifts, grants, donations, and partnerships must go into this fund. By January 15, 2028, and annually afterward, the Treasurer must report to the Governor and the House and Senate health committees. Reports cover the prior year's resident and pharmacy participation, drug savings, and effects on Vermont pharmacies' ability to stay open.
Payment caps protect insured prescription buyers
Beginning July 1, 2026, pharmacy benefit managers cannot require insured people to pay above the lowest of three amounts. For a covered prescription, these are the plan's cost-sharing amount, the drug's maximum allowed cost, and the pharmacy's usual cash price after known discounts. Discount cards and other third-party drug benefits do not count as discounts when calculating that cash price.
Sponsors & Cosponsors
Sponsor
Alyssa Black
Democratic • House
Cosponsors
Daisy Berbeco
Democratic • House
Roll Call Votes
No roll call votes available for this bill.
Actions Timeline
House message: Governor approved bill on June 15, 2026
5/29/2026HouseSigned by Governor on June 15, 2026
5/29/2026HouseDelivered to Governor on June 9, 2026
5/29/2026HouseHouse message: House concurred in Senate proposal of amendment
5/21/2026HouseSenate proposal of amendment concurred in
5/19/2026HouseAction Calendar: Unfinished Business
5/19/2026HouseAction Calendar: Senate Proposal of Amendment
5/18/2026HouseNotice Calendar: Senate Proposal of Amendment
5/15/2026HouseSenate Message: Passed in concurrence with proposal of amendment
5/14/2026SenateRead 3rd time & passed in concurrence with proposal of amendment
5/13/2026SenateNew Business/Third Reading
5/13/2026Senate3rd reading ordered
5/12/2026SenateProposal of amendment by Committee on Health and Welfare agreed to
5/12/2026SenateReported favorably by Senator Lyons for Committee on Appropriations
5/12/2026SenateReported favorably by Senator Gulick for Committee on Finance
5/12/2026SenateRead 2nd time, reported favorably with proposal of amendment by Senator Lyons for Committee on Health and Welfare
5/12/2026SenateFavorable report by Committee on Appropriations
5/12/2026SenateFavorable report by Committee on Finance
5/12/2026SenateFavorable report with proposal of amendment by Committee on Health and Welfare
5/12/2026SenateNew Business/Second Reading
5/12/2026SenateFavorable report by Committee on Appropriations
5/8/2026SenateFavorable report by Committee on Finance
5/8/2026SenateFavorable report with proposal of amendment by Committee on Health and Welfare
5/8/2026SenateSecond Reading
5/8/2026SenateEntered on Notice Calendar
5/8/2026Senate
Bill Text
As Enacted (ACT 132)Opens in a new window
6/18/2026
As Passed by Both Chambers
6/2/2026
As Passed by Both Chambers (Unofficial)
6/2/2026
Senate Proposal of Amendment
5/14/2026
Senate Proposal of Amendment (Unofficial)
5/14/2026
As Passed by the House
3/31/2026
As Passed by the House (Unofficial)
3/31/2026
As Introduced
1/5/2026
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