Title 18, Title 18: Health

§ 4634. Prescription drug price disclosure (a) Upon request, a pharmacy shall disclose to any consumer or health care provider the usual and customary retail price of a prescription drug. (b) With each prescription dispensed, a pharmacy shall disclose to the consumer, in writing,…

§ 4635. Prescription drug cost transparency (a) As used in this section: (1) “Manufacturer” shall have the same meaning as “pharmaceutical manufacturer” in section 4631a of this title. (2) “Prescription drug” means a drug as defined in 21 U.S.C. § 321. (b)(1)(A) The Department of…

§ 4636. Impact of prescription drug costs on health insurance premiums; report (a)(1) Each health insurer with more than 1,000 covered lives in this State for major medical health insurance shall report to the Green Mountain Care Board for all covered prescription drugs, includin…

§ 4637. Notice of introduction of new high-cost prescription drugs (a) As used in this section: (1) “Manufacturer” shall have the same meaning as “pharmaceutical manufacturer” in section 4631a of this title. (2) “Prescription drug” means a drug as defined in 21 U.S.C. § 321. (b) …

§ 4651. Wholesale importation program for prescription drugs; design (a) The Agency of Human Services, in consultation with interested stakeholders and appropriate federal officials, shall design a wholesale prescription drug importation program that complies with the applicable …

§ 4652. Monitoring for anticompetitive behavior The Agency of Human Services shall consult with the Office of the Attorney General to identify the potential, and to monitor, for anticompetitive behavior in industries that would be affected by a wholesale prescription drug importa…

§ 4653. Federal compliance (a) On or before July 1, 2020, the Agency of Human Services shall submit a formal request to the Secretary of the U.S. Department of Health and Human Services for certification of the State’s wholesale prescription drug importation program. (b) The Agen…

§ 4654. Program financing The Agency of Human Services shall not implement the wholesale prescription drug importation program until the General Assembly enacts legislation establishing a charge per prescription or another method of financial support for the program. (Added 2017,…

§ 4655. Implementation provisions Upon the last to occur of the General Assembly enacting a method of financial support pursuant to section 4654 of this chapter and receipt of certification and approval by the Secretary of the U.S. Department of Health and Human Services, the Age…

§ 4656. Annual reporting (a) Annually on or before January 15, the Agency of Human Services shall report to the House Committees on Health Care and on Ways and Means and the Senate Committees on Health and Welfare and on Finance regarding the operation of the wholesale prescripti…

§ 4671. Creation of program The Agency of Human Services may contract or enter into agreements with qualified entities as needed to create and administer an unused drug repository program for the collection and distribution of unused drugs in Vermont, to the extent that funds are…

§ 4672. Agency of Human Services; rulemaking The Agency of Human Services shall adopt rules for the administration of the program, including rules regarding: (1) donations to the program, which may include donations from institutional settings in Vermont, such as pharmacies, long…

§ 4673. Limitations on liability Except in cases of bad faith, gross negligence, intentional misconduct, or noncompliance with the rules adopted pursuant to section 4672 of this chapter, the following persons shall not be subject to civil or criminal liability or professional dis…

§ 4681. Definitions As used in this subchapter: (1) “340B contract pharmacy” means a pharmacy that has a contract with a 340B covered entity to receive and dispense 340B drugs to the 340B covered entity’s patients on the covered entity’s behalf. (2) “340B covered entity” means an…

§ 4682. Discrimination against 340B entities prohibited (a) A manufacturer or its agent shall not deny, restrict, prohibit, or otherwise interfere with, directly or indirectly, the acquisition of a 340B drug by or delivery of a 340B drug to a 340B contract pharmacy on behalf of a…

§ 4683. Medicaid unaffected Nothing in this subchapter shall be deemed to apply to the Vermont Medicaid program as payor. (Added 2025, No. 55, § 1, eff. June 11, 2025.)

§ 4684. Violations (a) A 340B covered entity, 340B contract pharmacy, or other person injured by a manufacturer’s or its agent’s violation of this subchapter may bring an action in Superior Court for injunctive relief, compensatory and punitive damages, costs and reasonable attor…

§ 4685. No conflict with federal law Nothing in this subchapter shall be construed or applied to conflict with or to be less restrictive than federal law for a person regulated by this subchapter. (Added 2025, No. 55, § 1, eff. June 11, 2025.)

§ 4750. Definitions As used in this chapter: (1) “Health insurance plan” has the same meaning as in 8 V.S.A. § 4011. (2) “Medication for opioid use disorder” means the use of U.S. Food and Drug Administration-approved medications, in combination with counseling and behavioral the…

§ 4751. Purpose It is the purpose of this chapter to authorize the Departments of Health and of Vermont Health Access to establish a regional system of opioid addiction treatment. (Added 2011, No. 135 (Adj. Sess.), § 1, eff. May 14, 2012; amended 2015, No. 173 (Adj. Sess.), § 3.)…

§ 4752. Opioid use disorder treatment system (a) The Departments of Health and of Vermont Health Access shall establish by rule in accordance with 3 V.S.A. chapter 25 a regional system of opioid use disorder treatment. (b) The rules may address requirements for pharmacological tr…

§ 4753. Care coordination Prescribing physicians and collaborating health care and addictions professionals may coordinate care for patients receiving medication for opioid use disorder, which may include monitoring adherence to treatment, coordinating access to recovery supports…

§ 4754. Limitation on prior authorization requirements (a) A health insurance plan shall not require prior authorization for prescription drugs for a patient who is receiving medication for opioid use disorder if the dosage prescribed is within the U.S. Food and Drug Administrati…

§ 4771. Purpose It is the purpose of this subchapter to comply with any opioid litigation settlements to which the State or municipalities within the State were a party regarding the management and expenditure of monies received by the State. While an opioid litigation settlement…

§ 4772. Opioid Settlement Advisory Committee (a) Creation. There is created the Opioid Settlement Advisory Committee to provide advice and recommendations regarding remediation spending from the Opioid Abatement Special Fund established pursuant to this subchapter. (b) Membership…

§ 4773. Designation of lead State agency The Department of Health shall serve as the lead State agency and single point of contact for submitting requests for funding to the national settlement fund administrator. Approved requests shall be disbursed to the Department for deposit…

§ 4774. Opioid Abatement Special Fund (a)(1) There is created the Opioid Abatement Special Fund, a special fund established and managed pursuant to 32 V.S.A. chapter 7, subchapter 5 and administered by the Department of Health. The Opioid Abatement Special Fund shall consist of a…

§ 4801. Declaration of policy (a) It is the policy of the State of Vermont that alcoholism and alcohol abuse are correctly perceived as health and social problems rather than criminal transgressions against the welfare and morals of the public. (b) The General Assembly therefore …

§ 4802. Definitions As used in this chapter: (1) “Alcoholic” means a person with the condition of alcoholism. (2) “Alcoholism” means addiction to the drug alcohol. It is characterized by: (A) chronic absence of control by the drug user over the frequency or the volume of his or h…

§ 4803. Substance Misuse Prevention Oversight and Advisory Council (a) Creation. There is created the Substance Misuse Prevention Oversight and Advisory Council within the Department of Health to improve the health outcomes of all Vermonters through a consolidated and holistic ap…

§ 4804. Manager of Substance Misuse Prevention There is created the permanent position of the Manager of Substance Misuse Prevention within the Department of Health for the purpose of: (1) coordinating the work of the Substance Misuse Prevention Oversight and Advisory Council est…

§ 4806. Division of Substance Use Programs (a) The Division of Substance Use Programs shall plan, operate, and evaluate a consistent, effective program of substance use programs. All duties, responsibilities, and authority of the Division shall be carried out and exercised by and…

§ 4807. Authority and accountability for alcoholism services; rules for acceptance into treatment (a) The Secretary shall have the authority and accountability for providing or arranging for the provision of a comprehensive system of alcoholism prevention and treatment services. …

§ 4810. Treatment and services (a) When a law enforcement officer encounters a person who, in the judgment of the officer, is intoxicated as defined in section 4802 of this title, the officer may assist the person, if he or she consents, to his or her home, to an approved substan…

§ 4812. Substance Misuse Prevention Special Fund (a) The Substance Misuse Prevention Special Fund is established and managed by the Vermont Department of Health in accordance with 32 V.S.A. chapter 7, subchapter 5. (b) Thirty percent of the revenues raised by the cannabis excise …

§ 4999. Definitions As used in this part: (1) “Issuing agent” means a town clerk or duly authorized representative of the State Registrar who issues certified and noncertified copies of birth and death certificates from the Statewide Registration System. (2) “Licensed health care…

§ 5000. State Registrar; duties; authority; Statewide Registration System; issuing agents (a) The Commissioner shall designate a member of the Department as the State Registrar. The State Registrar shall head the Office of Vital Records and shall provide consultation to town cler…

§ 5001. Duties of custodians (a) Beginning on January 1, 2010, all certified copies of vital event certificates shall be issued on unique paper with antifraud features approved by the State Registrar and available from the Office of Vital Records. (b) Town custodians of vital eve…

§ 5002. Report of vital statistics; preservation of records; authority to issue The State Registrar shall prepare an annual vital statistics report summarizing reports or returns of births, marriages, deaths, fetal deaths, divorces, annulments, and dissolutions received in the pr…

§ 5003. Materials for issuing agents The State Registrar shall procure and send to issuing agents materials as may be necessary for the issuance of vital event certificates. (Amended 2017, No. 46, § 6, eff. July 1, 2019.)

§ 5004. Family Division of the Superior Court; divorce and dissolution returns The Family Division of the Superior Court shall send to the State Registrar, before the 10th day of each month, by county, a report of the number of divorces and dissolutions that became absolute durin…

§ 5005. Unorganized towns and gores The county clerk of a county where an unorganized town or gore is situated shall have the authority, perform the duties, and be subject to the penalties prescribed in this part in relation to vital records with respect to residents of the unorg…

§ 5006. Vital event information published in town reports Town clerks or auditors may publish in the annual town report nonconfidential information and statistics concerning births, marriages, and deaths of residents during the preceding calendar year. Upon request, the State Reg…

§ 5007. Preservation of records A town clerk shall receive, number, and file for record certificates of marriages and burial-transit permits returned to the clerk. A town clerk shall permanently preserve at the office of the clerk birth and death certificates registered prior to …

§ 5008. Town clerk; recording and indexing procedures A town clerk shall file for record and index in volumes all marriage certificates and burial-transit permits received by the town. Each volume or series shall contain an alphabetical index. Civil marriage certificates shall be…

§ 5009. Certified copies to town of residence On the first day of each month, the town clerk shall make a certified copy of each original, corrected, or amended civil marriage certificate or amended civil union certificate filed in the clerk’s office during the preceding month, w…