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VAHHS Bill Tracker

May 12, 2019


ACO and APM Reporting


Passed both chambers

Requires the GMCB to conduct an evaluation of the extent to which social services are integrated into accountable care








Conference Committee


House Version: - Rejects Administration's proposal to increase hospitals' and insurers' proportion of GMCB funding Senate Version:- Rejects Administration's proposal to increase hospitals' and insurers' proportion of GMCB funding - Reinstates cut to mental health support funding to emergency departments, $582,000 - Expands dental benefit from $510 per year to $1,000 per year plus 2 preventive visits



 Cannabis Commercialization






Not moving


 Current House version includes advertisement and labeling restrictions, maintaining current medical marijuana regulation, sustainable funding for a prevention 

 Capital Bill






Senate Floor


Includes replacement of Middlesex Secure Residential Recovery Facility with a 16-bed state facility while analyzing the need for interim beds, such as the residential beds proposed by Rutland Regional Medical Center and Rutland Mental Health Services, and allowing the state to negotiate for such beds if needed. Also directs DAIL to allow for emergency involuntary procedures at secure residential facilities



 E-Cigarette Internet Sales 





 Passed both Chambers


 Prohibits sale and shipping of electronic cigarettes and paraphenalia to anyone in Vermont other than a licensed wholesale dealer or retailer.


E-Cigarette Taxation






Passed both Chambers



Taxes electronic cigarettes as "other tobacco products" 
Health Care Professional on GMCB


Health Care Professional on GMCB


 Not Moving

Requires at least one member of the GMCB to be a health care professional

Healthy Meals


Not Moving Requires restaurants to offer healthy beverage choices as the default for children's meals while preserving the option of other beverages.
Insurance Market Stabilization H.524 Senate Floor Adopts many ACA protections as state law, including insurance coverage by parent for child until age 26 and prohibitions on preexisting condition exclusions
Minimum Wage S.23 Senate Floor Increases the minimum wage by 2.25 times CPI inflation until it reaches $15/hr, which is projected to happen in 2026.  AHS must report on the needs of Medicaid providers to meet the new minimum wage requirements.
Physician Assistant Licensing S.128 Not Moving Proposes eliminating physician supervision of and liability for PAs-- PAs in a hospital would need privileges for licensure and physicians in the community would need a practice agreement with a physician. 
Plastics Ban S.113 Conference Committee Bans the use of single-use plastic bags, styrofoam, and plastic straws. Hospitals are exempt from plastic straw ban.
Primary Care Spend  Act 17 Enacted into Law
Study to determine current spend on primary care and compare it to current benchmarks and spending in other states as well as the projected spending trend under the APM
Prior Authorizations for MAT
S.43 Passed both Chambers Proposes to prohibit health insurance plans from imposing prior authorizations on medication-assisted treatment (MAT) and requires Medicaid to report on its prior authorization processes regarding MAT.
Rural Health Care H.528 Passed both Chambers Creates the Rural Health Services Task Force to ensure the sustainability of Vermont's rural hospitals and health care system.
Smoking Age S.86 Passed both Chambers Increase the smoking age from 18 to 21 years of age.
Transparency and Health Information Exchange S.31
Senate Floor Requires hospitals and ambulatory surgical centers to provide information about financial assistance and billing and collections practices. Directs DVHA to consult with stakeholders to incorporate an "opt-out" process for Vermont's health information exchange.
Workforce Development H.533 Conference Committee Report on workforce training and credentialing for nurse educators and new Americans 
Substance Misuse Prevention S.146 Passed both Chambers Combines Tobacco Evaluation and Review Board and Alcohol and Drug Abuse Council into Substance Misuse Prevention Oversight and Advisory Council to focus efforts around preventing misuse of drugs, alcohol, and tobacco.