Vermont S0055 proposes a plan for implementing reference-based pricing for hospital services in Vermont.

Vermont S0055 directs the Green Mountain Care Board to develop a plan for implementing reference-based pricing for inpatient and outpatient hospital services. The plan includes a timeline for gradual implementation, benchmark rates, adjustments, potential savings, quality and access methods, and resource needs. The Board must also recommend methods for mitigating adverse impacts on hospitals and protecting Vermonters against balance billing. The Board will submit its plan to specified committees by February 1, 2026.

Vermont S0055 proposes a plan for implementing reference-based pricing for hospital services in Vermont.

Vermont S0055 directs the Green Mountain Care Board to develop a plan for implementing reference-based pricing for inpatient and outpatient hospital services. The plan includes a timeline for gradual implementation, benchmark rates, adjustments, potential savings, quality and access methods, and resource needs. The Board must also recommend methods for mitigating adverse impacts on hospitals and protecting Vermonters against balance billing. The Board will submit its plan to specified committees by February 1, 2026.