Act No. 51 Page 1 of 1
2023
This act summary is provided for the convenience of the public and members of the General Assembly. It
is intended to provide a general summary of the act and may not be exhaustive. It has been prepared by the
staff of the Office of Legislative Counsel without input from members of the General Assembly. It is not
intended to aid in the interpretation of legislation or to serve as a source of legislative intent.
Act No. 51 (H. 206). An act relating to miscellaneous changes affecting the duties of the
Department of Vermont Health Access
Subjects: Medicaid; health; prior authorization; Department of Vermont Health
Access; dental services; third-party insurers; Vermont Prescription Monitoring
System
This act adjusts Medicaid coverage for adult dental services, modifies prior
authorization requirements when Medicaid is seeking reimbursement from a third-party
insurer, adds the designee of the Medical Director of the Department of Vermont Health
Access as a person who may access the Vermont Prescription Monitoring System, and
requires the Department of Vermont Health Access to collaborate with representatives of
Vermont’s federally qualified health centers (FQHCs) on an alternative payment
methodology for Medicaid payments to FQHCs. This act also requires the Director of
Health Care Reform to submit a recommendation to legislative committees of jurisdiction
regarding funding for the Blueprint for Health; repeals a prospective repeal (sunset) of
certain prohibitions on pharmacy benefit managers; modifies the hospital lien statute to
include new requirements, exclusions, and limits; and adds a new report requirement for
the Agency of Human Services regarding transformation planning for a number of
Vermont hospitals.
Effective Date: Multiple effective dates, beginning on July 1, 2023
VT LEG #371009 v.2


Statutes affected:
As Introduced: 33-1992, 33-19, 18-4284
As Passed By the House -- Official: 33-1992, 33-19, 18-4284
As Passed By the House -- Unofficial: 33-1992, 33-19, 18-4284
As Passed by Both House and Senate -- Official: 33-1992, 33-19, 18-4284, 18-2251
As Passed by Both House and Senate -- Unofficial: 33-1992, 33-19, 18-4284, 18-2251
As Enacted: 33-1992, 33-19, 18-4284, 18-2251