The bill H.13 amends Vermont's Medicaid payment rates for home- and community-based service providers by introducing new definitions and establishing a framework for determining payment rates. It defines "home- and community-based services" to include long-term services and supports for older adults and individuals with disabilities, as well as various health and rehabilitation services. The Secretary of Human Services is tasked with determining reasonable and adequate payment rates for these services, considering factors such as governmental mandates, inflation, and regional cost differences. Additionally, the Secretary must establish a methodology for rate determination, including regular studies and adjustments.

Furthermore, the bill mandates that the Secretary report annually on the payment rates and necessary funding to relevant legislative committees. It also allows for extraordinary financial relief for providers at risk of closure and requires an update on the implementation of the new payment rate framework by January 15, 2026. The act is set to take effect upon passage.

Statutes affected:
As Introduced: 33-900, 18-8914
As Passed By the House -- Official: 33-900, 18-8914
As Passed By the House -- Unofficial: 33-900, 18-8914