The bill H.40 aims to establish a licensing framework for freestanding birth centers in Vermont while exempting them from the certificate of need review process. The legislation seeks to enhance access to prenatal, maternity, postpartum, and newborn care services, ensuring that these services are covered under health insurance plans and Medicaid. Key provisions include the removal of the certificate of need requirement for birth centers, the introduction of a licensing process, and the requirement for health insurance plans to cover services provided at licensed birth centers.

Additionally, the bill outlines specific definitions, licensing requirements, and operational standards for birth centers, including the need for compliance with health and safety regulations. It mandates that the Agency of Human Services seek federal approval to allow Vermont Medicaid to cover services provided at licensed birth centers. The act is set to take effect on January 1, 2026, with provisions for the Agency to submit its request for Medicaid coverage by July 1, 2025.

Statutes affected:
As Introduced: 18-9435(a), 18-9435, 8-4099d