The bill S.14 aims to expand eligibility for the Dr. Dynasaur program to include pregnant individuals with incomes up to 312 percent of the federal poverty level. It amends current law to specify that coverage will be available to pregnant individuals of any age whose modified adjusted gross income meets this threshold. Additionally, the bill allows the Secretary to charge a monthly premium for those whose family income exceeds 195 percent of the federal poverty level. The bill also mandates the Agency of Human Services to explore the feasibility and costs of further expanding eligibility for Dr. Dynasaur to all Vermont residents up to 26 years of age and for Medicaid coverage to residents aged 26 to 64.

Furthermore, the bill requires the Agency to report by January 15, 2026, on the feasibility of these expansions, including any necessary federal waivers, the costs involved, and a timeline for implementation. It appropriates $600,000 in Global Commitment funds for fiscal year 2026 to support the Dr. Dynasaur eligibility expansion, with specific allocations from both the General Fund and federal funds. The eligibility expansion for pregnant individuals is set to take effect on January 1, 2026, while the other provisions will take effect on July 1, 2025.

Statutes affected:
As Introduced: 33-1901