The bill H.82 proposes the establishment of the Division of Planning and Evaluation within the Green Mountain Care Board, which will be tasked with preparing a comprehensive report on Vermont's health care system. This report aims to enhance public understanding of health care costs, performance, access, and quality. Additionally, the Division will create a five-year strategic plan to improve population health and ensure that all Vermonters, particularly those in rural areas, have access to high-quality and affordable health care. The Division will also set total-cost-of-care spending growth targets and recommend actions to achieve these targets while enhancing care access and quality.

Furthermore, the bill mandates the Green Mountain Care Board to implement the strategic plan and spending targets established by the Division. It requires the Board to collaborate with hospitals and stakeholders to develop a standardized financial reporting process and align hospital strategic plans with the statewide plan. The bill allows the Board to adjust timelines for hospital budget reviews and rate-setting to improve efficiency and alignment. It also directs the Board to explore alternative regulatory approaches for hospital budgets and adds new positions and resources to strengthen the Board's capacity in planning, rate-setting, and financial compliance. Additionally, the bill proposes alternative funding sources for health care provider payments linked to expiring funding models.