The bill H.114 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 ensure that coverage is available to pregnant individuals of any age whose modified adjusted gross income falls within this threshold. Additionally, the bill allows for the Secretary to charge a monthly premium for those pregnant individuals and children 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 Agency is required 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. The bill appropriates $600,000 in Global Commitment funds for fiscal year 2026 to support the implementation of the Dr. Dynasaur eligibility expansion. The effective date for the eligibility expansion for pregnant individuals is set for January 1, 2026, while the other provisions will take effect on July 1, 2025.

Statutes affected:
As Introduced: 33-1901