H.185 is a bill introduced in the Vermont General Assembly that aims to establish a universal primary care program under the direction of the Green Mountain Care Board. The bill emphasizes the need for improved access to primary care services for Vermonters, citing current challenges such as administrative burdens on primary care clinicians and rising healthcare costs. The legislative intent is to enhance public health and reduce overall healthcare system expenses by implementing a program that provides universal access to primary care without requiring enrollment in insurance plans or public programs.

The bill outlines specific duties for the Green Mountain Care Board, including the development and implementation of the universal primary care program, which will encompass a range of services such as outpatient mental health and substance use disorder treatments. It also mandates the elimination of health insurance cost-sharing for primary care services and aims to reduce administrative burdens on healthcare providers. The program is to be funded through an allocation of premiums and public program funds, with the Board required to report on its progress by January 2026 and January 2027. The act is set to take effect upon passage, with the program expected to begin operations by January 1, 2028.

Statutes affected:
As Introduced: 18-9375(b), 18-9375