The bill H.228 aims to enhance transparency and accountability in hospital operations by requiring hospitals to provide detailed information regarding employee compensation and administrative staffing ratios to the Green Mountain Care Board. Specifically, hospitals will need to report the number of administrative employees versus those delivering direct patient care, as well as base salaries and total compensation for both executive and clinical leadership and healthcare service employees. Additionally, the bill mandates that hospitals make current compensation information available to the Board throughout the fiscal year.

Furthermore, the bill establishes guidelines for the review of hospital budgets, ensuring that the ratio of administrative staff to healthcare providers aligns with national averages. It also sets a cap on executive compensation, limiting it to no more than ten times the salary of the lowest-paid employees providing direct patient care. The provisions of this act will take effect on January 1, 2026, and will apply to hospital budgets for fiscal years 2027 and beyond.

Statutes affected:
As Introduced: 18-9454, 18-9456