H.433 is a bill aimed at establishing Green Mountain Care, a publicly financed health care program for all Vermont residents, to be implemented over a ten-year period. The program will start with primary care services in the first year, followed by preventive dental and vision care in the second year, and will gradually expand to include additional health care services based on recommendations from the newly established Universal Health Care Advisory Group. The bill emphasizes the need for sustainable funding sources and prohibits health insurance plans from duplicating the coverage provided by Green Mountain Care.

The bill also includes amendments to existing law, such as repealing certain requirements for detailed economic analysis by the Green Mountain Care Board. It specifies that the first-year benefit package will include comprehensive primary care services with no cost-sharing, and outlines the gradual expansion of services over the following years. Additionally, it mandates that Green Mountain Care will cover any cost-sharing amounts exceeding those required under the program, ensures that contractors do not have financial incentives to limit access to services, and establishes a Universal Health Care Advisory Group to advise on implementation and financing. The program is set to begin on January 1, 2027, with the act taking effect on July 1, 2025.

Statutes affected:
As Introduced: 33-18, 8-4062