The bill aims to overhaul Vermont's health care system by implementing structural changes that enhance health outcomes, access to services, and care quality. Key provisions include the establishment of an integrated care system, the introduction of reference-based pricing for health care services, and the creation of a Health Care Delivery Advisory Committee. The Green Mountain Care Board will oversee the implementation of pricing strategies and hospital budgets, ensuring they align with the total cost of care while maintaining access and quality. The bill also mandates that hospital budgets be consistent with the Statewide Health Care Delivery Strategic Plan and outlines specific requirements for these budgets, including considerations for mental health care access and incentive plans.

Additionally, the legislation emphasizes stakeholder engagement and data integration to improve the health care system. It establishes the Vermont Steering Committee for Comprehensive Primary Health Care and an Advisory Committee to enhance primary care services. The Agency of Human Services is tasked with developing a Unified Health Data Space and reporting on health data integration by January 15, 2026. The bill also includes provisions for grants to hospitals participating in transformation efforts and appropriates funds for various health care initiatives. Overall, the legislation seeks to create a more efficient, equitable, and cost-effective health care system in Vermont, with a focus on reducing inefficiencies and health inequities while increasing access to essential services.

Statutes affected:
As Introduced: 18-9375, 18-9376, 18-9454, 18-9456, 18-9418c, 18-9374, 3-3027, 18-9375(d)
As Passed By the Senate -- Official: 18-9375, 18-9376, 18-9454, 18-9456, 18-9418c, 18-9374, 3-3027, 18-9375(d)
As Passed By the Senate -- Unofficial: 18-9375, 18-9376, 18-9454, 18-9456, 18-9418c, 18-9374, 3-3027, 18-9375(d)
As Passed by Both House and Senate -- Official: 18-9375, 18-9376, 18-9454, 18-9456, 18-9418c, 18-9374, 3-3027, 18-9375(d), 18-9451
As Passed by Both House and Senate -- Unofficial: 18-9375, 18-9376, 18-9451, 18-9454, 18-9456, 18-9418c, 18-9374, 3-3027, 18-9375(d)
As Enacted: 18-9375, 18-9376, 18-9451, 18-9454, 18-9456, 18-9418c, 18-9374, 3-3027, 18-9375(d)