The bill H.577 proposes the establishment of the Vermont Prescription Drug Discount Card Program, which will be administered by the Office of the State Treasurer. This program aims to pool prescription drug purchasing power with other U.S. states, territories, and nongovernmental organizations to reduce costs, negotiate discounts with manufacturers, centralize purchasing, and establish volume discount contracting. The program will be available to all Vermont residents, and the State Treasurer is authorized to charge reasonable fees to cover program costs. Additionally, the Treasurer is required to submit annual reports detailing the program's activities, including participation rates and savings achieved.

To support the program, the Vermont Prescription Drug Discount Card Program Fund will be created, consisting of appropriated funds, federal transfers, fees, and donations. The bill also includes an implementation report due by January 15, 2027, which will assess the program's progress and provide recommendations for improvement. Furthermore, an appropriation of $50,000 from the General Fund is designated for the program's development and implementation in fiscal year 2027. The act is set to take effect on July 1, 2026.