H.580 is a bill that aims to expand health benefits for all public employees in Vermont, including current and retired State, school, municipal employees, and employees of the University of Vermont and Vermont State Colleges. The bill proposes to create a public employees health plan, which will be managed by an independent Commission on Public Employee Health Benefits responsible for determining the plan's design and the premium contributions from public employers and employees. Additionally, the bill seeks to remove health care from collective bargaining discussions between public employers and employees.

Furthermore, the bill intends to shift the financial responsibility for health insurance costs for current and retired school employees from the Education Fund and other public employees from their respective agency budgets to the public employees health plan budget. It mandates that the Governor's proposed budget for each fiscal year includes a separate line item for public employee health benefits and requires the Secretary of Administration to provide detailed annual reports on the health plan's costs and coverage statistics. The bill also calls for the Green Mountain Care Board and the Agency of Human Services to report on health insurance costs and expenditures annually, ensuring transparency in state health care spending.