The bill H.680 seeks to implement a primary care access reform program in Vermont, providing participating primary care providers with a monthly payment from health insurers for each patient, which covers routine primary care services without cost-sharing. This initiative aims to enhance access to primary care, alleviate administrative burdens, and improve the overall healthcare system in the state. The legislation mandates the Agency of Human Services to report on the program's expansion and requires the Green Mountain Care Board to focus on site-neutral reimbursements. Additionally, it allocates funds for primary care workforce development in fiscal year 2027 and removes the sunset provision on a primary care physician scholarship program.

The bill establishes new requirements for health insurers with at least 5,000 covered lives, mandating compliance with annual primary care spending targets while ensuring that individuals with fully insured plans do not face disproportionate financial burdens. The Agency of Human Services is tasked with implementing the primary care access reform program by July 1, 2027, and must report on its progress by December 15, 2026. Furthermore, the Green Mountain Care Board is required to provide updated reports on the clinician landscape and site-neutral reimbursements by January 1, 2027. The bill appropriates $6,750,000 from the General Fund for investments in the primary care workforce, including funding for a new residency program and scholarships, while repealing a previous sunset provision that would have ended certain medical student programs in 2027. The act will take effect upon passage, with workforce investment provisions starting on July 1, 2026.