VT LEG #380951 v.2
H.13 – An act relating to Medicaid payment rates for home -
and community-based service providers
As passed by the House of Representatives
Bill Summary
he bill would address Medicaid payment rates for home- and community-based service (HCBS)
providers, designated agencies (DAs) and specialized services agencies (SSAs). The bill would
requre the Secretary of Human Services:
• To determine payment rates for HCBS providers, DAs, and SSAs that are “reasonable and
adequate to achieve the required outcomes for the populations they serve.”
• To consider geographic differences in wages, benefits, housing and real estate costs in each
region of the State when determining “reasonable and adequate” rates of payment for HCBS
providers, DAs, and SSAs.
• To establish a methodology for determining payment rates for HCBS providers, DAs, and
SSAs in accordance with the bill.
• To establish a process by which a provider whose financial condition places it at imminent risk
of closure may seek extraordinary financial relief from the Agency of Human Services (AHS).
• To redetermine the payment rates for HCBS providers, DAs, and SSAs at least annually and
report on those rates and the amounts necessary to fund them to the legislative committees of
jurisdiction annually as part of the Agency’s budget presentation.
Fiscal Impact
While the bill requires the Secretary of Human Services to determine reasonable and adequate rates for
HCBS providers, DAs, and SSAs, it does not require the Agency to increase the rates therefore there
would be no fiscal impact on the budget specific to the bill as proposed.
The bill also requires AHS to establish a process for providers whose financial condition places them at
risk of closure to seek extraordinary financial relief from AHS. However, the bill does not require AHS to
provide financial relief to HCBS providers, DAs or SSAs, nor does it provide an appropriate to fund any
such financial relief.
T
2/24/2025 Nolan Langweil