BILL AS INTRODUCED H.82
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VT LEG #379720 v.1
H.82 1
SHORT FORM 2
Introduced by Representatives Holcombe of Norwich and Casey of Montpelier 3
Referred to Committee on 4
Date: 5
Subject: Health; health care reform; Green Mountain Care Board; Division of 6
Planning and Evaluation; hospitals; rate-setting 7
Statement of purpose of bill as introduced: This bill proposes to establish the 8
Division of Planning and Evaluation at the Green Mountain Care Board. The 9
Division would be responsible for preparing a report on the status of 10
Vermont’s health care system that enables the public to understand health care 11
system costs, performance, access, and quality. The Division would also be 12
responsible for preparing a five-year statewide strategic plan for improving 13
population health and for increasing Vermonters’ access to high-quality, 14
affordable health care, including ensuring that Vermonters living in rural 15
communities have appropriate access to primary care and hospital services. 16
The Division would establish total-cost-of-care spending growth targets and 17
recommend steps that the Green Mountain Care Board and others could take to 18
achieve the targets while improving access to and the quality of care. The 19
Division would also develop a proposal for achieving universal access to 20 BILL AS INTRODUCED H.82
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affordable, high-quality primary care and community-based mental health 1
services in Vermont. 2
The bill would direct the Green Mountain Care Board to implement, and to 3
identify any additional regulatory authority it would need to implement, the 4
statewide strategic plan and total-cost-of-care spending growth targets 5
established by the Division of Planning and Evaluation. The bill would also 6
direct the Board, in collaboration with hospitals and other interested 7
stakeholders, to develop a standardized process for financial reporting. The 8
bill would require the Board to create a process for promoting alignment 9
between the statewide strategic plan and hospitals’ strategic plans and budgets. 10
The bill would allow the Board to modify its timelines for hospital budget 11
reviews and hospital and insurer rate-setting in order to increase alignment and 12
efficiency. The bill would also direct the Board to evaluate alternative 13
approaches to regulating hospital budgets, including using reference-based 14
pricing and global hospital budgets, in order to align hospital spending with 15
both the statewide strategic plan and the total-cost-of-care spending growth 16
targets. 17
The bill would add several new positions and additional resources to the 18
Green Mountain Care Board for the Division of Planning and Evaluation, 19
provider rate setting and expanded budget review, and financial compliance 20
and auditing. The bill also proposes alternative funding sources for certain 21 BILL AS INTRODUCED H.82
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payments to health care providers, including population health management 1
payments, comprehensive payment reform payments, and payments through 2
the Blueprint for Health and Support and Services at Home (SASH) programs, 3
that have been linked to earlier funding models and will soon expire. 4
An act relating to establishing the Division of Planning and Evaluation and 5
strengthening the regulatory capacity of the Green Mountain Care Board 6
It is hereby enacted by the General Assembly of the State of Vermont: 7
(TEXT OMITTED IN SHORT-FORM BILLS) 8