Vermont 2025-2026 Regular Session

Vermont House Bill H0228

Introduced
2/18/25  

Caption

An act relating to hospital employee compensation and administrative staffing ratios

Impact

This bill primarily affects hospital management and employee compensation structures in Vermont. By regulating the compensation ratios between top executives and front-line healthcare workers, the legislation is expected to contribute to fairness in pay distribution, thereby enhancing the appeal of healthcare professions and potentially improving recruitment and retention rates within the sector. Additionally, it addresses concerns of financial transparency in hospital operations by having the Green Mountain Care Board oversee budget allocation and staffing protocols.

Summary

House Bill H0228 introduces measures that require hospitals to report information related to employee compensation and administrative staffing ratios as part of the Green Mountain Care Board’s budget review process. The bill mandates hospitals to make known to the Board their executive compensation alongside the number of administrative versus healthcare service employees. Significantly, the compensation for executive leadership cannot exceed 10 times that of the lowest-paid healthcare service employees, aiming to establish a more equitable wage structure within hospitals.

Contention

There are notable points of contention regarding the oversight and implications of the bill. Proponents assert that it will promote accountability in how hospitals allocate financial resources and ensure fair treatment of lower-paid employees. However, opponents may argue that stringent regulations on executive compensation could affect the ability of hospitals to attract top talent for leadership roles, potentially impacting operational effectiveness. Furthermore, there are concerns regarding the practicality and administrative burden of enforcing these standards across various hospital settings.

Companion Bills

No companion bills found.

Previously Filed As

VT S0211

An act relating to health care reform and to the regulatory duties of the Green Mountain Care Board

VT H0889

An act relating to compensation for certain State employees (Pay Act)

VT H0055

An act relating to miscellaneous unemployment insurance, workers' compensation, and employment practices amendments and to establishing the Vermont Baby Bond Trust

VT S0039

An act relating to compensation and benefits for members of the Vermont General Assembly

VT H0411

An act relating to extending COVID-19 health care regulatory flexibility

VT H0217

An act relating to child care, early education, workers' compensation, and unemployment insurance

VT H0598

An act relating to holding local hearings on hospital budgets

VT S0224

An act relating to compensation and benefits for members of the Vermont General Assembly

VT H0367

An act relating to promoting economic development, administrative capacity, and vitality in rural communities

VT S0036

An act relating to crimes against health care workers at hospitals and against emergency medical treatment providers

Similar Bills

VT S0025

An act relating to hospital salaries and administrative staffing ratios

OR HB3320

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OR SB539

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MD SB981

Hospitals - Financial Assistance and Collection of Debts - Policies

MD HB268

Hospitals - Financial Assistance and Collection of Debts - Policies

OK SB1396

Supplemental hospital offset payment program; adding definitions; purposes funded; transfers. Emergency.

VT H0482

An act relating to Green Mountain Care Board authority to adjust a hospital’s reimbursement rates and to appoint a hospital observer

OR SB1060

Relating to standard charges established by a hospital.