VT LEG #380951 v.4
H.13 – An act relating to Medicaid payment rates for home -
and community-based service providers, Draft 1.1
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As recommended by the Senate Committee on Health and Welfare
Bill Summary
he bill as recommended by the Senate Committee on Health and Welfare would address Medicaid
payment rates for community-based service providers, designated agencies (DAs), and specialized
services agencies (SSAs). The bill would require the Secretary of Human Services to:
• Determine payment rates for community-based services providers, DAs, and SSAs that are
“reasonable and adequate to achieve the required outcomes for the populations they serve;”
• Establish a methodology for determining payment rates for community-based services
providers, DAs, and SSAs;
• 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); and
• Redetermine the payment rates for community-based services 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.
The bill as recommended by the Senate Committee on Health and Welfare would also amend the bill title
after passage from “An act relating to Medicaid payment rates for home- and community-based service
providers” to “An act relating to Medicaid payment rates for community-based service providers.”
Fiscal Impact
The bill requires the Secretary of Human Services to determine reasonable and adequate rates for
community-based services providers, DAs, and SSAs. It also requires AHS to establish a process for
providers whose financial condition places them at risk of closure to seek extraordinary financial relief.
However, it neither requires AHS to increase rates nor provide extraordinary financial relief. Additionally,
there is no appropriation for rate increases or extraordinary financial relief in the bill. Therefore, the bill as
recommended by the Senate Committee on Health and Welfare would have no direct fiscal impact.
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The full fiscal note history is available on the fiscal tab of the bill page on the General Assembly website and can be pulled up through a
bill number search on the JFO page.
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The Joint Fiscal Office (JFO) is a nonpartisan legislative office dedicated to producing unbiased fiscal analysis – this fiscal note is
meant to provide information for legislative consideration, not to provide policy recommendations.
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April 8, 2025 Nolan Langweil, Principal Fiscal Analyst