BILL AS INTRODUCED S.14
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VT LEG #378936 v.1
S.14 1
Introduced by Senators Hardy, Cummings, Gulick, Lyons, Vyhovsky, Watson 2
and White 3
Referred to Committee on 4
Date: 5
Subject: Health; Medicaid; Dr. Dynasaur; pregnant individuals; young adults 6
Statement of purpose of bill as introduced: This bill proposes to expand 7
eligibility for coverage under the Dr. Dynasaur program to pregnant 8
individuals with incomes up to 312 percent of the federal poverty level. The 9
bill would also direct the Agency of Human Services to report on the 10
feasibility and costs of expanding eligibility for Dr. Dynasaur coverage to all 11
Vermont residents up to 26 years of age with incomes up to 312 percent of the 12
federal poverty level and of expanding eligibility for Medicaid coverage to all 13
Vermont residents between 26 and 64 years of age within incomes up to 312 14
percent of the federal poverty level. 15
An act relating to expanding Dr. Dynasaur income eligibility for pregnant 16
individuals and exploring eligibility expansions for other populations 17 BILL AS INTRODUCED S.14
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VT LEG #378936 v.1
It is hereby enacted by the General Assembly of the State of Vermont: 1
Sec. 1. 33 V.S.A. § 1901 is amended to read: 2
§ 1901. ADMINISTRATION OF PROGRAM 3
* * * 4
(b) The Secretary shall make coverage under the Dr. Dynasaur program 5
established in accordance with Title XIX (Medicaid) and Title XXI (SCHIP) of 6
the Social Security Act available to pregnant individuals of any age whose 7
modified adjusted gross income is at or below 312 percent of the federal 8
poverty level for the applicable family size. 9
(c) The Secretary may charge a monthly premium, in amounts set by the 10
General Assembly, per family for pregnant women individuals and children 11
eligible for medical assistance under Sections 1902(a)(10)(A)(i)(III), (IV), 12
(VI), and (VII) of Title XIX of the Social Security Act, whose family income 13
exceeds 195 percent of the federal poverty level, as permitted under section 14
1902(r)(2) of that act. Fees collected under this subsection shall be credited to 15
the State Health Care Resources Fund established in section 1901d of this title 16
and shall be available to the Agency to offset the costs of providing Medicaid 17
services. Any co-payments, coinsurance, or other cost sharing to be charged 18
shall also be authorized and set by the General Assembly. 19
* * * 20 BILL AS INTRODUCED S.14
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VT LEG #378936 v.1
Sec. 2. EXPANDING ELIGIBILITY FOR DR. DYNASAUR AND 1
MEDICAID; AGENCY OF HUMAN SERVICES; REPORT 2
(a) The Agency of Human Services shall examine the feasibility of; 3
consider the need for a federal waiver or an amendment to Vermont’s Global 4
Commitment to Health Section 1115 demonstration, or both, for; develop a 5
proposed implementation timeline and estimated costs of implementation for; 6
and estimate the programmatic costs of: 7
(1) expanding eligibility for Dr. Dynasaur to all Vermont residents up to 8
26 years of age with incomes at or below 312 percent of the federal poverty 9
level (FPL); and 10
(2) expanding eligibility for Medicaid for adults who are 26 years of age 11
or older but under 65 years of age and not pregnant to individuals with 12
incomes at or below 312 percent FPL. 13
(b) On or before January 15, 2026, the Agency shall report to the House 14
Committees on Health Care and on Appropriations and to the Senate 15
Committees on Health and Welfare and on Appropriations regarding: 16
(1) the feasibility of expanding eligibility for Dr. Dynasaur and 17
Medicaid as set forth in subsection (a) of this section; 18
(2) any federal waiver or Section 1115 demonstration amendment 19
needed for the eligibility expansions; 20 BILL AS INTRODUCED S.14
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(3) the process for obtaining any necessary waiver or amendment and 1
the likelihood of receiving federal approval; 2
(4) the costs of the eligibility expansions, both programmatic costs and 3
technological and operational costs; and 4
(5) a reasonable timeline for implementing the eligibility expansions. 5
Sec. 3. APPROPRIATIONS 6
In fiscal year 2026, the sum of $600,000.00 in Global Commitment funds is 7
appropriated to the Agency of Human Services to implement the Dr. Dynasaur 8
eligibility expansion set forth in Sec. 1 of this act. 9
(1) In fiscal year 2026, the sum of $180,000.00 is appropriated from the 10
General Fund to the Agency of Human Services, Global Commitment 11
appropriation for the State match for implementation of the Dr. Dynasaur 12
eligibility expansion set forth in Sec. 1 of this act. 13
(2) In fiscal year 2026, the sum of $420,000.00 in federal funds is 14
appropriated to the Agency of Human Services, Global Commitment 15
appropriation for implementation of the Dr. Dynasaur eligibility expansion set 16
forth in Sec. 1 of this act. 17
Sec. 4. EFFECTIVE DATES 18
(a) Sec. 1 (33 V.S.A. § 1901; Dr. Dynasaur eligibility expansion for 19
pregnant individuals) shall take effect on January 1, 2026. 20
(b) The remaining sections shall take effect on July 1, 2025. 21