BILL AS INTRODUCED S.36
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VT LEG #378522 v.1
S.36 1
Introduced by Senators Lyons and Gulick 2
Referred to Committee on 3
Date: 4
Subject: Human services; Medicaid, substance use disorder; mental health; 5
long-term residential treatment 6
Statement of purpose of bill as introduced: This bill proposes to require the 7
Agency of Human Services to provide coverage for long-term residential 8
treatment to Medicaid beneficiaries with substance use disorder and a co-9
occurring mental health condition. 10
An act relating to Medicaid coverage of long-term residential treatment for 11
co-occurring substance use disorder and mental health condition 12
It is hereby enacted by the General Assembly of the State of Vermont: 13
Sec. 1. 33 V.S.A. § 1901m is added to read: 14
§ 1901m. LONG-TERM RESIDENTIAL TREATMENT FOR SUBSTANCE 15
USE DISORDER AND CO-OCCURRING MENTAL HEALTH 16
CONDITION 17
(a) The Agency of Human Services shall provide coverage for medically 18
necessary long-term residential treatment to Medicaid beneficiaries with 19
substance use disorder and a co-occurring mental health condition when long-20 BILL AS INTRODUCED S.36
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VT LEG #378522 v.1
term residential treatment is prescribed by a health care professional practicing 1
within the scope of the professional’s license and the residential treatment 2
program is participating in Vermont’s Medicaid program. 3
(b) Coverage provided under this section shall not be for less than: 4
(1) 30 days if the beneficiary’s substance use disorder can be 5
successfully addressed by medication for opioid use disorder; and 6
(2) 60 days if the beneficiary’s substance use disorder cannot be 7
successfully addressed by medication for opioid use disorder. 8
Sec. 2. 33 V.S.A. § 1901m is redesignated to read: 9
§ 1901m 1901n. REIMBURSEMENT FOR EMERGENCY MEDICAL 10
SERVICES 11
Sec. 3. EFFECTIVE DATE 12
This act shall take effect on July 1, 2025. 13