§ 9484. Public education and information
§ 9484. Public education and information (a) Each large health care facility shall publicize its financial assistance policy widely by: (1) making the financial assistance policy and application form easily accessible online through the facility’s website and through any patient portal or other online communication portal used by the facility’s patients; (2) providing paper copies […]
§ 9485. Prohibition on sale of medical debt
§ 9485. Prohibition on sale of medical debt No large health care facility shall sell its medical debt. (Added 2021, No. 119 (Adj. Sess.), § 1, eff. July 1, 2022.)
§ 9486. Prohibition of waiver of rights
§ 9486. Prohibition of waiver of rights Any waiver by a patient or other individual of any protection provided by or any right of the patient or other individual under this subchapter is void and shall not be enforced by any court or any other person. (Added 2021, No. 119 (Adj. Sess.), § 1, eff. […]
§ 9487. Enforcement
§ 9487. Enforcement The Office of the Attorney General has the same authority to make rules, conduct civil investigations, enter into assurances of discontinuance, and bring civil actions for violations of this subchapter as is provided under 9 V.S.A. chapter 63, subchapter 1. (Added 2021, No. 119 (Adj. Sess.), § 1, eff. July 1, 2022.)
§ 9474. Enforcement
§ 9474. Enforcement (a) Except as provided in subsection (d) of this section, in addition to any remedy available to the Commissioner under this title and any other remedy provided by law, a violation of this subchapter shall be considered a violation of the Vermont Consumer Protection Act in 9 V.S.A. chapter 63, subchapter 1. […]
§ 9481. Definitions
§ 9481. Definitions As used in this subchapter: (1) “Amount generally billed” means the amount a large health care facility generally bills to individuals for emergency or other medically necessary health care services, determined using the “look-back method” set forth in 26 C.F.R. § 1.501(r)-5(b)(3). (2) “Credit reporting agency” means a person who, for fees, […]
§ 9482. Financial assistance policies for large health care facilities
§ 9482. Financial assistance policies for large health care facilities (a) Each large health care facility in this State shall develop a written financial assistance policy that, at a minimum, complies with the provisions of this subchapter and any applicable federal requirements. (b) The financial assistance policy shall: (1) apply, at a minimum, to all […]
§ 9483. Implementation of financial assistance policy
§ 9483. Implementation of financial assistance policy (a) In addition to any other actions required by applicable State or federal law, a large health care facility shall take the following steps before seeking payment for any emergency or medically necessary health care services: (1) determine whether the patient has health insurance or other coverage for […]
§ 9472. Pharmacy benefit managers; required practices with respect to health insurers
§ 9472. Pharmacy benefit managers; required practices with respect to health insurers (a) A pharmacy benefit manager that provides pharmacy benefit management for a health plan shall discharge its duties with reasonable care and diligence and be fair and truthful under the circumstances then prevailing that a pharmacy benefit manager acting in like capacity and […]
§ 9472. Pharmacy benefit managers; required practices with respect to health insurers and covered persons
§ 9472. Pharmacy benefit managers; required practices with respect to health insurers and covered persons (a) A pharmacy benefit manager that provides pharmacy benefit management for a health plan has a fiduciary duty to its health insurer client that includes a duty to be fair and truthful toward the health insurer, to act in the […]