§ 9377. Payment reform; pilots
§ 9377. Payment reform; pilots (a) It is the intent of the General Assembly to achieve the principles stated in section 9371 of this title. In order to achieve this goal and to ensure the success of health care reform, it is the intent of the General Assembly that payment reform be implemented and that […]
§ 9377a. Prior authorization pilot program
§ 9377a. Prior authorization pilot program (a) The Green Mountain Care Board shall develop and implement a pilot program or programs for the purpose of measuring the change in system costs within primary care associated with eliminating prior authorization requirements for imaging, medical procedures, prescription drugs, and home care. The program shall be designed to […]
§ 9378. Public process
§ 9378. Public process The Green Mountain Care board shall provide a process for soliciting public input. The process may include receiving written comments on proposed new or amended rules or holding public hearings, or both. (Added 2011, No. 48, § 3, eff. May 26, 2011.)
§ 9375. Duties
§ 9375. Duties (a) The Board shall execute its duties consistent with the principles expressed in section 9371 of this title. (b) The Board shall have the following duties: (1) Oversee the development and implementation, and evaluate the effectiveness, of health care payment and delivery system reforms designed to control the rate of growth in […]
§ 9362. Health care providers delivering health care services by audio-only telephone
§ 9362. Health care providers delivering health care services by audio-only telephone (a) As used in this section, “health insurance plan” and “health care provider” have the same meaning as in 8 V.S.A. § 4100l and “telemedicine” has the same meaning as in 8 V.S.A. § 4100k. (b)(1) Subject to the limitations of the license […]
§ 9371. Principles for health care reform
§ 9371. Principles for health care reform The General Assembly adopts the following principles as a framework for reforming health care in Vermont: (1) The State of Vermont must ensure universal access to and coverage for high-quality, medically necessary health services for all Vermonters. Systemic barriers, such as cost, must not prevent people from accessing […]
§ 9372. Purpose
§ 9372. Purpose It is the intent of the General Assembly to create an independent board to promote the general good of the State by: (1) improving the health of the population; (2) reducing the per-capita rate of growth in expenditures for health services in Vermont across all payers while ensuring that access to care […]
§ 9373. Definitions
§ 9373. Definitions As used in this chapter: (1) “Board” means the Green Mountain Care Board established in this chapter. (2) “Chronic care” means health services provided by a health care professional for an established clinical condition that is expected to last a year or more and that requires ongoing clinical management attempting to restore […]
§ 9374. Board membership; authority
§ 9374. Board membership; authority (a)(1) On July 1, 2011, the Green Mountain Care Board is created and shall consist of a chair and four members. The Chair and all of the members shall be State employees and shall be exempt from the State classified system. The Chair shall receive compensation equal to that of […]
§ 9334. Genetic testing as a condition of insurance coverage
§ 9334. Genetic testing as a condition of insurance coverage (a) No policy of insurance offered for delivery or issued in this State shall be underwritten or conditioned on the basis of: (1) any requirement or agreement of the individual to undergo genetic testing; or (2) the results of genetic testing of a member of […]