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House text would let Green Mountain Care Board set hospital payment maxima under reference‑based pricing
Summary
The House amendment to S.126 shifts focus from insurer payment rates to what hospitals may accept as payment in full, expands board authority for non‑hospital settings in some cases, and explicitly excepts Medicare and Medicaid from the board's pricing authority.
Conference committee members reviewed the House amendment to the S.126 reference‑based pricing provisions and discussed how the mechanics would work if enacted.
Under the House text shown by legislative counsel, the Green Mountain Care Board would establish reference‑based prices that represent the maximum amounts hospitals shall accept as payment in full for services delivered in Vermont. The House language moves away from focusing on what insurers pay and instead focuses on what hospitals may accept.
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