House text would let Green Mountain Care Board set hospital payment maxima under reference‑based pricing

May 28, 2025

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.

The full story

Conference committee members reviewed the House amendment to the S.126 reference‑based pricing provisions and discussed how the mechanics would work if enacted.

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