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Vermont committee splits over global hospital budgets versus reference‑based pricing in S.126
Summary
A legislative conference committee reviewed competing House and Senate approaches in S.126 on how to contain hospital costs: the House favors implementing reference‑based pricing and delaying broad global hospital budgets until after reporting, while the Senate retains an immediate global budget approach.
The conference committee on S.126 met to reconcile House and Senate language on health care payment and delivery reform, focusing chiefly on whether Vermont should move now to global hospital budgets or first implement reference‑based pricing.
Committee members spent the session debating the core policy choice: the Senate version endorses global hospital budgets as a direct tool to cap hospital collections, while the House version scales back that direction in favor of implementing reference‑based pricing first and having the Green Mountain Care Board report back before broadly adopting global budgets.
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