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Conference committee debates global hospital budgets vs. reference-based pricing in S126
Summary
Members of the Senate-House conference committee on S126 debated whether Vermont should pursue global hospital budgets now or prioritize implementing reference-based pricing that would set hospital payment limits first, with differing House and Senate language on timing, scope and the Green Mountain Care Board’s duties.
Conference committee members on S126, legislation "relating to health care payment and delivery system reform," spent much of their session debating whether to proceed immediately with global hospital budgets or first implement reference-based pricing across payers.
Jen Darby, Office of Legislative Council, displayed a markup titled “passed by Senate showing markup from House” and summarized the key difference: the Senate language pushed toward establishing global hospital budgets while the House focused on implementing reference-based pricing first. Darby said, “The S126 is an act relating to health care payment and delivery system reform.”
A committee member voiced the core concern: “my, concern, my question is regarding,…
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