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Home health agencies report few safety discharges since law allowed denial of subsequent admissions
Summary
Representatives of the VNAs of Vermont told the House Health Care Committee that the statutory change allowing agencies to deny readmission for safety reasons has been used rarely; agencies reported 16 safety discharges statewide in 2024 and nearly no formal denials of subsequent admissions through early 2024.
Jill Olsen, executive director of the VNAs of Vermont, told the House Health Care Committee in April that the statutory change enacted last year giving home health agencies discretion to refuse subsequent in-person readmission to a previously discharged residence for safety reasons has been used sparingly.
Olsen described Vermont’s designated home health system—agencies assigned geographic coverage that must serve all clients regardless of ability to pay—and explained that the statutory change was intended to provide flexibility after agencies completed required safety processes and appeals under the designation rule. “We were actually having some issues with things being appealed to the Human Services…
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