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Committee hears details, concerns as bill would expand Green Mountain Care Board authority on pricing and hospital budgets
Summary
Green Mountain Care Board staff told the Senate Health & Welfare Committee on March 12 they generally support reference‑based pricing and phased hospital global budgets in a draft bill but flagged timing, statutory alignment, payer‑scope and data‑reporting issues that require additional drafting and technical work.
The Senate Health & Welfare Committee took an extended briefing on March 12 from Green Mountain Care Board officials and legal counsel about draft bill language that would require reference‑based pricing, phase in hospital global budgets, and expand hospital reporting and board review duties.
Michael Barber, general counsel for the Green Mountain Care Board, told the committee that the board is “generally supportive” of provisions on reference‑based pricing and global budgets but urged changes to timing language that currently names fiscal year dates the agency cannot meet. Barber recommended replacing specific dates with flexible language such as “as soon as practicable” and said the board might need authority to phase implementation by selecting one or more hospitals to begin the program.
Board staff and counsel flagged several drafting and operational issues. They said statutory language should…
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