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Green Mountain Care Board urges higher CON thresholds, proposes lower equipment and operating limits
Summary
The Green Mountain Care Board told the House Health Care Committee it supports modifying Vermont's certificate-of-need rules, backing a $10 million construction threshold while recommending $5 million for equipment and $3 million for annual operating expenses, and urged several clarifying exemptions and indexing fixes.
Chair Foster, chair of the Green Mountain Care Board, told the House Health Care Committee on Feb. 6 that the board "does agree that the CON laws should be modified" to allow more low-cost providers into Vermont and reduce administrative burdens.
The board supported raising the capital-construction threshold to $10,000,000, a position Foster said he agrees with "without a distinction between hospitals and non hospitals." The board also recommended a $5,000,000 threshold for equipment costs rather than $10,000,000, and a $3,000,000 annual operating-expenses threshold for review.
Why it matters: certificate-of-need (CON) statutory thresholds determine which hospital or nonhospital projects must undergo state review before construction or service expansion. Increasing thresholds reduces the number of projects that trigger review and can speed entry for smaller providers; it…
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