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Self-advocates push H13 to stabilize Medicaid home- and community-based service rates; counsel outlines court ruling that may compel Agency action
Summary
Green Mountain Self Advocates urged the House committee to pass H13 to create predictable, cost-based Medicaid rates for developmental disability services, citing workforce shortages and the federal Medicaid access rule. Office of Legislative Counsel Jen Carvey summarized a Vermont Supreme Court decision finding the Human Services Board can order
Green Mountain Self Advocates representatives told the House Housing and Services Committee that H13 (referred to in testimony as H 13) would create a fairer, data-driven process to set Medicaid payment rates for home- and community-based developmental disability services.
Max Barrows, outreach director for Green Mountain Self Advocates, said long staffing gaps leave many people with disabilities without supports for months, and described having "no support staff" for 13 months after a longtime worker left. Karen Topper, a Green Mountain Self Advocates staff member, told the panel H13 would require regular rate reviews tied to cost data and federal rules and said the federal Centers for Medicare & Medicaid Services "access rule" (issued April 2024) requires states to review payment rates to ensure…
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