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Senate Health & Welfare reviews S.1 to phase in Medicaid-equivalent coverage for all Vermont residents
Summary
Committee heard presentation of S.1, which would phase in Medicaid-equivalent coverage by age cohorts from 2029 to 2033, require cost estimates, seek a Section 1115 waiver from CMS, and direct tax options analysis; lawmakers raised concerns about cost and feasibility.
Jennifer Carbary, legislative counsel to the Senate Health & Welfare Committee, presented S.1 on Jan. 31, describing it as “an act relating to providing Medicaid equivalent coverage to all Vermont residents.” The bill would add a new subchapter to the statutes governing Vermont’s unified health system to phase in hospital, medical, dental and prescription drug coverage equivalent to the Vermont Medicaid state plan.
Under the bill’s timeline, coverage would begin Jan. 1, 2029, for people up to age 26 and expand in successive cohorts: ages 55–64 beginning in 2030; ages 45–54 beginning in 2031; ages 35–44 beginning in 2032; and ages 26–34 beginning in 2033, at which point all Vermont residents would be eligible. Section 2 directs the secretary of human services…
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