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Senate concurs with House changes to Medicaid payment model for residential substance use disorder treatment; adds DOC role and reporting requirements

3200163 · May 6, 2025
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Summary

The Vermont Senate concurred with the House proposal of amendment to S.36 changing language and adding sections to include Department of Corrections participation in services and new reporting and training requirements for appeals involving persons who are incapacitated.

The Vermont Senate voted to concur in the House proposal of amendment to S.36, a bill addressing a Medicaid payment model for residential substance use disorder treatment services, and accepted additional language intended to modernize terminology and expand program reporting and training.

Senator from Chittenden, reporting for the Senate Committee on Health and Welfare, said the committee recommended concurrence. The committee supported changing the term "public inebriates" to "persons who are incapacitated" in section 4 and described newly added sections from the House as addressing inclusion of the Department of Corrections (DOC) in related services and establishing reporting and training provisions for appeals.

The senator said section 6 and section 7 added by the House relate to re‑incorporating DOC programs that existed before COVID and to two reporting obligations: one on training for attorneys involved in Human Services Board proceedings to ensure appellants receive due process, and another on communications to clarify the board's role and increase public understanding.

"Your Committee on Health and Welfare supports this, and we ask that the Senate vote to accept the proposal as it came back to us from the house," the senator said. The Senate voted by voice to concur.

The committee noted the initial DOC program assisted people who are temporarily incapacitated and that the expansion would focus first on Chittenden County where the senator said the population of persons identified as incapacitated is highest and resources are limited.

The concurrence accepts the House additions and the Senate committee's modernization of language; the transcript shows the Senate approved the concurrence by voice vote and recorded the committee's support.