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DVHA tells committee of $33M midyear Medicaid increase, Planned Parenthood funding swap and several one‑time costs
Summary
Department of Vermont Health Access officials told the House Appropriations Committee Dec. 16 of a $33 million consensus update to Medicaid spending, a $1.13M general‑fund swap to replace paused federal Planned Parenthood funding, a $2.7M cloud migration request and remaining provider‑stabilization needs.
Sean Groves, commissioner for the Department of Vermont Health Access (DVHA), and financial director Stephanie Barrett presented the agency’s midyear budget adjustment to the House Appropriations Committee on Dec. 16, 2025.
Barrett told the committee the programmatic consensus update — the midyear revision to estimated Medicaid caseload and cost per case — produces a net upward adjustment of about $33,000,000. She said caseloads are declining but the average cost per case is rising, driven in part by higher pharmacy costs and lower rebate percentages, leaving higher‑acuity individuals in the enrolled population.
DVHA also detailed a funding‑source swap to ensure Planned Parenthood of Northern New England can continue family‑planning services after federal changes flagged by the passage of HR 1 paused Medicaid funding to Planned Parenthood.…
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