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Bill S198 would let board cap hospital prices and bring outsourced clinical revenue under oversight

Health & Welfare · January 16, 2026
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Legislative counsel introduced S198 to let the Green Mountain Care Board set reference‑based price ceilings (benchmarked to Medicare) for hospital services, require outsourced clinical revenue be included in hospital budgets and provider taxes, expand audit authority, and create a public price tool; funding for the tool is not specified.

Jennifer Carvey, legislative counsel, introduced S198 and described a package of changes designed to enable implementation of reference‑based pricing for Vermont hospitals and to close loopholes from outsourced clinical services.

Carvey said the bill would require insurers and hospitals to provide standardized information and permit the Green Mountain Care Board to set ceiling rates, commonly as a percentage of Medicare reimbursement. "The Green Mountain Care Board would set as the set a percentage of Medicare," she said, explaining that the…

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