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Green Mountain Care Board briefs Appropriations on budget structure, reference‑based pricing and transformation funds
Summary
The Green Mountain Care Board told the Appropriations Committee it submitted no separate FY27 request (it met the governor’s recommendation), explained a roughly 40/60 general‑fund/bill‑back funding model, and discussed using federal transformation grants to build data infrastructure and pursue system changes like reference‑based pricing.
Owen Foster, chair of the Green Mountain Care Board, and Emily Brown, the board’s executive director, appeared before the House Appropriations Committee on Feb. 5 to outline the board’s FY27 budget posture, funding sources, and ongoing system‑transformation work.
Foster said the board had no separate FY27 budget request beyond meeting the governor’s recommendation. He described the Care Board’s funding structure as approximately 40% general fund dollars that are matched by about 60% in bill‑back charges to regulated entities (hospitals, insurers and accountable care organizations), calculated from prior‑year actual spending and statutory formulas. "Our mission, we're focused on access, affordability and quality in health…
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