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Committee reviews wide‑ranging S190 on hospital pricing and reimbursement; vote deferred amid hospital concerns
Summary
S190 would require hospitals and insurers to express prices as percentages of Medicare or another benchmark, impose a 250%‑of‑Medicare cap on qualified‑plan reimbursements, and require reporting on outsourcing and public‑employee plan impacts; members and hospitals asked for clearer methodology and protections for rural providers, and the committee did not vote on S190 at this session.
Diana Harvey of the Office of Legislative Counsel presented S190 as a multipart bill that would change hospital pricing transparency and put limits on commercial reimbursements in certain plans while directing the Green Mountain Care Board to implement reference‑based pricing.
"This is S190, as introduced," Harvey said, and explained several sections: requiring hospitals and insurers to express contracted rates as a percentage of Medicare (or another benchmark) for machine‑readable price transparency files; a temporary limit that would cap reimbursements for hospitals in…
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