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Senate panel backs amendment to S.190 restoring 250% QHP cap, orders working group on Medicare cost-sharing for rural hospitals
Summary
The Senate Health and Welfare Committee discussed an amendment to S.190 that would revert QHP hospital reimbursements to the Medicare adjusted base rate with a 250% cap, and direct the Green Mountain Care Board to convene a working group to study Medicare coinsurance effects on critical access hospitals and Medicare beneficiaries; recommendations are due Jan. 15, 2027.
The Senate Health and Welfare Committee on Thursday considered an amendment to S.190 that would restore a 250% cap on qualified health plan (QHP) hospital reimbursements tied to the Medicare adjusted base rate and direct the Green Mountain Care Board to create a working group to study federal Medicare cost-sharing rules affecting critical access hospitals.
The amendment, presented by the committee chair, would keep the 250% cap that the committee previously approved but change the rate basis back to the Medicare adjusted base rate. It also directs the board to convene a working group—including board representatives, the Department of Financial Regulation, critical access hospitals, insurers that offer Medicare Supplement (Medigap) policies, and the Office of the Healthcare Advocate—and to deliver recommendations and…
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