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House Health Care reviews S.190 to set hospital prices as percentage of Medicare and create public employee study
Summary
The House Health Care Committee walked through S.190, which directs the Green Mountain Care Board to implement reference‑based pricing for hospitals (including public reporting and a 250% of Medicare cap for qualified health plans), requires NPI identifiers for off‑campus sites, and creates a study committee to examine a public employee health benefit authority.
The House Health Care Committee on April 28 reviewed S.190, a bill that would require hospitals and insurers to express certain hospital rates as a percentage of Medicare and add public reporting, while directing the Green Mountain Care Board to implement reference‑based pricing.
Legislative counsel Jen Carvey, speaking during the committee’s walkthrough, said the bill orders the Board to begin implementing reference‑based pricing for hospital services and to publish prices “shown as a percentage of Medicare rates as well as in dollars and cents disaggregated by payer and by point.” The bill also allows hospitals to use the actual Medicare reimbursement amounts they receive until…
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