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Physicians, residents urge phased expansion of Green Mountain Care in support of H.433
Summary
Physicians, residents and legislative counsel told a lawmakers' panel that H.433 would begin incremental implementation of Green Mountain Care by covering primary care first, but the bill would require federal waivers and a financing plan to move beyond year one.
A legislative committee on April 1 heard testimony from physicians, residents and the Office of Legislative Counsel in favor of H.433, a bill that would begin an incremental implementation of Green Mountain Care by immediately covering comprehensive primary care with no cost‑sharing and then phasing in additional services over a decade.
Dr. Alan Ramsey, a family physician with 44 years’ experience and a former Green Mountain Care Board member, told the committee H.433 is “a natural progression to Act 48” and urged the state to invest more in primary care, mental health and community‑based services to improve quality and control long‑term costs. “Primary care is 6 to 8% of the spend in Vermont… That will never improve the quality of care we provide,” he said, adding that per‑person health expenditures rose from about $7,000 in 2018 to roughly $11,500 in 2024.
The bill’s text, explained by Jen KBY of the…
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