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Lawmakers Hear Competing Views on H.585 as Witnesses Urge Broad Cost Controls, Not Narrow Fixes
Summary
At a legislative hearing on H.585, brokers and the Green Mountain Care Board urged caution in expanding association health plans and recommended applying cost-saving measures—like reference-based pricing and specialty-drug controls—across the whole market to avoid destabilizing Vermont's exchange.
A legislative committee heard nearly two hours of testimony on H.585, a bill that would change how association health plans, site-neutral reimbursements and other insurer rules apply in Vermont.
Christine Oliver, a broker with a national firm who oversees Vermont benefits work, told the committee that Vermont's market sits between three funding models—fully insured exchange plans, self-funded plans and level-funded hybrids—and recommended broad-based cost controls rather than measures that would apply only to the exchange. "When you look at... Act 55, the specialty drug bill, the beauty of that is it really was applied across the board," Oliver said, urging lawmakers not to limit savings to "25% of…
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