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Committee concurs with Senate changes to H.583, moves health care ownership-reporting deadlines

Legislative meeting · May 19, 2026
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Summary

A legislative committee reviewed Senate amendments to H.583 on clinical decision-making and agreed to concur, shifting attestation deadlines for health care ownership disclosures to March 1, 2027, and requiring the Green Mountain Care Board to collaborate with stakeholders and use Agency of Human Services data; the board will publish the first public report July 1, 2027.

A legislative committee reviewed Senate amendments to H.583, a bill concerning clinical decision-making and new transparency requirements for ownership of certain health care entities, and agreed to concur with the changes.

Jen Kirby of the Office of Legislative Council summarized the Senate markup, saying the amendments leave pages 1–7 unchanged and add reporting provisions beginning on page 8. Under the amendments, each health care facility and management services organization must attest whether it has any ownership or investment interest from private equity groups or hedge funds. The attestation deadline was moved from July 1, 2026, to March 1, 2027, while the ownership-interest effective date remains June 1, 2026. Kirby said the Board’s first public report on what was reported to it would be posted on the Green Mountain Care Board website on July 1, 2027, and every two years thereafter.

The amendments also require the Green Mountain Care Board to work with relevant stakeholders to develop processes for reporting the required data and require the Agency of Human Services to provide necessary Medicaid data to the Board to help identify providers for outreach. The health care advocate told the committee that the Board and the Health Care Advocate’s office supported pushing the deadline back to allow stakeholder engagement and to use Medicaid data for provider identification.

A committee participant noted that Medicaid already requires many providers to report ownership and controlling interests, suggesting some of the data may already exist and that the new process should avoid unnecessary duplication.

The Chair proposed concurrence with the Senate amendments; the health care advocate said, “I vote yes,” and the Chair recorded assent in a voice exchange that concluded with apparent concurrence on the motion.

The committee then closed the discussion and moved on to the next item on the agenda.