H 13 Vermont House · 2025-2026 Regular Session

An act relating to Medicaid payment rates for community-based service providers

H.13 establishes new requirements for how the Secretary of Human Services calculates Medicaid payment rates for home- and community-based service providers. The bill directs the Secretary to set "reasonable and adequate" rates for services provided to older adults, individuals with disabilities, and those with mental health or substance use disorders. The calculation methodology must consider factors such as governmental mandates, inflation, and labor market dynamics, and includes a schedule for studying rates at least every five years. It also creates a process for providers at imminent risk of closure to request stabilization and requires annual recalculation and reporting of these rates.
Bill status signed all 5 stages cleared
Introduction
Jan 2025
Committee Review
Apr 2025
House Passage
May 2025
Senate Passage
Apr 2025
Signed into Law
May 2025
Introduced Jan 9, 2025 Signed May 13, 2025
Floor votes

How they voted

This bill passed the House by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
40
Key actions
8
Committee
8
Amendments
15
May 13, 2025
Signed into law
Signed by Governor on May 13, 2025
executive
May 7, 2025
Lower · Passed
Delivered to the Governor on May 7, 2025
lower
Apr 30, 2025
Introduced
House message: House concurred in Senate proposal of amendment
upper
Apr 29, 2025
Introduced
Senate proposal of amendment concurred in
lower
Apr 28, 2025
Introduced
Action Calendar: Senate Proposal of Amendment
lower
Apr 25, 2025
Introduced
Notice Calendar: Senate Proposal of Amendment
lower
Apr 24, 2025
Introduced
Senate Message: Passed in concurrence with proposal of amendment
lower
Apr 23, 2025
Introduced
Read 3rd time & passed in concurrence with proposal of amendment
upper
Apr 23, 2025
Introduced
Pending third reading, motion to amend Senate proposal of amendment by Senator(s) Gulick, Cummings, Douglass, Hart, and Lyons agreed to
upper
Apr 23, 2025
Introduced
Proposal of amendment to be offered by Senator(s) Gulick
upper
Apr 22, 2025
Introduced
Proposal of amendment by Committee on Health and Welfare agreed to
upper
Apr 22, 2025
Upper · Passed
Reported favorably by Senator Lyons for Committee on Appropriations
upper
Apr 22, 2025
Introduced
Read 2nd time, reported favorably with proposal of amendment by Senator Gulick for Committee on Health and Welfare
upper
Apr 22, 2025
Upper · Passed
Favorable report by Committee on Appropriations
upper
Apr 22, 2025
Introduced
Favorable report with proposal of amendment by Committee on Health and Welfare
upper
Apr 18, 2025
Upper · Passed
Favorable report by Committee on Appropriations
upper
Apr 18, 2025
Introduced
Favorable report with proposal of amendment by Committee on Health and Welfare
upper
Apr 9, 2025
Committee
Referred to Committee on Appropriations per Senate Rule 31
upper
Apr 9, 2025
Introduced
Favorable report with proposal of amendment by Committee on Health and Welfare
upper
Feb 25, 2025
Introduced
Read 1st time & referred to Committee on Health and Welfare
upper
Feb 18, 2025
Lower · Passed
Report of Committee on Human Services agreed to
lower
Feb 18, 2025
Lower · Passed
Rep. Yacovone of Morristown recommended for the Committee on Appropriations
lower
Feb 18, 2025
Lower · Passed
Rep. Noyes of Wolcott reported for the Committee on Human Services
lower
Feb 18, 2025
Introduced
Action Calendar: Favorable with Amendment
lower
Feb 14, 2025
Introduced
Notice Calendar: Favorable with Amendment
lower
Feb 12, 2025
Committee
Pending entry on Notice Calendar, referred to Committee on Appropriations per Rule 35(a)
lower
Jan 9, 2025
Introduced
Read first time and referred to the Committee on Human Services
lower
2 primary · 0 co-sponsors

Sponsors