An act relating to hospital and health network budgets

H.245 expands the Green Mountain Care Board's authority to review and approve budgets for both hospitals and health networks in Vermont. The bill requires the Board to investigate whether hospitals or health networks with significant market power harm the public good and take action to reduce such power if warranted. It mandates that hospitals and health networks submit detailed budget and operational data, including cost structures and service volumes, for Board review. The Board can also establish reference-based pricing to control costs and promote equitable access to care, directly affecting all Vermont hospitals and health networks operating under its oversight.