An act relating to the Vermont Hospital Security Plan

H 267 establishes the Vermont Hospital Security Plan, creating a state-administered program to provide hospital coverage for all Vermont residents regardless of insurance status or ability to pay. The plan requires hospitals to accept the state's negotiated annual payments (based on global budgets) for services provided to all patients, prevents balance billing for Vermont residents beyond set cost-sharing amounts, and includes out-of-state hospital coverage for Vermont residents. Key mechanisms include annual global hospital budgets limiting cost growth to the Consumer Price Index plus 3.5%, a dedicated trust fund financed by state transfers and federal Medicaid/Medicare funds, and appeal processes for denied claims. This directly affects Vermont residents seeking hospital care and Vermont hospitals receiving state payments.