An act relating to health insurance and Medicaid reimbursement for certain health care services

H.815 limits health insurers and Vermont Medicaid from reducing reimbursement rates for mental health, substance use disorder, or developmental disability services below the previous year’s rate. It requires insurers to provide 90 days’ public notice, host stakeholder meetings, and publish impact analyses before changing billing, coding, or service authorization policies affecting these areas. Insurers must also monitor access metrics like provider availability and wait times for 12 months after policy changes and take corrective action if access declines. This directly affects insurers, Medicaid, and mental health providers by standardizing payment stability and increasing transparency in coverage decisions.