An act relating to reference-based pricing for hospital services

This bill directs Vermont's Green Mountain Care Board to create a plan for implementing reference-based pricing for hospital services. It would require the Board to establish benchmarks (based on Medicare rates), outline a gradual implementation timeline, estimate cost savings, and include protections against balance billing for patients. The plan must address impacts on hospitals, quality of care, and alignment with state health reform efforts, with a submission deadline of February 1, 2026. This affects all Vermont hospitals and health insurance plans covering inpatient and outpatient services.