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High Impact

Vermont Reorganizes Health Insurance Statutes and Mandates Comprehensive Benefit Coverage Standards

Original title: An act relating to updating and reorganizing the health insurance statutes in 8 V.S.A. chapter 107

Last action · January 28, 2025: Read first time and referred to the Committee on Health CareSponsor: Alyssa Black

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

Representative Alyssa Black introduced House Bill 95 on January 28, 2025, to repeal and completely reorganize 8 V.S.A. chapter 107 regarding health insurance statutes, standardize terminology, and update cross-references effective January 1, 2026. The bill establishes uniform provisions for health plan filings, rate reviews by the Green Mountain Care Board, consumer protections, and mandatory coverage categories such as prescription drugs, mental health services, and preventive care.

Why it matters

The measure restructures state insurance laws and codifies consumer protections, capping monthly prescription insulin costs at $100 and regulating insurance policy terminations, premium grace periods, and external review rights for Vermont residents.

Background
  • Vermont Statutes Annotated chapter 107 has historically governed individual and group health insurance policies, policy forms, rate filings, and consumer protections. context
  • The Green Mountain Care Board operates as an independent state board responsible for health insurance rate review and healthcare health system economic oversight in Vermont. context

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

Vermont health insurers

Health insurers must comply with reorganized statutory requirements, filing rules, benefit mandates, and enforcement actions by the Commissioner and the Green Mountain Care Board.

Directly affected

Health insurance plan enrollees

Covered individuals receive standardized consumer protections, structured grace periods, insulin cost caps, and expanded appeal rights under updated chapter provisions.

Directly affected

Green Mountain Care Board

The Board exercises explicit authority to review, approve, modify, or disapprove rate filings and plain language summaries within specified statutory deadlines.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

What is the primary purpose of House Bill 95?
The bill updates, reorganizes, and standardizes terminology across Vermont's health insurance statutes in 8 V.S.A. chapter 107.
When does this legislation take effect?
The act takes effect on January 1, 2026.
Are there new limits on prescription insulin costs?
Yes, health insurance plans must limit a covered individual's total out-of-pocket responsibility for prescription insulin drugs to no more than $100.00 per 30-day supply.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Currently in committee. The next step in the legislative lifecycle is Floor Vote.

Procedural history

1 action
  1. Jan 28, 2025HouseIntroduced
    Read first time and referred to the Committee on Health Care

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift99% confidence

Comprehensive Statutory Restructuring

The bill systematically repeals an entire title chapter and reenacts it to harmonize terminology, clear up obsolete cross-references, and consolidate diverse health insurance mandates into a single organized structure.

Connected Entities

Department of Disabilities, Aging, and Independent Living, Department of Financial Regulation, Alyssa Black and 4 more
OrganizationDepartment of Disabilities, Aging, and Independent Living“State department notified of certain Medicare supplement rate increases”Map →
OrganizationDepartment of Financial Regulation“State department responsible for enforcing insurance requirements and rules”Map →
PersonAlyssa Black“Representative from Essex who introduced House Bill 95”Map →
locationVermont Supreme Court“Court handling appeals regarding board decisions and commissioner actions”Map →
OrganizationGreen Mountain Care Board“Board responsible for reviewing and approving health insurance premium rates”Map →
OrganizationOffice of the Health Care Advocate“Office representing health insurance consumers in the State”Map →
OrganizationGeneral Assembly“Legislative body enacting the bill”Map →

Sources

Open source document

legislature.vermont.gov

Analysis Score

0–100
  • Significance90
    How much this matters to a regular citizen
  • Controversy25
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz35
    Current news / social attention level

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