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Vermont Bill H.75 Authorizes Nurse Practitioners and Physician Assistants in End-of-Life Care

Original title: An act relating to clinician participation in patient choice at end of life and DNR/COLST orders

Last action · January 23, 2025: Read first time and referred to the Committee on Health CareSponsor: Mari Cordes

Introduced
Committee
Floor Vote
Passed
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What This Bill Would Do

This bill expands the categories of clinicians permitted to participate in Vermont's patient choice at end-of-life laws and allows naturopathic physicians to sign do-not-resuscitate and clinician orders for life-sustaining treatment, effective July 1, 2025.

Why it matters

Expands the pool of healthcare professionals who can legally process end-of-life requests and sign medical orders for patients across Vermont healthcare facilities.

Background
  • Vermont enacted its Patient Choice at End of Life Act in 2013, making it one of the first states to authorize medical aid in dying via statute. context
  • H.75 was introduced in the Vermont House of Representatives during the 2025-2026 legislative session and referred to the Committee on Health Care. 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

naturopathic physicians

Naturopathic physicians gain the authority to sign and issue DNR and COLST orders and participate in end-of-life patient choice processes.

Directly affected

nurse practitioners

Certified nurse practitioners are authorized to participate in Vermont's patient choice at end-of-life laws.

Directly affected

physician assistants

Physician assistants are authorized to participate in Vermont's patient choice at end-of-life laws.

Directly affected

health care facilities

Health care facilities are permitted to establish policies prohibiting clinicians from writing lethal prescriptions for residents on facility premises.

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

Which new medical professionals can now participate in Vermont's patient choice at end-of-life process?
The bill updates the definition of clinician to include naturopathic physicians, certified nurse practitioners, and physician assistants.
Can health care facilities prevent clinicians from writing lethal prescriptions on their premises?
Yes, a health care facility may prohibit a clinician from writing a prescription for a dose of medication intended to be lethal for a resident if the facility has notified the clinician in writing of its policy.
When does this act take effect?
The act takes effect on July 1, 2025.

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 23, 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 shift98% confidence

Expansion of End-of-Life Care Providers

The legislation broadens the scope beyond traditional physicians to include nurse practitioners, physician assistants, and naturopathic physicians in end-of-life processes.

Connected Entities

Mari Cordes, Department of Health, General Assembly of the State of Vermont
PersonMari Cordes“Representative of Bristol who introduced H.75”Map →
OrganizationDepartment of Health“State department receiving reports and designating forms”Map →
OrganizationGeneral Assembly of the State of Vermont“Legislative body enacting the statute”Map →

Sources

Open source document

legislature.vermont.gov

Analysis Score

0–100
  • Significance75
    How much this matters to a regular citizen
  • Controversy65
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz40
    Current news / social attention level

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