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Vermont Bill S.162 modifies Medicaid rules, burial fund exclusions, and health advisory committees

Original title: An act relating to miscellaneous provisions affecting the Department of Vermont Health Access

Last action · January 6, 2026: Read 1st time & referred to Committee on Health and WelfareSponsor: Virginia Lyons

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

Vermont S.162 modifies several provisions governing the Department of Vermont Health Access, including raising the Medicaid burial fund asset exclusion from $10,000 to $15,000, extending the deadline to seek federal approval for Medicaid doula coverage to July 1, 2028, and altering advisory committee structures.

Why it matters

Medicaid applicants can preserve up to $15,000 in prepaid funeral arrangements instead of $10,000, and the timeline for Medicaid coverage of doula services is extended to 2028.

Background
  • The Department of Vermont Health Access is the state office responsible for managing Vermont's Medicaid program and health benefit exchange. 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

Medicaid applicants and recipients

Individuals can preserve up to $15,000.00 in irrevocable prepaid funeral arrangements without losing Medicaid eligibility, provided federal approval is granted.

Directly affected

Department of Vermont Health Access

The department's reporting requirements, advisory board management duties, and timelines for seeking federal doula service approval are modified.

Key Facts

  • Raises the limit on irrevocable prepaid funeral arrangements for Medicaid eligibility purposes from $10,000.00 to $15,000.00, subject to federal approval.
  • Extends the deadline for the Department of Vermont Health Access to seek a state plan amendment for Medicaid coverage of doula services from July 1, 2026 to July 1, 2028.
  • Eliminates the Department of Vermont Health Access's duty to create annual lists of prescription drugs experiencing significant price increases for the Green Mountain Care Board and Office of the Attorney General.
  • Modifies the membership and appointment terms of the Medicaid and Exchange Advisory Committee and the Clinical Utilization Review Board.
Show all 5 facts
  • Updates statutory language regarding reflective health benefit plans to reflect the unmerging of individual and small group health insurance markets.

Frequently Asked Questions

How does this bill change Medicaid eligibility regarding burial funds?
Subject to federal approval, the bill increases the maximum amount that Medicaid applicants and recipients can preserve in irrevocable prepaid funeral arrangements from $10,000.00 to $15,000.00.
When must the Department of Vermont Health Access seek federal approval for Medicaid coverage of doula services under this bill?
The bill extends the deadline to seek a state plan amendment from the Centers for Medicare and Medicaid Services to no later than July 1, 2028.

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 6, 2026SenateIntroduced
    Read 1st time & referred to Committee on Health and Welfare

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

Connected Entities

Medicaid and Exchange Advisory Committee, Senator Virginia Lyons, Agency of Human Services and 6 more
OrganizationMedicaid and Exchange Advisory Committee“Advisory committee undergoing membership modifications”Map →
PersonSenator Virginia Lyons“Bill sponsor”Map →
OrganizationAgency of Human Services“State agency directed to amend rules for prepaid funeral arrangements”Map →
OrganizationGreen Mountain Care Board“State health board receiving reports”Map →
OrganizationClinical Utilization Review Board“Department board experiencing term and membership adjustments”Map →
OrganizationOffice of the Attorney General“State office receiving drug cost transparency information”Map →
OrganizationCenters for Medicare and Medicaid Services“Federal agency required to approve rule changes”Map →
OrganizationDepartment of Vermont Health Access“State agency affected by administrative and program changes”Map →
OrganizationGeneral Assembly“The legislative body enacting the bill”Map →

Sources

Open source document

legislature.vermont.gov

Analysis Score

0–100
  • Significance50
    How much this matters to a regular citizen
  • Controversy15
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz10
    Current news / social attention level

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