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Read. Follow. Verify.Vermont Senate Bill 200 transfers Medicaid school-based services authority to Agency of Human Services and modifies reimbursement allocations
Last action · January 6, 2026: Read 1st time & referred to Committee on EducationSponsor: Virginia Lyons
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What This Bill Would Do
This bill transfers sole authority over the Medicaid school-based services program to the Agency of Human Services and establishes the School-Based Medicaid Reimbursement Fund, effective July 1, 2026. It directs the Department of Vermont Health Access to pay 55 percent of generated federal reimbursement monies to s, allocates up to 25 percent for administrative costs, and transfers any remaining balance at the close of each into the Education Fund.
School districts and s face altered revenue splits and new administrative rules regarding federal Medicaid reimbursements for student health services, impacting local education funding and operational compliance.
- The Vermont General Assembly periodically reviews how federal Medicaid reimbursements for school-based health services are allocated and administered between educational entities and human services agencies. 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.
supervisory unions
Supervisory unions receive 55 percent of generated federal reimbursement monies and must submit Medicaid-compliant cost reports and service claims.
Agency of Human Services
The Agency assumes sole authority for program compliance, administers the reimbursement fund, and adopts rules governing participation.
Agency of Education
The Agency coordinates the program with statewide education policy, collaborates on administrative cost allocations, and adopts rules on fund usage.
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 agency takes over sole authority of the Medicaid school-based services program?
What percentage of federal reimbursements do supervisory unions receive under the new fund structure?
Where does any remaining money in the School-Based Medicaid Reimbursement Fund go at the end of the fiscal year?
What else do you want to know?
News Coverage
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Votes, people, money & the original sourceWhere This Stands
Currently in committee. The next step in the legislative lifecycle is Floor Vote.
Procedural history
1 action- Jan 6, 2026SenateIntroducedRead 1st time & referred to Committee on Education
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
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Centralization of Medicaid Oversight
The bill shifts sole administrative and compliance authority over the school-based Medicaid program from shared or education-oriented channels entirely to the Agency of Human Services.
Connected Entities
Sources
legislature.vermont.gov
Analysis Score
0–100- Significance75How much this matters to a regular citizen
- Controversy20Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz25Current news / social attention level
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