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Vermont allocates $1 million to buy and forgive medical debt and bans credit reporting of medical collections

Original title: An act relating to medical debt relief and excluding medical debt from credit reports

Last action · January 28, 2025: Read first time and referred to the Committee on Health CareSponsors: Alyssa Black and 52 others

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

Vermont lawmakers propose dedicating $1 million to the State Treasurer to hire a nonprofit that will purchase and forgive medical debt for lower-income residents, while banning credit reporting agencies and large health care facilities from sharing medical debt information. If enacted, the rules take effect July 1, 2025.

Why it matters

Residents meeting specific low-income thresholds or owing high medical debt relative to household income could have their medical collections erased without tax consequences, and no Vermont consumer will have medical debt appear on their credit reports.

Background
  • State legislatures increasingly consider measures to alleviate consumer medical debt burdens and restrict credit reporting agencies from including medical collections in credit scores. context
  • The State Treasurer in Vermont manages state funds, cash management, and bonding operations. 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 residents with qualifying medical debt

Eligible residents may have their outstanding medical debts purchased and abolished without tax consequences and have adverse credit report entries removed.

Directly affected

Credit reporting agencies

Credit reporting agencies are prohibited from reporting, maintaining, or including consumer medical debt information in credit files.

Directly affected

Large health care facilities

Large health care facilities are prohibited from selling medical debt to entities other than tax-exempt 501(c)(3) organizations for debt cancellation and cannot report medical debt to credit agencies.

Directly affected

State Treasurer

The State Treasurer receives a $1,000,000 appropriation to contract with a nonprofit entity to acquire and repay qualifying medical debts.

Key Facts

  • The sum of $1,000,000.00 is appropriated from the General Fund in fiscal year 2026 to the State Treasurer to contract with a nonprofit entity for acquiring and repaying certain medical debts.
  • Eligible debtors must be Vermont residents with household incomes at or below 400 percent of the federal poverty level, or owe medical debt equal to five percent or more of their household income.
  • Debts must maintain an outstanding balance after the health care provider has completed routine collection efforts.
  • The contracting entity must purchase debt at fair market value, abolish it with no cost or tax consequences, and ensure adverse information is removed from consumer credit reports.
Show all 10 facts
  • Credit reporting agencies are prohibited from reporting or maintaining information relating to a consumer's medical debt.
  • Large health care facilities are prohibited from selling medical debt except to a 501(c)(3) organization specifically for canceling the indebtedness.
  • Large health care facilities and medical debt collectors are prohibited from furnishing medical debt information to credit reporting agencies.
  • Tax-exempt 501(c)(3) organizations are permitted to access consumer credit reports for the purpose of determining eligibility for medical debt abolition.
  • An existing appropriation of $20,000,000 to the State Treasurer's Office for redeeming general obligation bonds is amended to $19,000,000.
  • The act takes effect on July 1, 2025.

Frequently Asked Questions

Who qualifies to have their medical debt forgiven under this bill?
Vermont residents are eligible if their household income is at or below 400 percent of the , or if their medical debt equals five percent or more of their household income, provided the account still has an outstanding balance after routine collection efforts.
Will forgiven medical debt count as taxable income for the resident?
No. The bill requires that the contracting entity abolish the debt with no cost or tax consequences for the debtor.
Can health care providers continue to report medical debt to credit bureaus?
No. The bill prohibits large health care facilities and medical debt collectors from furnishing medical debt information to credit reporting agencies, and forbids credit reporting agencies from maintaining medical debt files.

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

Show 48 more sponsors

Discoveries

1 pattern noticed across the record

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

financial connection99% confidence

Bond Redemption Funds Reallocated

The bill amends a prior 2022 appropriation by reducing the amount set aside for redeeming state general obligation bonds from $20,000,000 to $19,000,000, adjusting state capital allocations.

Connected Entities

Vermont Department of Taxes, State of Vermont, State Treasurer and 1 more
OrganizationVermont Department of Taxes“Exempted entity permitted to access credit reports for collecting or investigati”Map →
locationState of Vermont“Jurisdiction passing the legislation and providing General Fund appropriations.”Map →
OrganizationState Treasurer“Responsible for contracting with a nonprofit entity to acquire and abolish medic”Map →
OrganizationGeneral Fund“Source of the $1,000,000.00 appropriation in fiscal year 2026.”Map →

Sources

Open source document

legislature.vermont.gov

Analysis Score

0–100
  • Significance75
    How much this matters to a regular citizen
  • Controversy45
    Intensity of disagreement among stakeholders
  • Entertainment10
    Compellingness for a non-policy-wonk reader
  • Buzz60
    Current news / social attention level

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