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Vermont Bill H.430 allows health insurers to vary premiums by age and tobacco use

Original title: An act relating to allowing health insurance premiums to vary based on age and tobacco usage

Last action · February 28, 2025: Read first time and referred to the Committee on Health CareSponsors: Gina Galfetti and 1 other

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

Health insurers in Vermont would be permitted to adjust individual and small group health insurance plan premiums based on a beneficiary's age, with a maximum ratio of 3 to 1, and tobacco usage, with a maximum rate differential ratio of 1.5 to 1, starting January 1, 2026.

Why it matters

The measure alters how health insurance carriers calculate premiums for individual plans and small employers by introducing age and tobacco risk classifications up to statutory caps.

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

individuals

Individual health insurance plan beneficiaries may see their premium rates vary based on their age and tobacco usage.

Directly affected

small employers

Small employers purchasing group health plans may have premium rates adjusted based on the age and tobacco usage of employees.

Directly affected

health insurers

Registered carriers are permitted to use age and tobacco usage as risk classification factors in determining health benefit plan premiums.

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 maximum allowable rate difference for age under this bill?
The maximum for age as determined by ratio cannot exceed 3 to 1.
Does the bill allow medical underwriting and screening?
No, the rules adopted by the Commissioner of Financial Regulation may not permit any and screening.

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. Feb 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 shift95% confidence

Introduction of Age and Tobacco Rating

The bill shifts Vermont policy from strict prohibitions on demographic rating factors toward permitting age and tobacco usage as risk classifications under statutory caps.

Connected Entities

Commissioner of Financial Regulation, Commissioner of Vermont Health Access, Director of the Blueprint for Health and 2 more
PersonCommissioner of Financial Regulation“State official responsible for adopting standards and rules for risk classificat”Map →
PersonCommissioner of Vermont Health Access“State official consulted in rule development”Map →
PersonDirector of the Blueprint for Health“State official consulted in rule development”Map →
PersonCommissioner of Health“State official consulted in the development of health promotion and disease prev”Map →
OrganizationGeneral Assembly of the State of Vermont“Enacting legislative body”Map →

Sources

Open source document

legislature.vermont.gov

Analysis Score

0–100
  • Significance75
    How much this matters to a regular citizen
  • Controversy60
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz35
    Current news / social attention level

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