The civic record
Read. Follow. Verify.Vermont Bill H.136 requires health insurers and Medicaid to cover biomarker testing starting in 2026
Last action · February 4, 2025: Read first time and referred to the Committee on Health CareSponsors: Kate McCann and 21 others
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What This Bill Would Do
Vermont House Bill 136 requires private health insurance plans and Medicaid to cover testing for the diagnosis, treatment, and ongoing monitoring of diseases starting January 1, 2026. The coverage must be supported by medical and scientific evidence such as FDA approvals or clinical practice guidelines, and must be delivered in a manner that limits care disruptions like multiple biopsies.
Patients requiring specialized genetic or molecular testing for conditions like cancer will have coverage mandated across health plans and Medicaid, shifting diagnostic costs to insurers while altering clinical testing protocols.
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.
health insurers
Health insurers must update their health insurance plans to provide coverage for biomarker testing meeting specific scientific and medical evidence standards.
Medicaid beneficiaries
Medicaid beneficiaries gain eligibility for covered biomarker testing services for disease diagnosis, treatment, and monitoring.
Agency of Human Services
The Agency of Human Services must implement Medicaid coverage for biomarker testing and request any necessary state plan amendments from CMS.
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 types of tests are covered under this bill?
When will health insurance plans be required to provide this coverage?
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- Feb 4, 2025HouseIntroducedRead 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 17 more sponsors
Connected Entities
Sources
legislature.vermont.gov
Analysis Score
0–100- Significance75How much this matters to a regular citizen
- Controversy25Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz30Current news / social attention level
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