H.766 (Act 111)

An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts

Sponsors: Rep. Alyssa Black, Rep. Lori Houghton , Rep. Julia Andrews, Rep. Daisy Berbeco, Rep. Michelle Bos-Lun, Rep. Melanie Carpenter, Rep. Brian Cina, Rep. Mari Cordes, Rep. Allen "Penny" Demar, Rep. Leonora Dodge, Rep. Karen Dolan, Rep. Robert "Bobby" Farlice-Rubio, Rep. Golrang Garofano, Rep. Leslie Goldman, Rep. Edye Graning, Rep. Michael McCarthy, Rep. Francis McFaun, Rep. Carol Ode, Rep. Arthur Peterson, Rep. Tristan Roberts, Rep. Chea Waters Evans

Last Recorded Action: 5/10/2024 - House message: Governor approved bill on May 20, 2024

Committee Activity - Meeting Full List

Regular Session 2023-2024

Thursday, January 18, 2024
Committee(s):
House Committee on Health Care
9:00 AM

H.766 - An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts

Review of previous prior authorization legislation, walk-through, testimony on prior authorizations

Jennifer Carbee, Director and Chief Counsel, Office of Legislative Counsel
Dr. Carl "Trey" Dobson, Chief Medical Officer, Southwestern Vermont Medical Center
Sebastian Arduengo , Assistant General Counsel, Department of Financial Regulation
Julia Boles, Health Policy Advisor, Green Mountain Care Board
Kelly Lange, Network Vice President, UVM Health Network Managed Care Contracting
11:00 AM

H.766 - An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts

Testimony on prior authorizations, continued

Sara Teachout, Director, Government, Public and Media Relations, Blue Cross/Blue Shield of Vermont
Jordan Estey, Senior Director, Government Affairs, MVP Healthcare
Mark Peluso, Chief Health Officer, Middlebury College
Rick Dooley, Clinical Director, Healthfirst, Inc.

Friday, January 19, 2024
Committee(s):
House Committee on Health Care
After the Floor

H.766 - An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts

Sandi Hoffman, Deputy Commissioner, Department of Vermont Health Access

Wednesday, January 24, 2024
Committee(s):
House Committee on Health Care
2:00 PM

H.766 - An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts

Prior authorizations

Sandi Hoffman, Deputy Commissioner, Department of Vermont Health Access
Alex McCracken, Director of Communications and Legislative Affairs, Department of Vermont Health Access (DVHA)

Thursday, January 25, 2024
Committee(s):
House Committee on Health Care
10:45 AM

H.766 - An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts

Walk-through (continued from January 18th.) Testimony on Collecting of Cost Sharing by Health Plans (Section 7)

Jennifer Carbee, Director and Chief Counsel, Office of Legislative Counsel
Sara Teachout, Director, Government, Public and Media Relations, Blue Cross/Blue Shield of Vermont
Jordan Estey, Senior Director, Government Affairs, MVP Healthcare
Jessa Barnard, Executive Director, Vermont Medical Society
Devon Green, Vice President of Government Relations, Vermont Association of Hospitals and Health Systems
Michael Fisher, Chief Health Care Advocate, Office of the Health Care Advocate, Vermont Legal Aid
1:15 PM

H.766 - An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts

Claims edits (Section 2)

Jordan Estey, Senior Director, Government Affairs, MVP Healthcare
Sara Teachout, Director, Government, Public and Media Relations, Blue Cross/Blue Shield of Vermont
2:05 PM

H.766 - An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts

Committee discussion


Tuesday, January 30, 2024
Committee(s):
House Committee on Health Care
3:30 PM

H.766 - An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts

Step-therapy (Section 1)

Jennifer Carbee, Director and Chief Counsel, Office of Legislative Counsel
Nancy Hogue, Pharmacy Director, Blue Cross Blue Shield of Vermont
Anne Morris, President, Vermont Academy of Family Physicians

Wednesday, January 31, 2024
Committee(s):
House Committee on Health Care
-

H.766 - An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts


Wednesday, February 14, 2024
Committee(s):
House Committee on Health Care
9:00 AM

H.766 - An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts

Walk-through and testimony

Jennifer Carbee, Director and Chief Counsel, Office of Legislative Counsel
Jessa Barnard, Executive Director, Vermont Medical Society
Susan Ridzon, Executive Director, Healthfirst, Inc.
Rick Dooley, Physician Assistant, Thomas Chittenden Health Center; Clinical Director, Healthfirst, Inc.
Devon Green, Vice President of Government Relations, Vermont Association of Hospitals and Health Systems
Kelly Lange, Network Vice President, UVM Health Network Managed Care Contracting
10:45 AM

H.766 - An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts

Testimony and Committee discussion

Sara Teachout, Director, Government, Public and Media Relations, Blue Cross/Blue Shield of Vermont
Jordan Estey, Senior Director, Government Affairs, MVP Healthcare
Emily Brown, Deputy Commissioner of Insurance, Department of Financial Regulation, Insurance Division

Wednesday, February 28, 2024
Committee(s):
House Committee on Health Care
9:15 AM

H.766 - An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts

Walk-through of new draft, testimony, Committee discussion

Susan Ridzon, Executive Director, Healthfirst, Inc.
Kelly Lange, Network Vice President, UVM Health Network Managed Care Contracting
Jennifer Carbee, Director and Chief Counsel, Office of Legislative Counsel
Jordan Estey, Senior Director, Government Affairs, MVP Healthcare
Stephanie Winters, Deputy Executive Director, Vermont Medical Society
10:45 AM

H.766 - An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts

Walk-through of new draft

Jennifer Carbee, Director and Chief Counsel, Office of Legislative Counsel
11:30 AM

H.766 - An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts

Committee discussion

Devon Green, Vice President of Government Relations, Vermont Association of Hospitals and Health Systems

Thursday, February 29, 2024
Committee(s):
House Committee on Health Care
-

H.766 - An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts

Walk-through of new draft, Committee discussion, possible vote

Jennifer Carbee, Director and Chief Counsel, Office of Legislative Counsel

Thursday, March 28, 2024
Committee(s):
Senate Committee on Health and Welfare
9:45 AM

H.766 - An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts

Introduction and walk-through

Jennifer Carbee, Director and Chief Counsel, Office of Legislative Counsel
Rep. Alyssa Black, Co-sponsor, House Committee on Health Care
Michael Fisher, Chief Health Care Advocate, Office of the Health Care Advocate, Vermont Legal Aid

Wednesday, April 3, 2024
Committee(s):
Senate Committee on Health and Welfare
9:00 AM

H.766 - An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts

Julie Lin, Independent Dermatologist, University of Vermont/Fletcher Allen Health Care
Erika Brown, Director of Patient Accounts, Community Health Centers of Burlington
LaRena Fitz-Gerald, Chief Operating Office, Community Health Centers of the Rutland Region
Nancy Hogue, Pharmacy Director, Blue Cross Blue Shield of Vermont
Andrew Garland, Vice President Client Relations and External Affairs, Blue Cross Blue Shield of Vermont
Thomas Weigel, Chief Medical Officer, Blue Cross Blue Shield of Vermont
Jordan Estey, Senior Director, Government Affairs, MVP Health Care
Claire Bolon, Medical Director, MVP Health Care
Kelly Lange, Network Vice President, UVM Health Network Managed Care Contracting

Thursday, April 4, 2024
Committee(s):
Senate Committee on Health and Welfare
11:10 AM

H.766 - An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts

Emily Brown, Deputy Commissioner of Insurance, Department of Financial Regulation
Sebastian Arduengo , Assistant General Counsel, Department of Financial Regulation
Jennifer Carbee, Director and Chief Counsel, Office of Legislative Counsel
Jessa Barnard, Executive Director, Vermont Medical Society

Wednesday, April 10, 2024
Committee(s):
Senate Committee on Health and Welfare
9:30 AM

H.766 - An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts

Kristen Connolly, Pediatrician, Timberlane Pediatrics
Rick Dooley, Physician Assistant, Thomas Chittenden Health Center

Thursday, April 11, 2024
Committee(s):
Senate Committee on Health and Welfare
10:15 AM

H.766 - An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts

Jennifer Carbee, Director and Chief Counsel, Office of Legislative Counsel
Fay Homan, Member, Green Mountain Care Board’s Primary Care Advisory Group

Wednesday, April 17, 2024
Committee(s):
Senate Committee on Finance
2:00 PM

H.766 - An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts

Walk-through

Jennifer Carbee, Director and Chief Counsel, Office of Legislative Counsel
2:30 PM

H.766 - An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts

Rep. Alyssa Black, Co-sponsor
Nancy Hogue, Pharmacy Director, Blue Cross Blue Shield of Vermont
Andrew Garland, Vice President Client Relations and External Affairs, Blue Cross Blue Shield of Vermont
Christine Cooney, State Government Affairs, Cigna Health Care
Anthony Cali, VP of Provider Contracting, Cigna Health Care
Tiffany Pierce, Market Medical Executive, Cigna Health Care
Jordan Estey, Senior Director, Government Affairs, MVP Health Care

Thursday, April 18, 2024
Committee(s):
Senate Committee on Finance
2:00 PM

H.766 - An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts

Fay Homan, Member, Green Mountain Care Board’s Primary Care Advisory Group
Kyle Munson, Chief Financial Officer, Community Health Centers of Burlington
Erika Brown, Director of Patient Accounts, Community Health Centers of Burlington
Rick Dooley, Physician Assistant, Thomas Chittenden Health Center
4:00 PM

H.766 - An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts

Kelly Lange, Network Vice President, UVM Health Network Managed Care Contracting
Alex McCracken, Director of Communications and Legislative Affairs, Department of Vermont Health Access
-

H.766 - An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts

Discussion and markup


Thursday, April 18, 2024
Committee(s):
Senate Committee on Health and Welfare
-

H.766 - An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts

Mark-up and vote

Jennifer Carbee, Director and Chief Counsel, Office of Legislative Counsel
Jessa Barnard, Executive Director, Vermont Medical Society
Sara Teachout, Director, Government, Public and Media Relations, Blue Cross/Blue Shield of Vermont

Tuesday, April 23, 2024
Committee(s):
Senate Committee on Finance
3:15 PM

H.766 - An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts

Sebastian Arduengo , Assistant General Counsel, Department of Financial Regulation

Wednesday, April 24, 2024
Committee(s):
Senate Committee on Health and Welfare
11:30 AM

H.766 - An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts

Introduction of proposed amendment

Sen. Randy Brock, Sponsor, Senate Economic Development, Housing, and General Affairs Committee
Jennifer Carbee, Director and Chief Counsel, Office of Legislative Counsel
Sara Teachout, Director, Government, Public and Media Relations, Blue Cross/Blue Shield of Vermont

Friday, April 26, 2024
Committee(s):
Senate Committee on Health and Welfare
10:15 AM

H.766 - An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts

Walk-through of proposed amendment by Senator Kitchel

Jennifer Carbee, Director and Chief Counsel, Office of Legislative Counsel
Devon Green, Vice President of Government Relations, Vermont Association of Hospitals and Health Systems

Wednesday, May 1, 2024
Committee(s):
House Committee on Health Care
10:25 AM

H.766 - An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts

Review of Senate Proposal of Amendment

Jennifer Carbee, Director and Chief Counsel, Office of Legislative Counsel

Monday, June 17, 2024
Committee(s):
House Committee on Health Care
12:25 AM

H.766 - An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts

Section 9, Implementation dates, vote