S.190

An act relating to reference-based pricing and the Green Mountain Care Board

Sponsors: Sen. Virginia Lyons

Last Recorded Action: 5/28/2026 - Senate Message: House proposal of amendment concurred in

Committee Activity - Meeting Full List

Regular Session 2025-2026
Thursday, January 15, 2026
Committee(s):
Senate Committee on Health and Welfare
9:45 AM

S.190 - An act relating to reference-based pricing and the Green Mountain Care Board

Introduction

Jennifer Carbee, Deputy Chief Counsel, Office of Legislative Counsel
Thursday, January 22, 2026
Committee(s):
Senate Committee on Health and Welfare
10:45 AM

S.190 - An act relating to reference-based pricing and the Green Mountain Care Board

Walkthrough

Jennifer Carbee, Deputy Chief Counsel, Office of Legislative Counsel
Emily Brown, Executive Director, Green Mountain Care Board
Alena Berube, Director of Policy, Green Mountain Care Board
Jessa Barnard, Executive Director, Vermont Medical Society
Thursday, January 29, 2026
Committee(s):
Senate Committee on Health and Welfare
10:15 AM

S.190 - An act relating to reference-based pricing and the Green Mountain Care Board

Jennifer Carbee, Deputy Chief Counsel, Office of Legislative Counsel
Devon Green, Senior Vice President of Policy and Strategy, Vermont Association of Hospitals and Health Systems
Owen Foster, Chair, Green Mountain Care Board
Alena Berube, Director of Policy, Green Mountain Care Board
Emily Brown, Executive Director, Green Mountain Care Board
Aida Avdic, Chief Medical Officer, Brattleboro Memorial Hospital
Jay Mullen, President & CEO, BlueWater Health
Wednesday, February 11, 2026
Committee(s):
Senate Committee on Health and Welfare
11:30 AM

S.190 - An act relating to reference-based pricing and the Green Mountain Care Board

Mary Block, Deputy Commissioner of Insurance, Department of Financial Regulation
Thursday, February 12, 2026
Committee(s):
Senate Committee on Health and Welfare
11:00 AM

S.190 - An act relating to reference-based pricing and the Green Mountain Care Board

Jessa Barnard, Executive Director, Vermont Medical Society
Friday, February 20, 2026
Committee(s):
Senate Committee on Health and Welfare
9:00 AM

S.190 - An act relating to reference-based pricing and the Green Mountain Care Board

Jennifer Carbee, Deputy Chief Counsel, Office of Legislative Counsel
Owen Foster, Chair, Green Mountain Care Board
Alena Berube, Director of Policy, Green Mountain Care Board
Courtney Harrness, Director of Legislative and Government Relations, Blue Cross Blue Shield of Vermont
Jessa Barnard, Executive Director, Vermont Medical Society
Devon Green, Senior Vice President of Policy and Strategy, Vermont Association of Hospitals and Health Systems
Tuesday, February 24, 2026
Committee(s):
Senate Committee on Health and Welfare
11:00 AM

S.190 - An act relating to reference-based pricing and the Green Mountain Care Board

Courtney Harrness, Director of Legislative and Government Relations, Blue Cross Blue Shield of Vermont
James Mauro, Chief Data Officer, Blue Cross Blue Shield of Vermont
Thomas Weigel, Chief Medical Officer, Blue Cross Blue Shield of Vermont
Mike Fisher, Chief Health Care Advocate, Vermont Legal Aid
Wednesday, February 25, 2026
Committee(s):
Senate Committee on Health and Welfare
10:15 AM

S.190 - An act relating to reference-based pricing and the Green Mountain Care Board

Committee Discussion

Jennifer Carbee, Deputy Chief Counsel, Office of Legislative Counsel
Mike Fisher, Chief Health Care Advocate, Vermont Legal Aid
Thursday, February 26, 2026
Committee(s):
Senate Committee on Health and Welfare
11:30 AM

S.190 - An act relating to reference-based pricing and the Green Mountain Care Board

Jennifer Carbee, Deputy Chief Counsel, Office of Legislative Counsel
Wednesday, March 11, 2026
Committee(s):
Senate Committee on Health and Welfare
10:00 AM

S.190 - An act relating to reference-based pricing and the Green Mountain Care Board

Mark-Up

Jennifer Carbee, Deputy Chief Counsel, Office of Legislative Counsel
Emily Brown, Executive Director, Green Mountain Care Board
Alena Berube, Director of Policy, Green Mountain Care Board
Devon Green, Senior Vice President of Policy and Strategy, Vermont Association of Hospitals and Health Systems
Michael Barber, General Counsel, Green Mountain Care Board
Colin Robinson, Political Director, Vermont National Education Association
Thursday, March 12, 2026
Committee(s):
Senate Committee on Health and Welfare
9:45 AM

S.190 - An act relating to reference-based pricing and the Green Mountain Care Board

Mark-Up

Jennifer Carbee, Deputy Chief Counsel, Office of Legislative Counsel
Emily Brown, Executive Director, Green Mountain Care Board
Devon Green, Senior Vice President of Policy and Strategy, Vermont Association of Hospitals and Health Systems
Colin Robinson, Political Director, Vermont National Education Association
Friday, March 13, 2026
Committee(s):
Senate Committee on Health and Welfare
8:50 AM

S.190 - An act relating to reference-based pricing and the Green Mountain Care Board

Vote

Jennifer Carbee, Deputy Chief Counsel, Office of Legislative Counsel
Devon Green, Senior Vice President of Policy and Strategy, Vermont Association of Hospitals and Health Systems
Courtney Harrness, Director of Legislative and Government Relations, Blue Cross Blue Shield of Vermont
Wednesday, March 18, 2026
Committee(s):
Senate Committee on Appropriations
3:15 PM

S.190 - An act relating to reference-based pricing and the Green Mountain Care Board

Walk-through

Jennifer Carbee, Deputy Chief Counsel, Office of Legislative Counsel
Sen. Virginia "Ginny" Lyons, Sponsor, Senate Committee on Health and Welfare
Nolan Langweil, Principal Fiscal Analyst, Joint Fiscal Office
Thursday, March 19, 2026
Committee(s):
Senate Committee on Health and Welfare
9:45 AM

S.190 - An act relating to reference-based pricing and the Green Mountain Care Board

Amendment

Jennifer Carbee, Deputy Chief Counsel, Office of Legislative Counsel
Friday, March 20, 2026
Committee(s):
Senate Committee on Health and Welfare
10:30 AM

S.190 - An act relating to reference-based pricing and the Green Mountain Care Board

Amendment

Jennifer Carbee, Deputy Chief Counsel, Office of Legislative Counsel
Friday, March 20, 2026
Committee(s):
Senate Committee on Appropriations
1:20 PM

S.190 - An act relating to reference-based pricing and the Green Mountain Care Board

Vote

Jennifer Carbee, Deputy Chief Counsel, Office of Legislative Counsel
Nolan Langweil, Principal Fiscal Analyst, Joint Fiscal Office
Friday, March 27, 2026
Committee(s):
Senate Committee on Health and Welfare
10:00 AM

S.190 - An act relating to reference-based pricing and the Green Mountain Care Board

Amendment

Jennifer Carbee, Deputy Chief Counsel, Office of Legislative Counsel
Mike Fisher, Chief Health Care Advocate, Vermont Legal Aid
Devon Green, Senior Vice President of Policy and Strategy, Vermont Association of Hospitals and Health Systems
Alena Berube, Director of Policy, Green Mountain Care Board
Tuesday, April 28, 2026
Committee(s):
House Committee on Health Care
1:00 PM

S.190 - An act relating to reference-based pricing and the Green Mountain Care Board

Walk-through and Testimony

Jennifer Carbee, Deputy Chief Counsel, Office of Legislative Counsel
Peter Trombley, Director of Legislative Affairs, Office of the State Treasurer
Alena Berube, Director of Policy, Green Mountain Care Board
Kaj Samsom, Commissioner, Department of Financial Regulation
Courtney Harrness, Director of Legislative and Government Relations, Blue Cross Blue Shield of Vermont
Devon Green, Senior Vice President of Policy and Strategy, Vermont Association of Hospitals and Health Systems
Thursday, April 30, 2026
Committee(s):
House Committee on Health Care
9:05 AM

S.190 - An act relating to reference-based pricing and the Green Mountain Care Board

Section 5

Aida Avdic, Chief Medical Officer, Brattleboro Memorial Hospital
Matthew Sutter, Deputy Director of Health Systems Finances, Green Mountain Care Board
Devon Green, Senior Vice President of Policy and Strategy, Vermont Association of Hospitals and Health Systems
Jessa Barnard, Executive Director, Vermont Medical Society
Christine Oliver, Senior Vice President, NFP
11:00 AM

S.190 - An act relating to reference-based pricing and the Green Mountain Care Board

Sections 4 and 10

Sue Ceglowski, Executive Director, Vermont School Boards Association
Colin Robinson, Political Director, Vermont National Education Association
Tuesday, May 5, 2026
Committee(s):
House Committee on Health Care
2:00 PM

S.190 - An act relating to reference-based pricing and the Green Mountain Care Board

Testimony and Committee Discussion

Emily Brown, Executive Director, Green Mountain Care Board
Kaj Samsom, Commissioner, Department of Financial Regulation
Jennifer Carbee, Deputy Chief Counsel, Office of Legislative Counsel
Thursday, May 7, 2026
Committee(s):
House Committee on Health Care
9:05 AM

S.190 - An act relating to reference-based pricing and the Green Mountain Care Board

Kaj Samsom, Commissioner, Department of Financial Regulation
Owen Foster, Chair, Green Mountain Care Board
Colin Robinson, Political Director, Vermont National Education Association
Sophie Zdatny, Legislative Counsel, Office of Legislative Counsel
Sue Ceglowski, Executive Director, Vermont School Boards Association
Joseph McNeil, Attorney/Chief Negotiator, Vermont Educational Employees Health Care Commission
Adam Norton, Strategic Analyst, Vermont State Employees Association
Courtney Harrness, Director of Legislative and Government Relations, Blue Cross Blue Shield of Vermont
Devon Green, Senior Vice President of Policy and Strategy, Vermont Association of Hospitals and Health Systems
Mike Fisher, Chief Health Care Advocate, Vermont Legal Aid
Friday, May 8, 2026
Committee(s):
House Committee on Health Care
10:40 AM

S.190 - An act relating to reference-based pricing and the Green Mountain Care Board

Mark-up, Testimony, Committee Discussion

Jennifer Carbee, Deputy Chief Counsel, Office of Legislative Counsel
Mike Fisher, Chief Health Care Advocate, Vermont Legal Aid
Devon Green, Senior Vice President of Policy and Strategy, Vermont Association of Hospitals and Health Systems
Emily Brown, Executive Director, Green Mountain Care Board
Courtney Harrness, Director of Legislative and Government Relations, Blue Cross Blue Shield of Vermont
1:50 PM

S.190 - An act relating to reference-based pricing and the Green Mountain Care Board

Testimony and Mark-up

Jennifer Carbee, Deputy Chief Counsel, Office of Legislative Counsel
Devon Green, Senior Vice President of Policy and Strategy, Vermont Association of Hospitals and Health Systems
Courtney Harrness, Director of Legislative and Government Relations, Blue Cross Blue Shield of Vermont
3:30 PM

S.190 - An act relating to reference-based pricing and the Green Mountain Care Board

Vote

Jennifer Carbee, Deputy Chief Counsel, Office of Legislative Counsel
Friday, May 15, 2026
Committee(s):
House Committee on Health Care
11:05 AM

S.190 - An act relating to reference-based pricing and the Green Mountain Care Board

Review Black Amendment, Straw Poll

Jennifer Carbee, Deputy Chief Counsel, Office of Legislative Counsel
Tuesday, May 19, 2026
Committee(s):
House Committee on Ways and Means
11:15 AM

S.190 - An act relating to reference-based pricing and the Green Mountain Care Board

vote

Jennifer Carbee, Deputy Chief Counsel, Office of Legislative Counsel
Nolan Langweil, Principal Fiscal Analyst, Joint Fiscal Office
Rep. Alyssa Black, Chair, House Committee on Health Care
Thursday, May 21, 2026
Committee(s):
House Committee on Appropriations
10:00 AM

S.190 - An act relating to reference-based pricing and the Green Mountain Care Board

Walk-through

Jennifer Carbee, Deputy Chief Counsel, Office of Legislative Counsel
Devon Green, Senior Vice President of Policy and Strategy, Vermont Association of Hospitals and Health Systems
Diane Lanpher, Director of Legislative Affairs, Green Mountain Care Board
Nolan Langweil, Principal Fiscal Analyst, Joint Fiscal Office
Rep. Alyssa Black, Chair, House Committee on Health Care
10:45 AM

S.190 - An act relating to reference-based pricing and the Green Mountain Care Board

Continued walk-through and vote

Jennifer Carbee, Deputy Chief Counsel, Office of Legislative Counsel
Nolan Langweil, Principal Fiscal Analyst, Joint Fiscal Office
Rep. Alyssa Black, Chair, House Committee on Health Care
Emily Brown, Executive Director, Green Mountain Care Board
Thursday, May 21, 2026
Committee(s):
House Committee on Ways and Means
2:30 PM

S.190 - An act relating to reference-based pricing and the Green Mountain Care Board

Jennifer Carbee, Deputy Chief Counsel, Office of Legislative Counsel
Nolan Langweil, Principal Fiscal Analyst, Joint Fiscal Office
Friday, May 22, 2026
Committee(s):
House Committee on Health Care
9:10 AM

S.190 - An act relating to reference-based pricing and the Green Mountain Care Board

Review House Appropriations Amendment, Straw Poll

Jennifer Carbee, Deputy Chief Counsel, Office of Legislative Counsel
Rep. Eileen Dickinson, Bill Reporter, House Committee on Appropriations
Friday, May 22, 2026
Committee(s):
House Committee on Ways and Means
10:00 AM

S.190 - An act relating to reference-based pricing and the Green Mountain Care Board

HAC Amendment straw poll

Thursday, May 28, 2026
Committee(s):
Senate Committee on Health and Welfare
8:30 AM

S.190 - An act relating to reference-based pricing and the Green Mountain Care Board

Review House changes

Jennifer Carbee, Deputy Chief Counsel, Office of Legislative Counsel
Nolan Langweil, Principal Fiscal Analyst, Joint Fiscal Office