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H.766

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

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
5/1/2024 - Notice Calendar: Senate proposal of amendment
Sponsor(s)
Last Recorded Action
House 5/1/2024 - Notice Calendar: Senate proposal of amendment
Bill/Resolution Text

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

Detailed Status

Regular Session 2023-2024
Body Date Journal Calendar Location Full Status
An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts

Roll Call History

Regular Session 2023-2024
Body Date Journal Location Full Status

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Although procedurally bills and resolutions are assigned to only one committee at a time, other committees may review the bill or resolution. This page contains results from both the assigned committee as well as other committees.

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

Committee Meetings

Regular Session 2023-2024
Meeting Date Committee
An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts

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

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

Witnesses Who Testified

Regular Session 2023-2024
House Committee on Health Care
  • Sebastian Arduengo , Assistant General Counsel, Department of Financial Regulation
  • Jessa Barnard, Executive Director, Vermont Medical Society
  • Julia Boles, Health Policy Advisor, Green Mountain Care Board
  • Emily Brown, Deputy Commissioner of Insurance, Department of Financial Regulation, Insurance Division
  • Jennifer Carbee, Director and Chief Counsel, Office of Legislative Counsel
  • Dr. Carl "Trey" Dobson, Chief Medical Officer, Southwestern Vermont Medical Center
  • Rick Dooley, Clinical Director, Healthfirst, Inc.
  • Rick Dooley, Physician Assistant, Thomas Chittenden Health Center; Clinical Director, Healthfirst, Inc.
  • Jordan Estey, Senior Director, Government Affairs, MVP Healthcare
  • Michael Fisher, Chief Health Care Advocate, Office of the Health Care Advocate, Vermont Legal Aid
  • Devon Green, Vice President of Government Relations, Vermont Association of Hospitals and Health Systems
  • Sandi Hoffman, Deputy Commissioner, Department of Vermont Health Access
  • Nancy Hogue, Pharmacy Director, Blue Cross Blue Shield of Vermont
  • Kelly Lange, Network Vice President, UVM Health Network Managed Care Contracting
  • Alex McCracken, Director of Communications and Legislative Affairs, Department of Vermont Health Access (DVHA)
  • Anne Morris, President, Vermont Academy of Family Physicians
  • Mark Peluso, Chief Health Officer, Middlebury College
  • Susan Ridzon, Executive Director, Healthfirst, Inc.
  • Sara Teachout, Director, Government, Public and Media Relations, Blue Cross/Blue Shield of Vermont
  • Stephanie Winters, Deputy Executive Director, Vermont Medical Society
Senate Committee on Finance
  • Sebastian Arduengo , Assistant General Counsel, Department of Financial Regulation
  • Rep. Alyssa Black, Co-sponsor
  • Erika Brown, Director of Patient Accounts, Community Health Centers of Burlington
  • Anthony Cali, VP of Provider Contracting, Cigna Health Care
  • Jennifer Carbee, Director and Chief Counsel, Office of Legislative Counsel
  • Christine Cooney, State Government Affairs, Cigna Health Care
  • Rick Dooley, Physician Assistant, Thomas Chittenden Health Center
  • Jordan Estey, Senior Director, Government Affairs, MVP Health Care
  • Andrew Garland, Vice President Client Relations and External Affairs, Blue Cross Blue Shield of Vermont
  • Nancy Hogue, Pharmacy Director, Blue Cross Blue Shield of Vermont
  • Fay Homan, Member, Green Mountain Care Board’s Primary Care Advisory Group
  • Kelly Lange, Network Vice President, UVM Health Network Managed Care Contracting
  • Alex McCracken, Director of Communications and Legislative Affairs, Department of Vermont Health Access
  • Kyle Munson, Chief Financial Officer, Community Health Centers of Burlington
  • Tiffany Pierce, Market Medical Executive, Cigna Health Care
Senate Committee on Health and Welfare
  • Sebastian Arduengo , Assistant General Counsel, Department of Financial Regulation
  • Jessa Barnard, Executive Director, Vermont Medical Society
  • Rep. Alyssa Black, Co-sponsor, House Committee on Health Care
  • Claire Bolon, Medical Director, MVP Health Care
  • Sen. Randy Brock, Sponsor, Senate Economic Development, Housing, and General Affairs Committee
  • Emily Brown, Deputy Commissioner of Insurance, Department of Financial Regulation
  • Erika Brown, Director of Patient Accounts, Community Health Centers of Burlington
  • Jennifer Carbee, Director and Chief Counsel, Office of Legislative Counsel
  • Kristen Connolly, Pediatrician, Timberlane Pediatrics
  • Rick Dooley, Physician Assistant, Thomas Chittenden Health Center
  • Jordan Estey, Senior Director, Government Affairs, MVP Health Care
  • Michael Fisher, Chief Health Care Advocate, Office of the Health Care Advocate, Vermont Legal Aid
  • LaRena Fitz-Gerald, Chief Operating Office, Community Health Centers of the Rutland Region
  • Andrew Garland, Vice President Client Relations and External Affairs, Blue Cross Blue Shield of Vermont
  • Devon Green, Vice President of Government Relations, Vermont Association of Hospitals and Health Systems
  • Nancy Hogue, Pharmacy Director, Blue Cross Blue Shield of Vermont
  • Fay Homan, Member, Green Mountain Care Board’s Primary Care Advisory Group
  • Kelly Lange, Network Vice President, UVM Health Network Managed Care Contracting
  • Julie Lin, Independent Dermatologist, University of Vermont/Fletcher Allen Health Care
  • Sara Teachout, Director, Government, Public and Media Relations, Blue Cross/Blue Shield of Vermont
  • Thomas Weigel, Chief Medical Officer, Blue Cross Blue Shield of Vermont

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Fiscal notes and materials available on this web page are provided for informational purposes only, and may not comprise all materials received by the Vermont Legislature or the final fiscal information related to a specific bill.  The Legislature is not responsible for the accuracy of any information in these materials, and their posting does not constitute approval or endorsement by the Legislature.

No fiscal documents found for H.766 in the Regular Session 2023-2024.
No committee of conference members found for H.766 in the Regular Session 2023-2024.
An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts

Committee of Conference Meetings

Regular Session 2023-2024
Meeting Date Committee
An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts

Committee of Conference Meeting Full List

Regular Session 2023-2024
No committee of conference meeting history found for H.766 in the Regular Session 2023-2024.
No committee of conference report found for H.766 in the Regular Session 2023-2024.

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Act

No act information found for H.766 in the Regular Session 2023-2024.

Staff & Other Information

Staff
Jennifer Carbee, Director and Chief Counsel

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