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H.766

An act relating to prior authorization and step therapy requirements, health insurance claims, provider contracts, and collection of cost sharing amounts

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
House Committee on Health Care
1/11/2024 - Read first time and referred to the Committee on Health Care
Sponsor(s)
Location
House Committee on Health Care
Last Recorded Action
House 1/11/2024 - Read first time and referred to the Committee on Health Care
Bill/Resolution Text

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An act relating to prior authorization and step therapy requirements, health insurance claims, provider contracts, and collection of cost sharing amounts

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, provider contracts, and collection of cost sharing amounts

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, provider contracts, and collection of cost sharing amounts

Committee Meetings

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

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, provider contracts, and collection of cost sharing amounts

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, provider contracts, and collection of cost sharing amounts

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, provider contracts, and collection of cost sharing amounts

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, provider contracts, and collection of cost sharing amounts

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, provider contracts, and collection of cost sharing amounts

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, provider contracts, and collection of cost sharing amounts

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, provider contracts, and collection of cost sharing amounts

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, provider contracts, and collection of cost sharing amounts

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, provider contracts, and collection of cost sharing amounts


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, provider contracts, and collection of cost sharing amounts

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, provider contracts, and collection of cost sharing amounts

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

Committee Documents

An act relating to prior authorization and step therapy requirements, health insurance claims, provider contracts, and collection of cost sharing amounts

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

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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, provider contracts, and collection of cost sharing amounts

Committee of Conference Meetings

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

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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