2023-2024 Session
Change SessionH.766 (Act 111)
An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts
- Sponsor(s)
-
- Rep. Alyssa Black
- Rep. Lori Houghton
- Additional Sponsors
- 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
- Less…
- Last Recorded Action
- Senate 5/10/2024 - House message: Governor approved bill on May 20, 2024
Bill/Resolution Text
NOTE: to print information that appears on a tab within the bill page, use the Print link on that tab.
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
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
Committee Documents
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
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.
Act
An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts
Statutes Affected
Regular Session 2023-2024
| Statute |
|---|
| 8 V.S.A. § 4089i. Prescription drug coverage |
| 18 V.S.A. § 9418a. Processing claims, downcoding, and adherence to coding rules |
| 18 V.S.A. § 9418b. Prior authorization |
| 18 V.S.A. § 9418c. Fair contract standards |
Staff & Other Information
- Staff
- Jennifer Carbee, Director and Chief Counsel
- Notes
- Act 185 amended certain effective dates from Act 111
