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S.190

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

Sen. Virginia Lyons ,
5/29/2026 - Senate Message: Vetoed by Governor June 16, 2026
Sponsor(s)
Last Recorded Action
House 5/29/2026 - Senate Message: Vetoed by Governor June 16, 2026Opens in a new window
Bill/Resolution Text
Other Text

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

Detailed Status

Regular Session 2025-2026
Expand row Body Date Journal Calendar Location Full Status

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

Roll Call History

Regular Session 2025-2026
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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 reference-based pricing and the Green Mountain Care Board

Committee Meetings

Regular Session 2025-2026
Meeting Date Committee Actions

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

Meeting Full List

Regular Session 2025-2026
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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 and 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, 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

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

Witnesses Who Testified

Regular Session 2025-2026
Print Report Opens in a new window
House Committee on Appropriations
  • Rep. Alyssa Black, Chair, House Committee on Health Care
  • Emily Brown, Executive Director, 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
  • Nolan Langweil, Principal Fiscal Analyst, Joint Fiscal Office
  • Diane Lanpher, Director of Legislative Affairs, Green Mountain Care Board
House Committee on Health Care
  • Aida Avdic, Chief Medical Officer, Brattleboro Memorial Hospital
  • Jessa Barnard, Executive Director, Vermont Medical Society
  • Alena Berube, Director of Policy, Green Mountain Care Board
  • Emily Brown, Executive Director, Green Mountain Care Board
  • Jennifer Carbee, Deputy Chief Counsel, Office of Legislative Counsel
  • Sue Ceglowski, Executive Director, Vermont School Boards Association
  • Rep. Eileen Dickinson, Reporter, House Committee on Appropriations
  • Mike Fisher, Chief Health Care Advocate, Vermont Legal Aid
  • Owen Foster, Chair, Green Mountain Care Board
  • 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
  • Joseph McNeil, Attorney/Chief Negotiator, Vermont Educational Employees Health Care Commission
  • Adam Norton, Strategic Analyst, Vermont State Employees Association
  • Christine Oliver, Senior Vice President, NFP
  • Colin Robinson, Political Director, Vermont National Education Association
  • Kaj Samsom, Commissioner, Department of Financial Regulation
  • Matthew Sutter, Deputy Director of Health Systems Finances, Green Mountain Care Board
  • Peter Trombley, Director of Legislative Affairs, Office of the State Treasurer
  • Sophie Zdatny, Legislative Counsel, Office of Legislative Counsel
House Committee on Ways and Means
  • Rep. Alyssa Black, Chair, House Committee on Health Care
  • Jennifer Carbee, Deputy Chief Counsel, Office of Legislative Counsel
  • Nolan Langweil, Principal Fiscal Analyst, Joint Fiscal Office
Senate Committee on Appropriations
  • Jennifer Carbee, Deputy Chief Counsel, Office of Legislative Counsel
  • Nolan Langweil, Principal Fiscal Analyst, Joint Fiscal Office
  • Sen. Virginia "Ginny" Lyons, Sponsor, Senate Committee on Health and Welfare
Senate Committee on Health and Welfare
  • Aida Avdic, Chief Medical Officer, Brattleboro Memorial Hospital
  • Michael Barber, General Counsel, Green Mountain Care Board
  • Jessa Barnard, Executive Director, Vermont Medical Society
  • Alena Berube, Director of Policy, Green Mountain Care Board
  • Mary Block, Deputy Commissioner of Insurance, Department of Financial Regulation
  • Emily Brown, Executive Director, Green Mountain Care Board
  • Jennifer Carbee, Deputy Chief Counsel, Office of Legislative Counsel
  • Mike Fisher, Chief Health Care Advocate, Vermont Legal Aid
  • Owen Foster, Chair, Green Mountain Care Board
  • 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
  • Nolan Langweil, Principal Fiscal Analyst, Joint Fiscal Office
  • James Mauro, Chief Data Officer, Blue Cross Blue Shield of Vermont
  • Jay Mullen, President and CEO, BlueWater Health
  • Colin Robinson, Political Director, Vermont National Education Association
  • 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.

Fiscal Information

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Fiscal Notes and Related Documents

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No committee of conference members found for S.190 in the Regular Session 2025-2026.

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

Committee of Conference Meetings

Regular Session 2025-2026
Meeting Date Committee Time Actions

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

Committee of Conference Meeting Full List

Regular Session 2025-2026
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No committee of conference meeting history found for S.190 in the Regular Session 2025-2026.
No committee of conference report found for S.190 in the Regular Session 2025-2026.

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Act

No act information found for S.190 in the Regular Session 2025-2026.

Staff & Other Information

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Jennifer Carbee, Deputy Chief Counsel

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