The Vermont Statutes Online

Title 18: Health

Chapter 221: Health Care Administration

• Subchapter 001: QUALITY, RESOURCE ALLOCATION, AND COST CONTAINMENT
•    § 9401. Policy

•    § 9402. Definitions

•    § 9403. Repealed. No. 2013, No. 79, § 52(e), effective July 1, 2013.

•    § 9404. Administration

•    § 9405. State Health Improvement Plan; Health Resource Allocation Plan

•    § 9405a. Public participation and strategic planning

•    § 9405b. Hospital community reports and ambulatory surgical center quality reports

•    § 9405c. Notice of acquisition

•    §§ 9406, 9407. Repealed. 2011, No. 171 (Adj. Sess.), § 10, eff. May 16, 2012.

•    § 9407. Repealed. 2011, No. 48, § 32(b).

•    § 9408. Common claims forms and procedures

•    § 9408a. Uniform provider credentialing

•    § 9409. Health care provider bargaining groups

•    § 9409a. Repealed. 2011, No. 171 (Adj. Sess.), § 41(b), effective May 16, 2012.

•    § 9410. Health care database

•    § 9411. Interactive price transparency dashboard

•    § 9412. Enforcement

•    § 9413. Health care quality and price comparison

•    § 9414. Quality assurance for managed care

•    § 9414a. Annual reporting by health insurers

•    § 9415. Repealed. 2015, No. 54, § 61.

•    § 9416. Vermont Program for Quality in Health Care

•    § 9417. Tax-advantaged accounts for health-related expenses; administration; rulemaking

• Subchapter 002: CLAIMS PROCESSING AND CONTRACT STANDARDS
•    § 9418. Payment for health care services

•    § 9418a. Processing claims, downcoding, and adherence to coding rules [Effective January 1, 2025; Effective until January 1, 2026; see also section 9418a effective until January 1, 2025, set out above and section 9418a effective J

•    § 9418a. Processing claims, downcoding, and adherence to coding rules [Effective January 1, 2026; see also section 9418a effective until January 1, 2025 and section 9418a effective January 1, 2025, set out above]

•    § 9418a. Processing claims, downcoding, and adherence to coding rules [Effective until January 1, 2025; see also section 9418a effective January 1, 2025 and section 9418a effective January 1, 2026, set out below]

•    § 9418b. Prior authorization

•    § 9418c. Fair contract standards

•    § 9418d. Contract amendments

•    § 9418e. Most favored nation clauses prohibited

•    § 9418f. Rental network contracts

•    § 9418g. Enforcement

•    § 9419. Charges for access to medical records

•    § 9420. Conversion of nonprofit hospitals

•    § 9421. Pharmacy benefit management; registration; insurer audit of pharmacy benefit manager activities [Repealed effective July 1, 2029]

•    § 9422. Credit card payments optional for providers

•    §§ 9423-9424. Repealed. 1995, No. 180 (Adj. Sess.), § 22.

• Subchapter 005: HEALTH FACILITY PLANNING
•    § 9431. Policy and purpose

•    § 9432. Definitions

•    § 9433. Administration

•    § 9434. Certificate of need; general rules

•    § 9435. Exclusions

•    § 9436. Repealed. 2003, No. 53, § 27(3).

•    § 9437. Criteria

•    § 9438. Repealed. 1995, No.180 (Adj. Sess.), § 32.

•    § 9439. Competing applications

•    § 9440. Procedures

•    § 9440a. Applications, information, and testimony; oath required

•    § 9440b. Information technology; review procedures

•    § 9441. Fees

•    § 9442. Bonds

•    § 9443. Expiration of certificates of need

•    § 9444. Revocation of certificates; material change

•    § 9445. Enforcement

•    § 9446. Home health agencies; geographic service areas

• Subchapter 007: HOSPITAL BUDGET REVIEW
•    § 9451. Definitions

•    § 9452. Repealed. 1995, No. 180 (Adj. Sess.), § 36.

•    § 9453. Powers and duties

•    § 9454. Hospitals; duties

•    § 9455. Repealed. 1995, No. 180 (Adj. Sess.), § 36.

•    § 9456. Budget review

•    § 9457. Information available to the public

•    § 9458. Repealed. 1995, No. 180 (Adj. Sess.), § 36.

• Subchapter 008: MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT QUALITY ASSURANCE
•    § 9461. Quality measures

•    § 9462. Quality improvement projects

• Subchapter 009: PHARMACY BENEFIT MANAGERS
•    § 9471. Definitions [Repealed effective July 1, 2029]

•    § 9472. Pharmacy benefit managers; required practices with respect to health insurers and covered persons [Repealed effective July 1, 2029]

•    § 9473. Pharmacy benefit managers; required practices with respect to pharmacies [Repealed effective July 1, 2029]

•    § 9474. Enforcement [Repealed effective July 1, 2029]

• Subchapter 010: PATIENT FINANCIAL ASSISTANCE
•    § 9481. Definitions

•    § 9482. Financial assistance policies for large health care facilities

•    § 9483. Implementation of financial assistance policy

•    § 9484. Public education and information

•    § 9485. Prohibition on sale of medical debt

•    § 9486. Prohibition of waiver of rights

•    § 9487. Enforcement

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