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Searching 2025-2026 Session
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The Vermont Statutes Online

The Statutes below include the actions of the 2025 session of the General Assembly.

NOTE: The Vermont Statutes Online is an unofficial copy of the Vermont Statutes Annotated that is provided as a convenience.

Title 18: Health

Chapter 221: Health Care Administration

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

  •    § 9402. Definitions

  •    § 9403. Statewide Health Care Delivery Strategic Plan

  •    § 9403a. Health Care Delivery Advisory Committee

  •    § 9403b. Vermont Steering Committee for Comprehensive Primary Health Care

  •    § 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. Reporting on participation in 340B drug pricing program [Repealed effective January 1, 2031]

  •    § 9407. Outpatient prescription drugs; limitations on hospital charges [Effective January 1, 2026]

  •    § 9407. Repealed. 2011, No. 48, § 32(b). [Effective until January 1, 2026]

  •    § 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 Repealed. 2011, No. 171 (Adj.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 Repealed. 2015, No. 54, § 61.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 until January 1, 2026; see also section 9418a effective January 1, 2026 set out below]

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

  •    § 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]

  •    § 9421. Repealed. 2023, No. 127 (Adj. Sess.), § 4(a)(1), eff. 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. Hospital networks; structure; financial operations


  • 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]

  •    § 9471. Repealed. 2023, No. 127 (Adj. Sess.), § 4(a)(2), eff. July 1, 2029.

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 Pharmacy benefit managers; required practices with respect to health insurers and covered persons [Repealed effective July 1, 2029]

  •    § 9472. Repealed. 2023, No. 127 (Adj. Sess.), § 4(a)(2), eff. July 1, 2029.

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 Pharmacy benefit managers; required practices with respect to pharmacies [Repealed effective July 1, 2029]

  •    § 9473. Repealed. 2023, No. 127 (Adj. Sess.), § 4(a)(2), eff. July 1, 2029.

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 Enforcement [Repealed effective July 1, 2029]

  •    § 9474. Repealed. 2023, No. 127 (Adj. Sess.), § 4(a)(2), eff. July 1, 2029.


  • Subchapter 010: PATIENT FINANCIAL ASSISTANCE AND MEDICAL DEBT
  •    § 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 or reporting of medical debt

  •    § 9486. Prohibition of waiver of rights

  •    § 9487. Enforcement


Full Text of Chapter

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