The Vermont Statutes Online
NOTE: The Vermont Statutes Online is an unofficial copy of the Vermont Statutes Annotated that is provided as a convenience.
NOTE: The online version of the Vermont Statutes does NOT yet include the actions of the 2023 legislative session. The 2023 updates should be available by the end of October.
Title 18: Health
Chapter 221: HEALTH CARE ADMINISTRATION
- Subchapter 001: QUALITY, RESOURCE ALLOCATION, AND COST CONTAINMENT
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§ 9401. Policy
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§ 9402. Definitions
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§ 9403. Repealed. No. 2013, No. 79, § 52(e), effective July 1, 2013.
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§ 9404. Administration
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§ 9405. State Health Improvement Plan; Health Resource Allocation Plan
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§ 9405a. Public participation and strategic planning
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§ 9405b. Hospital community reports and ambulatory surgical center quality reports
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§ 9405c. Notice of acquisition
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§ 9406. Repealed. 2011, No. 171 (Adj. Sess.), § 10, eff. May 16, 2012.
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§ 9407. Repealed. 2011, No. 48, § 32(b).
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§ 9408. Common claims forms and procedures
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§ 9408a. Uniform provider credentialing
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§ 9409. Health care provider bargaining groups
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§ 9409a. Repealed. 2011, No. 171 (Adj. Sess.), § 41(b), effective May 16, 2012.
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§ 9410. Health care database
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§ 9411. Interactive price transparency dashboard
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§ 9412. Enforcement
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§ 9413. Health care quality and price comparison
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§ 9414. Quality assurance for managed care
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§ 9414a. Annual reporting by health insurers
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§ 9415. Repealed. 2015, No. 54, § 61.
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§ 9416. Vermont Program for Quality in Health Care
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§ 9417. Tax-advantaged accounts for health-related expenses; administration; rulemaking
- Subchapter 002: CLAIMS PROCESSING AND CONTRACT STANDARDS
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§ 9418. Payment for health care services
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§ 9418a. Processing claims, downcoding, and adherence to coding rules
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§ 9418b. Prior authorization
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§ 9418c. Fair contract standards
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§ 9418d. Contract amendments
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§ 9418e. Most favored nation clauses prohibited
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§ 9418f. Rental network contracts
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§ 9418g. Enforcement
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§ 9419. Charges for access to medical records
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§ 9420. Conversion of nonprofit hospitals
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§ 9421. Pharmacy benefit management; registration; insurer audit of pharmacy benefit manager activities
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§ 9422. Credit card payments optional for providers
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§§ 9423-9424. Repealed. 1995, No. 180 (Adj. Sess.), § 22.
- Subchapter 005: HEALTH FACILITY PLANNING
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§ 9431. Policy and purpose
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§ 9432. Definitions
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§ 9433. Administration
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§ 9434. Certificate of need; general rules
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§ 9435. Exclusions
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§ 9436. Repealed. 2003, No. 53, § 27(3).
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§ 9437. Criteria
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§ 9438. Repealed. 1995, No.180 (Adj. Sess.), § 32.
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§ 9439. Competing applications
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§ 9440. Procedures
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§ 9440a. Applications, information, and testimony; oath required
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§ 9440b. Information technology; review procedures
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§ 9441. Fees
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§ 9442. Bonds
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§ 9443. Expiration of certificates of need
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§ 9444. Revocation of certificates; material change
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§ 9445. Enforcement
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§ 9446. Home health agencies; geographic service areas
- Subchapter 007: HOSPITAL BUDGET REVIEW
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§ 9451. Definitions
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§ 9452. Repealed. 1995, No. 180 (Adj. Sess.), § 36.
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§ 9453. Powers and duties
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§ 9454. Hospitals; duties
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§ 9455. Repealed. 1995, No. 180 (Adj. Sess.), § 36.
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§ 9456. Budget review
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§ 9457. Information available to the public
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§ 9458. Repealed. 1995, No. 180 (Adj. Sess.), § 36.
- Subchapter 008: MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT QUALITY ASSURANCE
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§ 9461. Quality measures
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§ 9462. Quality improvement projects
- Subchapter 009: PHARMACY BENEFIT MANAGERS
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§ 9471. Definitions
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§ 9472. Pharmacy benefit managers; required practices with respect to health insurers
[Effective January 1, 2023.]
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§ 9472. Pharmacy benefit managers; required practices with respect to health insurers
[Effective until January 1, 2023.]
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§ 9473. Pharmacy benefit managers; required practices with respect to pharmacies
[Section 9473 effective January 1, 2023; for section 9473 effective until January 1, 2023, see above.]
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§ 9473. Pharmacy benefit managers; required practices with respect to pharmacies
[Section 9473 effective until January 1, 2023; for section 9473 effective January 1, 2023 see below.]
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§ 9474. Enforcement
- Subchapter 010: PATIENT FINANCIAL ASSISTANCE
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§ 9481. Definitions
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§ 9482. Financial assistance policies for large health care facilities
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§ 9483. Implementation of financial assistance policy
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§ 9484. Public education and information
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§ 9485. Prohibition on sale of medical debt
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§ 9486. Prohibition of waiver of rights
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§ 9487. Enforcement