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.
Subchapter
012
:
SERVICE DELIVERY AND TREATMENT MODALITIES
(Cite as: 8 V.S.A. § 4098d)
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§ 4098d. Covered services provided by athletic trainers
(a) To the extent a health insurance plan provides coverage for a particular type of health
care service or for any particular medical condition that is within the scope of practice
of athletic trainers, a licensed athletic trainer who acts within the scope of practice
authorized by 26 V.S.A. chapter 83 shall not be denied reimbursement by the health insurance plan for those covered
services if the health insurance plan would reimburse another health care professional
for those services.
(b) Health care services provided by athletic trainers may be subject to reasonable deductibles,
co-payment and coinsurance amounts, fee or benefit limits, practice parameters, and
utilization review consistent with applicable rules adopted by the Department of Financial
Regulation, provided that the amounts, limits, and review shall not function to direct
treatment in a manner unfairly discriminative against athletic trainer care, and collectively
shall be not more restrictive than those applicable under the same policy for care
or services provided by other health care professionals but allowing for the management
of the benefit consistent with variations in practice patterns and treatment modalities
among different types of health care professionals.
(c) A health insurer may require that the athletic trainer services be provided by a licensed
athletic trainer under contract with the insurer.
(d) Nothing in this section shall be construed as impeding or preventing either the provision
or coverage of health care services by licensed athletic trainers within the lawful
scope of athletic trainer practice. (Recodified and amended 2025, No. 11, § 2, eff. September 1, 2025.)