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.
(Cite as: 26 V.S.A. § 1743a)
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§ 1743a. Payment for medical services
(a) As used in this section:
(1) “Health insurer” has the same meaning as in 18 V.S.A. § 9402.
(2) “Participating provider” has the same meaning as in 18 V.S.A. § 9418 and includes providers participating in the Vermont Medicaid program.
(b) Health insurers and, to the extent permitted under federal law, Medicaid shall reimburse
a participating provider who is a physician assistant for any medical service delivered
by the physician assistant if the same service would be covered if delivered by a
physician. Physician assistants are authorized to bill for and receive direct payment
for the medically necessary services they deliver.
(c) To provide accountability and transparency for patients, payers, and the health care
system, the physician assistant shall be identified as the treating provider in the
billing and claims processes when the physician assistant delivered the medical services
to the patient.
(d) A health insurer shall not impose any practice, education, or collaboration requirement
for a physician assistant that is inconsistent with or more restrictive than the provisions
of this chapter. (Added 2019, No. 123 (Adj. Sess.), § 1.)