By Renee McGuinness, Vermont Family Alliance Policy Analyst
The Senate Committee on Health & Welfare discussed a bill to advance a statewide health care delivery system on February 11, at 10 AM.
The three-page bill, which has not yet been assigned a number, is described as a “Draft outline of 2025 Senate Health & Welfare health care reform committee bill,” and has five parts:
- Establish a statewide health care delivery system.
- Health system evaluation to support improvement and development of statewide healthcare delivery plan, which directs the Green Mountain Care Board (GMCB) and Agency of Human Services (AHS) to establish an advisory committee to oversee evaluation of the current health care system.
- Integration of clinical and cost data for clinical Improvement regulation Health System, whichwould establish reference-based pricing and directs the GMCB to establish statewide spending targets.
- Hospital budgets and payment reform.
- Resources, which creates 15 new positions under the Green Mountain Care Board over the next three years, 2026 – 2028 and allocates unspecified funds to finance the newly created positions.
Legislative Counsel Jennifer Carbee presented the bill to the Committee. During presentation of “Resources,” she stated (@23:14), “this is kind of what we’ve heard from the [Green Mountain Care] Board in terms of their needs. I know that there are positions the governor has put in his budget, so that’ll be an Appropriations discussion going forward.”
This “Committee Bill” appears on the Senate Health & Welfare agenda for further discussion on Thursday, February 20, at 9:00 AM.

