Medicaid

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Lawmakers approve budget rescission plans

MONTPELIER — The Legislature’s Joint Fiscal Committee has unanimously backed a plan presented by the Scott administration to reduce General Fund spending in the 2018 fiscal year budget by $12.6 million. The panel of House and Senate members met Thursday to review the plan, which was necessitated by a revenue downgrade issued last month. Economists for Gov. Phil Scott and the Legislature downgraded expected state revenues for the current fiscal year by $28.8 million, including $16.3 million in pending corporate tax refunds carried over from the 2017 fiscal year. The state’s Emergency Board last month approved a plan to pay for the refunds. The state’s Transportation Fund was also downgraded by $3.5 million. Continue Reading →

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State officials: GOP health plan could have dire consequences

MONTPELIER — Vermont’s top health care officials on Friday detailed dire consequences, including the loss of as much as $200 million in annual federal funding, if the Republican health care plan proposed in Congress is enacted. Agency of Human Services Secretary Al Gobeille, along with Department of Vermont Health Access Commissioner Cory Gustafson and Director of Health Care Reform Mary Kate Mohlman briefed reporters on the impact the American Health Care Act, or Trumpcare, as some have taken to calling it, will have on Vermonters. Gobeille said the trio were not advocating for or against the proposal, but they had few positive points to make about the GOP proposal. President Donald Trump and Republicans in Congress campaigned heavily in last fall’s election on repealing the Affordable Care Act, or Obamacare. The plan introduced earlier this week by Republicans in Congress seeks to do that. Continue Reading →

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Scott administration concerned with GOP health care bill in Washington

MONTPELIER — Vermont’s top health care official says the Scott administration is working quickly to assess the impact a GOP health care plan in Washington would have on the state if enacted. Agency of Human Services Secretary Al Gobeille said his team is reviewing the Republican plan to replace the Affordable Care Act, widely known as Obamacare. At first glance, Gobeille said, the plan could have significant negative impacts on Vermonters. After years of failed attempts to repeal and replace Obamacare during former Democratic President Barack Obama’s tenure, the GOP now controls both chambers in Congress and the presidency. President Donald Trump and Republicans in Congress campaigned on dumping the sweeping health care reform law Democrats enacted early in Obama’s presidency, and now the GOP has put forth a plan to do so. Continue Reading →

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Welch warns state lawmakers about pending health care changes

MONTPELIER — Congressman Peter Welch told Vermont lawmakers Wednesday that he is working to thwart Republicans from completely unraveling the Affordable Care Act, an action he said would be “one of the most reckless fiscal actions.”

Welch, a Democrat and the state’s lone member of the U.S. House, will begin serving under his third president Friday when Republican President-elect Donald Trump is sworn into office. He was first elected in 2006, and served two years under President George W. Bush and eight years under President Barack Obama. During Obama’s tenure, House Republicans voted 65 times to repeal the federal Affordable Care Act, a landmark health care reform bill Obama signed into law. Now, with a Republican Congress and an incoming Republican Congress, Welch warned Wednesday that major changes are coming that could be disruptive to Vermonters and all Americans. “It’s as though the discussion is ideological, that getting rid of this will give people more freedom,” he told lawmakers. Continue Reading →

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State, feds reach deal on all-payer model

MONTPELIER — Vermont has reached a deal with the federal government to move forward with a plan to overhaul the way health care is paid for in Vermont by basing payments to providers on the quality of health outcomes rather than the volume of services they provide, Gov. Peter Shumlin announced Wednesday. Shumlin, a Democrat whose tenure in office will end in January after three terms, has been seeking the transformational shift in the state’s health care payment system for more than two years. Negotiations with the federal government have resulted in a draft agreement that will now be presented to the public for review before the state and federal government sign off on it. “We have now a draft agreement from the federal government that will allow us to take on a challenge that I believe effects the pocketbooks of every single Vermonter,” Shumlin told reporters at a news conference Wednesday. “This is probably the single thing that hurts Vermonters the most economically. Continue Reading →

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Story + Podcast: Shumlin narrows focus in final months

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Listen: Capital Beat Podcast with Gov. Peter Shumlin

MONTPELIER — With just three months left in office, Democratic Gov. Peter Shumlin says he plans to push hard to complete a handful of projects before his successor is sworn into office in early January — including an overhaul of how the state pays for health care services. Shumlin, who is not seeking re-election after his third term expires, reflected in an interview about his time in office and pledged to continue his work until his final day as governor. “This is the best job that anyone can ask for, being governor of Vermont. It’s been an extraordinary privilege. One thing that governors do every day is focus on what they were elected to do, which is to grow prosperity, grow jobs, make sure our state remains the best place to live and work and raise a family. Continue Reading →

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Scott releases health care plan, seeks to close exchange

BURLINGTON — Lt. Gov. Phil Scott, the Republican nominee for governor, released a health care plan Wednesday that seeks to scuttle the state’s online health insurance exchange and undo other initiatives put in place by outgoing Democratic Gov. Peter Shumlin. Speaking at a news conference on Burlington’s Church Street, Scott linked his health care proposals to the major theme of his campaign — making the state more affordable. “For a lot of people who live here or who are thinking about living here, I think the affordability crisis will be the defining issue during this election,” he said. “One of the many reasons Vermont is unaffordable for so many Vermonters is because of the cost of health care.”

Scott reiterated his call Wednesday to scrap Vermont Health Connect in his first major policy proposal of the gubernatorial campaign. He has been calling on the state to abandon its own exchange for several years in favor of joining either the federal exchange or a multi-state exchange that does not yet exist. Continue Reading →

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Shumlin scraps Medicaid change after one day

MONTPELIER — Gov. Peter Shumlin said Friday he will scrap a $4.9 million budget-savings initiative he proposed just one day earlier that would have changed Medicaid eligibility requirements for pregnant women. Shumlin, who delivered his final budget address to the Legislature Thursday, had planed to raise the income level at which pregnant women qualify for the Medicaid from 138 percent of the federal poverty level to 213 percent. That equates to about $16,000 and $25,000, respectively. Women who no longer qualified for Medicaid under the governor’s proposal would have been eligible for subsidized health plans on Vermont Health Connect, the state’s online health insurance marketplace. A change in state law would be required, however, to allow pregnant women to enroll in a health plan outside of the open enrollment period. Continue Reading →

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Shumlin seeks 3.1 percent boost in FY2017 budget, expansion of provider assessment

MONTPELIER — Gov. Peter Shumlin is looking to address a deficit in the state’s Medicaid program by expanding a tax on health care providers in the $1.537 billion 2017 fiscal year budget proposal he revealed Thursday. Shumlin, a Democrat who is not seeking re-election, delivered the final budget proposal of his tenure to lawmakers Thursday. His proposal, outlined in his 30-minute address inside the House Chamber, would boost spending by 3.1 percent over the current fiscal year — after mid-year adjustments are put in place. Shumlin touted his budget as responsible and necessary, noting he closed a projected $68 million gap between anticipated revenues and spending without the use of one-time funding for ongoing expenses for the first time since before the Great Recession. The 3.1 percent spending increase matches projected revenues, he said. Continue Reading →

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Budget adjustment goes to the House floor

MONTPELIER — The House Appropriations Committee voted unanimously Wednesday to advance the annual mid-year budget adjustment bill after settling on how to appropriate the final $450,000 in available revenue in a give-and-take between members. The adjustment to the current 2016 fiscal year budget addresses about $85 million in needs. The majority of that — $52.6 million — is in the state’s Medicaid program. The budget adjustment covers the state’s $22.9 million share of the Medicaid gap. “We’re funding the Medicaid caseload,” Chairwoman Mitzi Johnson, D-South Hero, said. Continue Reading →

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