Vermont S190: An act relating to reference-based pricing and the Green Mountain Care Board

What the bill says

An act relating to the Green Mountain Care Board, reference-based pricing, and hospital outsourcing of clinical care An act relating to the Green Mountain Care Board, reference-based pricing, and studying the creation of a Public Employee Health Benefit Authority An act relating to reference-based pricing and the Green Mountain Care Board BILLAS INTRODUCED AND PASSED BY SENATE AND HOUSE S.190 2026 Page 2 of It is hereby enacted by the General Assembly of the State of Vermont: * * * Reference-Based Pricing * * *.

From the enrolled text, March 31, 2026:

An act relating to the Green Mountain Care Board, reference-based pricing, and hospital outsourcing of clinical care An act relating to the Green Mountain Care Board, reference-based pricing, and studying the creation of a Public Employee Health Benefit Authority An act relating to reference-based pricing and the Green Mountain Care Board BILLAS INTRODUCED AND PASSED BY SENATE AND HOUSE S.190 2026 Page 2 of It is hereby enacted by the General Assembly of the State of Vermont: * * * Reference-Based Pricing * * * Sec. 1. 18 V.S.A. § 9376(e) is amended to read: (e) Reference-based pricing. * * * (3)(A) The Board shall begin implementing reference-based pricing as soon as practicable but not later than hospital fiscal year 2027 by establishing the maximum amounts that Vermont hospitals shall accept as payment in full for items provided and services delivered. After initial implementation, the Board shall review the reference-based prices for each hospital annually as part of the hospital budget review process set forth in chapter 221, subchapter 7 of this title. (B) The Board, in collaboration with the Department of Financial Regulation, shall monitor the implementation of reference-based pricing to ensure that any decreases in amounts paid to hospitals also result in decreases in health insurance premiums. The Board shall post its findings regarding the alignment between price …

Read the full official text

Sponsors

• Virginia Lyons (D, Chittenden-Southeast District) · primary sponsor

Latest actions

1. May 29, 2026: Senate Message: Vetoed by Governor [June 16, 2026]
2. May 29, 2026: Governor vetoed bill on [June 16, 2026]
3. May 29, 2026: Delivered to Governor on [June 10, 2026]
4. May 28, 2026: Senate Message: House proposal of amendment concurred in
5. May 28, 2026: Rules suspended & messaged to House forthwith, on motion of Senator [Baruth]
6. May 28, 2026: As passed by Senate and House
7. May 28, 2026: Roll Call, requested by Senator [Collamore], [Passed -- Needed 15 of 30 to Pass -- Yeas = 17, Nays = 13]
8. May 28, 2026: Roll Call, Requested by Sen. [Collamore]
9. May 28, 2026: House proposal of amendment concurred in
10. May 28, 2026: House proposal of amendment; text

Votes

• Roll Call, requested by Senator [Collamore], [Passed -- Needed 15 of 30 to Pass -- Yeas = 17, Nays = 13] (May 28, 2026): 17 yea, 13 nay, passed
• Which was agreed to on a Roll Call [Passed -- Needed 66 of 131 to Pass -- Yeas = 87, Nays = 44] (May 22, 2026): 87 yea, 44 nay, passed
• Read 3rd time & passed on roll call, requested by Senator [Weeks], [Passed -- Needed 15 of 29 to Pass -- Yeas = 23, Nays = 6] (March 31, 2026): 23 yea, 6 nay, passed

Common questions

What is S190?

S190 is a bill in the Vermont Legislature (2025-2026 Session): An act relating to reference-based pricing and the Green Mountain Care Board.

What does S190 do?

In its own words: An act relating to the Green Mountain Care Board, reference-based pricing, and hospital outsourcing of clinical care An act relating to the Green Mountain Care Board, reference-based pricing, and studying the creation of a Public Employee Health Benefit Authority An act relating to reference-based pricing and the Green Mountain Care Board BILLAS INTRODUCED AND PASSED BY SENATE AND HOUSE S.190 2026 Page 2 of It is hereby enacted by the General Assembly of the State of Vermont: * * * Reference-Based Pricing * * *.

What is the status of S190?

Vetoed as of May 22, 2026. Latest action: Senate Message: Vetoed by Governor [June 16, 2026] (May 29, 2026).

Who sponsored S190?

Virginia Lyons (D, Chittenden-Southeast District).

Where is the official record for S190?

On the Vermont Legislature website: https://legislature.vermont.gov/bill/status/2026/S.190