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Key Votes

H 559 - Establishes a Health Benefit Exchange - Key Vote

Vermont Key Votes

Richard Lawrence voted Nay (Passage) on this Legislation.

Read statements Richard Lawrence made in this general time period.

Stages

Family

Issues

Stage Details

Legislation - Signed (Executive) -

Title: Establishes a Health Benefit Exchange

Legislation - Conference Report Adopted (House) (94-46) -
Legislation - Conference Report Adopted (Senate) -
Legislation - Concurrence Vote Failed (House) -
Legislation - Passage With Amendment (Senate) (20-7) -
Legislation - Bill Passed (House) (88-38) - (Key vote)

Title: Establishes a Health Benefit Exchange

Vote Smart's Synopsis:

Vote to pass a bill that establishes a health benefit exchange in Vermont in conjunction with the Patient Protection and Affordable Care Act.

Highlights:
  • Authorizes the merging of individual and small group insurance markets (Sec. 3).
  • Defines “small employer” as an employer that (Sec. 3):
    • As of January 1, 2016, will have between 1 and 50 employees during the last calendar quarter who are not part-time workers, that work less than 30 hours per week; or
    • Prior to January 1, 2016, has between 1 and 100 employees during the last calendar quarter who are not part-time workers, that work less than 30 hours per week.
  • Specifies that self-employed persons are also eligible for the exchange (Sec. 3).
  • Specifies that no person may provide a health benefit plan to an individual or small employer unless the plan is offered through the Vermont health care benefit exchange and the provider is a registered carrier (Sec. 3).
  • Defines “registered carrier” as a person who is registered with the commissioner of banking, insurance, securities, and healthcare administration to issue a health benefit plan (Sec. 3).
  • Specifies that registered carriers are not insurance agents, brokers, appraisers, or adjusters (Sec. 3).
  • Effective date of merging of individual and small employer insurance markets is January 1, 2013 (Sec. 42).
  • Requires a registered carrier to guarantee acceptance to any health plan he or she offers to the following groups (Sec. 3):
    • Individuals;
    • Small employers and their employees; and
    • Each dependant of those individuals and employees.
  • Prohibits use of the following factors to play a role in a provider/carrier’s rating methods (Secs. 3 & 4):
    • Demographic rating (including race and gender);
    • Geographic area rating;
    • Medical underwriting and screening;
    • Experience rating;
    • Tier rating; and
    • Durational rating.
  • Prohibits the use of discretionary clauses by carriers in providing health insurance benefits, disability income protection coverage, and life insurance benefits (Sec. 31).
  • Effective date of prohibition on the discretionary clause is January 1, 2013 (Sec. 42).
  • Specifies and expands the duties and provisions of the Green Mountain Care Board (GMCB) (Sec. 5).
  • Requires the GMCB to develop a unified health care budget and develop an expenditure analysis (Secs. 12 & 13).
  • Specifies the GMCB as the means of administration in carrying out health care provisions and programs (Secs. 14-23).
  • Authorizes the health care commissioner and GMCB as the main authorities in enforcement of these regulations (Sec. 14).
  • Repeals the Catamount Health and Vermont Health Access Plan upon implementation of the health benefit exchange (Sec. 41).
  • Specifies the Unified Health Care Budget and new authority of the GMCB effective immediately upon bill passage (Sec. 42).
Legislation - Introduced (House) -

Title: Establishes a Health Benefit Exchange

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