Vermont H 114: An act relating to the Nutrition for Older Vermonters Working Group

Bill Text

BILL AS INTRODUCED H.114
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VT LEG #379181 v.1
H.114 1
Introduced by Representatives Black of Essex, Bishop of Colchester, Brown 2
of Richmond, Casey of Montpelier, Cina of Burlington, Cordes 3
of Bristol, Critchlow of Colchester, Dodge of Essex, Eastes of 4
Guilford, Goldman of Rockingham, Hooper of Burlington, 5
Krasnow of South Burlington, Maguire of Rutland City, 6
McFaun of Barre Town, Noyes of Wolcott, Stone of Burlington, 7
Surprenant of Barnard, Waszazak of Barre City, and Wood of 8
Waterbury 9
Referred to Committee on 10
Date: 11
Subject: Health; Medicaid; Dr. Dynasaur; pregnant individuals; young adults 12
Statement of purpose of bill as introduced: This bill proposes to expand 13
eligibility for coverage under the Dr. Dynasaur program to pregnant 14
individuals with incomes up to 312 percent of the federal poverty level. The 15
bill would also direct the Agency of Human Services to report on the 16
feasibility and costs of expanding eligibility for Dr. Dynasaur coverage to all 17
Vermont residents up to 26 years of age with incomes up to 312 percent of the 18
federal poverty level and of expanding eligibility for Medicaid coverage to all 19
Vermont residents between 26 and 64 years of age within incomes up to 312 20
percent of the federal poverty level. 21

BILL AS INTRODUCED H.114
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VT LEG #379181 v.1
An act relating to expanding Dr. Dynasaur income eligibility for pregnant 1
individuals and exploring eligibility expansions for other populations 2
It is hereby enacted by the General Assembly of the State of Vermont: 3
Sec. 1. 33 V.S.A. § 1901 is amended to read: 4
§ 1901. ADMINISTRATION OF PROGRAM 5
* * * 6
(b) The Secretary shall make coverage under the Dr. Dynasaur program 7
established in accordance with Title XIX (Medicaid) and Title XXI (SCHIP) of 8
the Social Security Act available to pregnant individuals of any age whose 9
modified adjusted gross income is at or below 312 percent of the federal 10
poverty level for the applicable family size. 11
(c) The Secretary may charge a monthly premium, in amounts set by the 12
General Assembly, per family for pregnant women individuals and children 13
eligible for medical assistance under Sections 1902(a)(10)(A)(i)(III), (IV), 14
(VI), and (VII) of Title XIX of the Social Security Act, whose family income 15
exceeds 195 percent of the federal poverty level, as permitted under section 16
1902(r)(2) of that act. Fees collected under this subsection shall be credited to 17
the State Health Care Resources Fund established in section 1901d of this title 18
and shall be available to the Agency to offset the costs of providing Medicaid 19
services. Any co-payments, coinsurance, or other cost sharing to be charged 20
shall also be authorized and set by the General Assembly. 21
* * * 22

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VT LEG #379181 v.1
Sec. 2. EXPANDING ELIGIBILITY FOR DR. DYNASAUR AND 1
MEDICAID; AGENCY OF HUMAN SERVICES; REPORT 2
(a) The Agency of Human Services shall examine the feasibility of; 3
consider the need for a federal waiver or an amendment to Vermont’s Global 4
Commitment to Health Section 1115 demonstration, or both, for; develop a 5
proposed implementation timeline and estimated costs of implementation for; 6
and estimate the programmatic costs of: 7
(1) expanding eligibility for Dr. Dynasaur to all Vermont residents up to 8
26 years of age with incomes at or below 312 percent of the federal poverty 9
level (FPL); and 10
(2) expanding eligibility for Medicaid for adults who are 26 years of age 11
or older but under 65 years of age and not pregnant to individuals with 12
incomes at or below 312 percent FPL. 13
(b) On or before January 15, 2026, the Agency shall report to the House 14
Committees on Health Care and on Appropriations and to the Senate 15
Committees on Health and Welfare and on Appropriations regarding: 16
(1) the feasibility of expanding eligibility for Dr. Dynasaur and 17
Medicaid as set forth in subsection (a) of this section; 18
(2) any federal waiver or Section 1115 demonstration amendment 19
needed for the eligibility expansions; 20

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VT LEG #379181 v.1
(3) the process for obtaining any necessary waiver or amendment and 1
the likelihood of receiving federal approval; 2
(4) the costs of the eligibility expansions, both programmatic costs and 3
technological and operational costs; and 4
(5) a reasonable timeline for implementing the eligibility expansions. 5
Sec. 3. APPROPRIATIONS 6
In fiscal year 2026, the sum of $600,000.00 in Global Commitment funds is 7
appropriated to the Agency of Human Services to implement the Dr. Dynasaur 8
eligibility expansion set forth in Sec. 1 of this act. 9
(1) In fiscal year 2026, the sum of $180,000.00 is appropriated from the 10
General Fund to the Agency of Human Services, Global Commitment 11
appropriation for the State match for implementation of the Dr. Dynasaur 12
eligibility expansion set forth in Sec