Introduced by Senator Campbell of Windsor District, Senator Leddy of Chittenden District and Senator Welch of Windsor District
Subject: Health; Medicaid waiver; legislative approval
Statement of purpose: This bill would require the approval of the legislature before any agreement or waiver of the federal Medicaid law could be implemented in Vermont which transformed the program from a system of state-federal matching grants to any other system of federal financial participation, such as global funding commitments or block grants.
It is hereby enacted by the General Assembly of the State of Vermont:
Sec. 1. MEDICAID; FEDERAL FINANCIAL PARTICIPATION;
Any agreement, waiver of the federal Medicaid law, or commitment negotiated by the state with the federal government under which funding for the Medicaid program in Vermont is to be transformed from a system of state-federal matching grants to any other system of federal participation, such as global funding commitments or block grants, is conditioned upon approval by act of the general assembly, or if the general assembly is not in session, by a majority vote of the members of the joint fiscal committee upon recommendation of the Health Access Oversight Committee. For the purposes of this section, “Medicaid program” means any program for which Medicaid funding is currently spent or is anticipated to be spent, including Medicaid, the Vermont Health Access Plan, VHAP Pharmacy, VSCRIPT, special education services, home- and community‑based services, mental health services, services provided by the state ombudsman programs, or services for the developmentally disabled. For the purposes of this section, “funding for the Medicaid program” also means federal allocations or other funding for the State Children’s Health Insurance Program (SCHIP) if such funding is to be included in or accounted for in any negotiated system of federal participation, including a determination of budget neutrality.
Sec. 2. EFFECTIVE DATE
This act shall take effect from passage.
The Vermont General Assembly
115 State Street