Introduced by Senator Campbell of Windsor District and Senator Cummings of Washington District
Subject: Health; reimbursement rates; victim’s compensation
Statement of purpose: This bill proposes to ensure that the state’s victims’ compensation program pays equivalent hospital rates to those which private insurers pay.
AN ACT RELATING TO FAIR HOSPITAL RATES FOR VICTIMS OF VIOLENCE
It is hereby enacted by the General Assembly of the State of Vermont:
Sec. 1. 13 V.S.A. § 5356(c) is added to read:
§ 5356. AMOUNT OF COMPENSATION
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(c) The board may reimburse health care facilities and health care providers as defined in section 9402 of Title 18 at 70 percent of the billed charges for compensation claims for uninsured crime victims who do not qualify for the hospital’s patient assistance program, Medicaid, or Medicare. The health care facility or health care provider shall not bill any balance to the uninsured crime victim.
Sec. 2. 18 V.S.A. § 1905(19) is added to read:
§ 1905. LICENSE REQUIREMENTS
Upon receipt of an application for license and the license fee, the licensing agency shall issue a license when it determines that the applicant and hospital facilities meet the following minimum standards:
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(19) All hospitals shall accept payment for compensation claims of uninsured crime victims paid for by the victims compensation board established in subchapter 1 of chapter 167 of Title 13 at 70 percent of billed charges and shall not bill any balance to the uninsured crime victim.
Sec. 3. 32 V.S.A. § 1407 is amended to read:
§ 1407. COSTS TO BE BORNE BY THE STATE
The state shall bear the costs of medical and psychological examinations administered to victims of crime committed in this state, in instances where that examination is requested by a law enforcement officer or a prosecuting authority of the state or any of its subdivisions. The state shall also bear the costs of medical examinations administered to victims in cases of alleged sexual assault where the victim obtains such an examination prior to receiving such a request. These costs may be paid from the victims' compensation fund from funds appropriated for that purpose. The fund shall reimburse health care facilities and health care providers as defined in section 9402 of Title 18 at 70 percent of the billed charges for these claims, and the health care provider or facility shall not bill any balance to the crime victim. A victim, at his or her own expense, may obtain copies of the results of an examination under this section.
Sec. 4. VERMONT HEALTH ACCESS PLAN COVERAGE
The agency of human services shall provide victims of crime with coverage for health services for up to three months prior to the date of application to the Vermont Health Access Plan (VHAP). The agency shall seek any necessary amendments to any state plans or federal waivers necessary to implement this section.
The Vermont General Assembly
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