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By Carla Anderson
Vermont is creating a health benefit exchange to comply with the Affordable Care Act, but the state has plans to go well beyond that. A 2011 state law envisions Vermont with a single-payer health care system as soon as 2017.
For now, Vermont is implementing a state-based exchange: Vermont Health Connect. The state-based exchange was authorized by the state legislature and signed into law in 2012. The U.S. Department of Health and Human Services approved the state’s plan in January 2013. The state is using a 2012 federal grant of $104.2 million to design a technology system that will support the state-based health insurance exchange in the short-term and the single-payer system in the longer term. Individuals and businesses with 50 employees or fewer who want to purchase health insurance will have to do so through the exchange beginning in 2014 – policies will not be sold outside the exchange.
In 2017 Vermont plans to seek a waiver from the federal government to transition to Green Mountain Care, a single-payer system that will provide universal coverage.
According to Kaiser’s State Health Facts, 9 percent of Vermonters are uninsured; that’s about 56,340 people. Vermont estimates that 110,000 state residents will use the exchange to buy insurance.
Updated May 16, 2013
State Exchange Profile: Vermont
The Henry J. Kaiser Family Foundation overview of Vermont’s progress toward creating a state health insurance exchange.
Health insurance information, stats, news, quotes and more.
Let your Vermont governor and legislators know how you feel about the state's proposed health insurance exchange.Vermont Governor Peter Shumlin
04/01/2013 4:04 PM -- vtdigger.org — The proposed average premiums for health insurance policies to be sold on Vermont Health Connect range from $375 to $609 per person. The rates are subject to review by the Green Mountain Care Board and the Vermont Department of Financial Regulation.
02/25/2013 7:02 PM -- Burlington Free Press — A House committee neither killed nor advanced a bill that dealt with financing the state’s health insurance marketplace. Legislative leaders remain confident that exchange legislation will pass this session.
10/18/2012 2:10 PM -- vtdigger.org — The Department of Vermont Health Access will apply for a federal grant to support the Vermont Health Benefit Exchange. Funds would be used to develop in-person assistance programs to help people use the exchange.
09/20/2012 9:09 PM -- Addison County Independent — Vermont will use a $104.2 million federal grant received in August primarily to develop technology systems for its health insurance exchange. The state is taking care so that whatever it builds now to meet ACA provisions will also work for its planned single-payer approach in 2017.
05/03/2012 3:05 AM -- Bennington Banner – Vermont’s Senate overwhelmingly approved a bill creating a state-run health insurance exchange. The governor strongly supports the bill, and legislators view an exchange’s creation going hand-in-hand with creating a single-payer, universal healthcare system in the state.
05/12/2011 8:05 PM -- Vermont is a signature away from adopting an ambitious plan that would put the state on a path toward a single-payer health care system and ultimately, universal health care for its residents. When State House Bill 202 is signed by Vermont Governor Peter Shumlin on May 26th, it will be a big deal: a big [...]