Proposed Rules and Public Comment

Proposed Rules

Administrative

Currently, there are no proposed rules for the Administration Division.

Insurance and Healthcare

Currently, there are no proposed rules for the Insurance Division. 

Banking

Currently, there are no proposed rules for the Banking Division. 

Captive Insurance

Currently, there are no proposed rules for the Captive Insurance Division. 

Securities

Currently, there are no proposed rules for theSecurities Division. 

Public Comment

Essential Health Benefits

On March 2, 2022, the Green Mountain Care Board voted unanimously to adopt the recommendation of the Commissioner of Vermont Health Access to exercise the flexibility available under 45 C.F.R. § 156.111 to create a new EHB-benchmark plan for Plan Year 2024 that includes all the existing benefits within the current benchmark plan and coverage for hearing aids – up to one hearing aid per ear every three years and an annual exam.

The Departments of Financial Regulation and Vermont Health Access have prepared the following materials pertaining to the new EHB-benchmark plan for public comment prior to submission to the Centers for Medicare and Medicare Services for approval, as required by federal law. The new EHB-benchmark plan contains the following changes from the previous benchmark plan, approved by the Green Mountain Care Board on July 26, 2015:

• Coverage for hearing aids – up to one hearing aid per ear every three years and an annual exam;
• Conforming changes to the following benefits for compliance with 45 C.F.R. § 156.125, which requires that plan benefits do not discriminate based on an individual’s age, expected length of life, present or predicted disability, degree of medical dependency, quality of life, or other health conditions:
  • Nutritional Counseling
  • Habilitative Services
  • Rehabilitative Services
  • Foot Care
  • Prescribed Food and Nutritional Formulae

The new EHB benchmark plan will retain the same number of prescription drugs in each United States Pharmacopeia (USP) category and class as the previous benchmark plan. Please refer to Vermont’s 2017-2023 EHB Benchmark Plan Information, maintained on the CMS website for further details. A draft Appendix D for submission to CMS will be posted to this website as soon as it is available.

The public comment period ends at 5PM EST on Monday, May 2, 2022. Please send your comments to Emily.Brown@vermont.gov. 

All documents that are going to be posted for public comment are attached:

• GMCB Revised Order Approving EHB-Benchmark Plan for 2024
• DFR Essential Health Benefit Benchmark Plan Review
• Wakely VT EHB Actuarial Report, dated 4/15/22
• State of Vermont Essential Health Benefits Benchmark Plan
• Appendices A, B, and C of the application to CMS
  • Appendix A
  • Appendix B
  • Appendix C
  • Appendix D

Public Hearings

Currently, there are no scheduled public hearings.