Advocacy Update 2026: Week 10
Healthcare Proposals Move Through Process
Just as with housing, the lack of affordability in healthcare permeates every problem the state faces. There are numerous bills targeted at different aspects of the issue.
The Senate Committee Passed Bills: The healthcare reform package moving through the State House is being framed as two-pronged: one bill (S.190) tackles what we pay for insurance, while the other changes how we pay for care (S.197).
- Capping Prices (S.190): This bill is a direct response to the high premiums faced by “small-group” plans (employers with fewer than 100 workers and municipalities). By capping hospital charges for these plans at a percentage of Medicare rates, the state aims to put “downward pressure” on the cost of care for the backbone of the local economy.
- Preventive Care “Pool” (S.197): This bill aims to shift primary care away from the “fee-for-service” model, with insurers paying into a collective pool that is distributed to providers as flat monthly payments.
- The Goal: Give doctors the flexibility to focus on keeping patients healthy rather than just billing for individual office visits.
House Committee Passed Bills: The House had numerous bills focused on a myriad of issues.
- Prescription Drug Discount Card (H.577): A new state-run partnership designed to save residents up to 80% on generic medications. This provides immediate “at-the-counter” relief for Vermonters struggling with rising drug costs.
- Association Health Plans (H.585): Part of the administration’s reform package, this includes a study on allowing small businesses to band together to form Association Health Plans (AHPs), which could potentially give them the same bargaining power as large corporations.
- Site Neutral Billing (H.585): An original proposal to make all outpatient services site-neutral, with a more targeted approach, with an equalized fee schedule for physical therapy, occupational therapy, and athletic training.
- Private Equity Guardrails (H.583): This bill targets the growing trend of corporate buyouts in healthcare. It would ban leveraged buyouts of providers and require strict ownership disclosures to ensure that patient care, not debt service, remains the priority.
- Public Oversight (H.585): This proposal adds public members to the BlueCross BlueShield board, a controversial move that drew sharp criticism from nonprofits outside of the healthcare sector.
Transportation: T-Bill Finds Limited Funding
While the education fund’s woes have been the subject of years of constraint, the transportation fund’s woes have been neglected for some time, and things are hitting a breaking point.
Catch up quick: The Vermont Transportation Fund is currently facing a structural deficit of $33 million as traditional revenue sources fail to keep pace with rising infrastructure costs.
- This shortfall is particularly critical because state funds are required to “match” federal dollars; failing to plug this $33 million gap could result in the loss of $163 million in federal highway aid.
- The Revenue Crisis: The deficit is driven by a widening gap between stagnant tax receipts and escalating expenses. Revenue from gas and diesel taxes has only grown 30% since 2000, while construction costs have tripled during the same period. Meanwhile, as vehicles become more fuel-efficient, they generate less tax revenue while continuing to cause wear and tear on roads.
- How bad could it get? The Agency of Transportation has warned that if funding is not addressed, the percentage of state pavement in “very poor condition” is projected to skyrocket from 6% today to 48% by 2035.
- Governor Scott’s Proposed Fixes: To balance the books, Governor Phil Scott has remained firmly opposed to a gas tax increase, instead proposing eliminating 31 positions within the Agency of Transportation and moving $10 million in motor vehicle Purchase and Use tax from the Education Fund to the Transportation Fund, specifically to secure federal matching funds.
The T-Bill: The omnibus transportation bill, or “T-Bill” was not the vehicle for much in the way of resolving transportation funding woes.
- The bill features Mileage-Based Fees: H.944 aims at addressing the decline in gas tax revenues by transitioning to Electric Vehicle (EV) owners from a flat registration surcharge to a Mileage-Based User Fee (MBUF).
- The Cost: The average driver is expected to pay between $150–$200 annually, charged $0.014 per mile for battery-electric vehicles. This is calibrated to match what a typical gas-powered car contributes to the state’s transportation fund via fuel taxes. If passed, the fee would take effect January 1, 2027.
- Juice worth the squeeze? The bill brings in very little in revenue with a high cost of compliance, and it is assessed retroactively at the time of registration, which is seeing increasing numbers of noncompliance.
Education Funding & Vehicle Taxes: the House Ways and Means Committee passed H.933 to redirect a larger portion of the Purchase and Use Tax (on vehicle sales) from the Education Fund to the Transportation Fund. To keep the Education Fund whole, the committee is looking at increasing the Meals and Rooms Tax allocation for education from 25% to 29%.
- This is a one-year change with the amount reverting next year.
Other Proposed Legislative Solutions: Legislators are exploring new ways to fund infrastructure at the local and state levels such as a secondary local option tax allowing towns to assess a second 1% local option tax on retail sales, rooms, meals, and alcohol specifically for transportation funding.
The Laundry List
Hundreds of hours of committee discussion each week culminate in our advocacy update, so not everything makes it into the overall update; however, we often cover what is left on the cutting-room floor here for our most dedicated readers.
- Read previous updates: Week 1, Week 2, Week 3, Week 4, Week 5, Week 6, Week 7, Week 8, and Week 9
- Road Rage in the LOT: This year’s T-Bill sought to use half of the surplus collected in the Payment in Lieu of Taxes Fund (PILOT) fund, which holds the state’s share of local options tax (LOT). In doing so, the Transportation Committee stumbled upon a secret agreement to direct PILOT surplus to cover reappraisal cost, upsetting many, as that activity is typically funded by the General Fund, and municipalities would like to see that surplus, which comes from their taxpayers, be directed to more efforts to alleviate transportation pressures for them.
- Retirement lists growing: Two chairs are not seeking re-election. Kathleen James of Manchester, who steers the House Committee on Energy and Technology, and Matt Birong, who steers the House Committee on Government Operations and Military Affairs, both officially announced this week that they will not seek re-election. A mass exodus is coming to cap off a biennium that saw an unprecedented eight mid-session retirements. Have any retirement or election scuttlebutt? We’d love to hear it.
- On March 16, Governor Scott signed H.516, An act relating to approval of amendments to the charter of the Town of Essex
- More childcare regulation: S.206 passed the Senate this week, requiring licensure of early childhood educators by the Office of Professional Regulation.
- Date privacy bill on the move: H.211 would add various statutory provisions to protect the personal information of the residents. It would also require data brokers to provide notice of security breaches, certify that the information they collect is used for legitimate purposes, and delete personal information upon request
- Weekend listening: It’s not every day that we suggest in this update that you listen to a podcast, much less an hour-long podcast; however, the recent interview of Senate Pro Tem Phil Baruth on 802 News with Mark Johnson is worth your time if you are interested in how the State House works, what the future might look like with the coming wave of retirements at the end of this session, and the broader education transformation push the Senator has been at the forefront on.