VT H0611

Eliminates the Department of Vermont Health Access's duty to create annual lists of prescription drugs with significant price increases for the Green Mountain Care Board and Attorney General, shifting this reporting requirement solely to health insurers with more than 5,000 covered lives

Modifies the Medicaid and Exchange Advisory Committee by requiring membership to include Beneficiary Advisory Committee members per federal regulations, removing the Commissioner's ability to reappoint members for additional terms, and updating constituency categories to reference small business owners/employees instead of Vermont Health Benefit Exchange participants

Updates the Clinical Utilization Review Board by changing the liaison title from "Chief Medical Director" to "Chief Medical Officer," removing the three-year maximum term length requirement, and eliminating the mandate for monthly meetings during the first six months after formation

Increases the burial funds exclusion for Medicaid eligibility from $10,000 to $15,000 for irrevocable prepaid funeral arrangements entered into on or after July 1, 2027, subject to CMS approval, with remaining funds after burial expenses going to Vermont Medicaid

Extends the deadline for the Department to seek federal approval for Medicaid coverage of doula services from July 1, 2026 to July 1, 2027 (or July 1, 2028 in one version), with coverage effective upon state plan amendment approval