VT H0680

Establishes a voluntary primary care access reform program where participating providers receive monthly capitated payments from insurers to cover patients' routine primary care services with no cost-sharing requirements

Sets a primary care spending target of 15% of total health care spending by January 1, 2029, with health insurers covering 5,000+ lives required to meet annual spending targets without increasing overall health care costs

Appropriates $6,750,000 from the General Fund in FY 2027 for primary care workforce development: $1,250,000 for Maple Mountain Family Medicine Residency Program, $500,000 for UVM medical student scholarships, and $5,000,000 for loan repayment programs

Limits quality measures to no more than 12 total (with practices required to adopt no more than 6) and requires the program to reduce administrative burdens on providers, including streamlining data collection and electronic health records requirements

Eliminates the July 1, 2027 sunset date on the primary care physician scholarship program and requires reports from the Agency of Human Services on program expansion and from the Green Mountain Care Board on site-neutral reimbursements by January 1, 2027