reglab/housing_qa huggingface dataset:
33 V.S.A. § 1828
2021 Vermont Statutes|Title 33 - Human Services|Chapter 18 - Public-Private Universal Health Care System|§ 1828. Budget proposal

§ 1828. Budget proposal|The Green Mountain Care Board, in collaboration with the Agencies of Administration and of Human Services, shall be responsible for developing each year a three-year Green Mountain Care budget for proposal to the General Assembly and to the Governor, to be adjusted annually in response to realized revenues and expenditures, that reflects any modifications to the benefit package and includes recommended appropriations, revenue estimates, and necessary modifications to tax rates and other assessments. (Added 2011, No. 48, § 4.)
33 V.S.A. § 1829
2021 Vermont Statutes|Title 33 - Human Services|Chapter 18 - Public-Private Universal Health Care System|§ 1829. Green Mountain Care Fund

§ 1829. Green Mountain Care Fund|(a) The Green Mountain Care Fund is established in the State Treasury as a special fund to be the single source to finance health care coverage for Green Mountain Care.(b) Into the Fund shall be deposited:  (1) transfers or appropriations from the General Fund, authorized by the General Assembly; (2) if authorized by a waiver from federal law, federal funds for Medicaid, Medicare, and the Vermont Health Benefit Exchange established in chapter 18, subchapter 1 of this title; and (3) the proceeds from grants, donations, contributions, taxes, and any other sources of revenue as may be provided by statute or by rule.   (c) The Fund shall be administered pursuant to 32 V.S.A. chapter 7, subchapter 5, except that interest earned on the Fund and any remaining balance shall be retained in the Fund. The Agency shall maintain records indicating the amount of money in the Fund at any time.(d) All monies received by or generated to the Fund shall be used only for:  (1) the administration and delivery of health services covered by Green Mountain Care as provided in this subchapter; and (2) expenses related to the duties and operation of the Green Mountain Care Board pursuant to 18 V.S.A. chapter 220. (Added 2011, No. 48, § 4.)
33 V.S.A. § 1830
2021 Vermont Statutes|Title 33 - Human Services|Chapter 18 - Public-Private Universal Health Care System|§ 1830. Collective bargaining rights

§ 1830. Collective bargaining rights|Nothing in this subchapter shall be construed to limit the ability of collective bargaining units to negotiate for coverage of health services pursuant to 3 V.S.A. § 904 or any other provision of law. (Added 2011, No. 48, § 4.)
33 V.S.A. § 1831
2021 Vermont Statutes|Title 33 - Human Services|Chapter 18 - Public-Private Universal Health Care System|§ 1831. Public process

§ 1831. Public process|The Agency of Human Services shall provide a process for soliciting public input on the Green Mountain Care benefit package on an ongoing basis, including a mechanism by which members of the public may request inclusion of particular benefits or services. The process may include receiving written comments on proposed new or amended rules or holding public hearings or both. (Added 2011, No. 48, § 4.)
33 V.S.A. § 1832
2021 Vermont Statutes|Title 33 - Human Services|Chapter 18 - Public-Private Universal Health Care System|§ 1832. Rulemaking

§ 1832. Rulemaking|The Secretary of Human Services may adopt rules pursuant to 3 V.S.A. chapter 25 to carry out the purposes of this subchapter. When establishing rules relating to the Green Mountain Care benefit package, the Secretary shall ensure that the rules are consistent with the benefit package defined by the Green Mountain Care Board pursuant to section 1825 of this title and to 18 V.S.A. chapter 220. (Added 2011, No. 48, § 4.)
33 V.S.A. § 1900
2021 Vermont Statutes|Title 33 - Human Services|Chapter 19 - Medical Assistance|§ 1900. Definitions

§ 1900. Definitions|As used in this subchapter, unless otherwise indicated:  (1) "Agency" means the Agency of Human Services. (2) "Commissioner" means the Commissioner of Vermont Health Access. (3) "Department" means the Department of Vermont Health Access. (4) "Insurer" means any insurance company, prepaid health care delivery plan, self-funded employee benefit plan, pension fund, hospital or medical service corporation, managed care organization, pharmacy benefit manager, prescription drug plan, retirement system, or similar entity that is under an obligation to make payments for medical services as a result of an injury, illness, or disease suffered by an individual. (5) "Legally liable representative" means a parent or person with an obligation of support to a recipient whether by contract, court order, or statute. (6) "Provider" means any person who has entered into an agreement with the State to provide any medical service. (7) "Recipient" means any person or group of persons who receive Medicaid. (8) "Secretary" means the Secretary of Human Services. (9) "Third party" means a person having an obligation to pay all or any portion of the medical expense incurred by a recipient at the time the medical service was provided. The obligation is not discharged by virtue of being undiscovered or undeveloped at the time a Medicaid claim is paid. Third parties include:  (A) Medicare; (B) health insurance, including health and accident but not that portion specifically designated for "income protection" which has been considered in determining recipient eligibility to participate in the Medicaid program; (C) medical coverage provided in conjunction with other benefit or compensation programs, including military and veteran programs or workers' compensation; (D) liability for medical expenses as agreed to or ordered in negligence suits, support settlements, or trust funds; and (E) managed care organizations, pharmacy benefit managers, self-insured plans, and other entities that are, by statute, contract, or agreement, legally responsible for the payment of a claim for a health care item or service.  (10) "Tobacco" means all products listed in 7 V.S.A. § 1001(3). (11) "Tobacco manufacturer" means any person engaged in the process of designing, fabricating, assembling, producing, constructing, or otherwise preparing a product containing tobacco, including packaging or labeling of these products, with the intended purpose of selling the product for gain or profit. "Tobacco manufacturer" does not include persons whose activity is limited to growing natural leaf tobacco or to selling tobacco products at wholesale or retail to customers. "Tobacco manufacturer" also does not include any person who manufactures or produces firearms, dairy products, products containing alcohol, or other nontobacco products, unless such person also manufactures or produces tobacco products. (Added 2013, No. 131 (Adj. Sess.), § 38, eff. May 20, 2014.)
33 V.S.A. § 1901a
2021 Vermont Statutes|Title 33 - Human Services|Chapter 19 - Medical Assistance|§ 1901a. Medicaid budget

§ 1901a. Medicaid budget|(a) The General Assembly shall approve each year a Medicaid budget. The annual Medicaid budget shall include an annual financial plan, and a five-year financial plan accounting for expenditures and revenues relating to Medicaid and any other health care assistance program administered by the Agency of Human Services.(b) The Secretary of Human Services or his or her designee and the Commissioner of Finance and Management shall provide quarterly to the Joint Fiscal Committee such information and analysis as the Committee reasonably determines is necessary to assist the General Assembly in the preparation of the Medicaid budget. (Added 2001, No. 142 (Adj. Sess.), § 148a; amended 2005, No. 215 (Adj. Sess.), § 309, eff. May 31, 2006; 2019, No. 144 (Adj. Sess.), § 31.)
33 V.S.A. § 1901b
2021 Vermont Statutes|Title 33 - Human Services|Chapter 19 - Medical Assistance|§ 1901b. Pharmacy program enrollment

§ 1901b. Pharmacy program enrollment|(a) The Department of Vermont Health Access and the Department for Children and Families shall monitor actual caseloads, revenue, and expenditures; anticipated caseloads, revenue, and expenditures; and actual and anticipated savings from implementation of the preferred drug list, supplemental rebates, and other cost containment activities in each State pharmaceutical assistance program, including VPharm. When applicable, the Departments shall allocate supplemental rebate savings to each program proportionate to expenditures in each program.(b) As used in this section, "State pharmaceutical assistance program" means any health assistance programs administered by the Agency of Human Services providing prescription drug coverage, including the Medicaid program, VPharm, the State Children's Health Insurance Program, the State of Vermont AIDS Medication Assistance Program, the General Assistance Program, the Pharmacy Discount Plan Program, and any other health assistance programs administered by the Agency providing prescription drug coverage. (Added 2001, No. 142 (Adj. Sess.), § 148b; amended 2005, No. 174 (Adj. Sess.), § 94; 2005, No. 215 (Adj. Sess.), §§ 316, 317; 2009, No. 156 (Adj. Sess.), § I.44; 2011, No. 171 (Adj. Sess.), § 41c; 2013, No. 79, § 47, eff. Jan. 1, 2014.)
33 V.S.A. § 1901d
2021 Vermont Statutes|Title 33 - Human Services|Chapter 19 - Medical Assistance|§ 1901d. State Health Care Resources Fund

§ 1901d. State Health Care Resources Fund|(a) The State Health Care Resources Fund is established in the State Treasury as a special fund to be a source of financing for health care coverage for beneficiaries of the State health care assistance programs under the Global Commitment to Health waiver approved by the Centers for Medicare and Medicaid Services under Section 1115 of the Social Security Act.(b) Into the Fund shall be deposited:  (1)-(4) [Repealed.] (5) premium amounts paid by individuals unless paid directly to the insurer; and (6) the proceeds from grants, donations, contributions, taxes, recoveries, and any other sources of revenue as may be provided by statute, rule, agreement, or act of the General Assembly. (7) [Repealed.]   (c) The Fund shall be administered pursuant to 32 V.S.A. chapter 7, subchapter 5, except that interest earned on the Fund and any remaining balance shall be retained in the Fund. The Agency shall maintain records indicating the amount of money in the Fund at any time.(d) All monies received by or generated to the Fund shall be used only as allowed by appropriation of the General Assembly for the administration and delivery of health care covered through State health care assistance programs administered by the Agency under the Global Commitment to Health Medicaid Section 1115 waiver, immunizations under 18 V.S.A. § 1130, and the development and implementation of the Blueprint for Health under 18 V.S.A. § 702. (Added 2005, No. 93 (Adj. Sess.), § 16a, eff. July 1, 2006; amended 2005, No. 191 (Adj. Sess.), § 41; 2007, No. 65, § 387, eff. June 4, 2007; 2011, No. 45, § 36o; 2011, No. 75 (Adj. Sess.), § 110; 2013, No. 50, § E.307.4; 2019, No. 6, § 65, eff. April 22, 2019; 2021, No. 20, § 298.)
33 V.S.A. § 1901e
2021 Vermont Statutes|Title 33 - Human Services|Chapter 19 - Medical Assistance|§ 1901e. Global Commitment Fund

§ 1901e. Global Commitment Fund|(a) The Global Commitment Fund is created in the Treasury as a special fund. The Fund shall consist of the revenues received by the Treasurer as payment of the actuarially certified premium from the Agency of Human Services to the managed care organization within the Department of Vermont Health Access for the purpose of providing services under the Global Commitment to Health waiver approved by the Centers for Medicare and Medicaid Services under Section 1115 of the Social Security Act.(b) The monies in the Fund shall be disbursed as allowed by appropriation of the General Assembly, and shall be disbursed by the Treasurer on warrants issued by the Commissioner of Finance and Management, when authorized by the Commissioner of Vermont Health Access and approved by the Commissioner of Finance and Management consistent with the interdepartmental agreements between the managed care organization within the Department of Vermont Health Access and departments delivering eligible services under the waiver. The Department of Vermont Health Access shall not modify an appropriation through an interdepartmental agreement or any other mechanism. A department or agency authorized to spend monies from this Fund under an interdepartmental agreement may spend monies appropriated as a base Medicaid expense for an allowable managed care organization investment under the terms and conditions of the Global Commitment to Health Medicaid Section 1115 waiver only after receiving approval from the Agency of Human Services.(c) Annually, on or before October 1, the Agency shall provide a detailed report to the Joint Fiscal Committee that describes the managed care organization's investments under the terms and conditions of the Global Commitment to Health Medicaid Section 1115 waiver, including the amount of the investment and the agency or departments authorized to make the investment. (Added 2005, No. 93 (Adj. Sess.), § 16c, eff. Oct. 1, 2005; amended 2005, No. 215 (Adj. Sess.), § 307, eff. May 31, 2006; 2009, No. 156 (Adj. Sess.), § I.46; 2013, No. 131 (Adj. Sess.), § 40, eff. May 20, 2014; 2015, No. 172 (Adj. Sess.), § E.306.5; 2021, No. 20, § 299.)
33 V.S.A. § 1901f
2021 Vermont Statutes|Title 33 - Human Services|Chapter 19 - Medical Assistance|§ 1901f. Medicaid program enrollment and expenditure reports

§ 1901f. Medicaid program enrollment and expenditure reports|By March 1, June 1, September 1, and December 1 of each year, the Commissioner of Vermont Health Access or designee shall submit to the General Assembly a quarterly report on enrollment and total expenditures by Medicaid eligibility group for all programs paid for by the Department of Vermont Health Access during the preceding calendar quarter and for the fiscal year to date. Total expenditures for Medicaid-related programs paid for by other departments within the Agency of Human Services shall be included in this report by Medicaid eligibility group to the extent such information is available. (Added 2011, No. 75 (Adj. Sess.), § 111, eff. March 7, 2012; amended 2015, No. 58, § E.307.2.)
33 V.S.A. § 1901g
2021 Vermont Statutes|Title 33 - Human Services|Chapter 19 - Medical Assistance|§ 1901g. Medicaid coverage for home telemonitoring services

§ 1901g. Medicaid coverage for home telemonitoring services|(a) The Agency of Human Services shall provide Medicaid coverage for home telemonitoring services performed by home health agencies or other qualified providers as defined by the Agency of Human Services for Medicaid beneficiaries who have serious or chronic medical conditions that can result in frequent or recurrent hospitalizations and emergency room admissions. Beginning on July 1, 2014, the Agency shall provide coverage for home telemonitoring for one or more conditions or risk factors for which it determines, using reliable data, that home telemonitoring services are appropriate and that coverage will be budget-neutral. The Agency may expand coverage to include additional conditions or risk factors identified using evidence-based best practices if the expanded coverage will remain budget-neutral or as funds become available.(b) A home health agency or other qualified provider shall ensure that clinical information gathered by the home health agency or other qualified provider while providing home telemonitoring services is shared with the patient's treating health care professionals. The Agency of Human Services may impose other reasonable requirements on the use of home telemonitoring services.(c) As used in this section:  (1) "Home health agency" means an entity that has received a certificate of need from the State to provide home health services and is certified to provide services pursuant to 42 U.S.C. § 1395x(o). (2) "Home telemonitoring service" means a health service that requires scheduled remote monitoring of data related to a patient's health, in conjunction with a home health plan of care, and access to the data by a home health agency or other qualified provider as defined by the Agency of Human Services. (Added 2013, No. 153 (Adj. Sess.), § 1.)
33 V.S.A. § 1901j
2021 Vermont Statutes|Title 33 - Human Services|Chapter 19 - Medical Assistance|§ 1901j. Medicaid reimbursement for long-acting reversible contraceptives

§ 1901j. Medicaid reimbursement for long-acting reversible contraceptives|(a) As used in this section, "health care provider" has the same meaning as in 18 V.S.A. § 9402.(b) The Department of Vermont Health Access shall reimburse health care providers for the full cost of a device providing long-acting reversible contraception when the device is inserted during a Medicaid beneficiary's postpartum hospital stay. (Added 2017, No. 138 (Adj. Sess.), § 1.)
33 V.S.A. § 1902
2021 Vermont Statutes|Title 33 - Human Services|Chapter 19 - Medical Assistance|§ 1902. Qualification for medical assistance

§ 1902. Qualification for medical assistance|(a) In determining whether a person is medically indigent, the Secretary of Human Services shall prescribe and use an income standard and requirements for eligibility that will permit the receipt of federal matching funds under Title XIX of the Social Security Act.(b) Workers with disabilities whose income is less than 250 percent of the federal poverty level shall be eligible for Medicaid. The income also must not exceed the Medicaid protected income level for one or the Supplemental Security Income (SSI) payment level for two, whichever is higher, after disregarding the earnings of the working individual with disabilities; Social Security disability insurance benefits, including Social Security retirement benefits converted automatically from Social Security Disability Insurance (SSDI), if applicable; any veteran's disability benefits; and, if the working individual with disabilities is married, all income of the spouse. Earnings of the working individual with disabilities shall be documented by evidence of Federal Insurance Contributions Act tax payments, Self-Employment Contributions Act tax payments, or a written business plan approved and supported by a third-party investor or funding source. The resource limit for this program shall be $10,000.00 for an individual and $15,000.00 for a couple at the time of enrollment in the program. Assets attributable to earnings made after enrollment in the program shall be disregarded. (Added 1967, No. 147, § 6; amended 1987, No. 89, § 314b; 2005, No. 56, § 4, eff. June 13, 2005; 2015, No. 157 (Adj. Sess.), § G.1, eff. June 2, 2016; 2017, No. 210 (Adj. Sess.), § 1, eff. June 1, 2018.)
33 V.S.A. § 1902a
2021 Vermont Statutes|Title 33 - Human Services|Chapter 19 - Medical Assistance|§ 1902a. Confidentiality of Medicaid applications and records; disclosure to authorized representative

§ 1902a. Confidentiality of Medicaid applications and records; disclosure to authorized representative|(a) All applications submitted and records created under the authority of this chapter concerning any applicant for or recipient of Medicaid are confidential and shall be made available only to persons authorized by the Agency, the State, or the United States for purposes directly related to plan administration. In addition, the Agency shall maintain a process to allow a Medicaid applicant or recipient or his or her authorized representative to have access to confidential information when necessary for an eligibility determination and the appeals process.(b) Applications and records considered confidential are those that disclose one or more of the following:  (1) the name and address of the applicant or recipient; (2) medical services provided; (3) the applicant's or recipient's social and economic circumstances; (4) the Agency's evaluation of personal information; (5) medical data, including diagnosis and past history of disease or disability; or (6) any information received for the purpose of verifying income eligibility and determining the amount of medical assistance payments.   (c) A person found to have violated this section may be assessed an administrative penalty of not more than $1,000.00 for a first violation and not more than $2,000.00 for any subsequent violation.(d) As used in this section:  (1) "Authorized representative" means any person designated by a Medicaid applicant or recipient to review confidential information about the Medicaid applicant or recipient pertaining to the eligibility determination and the appeals process. (2) "Purposes directly related to plan administration" include establishing eligibility, determining the amount of medical assistance, providing services to recipients, conducting or assisting with an investigation or prosecution, and civil or criminal proceedings, or audits, related to the administration of the State Medicaid program. (Added 2015, No. 172 (Adj. Sess.), § E.306.9; amended 2019, No. 15, § 2, eff. May 6, 2019.)
33 V.S.A. § 1903
2021 Vermont Statutes|Title 33 - Human Services|Chapter 19 - Medical Assistance|§ 1903. Contract authorized

§ 1903. Contract authorized|(a) The Commissioner of Vermont Health Access may contract with a private organization to operate, under his or her control and supervision, parts of the medical assistance program.(b) The contract shall provide that either party may cancel it upon reasonable notice to the other party.(c) In furtherance of the purposes of the contract, the Commissioner of Vermont Health Access may requisition funds for the purposes of this subchapter, with the approval of the Governor, and the Commissioner of Finance and Management shall issue a warrant in favor of the contracting party to permit the contracting party to make payments to vendors under the contract. The Commissioner of Vermont Health Access shall quarterly, and at other times as the Commissioner of Finance and Management requires, render an account in a form as the Commissioner of Finance and Management prescribes of the expenditures of monies so advanced. (Added 1967, No. 147, § 6; amended 1983, No. 195 (Adj. Sess.), § 5; 2005, No. 174 (Adj. Sess.), § 96; 2009, No. 156 (Adj. Sess.), § I.47.)
33 V.S.A. § 1903a
2021 Vermont Statutes|Title 33 - Human Services|Chapter 19 - Medical Assistance|§ 1903a. Care management program

§ 1903a. Care management program|(a) The Commissioner of Vermont Health Access shall coordinate with the Director of the Blueprint for Health to provide chronic care management through the Blueprint and, as appropriate, create an additional level of care coordination for individuals with one or more chronic conditions who are enrolled in Medicaid or Dr. Dynasaur. The program shall not include individuals who are in an institute for mental disease as defined in 42 C.F.R. § 435.1009.(b) The Commissioner shall include individuals with a broad range of chronic conditions in the Blueprint for Health and the care management program. (Added 2005, No. 191 (Adj. Sess.), § 6; amended 2007, No. 70, §§ 22, 23; 2009, No. 146 (Adj. Sess.), § C33; 2013, No. 79, § 24, eff. Jan. 1, 2014.)
33 V.S.A. § 1905
2021 Vermont Statutes|Title 33 - Human Services|Chapter 19 - Medical Assistance|§ 1905. Disproportionate share program

§ 1905. Disproportionate share program|The Secretary of Human Services shall adopt a disproportionate share program for hospitals consistent with the requirements of Title XIX of the Social Security Act. (Added 1991, No. 253 (Adj. Sess.), § 10.)
33 V.S.A. § 1905a
2021 Vermont Statutes|Title 33 - Human Services|Chapter 19 - Medical Assistance|§ 1905a. Medicaid reimbursements to certain outpatient providers

§ 1905a. Medicaid reimbursements to certain outpatient providers|(a) To the extent permitted under federal law, the Department of Vermont Health Access shall not use provider-based billing for outpatient medical services provided at an off-campus outpatient department of a hospital as a result of the provider's transfer to or acquisition by the hospital.(b) As used in this section, "off-campus" means a facility located more than 250 yards from the main hospital campus. (Added 2015, No. 143 (Adj. Sess.), § 3.)