| Rule Number: |
25P044 |
| Title: |
Green Mountain Care Board: Rule 3.000: Hospital Budget Review. |
|
Type:
|
Standard |
|
Status:
|
Adopted |
| Agency: |
Green Mountain Care Board
|
| Legal Authority: |
18 V.S.A. ยงยง 9375(b)(7); 9380; and 9453(b) |
| Summary:
| This proposed hospital budget review rule amends the existing rule to conform to statutory amendments made with the passage of Act 49 (2025), Act 62 (2025), and Act 68 (2025). These Acts set forth revised standards and processes by which hospital budgets are reviewed, established, and monitored by the Green Mountain Care Board (GMCB). The proposed rule also streamlines and simplifies certain parts of the hospital budget review process. The proposed rule clarifies hospital budget submission obligations, the process for requesting that information be exempt from public inspection and copying, and the Board's ability to disclose this information. The proposed rule revises the Board's process for exempting hospitals from public hearings, the process for reviewing mid-year budget performance, the process for reviewing significant deviations from established budgets, and the process for reviewing hospital applications for budget adjustment. |
| Persons Affected:
| 1.Vermont general and psychiatric hospitals. 2.The Office of the Health Care Advocate. |
| Economic Impact:
| The hospital budget review process set forth in the rule will be revenue-neutral to the State becuase it will be accomplished with existing personnel and resources. The proposed rule directly impacts hospitals regulated by the GMCB, as the Board is required to annually review and establish budgets for each hospital. However, the proposed rule does not impose any new economic cost to hospitals. It revises processes that the Board uses to establish budgets and monitor budget performance. |
| Posting date: |
Dec 17,2025 |
