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Rule Details

Rule Number: 13-E08
Title: Health Benefits, Eligibility and Enrollment Amendment #1
Type: Emergency
Status: Adopted
Agency: Agency of Human Services
Legal Authority: 3 V.S.A. §3053; 33 V.S.A. §§105(c) (2) and 1901 (a); Act No. 48 of 2011; Act No. 171 of 2012; Act 79 of 2013
Summary: This emergency rule amends the previously filed Health Benefits Eligibility and Enrollment Rule in order to incorporate federal rule changes that were promulgated too late to include in the previously filed rule. That rule, and this amendment, implement the provisions of the federal Affordable Care Act (ACA) and Vermont Act Nos. 48 of 2011, 171 of 2012 and 79 of 2013. This rule must be effective October 1, 2013.
Persons Affected: Medicaid applicants and enrollees; Individuals who lack access to government-sponsored minimum essential coverage and wish to purchase health coverage; Small employers who wish to offer health coverage to their employees Health Insurance Issuers; Health Insurance Brokers; Health care providers; Agency of Human Services; Department for Children and Families, Economic Services Division; Department of Health Access, Exchange Division; Department of Financial Regulation; Department of Disabilities, Aging and Independent Living; Vermont Department of Health; Health-Benefits Advocacy Groups; Vermont Office of Health Care Ombudsman; Interested members of the public
Economic Impact: The January 2013 financing plan submitted to the Vermont legislature summarizes the SFY2014 impact: The funds to establish Vermont Health Connect have been secured through federal grants. Full operational costs become the responsibility of the State in 2015. Additional funding of $400,000 will be necessary in SFY2014 for the Navigator program, which will provide assistance to insurance purchasers in the Exchange. The Affordable Care Act provides significant subsidies for low- and middle-income Vermonters. The Administration recommends an additional $10.5 million in SFY2014 to assure affordability of coverage through VHC. The funds will assist Vermonters with premium costs, deductibles, and total out-of-pocket expenses. Overall, the Administration is able to fund health care reform measures through a mix of savings and minor revenue increase, a 1 enhancement of the claims assessment over a two-year period, 2015-2016. See: http://leg.state.vt.us/reports/2013ExternalReports/286250.pdf
Posting date: Oct 01,2013

Hearing Information


There are not Hearings scheduled for this Rule

Contact Information

Information for Contact # 1
Level: Primary    
Name: Robin Chapman, Esq.    
Agency: Agency of Human Services    
Address: DCF, ESD, 103 South Main Street    
City: Waterbury    
State: VT    
Zip: 05671-1201    
Telephone: 802-279-3996    
Fax: 802-769-2186    
Email: 
robin.chapman@state.vt.us
     
 
   
Website Address:  http://dcf.vermont.gov/esd/rules
     
 
   
Information for Contact # 2
Level: Secondary    
Name: Afsar Sultana    
Agency: Agency of Human Services    
Address: DCF, ESD, 103 South Main Street    
City: Waterbury    
State: VT    
Zip: 05671-1201    
Telephone: 802-769-6279    
Fax: 802-769-2186    
Email: 
afsar.sultana@state.vt.us
     
 
   
Website Address:  http://dcf.vermont.gov/esd/rules
     
 
   

Keyword Information

Keywords:

Vermont Health Connect
Health Benefits
Medicaid
Exchange
Health Benefits Exchange
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