on March 29, 2019, by a vote of
92-44
Purpose: To move Vermont closer toward universal and affordable healthcare coverage. The bill would create a database of state income tax filers who do not have health insurance, and commission bureaucrats to encourage these Vermonters to purchase insurance. It strengthens pre-existing condition protections from Obamacare, and tasks the Agency of Human Services with discovering ways to make Vermont healthcare more affordable and accessible.
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Analysis: Those voting YES believe that the only way to provide affordable healthcare to all Vermonters is to promote a state-run exchange system over private healthcare. To fulfill this objective, the state should coax Vermonters away from healthcare alternatives and toward the “exchange.” The 500 individuals on health sharing plans and thousands without insurance deserve a “soft push” toward joining the exchange for the common good. Others (like those with association health plans) deserve a “hard shove,” so they don’t purchase insurance outside control of the state.
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Those voting NO believe that kicking 5000 Vermonters off of their association health plans is bad policy. They may also believe that this opens the door for future penalties against poor Vermonters without health insurance in future sessions. They note that the only reason committee members chose to remove the insurance penalty was due to administrative cost uncertainty. The only way that Vermonters can achieve long-term savings is through competition in the healthcare marketplace. This bill would move us further away from that prerogative.
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Related: House Rejects Amendment Permitting Association Health Insurance (50-87)
How They Voted
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