April 14, 2026

NEED TO KNOW

Primary Care Policy Continues to Advance in the House; Data Privacy and Health Care Budget Still Up in the Air

With approximately one month left in the 2026 Legislative session, tensions are high as Committees are grappling with having very little money and very little time to complete key priorities that remain conceptual like data privacy and education reform. The VMS continues to advocate for primary care payment reform and for primary care funding in the FY27 budget. Please see the specific action alerts below.

Tell Lawmakers How Primary Care Payment Bill Supports Practices

Please reach out this week to the House Health Care Committee, who has continued to take testimony on S. 197, the primary care reform bill, and heard from Blue Cross Blue Shield of Vermont, Cigna and the Blueprint for Health last week.  Blue Cross Blue Shield of Vermont testified in support of S. 197 creating “an opportunity to move from a strong foundation to a modern, sustainable, and accountable model” while Cinga expressed concerned about self-funded employer plans being required to participate in the Blueprint for Health.  It is important for the House Health Care Committee to hear from practices regarding how the bill takes steps to help stabilize primary care financing and access. 

The bill would:

  • Require the Agency of Human Services to establish a target for the amount of per-person per-month spending by each payer that should be invested to cover primary care services for Vermont residents, develop a transitional schedule that increases that target over time, and direct the additional investment to Blueprint practice payments
  • Build on Vermont’s Blueprint for Health program and expand by having Blueprint practice payments funded equally by all health insurers, adequately support primary care practices, and study evolving the practice payment to replace routine primary care services with a monthly payment to practices
  • Continue Vermont’s primary care medical student scholarship

Contact House Health Care Committee members here: ablack@leg.state.vt.us; dberbeco@leg.state.vt.us; valorie.taylor@vtleg.gov; bcina@leg.state.vt.us; wcritchlow@leg.state.vt.us; ademar@leg.state.vt.us; lgoldman@leg.state.vt.us; LHoughton@leg.state.vt.us; Karen.Lueders@vtleg.gov; dpowers@leg.state.vt.us; dsoucy@vtleg.gov

Please Urge House Health Care Committees to Oppose S.64 – Expansion of Optometry Scope of Practice

The House Health Care Committee will take testimony tomorrow on S.64, a bill that would authorize optometrists to perform surgical procedures on the eye — including laser surgeries, needle injections, and scalpel surgeries — without requiring the surgical residency training that makes these procedures safe.

Contact House Health Care Committee members here to urge them to oppose S. 64: ablack@leg.state.vt.us; dberbeco@leg.state.vt.us; valorie.taylor@vtleg.gov; bcina@leg.state.vt.us; wcritchlow@leg.state.vt.us; ademar@leg.state.vt.us; lgoldman@leg.state.vt.us; LHoughton@leg.state.vt.us; Karen.Lueders@vtleg.gov; dpowers@leg.state.vt.us; dsoucy@vtleg.gov

Please Ask the Senate Health and Welfare and Appropriations Committees to Support Primary Care

The Senate Health and Welfare and Senate Appropriations Committees continue to work on refining their health care funding priorities for the FY27 Budget. Please urge these Committees to include these primary care priorities in their recommendations:

  • the restoration of $2.01 million in Medicaid alternative payments to primary care practices
  • the full restoration of a $1.27 million cut to the AHEC programming and loan repayment that includes:
    • $667k Primary Care Practitioner Loan Repayment
    • $500k Early Pipeline Health Care Careers Programming
    • $50k Physician Placement Services

Please email: vlyons@leg.state.vt.us; mgulick@leg.state.vt.us; acummings@leg.state.vt.us; John.Morley@vtleg.gov; john.benson@vtleg.gov; Calysta.Koppenhaver@vtleg.gov; aperchlik@leg.state.vt.us; rawestman@gmail.com; vlyons@leg.state.vt.us; pbrennan@leg.state.vt.us; pbaruth@leg.state.vt.us; awatson@leg.state.vt.us; rnorris@leg.state.vt.us; Elle.Oille-Stanforth@vtleg.gov

Sign on Letter for Vermont Medical Practices – Vermont Data Privacy Law should Harmonize with HIPAA

The Vermont Medical Society is alerting medical practices to harmful markups to S.71 - the "Vermont Data Privacy Act" - being proposed by the House Commerce and Economic Development Committee within the remaining weeks of the legislative session.  Practices are encouraged to sign on to a letter being led by the Vermont Chamber of Commerce regarding the House Amendments.   See the letter here and the form here, which authorizes the Vermont Chamber of Commerce to add your business name and town to a sign‑on letter to Vermont legislators.

Why this matters for Vermont health care practices

  • Would set new rules around how Vermont consumer data is collected, used, and protected
  • Would apply the requirements of the bill to additional entities including health care institutions, which already have strict federal HIPAA requirements in place for patient data privacy
  • Would add to compliance costs and legal exposure

In contrast, the Senate-passed version of S.71 (passed unanimously in 2025) would exempt HIPAA-covered entities and align Vermont with regional standards in New Hampshire, Connecticut, and Rhode Island, offering clear consumer protections while limiting compliance costs and litigation risk. 

Please consider adding your practice to the sign on letter with the form here.

One Remaining 2026 VMS Legislative Breakfast – April 29th

It’s not too late to join for the Vermont Medical Society’s one remaining breakfast for the 2026 legislative session!  All VMS members and medical students are encouraged to join us for the last opportunity of this legislative session to meet your lawmakers and advocate for health care policies over coffee and a light breakfast.  The breakfast is being held on Wednesday, April 29th from 8-9 am at the Vermont Statehouse in Montpelier.  This is an informal opportunity to educate lawmakers on ways to improve Vermont's practice environment and no prior legislative experience is needed.

Please register here. 

Reach out to Jill Sudhoff-Guerin at jsudhoffguerin@vtmd.org if you have any questions

VMS Board Openings -  At Large Board Member Seats

Due to turnover in VMS Board membership, the VMS Board currently has two openings for at large representatives.  The VMS Board meets six times per year to discuss the policy, governance, operations, and finances of the organization. Board membership includes VMS officers, geographic, specialty society and at-large representatives.   To learn more about the VMS Board including current membership and meeting schedule, please visit our governance page located here or contact Jessa Barnard at jbarnard@vtmd.org.  We welcome new interest and involvement! 

MultiPlan Litigation Update April 2026 

The Vermont Medical Society is a plaintiff in the In re MultiPlan Health Insurance Provider Litigation, a federal antitrust case alleging that MultiPlan and major health insurers colluded to suppress out-of-network reimbursement rates paid to physicians and other providers. 

The case is now in active discovery. At the February 27th case management conference, the Court cleared the way for depositions of MultiPlan representatives and required the company to produce key internal records. The next status conference is April 9, 2026, after which we will share a further update. 

On a related note, co-lead counsel Matt Lavin has joined Gilbert LLC and will continue leading the case in his new role. This change does not affect the case, our organization's participation in any way, or your case if you have joined the litigation.  

Members who believe they've been impacted by MultiPlan's practices are encouraged to reach out to an attorney. 

MISC.


Kick Off Meetings: Blueprint for Health Modernization Proposal


The Blueprint for Health staff are excited to invite Vermont primary care practices, clinicians and other interested parties to a kickoff meeting to introduce a modernized program proposal for an Advanced Primary Care Program in Vermont under the Blueprint for Health. This initiative builds on Vermont’s strong foundation of patient-centered care and aims to enhance access, care coordination, quality outcomes, and health equity across our communities while strengthening and leveraging investment in primary care to ensure practices have the resources and support needed to deliver high-value care. Please feel free to forward this invitation to your colleagues and leadership. The same content will be offered at each of the three meetings - 4/27 at 4 pm, 4/29 at noon, and 5/1 at 8 am. Questions asked by attendees will be documented and answered by the Blueprint team then posted in the 1-2 weeks following for everyone’s review. The meetings will not be recorded, AI transcription will not be allowed, and slides presented will be posted on the Blueprint website no later than close of business on 5/1.


April 27th, 4-5pm

Join Microsoft Teams Meeting: https://teams.microsoft.com/meet/210502118643517?p=G8F6A8c6ZVKCp7w0te

Meeting ID: 210 502 118 643 517

Passcode: CY2kf9vc

Dial in by phone: +1 802-828-7667,,92047878#


April 29th, 12-1pm

Join Microsoft Teams meeting: https://teams.microsoft.com/meet/21961545455906?p=EZ1vcx29awPe2PuPXQ

Meeting ID: 219 615 454 559 06

Passcode: Aj7vn6VA

Dial in by phone: +1 802-828-7667,,538318711#


May 1, 8-9am

Join Microsoft Teams meeting: https://teams.microsoft.com/meet/21234171022160?p=84lzR6QuqmEQGPRFqD

Meeting ID: 212 341 710 221 60

Passcode: KY649Gk2

Dial in by phone: +1 802-828-7667,,787759904#

Medicaid Telehealth Claims Reminder

Reminder, Telehealth Services are reimbursed by Vermont Medicaid according to the fee schedule based on place of service (POS), and the appropriate telehealth modifier. Practitioners are required to append the appropriate telehealth modifier to indicate if services were delivered via audio only (93) or audio-video (95). Claims submitted without the appropriate telehealth modifier may be subject to recoupment. Practitioners are required to bill Vermont Medicaid correctly, which includes reporting the telehealth modifier along with the POS 02 or 10. See Telehealth Billing - Place of Service (POS) 02 and 10 Frequently Asked Questions for more information.

VMS Financial Webinars - Early Career

Questioning your student loan strategy? Do you have the right amount of life and disability insurance? Are you maximizing opportunities to accumulate wealth and minimize taxes? Join us for an exclusive seminar for VMS members. We will discuss updates to SAVE and PSLF, important insurance concepts, and strategies to maximize accumulation during your early years as a physician.

May 19th at 7pm: https://us02web.zoom.us/webinar/register/WN_p1JiCNFTRV2fTnOONFFOyQ

May 20th at 7pm: https://us02web.zoom.us/webinar/register/WN_6NOCymbIS-6pe88p6Yr6iw

EVENTS

The Greatest Contribution: A History of the National Library of Medicine with Stephen Greenberg

April 21, 2026 at 7pm

Zoom

Starting as a single shelf of books in the Army Surgeon-General’s small office, the National Library of Medicine has grown to be the world’s largest medical library. This presentation will examine the history of the NLM, and considers what its future might hold in the rapidly changing world of information technology.

Dr. Greenberg holds degrees both in history and library science and spent 29 years working at the National Library of Medicine where he served as Section Head for Rare Books and Early Manuscripts in NLM’s History of Medicine Division.

Register here.

Medication for Opioid Use Disorder ECHO

April 30 - September 17th, 12pm to 1pm

Zoom


Join subject matter experts from around the region during biweekly virtual sessions on Zoom from Thursdays, 12-1 PM. Open to all health professionals who are looking to gain knowledge and confidence in the foundational skills related to medication for opioid use disorder (MOUD). Priority is given to Maine, New Hampshire, and Vermont. No cost to join. Interdisciplinary teams are encouraged to apply.


Learn more here.

AlpTerra Wilderness Medicine Course

October 1–5, October 8–12, 2026

Franconia, New Hampshire

Join Alpterra for an immersive, hands-on wilderness medicine course designed to prepare you for real-life scenarios in the outdoors. Treat mock injuries, problem-solve in the elements, and walk away with practical skills that stick.

  • Max 4:1 participant-to-instructor ratio for highly personalized, discussion-driven learning.
  • Accredited for up to 16 AMA PRA Category 1 Credits™ — an excellent use of your CME allowance.
  • Stay on-site in a luxury home-style setting. Enjoy locally sourced, family-style meals tailored to dietary needs.
  • Add-on trips let you ski, climb, or explore the White Mountains with expert guides before or after your course.

Learn more about the agenda and registration here.

2026 Collaborative Meeting

November 13 - 14, 2026

Stowe, VT


The 2026 Collaborative Meeting is taking place November 13th and 14th at Topnotch Resort in Stowe, Vermont. Please save the date and join us this Fall!

Stay up to date on additional details by visiting here. 

For more information about offerings from UVM CMIE, visit here.

VTMD.ORG

Vermont Medical Society

PO Box 153

Williamstown, VT 05679

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