Vermont 2026 Biennium Status: In Committee 1 D cosponsors

S.190 — An act relating to reference-based pricing and the Green Mountain Care Board

Last action — Senate Message: Vetoed by Governor June 16, 2026

  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed Senate
  4. 4
    Passed House
  5. 5
    To Executive
  6. 6
    Enacted

This bill is in committee in the Senate. Introduced January 06, 2026. It must pass committee before a floor vote.

Vetoed by Governor Phil Scott (Republican) on May 29, 2026.

Next likely step: a committee vote, then a floor vote in the Senate.

Odds of enactment

Low chance

Based on the sponsor, cosponsors, and committee posture, this bill has a low chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Advancing 36% · moderate confidence

  • In Committee

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (1 D).

  • Cleared a recorded vote

    Passed 3 recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

In plain language

The bill addresses reference-based pricing and the Green Mountain Care Board.

This bill relates to how pricing is set for healthcare services and involves the Green Mountain Care Board. It aims to establish a framework for reference-based pricing in the healthcare sector.

What this means for you
  • Families: Families may benefit from clearer pricing structures in healthcare services as a result of this bill.
  • Consumers: This could lead to more predictable healthcare costs for patients receiving services.
  • Healthcare: This means healthcare providers may need to align their pricing strategies with the reference-based model.

Summary

An act relating to reference-based pricing and the Green Mountain Care Board

Bill Text

We don't have the full text on file for this bill yet.

Read S.190 on the official Vermont source →

Action History

  1. Senate Message: Vetoed by Governor June 16, 2026

  2. Governor vetoed bill on June 16, 2026

  3. Delivered to Governor on June 10, 2026

  4. Senate Message: House proposal of amendment concurred in

  5. Rules suspended & messaged to House forthwith, on motion of Senator Baruth

  6. As passed by Senate and House

  7. Roll Call, requested by Senator Collamore, Passed -- Needed 15 of 30 to Pass -- Yeas = 17, Nays = 13

  8. Roll Call, Requested by Sen. Collamore

  9. House proposal of amendment concurred in

  10. House proposal of amendment; text

  11. House proposal of amendment

  12. House proposal of amendment

  13. Entered on Notice Calendar

  14. House message: House passed bill in concurrence with proposal(s) of amendment

  15. Rules suspended and bill messaged forthwith to the Senate as moved by Rep. McCoy of Poultney

  16. Read third time and passed in concurrence with proposal of amendment

  17. Rules suspended and bill placed in all remaining stages of passage as moved by Rep. McCoy of Poultney

  18. Third Reading ordered

  19. Which was agreed to on a Roll Call Passed -- Needed 66 of 131 to Pass -- Yeas = 87, Nays = 44

  20. Report of Committee on Health Care, as amended, agreed to

  21. Rep. McCoy of Poultney demanded yeas and nays

  22. Report of Committee on Health Care amended as recommended by Committee on Appropriations

  23. Rep. Dickinson of St. Albans Town recommended for the Committee on Appropriations

  24. Rep. Holcombe of Norwich recommended for the Committee on Ways and Means

  25. Rep. Black of Essex reported for the Committee on Health Care

  26. Read second time

  27. Rules suspended and taken up for immediate consideration as moved by Rep. McCoy of Poultney

  28. Notice Calendar: Favorable with Amendment

  29. Pending entry on Notice Calendar, referred to Committee on Appropriations per Rule 35(a)

  30. Referred to Committee on Ways and Means per Rule 35(a)

  31. Notice Calendar: Favorable with Amendment

  32. Read first time and referred to the Committee on Health Care

  33. Read 3rd time & passed on roll call, requested by Senator Weeks, Passed -- Needed 15 of 29 to Pass -- Yeas = 23, Nays = 6

  34. Roll Call, Requested by Sen. Weeks

  35. Pending third reading, bill amended as moved by Senator(s) Hardy

  36. New Business/Third Reading

  37. Title amended as recommended by Committee on Health and Welfare

  38. 3rd reading ordered

  39. Recommendation of amendment by Committee on Health and Welfare, as amended, agreed to

  40. Recommendation of amendment by Committee on Health and Welfare amended as moved by Senator Lyons, Benson, Cummings, and Morley

  41. Recommendation of amendment by Committee on Health and Welfare amended as recommended by Committee on Appropriations

  42. Reported favorably by Senator Lyons for Committee on Appropriations with recommendation of amendment

  43. Read 2nd time, reported favorably with recommendation of amendment by Senator Lyons for Committee on Health and Welfare

  44. Recommendation of amendment to be offered by Senator(s) Lyons

  45. Favorable report with recommendation of amendment by Committee on Appropriations

  46. Favorable report with recommendation of amendment by Committee on Health and Welfare

  47. Unfinished Business/Second Reading

  48. Recommendation of amendment to be offered by Senator(s) Lyons

  49. Favorable report with recommendation of amendment by Committee on Appropriations

  50. Favorable report with recommendation of amendment by Committee on Health and Welfare

  51. Unfinished Business/Second Reading

  52. Recommendation of amendment to be offered by Senator(s) Lyons

  53. Favorable report with recommendation of amendment by Committee on Appropriations

  54. Favorable report with recommendation of amendment by Committee on Health and Welfare

  55. Second Reading

  56. Recommendation of amendment to be offered by Senator(s) Lyons

  57. Favorable report with recommendation of amendment by Committee on Appropriations

  58. Favorable report with recommendation of amendment by Committee on Health and Welfare

  59. Second Reading

  60. Entered on Notice Calendar

  61. Referred to Committee on Appropriations per Senate Rule 31

  62. Favorable report with recommendation of amendment by Committee on Health and Welfare

  63. Second Reading

  64. Entered on Notice Calendar

  65. Read 1st time & referred to Committee on Health and Welfare

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 0 co-sponsors · 189 not signed on · 54 voted No

Sponsors (1)

Co-sponsors (0)

None.

Not signed on (189)

189 members have not signed on to this bill.

Show all 189 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Read 3rd time &

Passed 23 Yea · 6 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 2000
Republican 7600
Democrat/Progressive 3000
Democrat 11000
Progressive/Democrat 0001
Total 23601
% of votes cast 77%20%0%3%
How each member voted (30)
Member Party Vote
Harrison of Windham District — Yea
White of Windsor District — Yea
Alison Clarkson Democrat Yea
Ann E Cummings Democrat Yea
Joseph "Joe" D Major Democrat Yea
Kesha K Ram Hinsdale Democrat Yea
Martine Larocque L Gulick Democrat Yea
Nader A Hashim Democrat Yea
Robert Plunkett Democrat Yea
Ruth E Hardy Democrat Yea
Seth Bongartz Democrat Yea
Thomas I Chittenden Democrat Yea
Virginia "Ginny" V Lyons Democrat Yea
Andrew J Perchlik Democrat/Progressive Yea
Anne E Watson Democrat/Progressive Yea
Philip E Baruth Democrat/Progressive Yea
Tanya C Vyhovsky Progressive/Democrat Not Voting
Brian P Collamore Republican Nay
Christopher P Mattos Republican Yea
David H Weeks Republican Nay
John Benson Republican Yea
John S Morley III Republican Yea
Patrick "Pat" M Brennan Republican Yea
Randy D Brock Republican Nay
Richard A Westman Republican Yea
Robert W Norris Republican Nay
Russ H Ingalls Republican Nay
Scott L Beck Republican Yea
Steven Heffernan Republican Yea
Terry K Williams Republican Nay

Official roll call →

Which was agreed to

Passed 87 Yea · 44 Nay · 19 Other
Party YeaNayPresentNot Voting
Democrat 72209
Republican 33807
Unaffiliated 5301
Republican/Democrat 0101
Progressive/Democrat 3000
Independent 4001
Total 8744019
% of votes cast 58%29%0%13%
How each member voted (150)
Member Party Vote
Brown of Richmond — Yea
Casey of Hubbardton — Not Voting
Casey of Montpelier — Yea
Hooper of Randolph — Nay
Long of Milton — Nay
Long of Newfane — Yea
Taylor of Mendon — Nay
White of Bethel — Yea
White of Waitsfield — Yea
Abbey Duke Democrat Yea
Alice M. M Emmons Democrat Yea
Alyssa Black Democrat Yea
Amy D Sheldon Democrat Nay
Amy D Sheldon Democrat Yea
Angela Arsenault Democrat Yea
Barbara Rachelson Democrat Not Voting
Bram Kleppner Democrat Yea
Brian Minier Democrat Yea
Bridget M Burkhardt Democrat Yea
Carol Ode Democrat Yea
Charles A Kimbell Democrat Yea
Chea Waters Evans Democrat Yea
Christopher Morrow Democrat Yea
Daisy Berbeco Democrat Yea
Daniel A Noyes Democrat Yea
Dara Torre Democrat Yea
David K Durfee Democrat Yea
David W Yacovone Democrat Yea
Doug Bishop Democrat Yea
Edward "Teddy" Waszazak Democrat Yea
Edye Graning Democrat Yea
Ela Chapin Democrat Yea
Elizabeth L Burrows Democrat Yea
Emilie K Kornheiser Democrat Yea
Emilie Krasnow Democrat Yea
Emily Carris Duncan Democrat Yea
Erin Brady Democrat Yea
Esme Cole Democrat Not Voting
Gayle S Pezzo Democrat Yea
Golrang "Rey" Garofano Democrat Not Voting
Herb Olson Democrat Yea
Ian Goodnow Democrat Yea
James W Masland Democrat Yea
Jill L Krowinski Democrat Not Voting
John K O'Brien Democrat Not Voting
John L Bartholomew Democrat Yea
Jonathan Cooper Democrat Yea
Jubilee McGill Democrat Yea
Karen Lueders Democrat Yea
Karen N Dolan Democrat Yea
Kate Lalley Democrat Not Voting
Kate McCann Democrat Yea
Kate Nugent Democrat Yea
Kathleen C James Democrat Yea
Kevin "Coach" B Christie Democrat Not Voting
Kevin P Scully Democrat Yea
Kristi C Morris Democrat Yea
Larry Satcowitz Democrat Yea
Leanne Harple Democrat Yea
Leonora Dodge Democrat Not Voting
Leslie Goldman Democrat Yea
Lori Houghton Democrat Yea
Lucy Boyden Democrat Yea
Marc B Mihaly Democrat Yea
Martin J LaLonde Democrat Yea
Mary E. E Howard Democrat Yea
Mary-Katherine A Stone Democrat Yea
Matthew J Birong Democrat Yea
Michael Mrowicki Democrat Yea
Michael N Hoyt Democrat Yea
Michael Nigro Democrat Not Voting
Michelle Bos-Lun Democrat Yea
Mollie S. S Burke Democrat Yea
Mollie S. S Burke Democrat Nay
Monique Priestley Democrat Yea
Peter C Conlon Democrat Yea
Phil Pouech Democrat Yea
R. Scott Campbell Democrat Yea
Rebecca Holcombe Democrat Yea
Robert Hunter Democrat Yea
Robin P Scheu Democrat Yea
Sarah "Sarita" C Austin Democrat Yea
Saudia LaMont Democrat Yea
Shawn Sweeney Democrat Yea
Theresa A Wood Democrat Yea
Thomas S Stevens Democrat Yea
Tiffany Bluemle Democrat Yea
Timothy R. R Corcoran II Democrat Yea
Trevor J Squirrell Democrat Yea
Wendy A Critchlow Democrat Yea
William "Will" Greer Democrat Yea
Zon Eastes Democrat Yea
Anne B. B Donahue Independent Yea
Jed Lipsky Independent Yea
Joseph Parsons Independent Not Voting
Laura H Sibilia Independent Yea
Troy Headrick Independent Yea
Brian J Cina Progressive/Democrat Yea
Chloe Tomlinson Progressive/Democrat Yea
Kate Logan Progressive/Democrat Yea
Allen "Penny" R Demar Republican Nay
Anthony "Tony" Micklus Republican Yea
Beth M Quimby Republican Nay
Brenda Steady Republican Nay
Carolyn W Branagan Republican Nay
Chris Keyser Republican Nay
Christopher "Chris" A Pritchard Republican Nay
Christopher Howland Republican Nay
David "Dave" Bosch Republican Nay
David J Soucy Republican Nay
Deborah "Debbie" C Dolgin Republican Nay
Debra L Powers Republican Nay
Eileen G Dickinson Republican Nay
Eric Maguire Republican Not Voting
Gina M Galfetti Republican Nay
Gregory "Greg" Burtt Republican Not Voting
Jack H Brigham Republican Nay
James A Gregoire Republican Nay
Joseph "Joe" Luneau Republican Nay
Joshua Dobrovich Republican Nay
Kenneth "Ken" L Wells Republican Not Voting
Kenneth W Goslant Republican Nay
Kevin C Winter Republican Not Voting
Larry Labor Republican Nay
Leland J Morgan Republican Not Voting
Lisa A Hango Republican Nay
Mark A Higley Republican Nay
Martha A Feltus Republican Yea
Mary A. A Morrissey Republican Nay
Matt E Walker Republican Not Voting
Michael "Mike" Southworth Republican Nay
Michael "Mike" Tagliavia Republican Nay
Michael Boutin Republican Nay
Michael J Marcotte Republican Nay
Michael R Morgan Republican Nay
Patricia A McCoy Republican Nay
Richard J Bailey Republican Nay
Richard M Nelson Republican Nay
Rob North Republican Yea
Sandra "Sandy" H Pinsonault Republican Not Voting
Thomas "Tom" F Charlton Republican Nay
Thomas B Burditt Republican Nay
Todd Nielsen Republican Nay
VL L Coffin IV Republican Nay
Wayne A Laroche Republican Nay
William P Canfield Republican Nay
Woodman H Page Republican Nay
Zachary J Harvey Republican Nay
Alicia Malay Republican/Democrat Not Voting
Ashley R Bartley Republican/Democrat Nay

Official roll call →

Roll Call, requested by Senator Collamore,

Passed 17 Yea · 13 Nay
Party YeaNayPresentNot Voting
Unaffiliated 2000
Republican 01300
Democrat/Progressive 3000
Progressive/Democrat 1000
Democrat 11000
Total 171300
% of votes cast 57%43%0%0%
How each member voted (30)
Member Party Vote
Harrison of Windham District — Yea
White of Windsor District — Yea
Alison Clarkson Democrat Yea
Ann E Cummings Democrat Yea
Joseph "Joe" D Major Democrat Yea
Kesha K Ram Hinsdale Democrat Yea
Martine Larocque L Gulick Democrat Yea
Nader A Hashim Democrat Yea
Robert Plunkett Democrat Yea
Ruth E Hardy Democrat Yea
Seth Bongartz Democrat Yea
Thomas I Chittenden Democrat Yea
Virginia "Ginny" V Lyons Democrat Yea
Andrew J Perchlik Democrat/Progressive Yea
Anne E Watson Democrat/Progressive Yea
Philip E Baruth Democrat/Progressive Yea
Tanya C Vyhovsky Progressive/Democrat Yea
Brian P Collamore Republican Nay
Christopher P Mattos Republican Nay
David H Weeks Republican Nay
John Benson Republican Nay
John S Morley III Republican Nay
Patrick "Pat" M Brennan Republican Nay
Randy D Brock Republican Nay
Richard A Westman Republican Nay
Robert W Norris Republican Nay
Russ H Ingalls Republican Nay
Scott L Beck Republican Nay
Steven Heffernan Republican Nay
Terry K Williams Republican Nay

Official roll call →

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does S.190 do?
An act relating to reference-based pricing and the Green Mountain Care Board
Who sponsors S.190?
S.190 is sponsored by Virginia "Ginny" V Lyons (Democrat).
What is the current status of S.190?
This bill is in committee in the Senate. Introduced January 06, 2026. It must pass committee before a floor vote.
Where can I track S.190?
Track S.190 free on One Click Politics — get push/email alerts when it moves.

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