Amendment vs bill House Proposal of Amendment (UnofficialOpens in a new window) vs Act SummaryOpens in a new window

Struck = removed from the bill · added = the amendment's new text.

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HOUSE PROPOSAL OF AMENDMENT S.36 Page 1 of 4 S.36 An act relating to the Medicaid payment model for residential substance use disorder treatment services The House proposes to the Senate to amend the bill as follows:
22 Page 1 of 2 This act summary is provided for the convenience of the public and members of the General Assembly.
First:
It is intended to provide a general summary of the act and may not be exhaustive.
In Sec.
It has been prepared by the staff of the Office of Legislative Counsel without input from members of the General Assembly.
4, repeal, by striking out “public inebriates” and inserting in lieu thereof “persons who are incapacitated” Second:
It is not intended to aid in the interpretation of legislation or to serve as a source of legislative intent.
By inserting a new Sec.
Act No.
6 and a new section to be Sec.
22 (S.36).
7 to read as follows:
An act relating to the delivery and payment of certain services provided through the Agency of Human Services, services for persons who are incapacitated, and Human Services Board proceedings Subjects:
Sec.
Medicaid;
6.
human services;
REPORTS;
mental health;
SERVICES AND PROGRAMMING FOR PERSONS WHO ARE INCAPACITATED (a)(1) The Departments of Health and of Mental Health’s existing plan to expand services and programming for persons who are incapacitated pursuant to 18 V.S.A.
substance use disorder;
§ 4810 shall prioritize Chittenden County.
long- term residential treatment This act requires the Agency of Human Services (AHS) to provide coverage for medically necessary high-intensity, medically monitored residential treatment episodes and medically necessary low-intensity, clinically managed residential treatment episodes when prescribed by a health care professional employed by a residential program who is practicing within the scope of the health care professional’s license and the residential treatment program is participating in Vermont’s Medicaid program.
(2) On or before February 15, 2026, the Departments of Health and of Mental Health shall jointly provide a presentation to the House Committees on Health Care and on Human Services and to the Senate Committee on Health and Welfare describing efforts to expand services and programming for persons who are incapacitated pursuant to subdivision (1) of this subsection.
It further requires that coverage of these residential treatment episodes be for the entire length of stay prescribed by the health care professional.
(b) On or before February 15, 2026, the Department of Corrections shall provide a presentation to the House Committees on Corrections and Institutions, on Health Care, and on Human Services and to the Senate VT LEG #383117 v.1 HOUSE PROPOSAL OF AMENDMENT S.36 Page 2 of 4 Committees on Institutions and on Health and Welfare describing efforts to reinstate the practice of connecting persons who are in a correctional facility due to incapacitation pursuant to 18 V.S.A.
This act requires AHS to conduct a review of the Medicaid payment model for residential substance use disorder treatment services and submit the results of the review to the General Assembly on or before December 1, 2025.
§ 4810 with appropriate community-based substance use recovery providers.
This act eliminates a repeal that would have prohibited individuals who are incapacitated due to use of alcohol or other drugs from being held at a Department of Corrections’ facility.
Sec.
It requires the Departments of Health and of Mental Health’s existing plan to expand services and programming for individuals incapacitated due to use of alcohol or other drugs to prioritize Chittenden County.
7.
It also requires the submission of two presentations to the General Assembly on or before February 15, 2026.
REPORTS;
The first is a joint presentation from the Departments of Health and of Mental Health on efforts to expand services and programming for individuals who are incapacitated due to use of alcohol or other drugs.
HUMAN SERVICES BOARD PROCEEDINGS (a) On or before December 15, 2025, the Agency of Human Services, in consultation with the Human Services Board, Office of the Attorney General, each of the Agency’s departments with cases before the Human Services Board, community partners, and individuals with lived experience as appellants before the Board, shall submit a written report to the House Committees on Health Care and on Human Services and to the Senate Committee on Health and Welfare providing the following information and recommendations regarding proceedings before the Board:
The second is a presentation from the Department of Corrections on efforts to reinstate the practice of connecting individuals who are in a correctional facility due to incapacitation from alcohol or other drug use with appropriate community-based substance use recovery providers.
(1) a proposal that attorneys representing the Agency or departments participate in training that balances the attorney’s ethical obligation to zealously represent the attorney’s client with the respectful, trauma-informed treatment of appellants;
This act requires AHS, in consultation with the Human Services Board, the Office of the Attorney General, each of the Agency’s departments with cases before the Human Services Board, community partners, and individuals with lived experience as appellants before the Board, to submit a report by December 15, 2025, with various recommendations on Board proceedings.
(2) an analysis of varying appeals processes specific to the Agency and each department with cases before the Board, including proposals and any legislative action necessary to improve consistency;
Some of the reporting requirements include a proposal for attorney training and a proposal on resolving potential appeals prior to reaching the Board.
VT LEG #383117 v.1 HOUSE PROPOSAL OF AMENDMENT S.36 Page 3 of 4 (3) a proposal to identify and collect currently unavailable data in a manner that ensures uniform data collection across the Agency and departments with cases before the Board, including data regarding cases resolved prior to reaching the stage of hearing officer or full Board involvement;
It also requires the Board, in consultation with AHS, each of the Agency’s departments with cases before the Human Services Board, the Office of Attorney General, community partners, and individuals with lived experience as appellants before the Board, to submit a report by December 15, 2025, with various recommendations on Board proceedings.
(4) recommendations for resolving potential appeals prior to reaching the Board;
Some of the reporting requirements include a VT LEG #384062 v.2 Act No.
and (5) any other recommendation requiring legislative action.
22 Page 2 of 2 proposal to improve understanding of Board processes and accessibility to appellants and a proposal for the exchange of periodic feedback as part of a continual quality improvement process.
(b) On or before December 15, 2025, the Human Services Board, in collaboration with the Agency of Human Services, each of the Agency’s departments with cases before the Board, the Office of the Attorney General, community partners, and individuals with lived experience as appellants before the Board, shall submit a written report to the House Committees on Health Care and on Human Services and to the Senate Committee on Health and Welfare providing the following information and recommendations regarding proceedings before the Board:
Effective Date:
(1) a proposal to improve understanding of Board processes and accessibility to appellants, including the use of media and graphics to explain what the Board is and how it operates;
July 1, 2025 VT LEG #384062 v.2
(2) a proposal for the exchange of periodic feedback as part of a continual quality improvement process between the Board, Agency, VT LEG #383117 v.1 HOUSE PROPOSAL OF AMENDMENT S.36 Page 4 of 4 departments appearing before the Board, Office of the Attorney General, Vermont Legal Aid, and other relevant stakeholders;
(3) an analysis of how to enable an appellant to present a personal narrative without jeopardizing the appellant’s case or disrupting the legal obligations of the Board and the attorneys representing the Agency or departments appearing before the Board;
and (4) recommendations to improve the reporting and analysis of data to the General Assembly, including information related to appeal requests resolved prior to reaching the stage of hearing officer or full Board involvement.
and by renumbering the remaining section to be numerically correct and that after passage the title of the bill be amended to read:
“An act relating to the delivery and payment of certain services provided through the Agency of Human Services, services for persons who are incapacitated, and Human Services Board proceedings” VT LEG #383117 v.1