By law, public notice of proposed rules must be given by publication in newspapers of record. The purpose of these notices is to give the public a chance to respond to the proposals. The public notices for administrative rules are now also available online at https://secure.vermont.gov/SOS/rules/ .The law requires an agency to hold a public hearing on a proposed rule, if requested to do so in writing by 25 persons or an association having at least 25 members.

To make special arrangements for individuals with disabilities or special needs please call or write the contact person listed below as soon as possible.

To obtain further information concerning any scheduled hearing(s), obtain copies of proposed rule(s) or submit comments regarding proposed rule(s), please call or write the contact person listed below. You may also submit comments in writing to the Legislative Committee on Administrative Rules, State House, Montpelier, Vermont 05602 (802-828-2231).

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Green Mountain Care Board: Rule 3.000: Hospital Budget Review.

Vermont Proposed Rule: 25P044

AGENCY: Green Mountain Care Board

CONCISE SUMMARY: This proposed hospital budget review rule amends the existing rule to conform to statutory amendments made with the passage of Act 49 (2025), Act 62 (2025), and Act 68 (2025). These Acts set forth revised standards and processes by which hospital budgets are reviewed, established, and monitored by the Green Mountain Care Board (GMCB). The proposed rule also streamlines and simplifies certain parts of the hospital budget review process. The proposed rule clarifies hospital budget submission obligations, the process for requesting that information be exempt from public inspection and copying, and the Board’s ability to disclose this information. The proposed rule revises the Board’s process for exempting hospitals from public hearings, the process for reviewing mid-year budget performance, the process for reviewing significant deviations from established budgets, and the process for reviewing hospital applications for budget adjustment.

FOR FURTHER INFORMATION, CONTACT: Angela Pellegrino-Wood, Green Mountain Care Board, 112 State St. 5th floor Montpelier, VT 05602 Tel: 802-461-5740 E-Mail: Angela.Pellegrino-Wood@vermont.gov URL: https://gmcboard.vermont.gov/hospital-budget-review.

FOR COPIES: Mark Hengstler, Green Mountain Care Board, 112 State St. 5th floor Montpelier, VT 05602 Tel: 802-249-0519 E-Mail: Mark.Hengstler@vermont.gov.