The act directs Vermont’s treasurer to run a prescription discount card program and requires insurers to credit certain out-of-pocket drug payments starting July 1, 2026.
The State Treasurer would run a discount card program available to all Vermont residents, using combined purchasing power with other states. The act provides $50,000 for setup.
People who buy prescription drugs without using insurance could have those payments counted toward their deductible and out-of-pocket limit if they provide proof of payment.
The Office of the State Treasurer would administer a prescription drug discount card program. The program would be available to all Vermont residents and would pool prescription drug purchasing power with other states. The act provides $50,000 to develop and implement the program in fiscal year 2027. The Treasurer must report on implementation by January 15, 2027, and must submit annual reports beginning in 2028 about the prior calendar year.
Health insurers and pharmacy benefit managers must count qualifying prescription payments toward a covered person’s deductible and out-of-pocket maximums. The rule applies to covered individuals who pay for prescription drugs without using insurance, including payments made on their behalf. The individual must provide proof of payment so the spending can be properly credited. Insurers and pharmacy benefit managers must notify covered individuals at least once a year about this proof requirement. They must make downloadable proof-of-payment forms available on their websites. These requirements take effect July 1, 2026.
No hearings or votes scheduled.