Health | Off Message | Seven Days | Vermont's Independent Voice
Wednesday, April 29, 2015

Posted By on Wed, Apr 29, 2015 at 6:52 PM

click to enlarge House Votes Against Repealing End-of-Life Law
Terri Hallenbeck
Rep. Paul Poirier (I-Barre) urges fellow House members Wednesday to repeal a 2013 law that allows terminally ill patients to hasten their own deaths.
Impassioned opponents fell short Wednesday when they made one last pitch in the House to undo a 2013 state law that allows terminally ill Vermonters to hasten their own deaths.

By an 83-60 vote, the House voted against repeal.

“It’s our last chance to repeal the law this biennium. It’s certainly not our last chance to point out its flaws,” said Lynne Cleveland Vitzthum, who represents the Vermont Center for Independent Living.

Since the law took effect in May 2013, seven Vermonters have requested a lethal dose of medication. That's the only information that the state can publicly report on the law.

“It’s working in Vermont,” said Rep. Sandy Haas (P-Rochester). She cited stories told by friends and family of some of the patients as evidence.

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Wednesday, April 22, 2015

Posted By on Wed, Apr 22, 2015 at 7:23 PM

click to enlarge Senate Votes to Nix Philosophical Exemption to Vaccine Mandate
Paul Heintz
Sen. David Zuckerman argues against eliminating the philosophical exemption to Vermont's vaccine mandate.
Sen. Kevin Mullin (R-Rutland) stirred up an emotional debate outside the Statehouse last week when he introduced an amendment intended to increase Vermont's vaccination rate. 

But when the late-session proposal came up for a vote Wednesday afternoon, his colleagues made quick work of it.

After less than an hour of discussion, the Senate voted 18 to 11 to scrap a provision that currently allows parents to opt their children out of mandatory vaccinations for purely philosophical reasons. If signed into law, the amendment would still allow children to attend public schools if they qualified for a medical or religious exemption.

Whether the House follows suit in the final weeks of the session remains unclear. Speaker Shap Smith (D-Morristown) and Rep. Bill Lippert (D-Hinesburg), who chairs the House Committee on Health Care, said Wednesday they have yet to decide how to proceed.

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Tuesday, April 21, 2015

Posted By on Tue, Apr 21, 2015 at 4:33 PM

click to enlarge Shumlin Threatens Suicide Over Health Exchange, Then Apologizes
Terri Hallenbeck
Gov. Peter Shumlin at a Statehouse press conference Tuesday.
Gov. Peter Shumlin has frequently expressed his frustration with the state’s malfunctioning health insurance exchange. On Tuesday, he expressed it in more graphic terms.

Asked at a Statehouse press conference what he would do if Vermont Health Connect still can't automatically process changes in users' account information by his self-established deadline of May 31, Shumlin responded, “We’ll cross that bridge when we come to it.”

Pressed for a more specific answer, he said, “I’m going to find a high building.”

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Friday, March 27, 2015

Posted By on Fri, Mar 27, 2015 at 7:46 PM

click to enlarge Sugar and Payroll Taxes in Limbo as Health Care Bill Stalls Out
Terri Hallenbeck
The House Ways and Means Committee discusses a 2-cent-per-ounce tax on sugar-sweetened beverages earlier this month.
As an open revolt over the state budget and tax bills took place on the House floor this week, a quieter standoff over health-care spending was playing out elsewhere in the Statehouse. 

How much should the state spend to improve access to health care? And how should it raise the money to pay for it?

Two House committees have been paralyzed over those questions for more than a week, while the window for passage begins to close.

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Friday, March 20, 2015

Posted By on Fri, Mar 20, 2015 at 3:25 PM

click to enlarge Shumlin Considers Replacing Vermont Health Connect
Paul Heintz
Gov. Peter Shumlin Friday at the Statehouse
After 18 months of headaches caused by Vermont Health Connect, Gov. Peter Shumlin announced Friday that he's prepared to replace the online health insurance marketplace if it fails to meet two new deadlines.

But the governor expressed confidence that his administration — and contractor Optum — will get the job done.

"We think that we're going to deliver finally on an exchange that's going to work for Vermont," Shumlin said at an impromptu press conference Friday morning at the Statehouse. "If not, we want Vermonters to know what the contingency plan would be."

That plan would be to adopt what's known as a federally supported, state-based marketplace for those who buy private health insurance. Such hybrid systems — currently in use in Oregon, Nevada and New Mexico — make use of the federal exchange's web platforms and call centers, but allow states to retain control over which plans are offered.

Shumlin said he would only deploy the contingency plan if Vermont Health Connect is unable to automatically process changes in account information by May or if it's unable to smoothly reenroll users by October. Even then, the state would not adopt the new system until October 2016, in time for the 2017 open-enrollment period.

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Friday, March 13, 2015

Posted By on Fri, Mar 13, 2015 at 5:54 PM

click to enlarge House Panel Votes to Let Some Bypass Vermont Health Connect
File: Jeb Wallace-Brodeur
Rep. Bill Lippert
The House Health Care Committee wants to give a new option to individuals and families who have been required to buy their health insurance through the state's troubled online marketplace.

Under a bill that won 9-0 approval late Friday, these folks would be allowed to buy their insurance directly from one of the companies selling exchange-compliant policies beginning next fall, when the enrollment period for 2016 opens. Vermont has two insurers in its health coverage market.

"I want to put this in play," Committee chair Bill Lippert (D-Hinesburg) said. He had the panel vote to meet the legislature's self-imposed crossover deadline. By Friday, bills needed to have emerged from committees to get consideration this session.

The administration of Gov. Peter Shumlin and insurance companies voiced support for the policy change.

"We are fine with the proposal," Susan Gretkowski, government affairs strategist for MVP Healthcare, told lawmakers Friday afternoon before their vote.

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Wednesday, March 11, 2015

Posted By on Wed, Mar 11, 2015 at 6:08 PM

click to enlarge Senate Fends Off Repeal of End-of-Life Law
Terri Hallenbeck
Sen. Claire Ayer (D-Addison) speaks Wednesday in support of Vermont's end-of-life law on the Senate floor.
Opponents of Vermont’s nearly two-year-old end-of-life law fell short Wednesday in what was likely their best chance to repeal the controversial policy. The Senate voted 18-12 against repealing the law, which allows terminally ill patients to seek a lethal dose of medication to hasten their own deaths.

“This is about the state saying, 'We think it’s OK for you to commit suicide,'" said Sen. Peg Flory (R-Rutland), who argued on the Senate floor for repealing the law. "I think it's a bad policy."

Sen. Claire Ayer (D-Addison) defended the law as something other than suicide. “I think that suicide and choosing to control the time and the manner of death when you’re already dying are completely different things," she said.

In 2013, the law was approved by a narrow margin after a lengthy and contentious debate. Opponents, who worry some people could be pressured into using the law to avoid becoming a burden, hope to repeal it this year. Their best chance appeared to be in the Senate, where the 2013 vote was closest.

“We thought we had a good shot,” said Guy Page, an opponent who represents the Vermont Alliance for Ethical Health Care. He said he’ll continue to seek repeal, or at least to delay a vote until next year in the House.

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Posted By on Wed, Mar 11, 2015 at 5:48 PM

click to enlarge House Committee Backs Payroll, Sugar Taxes to Fund Health Bill
Paul Heintz
Reps. Anne Donahue, Bill Lippert and Chris Pearson
Updated at 11:31 p.m.

When they left for Town Meeting Day recess nearly two weeks ago, members of the House Health Care Committee were debating whether to fund their policy priorities by taxing business payrolls or sugar-sweetened beverages.

On Wednesday, they coalesced around a new plan to do both — and to eliminate an existing tax on businesses that don’t provide health insurance to employees.

The hybrid revenue package, which won support from eight out of 10 members present for a straw vote, came together quickly Wednesday — and it could fall apart just as quickly. A formal vote is expected Thursday morning once the latest version of the bill is fully drafted.

"To be honest, until lunchtime I didn't have a proposal to put on the table," Chairman Bill Lippert (D-Hinesburg) said as he unveiled the package later that afternoon in a jam-packed committee room.

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Wednesday, January 7, 2015

Posted By on Wed, Jan 7, 2015 at 9:35 PM

"Go get 'em today," Vermont Attorney General Bill Sorrell said on Wednesday morning to attorney Larry Robbins, as attorneys in pinstripes and dark suits milled about a courtroom in Burlington's federal courthouse. "Welcome to Vermont," Sorrell said to another, working his way down a row of attorneys taking their seats in the courtroom.

What accounted for the sudden influx of out-of-state lawyers in Burlington today? That would be Vermont's controversial Act 120, the law passed last spring that requires manufacturers to disclose the presence of genetically-engineered ingredients in foods. Signed by Gov. Peter Shumlin in May, the GMO labeling law is set to go into effect on July 1, 2016. If the law stands, it would make Vermont the first state in the country to require labeling of GE foods. Vermont's law cites estimates that as much as 80 percent of processed foods sold in the United States contained GE ingredients.

Proponents knew a legal challenge to the law was all but guaranteed. It came in June, when four giants in the food industry — the Grocery Manufacturers Association, the Snack Food Association, the National Association of Manufacturers and the International Dairy Foods Association — filed suit against Shumlin, Sorrell and other state officials. The plaintiffs argue, among other things, that the labeling requirement is unconstitutional, violating the First Amendment by forcing companies to make statements they don't wish to make. The plaintiffs also argue that Vermont's law violates interstate commerce rules.

It will likely be months before Judge Christina Reiss either upholds or rejects those claims, but Wednesday's oral arguments — which focused on Vermont's motion to dismiss the case, and the plaintiffs' request for a temporary injunction barring the implementation of the law — could offer a window into some of the legal nuances that could shape Reiss's decision. 

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Monday, January 5, 2015

Posted By on Mon, Jan 5, 2015 at 4:16 PM

click to enlarge Survey: Fewer Vermonters Lack Health Insurance
Paul Heintz
Chief of health care reform Lawrence Miller and director of health care reform Robin Lunge watch as Gov. Peter Shumlin speaks at a news conference Monday.
The percentage of Vermonters without health insurance has dropped to 3.7 percent, second lowest in the nation, according to new data from a survey of 4,000 households.

Massachusetts, which mandates health insurance coverage, has the lowest percentage of uninsured.

Since the last state-sponsored survey, in 2012, the number of uninsured Vermonters declined from 42,760 to 23,231.

"I'm delighted with these numbers," Gov. Peter Shumlin said Monday at a news conference to trumpet the results of the Vermont Household Health Insurance Survey. He attributed much of the reduction to provisions of the federal Affordable Care Act, which Vermont implemented using its online health-insurance marketplace — Vermont Health Connect.

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