Making Quality Health Care Available to All Vermonters


Affordable, accessible and quality health care is essential for the well-being of Vermonters.  Recognizing this fact, since 2006, Vermont has implemented a series of reforms designed to increase access to, improve the quality and contain the cost of health care for Vermonters.  

This work continued with the enactment of  Act 48 of 2011, signed by Governor Peter Shumlin on May 26, 2011. Act 48 recognizes that health care is a public good and will be based on where you live, not where you work. Act 48 puts Vermont on a path toward an integrated health care delivery system with a budget regulated by the Green Mountain Care Board, universally available health insurance coverage that is not linked to employment, and a single system for administration of claims and payments to providers.

Health care reform laws in Vermont leverage the financial assistance made available to states by the federal Patient Protection and Affordable Care Act of 2010 (also known as the ACA) to maximum effect by creating the required health insurance exchange to serve as many Vermonters as possible.

Act 48 of 2011 designates the Director of Health Care Reform within the Agency of Administration to be responsible for coordination and oversight of health care system reform efforts among executive branch agencies, departments and offices, and for coordination with the Green Mountain Care Board.



1115 Global Commitment Extension Request - Accepting Public Comment

2015 Health Care Reform Reports

2014 Vermont Household Health Insurance Survey

Green Mountain Care Coverage and Financing Report

Meet Julie and Jen: Video to Highlight Unfair Health Care Financing System

Health Care Reform Explainer Video: Premiums and Cost Sharing



Current VT ProgramsVermont Health Benefit ExchangeUnified Green Mountain Care