Committee reviews technical amendments to H.611 to remove 340B rebate ban, delay doula coverage start and clean up VPharm language Legislative staff presented a strike‑all amendment to H.611 that would (1) remove a state prohibition on offering 340B pricing as rebates, responding to federal preemption rulings and litigation; (2) push the earliest start of Medicaid doula coverage to July 1, 2027, tied to CMS approval; and (3) delete a MAGI reference for the VPharm pharmacy assistance program as a statutory cleanup. Agency and advocate witnesses said the timing and technical fixes are feasible; no votes were recorded.

Vermont's committee is reshaping healthcare laws, including a significant shift on 340B drug pricing and a new timeline for Medicaid doula coverage—key changes could affect many lives!

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