Annually by October 1, the Green Mountain Care Board (GMCB) has the responsibility to review and establish budgets for Vermont’s 14 community hospitals. In its review, the Board considers local health care needs and resources, utilization and quality data, hospital administrative costs, and other data, as well as presentations from hospitals and comments from members of the public.
Vermont’s Legislature assigned the GMCB the responsibility to see that Vermont’s health system improves the health of Vermonters while slowing health care cost growth, including -- in Act 171 of 2012 -- responsibility for hospital budget oversight. The Board performs its hospital budget regulatory duties by establishing budgets, enforcing budgets, and monitoring performance. A full overview of the process can be found here.
Guidance Materials
- FY25 Adaptive User Guidance
- FY25 Hospital Budget Guidance Final (updated 4/18/2024)
- FY25 Hospital Budget Uniform Reporting Manual Draft
- FY25 Policy on Budget Amendments & Adjustments Draft
- HBR Metrics Inventory Draft
- Kavet Report
Staff Presentations
- FY2025 Hospital Budget Requests - Staff Overview (08/06/2024)
- Hospital Budget Guidance presentation slides (3/27/2024)
- FY25 Hospital Budget Guidance Presentation (3/20/2024)
- Hospital Budget Review: Overview and Goals for FY2025 (2/21/2024)