Vermont’s hospital budgets, which have been subject to state review since 1983, have been regulated by the Green Mountain Care Board (GMCB) since hospital fiscal year 2013, which began in October 2012. The GMCB’s review is guided by Hospital Budget Rule 3.000 and by the Board's policies on net patient revenue, community needs assessments, physician transfers, and enforcement found in Hospital Budget Reporting Requirements. More information on GMCB's hospital budget process is available in the Hospital Budget Review guide. This page has information about hospital budget enforcement.
FY2017 UVMHN Enforcement Action
In FY2017, UMV had approximately $21M in surplus funds. The GMCB voted to provisionally allow UVM to self-restrict $21M in surplus funds with the condition that such funds be used solely for investments that measurably increase inpatient mental health capacity in Vermont. Beginning in July 1, 2018 and quarterly thereafter, the UVMHN shall report to the GMCB on details of its plans for making such investments.
In 2023, the GMCB modified the UVMMC FY17 enforcement action to (1) permit the funds self restricted to be used to increase capacity of mental health services in the state (not limited to inpatient capacity), (2) require UVMHN to develop a proposal that reflects and incorporates priorities from the Vermont Department of Mental Health and contributions from community members identified by DMH for planned use of those funds, and (3) require that until utilized, such funds shall be held in the UVMHN Funded Depreciation account, with funds expected to be deployed in less than 9 months shall be held in the short-term investment portfolio; funds expected to be deployed in more than 9 months shall be held in the 60/40 portfolio, and all interest, earnings and appreciation shall be accounted for and used to increase capacity of mental health services in the state.
- Letter of Support from Vermont National Alliance on Mental Illness (NAMI) (03/21/2023)
- Letter of Support from Vermont Psychiatric Survivors (06/13/2023)
- Joint Commission Responds to Counterpoint Media Inquiry (03/31/2023)
- UVMHN Follow Up Letter Re: Use of Self-Restricted Funds (June 9, 2023)
- UVMHN and DMH Letter to GMCB re Mental Health Investments (May 31, 2023)
- UVNHN and DMH $18M Proposal (May 31, 2023)
- GMCB Letter to UVMHN re Revised FY17 Order (March 23, 2023)
- UVMHN Letter to GMCB (March 6, 2023)
- UVMHN Letter to GMCB (February 9, 2023)
- UVMHN Letter to UVMHN re Use of Self Restricted Funds (July 5, 2022)
- GMCB Letter to UVMHN on Use of Self Restricted Funds for Inpatient Mental Health Capacity (June 24, 2022)
- UVMHN PIC Project Progress Report Presentation (April 27, 2022)
- UVM Health Network Quarterly Report on Inpatient Mental Health Capacity (February 15, 2022)
- UVM Health Network Quarterly Report on Inpatient Mental Health Capacity (November 15, 2021)
- UVM Health Network Quarterly Report on Inpatient Mental Health Capacity (February 14, 2020)
- UVM Health Network Quarterly Report on Inpatient Mental Health Capacity (November 15, 2019)
- UVM Health Network Quarterly Report on Inpatient Mental Health Capacity (August 15, 2019)
- UVM Health Network Quarterly Report on Inpatient Mental Health Capacity (May 15, 2019)
- UVM Health Network Quarterly Report on Inpatient Mental Health Capacity (October 15, 2018)
- UVM Health Network Quarterly Report on Inpatient Mental Health Capacity (July 2, 2018)
- Vermont's Health Information Exchange Strategic Plan 2018-2019 (November 2, 2018) (DVHA)
- 2017 GMCB Medicaid Advisory Rate Case for ACO Services (January 31, 2017)
- Vermont Dental Landscape Study (Updated 6/8/15) (JSI Research and Training Institute, Inc.)
- Vermont Health Systems Payment Variation Report (June, 2013) (VAHHS)