Legislative Update from

Executive Director Jill Mazza Olson

The legislative session reached an important milestone with the passage of the Budget by the House. Policy committees are taking up bills that “crossed over” from one body of the legislature to the other in advance of a deadline imposed by House and Senate leaders.

While there are procedural mechanisms that can allow a bill that failed to meet the crossover deadline to pass in the same legislative session, in general bills that failed to meet the deadline will not be finished this session. Because this is the first year of a two-year biennium, some policy bills may pass only one chamber this session with the expectation that they will be taken up by the other chamber next year.


At this juncture, we’re publishing our annual Crossover Report detailing the budget and policy issues of interest to home health and hospice agencies that we expect to dominate the rest of the legislative session.


Highlights from the first half of the session include the passage of the Budget Adjustment Act which includes a much-needed Medicaid skilled home health rate increase, and the House version of the budget which includes a Choices for Care rate increase and the sunsetting of the home health provider tax burden.


These are welcome developments that will help offset the considerable pressures facing home health and hospice agencies including substantial Medicare cuts, a looming Medicare rate clawback, migration of Medicare beneficiaries to Medicare Advantage plans with poor reimbursement, and significant wage and salary inflation.

Vermont Advance Directive Week

This week is Vermont Advance Directive Week which precedes National Healthcare Decisions Day on April 16. This annual observance reminds us to be sure we have a plan in place for our health should we not be able to advocate for our own health care decisions.

Have you made plans for your care in case of medical emergency or serious illness? Click on the links below for important information and tools to help you create your plan and have a conversation about it with your loved ones.

The Conversation Project

Federal Update: New Proposed Hospice Rule

On Friday, March 31, the Centers for Medicare & Medicaid Services (CMS) issued a proposed FY2024 hospice rule.

The proposed rule contains a small annual payment update of 2.8 percent, alongside proposed updates to the hospice wage index and the aggregate cap, and a long list of regulatory updates.

Read the Full Update on Our Website

Educational Opportunities

Dementia Training: Frontotemporal Dementia

April 11 | 11:00 a.m.

Hosted by VNAs of Vermont


Emergency Preparedness

May 1 | 1 p.m.

Hosted by VNAs of Vermont


New England Home Care & Hospice Conference

May 2-4

Hosted by VNAs of Vermont

In-Person (Manchester, NH)

Aide Services and Aide Supervision

June 5 | 1 p.m.

Hosted by VNAs of Vermont


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