[{"_1":2,"_111":-5,"_112":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,75,87,99],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":72,"_73":56,"_74":56},"mediaId",6244105,"mediaKeyId","3233952-c43f871a4ba15b7deaa6c9c175075685","parentId",3233952,"title","Committee Signs Off on Report Language Recording Retention and Travel Nurse Reliance for Skilled Nursing Grants","audioSeconds",79,"startMs",697000,"endMs",776000,"viewUrl","/Search/View?dp=1&key=3233952-c43f871a4ba15b7deaa6c9c175075685&start=697&end=776","thumbnailUrl","https://assets.pipeline.soar.com/3233952-c43f871a4ba15b7deaa6c9c175075685/thumbnail_697000.jpg","articleUrl","/articles/6244105/Vermont/Committee-Signs-Off-on-Report-Language-Recording-Retention-and-Travel-Nurse-Reliance-for-Skilled-Nursing-Grants","mediaUrl","https://secure.pipeline.soar.com/6244105-3d1ddfdf947f5b19c6480a77c859a551/orig.mp4?Expires=1771107703&Signature=d2cWanzY8qVr0-6xikHoZXLgwz-YH6RAeYNWqGkYXlqNJE5eTZfIAP3sNIyo8ueOC0AGzTIhzAUatpdYxgYHuDZt5JhVxd0Gq3nhpBDZVJQdgUg4FT5vFx5E-l8YQNOCJRElceCk21DRuTEZgn-3RTmK0~7pRXrF6malkJfU2XcehuUtex8eP92~dGjzL6QoDD0jmM33W972Fa0FkBsn7MrhSjD4DFOWWNmGJRw0DvP5NQI5-Qjfk05K85fjttVgtlNBS-JHkdB17-DvQ4NJq4JfgxQ82SikUP-FrkEYHCdspJvu-SVYeHAaHky9TaEda20DLNTp6n7axWavbXzJLw__&Key-Pair-Id=KUT5TJCACFTXG","author","","date","2025-05-08T18:53:42Z","article","The Joint Fiscal Committee reviewed report language for skilled nursing facility grants that the committee amended to require reporting on workforce retention and, at the Joint Fiscal Office's suggestion, reductions in reliance on travel nurses.

Why it matters: report language will shape how the legislature monitors the performance of grant recipients and workforce investments in skilled nursing facilities.

Grady Nixon of the Joint Fiscal Office presented the report language. Committee members agreed to include the term \"retention\" following \"workforce\" in two instances; the Joint Fiscal Office then added language to require reporting on \"including reduction of reliance on travel nurses.\" Members signaled agreement with that addition.

The language covers current‑year appropriations and the appropriation in H493 (a budget bill reference in the transcript). The committee discussed the need to see program outcomes, including how many nursing staff were retained and how investments affected reliance on agency/travel nurses.

Discussion only: the committee accepted the drafting changes and technical updates; no formal vote recorded. Staff will retain the report language in the bill and expect recipients to supply retention and travel nurse reliance metrics as part of the report.

Next steps: recipients of the skilled nursing facility grants will be asked to include workforce retention figures and information on travel nurse reliance in required reports to the legislature.","mediaType","Video","parentTitle","H.493 Committee of Conference- 2025-05-08 – 3:00PM","oneSentenceSummary","Joint Fiscal Office and legislative counsel inserted report language on skilled nursing facility grants to include workforce retention metrics and reductions in reliance on travel nurses; committee accepted technical edits and added the word \"retention.\"","taxTitle","Appropriations, SENATE, Committees, Legislative , Vermont","taxId",36948,"location","Vermont","headline","shortSummary",{"_33":76,"_35":36,"_37":38,"_39":77,"_41":78,"_43":79,"_45":80,"_47":81,"_49":82,"_51":83,"_53":84,"_55":56,"_57":58,"_59":85,"_61":62,"_63":64,"_65":86,"_67":68,"_69":70,"_71":72,"_73":56,"_74":56},6244111,"Committee Discusses Retirement‑Fund Adjustments to Retain Investment Staff at Vermont Pension Investment Commission",285,119000,404000,"/Search/View?dp=1&key=3233952-c43f871a4ba15b7deaa6c9c175075685&start=119&end=404","https://assets.pipeline.soar.com/3233952-c43f871a4ba15b7deaa6c9c175075685/thumbnail_119000.jpg","/articles/6244111/Vermont/Committee-Discusses-RetirementFund-Adjustments-to-Retain-Investment-Staff-at-Vermont-Pension-Investment-Commission","https://secure.pipeline.soar.com/6244111-7d5162dfd35552c9bdf498931428c694/orig.mp4?Expires=1771107703&Signature=GYhGQSqrZ7GIp5rUjnevHwKGJRG1yPLcNtLFx0yRqWrN6DHKpNDtEIBJf-pCITKpYkauq78Gc4bKMyuW-27b9VPhsxaB7sT5qtzs4Tnk9socvowoc-lruMEMO~CzQ1IBcYiLJ4IhYn9Pq2JnxBaawaye6dZIrbz9BlOAEjoa3HahYxelmV3zm5IQjjUqR60FBIcpFn79icVaP~XZSGP-YnB1ZB5u9ILXo9Cm7xUdTqKYIqGC-2GsUuM~4fa2qFeJiSl3Q7KUBRdhTQvTJSOaGxLzkAED81q-oExATS4aEjLGHVREk0SAGujA8vbxf~c-Tv3u28K1z2K5AuzCWF7rsQ__&Key-Pair-Id=KUT5TJCACFTXG","The Joint Fiscal Committee reviewed a Senate proposal concerning the Vermont Pension Investment Commission and draft language that would allow adjustments to retirement funds to retain key investment staff.

Why it matters: committee members said the state risks losing staff with specialized investment expertise to other states and that targeted funding adjustments could help retention; the committee discussed the funding source and oversight mechanisms.

Grady Nixon of the Joint Fiscal Office explained the proposal and noted adjustments appear in B and E sections of the bill. Committee members clarified that the funds would come from retirement funds, not general funds. One member said the proposal would \"put some money aside in the event that this does show that they need a pay bump,\" and another described two investment staff as \"rock stars\" whom the state risks losing if no action is taken.

The draft language also includes a provision for a periodic reclassification review every three years to address classification and pay concerns; members said reclassification could take less time than other pay‑process routes and that the three‑year review should help retention.

Discussion only: the committee did not adopt a formal motion during the meeting. Members asked staff to ensure the dollar amounts are correct in the bill sections and flagged that the adjustments come from the retirement funds.

Next steps: staff to correct dollar amounts in the bill spreadsheets and confirm placement in the B and E sections; committee members signaled general willingness to accept the language subject to those technical corrections.","Members reviewed language that would allow retirement‑fund adjustments intended to retain key staff at the Vermont Pension Investment Commission; committee members emphasized the adjustments come from retirement funds rather than general funds and discussed periodic reviews every three years.",{"_33":88,"_35":36,"_37":38,"_39":89,"_41":90,"_43":91,"_45":92,"_47":93,"_49":94,"_51":95,"_53":96,"_55":56,"_57":58,"_59":97,"_61":62,"_63":64,"_65":98,"_67":68,"_69":70,"_71":72,"_73":56,"_74":56},6244115,"Committee Flags $11 Million Green Mountain Care Board Settlement for Nonhospital Primary Care",414,432000,846000,"/Search/View?dp=1&key=3233952-c43f871a4ba15b7deaa6c9c175075685&start=432&end=846","https://assets.pipeline.soar.com/3233952-c43f871a4ba15b7deaa6c9c175075685/thumbnail_432000.jpg","/articles/6244115/Vermont/Committee-Flags-11-Million-Green-Mountain-Care-Board-Settlement-for-Nonhospital-Primary-Care","https://secure.pipeline.soar.com/6244115-67695fa499711f1eb798049dbd774ef2/orig.mp4?Expires=1771107703&Signature=OvC3CfORCyc8n2AtHCFdQ9GoLD17YFFnVFirdS2mh3z1aX1x8T8ke~ZncnxCxTiusaAuBUk91yAO6l7jJXgx~RCkYq-fbnlRy0PlFRJ2KQtOMGNzwT8hE0D8hrHrpqhAGY8XSX3YxX39ufgWF9u1egx3RhsTnNyW4FazdLZx8N4QXTk~GVHYCFoQAQp8LqKlihBRDnUYkANsPZRcYlidR2wlvcIvp~d7ot5aJTsFyTJuSfaTSMux1ya7KUIs1N8lGKuIQyvZvqzQauzU-XHOZpILvht18YMOBMoHvFiFWSkxobEX58PcWL2lHb6yxnxbyUnfdIqjelpI~02jwAFpBQ__&Key-Pair-Id=KUT5TJCACFTXG","The Joint Fiscal Committee reviewed a Senate proposal to account for an $11 million settlement from the Green Mountain Care Board intended for nonhospital primary care providers and requested a report back on how the funds are distributed.

Why it matters: the settlement money could overlap with current appropriations for primary care; the committee wants a report to identify duplications and possible reallocation opportunities.

Grady Nixon of the Joint Fiscal Office summarized the settlement language, saying the settlement provides $11,000,000 to nonhospital primary care providers and that the Green Mountain Care Board and the University of Vermont Health Network would collaborate next year on distribution. The committee asked for a report describing how that $11,000,000 is allocated to unaffiliated nonhospital primary care providers so the legislature can identify any duplication with appropriations already in the budget.

Committee members discussed examples of possible uses, including reopening primary care practices that had closed and supporting residency programs such as the Maple Mountain family medicine residency. Members noted the report could show whether funds overlap with existing appropriations and, if so, whether those duplicative amounts could be repurposed.

Discussion only: the committee did not vote to reallocate funds; it directed staff to request the distribution report and to assess duplication with current appropriations.

Next steps: Joint Fiscal Office staff will seek the distribution plan from the Green Mountain Care Board and the network and will report back to the committee.","Joint Fiscal Committee reviewed language directing a report on distribution of an $11 million settlement intended for nonhospital primary care providers and discussed avoiding duplication with existing appropriations.",{"_33":100,"_35":36,"_37":38,"_39":101,"_41":102,"_43":103,"_45":104,"_47":105,"_49":106,"_51":107,"_53":108,"_55":56,"_57":58,"_59":109,"_61":62,"_63":64,"_65":110,"_67":68,"_69":70,"_71":72,"_73":56,"_74":56},6244120,"Joint Fiscal Committee to Require Progress Reports Before Conflict‑Free Case Management Implementation",466,964000,1430000,"/Search/View?dp=1&key=3233952-c43f871a4ba15b7deaa6c9c175075685&start=964&end=1430","https://assets.pipeline.soar.com/3233952-c43f871a4ba15b7deaa6c9c175075685/thumbnail_964000.jpg","/articles/6244120/Vermont/Joint-Fiscal-Committee-to-Require-Progress-Reports-Before-ConflictFree-Case-Management-Implementation","https://secure.pipeline.soar.com/6244120-08028d1a0c3b03a5c76e9eb3c217b653/orig.mp4?Expires=1771107703&Signature=Y6EIgsXH9WEg9ijtC0W21m8h7R2PyHJa~hf67HxE~fPPE7z0vvOj9LNvSHkZZDNld6ghysMnElQJQtMGvIukn96Hx7947IgcUgajXFFnrLTOL2tkqkq7m2NBdOhSZXX3rLAQPgkJ01FzfOq0MGGIuFseRAri12s9AR3MypOUCUXUBnhPKqLdt9HvX4Ur-yEmXVEh2kK9zI7ZJ2SQgrIwDE0z9Z76XcsGjY3yV8djUUHVoWxXo0Gwftr4m3UzL-A0u3m7gCifooQp3nqZLpAObHT~r5r-KUfgkw~3Mi-wXgo-QQbvXLHJGAEbNPWSzpEbYOwpeXtiR--QY369CKAr9g__&Key-Pair-Id=KUT5TJCACFTXG","Members of the Joint Fiscal Committee reviewed a Senate proposal on payment reform that would link implementation of conflict‑free case management and standardized reimbursement rates to legislative oversight and reporting.

The proposal would require the Department to deliver a methodology and progress report in July and present final materials in September so that the Joint Fiscal Committee could decide whether to allow implementation before the federal October 1 deadline.

Why it matters: federal rules set an October 1 effective date for conflict‑free case management; committee members said legislative review could reduce implementation risk while allowing the state to meet federal timelines.

Grady Nixon of the Joint Fiscal Office summarized the bill package and flagged the payment reform language for the committee's attention. Committee members discussed tradeoffs between delaying implementation and jeopardizing federal waivers or funding. One committee member described the language as a way to give \"some incentive for the work to get done, and then it will also provide an opportunity for legislative oversight,\" and said the committee would see a progress report in July and a final report in September.

Committee members emphasized the interdependence of rate setting and benefit/acuity definitions: standardized rates and defined benefits should align, but staff noted they can be implemented separately if necessary. The draft language would require the department to present methodology for standardized rates, measures used to set payments, and any unresolved issues in July; unresolved items would be reported in September with a recommendation for whether to proceed.

The committee discussed consequences if it declined to approve implementation: \"If the Joint Fiscal Committee doesn't include [approval], the implementation doesn't happen,\" a member said, noting that the committee could request further presentations or additional legislation but the draft language itself does not provide an automatic fallback.

Discussion only: the committee did not take a formal vote on the payment reform language during the meeting. Members instructed staff to place the item on the July and September agendas and to prepare the progress materials and methodology documentation.

Next steps: staff will schedule the July progress presentation and the September final presentation to give the Joint Fiscal Committee the opportunity to permit implementation before October 1, or to require further legislative action.","Committee members reviewed language that would allow Joint Fiscal Committee oversight of the state\u0000's conflict‑free case management and standardized reimbursement rates, with a July progress report and possible approval in September ahead of the federal October 1 implementation date.","actionData","errors"]

Article not found

Committee Signs Off on Report Language Recording Retention and Travel Nurse Reliance for Skilled Nursing Grants

Committee Discusses Retirement‑Fund Adjustments to Retain Investment Staff at Vermont Pension Investment Commission

Committee Flags $11 Million Green Mountain Care Board Settlement for Nonhospital Primary Care

Joint Fiscal Committee to Require Progress Reports Before Conflict‑Free Case Management Implementation