Vermont § 9407 - Repealed. 2011, No. 48, § 32

§ 9407. Repealed. 2011, No. 48, § 32

• (b). [Effective until January 1, 2026] § 9407. Outpatient prescription drugs; limitations on hospital charges [Effective January
  1, 2026] (a)(1) A hospital shall not submit a claim to a health insurer for reimbursement of a prescription
  drug administered in an outpatient or office setting in an amount that exceeds 120
  percent of the average sales price (ASP), as calculated by the Centers for Medicare
  and Medicaid Services, for any drug for which the hospital charged any health insurer
  more than 120 percent of the ASP in effect as of April 1, 2025. (2) For any prescription drug administered in an outpatient or office setting for which
  a hospital charged a health insurer 120 percent or less of the ASP in effect as of
  April 1, 2025, the hospital shall not charge the health insurer a greater percentage
  of the ASP, as calculated by the Centers for Medicare and Medicaid, for that drug
  than the percentage of the ASP that the hospital charged the health insurer as of
  April 1, 2025. (3) A hospital shall update the ASP for each drug annually on January 1 and July 1 based
  on the Centers for Medicare and Medicaid Services’ ASP calculations for the most recent
  calendar quarter. (b)(1) The purpose of this section is to reduce health care costs. A hospital shall not charge
  or collect from the patient or health insurer any amount for a prescription drug administered
  in an outpatient or office setting that exceeds the amounts set forth in subsection