Terms Used In Vermont Statutes Title 18 Sec. 9418e

  • contract: means a contract entered into, amended, or renewed between a contracting entity or health plan and a health care provider specifying the rights and responsibilities of the contracting entity and provider for the delivery of health care services to insureds, including primary care health services, preventive health services, chronic care services, and specialty health care services. See
  • Contract: A legal written agreement that becomes binding when signed.
  • Contracting entity: means any entity that contracts directly or indirectly with a health care provider for either the delivery of health care services or the selling, leasing, renting, assigning, or granting of access to a contract or terms of a contract. See
  • following: when used by way of reference to a section of the law shall mean the next preceding or following section. See
  • Hospital: means an acute care hospital licensed under chapter 43 of this title. See
  • Most favored nation clause: means a provision in a health care contract that:

  • provider: means a person, partnership, or corporation licensed, certified, or otherwise authorized by law to provide professional health care services in this State and shall include a health care provider group, network, independent practice association, or physician hospital organization that is acting exclusively as an administrator on behalf of a health care provider to facilitate the provider's participation in health care contracts. See

§ 9418e. Most favored nation clauses prohibited

Not later than 180 days after the effective date of this section, no contracting entity shall do any of the following:

(1) offer to a provider, hospital, pharmacist, or pharmacy a health care contract that includes a most favored nation clause;

(2) enter into a health care contract with a provider, hospital, pharmacist, or pharmacy that includes a most favored nation clause; or

(3) amend an existing health care contract previously entered into with a provider, hospital, pharmacist, or pharmacy to include a most favored nation clause. (Added 2009, No. 61, § 34; amended 2023, No. 6, § 234, eff. July 1, 2023.)