Ah, the eternal tug-of-war between "things were better back in my day" and "look how far we've come." Art Woolf's latest Substack dispatch, "Things Are Better Today, Really," offers a counterpoint to claims of wage stagnation since the 1970s by populists like Bernie Sanders. Woolf highlights a 34% real increase in median family income from $79,000 in 1969 to $105,800 in 2023 (adjusted dollars), and a 20% rise in median household income to $83,000 over that same period. He also emphasizes qualitative improvements — ­­such as advancements in consumer goods and medical technology —­ which inflation metrics often understate, that lead to an improved quality of life.

Rising health care costs in Vermont have emerged as a pressing economic and social challenge, with an outsized impact on working families across the state. As premiums and out-of-pocket expenses surge well above national averages, many households are grappling with financial strain that extends beyond medical bills to influence decisions on housing, education, and daily necessities.

Housing is a cornerstone of stability and prosperity in any community, but in Vermont, its importance is amplified by the state's unique demographic, economic, and environmental challenges. With a population that is aging rapidly—projected to see 170K households aged 55+ by 2029—and a persistent shortage of affordable units, housing directly influences the ability of Vermonters to live, work, and thrive. Our state requires an additional 24K to 36K homes by 2029 to meet growing demand, normalize vacancy rates, and accommodate workforce needs, yet only about 2,300 new homes were permitted in 2022, far below the annual target of 5,000 to 7,000. This shortfall exacerbates issues like homelessness, where Vermont ranks second nationally in per capita rates, with over 3,295 individuals counted as unhoused in 2023, including a 200% increase in child homelessness since 2020. Without sufficient housing, basic social structures erode, affecting health outcomes, family stability, and community cohesion. This is particularly true for low-income and BIPOC families.

Every year, Campaign for Vermont sets a research agenda for when the legislature is out of session. These are topics that we want to focus on in the spirit of bringing forward new information and recommendations for our state's policymakers. This work might result in new research papers, new position statements, new legislation, or just furthering our own understanding of an issue.

This bill amends two sections of current law related to health insurance practices. The act focuses on claim edit standards (used by insurers to process and validate healthcare claims) and prior authorization requirements (pre-approvals insurers often require for certain services). It aims to reduce administrative hurdles in healthcare delivery while maintaining some safeguards for insurers and compliance.

S.63 modifies the regulatory duties of the Green Mountain Care Board (GMCB) with a focus on health information technology, accountable care organizations (ACOs), and hospital budget oversight. The legislation amends several sections of law to enhance coordination, transparency, and efficiency in Vermont’s health care system.

Act 21 allocates $1M to a nonprofit to purchase and abolish medical debt for eligible residents with incomes ≤400% of the federal poverty level or high debt burdens, ensuring no cost or tax consequences and removal from credit reports. It prohibits credit agencies from reporting medical debt and restricts large health care facilities from selling or reporting such debt, except to nonprofits for debt relief.

The act also defines "behavioral health" to avoid stigmatizing mental health or substance use disorders and takes effect July 1, 2025.

At the end of last session a number of legislators announced they were not going to run for reelection and over a dozen more lost their reelection bids. In total, this meant 54 new faces in Montpelier this year, which created a serious stir. The political void departing legislators would be leaving behind – in terms of expertise, knowledge of the process, the history behind key bills, familiarity with staff – is hard to overstate.

This week's legislative update isn't much of an actual update. That's because the conference committee charged with finding a path forward on education reform (H.454) did not meet at all this week. And, yes, the Legislature went home in order give this same committee time to work out a compromise...

The Legislature worked late last night, finally concluding that an education reform deal was out of reach. They are coming back in a couple weeks to (hopefully) finish the job.