---
type: "Bill"
title: "An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts"
description: "An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts"
jurisdiction: "us/states/vt"
legislature: "Vermont General Assembly"
session: "2023-2024"
identifier: "H 766"
citation: "Vermont H 766 (2023-2024)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Alyssa Black", "Lori Houghton"]
version_count: 9
action_count: 41
vote_count: 2
first_action: "2024-01-11"
last_action: "2024-05-10"
source: "openstates"
source_identifier: "ocd-bill/7c37fc53-1c35-4a2a-9365-5be548e9ac56"
source_url: "http://legislature.vermont.gov/bill/loadBillDetailedStatus/2024/1406"
source_hash: "5ce331977e436752d1ecf0fe37c18871b161a07f0e9bba1d2d8c3a66a42bd56b"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-vt"]
---

# Vermont H 766 (2023-2024) — An act relating to prior authorization and step therapy requirements, health insurance claims, and provider contracts

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **As Introduced** (filed) — [source](https://legislature.vermont.gov/Documents/2024/Docs/BILLS/H-0766/H-0766%20As%20Introduced.pdf)
2. **Act Summary** (committee substitute) — [source](https://legislature.vermont.gov/Documents/2024/Docs/ACTS/ACT111/ACT111%20Act%20Summary.pdf)
3. **As Enacted** (committee substitute) — [source](https://legislature.vermont.gov/Documents/2024/Docs/ACTS/ACT111/ACT111%20As%20Enacted.pdf)
4. **As Passed By the House (Official)** (committee substitute) — [source](https://legislature.vermont.gov/Documents/2024/Docs/BILLS/H-0766/H-0766%20As%20passed%20by%20the%20House%20Official.pdf)
5. **As Passed By the House (Unofficial)** (committee substitute) — [source](https://legislature.vermont.gov/Documents/2024/Docs/BILLS/H-0766/H-0766%20As%20Passed%20by%20the%20House%20Unofficial.pdf)
6. **As Passed by Both House and Senate (Official)** (committee substitute) — [source](https://legislature.vermont.gov/Documents/2024/Docs/BILLS/H-0766/H-0766%20As%20Passed%20by%20Both%20House%20and%20Senate%20Official.pdf)
7. **As Passed by Both House and Senate (Unofficial)** (committee substitute) — [source](https://legislature.vermont.gov/Documents/2024/Docs/BILLS/H-0766/H-0766%20As%20Passed%20by%20Both%20House%20and%20Senate%20Unofficial.pdf)
8. **Senate Proposal of Amendment (Official)** (committee substitute) — [source](https://legislature.vermont.gov/Documents/2024/Docs/BILLS/H-0766/H-0766%20Senate%20proposal%20of%20amendment%20Official.pdf)
9. **Senate Proposal of Amendment (Unofficial)** (committee substitute) — [source](https://legislature.vermont.gov/Documents/2024/Docs/BILLS/H-0766/H-0766%20Senate%20Proposal%20of%20Amendment%20Unofficial.pdf)

## Votes

- Roll Call Results Passed -- Needed 64 of 127 to Pass -- Yeas = 104, Nays = 23 — **104–23** (pass) · lower
- Roll Call Results Passed -- Needed 69 of 137 to Pass -- Yeas = 137, Nays = 0 — **137–0** (pass) · lower

## Sponsors

- Alyssa Black — primary (person)
- Lori Houghton — primary (person)
- Allen "Penny" Demar — cosponsor (person)
- Arthur Peterson — cosponsor (person)
- Brian Cina — cosponsor (person)
- Carol Ode — cosponsor (person)
- Chea Waters Evans — cosponsor (person)
- Daisy Berbeco — cosponsor (person)
- Edye Graning — cosponsor (person)
- Francis McFaun — cosponsor (person)
- Golrang Garofano — cosponsor (person)
- Julia Andrews — cosponsor (person)
- Karen Dolan — cosponsor (person)
- Leonora Dodge — cosponsor (person)
- Leslie Goldman — cosponsor (person)
- Mari Cordes — cosponsor (person)
- Melanie Carpenter — cosponsor (person)
- Michael McCarthy — cosponsor (person)
- Michelle Bos-Lun — cosponsor (person)
- Robert "Bobby" Farlice-Rubio — cosponsor (person)
- Tristan Roberts — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2024-01-11** Read first time and referred to the Committee on Health Care `introduction`
- **2024-03-01** Notice Calendar: Favorable with Amendment
- **2024-03-12** Action Calendar: Favorable with Amendment
- **2024-03-12** Read second time `reading-2`
- **2024-03-12** Rep. Black of Essex reported for the Committee on Health Care
- **2024-03-12** Report of Committee on Health Care agreed to
- **2024-03-12** Third Reading ordered `reading-3`
- **2024-03-13** Action Calendar: Third Reading `reading-3`
- **2024-03-13** Read third time `reading-3`
- **2024-03-13** Rep. Black of Essex demanded yeas and nays
- **2024-03-13** Roll Call Results Passed -- Needed 69 of 137 to Pass -- Yeas = 137, Nays = 0
- **2024-03-13** Passed `passage`
- **2024-03-15** Read 1st time & referred to Committee on Health and Welfare `introduction`
- **2024-04-19** Entered on Notice Calendar
- **2024-04-19** Second Reading `reading-2`
- **2024-04-19** Favorable report with proposal of amendment by Committee on Health and Welfare `amendment-introduction`
- **2024-04-23** New Business/Second Reading `reading-2`
- **2024-04-23** Favorable report with proposal of amendment by Committee on Health and Welfare `amendment-introduction`
- **2024-04-24** Unfinished Business/Second Reading `reading-2`
- **2024-04-24** Favorable report with proposal of amendment by Committee on Health and Welfare `amendment-introduction`
- **2024-04-24** Read 2nd time, reported favorably with proposal of amendment by Senator Lyons for Committee on Health and Welfare `amendment-introduction, committee-passage-favorable, reading-2`
- **2024-04-24** Proposal of amendment by Committee on Health and Welfare amended as moved by Senator(s) Lyons, Gulick, Hardy, Weeks, and Williams `amendment-introduction`
- **2024-04-24** Motion to amend by Senator(s) Brock and Cummings disagreed to on division 12-16
- **2024-04-24** Proposal of amendment by Committee on Health and Welfare, as amended, agreed to `amendment-introduction`
- **2024-04-24** 3rd reading ordered
- **2024-04-25** New Business/Third Reading `reading-3`
- **2024-04-26** Unfinished Business/Third Reading `reading-3`
- **2024-04-26** Proposal of amendment to be offered by Senator(s) Lyons `amendment-introduction`
- **2024-04-26** Pending third reading, Senator Lyons, Gulick, Hardy, Weeks, and Williams proposal of amendment, agreed to `amendment-introduction, reading-3`
- **2024-04-26** Pending third reading, Senator Lyons, Gulick, Hardy, Kitchel, and Williams proposal of amendment, agreed to `amendment-introduction, reading-3`
- **2024-04-26** Read 3rd time & passed in concurrence with proposal of amendment `amendment-introduction, reading-3`
- **2024-04-30** Senate Message: Passed in concurrence with proposal of amendment `amendment-introduction`
- **2024-05-01** Notice Calendar: Senate Proposal of Amendment `amendment-introduction`
- **2024-05-02** Action Calendar: Senate Proposal of Amendment `amendment-introduction`
- **2024-05-02** Rep. McCoy of Poultney demanded yeas and nays
- **2024-05-02** Roll Call Results Passed -- Needed 64 of 127 to Pass -- Yeas = 104, Nays = 23
- **2024-05-02** Senate proposal of amendment concurred in `amendment-introduction`
- **2024-05-03** House message: House concurred in Senate proposal of amendment `amendment-introduction`
- **2024-05-10** Delivered to the Governor on May 14, 2024 `passage`
- **2024-05-10** Signed by Governor on May 20, 2024 `executive-signature`
- **2024-05-10** House message: Governor approved bill on May 20, 2024

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/7c37fc53-1c35-4a2a-9365-5be548e9ac56`. Confidence: reported (aggregated from official Vermont legislature records).