---
type: "Bill"
title: "An act relating to clinical decision making"
description: "An act relating to clinical decision making"
jurisdiction: "us/states/vt"
legislature: "Vermont General Assembly"
session: "2025-2026"
identifier: "H 583"
citation: "Vermont H 583 (2025-2026)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Alyssa Black", "Tiffany Bluemle"]
version_count: 8
action_count: 37
vote_count: 0
first_action: "2026-01-06"
last_action: "2026-05-29"
source: "openstates"
source_identifier: "ocd-bill/152ed8ff-9a70-4659-be1e-88d8c2865839"
source_url: "http://legislature.vermont.gov/bill/loadBillDetailedStatus/2026/1372"
source_hash: "1311f912518380e7c1634585de7f99bc54a861c40472b10d7f58bb86028a60a0"
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 583 (2025-2026) — An act relating to clinical decision making

## 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/2026/Docs/BILLS/H-0583/H-0583%20As%20Introduced.pdf)
2. **As Enacted** (committee substitute) — [source](https://legislature.vermont.gov/Documents/2026/Docs/ACTS/ACT133/ACT133%20As%20Enacted.pdf)
3. **As Passed By the House (Official)** (committee substitute) — [source](https://legislature.vermont.gov/Documents/2026/Docs/BILLS/H-0583/H-0583%20As%20passed%20by%20the%20House%20Official.pdf)
4. **As Passed By the House (Unofficial)** (committee substitute) — [source](https://legislature.vermont.gov/Documents/2026/Docs/BILLS/H-0583/H-0583%20As%20Passed%20by%20the%20House%20Unofficial.pdf)
5. **As Passed by Both House and Senate (Official)** (committee substitute) — [source](https://legislature.vermont.gov/Documents/2026/Docs/BILLS/H-0583/H-0583%20As%20Passed%20by%20Both%20House%20and%20Senate%20Official.pdf)
6. **As Passed by Both House and Senate (Unofficial)** (committee substitute) — [source](https://legislature.vermont.gov/Documents/2026/Docs/BILLS/H-0583/H-0583%20As%20Passed%20by%20Both%20House%20and%20Senate%20Unofficial.pdf)
7. **Senate Proposal of Amendment (Official)** (committee substitute) — [source](https://legislature.vermont.gov/Documents/2026/Docs/BILLS/H-0583/H-0583%20Senate%20proposal%20of%20amendment%20Official.pdf)
8. **Senate Proposal of Amendment (Unofficial)** (committee substitute) — [source](https://legislature.vermont.gov/Documents/2026/Docs/BILLS/H-0583/H-0583%20Senate%20Proposal%20of%20Amendment%20Unofficial.pdf)

## Sponsors

- Alyssa Black — primary (person)
- Tiffany Bluemle — primary (person)

## Timeline

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

- **2026-01-06** Read first time and referred to the Committee on Health Care `introduction`
- **2026-03-17** Notice Calendar: Favorable with Amendment
- **2026-03-17** Referred to Committee on Appropriations per Rule 35(a)
- **2026-03-18** Notice Calendar: Favorable with Amendment
- **2026-03-19** Action Calendar: Favorable with Amendment
- **2026-03-19** Read second time `reading-2`
- **2026-03-19** Rep. Black of Essex reported for the Committee on Health Care
- **2026-03-19** Rep. Yacovone of Morristown recommended for the Committee on Appropriations
- **2026-03-19** Report of Committee on Health Care agreed to
- **2026-03-19** Third Reading ordered `reading-3`
- **2026-03-20** Action Calendar: Third Reading `reading-3`
- **2026-03-20** Read third time and passed `reading-3`
- **2026-03-25** Read 1st time & referred to Committee on Health and Welfare `introduction`
- **2026-05-08** Entered on Notice Calendar
- **2026-05-08** Second Reading `reading-2`
- **2026-05-08** Favorable report with proposal of amendment by Committee on Health and Welfare `amendment-introduction`
- **2026-05-12** New Business/Second Reading `reading-2`
- **2026-05-12** Favorable report with proposal of amendment by Committee on Health and Welfare `amendment-introduction`
- **2026-05-13** Unfinished Business/Second Reading `reading-2`
- **2026-05-13** Favorable report with proposal of amendment by Committee on Health and Welfare `amendment-introduction`
- **2026-05-13** 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`
- **2026-05-13** Proposal of amendment by Committee on Health and Welfare agreed to `amendment-introduction`
- **2026-05-13** 3rd reading ordered
- **2026-05-14** New Business/Third Reading `reading-3`
- **2026-05-14** Proposal of amendment to be offered by Senator(s) Lyons `amendment-introduction`
- **2026-05-14** Pending third reading, Senator Lyons proposal of amendment, agreed to `amendment-introduction, reading-3`
- **2026-05-14** Read 3rd time & passed in concurrence with proposal of amendment `amendment-introduction, reading-3`
- **2026-05-15** Senate Message: Passed in concurrence with proposal of amendment `amendment-introduction`
- **2026-05-18** Notice Calendar: Senate Proposal of Amendment `amendment-introduction`
- **2026-05-19** Action Calendar: Senate Proposal of Amendment `amendment-introduction`
- **2026-05-19** Rep. Black of Essex moved to postpone action until May 20, 2026, which was agreed to
- **2026-05-20** Action Calendar: Action postponed until May 20, 2026
- **2026-05-20** Senate proposal of amendment concurred in `amendment-introduction`
- **2026-05-22** House message: House concurred in Senate proposal of amendment `amendment-introduction`
- **2026-05-29** Delivered to the Governor on June 9, 2026 `passage`
- **2026-05-29** Signed by Governor on June 15, 2026 `executive-signature`
- **2026-05-29** House message: Governor approved bill on June 15, 2026

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/152ed8ff-9a70-4659-be1e-88d8c2865839`. Confidence: reported (aggregated from official Vermont legislature records).