This week, Gov. Shumlin signed into law a bill that builds another major section in Vermont's road to single payer by creating federally mandated by Obamacare healthcare exchanges, which will introduce a marketplace for individuals and small businesses to purchase policies from private insurers as well as multi-state and state-sponsored plans. Uninsured residents meeting specific income requirements will receive federal subsidies to purchase policies.
When Gov. Shumlin laid the first bricks in Vermont's road to a state funded and operated system, he also established a five-member board charged with setting reimbursement rates and delivering a financing plan by 2013. Now that the details of the exchanges are being worked out for a 2014 launch, next step for the state is another federal waiver request to operate a fully functioning single-payer system by 2017.