Governor’s Healthcare Executive Order Signals Broader Push for Affordability Reform
Governor Phil Scott signed Executive Order 05-26, launching the first phase of a Healthcare Affordability Initiative aimed at expanding insurance options and lowering costs for Vermonters and employers.
The Executive Order marks an important first step, but the broader message may matter more: the Administration is making clear that Vermont’s current approach to health insurance affordability is not producing sustainable results. Meaningful progress will require both immediate administrative action and broader statutory reforms during the 2027 legislative session.
For businesses, this is a familiar pressure point. Health insurance costs continue to affect hiring, retention, wages, and long-term planning. Employers need more affordable and predictable options, especially small businesses that often have the fewest tools available to manage rising costs.
One recent effort to expand those options was Blue Cross and Blue Shield of Vermont’s proposed Vermont Basic plan. The new suite of plans would have offered lower premiums in exchange for higher deductibles, providing individuals and small businesses with an additional choice at a time when many Vermonters are struggling to maintain coverage. The Vermont Chamber supported the proposal as a practical step toward expanding consumer choice and providing more immediate premium relief.
Unfortunately, the Green Mountain Care Board did not act on the proposal within the timeframe needed to bring the plans to market for 2027. The Board deferred its decision until August and imposed additional conditions, leaving Blue Cross without sufficient time or certainty to prepare the products for enrollment. As a result, Blue Cross withdrew the proposal in June.
The loss of a potentially more affordable option highlights the ongoing challenge of improving health insurance affordability within Vermont’s current regulatory structure. It also underscores the urgency of creating a marketplace that offers employers and consumers more meaningful choices.
Governor Scott’s Executive Order directs state agencies to begin work under existing authority on several fronts, including preparing a federal Section 1332 waiver, reviewing age-rating rules, revisiting stop-loss and small-business coverage options, evaluating tax incentives for employers offering coverage, and encouraging continued work on reference-based pricing and system-wide savings.
This is not a full solution, and the Administration acknowledges that. Many of the most consequential changes will require legislative action next year. The order nevertheless represents a notable shift toward reexamining the policy structures that have made Vermont an outlier compared with neighboring and other comparable markets.
Meanwhile, insurers have submitted their proposed premium rates for 2027. Blue Cross is requesting average increases of 3.1% for small-group plans and 5.2% for individual plans, its lowest requested increases in five years. MVP is requesting average increases of 9.1% for small-group plans and 7.8% for individual plans. These rates are proposals and remain subject to review and approval by the Green Mountain Care Board.
The Board is accepting public comments through Monday, July 27. Employers and Vermonters affected by rising premiums are encouraged to share how healthcare costs influence coverage decisions, wages, hiring, and business operations through the Green Mountain Care Board’s rate-review process.
The Vermont Chamber has consistently advocated for healthcare reforms that address affordability, expand employer options, and strengthen Vermont’s overall business climate. We will continue working with the Administration, regulators, legislators, and members to ensure the business community has a strong voice in shaping practical reforms.
The key question heading into 2027 will be whether policymakers are willing to move beyond acknowledging the cost problem to advancing structural changes that improve affordability for employers, workers, and families.
CONNECT WITH OUR HEALTHCARE EXPERT
Megan Sullivan
Vice President of Government Affairs
Economic Development, Fiscal Policy, Healthcare, Housing, Land Use/Permitting, Technology

