Healthcare Costs and Affordability in Vermont

Healthcare Costs Remain a Central Affordability Challenge for Vermont Employers

As lawmakers prepare for the upcoming legislative session, healthcare affordability remains one of the most significant pressures facing Vermont’s economy. At a recent Legislative All Member Healthcare Briefing, state leaders, regulators, providers, and stakeholders reviewed the current state of Vermont’s healthcare system, which now totals $2.5 billion and accounts for nearly 30 percent of the state budget when federal dollars are included.

 

The briefing reinforced the reality employers know well. Vermont’s healthcare system is under strain, and costs continue to rise faster than both wages and national trends. Hospitals and insurers remain financially fragile, community-based care gaps are pushing patients into higher cost emergency and inpatient settings, and access challenges persist across the state. Presenters emphasized that Vermont’s comparatively modest premium increase last year was achieved through one-time interventions, including premium buydowns, drug price caps, and budget reductions. These tools cannot be relied on again.

 

The Vermont Chamber presented on behalf of the business community, underscoring healthcare costs are now among the top competitiveness challenges for employers statewide. Since 2018, health insurance premiums have increased 10 to 15 percent annually, with the average silver plan rising 169 percent. These sustained increases make long term planning difficult and limit employers’ ability to invest in growth, wages, and workforce benefits.

 

The Chamber also highlighted that Vermont spends 19.6 percent of personal income on healthcare, the highest share in the nation. This cost burden directly affects hiring, retention, and business expansion, reinforcing concerns raised consistently by employers through the Vermont Business Climate Survey.

The following day, the Health Care Reform Oversight Committee met to examine next steps for reform. Discussions focused on regionalization and coordination as tools to reduce duplication, preserve essential services, and improve efficiency through shared purchasing, aligned clinical design, and modernized data systems. Hospitals outlined commitments to significant cost reductions by 2028 while acknowledging persistent workforce shortages and burnout that continue to challenge care delivery.

 

As Vermont faces impending federal subsidy changes and Medicaid eligibility shifts, there is growing consensus that incremental, structural reforms are needed to stabilize the system over time. The Vermont Chamber will remain actively engaged to ensure that healthcare reforms advance affordability and access while avoiding further cost shifts onto employers and workers who are already carrying a disproportionate share of the burden.

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Megan Sullivan

she/her

Vice President of Government Affairs

802-522-6316

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Education Property Taxes and Affordability in Vermont

Education Property Taxes and Vermont’s Affordability Challenge

Vermont’s education property taxes are projected to rise by approximately 12 percent in 2026, driven by continued growth in school spending and the expiration of last year’s one-time tax buydowns. This increase comes at a time when affordability pressures are already weighing heavily on households, employers, and communities across the state.

Last year’s one-time buydown was adopted with a clear understanding that it would provide temporary relief while lawmakers and the administration addressed the underlying cost drivers in Vermont’s education funding system. That commitment now hangs in the balance. Student enrollment has declined by more than 30 percent over the past two decades, yet education spending continues to rise, pushing per-pupil costs sharply higher. Recent recommendations have largely focused on voluntary measures, raising questions about whether they will meaningfully bend the cost curve in the near term.

At the same time, the expiration of federal relief funds limits the availability of one-time solutions, increasing the urgency for durable, structural reforms. Without action, cost pressures will continue to shift onto property taxpayers, including Vermont’s employers.

For the business community, these trends are deeply concerning. Employers are being asked to absorb higher tax burdens in a system that is delivering lower outcomes for fewer students. Vermont’s reading and math performance has slipped from among the strongest in the region to the middle of the pack, with recent assessments showing significant declines in key grades. These outcomes raise serious questions about cost-effectiveness, accountability, and long-term workforce readiness.

The business climate data reinforces this concern. According to the 2025 Vermont Business Climate Survey, employers rate the state’s overall business climate just 2.86 out of 5. Respondents cite rising costs, regulatory uncertainty, workforce availability, housing affordability, and taxes as the top constraints on growth. Rising education property taxes directly exacerbate these challenges.

Higher commercial property taxes increase operating costs and rents, tightening margins for small businesses and complicating decisions around expansion and investment. Housing affordability, already identified as a major barrier to recruitment and retention, worsens as property taxes rise, making it harder for employers across all industries to attract and retain workers.

As discussions continue around a “student-first” approach, it is important to ground reform efforts in data and outcomes. Improving educational results, strengthening accountability, and ensuring long-term sustainability must go hand in hand. An education system that serves students well also supports the broader conditions that shape their futures, including a strong economy, housing affordability, access to health care, and a competitive cost of living.

Some proposals would shift more of the education tax burden toward higher income taxes without addressing spending pressures. Without structural reform, these approaches risk further eroding Vermont’s affordability and competitiveness, particularly for skilled and mobile workers.

Last year, the business community successfully opposed a proposed business-only property tax classification that would have shifted costs disproportionately onto employers. As the Legislature revisits education funding, the Vermont Chamber will be watching closely to ensure businesses are not once again singled out to stabilize a system in need of reform.

The Vermont Chamber of Commerce continues to advocate for sustainable, data-informed reforms that address education spending pressures, improve outcomes for students, and protect Vermont’s business climate. Advancing affordability, strengthening the workforce pipeline, and supporting long-term economic vitality must remain central to any education funding solution.

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Amy Spear

President

Fiscal Policy, Taxation, Tourism and Hospitality, Workforce Development

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Choosing Progress: Vermont Chamber’s 2026 Legislative Priorities

Choosing Progress: A Unified Path Toward Affordability and Economic Resilience

Vermont can no longer admire the problem. It must act, guided by data, employers, and long-term planning.

Each year, the Vermont Chamber of Commerce sets legislative priorities grounded in one core objective: advancing the Vermont economy. As we enter the 2026 session, Vermont stands at a defining moment. Affordability pressures, demographic decline, and rising operating costs are converging just as our state needs more workers, more housing, and greater predictability to sustain economic growth.

Our work toward long-range strategy began with the Vermont Economic Action Plan, a statewide blueprint shaped by more than 5,000 Vermonters. The plan established a clear vision for a stronger and more affordable future, grounded in data, pairing community insight and measurable targets. It also signaled a pivotal shift in how Vermont approaches economic decision-making. Instead of reacting to problems as they arise, we now have a long-term framework that can guide policy choices and align efforts across the public and private sectors.

This alignment is urgently needed. The Vermont Futures Project’s Competitiveness Dashboard shows Vermont trailing most states in economic outlook, cost competitiveness, and regulatory efficiency. Vermont ranks 49th in Economic Outlook and continues to struggle with slow economic growth, high costs of doing business, and a demographic profile that strains employers and public systems. Results from this year’s Business Climate Survey reinforce this landscape. Employers identified taxes, regulation, labor shortages, healthcare costs, and housing challenges as the most significant barriers to growth.

Many employers voiced concern that the state’s policy direction is disconnected from Vermont’s economic reality, and that they do not feel heard in Montpelier. Business leaders shared examples of policy decisions advancing without a clear understanding of operational impacts. This sentiment reflects a growing disconnect at the same moment Vermont needs alignment around affordability, stability, and long-term economic strategy. It also underscores the essential role the Vermont Chamber plays in bringing employer perspectives to the policy and regulatory tables and ensuring economic policy aligns with economic reality. Addressing Vermont’s challenges requires a sustained commitment to coordinated, data-informed action.


Many employers voiced concern that the state’s policy direction is disconnected from Vermont’s economic reality, and that they do not feel heard in Montpelier. Business leaders shared examples of policy decisions advancing without a clear understanding of operational impacts. This sentiment reflects a growing disconnect at the same moment Vermont needs alignment around affordability, stability, and long-term economic strategy. It also underscores the essential role the Vermont Chamber plays in bringing employer perspectives to the policy and regulatory tables and ensuring economic policy aligns with economic reality. Addressing Vermont’s challenges requires a sustained commitment to coordinated, data-informed action.



How confident or concerned are you about Vermont’s elected officials understanding of the economic pressures facing businesses?
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While there is difficult work ahead, progress was made last year on housing infrastructure, workforce programming, and slowing the growth of healthcare costs. While these advances were important, they are not enough on their own. Vermont must shift from episodic decision-making to a consistent, long-range economic strategy. The Economic Action Plan provides that roadmap. Paired with disciplined and transparent leadership, it offers a path toward measurable improvements for both families and employers.

Our 2026 legislative agenda reflects this approach and focuses on four core areas aligned with statewide priorities and employer needs:

Economic Abundance Through Fiscal Stewardship
Vermont must adopt predictable fiscal practices that control cost growth and strengthen affordability for families and employers. With state spending up more than three billion dollars in five years, the need for disciplined decision making is clear.

Regulatory Modernization and Predictability
A modernized regulatory system must support timely housing and economic development. Streamlined permitting and clearer rules will reduce costs, shorten timelines, and restore Vermont’s competitiveness.

Workforce and Housing Alignment
Employers report that workforce pressures and housing shortages remain among their highest concerns. Strengthening recruitment and retention requires connecting training strategies, talent attraction, and coordinated housing solutions.

Industry Competitiveness
Manufacturing, tourism, healthcare, technology, and small businesses all face rising pressures. Strategic investments in infrastructure, innovation, and cost containment will strengthen these key sectors.

As we begin the 2026 session, Vermont faces a choice. We need to shift from a scarcity mindset to an abundance mindset. The path forward requires courage, collaboration, and a commitment to measurable progress. Employers are ready to be partners in this work. Policymakers must be equally ready to align decisions with long-term strategy and economic reality.

Vermont’s future is not predetermined. It is shaped by the choices we make together. The Vermont Chamber stands ready to partner in this work and ensure our state’s economic story continues toward resilience, prosperity, and opportunity for all.

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Megan Sullivan

she/her

Vice President of Government Affairs

802-522-6316

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Groundwork for Progress: Chamber Retreat Aligns Industry Insight with Advocacy

Groundwork for Progress: Chamber Retreat Aligns Industry Insight with Advocacy

On October 7th, the Vermont Chamber convened legislators and business leaders from across the state for a full-day policy retreat focused on strengthening two of Vermont’s cornerstone industries: manufacturing and tourism. The event focused on aligning state tools, programs, and regulations to better support and grow these sectors, both of which are vital to Vermont’s long-term economic vitality and competitiveness.

 

With a tight state budget and continued uncertainty around federal funding, a solutions-focused discussion emerged on how to better leverage existing programs, streamline administrative and regulatory processes, remove outdated barriers to growth, and develop a skilled workforce. Participants emphasized the importance of increased collaboration and practical reform as essential to maintaining competitiveness and fostering innovation across industries.

 

The connections forged during these retreats will guide cooperative, results-driven reforms that strengthen Vermont’s economy while protecting affordability for employers. The insights gained from these conversations will also help inform the Vermont Chamber’s advocacy work in the upcoming legislative session.

 

Vermont’s fiscal challenges require progress through smart reform and efficiency, not through added costs for families and employers. To move forward, the state must maximize the impact of existing resources, reduce redundancies and roadblocks, and lean into efficiency, maximizing the impact of existing resources, reducing redundancies and roadblocks, and foster growth through strategic investment and meaningful reform.

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Transportation Fund in Disrepair

Transportation Fund in Disrepair

Last week, the Joint Transportation Oversight Committee met to confront sobering projections for Vermont’s Transportation Fund and a recission plan for current reduced FY26 estimates. The fund is facing a widening deficit that may require cuts to core programs and critical maintenance, with consequences for road quality, safety, and the economy.

 

According to the Joint Fiscal Office, transportation revenues are projected to grow at just 1.6% in FY26, well below the projected rate of inflation. Structural challenges drive this stagnation: fuel taxes are tied to consumption, and greater vehicle efficiency and electric vehicle adoption exacerbate this decline in revenue. Tariffs on steel and other construction materials are also inflating costs, and a projected $33.4 million shortfall by FY27 for federal matches could put an additional $163 million in federal dollars at risk.

 

On the current trajectory, the state could see 60% of roads in poor or very poor condition by the end of the decade. Paving, which is the most reactive to swings in funding, already fell to a historic low of 135 miles in FY25, far short of the 300 needed yearly to maintain system health and the 243 miles per year average for the past five years.

 

This issue affects far more than just drivers. Poor road conditions hurt Vermont’s visitor economy and increase costs for manufacturers dependent on reliable shipping.

 

The Transportation Fund challenge is a stark example of the reality every agency will face in the near term if Vermont does not change its long-term projections. With resources tightening and Vermonters already struggling with affordability, higher taxes are not a viable solution. Instead of cycling between program cuts and tax increases, Vermont can pursue a more sustainable path: growing opportunity and revenue through economic vitality. The Vermont Futures Project’s Economic Action Plan provides a roadmap to expand the economy, strengthen the workforce, and ensure long-term sustainability.

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Governor Scott Streamlines Housing Regulations

Governor Scott Streamlines Housing Regulations

Governor Scott issued an Executive Order last week taking meaningful steps to address Vermont’s housing shortage by targeting regulatory and permitting challenges slowing development and driving up costs.

The Governor’s Order will:

  • Allow builders to comply with 2020 or 2024 Residential Building Energy Standards.
  • Halve discretionary permit review timelines for qualifying housing projects.
  • Grant priority to residential, multi-family, mobile home, and shelter projects in the permitting process
  • Grant automatic permit approval if agencies miss statutory or regulatory deadlines.
  • Allow developers to pursue concurrent permitting across state agencies.
  • Defer permit fee payments and reduce fees applicable to affordable housing units.
  • Pre-map Class II wetlands in growth areas and reduce associated buffer zones.
  • Assign teams to coordinate review of multi-family and mixed-use housing projects.
  • Establish an inventory of underutilized state-owned land for housing development.
  • Extend the Brownfield Economic Revitalization Alliance program to support housing redevelopment.

It will now be incumbent upon the agencies historically charged with regulating these processes to implement the Governor’s directives with consistency, transparency, and a commitment to meaningful progress. While legislative action remains essential, this Executive Order reinforces a message the Vermont Chamber has long championed: Vermont cannot address its housing crisis without thoughtful regulatory reform at all levels of government. Permitting delays, inconsistent timelines, and an unpredictable process constrain housing creation, limiting Vermont’s ability to meet workforce housing needs. Allowing developers to deliver projects more predictably without sacrificing environmental or safety protections will make building housing easier, faster, and more affordable.

As Vermont businesses continue to face workforce shortages and recruitment difficulties driven by limited housing availability, the Vermont Chamber remains focused on advancing policy and regulatory changes that remove barriers and accelerate smart, community-centered housing development.

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Solutions Summit Calls Stakeholders to Action

Solutions Summit Calls Stakeholders to Action

At this year’s Solutions Summit, legislative, business, and community leaders came together for interactive policy breakout sessions focused on turning strategy into action. Guided by the Vermont Economic Action Plan, discussions centered on three critical policy areas: Housing and Population Growth, Economic Development and Business Climate, and Workforce Development and Breaking Down Barriers.

 

Participants focused on actionable steps legislators can take in the 2026 session to strengthen Vermont’s economy. Each group identified practical policy solutions aimed at improving the business climate, supporting economic vitality, and making Vermont more affordable for both families and employers. Key proposals included encouraging regional cooperation, streamlining and simplifying permitting processes, expanding education around programs and policies, and expanding career pathways through apprenticeships, work-based learning, and stackable credentials.

 

The collaborative exchange highlighted the need to align state policy with the data-informed priorities of the Economic Action Plan. As funding challenges persist, open dialogue and a focus on efficiency and affordability are more important than ever. By fostering dialogue between policymakers and the business community, the breakouts helped create a roadmap for action that will directly inform advocacy in Montpelier this session.

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Navigating Federal Tax Reform: Impacts for Vermont Businesses

Navigating Federal Tax Reform: Impacts for Vermont Businesses

In a sweeping move with far-reaching implications, the Big Beautiful Bill Act (OBBBA) was signed into law on July 4. The federal budget bill introduces significant reforms to business taxation, reshaping how employers plan investments, manage cash flow, and support their workforce.

 

Recognizing both the complexity and opportunity in these changes, the Vermont Chamber has partnered with Gallagher, Flynn & Company (GFC) to launch the Tax Insights & Business Intelligence series. The July 29 webinar, Big Bill, Big Impact: What Vermont Businesses Need to Know About Federal Tax Changes, served as the kickoff session, giving Vermont employers a practical breakdown of the most consequential provisions of the new law.

 

Key provisions include:

 

100% Bonus Depreciation: Restores 100% bonus depreciation for qualifying assets placed in service 2025–2029, letting businesses fully write off investments immediately. This will boost cash flow and encourage companies to move forward with major capital investments sooner.

 

Section 179 Expensing Increase: Raises the Section 179 expensing limit from $1M to $2.5M with a higher phase-out threshold, allowing more purchases to be deducted right away. This benefits businesses by helping them recover costs faster and improve their financial flexibility.

 

Instant R&D Write-Off: Ends the requirement to amortize domestic R&D costs over five years and allows certain small businesses to apply this retroactively to 2022–2024. This change will free up cash sooner for innovation, product development, and expansion plans.

 

Easier Interest Deduction: Changes the interest deduction limit calculation from EBIT back to EBITDA, expanding allowable deductions. This will ease the tax burden for capital-intensive businesses that rely on financing to grow.

 

Permanent 20% Pass-Through Deduction: Makes the 20% pass-through deduction permanent beyond 2025. This will provide long-term tax relief for S-corps, partnerships, and sole proprietors, improving competitiveness with larger corporations.

 

Bigger Employer Child Care Credit: Increases the employer-provided childcare credit rate, raises the cap, and expands eligible arrangements. This will create financial incentives for companies to offer childcare support, helping them attract and retain skilled workers.

 

Rollback of 1099-K Reporting: Rolls back the 1099-K reporting threshold from $600 to $20,000/200 transactions. This reduces compliance headaches and paperwork for small sellers, gig workers, and businesses using online payment processors.

 

These reforms are intended to spark investment and innovation, but the complexity of implementation means Vermont businesses will need timely guidance to capture the benefits and avoid pitfalls.

 

The Tax Insights & Business Intelligence series will build on this first webinar with brief video explainers, downloadable issue briefs, and additional programming aimed at supporting informed decision making. The Vermont Chamber will continue to advocate for policies that protect competitiveness while ensuring Vermont employers have the resources they need to thrive in a shifting federal and state landscape.

 

Watch the webinar and download presentation slides.

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Joint Fiscal Committee Receives Update on the State of the Economy

Joint Fiscal Committee Receives Update on the State of the Economy

In the July revenue report to the State Emergency Board and Joint Fiscal Committee, state economists projected a slowdown in Vermont’s economic growth, despite the General Fund outperforming expectations, driven largely by personal and corporate income taxes. Revenues from these sources are expected to cool, stabilizing at an annual growth rate of just 1–2%. The presentation also flagged risks from federal policy changes that could affect the state’s economic outlook.

 

While the Transportation Fund met forecasts this year despite operating at a deficit, economists cautioned that rising tariffs and a slowing economy are likely to worsen the shortfall in the near term. As a result, next year’s legislative session will likely involve proposals intended to reduce the widening gap.

 

Among the proposals on the table is a retail delivery fee, which would be charged to customers for delivered goods. Retailers would be required to collect and remit the fee to the state, creating new bureaucracy and adding costs for delivery services essential in this rural state. This proposal and others are likely to resurface next year, even though the Transportation Fund already transfers tens of millions of dollars annually to the Education Fund, a practice that obscures the true cost of Vermont’s education system.

 

After years of challenging tax increases passed during economic growth periods, taxpayers now have little capacity to raise new revenue without worsening affordability. In the upcoming session, the Vermont Chamber will push for practical reforms that reduce costs without placing additional pressure on businesses.

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What Vermont Businesses Need to Know: Federal Tax Changes Under The Big Beautiful Bill Act

What Vermont Businesses Need to Know: Federal Tax Changes Under The Big Beautiful Bill Act
Vermont Chamber and Gallagher, Flynn & Company Launch Tax Education Series

Montpelier, VT (July 24, 2025)The Vermont Chamber of Commerce is proud to announce a new strategic partnership with Gallagher, Flynn & Company (GFC), one of the region’s most respected tax and advisory firms. The collaboration will launch Tax Insights & Business Intelligence, a dedicated tax education and awareness initiative providing timely, actionable guidance for Vermont businesses.

 

As part of this initiative, the Chamber and GFC will host a kickoff webinar, Big Bill, Big Impact: What Vermont Businesses Need to Know About Federal Tax Changes, on July 29 from 1:00–2:30 PM. The 90-minute session will offer a practical breakdown of the newly enacted One Big Beautiful Bill Act (OBBBA), signed into law on July 4, 2025.

 

“This partnership is about helping businesses navigate complexity with confidence,” said Amy Spear, President of the Vermont Chamber of Commerce. “In today’s evolving policy environment, the right tax strategy isn’t just about compliance, it’s a tool for growth and resilience. By bringing together expert insights and Vermont’s leading business advocacy organization, we’re building a resource hub that empowers employers to plan ahead and remain competitive.”

 

This session will be led by an expert panel from Gallagher Flynn: Michael R. Hackett, CPA, Tax Partner and Practice Leader; Alena Fitzgerald, CPA, Tax Partner; and Steven A. Julian, CPA, Tax Partner. Together, they bring decades of experience in corporate taxation, strategic advisory, and business planning. Attendees will gain insight into the most consequential provisions of the One Big Beautiful Bill Act and their implications for business operations, tax planning, and long-term financial strategy. Tailored for CEOs, CFOs, and senior financial decision-makers, the webinar will provide timely clarity and actionable guidance in a rapidly shifting federal landscape.

 

“Our goal is to equip Vermont businesses with insight and foresight,” said Mike Hackett, GFC’s Tax Practice Leader. “The One Big Beautiful Bill Act brings complex changes, but also significant opportunities. Through this partnership with the Vermont Chamber, we look forward to continuing in our role as Vermont’s trusted source for tax intelligence.”

 

The Tax Insights & Business Intelligence series will expand beyond this initial webinar to include brief video explainers, downloadable issue briefs, and additional programming aimed at supporting informed decision-making. As Vermont’s largest statewide business organization, the Chamber is committed to delivering resources that advance the Vermont economy and support the businesses that make living, working, and thriving in Vermont possible.

 

Learn more and register for the webinar here.

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About the Vermont Chamber of Commerce

The Vermont Chamber of Commerce is dedicated to advancing the Vermont economy. Trusted by the businesses that make living, working, and thriving in Vermont possible, we prioritize collaboration and uphold the core values that define our state. As the preeminent not-for-profit business organization, we advocate, build community, and provide resources for businesses statewide.

 

About Gallagher, Flynn & Company

As one of the largest independent CPA and business advisory firms in Northern New England, Gallagher, Flynn & Company, LLP (GFC) prides itself in offering trusted industry expertise rendered with a highly personal touch. With offices in South Burlington VT, Lebanon NH, and our newest office in Ahmedabad, India, we serve a diverse client base that extends around the globe. With over 90 full-time employees, we work with primarily privately held companies with varied ownership structures, private equity groups and non-profit organizations, ranging in size from start-ups to organizations with revenues in excess of $450 million. Our diverse practice offerings are the result of over 60 years of meeting the many needs of our clients.

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