BURLINGTON, Vt. (WCAX) – The open house for a new medical office in Williston looked ordinary enough.

On a recent Friday evening, a smattering of prospective patients grazed on fruit and healthy snacks, peeked at the exam room, and chatted with the owner and staff members of Blue Spruce Health.

But the flyer announcing the event contained clues that this wasn’t your typical doctor’s office. It’s one of a growing number of practices in Vermont that deliver medical care through a relatively new model known as direct primary care.

Though similar in concept to a more commonly known version called “concierge medicine,” direct primary care touts cheaper care — fees typically top out at $200 a month — allowing doctors to see patients who are from a range of income levels rather than just high earners. It’s sometimes referred to as “blue-collar concierge.”

Darren Perron spoke with Seven Days’ Alison Novak, who reported on the new health care model in this week’s edition.

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Vermont’s barn preservation effort is getting a fresh coat of energy as the state opens applications for the 2026 Vermont Barn Painting Project.

The initiative offers reimbursement to farm families for painting and minor repairs that help maintain historic barns, according to a community announcement. Funding comes from the A. Pizzagalli Family Farm Fund, and ten barns will be selected for support this year.

The announcement notes that the program continues a long-running effort supported by Angelo Pizzagalli and the family fund. The fund has been involved in barn restoration work for years, evolving into the microgrant format now being used to help farm families manage the upkeep of large, aging structures.

Applications are open through April 30 and will be reviewed as they arrive, according to the announcement. Incomplete submissions will not be considered.

Interested barn owners may apply online or email Scott Waterman at Scott.Waterman@vermont.gov for more information.

This story was created by Dave DeMille, ddemille@gannett.com, with the assistance of Artificial Intelligence (AI). Journalists were involved in every step of the information gathering, review, editing and publishing process. Learn more at cm.usatoday.com/ethical-conduct.

What good is a penny at this point? Penny candy is a thing of the past, and a modern-day penny-pincher wouldn’t get very far if this were their get-rich strategy. 

(This newsletter, though, costs you less than a penny. Chip in if you can.)

U.S. mints no longer make pennies, a decision that saves taxpayers an estimated $56 million annually. When the U.S. Treasury Department announced the country would stop minting them, it marked the end of an era — sorta. 

Though those pesky copper-colored coins remain in circulation, some businesses, both in Vermont and nationwide, have begun experiencing penny shortages. 

Enter H.837. The bill outlines a plan that could allow retailers to phase out the penny by rounding up or down cash transactions to the nearest nickel. 

Other states, including Arizona and Indiana, have passed rounding legislation, and a handful of others are considering it. As written, Vermont’s bill wouldn’t require rounding, a similar approach favored in other jurisdictions. 

Some Vermont businesses have already adopted rounding. But lobbyists for Vermont businesses say some of their members fear the practice — without explicit state blessing — could open a business up to a lawsuit over alleged unfair and deceptive practices.

Worried or not, rounding will likely become more necessary as pennies get harder to find, Maggie Lenz, a lobbyist for the Vermont Retail and Grocers Association, told the House Commerce and Economic Development Committee Tuesday. She encouraged the state to create a rounding framework, but discouraged lawmakers from making such a program mandatory. 

Rep. Tony Micklus, R-Milton, agreed that rounding should be optional, but said the state should mandate a specific rounding framework for the businesses that choose to round. 

H.837’s approach, which would round down totals ending in 1,2,6 and 7 cents, and round up totals ending in 3, 4, 8 and 9 cents, would seem to be the fairest to consumers and businesses, those who testified agreed.

But the change is likely not net neutral. Zachary Tomanelli, a consumer protection advocate for the Vermont Public Interest Research Group, cited a Federal Reserve study that indicated rounding could cost consumers $6 million annually nationwide. That’s because businesses price goods in ways that tend to lead to rounding up. 

He called the cost modest and said he generally supported the bill.

Despite H.837 not making it past the crossover deadlines, there’s still hope that pennies might make it into Vermont’s currency cemetery. Rep. Michael Marcotte, R-Coventry, the commerce committee’s chair, said his committee could stick the rounding legislation in the Senate’s economic development bill. 

That said, you might not want to ditch your pennies quite yet. 

In the know

Here are some numbers for you: Between 2012 and 2022, Vermont’s primary care workforce declined by 13%. In that same time period, the specialist workforce grew by 23%. That’s according to testimony Jessa Barnard, with the Vermont Medical Society, gave to lawmakers in the House Health Care Committee Tuesday. She said the numbers are reflective of a trend in medicine nationwide, attributed to the fact that primary care docs often make less but pay the same high cost for medical school as their peers in more specialized roles.

In Vermont, Barnard said that this widening gap is leading to a particularly acute shortage. According to a report her organization put out in 2022, the state needs 115 primary care providers to meet the national benchmark for our population size. That figure includes OBGYNs, pediatricians and  family medicine docs.  By 2030, as our state’s population grows even older, the Vermont Medical Society expects the state to need 370 more primary care physicians to meet the national benchmark.

— Olivia Gieger

Sen. Alison Clarkson, D-Windsor, spoke with members of the House Commerce and Economic Development Committee Tuesday afternoon about S.327, an economic development bill that supports a number of public resources for business owners across the state.

The bill has had a tough go of it so far.

Clarkson handed out copies of what she referred to as “the actual bill,” which meant the package voted out by her own Senate Economic Development Committee before being “pretty much fully gutted” on its way through the Senate Appropriations Committee.

In a tight budget year, she said, this bill’s focus was on “supporting what works really well” for Vermont businesses. For Clarkson, that means continuing to invest in the initiatives like the Vermont Economic Growth Incentive program, a set of grants to help businesses expand in the state, which is scheduled to end in January. The Senate, she pointed out, has voted to extend the program for several years in a row, most recently through S.327.

“I am charging the House with doing the same thing,” she said.

Clarkson is also in favor of deepening the state’s relationships with outside investors by funding state delegates abroad. Vermont, she argued, should have more well-placed representation in areas like Québec — which this bill would provide for — and in the future Taiwan, which recently pledged to invest heavily in U.S. tech industries.

“We need somebody whose hand is up saying ‘yes, over here!’” Clarkson said.

House commerce members met informally with a delegation from Taipei later Tuesday.

— Theo Wells-Spackman

On the move

The Senate advanced a bill Tuesday that would allow parents in Essex County to pay tuition to send pre-K students to New Hampshire schools.

In Vermont’s most rural county, families struggle to access pre-K programs, at least on this side of the border.

But S.214, legislation originally proposed by Sen. Kesha Ram Hinsdale, D-Chittenden Southeast, would allow for a handful of families near the New Hampshire border in Essex County to tuition their pre-K-aged children to New Hampshire schools, Sen. Steve Heffernan, R-Addison, said on the Senate floor.

Kindergarten through grade 12 are already able to tuition to New Hampshire schools. 

The Senate will need to vote on the bill once more before sending it to the House.

— Corey McDonald