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Vermont lawmakers look to make building health care facilities easier – VTDigger

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Vermont lawmakers look to make building health care facilities easier – VTDigger


The women’s and children’s unit at Rutland Regional Medical Center. Administrators are planning to combine this unit with the hospital’s birthing center, which is separated from it by a hallway. Courtesy of Rutland Regional Medical Center

At Rutland Regional Medical Center, administrators have long wanted to combine two different parts of the hospital: the birthing center and the Women’s and Children’s Unit. 

The two units are separated by a hallway, meaning that patients are moved to a new unit shortly after giving birth — “a setup for poor patient experience,” Jonathan Reynolds, the hospital’s vice president for clinical operations, told a Vermont House committee last month. 

And, because having two separate units means that the hospital must maintain two different pools of practitioners with overlapping skill sets, combining them would save an estimated $1 million in labor costs annually. 

But consolidating the two units will incur an additional expense: that of obtaining a certificate of need.

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Under state statute, Vermont health care institutions are required to get a certificate of need — effectively, a legal permission slip — anytime they want to build, renovate or buy facilities or obtain medical equipment that are more expensive than certain threshold amounts. 

But as prices for construction and medical equipment rise, more and more projects — including the consolidation of Rutland Regional’s two units — require such certificates, tying up health care facilities and state regulators in lengthy and expensive bureaucratic processes. 

“Rutland Regional is handcuffed, and we are unable to take the initiative right now to decrease the cost of health care because of the CON process,” Reynolds told lawmakers.

Now, lawmakers are seeking to relax those requirements. Last week, Vermont’s House passed a bill, H.96, that would increase the monetary thresholds needed for a certificate of need — a move that supporters say will lower health care costs and make care more accessible to state residents. 

“The dollar amounts that trigger the CON process are causing extraordinary burdens to hospitals, independent providers and other essential health care entities,” Rep. Mari Cordes, D-Lincoln, the bill’s lead sponsor, said on the House floor March 11. 

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Certificate of need regulations, which exist in most states, are intended to reduce unnecessary health care spending and avoid duplicative medical services. 

The process “is intended to protect the public, and it does so by ensuring that projects that are built have sufficient need and are appropriately priced,” Owen Foster, the chair of the Green Mountain Care Board, said in an interview. 

In Vermont, certificates of need are required when a hospital or health care facility seeks to build a new facility, renovate an existing one, or purchase an expensive piece of equipment. If a project hits a certain dollar threshold, hospitals or other health facilities must apply to the Green Mountain Care Board for permission. 

Currently, for hospital construction or renovation, a certificate of need is required for all projects that cost more than about $3.8 million. Approval is also needed for non-hospital construction or renovation over $1.9 million.  

And certificates are also required for purchases or leases of single pieces of medical equipment that cost more than roughly $1.9 million for hospitals, or $1.3 million for non-hospitals.

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Those limits increase annually by an inflationary factor. But the cost of construction and medical equipment has far outpaced those inflationary increases — something that the bill would address.

If passed, the proposed legislation would significantly raise those cost thresholds. Construction and renovation projects, both for hospitals and non-hospitals, would require a certificate of need only if costs run over $10 million. And the acquisition of new medical equipment, both by hospitals and non-hospitals, would only require certificates of need if the cost exceeded $5 million.

With little opposition, the bill has drawn support from health care entities that are often at odds with each other: advocates, regulators, and hospitals. 

The certificate of need process eats up “resources, both in money and time, both for the Green Mountain Care Board and for hospitals,” Devon Green, a lobbyist for the Vermont Association of Hospitals and Health Systems, said in an interview. 

Reforming the process, as envisioned by H.96, would “reduce cost and burden for the board and for health care providers,” Foster, of the Green Mountain Care Board, said. “And it would increase competition, while still providing oversight” over more complex projects.

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Getting a certificate of need can take months, or even, in the case of one recent construction project, over a year. And the process requires applicants to provide reams of documentation about their project’s benefits, costs, projected utilization and more. Other people, organizations or health care entities can weigh in too, and board members can pose multiple rounds of questions and attach conditions to their approval of an applicant’s project.  

“In terms of the current certificate of need process right now, I think there’s a general feeling of, it can be administratively burdensome,” Green said. 

That’s the case at Rutland Regional Medical Center. The consolidation of the birthing unit with the women’s and children’s unit is projected to cost between $5.5 million and $6 million — enough to require a certificate of need under current law, but not under the proposed reforms.  

As it currently exists, “I would wager that the CON process would delay our start of this consolidation of two units by at least a year, if not longer,” Reynolds, the hospital vice president, said last month. 

But if signed into law, he said, H. 96 “gives us the breathing room to perform these types of projects.”

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See the Brattleboro student who won the Poetry Out Loud state finals

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See the Brattleboro student who won the Poetry Out Loud state finals


Eason DeMarsico-Thorne, a student at Brattleboro Union High School, won the 2026 Poetry Out Loud State Finals, held the Flynn on March 5, according to a community announcement.

DeMarsico-Thorne will represent Vermont at the national competition at the end of April in the nation’s capital. Gretchen Wertlieb of South Burlington High School was the runner-up, and Aiva Reed of Windsor High School placed third.

The state finals featured 10 students who recited poems over three rounds. The top three, with the highest cumulative scores after the first two rounds, advanced to the final round.

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DeMarsico-Thorne recited “Fruit of the Flower” by Countee Cullen, “I Shall Return” by Claude Mckay and “A Southern Road” by Helene Johnson.

Wertlieb recited “To a Young Dancing Girl” by Elsa Gidlow, “Thoughts in Jail” by Katharine Rolston Fisher and “I shall forget you presently, my dear” (Sonnet IV), by Edna St. Vincent Millay.

Reed recited “Why We Oppose Women Travelling in Railway Trains” by Alice Duer Miller, “Militants to Certain Other Women” by Katharine Rolston Fisher and “If I Had Known” by Alice Moore Dunbar-Nelson.

The other finalists were Phoebe Gresham from Mount Mansfield Union High School, Ranee Hall from Thetford Academy, Marcus Burns from St. Johnsbury Academy, Taylor Daleb from Peoples Academy, Moya Thayer from Burlington High School, Theo Novak from Champlain Valley Union High School and Patrick Tester from Lyndon Institute.

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Eighteen schools across Vermont registered to bring the national Poetry Out Loud program to their classrooms for the 2025-26 school year, reaching 2,000 students with about 60 teachers participating, according to the announcement. Fifteen students were selected by their teachers as school champions and participated in the statewide semifinals, held on Feb. 12 at the Barre Opera House.

DeMarsico-Thorne received $200 and advances to the national finals, where $50,000 in awards and school stipends are distributed. The state champion’s school receives $500 for the purchase of poetry materials. Wertlieb received $100, with $200 for her school.

Poetry Out Loud is supported by the National Endowment for the Arts and the Vermont Arts Council. Since the program began in 2005, more than 4 million students across the country have participated. The Poetry Foundation provides and administers the monetary prizes.

For more information about Vermont Poetry Out Loud, visit flynnvt.org/Education/poetry-out-loud.

This story was created 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.

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Vt. police try to ID suspect in road rage assault

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Vt. police try to ID suspect in road rage assault


BARTON, Vt. (WCAX) – Vermont police are asking the public for help identifying a man suspected in a road rage assault.

It happened on Main Street in Barton on Feb. 14, just before noon.

Troopers say a man got out of his green Subaru Forester and hit another driver in the face, then got back in his vehicle and left.

They released photos of the man on Wednesday.

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If you know who he is, state police want to hear from you. Call the barracks in Derby at 802-334-8881 or leave an anonymous tip online.



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Experts predicted a ‘maple-pocalypse.’ But Vermont’s syrup industry is booming. – The Boston Globe

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Experts predicted a ‘maple-pocalypse.’ But Vermont’s syrup industry is booming. – The Boston Globe


Mark Isselhardt, University of Vermont Extension’s maple specialist, showed the difference in maple syrup color grading.Danielle Parhizkaran/Globe Staff

A right whale feeding in Cape Cod Bay.

Awards for maple syrup are pinned to the wall of the kitchen within the Branon sugarhouse in Fairfield, Vt.
Danielle Parhizkaran/Globe Staff

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A right whale submerges, showing its wide tail flukes.

Cecile Branon looks at the tapped maple trees just outside the sugarhouse at Branon Family Maple Orchards.
Danielle Parhizkaran/Globe Staff

For Cecile Branon, 68, the innovations have made it possible to imagine passing the operation on to the next generation.

“They already have plans,” she said of her grandchildren.

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Maple production in Vermont has climbed to about 3 million gallons annually, with revenue approaching $100 million a year. The state makes more than half the syrup produced in the country. The gains are not just a result of sugar makers tapping more maples. The amount of sap produced per tap — the small spout inserted into a tree — has more than doubled since the start of the century.

Even 20 years ago, the industry’s continued growth was a major question. Maple syrup is a high-stakes crop because the bulk of the season’s product is made on just a handful of sap “runs,” when shifting temperatures create pressure changes that push clear, sweet liquid from the trees. Those perfect conditions typically happen in late winter or early spring, though some producers have found ways to take advantage of sap runs when the weather warms up even earlier.

Emma Marvin, the co-owner of Butternut Mountain Farm in Morrisville, Vt., said the precarious, weather-dependent nature of sugaring means producers have to be good at navigating uncertainty.

“There’s no indication for us what our yield is going to be other than what the weatherman tells us,” Marvin said. “Some of the volatility is baked in, and we’re used to adapting to it.”

Climate change is disrupting the delicate balance of freezing nights and above-freezing days required to trigger sap runs. Temperatures in Vermont, one of the fastest-warming states, have risen by about 3 degrees Fahrenheit since 1900. In 2012, a series of heat waves cut the season short, causing maple trees to “bud out” and ruining the flavor of the sap. Production in New England fell by nearly a third from the year prior.

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Extreme weather, exacerbated by climate change, poses another threat. Severe storms can rip down tubing and fell trees. Flooding and drought stress the roots of sugar maples, a “Goldilocks” tree that doesn’t like to be too wet or dry.

Experts predicted a ‘maple-pocalypse.’ But Vermont’s syrup industry is booming.

Climate scientists have been warning that warmer weather could disrupt sap flow. Above, Elsie, 5, bikes through the sugarhouse at Branon Family Maple Orchards. (undefined)

Cecile Branon, a fourth-generation sugar maker in Fairfield, has seen these changes firsthand. The Branons are one of Vermont’s best-known maple families and manage a sugaring operation that surpassed 100,000 taps this year, a point of pride. Blue ribbons decorate a wall in the sugarhouse, including a hefty rosette for “best of show” at the Vermont Maple Festival.

After digging through more than two decades of her husband’s daily notes logging the work done on the land, Cecile Branon found that the start of the sugaring season has been steadily creeping earlier, changing by as much as a week some years.

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“You could see it right in his book,” she said.

The two major innovations the Branons have adopted — vacuum tubing systems and reverse osmosis machines — are now widespread across the industry. Both technologies directly combat how climate change stresses maples.

The tubing sucks sap from the trees, increasing yields from unpredictable sap runs. Reverse osmosis machines, similar to those used in desalination plants, remove much of the water from sap to create a sugary liquid that boils into syrup more quickly. The machines keep production profitable even when sugar levels drop due to climate disruptions.

Other sugar makers are adjusting their forest management practices, reinforcing culverts and other infrastructure to withstand extreme weather, and embracing red maples, a resilient species long overlooked by maple producers. Producers have also started to tap trees earlier, so as not to miss out on a significant share of the season.

Jenna Baird held a photo book featuring her parents, Bob and Bonnie Baird, in the Baird Farm store. Danielle Parhizkaran/Globe Staff
Bob Baird and his daughter Jenna outside the Baird Farm sugarhouse after an evening of boiling maple syrup.Danielle Parhizkaran/Globe Staff

“The folks who are going to thrive are the ones who are able to make adjustments and don’t just rely on the way things have always been,” said Mark Isselhardt, University of Vermont Extension’s maple specialist.

At the Baird Farm in the foothills of the Green Mountains, Bob Baird had long assumed he’d be the last in his family to produce syrup on the land. But by keeping up with the latest practices, he and his wife, Bonnie, made it possible for their daughter Jenna Baird and her partner, Jacob Powsner, to take over.

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“It’s not even a question,” Powsner said. “Either adapt, or you lose a huge amount of ability to compete in the modern marketplace.”

Jenna Baird and Powsner have made these changes part of their branding. Their maple jugs show blue tubing threading through the woods and a solar panel on top of their shed. On a tote bag emblazoned “Syrup Daddy,” Bob Baird flashes a toothy grin with tubing looped over his arm.

The marketing is paying off. Bob Baird said that when he recently visited the nearest city — Rutland, population 15,500 — a man recognized him and said his girlfriend wouldn’t believe he had met Baird in person.

Jenna Baird stirred boiling maple syrup at the Baird Farm sugarhouse.Danielle Parhizkaran/Globe Staff

Despite the progress, many questions remain about the industry’s future. At the University of Vermont’s Proctor Maple Research Center, scientists are trying to fill the research gaps. They’ve tricked out a tree with monitoring devices to better understand how maples are faring, and are assessing how vacuum pumps affect tree health over time.

“There’s unfortunately very little research specific to maple,” said Tim Rademacher, a German plant biologist who runs the center. “That explains partly why somebody who grew up in a country without maples can still make a career in it.”

The center works closely with producers, meaning a paper published one year might affect the practices of sugar makers the next.

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Maple producers continue to worry about whether Vermont will continue to have suitable growing conditions. One 2019 paper predicted that the region of maximum sap flow would shift north by about 250 miles by 2100. Some researchers, though, challenge those findings and say they do not mean maples will disappear from Vermont. Predictions of the industry’s demise have been overstated for decades, they added.

Blue tubing, which draws sap from maple trees, is seen at the Proctor Maple Research Center in Underhill, Vt.Danielle Parhizkaran/Globe Staff

Allison Hope, executive director of the Vermont Maple Sugar Makers’ Association, said maple producers have to be “eternal optimists.” The technology can only go so far when the weather doesn’t cooperate.

“They’ve mitigated the effects of climate change up till now,” she said, but “what’s that next thing? Have we taken it as far as we can?”

That future felt far off this March at the Branon sugarhouse, where the sugaring season was in full swing. The air was steamy and thick with the smell of boiling sap. One of Tom and Cecile’s sons manned the equipment, while Cecile Branon whipped up a fresh batch of maple granola.

She nodded toward her 5-year-old granddaughter Elsie, who was racing past the tanks and coils of tubing dressed in pink sweatpants and a sequined dress.

“Those trees,” she said, “need to be there for them.”

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Kate Selig can be reached at kate.selig@globe.com. Follow her on X @kate_selig.





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