§ 4098d.
263 words·~1 min read·
/vt/title-8/chapter-107/4098dA research copy — for the controlling text, always check the official state or federal source. Not legal advice.
§ 4098d. Covered services provided by athletic trainers
(a)To the extent a health insurance plan provides coverage for a particular type of health care service or for any particular medical condition that is within the scope of practice of athletic trainers, a licensed athletic trainer who acts within the scope of practice authorized by 26 V.S.A. chapter 83 shall not be denied reimbursement by the health insurance plan for those covered services if the health insurance plan would reimburse another health care professional for those services.
(b)Health care services provided by athletic trainers may be subject to reasonable deductibles, co-payment and coinsurance amounts, fee or benefit limits, practice parameters, and utilization review consistent with applicable rules adopted by the Department of Financial Regulation, provided that the amounts, limits, and review shall not function to direct treatment in a manner unfairly discriminative against athletic trainer care, and collectively shall be not more restrictive than those applicable under the same policy for care or services provided by other health care professionals but allowing for the management of the benefit consistent with variations in practice patterns and treatment modalities among different types of health care professionals.
(c)A health insurer may require that the athletic trainer services be provided by a licensed athletic trainer under contract with the insurer.
(d)Nothing in this section shall be construed as impeding or preventing either the provision or coverage of health care services by licensed athletic trainers within the lawful scope of athletic trainer practice. (Recodified and amended 2025, No. 11, § 2, eff. September 1, 2025.)