Backers said the bill would help individuals and families afford health insurance and would give small businesses the opportunity, beginning in 2014, of no longer providing the workers' health insurance. Instead, most workers could buy health insurance through the exchange with the federal grants.
The measure was expected to come up for final House action on Friday before going to the Senate.
Rep. Michael Fisher, D-Lincoln and chairman of the House Health Care Committee, said the bill "will greatly regularly in Vermont 'ability to access health care afford to expand.''
"This bill gives us a new freedom for small businesses to concentrate on what they do best: to build good products and better service in the comfort that their employees have access to the care they need,'' he said.
The grants would be available for people to four times the federal poverty level, or about $ 45,000 a year for an individual and $ 92,000 for a family of four.
Key Republican amendments were easily defeated in a room where the GOP holds only 48 of 150 seats.
The bill would anyone working for a company with 50 employees or less to get the insurance through the exchange beginning in January 2014. In 2016 that would extend to employees of companies with 100 or fewer employees. Republicans objected to that, saying Vermont residents have freedom of choice, and offered a failed amendment of the provision mandating participation in the exchange to remove.
"Is not it my right to make choices about how I pay for health care insurance?'' Early Rep. Duncan Kilmartin, R-Newport.
Democrats argued that buying through the exchange would be the key to receiving the federal grants. Backers of the bill have said that the larger the risk pool - the number of people involved - the easier it will be to manage costs.
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