Those guiding Vermont's health care reform efforts say the state is leading the nation in setting up a new health insurance exchange.
Rate proposals for Vermont's exchange will be publicly released Monday, making the Green Mountain State the first to reach that milestone.
Employees of small companies will be required to purchase health insurance through the exchange beginning in October, with policies to take effect in January 2014.
Green Mountain Care Board Chairwoman Anya Rader-Wallack says the larger goal of a single-payer system also remains on track, but the form of the delivery system won't matter if costs skyrocket.
"If we can't get costs under control this won't be sustainable under any model. And so we take very seriously the challenge to get that done as quickly as possible, but also to get it done in a meaningful way," Rader-Wallack said.