As part of the State Fiscal Year 2006 budget proposal process, the Douglas Administration presented the Plan for Saving the Vermont Medicaid System. 

With this long-term strategy Vermont proposed to replace its existing section 1115a waiver, the Vermont Health Access Plan (VHAP). The replacement is the Global Commitment to Health. 

With the federal approval of this proposal, certain federal Medicaid requirements found in Title 19 of the Social Security Act are waived. 

The result is that the Global Commitment to Health includes the tools necessary for the state, in partnership with the federal government, to address future needs in a holistic, global manner.