Vermont Gov. Peter Shumlin ... signed into law a bill establishing a single-payer health care plan for the state, making Vermont the first state to do so. Shumlin lauded the legislation as an economic and fiscal imperative" -- as well as a moral one. "This law recognizes an economic and fiscal imperative - that we must control the growth in health care costs that are putting families at economic risk and making it harder for small employers to do business," he said. "We have a moral imperative to fix this problem, with 47,000 Vermonters uninsured and another 150,000 underinsured and worried about how to afford keeping their families healthy." Vermont lawmakers passed the legislation in March by a 92-49 margin. At the time of its passage, Shumlin lauded the legislature for becoming "the first state in the country to make the first substantive step to deliver a health care system where health care will be a right and not a privilege." The legislation, when fully enacted, will guarantee every Vermont resident the right to enroll in a state-sponsored insurance plan, Green Mountain Care. The law is set to become operational in 2014.