MONTPELIER - The Vermont House has passed a health reform bill that includes designing a single-payer system.

By a vote of 91-42 Friday, the House passed a bill with two major sections. One calls for expanding Vermont's Blueprint for Health, which has regional teams of health professionals working to manage the cases of patients with chronic diseses.

The bill would set up those teams statewide and would expand the types of health care they deliver.

The measure also calls on designing three possible options for moving ahead with health reform: a single-payer system like Canada's, a public option like the one discussed and later dropped in Congress and expanding current reform efforts.