Notes

• Funding for MassHealth often shifts among line item appropriations and special trust funds from year to year, so it is helpful to look at total MassHealth and Health Reform funding, rather than at individual line items to get a sense of funding over time. In many years, the Administration has also been allowed to transfer funding among the MassHealth program line items without additional legislative approval. This means that there may be a meaningful difference between the budgeted amount and actual spending for individual line items, and that funding budgeted for one line item is ultimately spent in another.