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Inflation Adjustment
  • CPI: adjusts for changes in the cost of goods and services purchased by consumers
  • IPD: adjusts for changes in the cost of goods and services purchased by governments
  • Economic Growth: adjusts for changes in the size of the state economy (measured in terms of total personal income)
  • None: does not capture changes in the value of a dollar over time.
MassHealth (Medicaid) & Health Reform

funding levels adjusted for inflation (CPI)

  • Funding History
Adjusted for inflation (CPI) NOT adjusted
FY24 Leg$21,038,596,405$21,038,596,405
FY23 Current$22,755,090,751$21,416,550,855
FY22$22,387,644,369$20,226,290,267
FY21$23,065,436,230$19,445,634,785
FY20$22,413,397,612$18,473,077,335
FY19$21,684,772,840$17,594,469,730
FY18$21,481,120,678$17,075,236,334
FY17$21,298,333,538$16,558,745,748
FY16$21,557,223,923$16,453,913,788
FY15$19,776,294,083$14,994,958,704
FY14$18,109,306,144$13,633,449,740
FY13$16,905,325,724$12,532,049,647
FY12$16,674,184,912$12,155,828,125
FY11$17,217,502,048$12,193,805,983
FY10$15,670,089,240$10,882,022,872
FY09$14,731,170,524$10,130,286,655
FY08$14,382,312,677$9,753,784,977
FY07$14,466,543,511$9,459,969,440
FY06$13,306,873,899$8,481,219,121
FY05$15,103,599,392$9,275,962,589
FY04$13,040,090,665$7,775,042,483
FY03$11,611,604,309$6,773,900,233
FY02$11,286,839,115$6,442,512,774
FY01$9,743,875,629$5,465,019,237

comparisons adjusted for inflation (CPI)

  • See Changes in Funding
Between and
Funding for MassHealth (Medicaid) & Health Reform
58.2%

comparisons adjusted for inflation (CPI)

Adjusted for inflation (CPI) NOT adjusted
FY24 Leg$21,038,596,405$21,038,596,405
FY24 Sen$21,000,637,437$21,000,637,437
FY24 SWM$20,999,140,437$20,999,140,437
FY24 Hou$21,016,759,405$21,016,759,405
FY24 HWM$20,982,504,405$20,982,504,405
FY24 Gov$20,885,865,437$20,885,865,437
FY23 Current$22,755,090,751$21,416,550,855
FY23 GAA$21,987,181,090$20,693,812,524
FY23 SWM$20,983,820,737$19,749,473,595
FY23 Hou$20,887,735,725$19,659,040,665
FY23 HWM$20,841,904,777$19,615,905,665
FY23 Gov$20,200,826,976$19,012,538,468
FY22 GAA$22,298,539,966$20,145,788,206

funding levels adjusted for inflation (CPI)

  • Active Line Items
  • All Line Items
FY23 CurrentFY24 GovFY24 HouFY24 SenFY24 Leg
1450-1200Health Policy Commission$11,882,234$11,436,606$11,436,606$11,436,606$11,436,606
1595-1068Medical Assistance Trust Fund$875,566,543$505,000,000$505,000,000$505,000,000$505,000,000
1595-1069Health Information Technology Trust Fund$15,064,022$14,177,900$14,177,900$14,177,900$14,177,900
1595-1070Safety Net Provider Trust Fund$97,123,335$0$0$0$0
1595-5819Commonwealth Care Trust Fund$53,125,013$50,000,000$50,000,000$50,000,000$50,000,000
4000-0014Edward Kennedy Community Health Center$212,500$0$0$200,000$200,000
4000-0250Health Insurance Exchange (HIZ) Operations$15,937,504$15,000,000$15,000,000$15,000,000$15,000,000
4000-0300Exec. Office of Health and Human Services and MassHealth Administration$136,536,167$134,725,335$126,871,500$134,875,335$141,994,304
4000-0320MassHealth Recoveries Retained Revenue$239,062,557$225,000,000$225,000,000$225,000,000$225,000,000
4000-0321EOHHS Contingency Contracts Retained Revenue$69,062,517$65,000,000$65,000,000$65,000,000$65,000,000
4000-0430MassHealth CommonHealth Plan$223,089,528$164,554,085$164,554,085$164,554,085$164,554,085
4000-0500MassHealth Managed Care$6,357,569,823$5,831,782,318$5,831,782,318$5,831,782,318$5,831,782,318
4000-0601MassHealth Senior Care$4,046,931,318$4,486,764,509$4,486,914,509$4,486,764,509$4,486,914,509
4000-0641MassHealth Nursing Home Supplemental Rates$542,300,130$470,100,000$582,100,000$582,100,000$582,100,000
4000-0700MassHealth Fee-for-Service Payments$4,523,070,096$3,713,166,357$3,743,716,357$3,713,316,357$3,743,866,357
4000-0875MassHealth Breast and Cervical Cancer Treatment$19,125,005$18,000,000$18,000,000$18,000,000$18,000,000
4000-0880MassHealth Family Assistance Plan$345,845,018$249,457,668$249,457,668$249,457,668$249,457,668
4000-0885Small Business Employee Premium Assistance$36,169,655$34,042,020$34,042,020$34,042,020$34,042,020
4000-0940MassHealth Affordable Care Act Expansion$3,625,210,540$3,176,913,030$3,176,913,030$3,176,913,030$3,176,913,030
4000-0950Childrens Behavioral Health Initiative$284,519,209$315,282,721$315,282,721$315,282,721$315,282,721
4000-0990Childrens Medical Security Plan$18,080,660$30,017,088$30,017,088$30,017,088$30,017,088
4000-1400MassHealth HIV Plan$12,750,003$14,000,000$14,000,000$14,000,000$14,000,000
4000-1420Medicare Part D Phased Down Contribution$565,304,701$671,431,232$671,431,232$671,431,232$671,431,232
4000-1426MassHealth Acquired Brain Injury and Moving Forward Plan Waivers$359,502,073$416,376,894$416,376,894$416,376,894$416,376,894
4000-1700Health and Human Services IT Costs$178,210,007$171,629,221$167,867,025$171,629,221$171,769,221
4100-0060Center for Health Information and Analysis$34,425,008$33,394,789$33,394,788$33,394,789$33,394,788
7006-0029Health Care Access Bureau Assessment$1,127,094$1,060,794$1,060,794$1,310,794$1,310,794
9110-1455Prescription Advantage$18,882,230$17,552,870$17,362,870$19,574,870$19,574,870
T00-66Commonwealth Care Trust Fund$49,406,262$50,000,000$50,000,000$50,000,000$50,000,000
FY23 CurrentFY24 GovFY24 HouFY24 SenFY24 Leg
1450-1200Health Policy Commission$11,882,234$11,436,606$11,436,606$11,436,606$11,436,606
1450-1266Academic Detailing Program$0$0$0$0$0
1595-0108Uncompensated Care Trust Fund$0$0$0$0$0
1595-1067Delivery System Transformation Initiatives Trust Fund$0$0$0$0$0
1595-1068Medical Assistance Trust Fund$875,566,543$505,000,000$505,000,000$505,000,000$505,000,000
1595-1069Health Information Technology Trust Fund$15,064,022$14,177,900$14,177,900$14,177,900$14,177,900
1595-1070Safety Net Provider Trust Fund$97,123,335$0$0$0$0
1595-1310Community Hospital Reinvestment Trust Fund$0$0$0$0$0
1595-1603Ambulatory Payment Group Trust$0$0$0$0$0
1595-1751Essential Community Provider Trust Fund$0$0$0$0$0
1595-2006Medical Security Trust Fund$0$0$0$0$0
1595-5819Commonwealth Care Trust Fund$53,125,013$50,000,000$50,000,000$50,000,000$50,000,000
1595-6126Health Care Workforce Transformation Trust$0$0$0$0$0
1595-6581Commonwealth Health Insurance Connector$0$0$0$0$0
1599-0100Dept. of Medical Assistance Operations Reserve$0$0$0$0$0
1599-0111Analysis of DMA IT Systems$0$0$0$0$0
1599-2004Health Care Cost Containment Reserve$0$0$0$0$0
1599-2004Behavioral Health Integration in Patient Centered Medical Homes$0$0$0$0$0
1599-2004Behavioral Health Pilot$0$0$0$0$0
1599-2006Health Care Reform Implementation Reserve$0$0$0$0$0
1599-2007Health Care Cost Containment Reserve$0$0$0$0$0
1599-2008Health Care Cost Containment Reserve$0$0$0$0$0
1599-2009Hale Hospital Reserve$0$0$0$0$0
1599-2012Behavioral Health Integration in Patient Centered Medical Homes$0$0$0$0$0
1599-3222Administrative Costs of Employer Medical Assistance Contribution$0$0$0$0$0
1599-7050Rosie D. Reserve$0$0$0$0$0
4000-0014Edward Kennedy Community Health Center$212,500$0$0$200,000$200,000
4000-0108Managed Care Oversight Board$0$0$0$0$0
4000-0250Health Insurance Exchange (HIZ) Operations$15,937,504$15,000,000$15,000,000$15,000,000$15,000,000
4000-0260Dental Loan Forgiveness$0$0$0$0$0
4000-0265Primary Care Workforce$0$0$0$0$0
4000-0300Exec. Office of Health and Human Services and MassHealth Administration$136,536,167$134,725,335$126,871,500$134,875,335$141,994,304
4000-0301MassHealth Auditing and Utilization Reviews$0$0$0$0$0
4000-0302Nursing Home Sustainability Task Force$0$0$0$0$0
4000-0304Pediatric Disproportionate Share Hospital (DSH) Payments$0$0$0$0$0
4000-0305Prior Year Rate Settlements$0$0$0$0$0
4000-0305Health Care Decision Support System$0$0$0$0$0
4000-0306DMA Administration Retained Revenue$0$0$0$0$0
4000-0309MassHealth Admin. Expenses$0$0$0$0$0
4000-0309MassHealth Field Auditing Taskforce$0$0$0$0$0
4000-0310MassHealth Contracted Services$0$0$0$0$0
4000-0320MassHealth Recoveries Retained Revenue$239,062,557$225,000,000$225,000,000$225,000,000$225,000,000
4000-0321EOHHS Contingency Contracts Retained Revenue$69,062,517$65,000,000$65,000,000$65,000,000$65,000,000
4000-0325MassHealth Administrative Services$0$0$0$0$0
4000-0328State Plan Amendment Support$0$0$0$0$0
4000-0352MassHealth Enrollment Outreach Grants$0$0$0$0$0
4000-0355Health Care Quality and Cost Council$0$0$0$0$0
4000-0360Health Information Analysis Retained Revenue$0$0$0$0$0
4000-0430MassHealth CommonHealth Plan$223,089,528$164,554,085$164,554,085$164,554,085$164,554,085
4000-0450Senior Pharmacy Assistance$0$0$0$0$0
4000-0500MassHealth Managed Care$6,357,569,823$5,831,782,318$5,831,782,318$5,831,782,318$5,831,782,318
4000-0550MassHealth Managed Care Enrollment Incentives$0$0$0$0$0
4000-0600MassHealth Senior Care$0$0$0$0$0
4000-0601MassHealth Senior Care$4,046,931,318$4,486,764,509$4,486,914,509$4,486,764,509$4,486,914,509
4000-0620MassHealth Senior Care Options$0$0$0$0$0
4000-0625MassHealth Home Health Worker Recruitment$0$0$0$0$0
4000-0640MassHealth Nursing Home Supplemental Rates$0$0$0$0$0
4000-0641MassHealth Nursing Home Supplemental Rates$542,300,130$470,100,000$582,100,000$582,100,000$582,100,000
4000-0650Community First Initiative$0$0$0$0$0
4000-0700MassHealth Fee-for-Service Payments$4,523,070,096$3,713,166,357$3,743,716,357$3,713,316,357$3,743,866,357
4000-0860MassHealth Standard Coverage$0$0$0$0$0
4000-0866MassHealth Basic Program Expansion$0$0$0$0$0
4000-0870MassHealth Basic Coverage$0$0$0$0$0
4000-0875MassHealth Breast and Cervical Cancer Treatment$19,125,005$18,000,000$18,000,000$18,000,000$18,000,000
4000-0880MassHealth Family Assistance Plan$345,845,018$249,457,668$249,457,668$249,457,668$249,457,668
4000-0885Small Business Employee Premium Assistance$36,169,655$34,042,020$34,042,020$34,042,020$34,042,020
4000-0890MassHealth Premium Assistance and Insurance Partnership$0$0$0$0$0
4000-0891MassHealth Insurance Partnership for Employers$0$0$0$0$0
4000-0895Healthy Start Program$0$0$0$0$0
4000-0940MassHealth Affordable Care Act Expansion$3,625,210,540$3,176,913,030$3,176,913,030$3,176,913,030$3,176,913,030
4000-0950Childrens Behavioral Health Initiative$284,519,209$315,282,721$315,282,721$315,282,721$315,282,721
4000-0990Childrens Medical Security Plan$18,080,660$30,017,088$30,017,088$30,017,088$30,017,088
4000-1005Nursing Home Certified Nurses Aides Rate Add-on$0$0$0$0$0
4000-1006MassHealth Acute Care Hospital Rate Increase$0$0$0$0$0
4000-1007MassHealth Acute Care Hospital Rate Increase$0$0$0$0$0
4000-1008MassHealth Financially Distressed Hospital Payments$0$0$0$0$0
4000-1012MassHealth Financially Distressed Non-Profit Health Care Provider Payments$0$0$0$0$0
4000-1400MassHealth HIV Plan$12,750,003$14,000,000$14,000,000$14,000,000$14,000,000
4000-1401MassHealth Inpatient Outlier Payments$0$0$0$0$0
4000-1405MassHealth Essential$0$0$0$0$0
4000-1420Medicare Part D Phased Down Contribution$565,304,701$671,431,232$671,431,232$671,431,232$671,431,232
4000-1425Hutchinson Settlement$0$0$0$0$0
4000-1426MassHealth Acquired Brain Injury and Moving Forward Plan Waivers$359,502,073$416,376,894$416,376,894$416,376,894$416,376,894
4000-1431MassHealth Community Health Center Rates$0$0$0$0$0
4000-1450Interim Catastrophic Pharmacy Assistance Program$0$0$0$0$0
4000-1451Catastrophic Pharmacy Assistance Program$0$0$0$0$0
4000-1500Pharmacy Expansion for Children$0$0$0$0$0
4000-1504MassHealth Dental Rate Increase$0$0$0$0$0
4000-1602MassHealth Operations$0$0$0$0$0
4000-1604Health Care System Reform$0$0$0$0$0
4000-1700Health and Human Services IT Costs$178,210,007$171,629,221$167,867,025$171,629,221$171,769,221
4100-0060Center for Health Information and Analysis$34,425,008$33,394,789$33,394,788$33,394,789$33,394,788
4100-0061All Payer Claims Database Retained Revenue$0$0$0$0$0
4100-0064Nursing Home Certified Nurses Aides Rate Audits$0$0$0$0$0
4100-0066Grants to Community Health Centers$0$0$0$0$0
4100-0067Grants to Non-profit Providers of Elder Care$0$0$0$0$0
4100-0068Grants to Community Health Centers$0$0$0$0$0
4100-0082Health Safety Net Claims Migration Retained Revenue$0$0$0$0$0
4100-0360Health Care Quality and Cost Council Retained Revenue$0$0$0$0$0
4510-0716Academic Detailing Program$0$0$0$0$0
4513-1005Healthy Start Program$0$0$0$0$0
4590-0906Childrens Medical Security Plan$0$0$0$0$0
7006-0029Health Care Access Bureau Assessment$1,127,094$1,060,794$1,060,794$1,310,794$1,310,794
9110-1455Prescription Advantage$18,882,230$17,552,870$17,362,870$19,574,870$19,574,870
9110-1460Prescription Advantage Co-Pay Subsidies$0$0$0$0$0
O-EHIFeHealth Institute Fund$0$0$0$0$0
O-HSNTHealth Safety Net Trust Fund$0$0$0$0$0
O-MTPCMass. Technology Park Corp.$0$0$0$0$0
O-SUDSubstance Use Disorder Federal Reinvestment Trust$0$0$0$0$0
T00-66Commonwealth Care Trust Fund$49,406,262$50,000,000$50,000,000$50,000,000$50,000,000

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