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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
FY25 House$21,669,922,074$21,669,922,074
FY24$21,150,300,845$21,337,276,252
FY23$24,387,326,727$23,155,682,412
FY22$22,934,922,526$20,903,910,835
FY21$22,851,398,204$19,435,497,468
FY20$22,216,992,313$18,473,077,335
FY19$21,494,752,372$17,594,469,730
FY18$21,292,884,784$17,075,236,334
FY17$21,111,699,381$16,558,745,748
FY16$21,368,321,148$16,453,913,788
FY15$19,602,997,334$14,994,958,704
FY14$17,950,616,964$13,633,449,740
FY13$16,757,186,847$12,532,049,647
FY12$16,528,071,488$12,155,828,125
FY11$17,066,627,616$12,193,805,983
FY10$15,532,774,558$10,882,022,872
FY09$14,602,083,448$10,130,286,655
FY08$14,256,282,591$9,753,784,977
FY07$14,339,775,323$9,459,969,440
FY06$13,190,267,725$8,481,219,121
FY05$14,971,248,777$9,275,962,589
FY04$12,925,822,273$7,775,042,483
FY03$11,509,853,532$6,773,900,233
FY02$11,187,934,208$6,442,512,774
FY01$9,658,491,484$5,465,019,237

comparisons adjusted for inflation (CPI)

  • See Changes in Funding
Between and
Funding for MassHealth (Medicaid) & Health Reform
48.4%

comparisons adjusted for inflation (CPI)

Adjusted for inflation (CPI) NOT adjusted
FY25 House$21,669,922,074$21,669,922,074
FY25 HWM$21,666,108,618$21,666,108,618
FY25 Gov$21,624,125,293$21,624,125,293
FY24$21,150,300,845$21,337,276,252
FY24 Leg$20,854,238,286$21,038,596,405
FY24 Sen$20,816,611,947$21,000,637,437
FY24 SWM$20,815,128,065$20,999,140,437
FY24 Hou$20,832,592,641$21,016,759,405
FY24 HWM$20,798,637,812$20,982,504,405
FY24 Gov$20,702,845,677$20,885,865,437
FY23 GAA$21,794,510,663$20,693,812,524
FY23 SWM$20,799,942,609$19,749,473,595
FY23 Hou$20,704,699,577$19,659,040,665
FY23 HWM$20,659,270,238$19,615,905,665
FY23 Gov$20,023,810,107$19,012,538,468
FY22 GAA$22,103,141,147$20,145,788,206

funding levels adjusted for inflation (CPI)

  • Active Line Items
  • All Line Items
FY23FY24FY25 GovFY25 House
Health Policy Commission$11,388,431$11,703,146$12,028,078$12,028,078
Medical Assistance Trust Fund$606,531,013$500,574,759$682,202,000$682,202,000
Health Information Technology Trust Fund$14,932,019$14,053,661$14,177,900$14,177,900
Safety Net Provider Trust Fund$96,272,258$65,389,932$17,328,861$17,328,861
Commonwealth Care Trust Fund$52,659,486$99,123,715$35,000,000$35,000,000
Hospital Relief$367,585,400$970,356$0$0
Edward Kennedy Community Health Center$210,638$198,247$0$0
Health Insurance Exchange (HIZ) Operations$15,797,846$14,868,557$15,000,000$15,000,000
Exec. Office of Health and Human Services and MassHealth Administration$135,339,721$141,741,266$167,914,925$161,312,888
MassHealth Recoveries Retained Revenue$236,967,687$223,028,358$225,000,000$225,000,000
EOHHS Contingency Contracts Retained Revenue$68,457,332$64,430,415$65,000,000$65,000,000
MassHealth CommonHealth Plan$221,134,627$163,112,122$197,558,111$197,558,111
MassHealth Managed Care$6,301,859,376$5,780,679,269$6,122,042,394$6,122,042,394
MassHealth Senior Care$4,011,468,655$4,447,596,339$4,580,139,945$4,580,289,945
MassHealth Nursing Home Supplemental Rates$537,548,034$576,999,144$582,100,000$634,873,456
MassHealth Fee-for-Service Payments$6,209,237,931$3,869,534,901$4,232,605,645$4,232,855,644
MassHealth Breast and Cervical Cancer Treatment$18,957,415$17,842,269$18,500,000$18,500,000
MassHealth Family Assistance Plan$342,814,429$247,271,707$371,307,845$371,307,845
Small Business Employee Premium Assistance$35,852,706$33,743,715$34,042,020$34,042,020
MassHealth Affordable Care Act Expansion$3,593,443,354$3,149,074,209$2,427,764,172$2,427,764,172
Childrens Behavioral Health Initiative$282,026,010$312,519,945$315,282,721$315,282,721
Childrens Medical Security Plan$17,922,222$29,754,053$35,000,000$35,000,000
MassHealth HIV Plan$12,638,277$13,877,320$16,555,080$16,555,080
Medicare Part D Phased Down Contribution$560,351,019$665,547,579$741,931,215$741,931,215
MassHealth Acquired Brain Injury and Moving Forward Plan Waivers$356,351,809$412,728,245$422,606,696$422,606,696
Health and Human Services IT Costs$176,648,379$170,264,033$173,982,070$172,242,249
Center for Health Information and Analysis$34,123,347$33,102,154$32,452,307$33,342,491
Health Care Access Bureau Assessment$1,117,217$1,299,308$1,060,794$1,060,794
Prescription Advantage$18,716,767$19,403,338$18,757,247$18,832,247
Commonwealth Care Trust Fund$48,973,322$69,868,784$66,785,267$66,785,267
FY23FY24FY25 GovFY25 House
Health Policy Commission$11,388,431$11,703,146$12,028,078$12,028,078
Academic Detailing Program$0$0$0$0
Uncompensated Care Trust Fund$0$0$0$0
Delivery System Transformation Initiatives Trust Fund$0$0$0$0
Medical Assistance Trust Fund$606,531,013$500,574,759$682,202,000$682,202,000
Health Information Technology Trust Fund$14,932,019$14,053,661$14,177,900$14,177,900
Safety Net Provider Trust Fund$96,272,258$65,389,932$17,328,861$17,328,861
Community Hospital Reinvestment Trust Fund$0$0$0$0
Ambulatory Payment Group Trust$0$0$0$0
Essential Community Provider Trust Fund$0$0$0$0
Medical Security Trust Fund$0$0$0$0
Commonwealth Care Trust Fund$52,659,486$99,123,715$35,000,000$35,000,000
Health Care Workforce Transformation Trust$0$0$0$0
Commonwealth Health Insurance Connector$0$0$0$0
Dept. of Medical Assistance Operations Reserve$0$0$0$0
Analysis of DMA IT Systems$0$0$0$0
Health Care Cost Containment Reserve$0$0$0$0
Behavioral Health Integration in Patient Centered Medical Homes$0$0$0$0
Behavioral Health Pilot$0$0$0$0
Health Care Reform Implementation Reserve$0$0$0$0
Health Care Cost Containment Reserve$0$0$0$0
Health Care Cost Containment Reserve$0$0$0$0
Hale Hospital Reserve$0$0$0$0
Behavioral Health Integration in Patient Centered Medical Homes$0$0$0$0
Administrative Costs of Employer Medical Assistance Contribution$0$0$0$0
Hospital Relief$367,585,400$970,356$0$0
Rosie D. Reserve$0$0$0$0
Edward Kennedy Community Health Center$210,638$198,247$0$0
Managed Care Oversight Board$0$0$0$0
Health Insurance Exchange (HIZ) Operations$15,797,846$14,868,557$15,000,000$15,000,000
Dental Loan Forgiveness$0$0$0$0
Primary Care Workforce$0$0$0$0
Exec. Office of Health and Human Services and MassHealth Administration$135,339,721$141,741,266$167,914,925$161,312,888
MassHealth Auditing and Utilization Reviews$0$0$0$0
Nursing Home Sustainability Task Force$0$0$0$0
Pediatric Disproportionate Share Hospital (DSH) Payments$0$0$0$0
Prior Year Rate Settlements$0$0$0$0
Health Care Decision Support System$0$0$0$0
DMA Administration Retained Revenue$0$0$0$0
MassHealth Admin. Expenses$0$0$0$0
MassHealth Field Auditing Taskforce$0$0$0$0
MassHealth Contracted Services$0$0$0$0
MassHealth Recoveries Retained Revenue$236,967,687$223,028,358$225,000,000$225,000,000
EOHHS Contingency Contracts Retained Revenue$68,457,332$64,430,415$65,000,000$65,000,000
MassHealth Administrative Services$0$0$0$0
State Plan Amendment Support$0$0$0$0
MassHealth Enrollment Outreach Grants$0$0$0$0
Health Care Quality and Cost Council$0$0$0$0
Health Information Analysis Retained Revenue$0$0$0$0
MassHealth CommonHealth Plan$221,134,627$163,112,122$197,558,111$197,558,111
Senior Pharmacy Assistance$0$0$0$0
MassHealth Managed Care$6,301,859,376$5,780,679,269$6,122,042,394$6,122,042,394
MassHealth Managed Care Enrollment Incentives$0$0$0$0
MassHealth Senior Care$0$0$0$0
MassHealth Senior Care$4,011,468,655$4,447,596,339$4,580,139,945$4,580,289,945
MassHealth Senior Care Options$0$0$0$0
MassHealth Home Health Worker Recruitment$0$0$0$0
MassHealth Nursing Home Supplemental Rates$0$0$0$0
MassHealth Nursing Home Supplemental Rates$537,548,034$576,999,144$582,100,000$634,873,456
Community First Initiative$0$0$0$0
MassHealth Fee-for-Service Payments$6,209,237,931$3,869,534,901$4,232,605,645$4,232,855,644
MassHealth Standard Coverage$0$0$0$0
MassHealth Basic Program Expansion$0$0$0$0
MassHealth Basic Coverage$0$0$0$0
MassHealth Breast and Cervical Cancer Treatment$18,957,415$17,842,269$18,500,000$18,500,000
MassHealth Family Assistance Plan$342,814,429$247,271,707$371,307,845$371,307,845
Small Business Employee Premium Assistance$35,852,706$33,743,715$34,042,020$34,042,020
MassHealth Premium Assistance and Insurance Partnership$0$0$0$0
MassHealth Insurance Partnership for Employers$0$0$0$0
Healthy Start Program$0$0$0$0
MassHealth Affordable Care Act Expansion$3,593,443,354$3,149,074,209$2,427,764,172$2,427,764,172
Childrens Behavioral Health Initiative$282,026,010$312,519,945$315,282,721$315,282,721
Childrens Medical Security Plan$17,922,222$29,754,053$35,000,000$35,000,000
Nursing Home Certified Nurses Aides Rate Add-on$0$0$0$0
MassHealth Acute Care Hospital Rate Increase$0$0$0$0
MassHealth Acute Care Hospital Rate Increase$0$0$0$0
MassHealth Financially Distressed Hospital Payments$0$0$0$0
MassHealth Financially Distressed Non-Profit Health Care Provider Payments$0$0$0$0
MassHealth HIV Plan$12,638,277$13,877,320$16,555,080$16,555,080
MassHealth Inpatient Outlier Payments$0$0$0$0
MassHealth Essential$0$0$0$0
Medicare Part D Phased Down Contribution$560,351,019$665,547,579$741,931,215$741,931,215
Hutchinson Settlement$0$0$0$0
MassHealth Acquired Brain Injury and Moving Forward Plan Waivers$356,351,809$412,728,245$422,606,696$422,606,696
MassHealth Community Health Center Rates$0$0$0$0
Interim Catastrophic Pharmacy Assistance Program$0$0$0$0
Catastrophic Pharmacy Assistance Program$0$0$0$0
Pharmacy Expansion for Children$0$0$0$0
MassHealth Dental Rate Increase$0$0$0$0
MassHealth Operations$0$0$0$0
Health Care System Reform$0$0$0$0
Health and Human Services IT Costs$176,648,379$170,264,033$173,982,070$172,242,249
Center for Health Information and Analysis$34,123,347$33,102,154$32,452,307$33,342,491
All Payer Claims Database Retained Revenue$0$0$0$0
Nursing Home Certified Nurses Aides Rate Audits$0$0$0$0
Grants to Community Health Centers$0$0$0$0
Grants to Non-profit Providers of Elder Care$0$0$0$0
Grants to Community Health Centers$0$0$0$0
Health Safety Net Claims Migration Retained Revenue$0$0$0$0
Health Care Quality and Cost Council Retained Revenue$0$0$0$0
Academic Detailing Program$0$0$0$0
Healthy Start Program$0$0$0$0
Childrens Medical Security Plan$0$0$0$0
Health Care Access Bureau Assessment$1,117,217$1,299,308$1,060,794$1,060,794
Prescription Advantage$18,716,767$19,403,338$18,757,247$18,832,247
Prescription Advantage Co-Pay Subsidies$0$0$0$0
eHealth Institute Fund$0$0$0$0
Mass. Technology Park Corp.$0$0$0$0
Substance Use Disorder Federal Reinvestment Trust$0$0$0$0
Commonwealth Care Trust Fund$48,973,322$69,868,784$66,785,267$66,785,267
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