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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 Sen$21,614,603,742$21,614,603,742
FY24$20,468,329,688$20,649,276,252
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$21,879,410,634$18,192,383,514
FY19$21,919,955,833$17,942,518,839
FY18$21,404,959,400$17,165,111,453
FY17$21,114,137,009$16,560,657,676
FY16$21,364,336,963$16,450,845,908
FY15$19,602,996,747$14,994,958,256
FY14$17,950,551,534$13,633,400,046
FY13$16,989,950,221$12,706,124,341
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
43.6%

comparisons adjusted for inflation (CPI)

Adjusted for inflation (CPI) NOT adjusted
FY25 Sen$21,614,603,742$21,614,603,742
FY25 SWM$21,613,628,742$21,613,628,742
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$20,468,329,688$20,649,276,252
FY24 Leg$20,854,238,286$21,038,596,405
FY23 GAA$21,794,510,663$20,693,812,524
FY22 GAA$22,103,141,147$20,145,788,206

funding levels adjusted for inflation (CPI)

  • Active Line Items
  • All Line Items
FY24FY25 GovFY25 HouseFY25 Sen
1450-1200Health Policy Commission$11,703,146$12,028,078$12,028,078$12,028,078
1595-1068Medical Assistance Trust Fund$500,574,759$682,202,000$682,202,000$682,202,000
1595-1069Health Information Technology Trust Fund$14,053,661$14,177,900$14,177,900$14,177,900
1595-1070Safety Net Provider Trust Fund$65,389,932$17,328,861$17,328,861$17,328,861
1595-5819Commonwealth Care Trust Fund$0$35,000,000$35,000,000$35,000,000
1599-6069Hospital Relief$970,356$0$0$0
4000-0014Edward Kennedy Community Health Center$198,247$0$0$200,000
4000-0250Health Insurance Exchange (HIZ) Operations$14,868,557$15,000,000$15,000,000$15,000,000
4000-0300Exec. Office of Health and Human Services and MassHealth Administration$141,741,266$167,914,925$161,312,888$146,824,925
4000-0320MassHealth Recoveries Retained Revenue$223,028,358$225,000,000$225,000,000$225,000,000
4000-0321EOHHS Contingency Contracts Retained Revenue$64,430,415$65,000,000$65,000,000$65,000,000
4000-0430MassHealth CommonHealth Plan$163,112,122$197,558,111$197,558,111$197,558,111
4000-0500MassHealth Managed Care$5,780,679,269$6,122,042,394$6,122,042,394$6,124,542,394
4000-0601MassHealth Senior Care$4,447,596,339$4,580,139,945$4,580,289,945$4,615,139,945
4000-0641MassHealth Nursing Home Supplemental Rates$576,999,144$582,100,000$634,873,456$582,100,000
4000-0700MassHealth Fee-for-Service Payments$3,286,687,458$4,232,605,645$4,232,855,644$4,210,001,231
4000-0875MassHealth Breast and Cervical Cancer Treatment$17,842,269$18,500,000$18,500,000$18,500,000
4000-0880MassHealth Family Assistance Plan$247,271,707$371,307,845$371,307,845$371,307,845
4000-0885Small Business Employee Premium Assistance$33,743,715$34,042,020$34,042,020$34,042,020
4000-0940MassHealth Affordable Care Act Expansion$3,149,074,209$2,427,764,172$2,427,764,172$2,422,764,172
4000-0950Childrens Behavioral Health Initiative$312,519,945$315,282,721$315,282,721$315,282,721
4000-0990Childrens Medical Security Plan$29,754,053$35,000,000$35,000,000$35,000,000
4000-1400MassHealth HIV Plan$13,877,320$16,555,080$16,555,080$16,555,080
4000-1420Medicare Part D Phased Down Contribution$665,547,579$741,931,215$741,931,215$741,931,215
4000-1426MassHealth Acquired Brain Injury and Moving Forward Plan Waivers$412,728,245$422,606,696$422,606,696$422,606,696
4000-1700Health and Human Services IT Costs$170,264,033$173,982,070$172,242,249$172,242,249
4100-0060Center for Health Information and Analysis$33,102,154$32,452,307$33,342,491$33,664,991
7006-0029Health Care Access Bureau Assessment$1,299,308$1,060,794$1,060,794$1,060,794
9110-1455Prescription Advantage$19,403,338$18,757,247$18,832,247$20,757,247
T00-66Commonwealth Care Trust Fund$69,868,784$66,785,267$66,785,267$66,785,267
FY24FY25 GovFY25 HouseFY25 Sen
1450-1200Health Policy Commission$11,703,146$12,028,078$12,028,078$12,028,078
1450-1266Academic Detailing Program$0$0$0$0
1595-0108Uncompensated Care Trust Fund$0$0$0$0
1595-1067Delivery System Transformation Initiatives Trust Fund$0$0$0$0
1595-1068Medical Assistance Trust Fund$500,574,759$682,202,000$682,202,000$682,202,000
1595-1069Health Information Technology Trust Fund$14,053,661$14,177,900$14,177,900$14,177,900
1595-1070Safety Net Provider Trust Fund$65,389,932$17,328,861$17,328,861$17,328,861
1595-1310Community Hospital Reinvestment Trust Fund$0$0$0$0
1595-1603Ambulatory Payment Group Trust$0$0$0$0
1595-1751Essential Community Provider Trust Fund$0$0$0$0
1595-2006Medical Security Trust Fund$0$0$0$0
1595-5819Commonwealth Care Trust Fund$0$35,000,000$35,000,000$35,000,000
1595-6126Health Care Workforce Transformation Trust$0$0$0$0
1595-6581Commonwealth Health Insurance Connector$0$0$0$0
1599-0100Dept. of Medical Assistance Operations Reserve$0$0$0$0
1599-0111Analysis of DMA IT Systems$0$0$0$0
1599-2004Health Care Cost Containment Reserve$0$0$0$0
1599-2004Behavioral Health Integration in Patient Centered Medical Homes$0$0$0$0
1599-2004Behavioral Health Pilot$0$0$0$0
1599-2006Health Care Reform Implementation Reserve$0$0$0$0
1599-2007Health Care Cost Containment Reserve$0$0$0$0
1599-2008Health Care Cost Containment Reserve$0$0$0$0
1599-2009Hale Hospital Reserve$0$0$0$0
1599-2012Behavioral Health Integration in Patient Centered Medical Homes$0$0$0$0
1599-3222Administrative Costs of Employer Medical Assistance Contribution$0$0$0$0
1599-6069Hospital Relief$970,356$0$0$0
1599-7050Rosie D. Reserve$0$0$0$0
4000-0014Edward Kennedy Community Health Center$198,247$0$0$200,000
4000-0108Managed Care Oversight Board$0$0$0$0
4000-0250Health Insurance Exchange (HIZ) Operations$14,868,557$15,000,000$15,000,000$15,000,000
4000-0260Dental Loan Forgiveness$0$0$0$0
4000-0265Primary Care Workforce$0$0$0$0
4000-0300Exec. Office of Health and Human Services and MassHealth Administration$141,741,266$167,914,925$161,312,888$146,824,925
4000-0301MassHealth Auditing and Utilization Reviews$0$0$0$0
4000-0302Nursing Home Sustainability Task Force$0$0$0$0
4000-0304Pediatric Disproportionate Share Hospital (DSH) Payments$0$0$0$0
4000-0305Prior Year Rate Settlements$0$0$0$0
4000-0305Health Care Decision Support System$0$0$0$0
4000-0306DMA Administration Retained Revenue$0$0$0$0
4000-0309MassHealth Admin. Expenses$0$0$0$0
4000-0309MassHealth Field Auditing Taskforce$0$0$0$0
4000-0310MassHealth Contracted Services$0$0$0$0
4000-0320MassHealth Recoveries Retained Revenue$223,028,358$225,000,000$225,000,000$225,000,000
4000-0321EOHHS Contingency Contracts Retained Revenue$64,430,415$65,000,000$65,000,000$65,000,000
4000-0325MassHealth Administrative Services$0$0$0$0
4000-0328State Plan Amendment Support$0$0$0$0
4000-0352MassHealth Enrollment Outreach Grants$0$0$0$0
4000-0355Health Care Quality and Cost Council$0$0$0$0
4000-0360Health Information Analysis Retained Revenue$0$0$0$0
4000-0430MassHealth CommonHealth Plan$163,112,122$197,558,111$197,558,111$197,558,111
4000-0450Senior Pharmacy Assistance$0$0$0$0
4000-0500MassHealth Managed Care$5,780,679,269$6,122,042,394$6,122,042,394$6,124,542,394
4000-0550MassHealth Managed Care Enrollment Incentives$0$0$0$0
4000-0600MassHealth Senior Care$0$0$0$0
4000-0601MassHealth Senior Care$4,447,596,339$4,580,139,945$4,580,289,945$4,615,139,945
4000-0620MassHealth Senior Care Options$0$0$0$0
4000-0625MassHealth Home Health Worker Recruitment$0$0$0$0
4000-0640MassHealth Nursing Home Supplemental Rates$0$0$0$0
4000-0641MassHealth Nursing Home Supplemental Rates$576,999,144$582,100,000$634,873,456$582,100,000
4000-0650Community First Initiative$0$0$0$0
4000-0700MassHealth Fee-for-Service Payments$3,286,687,458$4,232,605,645$4,232,855,644$4,210,001,231
4000-0860MassHealth Standard Coverage$0$0$0$0
4000-0866MassHealth Basic Program Expansion$0$0$0$0
4000-0870MassHealth Basic Coverage$0$0$0$0
4000-0875MassHealth Breast and Cervical Cancer Treatment$17,842,269$18,500,000$18,500,000$18,500,000
4000-0880MassHealth Family Assistance Plan$247,271,707$371,307,845$371,307,845$371,307,845
4000-0885Small Business Employee Premium Assistance$33,743,715$34,042,020$34,042,020$34,042,020
4000-0890MassHealth Premium Assistance and Insurance Partnership$0$0$0$0
4000-0891MassHealth Insurance Partnership for Employers$0$0$0$0
4000-0895Healthy Start Program$0$0$0$0
4000-0940MassHealth Affordable Care Act Expansion$3,149,074,209$2,427,764,172$2,427,764,172$2,422,764,172
4000-0950Childrens Behavioral Health Initiative$312,519,945$315,282,721$315,282,721$315,282,721
4000-0990Childrens Medical Security Plan$29,754,053$35,000,000$35,000,000$35,000,000
4000-1005Nursing Home Certified Nurses Aides Rate Add-on$0$0$0$0
4000-1006MassHealth Acute Care Hospital Rate Increase$0$0$0$0
4000-1007MassHealth Acute Care Hospital Rate Increase$0$0$0$0
4000-1008MassHealth Financially Distressed Hospital Payments$0$0$0$0
4000-1012MassHealth Financially Distressed Non-Profit Health Care Provider Payments$0$0$0$0
4000-1400MassHealth HIV Plan$13,877,320$16,555,080$16,555,080$16,555,080
4000-1401MassHealth Inpatient Outlier Payments$0$0$0$0
4000-1405MassHealth Essential$0$0$0$0
4000-1420Medicare Part D Phased Down Contribution$665,547,579$741,931,215$741,931,215$741,931,215
4000-1425Hutchinson Settlement$0$0$0$0
4000-1426MassHealth Acquired Brain Injury and Moving Forward Plan Waivers$412,728,245$422,606,696$422,606,696$422,606,696
4000-1431MassHealth Community Health Center Rates$0$0$0$0
4000-1450Interim Catastrophic Pharmacy Assistance Program$0$0$0$0
4000-1451Catastrophic Pharmacy Assistance Program$0$0$0$0
4000-1500Pharmacy Expansion for Children$0$0$0$0
4000-1504MassHealth Dental Rate Increase$0$0$0$0
4000-1602MassHealth Operations$0$0$0$0
4000-1604Health Care System Reform$0$0$0$0
4000-1700Health and Human Services IT Costs$170,264,033$173,982,070$172,242,249$172,242,249
4100-0060Center for Health Information and Analysis$33,102,154$32,452,307$33,342,491$33,664,991
4100-0061All Payer Claims Database Retained Revenue$0$0$0$0
4100-0064Nursing Home Certified Nurses Aides Rate Audits$0$0$0$0
4100-0066Grants to Community Health Centers$0$0$0$0
4100-0067Grants to Non-profit Providers of Elder Care$0$0$0$0
4100-0068Grants to Community Health Centers$0$0$0$0
4100-0082Health Safety Net Claims Migration Retained Revenue$0$0$0$0
4100-0360Health Care Quality and Cost Council Retained Revenue$0$0$0$0
4510-0716Academic Detailing Program$0$0$0$0
4513-1005Healthy Start Program$0$0$0$0
4590-0906Childrens Medical Security Plan$0$0$0$0
7006-0029Health Care Access Bureau Assessment$1,299,308$1,060,794$1,060,794$1,060,794
9110-1455Prescription Advantage$19,403,338$18,757,247$18,832,247$20,757,247
9110-1460Prescription Advantage Co-Pay Subsidies$0$0$0$0
O-EHIFeHealth Institute Fund$0$0$0$0
O-MTPCMass. Technology Park Corp.$0$0$0$0
T00-66Commonwealth Care Trust Fund$69,868,784$66,785,267$66,785,267$66,785,267

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