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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 Gov$21,624,125,293$21,624,125,293
FY24$21,150,300,845$21,337,276,252
FY23$24,397,938,035$23,165,757,813
FY22$22,191,464,741$20,226,290,267
FY21$22,863,317,213$19,445,634,785
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 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
FY22FY23FY24FY25 Gov
1450-1200Health Policy Commission$12,083,123$11,778,111$11,703,146$12,028,078
1595-1068Medical Assistance Trust Fund$552,194,929$606,531,013$500,574,759$682,202,000
1595-1069Health Information Technology Trust Fund$15,555,416$14,932,019$14,053,661$14,177,900
1595-1070Safety Net Provider Trust Fund$187,801,599$96,272,258$65,389,932$17,328,861
1595-5819Commonwealth Care Trust Fund$38,400,579$52,659,486$99,123,715$35,000,000
1599-6069Hospital Relief$0$368,616,403$970,356$0
4000-0014Edward Kennedy Community Health Center$219,432$210,638$198,247$0
4000-0250Health Insurance Exchange (HIZ) Operations$16,457,391$15,797,846$14,868,557$15,000,000
4000-0300Exec. Office of Health and Human Services and MassHealth Administration$132,372,007$135,339,721$141,741,266$167,914,925
4000-0320MassHealth Recoveries Retained Revenue$246,860,868$236,967,687$223,028,358$225,000,000
4000-0321EOHHS Contingency Contracts Retained Revenue$65,829,565$68,457,332$64,430,415$65,000,000
4000-0430MassHealth CommonHealth Plan$210,051,335$221,134,627$163,112,122$197,558,111
4000-0500MassHealth Managed Care$6,635,962,201$6,301,859,376$5,780,679,269$6,122,042,394
4000-0601MassHealth Senior Care$4,075,097,655$4,011,468,655$4,447,596,339$4,580,139,945
4000-0641MassHealth Nursing Home Supplemental Rates$433,816,832$537,548,034$576,999,144$582,100,000
4000-0700MassHealth Fee-for-Service Payments$3,484,417,606$6,218,428,556$3,869,534,901$4,232,605,645
4000-0875MassHealth Breast and Cervical Cancer Treatment$19,748,869$18,957,415$17,842,269$18,500,000
4000-0880MassHealth Family Assistance Plan$491,729,144$342,814,429$247,271,707$371,307,845
4000-0885Small Business Employee Premium Assistance$37,349,523$35,852,706$33,743,715$34,042,020
4000-0940MassHealth Affordable Care Act Expansion$4,033,099,411$3,593,443,354$3,149,074,209$2,427,764,172
4000-0950Childrens Behavioral Health Initiative$292,718,259$282,026,010$312,519,945$315,282,721
4000-0990Childrens Medical Security Plan$17,781,388$17,922,222$29,754,053$35,000,000
4000-1400MassHealth HIV Plan$13,165,913$12,638,277$13,877,320$16,555,080
4000-1420Medicare Part D Phased Down Contribution$537,951,599$560,351,019$665,547,579$741,931,215
4000-1426MassHealth Acquired Brain Injury and Moving Forward Plan Waivers$344,996,792$356,351,809$412,728,245$422,606,696
4000-1700Health and Human Services IT Costs$166,073,210$176,648,379$170,264,033$173,982,070
4100-0060Center for Health Information and Analysis$31,707,907$34,123,347$33,102,154$32,452,307
4100-0061All Payer Claims Database Retained Revenue$274,290$0$0$0
7006-0029Health Care Access Bureau Assessment$1,163,859$1,117,217$1,299,308$1,060,794
9110-1455Prescription Advantage$19,112,156$18,716,767$19,403,338$18,757,247
T00-66Commonwealth Care Trust Fund$77,471,884$48,973,322$69,868,784$66,785,267
FY22FY23FY24FY25 Gov
1450-1200Health Policy Commission$12,083,123$11,778,111$11,703,146$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$552,194,929$606,531,013$500,574,759$682,202,000
1595-1069Health Information Technology Trust Fund$15,555,416$14,932,019$14,053,661$14,177,900
1595-1070Safety Net Provider Trust Fund$187,801,599$96,272,258$65,389,932$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$38,400,579$52,659,486$99,123,715$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$0$368,616,403$970,356$0
1599-7050Rosie D. Reserve$0$0$0$0
4000-0014Edward Kennedy Community Health Center$219,432$210,638$198,247$0
4000-0108Managed Care Oversight Board$0$0$0$0
4000-0250Health Insurance Exchange (HIZ) Operations$16,457,391$15,797,846$14,868,557$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$132,372,007$135,339,721$141,741,266$167,914,925
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$246,860,868$236,967,687$223,028,358$225,000,000
4000-0321EOHHS Contingency Contracts Retained Revenue$65,829,565$68,457,332$64,430,415$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$210,051,335$221,134,627$163,112,122$197,558,111
4000-0450Senior Pharmacy Assistance$0$0$0$0
4000-0500MassHealth Managed Care$6,635,962,201$6,301,859,376$5,780,679,269$6,122,042,394
4000-0550MassHealth Managed Care Enrollment Incentives$0$0$0$0
4000-0600MassHealth Senior Care$0$0$0$0
4000-0601MassHealth Senior Care$4,075,097,655$4,011,468,655$4,447,596,339$4,580,139,945
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$433,816,832$537,548,034$576,999,144$582,100,000
4000-0650Community First Initiative$0$0$0$0
4000-0700MassHealth Fee-for-Service Payments$3,484,417,606$6,218,428,556$3,869,534,901$4,232,605,645
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$19,748,869$18,957,415$17,842,269$18,500,000
4000-0880MassHealth Family Assistance Plan$491,729,144$342,814,429$247,271,707$371,307,845
4000-0885Small Business Employee Premium Assistance$37,349,523$35,852,706$33,743,715$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$4,033,099,411$3,593,443,354$3,149,074,209$2,427,764,172
4000-0950Childrens Behavioral Health Initiative$292,718,259$282,026,010$312,519,945$315,282,721
4000-0990Childrens Medical Security Plan$17,781,388$17,922,222$29,754,053$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$13,165,913$12,638,277$13,877,320$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$537,951,599$560,351,019$665,547,579$741,931,215
4000-1425Hutchinson Settlement$0$0$0$0
4000-1426MassHealth Acquired Brain Injury and Moving Forward Plan Waivers$344,996,792$356,351,809$412,728,245$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$166,073,210$176,648,379$170,264,033$173,982,070
4100-0060Center for Health Information and Analysis$31,707,907$34,123,347$33,102,154$32,452,307
4100-0061All Payer Claims Database Retained Revenue$274,290$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$1,163,859$1,117,217$1,299,308$1,060,794
9110-1455Prescription Advantage$19,112,156$18,716,767$19,403,338$18,757,247
9110-1460Prescription Advantage Co-Pay Subsidies$0$0$0$0
O-EHIFeHealth Institute Fund$0$0$0$0
O-HSNTHealth Safety Net Trust Fund$0$0$0$0
O-MTPCMass. Technology Park Corp.$0$0$0$0
O-SUDSubstance Use Disorder Federal Reinvestment Trust$0$0$0$0
T00-66Commonwealth Care Trust Fund$77,471,884$48,973,322$69,868,784$66,785,267

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