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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 Gov$20,885,865,437$20,885,865,437
FY23 Current$21,955,291,619$20,693,812,524
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
52.7%

comparisons adjusted for inflation (CPI)

Adjusted for inflation (CPI) NOT adjusted
FY24 Gov$20,885,865,437$20,885,865,437
FY23 Current$21,955,291,619$20,693,812,524
FY23 GAA$21,955,291,619$20,693,812,524
FY23 Leg$21,955,291,619$20,693,812,524
FY23 Sen$20,953,651,746$19,749,723,595
FY23 SWM$20,953,386,506$19,749,473,595
FY23 Hou$20,857,440,853$19,659,040,665
FY23 HWM$20,811,676,376$19,615,905,665
FY23 Gov$20,171,528,373$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
FY21FY22FY23 CurrentFY24 Gov
1450-1200Health Policy Commission$11,269,752$12,189,942$11,546,712$11,436,606
1595-1068Medical Assistance Trust Fund$599,305,476$557,076,508$611,005,472$505,000,000
1595-1069Health Information Technology Trust Fund$16,817,114$15,692,931$15,042,174$14,177,900
1595-1070Safety Net Provider Trust Fund$125,192,776$189,461,826$96,982,471$0
1595-5819Commonwealth Care Trust Fund$99,996,624$38,740,053$53,047,962$50,000,000
4000-0014Edward Kennedy Community Health Center$237,230$221,372$212,192$0
4000-0250Health Insurance Exchange Operations$17,792,247$16,602,880$15,914,389$15,000,000
4000-0300Exec. Office Health and Human Services$140,582,592$133,542,217$133,712,266$134,725,335
4000-0320MassHealth Recoveries$266,883,710$249,043,197$238,715,829$225,000,000
4000-0321EOHHS Contingency Contracts Retained Revenue$71,168,989$66,411,519$68,962,351$65,000,000
4000-0430MassHealth CommonHealth$222,018,212$211,908,256$222,765,966$164,554,085
4000-0500MassHealth Managed Care$7,049,617,008$6,694,626,224$6,348,349,017$5,831,782,318
4000-0601MassHealth Senior Care$4,619,455,797$4,111,122,819$4,041,061,784$4,486,764,509
4000-0641MassHealth Nursing Home Supplemental Rates$469,003,639$437,651,911$541,513,596$470,100,000
4000-0700MassHealth Fee-for-Service$3,953,289,875$3,515,220,969$4,015,949,417$3,713,166,357
4000-0875MassHealth Breast and Cervical Cancer Treatment$35,136,054$19,923,456$19,097,266$18,000,000
4000-0880MassHealth Family Assistance$463,956,664$496,076,186$345,343,416$249,457,668
4000-0885Small Business Employee Premium Assistance$40,378,936$37,679,704$36,117,196$34,042,020
4000-0940ACA Expansion Populations$3,457,859,022$4,068,753,297$3,619,952,656$3,176,913,030
4000-0950Childrens Behavioral Health Initiative$318,245,934$295,305,982$284,106,552$315,282,721
4000-0990Childrens Medical Security Plan$18,308,222$17,938,581$18,054,437$30,017,088
4000-1400MassHealth HIV Plan$14,461,305$13,282,304$12,731,511$14,000,000
4000-1420Medicare Part D Phased Down Contribution$479,555,721$542,707,262$564,484,802$671,431,232
4000-1425Hutchinson Settlement$227,659,289$0$0$0
4000-1426MassHealth Acquired Brain Injury and Moving Forward Plan Waivers$0$348,046,673$358,980,663$416,376,894
4000-1700Health and Human Services IT Costs$169,034,326$167,541,350$177,951,537$171,629,221
4100-0060Center for Health Information and Analysis$36,854,370$31,988,215$34,375,079$33,394,789
4100-0061All Payer Claims Database Retained Revenue$296,537$276,715$0$0
7006-0029Health Care Access Bureau Assessment$1,258,259$1,174,148$1,125,459$1,060,794
9110-1455Prescription Advantage$20,460,438$19,281,114$18,854,844$17,552,870
O-HSNTHealth Safety Net Trust Fund$35,584,495$0$0$0
T00-66Commonwealth Care Trust Tax Transfer$83,755,615$78,156,760$49,334,605$50,000,000
FY21FY22FY23 CurrentFY24 Gov
1450-1200Health Policy Commission$11,269,752$12,189,942$11,546,712$11,436,606
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$599,305,476$557,076,508$611,005,472$505,000,000
1595-1069Health Information Technology Trust Fund$16,817,114$15,692,931$15,042,174$14,177,900
1595-1070Safety Net Provider Trust Fund$125,192,776$189,461,826$96,982,471$0
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$99,996,624$38,740,053$53,047,962$50,000,000
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
1599-7050Rosie D. Reserve$0$0$0$0
4000-0014Edward Kennedy Community Health Center$237,230$221,372$212,192$0
4000-0108Managed Care Oversight Board$0$0$0$0
4000-0250Health Insurance Exchange Operations$17,792,247$16,602,880$15,914,389$15,000,000
4000-0260Dental Loan Forgiveness$0$0$0$0
4000-0265Primary Care Workforce$0$0$0$0
4000-0300Exec. Office Health and Human Services$140,582,592$133,542,217$133,712,266$134,725,335
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$266,883,710$249,043,197$238,715,829$225,000,000
4000-0321EOHHS Contingency Contracts Retained Revenue$71,168,989$66,411,519$68,962,351$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$222,018,212$211,908,256$222,765,966$164,554,085
4000-0450Senior Pharmacy Assistance$0$0$0$0
4000-0500MassHealth Managed Care$7,049,617,008$6,694,626,224$6,348,349,017$5,831,782,318
4000-0550MassHealth Managed Care Enrollment Incentives$0$0$0$0
4000-0600MassHealth Senior Care$0$0$0$0
4000-0601MassHealth Senior Care$4,619,455,797$4,111,122,819$4,041,061,784$4,486,764,509
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$469,003,639$437,651,911$541,513,596$470,100,000
4000-0650Community First Initiative$0$0$0$0
4000-0700MassHealth Fee-for-Service$3,953,289,875$3,515,220,969$4,015,949,417$3,713,166,357
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$35,136,054$19,923,456$19,097,266$18,000,000
4000-0880MassHealth Family Assistance$463,956,664$496,076,186$345,343,416$249,457,668
4000-0885Small Business Employee Premium Assistance$40,378,936$37,679,704$36,117,196$34,042,020
4000-0890MassHealth Premium Assist. and Insur. Partnership$0$0$0$0
4000-0891MassHealth Insurance Partnership for Employers$0$0$0$0
4000-0895Healthy Start$0$0$0$0
4000-0940ACA Expansion Populations$3,457,859,022$4,068,753,297$3,619,952,656$3,176,913,030
4000-0950Childrens Behavioral Health Initiative$318,245,934$295,305,982$284,106,552$315,282,721
4000-0990Childrens Medical Security Plan$18,308,222$17,938,581$18,054,437$30,017,088
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 Distressed Non-Profit Provider Payments$0$0$0$0
4000-1400MassHealth HIV Plan$14,461,305$13,282,304$12,731,511$14,000,000
4000-1401MassHealth Inpatient Outlier Payments$0$0$0$0
4000-1405MassHealth Essential$0$0$0$0
4000-1420Medicare Part D Phased Down Contribution$479,555,721$542,707,262$564,484,802$671,431,232
4000-1425Hutchinson Settlement$227,659,289$0$0$0
4000-1426MassHealth Acquired Brain Injury and Moving Forward Plan Waivers$0$348,046,673$358,980,663$416,376,894
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$169,034,326$167,541,350$177,951,537$171,629,221
4100-0060Center for Health Information and Analysis$36,854,370$31,988,215$34,375,079$33,394,789
4100-0061All Payer Claims Database Retained Revenue$296,537$276,715$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 Revenue$0$0$0$0
4100-0360Health Care Quality and Cost Council 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$1,258,259$1,174,148$1,125,459$1,060,794
9110-1455Prescription Advantage$20,460,438$19,281,114$18,854,844$17,552,870
9110-1460Prescription Advantage Co-Pay Subsidies$0$0$0$0
O-EHIFeHealth Institute Fund$0$0$0$0
O-HSNTHealth Safety Net Trust Fund$35,584,495$0$0$0
O-MTPCMass. Technology Park Corp.$0$0$0$0
O-SUDSubstance Abuse Disorder Reinvestment Trust$0$0$0$0
T00-66Commonwealth Care Trust Tax Transfer$83,755,615$78,156,760$49,334,605$50,000,000

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