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Account	Description	FY07 GAA	FY08 GAA
4000-0700	MassHealth Indemnity For health care services provided to medical assistance recipients under the executive office's health care indemnity/ third party liability plan and medical assistance recipients not otherwise covered under the executive office's managed care or senior care plans, and for MassHealth benefits provided to children, adolescents and adults under clauses (a), (b), (c), (d) and (h) of subsection (2) of section 9A and section 16C of chapter 118E of the General Laws; provided, that no funds shall be expended from this item for children and adolescents under clause (c) of said subsection (2) of said section 9A of said chapter 118E whose family incomes, as determined by the executive office, exceeds 150 per cent of the federal poverty level; provided further, that children who have aged out of the custody of the department of social services shall be eligible for benefits until they reach age 21; provided, that funds may be expended from this item for health care services provided to the recipients in prior fiscal years; provided further, that notwithstanding the foregoing, funds may be expended from this item for the purchase of third party insurance including, but not limited to, Medicare for any medical assistance recipient including, but not limited to, seniors; provided further, that the executive office may reduce MassHealth premiums or copayments or offer other incentives to encourage enrollees to comply with wellness goals, the executive office shall report annually to the joint committee on health care financing and the house and senate ways and means on the number of enrollees who met at least 1 wellness goal, any reduction of copayments or premiums, and any other incentives provide because enrollees met wellness goals; provided further, that the executive office shall not, in the fiscal year 2008, fund programs relating to case management with the intention of reducing length of stay for neonatal intensive care unit cases; provided further, that funds may be expended from this item for activities relating to disability determinations or utilization management and review, including patient screenings and evaluations, regardless of whether such activities are performed by a state agency, contractor, agent or provider; provided further, that the executive office shall submit a report to the executive office of administration and finance and the house and senate committees on ways and means not later than March 1, 2008 detailing the activities described in the preceding proviso to be expended from this item during fiscal year 2008; and provided further, that not less than $10,000,000 shall be expended to pay for an increase in Medicaid rates for community health centers, as defined in section 1 of chapter 118G of the General Laws	1,538,637,750	1,683,746,704

Note:  Governor's veto was overridden.

Veto Explanation: I am reducing funding consistent with my action in 4000-0300 because it is inconsistent with the rate-setting process provided by law and I am reducing the appropriation for this item accordingly.

 
 

HISTORICAL SPENDING CATEGORIES ($000)

SPENDING CATEGORY	FY04 Spending	FY05 Spending	FY06 Spending	FY07 Spending	FY08 GAA
Wages & Salaries	0	5,424	7,871	7,866	0
Pensions & Benefits	0	4	0	0	0
Operating Expenses	0	0	3,620	8,764	0
Public Assistance	1,192,422	1,041,455	1,400,779	1,445,145	1,683,747
TOTAL	1,192,422	1,046,883	1,412,269	1,461,775	1,683,747

* FY07 Projected Spending includes the budget plus nearly $1 billion in spending from FY06 supplemental budgets.

 

 

Earmarks

EARMARK DESCRIPTION	FY08
CHC Rate Increase	10,000,000