| Account | Description | FY2013 Spending  | 
FY2014 GAA  | 
|---|---|---|---|
| 4000-1604 | Health Care System Reform                                                        For MassHealth costs associated with the implementation of the Patient Protection and Affordable Care Act, Public Law 111-148 and payment reform; provided, that no expenditures shall be made from this item that are not federally reimbursable; and provided further, that MassHealth shall submit a report to the house and senate committees on ways and means not later than April 24, 2014 on the implementation of the Affordable Care Act and payment reform initiatives  | 
750,000 | 849,766 |