Health Coverage Related Services
Health Coverage Related Services
Government Function: Health Coverage Related Services
Program Category: Health Market Oversight
Program: Drug Control and Prescription Monitoring
For the purpose of protecting consumers against fraud, deception and unsafe practices in the distribution, handling and use of pharmaceuticals by licensing pharmacies and monitoring the prescription of controlled substances.
Department |
FY 2014 Projected Spending |
FY 2015 Recommended Spending |
Department of Public Health |
$1,295,175 |
$1,295,175 |
Budgetary Appropriations |
$1,295,175 |
$1,295,175 |
Totals |
$1,295,175 |
$1,295,175 |
Government Function: Health Coverage Related Services
Program Category: Health Market Oversight
Program: Health Care Access
For the purpose of providing regulatory oversight of the small group and individual health insurance markets in order to ensure the provision of affordable health plans including the dissemination of information to consumers relative to health insurance coverage and access to affordable insurance products.
Department |
FY 2014 Projected Spending |
FY 2015 Recommended Spending |
Division of Insurance |
$1,100,000 |
$1,100,000 |
Budgetary Appropriations |
$1,100,000 |
$1,100,000 |
Totals |
$1,100,000 |
$1,100,000 |
Government Function: Health Coverage Related Services
Program Category: Health Market Oversight
Program: Health Connector Administration and Operations
For the purpose of administering and operating the Commonwealth Health Insurance Connector Authority to support cost-containment of health insurance for students, individuals and small businesses and to support other state and federal health reform efforts aimed at decreasing the rate of uninsured persons in Massachusetts.
Department |
FY 2014 Projected Spending |
FY 2015 Recommended Spending |
Center for Health Information and Analysis |
$1,990,530 |
$1,971,494 |
Trust Spending |
$1,990,530 |
$1,971,494 |
Office of the Secretary for Administration and Finance |
$13,314,953 |
$15,280,189 |
Budgetary Appropriations |
$6,845,203 |
$0 |
Trust Spending |
$6,469,750 |
$15,280,189 |
Totals |
$15,305,483 |
$17,251,683 |
Government Function: Health Coverage Related Services
Program Category: Health Market Oversight
Program: Health Market Analysis
For the purpose of monitoring the Massachusetts health care system and providing reliable information and analysis to improve health care quality, affordability, access, and outcomes.
Department |
FY 2014 Projected Spending |
FY 2015 Recommended Spending |
Center for Health Information and Analysis |
$30,667,824 |
$31,467,859 |
Budgetary Appropriations |
$30,667,824 |
$31,467,859 |
Office of the Secretary for Administration and Finance |
$1,145,306 |
$0 |
Budgetary Appropriations |
$1,145,306 |
$0 |
Office of the State Auditor |
$431,250 |
$431,250 |
Budgetary Appropriations |
$431,250 |
$431,250 |
Totals |
$32,244,381 |
$31,899,109 |
Government Function: Health Coverage Related Services
Program Category: Health Market Oversight
Program: Health Market Information Technology Infrastructure
For the purposes of developing and operating critical health market information technology infrastructure systems with providers to support MassHealth, Medicaid, and other health information technology systems including the Massachusetts Health Information Exchange and Health Insurance Exchange Integrated Eligibility System.
Department |
FY 2014 Projected Spending |
FY 2015 Recommended Spending |
Information Technology Division |
$94,595,359 |
$69,476,671 |
Capital |
$94,595,359 |
$69,476,671 |
Office of the Secretary of Health and Human Services |
$1,125,000 |
$79,153,272 |
Budgetary Appropriations |
$1,125,000 |
$8,153,272 |
Trust Spending |
$0 |
$71,000,000 |
Totals |
$95,720,359 |
$148,629,943 |
Government Function: Health Coverage Related Services
Program Category: Health Market Oversight
Program: Pharmaceutical / Medical Device Regulation
For the purpose of supporting the Pharmaceutical and Medical Device Code of Conduct which establishes standards for certain interactions between the pharmaceutical/medical device industry and health care providers/health plan administrators.
Department |
FY 2014 Projected Spending |
FY 2015 Recommended Spending |
Department of Public Health |
$432,188 |
$432,188 |
Budgetary Appropriations |
$432,188 |
$432,188 |
Totals |
$432,188 |
$432,188 |
Government Function: Health Coverage Related Services
Program Category: Public Employees Health Coverage
Program: Dental and Vision Insurance for Current Commonwealth Employees
For the purpose of providing dental and vision insurance for current Commonwealth employees, including processing dental and vision insurance payments pursuant to collective bargaining agreements.
Department |
FY 2014 Projected Spending |
FY 2015 Recommended Spending |
Group Insurance Commission |
$8,510,705 |
$8,936,240 |
Budgetary Appropriations |
$8,510,705 |
$8,936,240 |
Human Resources Division |
$29,544,152 |
$30,943,517 |
Budgetary Appropriations |
$29,544,152 |
$30,943,517 |
Totals |
$38,054,857 |
$39,879,757 |
Government Function: Health Coverage Related Services
Program Category: Public Employees Health Coverage
Program: Health Insurance for Commonwealth Employees
For the purpose of providing health insurance for Commonwealth employees, their spouses, and dependents
Department |
FY 2014 Projected Spending |
FY 2015 Recommended Spending |
Group Insurance Commission |
$705,184,289 |
$699,173,874 |
Budgetary Appropriations |
$682,848,114 |
$697,837,699 |
Trust Spending |
$22,336,175 |
$1,336,175 |
Totals |
$705,184,289 |
$699,173,874 |
Government Function: Health Coverage Related Services
Program Category: Public Employees Health Coverage
Program: Health Insurance for Commonwealth Retirees and Survivors
For the purpose of providing health insurance for Commonwealth retirees, survivors, and their dependents.
Department |
FY 2014 Projected Spending |
FY 2015 Recommended Spending |
Group Insurance Commission |
$416,578,160 |
$421,072,210 |
Budgetary Appropriations |
$416,578,160 |
$421,072,210 |
Totals |
$416,578,160 |
$421,072,210 |
Government Function: Health Coverage Related Services
Program Category: Public Employees Health Coverage
Program: Health Insurance for GIC-covered Municipal Employees, Retirees, and Survivors
For the purpose of providing health insurance for participating municipal employees, retirees, survivors, and their dependents, including those who entered through municipal health reform.
Department |
FY 2014 Projected Spending |
FY 2015 Recommended Spending |
Group Insurance Commission |
$475,048,875 |
$516,487,513 |
Budgetary Appropriations |
$471,886,043 |
$513,324,681 |
Trust Spending |
$3,162,832 |
$3,162,832 |
Totals |
$475,048,875 |
$516,487,513 |
Government Function: Health Coverage Related Services
Program Category: Public Employees Health Coverage
Program: Health Insurance for Other GIC-covered Public Employees, Retirees, and Survivors
For the purpose of providing health insurance for employees, retirees, survivors, and their dependents for public entities such as housing and redevelopment authorities.
Department |
FY 2014 Projected Spending |
FY 2015 Recommended Spending |
Group Insurance Commission |
$128,210,737 |
$175,468,263 |
Budgetary Appropriations |
$128,210,737 |
$175,468,263 |
Totals |
$128,210,737 |
$175,468,263 |
Government Function: Health Coverage Related Services
Program Category: Public Employees Health Coverage
Program: Health Insurance for Retired Municipal Teachers and Elderly Government Retirees
For the purpose of providing health insurance coverage for retired municipal teachers and a small number of municipal and state retirees and survivors whose retirement predated the established of group insurance benefits for their governmental unit.
Department |
FY 2014 Projected Spending |
FY 2015 Recommended Spending |
Group Insurance Commission |
$61,679,418 |
$58,314,513 |
Budgetary Appropriations |
$61,679,418 |
$58,314,513 |
Totals |
$61,679,418 |
$58,314,513 |
Government Function: Health Coverage Related Services
Program Category: Public Employees Health Coverage
Program: Public Employee Insurance Administration and Operations
For the purpose of providing administration of insurance benefits to state, municipal, and other public agency employees, retirees, survivors, and their dependents.
Department |
FY 2014 Projected Spending |
FY 2015 Recommended Spending |
Group Insurance Commission |
$5,022,315 |
$5,582,585 |
Budgetary Appropriations |
$5,022,315 |
$5,582,585 |
Office of the Secretary for Administration and Finance |
$1,426,888 |
$1,438,602 |
Budgetary Appropriations |
$1,426,888 |
$1,438,602 |
Totals |
$6,449,203 |
$7,021,186 |
Government Function: Health Coverage Related Services
Program Category: Subsidized Health Coverage
Program: Commonwealth Care
For the purpose of maintaining access to affordable health insurance coverage for low-income residents of Massachusetts who are not eligible for Medicaid through a competitively procured health insurance premium assistance program.
Department |
FY 2014 Projected Spending |
FY 2015 Recommended Spending |
Office of the Secretary for Administration and Finance |
$556,969,656 |
$15,000,014 |
Budgetary Appropriations |
$286,337,510 |
$0 |
Trust Spending |
$270,632,146 |
$15,000,014 |
Totals |
$556,969,656 |
$15,000,014 |
Government Function: Health Coverage Related Services
Program Category: Subsidized Health Coverage
Program: Disabled Adults Health Coverage
For the purpose of providing health insurance to low-to-medium-income disabled adults for covered health care services.
Department |
FY 2014 Projected Spending |
FY 2015 Recommended Spending |
Office of the Secretary of Health and Human Services |
$3,382,514,352 |
$3,716,666,203 |
Budgetary Appropriations |
$3,321,639,352 |
$3,692,316,203 |
Trust Spending |
$60,875,000 |
$24,350,000 |
Totals |
$3,382,514,352 |
$3,716,666,203 |
Government Function: Health Coverage Related Services
Program Category: Subsidized Health Coverage
Program: Disabled Children Health Coverage
For the purpose of providing health insurance to disabled children of low-to-medium-income families for covered health care services.
Department |
FY 2014 Projected Spending |
FY 2015 Recommended Spending |
Office of the Secretary of Health and Human Services |
$707,878,918 |
$739,401,053 |
Budgetary Appropriations |
$699,253,918 |
$735,951,053 |
Trust Spending |
$8,625,000 |
$3,450,000 |
Totals |
$707,878,918 |
$739,401,053 |
Government Function: Health Coverage Related Services
Program Category: Subsidized Health Coverage
Program: Health Safety Net
For the purpose of reimbursing acute hospitals and community health centers for a portion of the cost of reimbursable health services provided to low-income, uninsured and underinsured residents.
Department |
FY 2014 Projected Spending |
FY 2015 Recommended Spending |
Office of the Secretary for Administration and Finance |
$30,000,000 |
$29,999,999 |
Budgetary Appropriations |
$15,422,968 |
$0 |
Trust Spending |
$14,577,032 |
$29,999,999 |
Office of the Secretary of Health and Human Services |
$320,000,000 |
$320,000,000 |
Trust Spending |
$320,000,000 |
$320,000,000 |
Totals |
$350,000,000 |
$349,999,999 |
Government Function: Health Coverage Related Services
Program Category: Subsidized Health Coverage
Program: Insurance Premium Payments and Subsidies
For the purpose of reducing the amount of out-of-pocket money paid for prescriptions and medical care for low- to medium-income individuals, families, and disabled persons.
Department |
FY 2014 Projected Spending |
FY 2015 Recommended Spending |
Department of Elder Affairs |
$16,988,821 |
$16,213,523 |
Budgetary Appropriations |
$16,988,821 |
$16,213,523 |
Office of the Secretary of Health and Human Services |
$316,030,142 |
$333,547,247 |
Budgetary Appropriations |
$316,030,142 |
$333,547,247 |
Totals |
$333,018,963 |
$349,760,770 |
Government Function: Health Coverage Related Services
Program Category: Subsidized Health Coverage
Program: Long Term Unemployed Health Coverage
For the purpose of providing health insurance to long term unemployed adults for covered health care services.
Department |
FY 2014 Projected Spending |
FY 2015 Recommended Spending |
Department of Unemployment Assistance |
$64,692,092 |
$63,217,823 |
Trust Spending |
$64,692,092 |
$63,217,823 |
Office of the Secretary of Health and Human Services |
$746,781,455 |
$0 |
Budgetary Appropriations |
$746,781,455 |
$0 |
Totals |
$811,473,547 |
$63,217,823 |
Government Function: Health Coverage Related Services
Program Category: Subsidized Health Coverage
Program: MassHealth Administration and Operations
For the purpose of operating the MassHealth (Medicaid) insurance program providing health care for low- to medium-income and disabled persons.
Department |
FY 2014 Projected Spending |
FY 2015 Recommended Spending |
Office of the Secretary of Health and Human Services |
$125,053,139 |
$131,426,374 |
Budgetary Appropriations |
$120,053,139 |
$126,426,374 |
Trust Spending |
$5,000,000 |
$5,000,000 |
Totals |
$125,053,139 |
$131,426,374 |
Government Function: Health Coverage Related Services
Program Category: Subsidized Health Coverage
Program: Medical Assistance and Delivery System Incentive Hospital Payments
For the purpose of providing hospitals and health networks with supplemental payments for costs incurred for serving low-income populations with serious medical needs in order to promote integrated delivery systems, innovative care methods, alternative payment models, and population-level healthcare services.
Department |
FY 2014 Projected Spending |
FY 2015 Recommended Spending |
Office of the Secretary of Health and Human Services |
$840,712,803 |
$819,491,307 |
Budgetary Appropriations |
$661,474,470 |
$622,261,307 |
Trust Spending |
$179,238,333 |
$197,230,000 |
Totals |
$840,712,803 |
$819,491,307 |
Government Function: Health Coverage Related Services
Program Category: Subsidized Health Coverage
Program: Non-Disabled Adults Health Coverage (ACA Expansion)
For the purpose of providing affordable health insurance coverage for low-income individuals and families who have become newly eligible for State Plan coverage in 2014 due to the implementation of the Affordable Care Act (ACA).
Department |
FY 2014 Projected Spending |
FY 2015 Recommended Spending |
Office of the Secretary of Health and Human Services |
$470,668,500 |
$1,345,130,427 |
Budgetary Appropriations |
$470,668,500 |
$1,345,130,427 |
Totals |
$470,668,500 |
$1,345,130,427 |
Government Function: Health Coverage Related Services
Program Category: Subsidized Health Coverage
Program: Non-Disabled Adults Health Coverage (Traditional Medicaid)
For the purpose of providing health insurance to low-to-medium-income non-disabled adults for covered health care services.
Department |
FY 2014 Projected Spending |
FY 2015 Recommended Spending |
Department of Elder Affairs |
$12,483 |
$0 |
Budgetary Appropriations |
$12,483 |
$0 |
Department of Unemployment Assistance |
$1,617,856 |
$179,818 |
Trust Spending |
$1,617,856 |
$179,818 |
Office of the Secretary of Health and Human Services |
$1,296,900,129 |
$1,851,303,968 |
Budgetary Appropriations |
$1,273,150,129 |
$1,841,803,968 |
Trust Spending |
$23,750,000 |
$9,500,000 |
Totals |
$1,298,530,468 |
$1,851,483,787 |
Government Function: Health Coverage Related Services
Program Category: Subsidized Health Coverage
Program: Non-Disabled Children Health Coverage
For the purpose of providing health insurance to non-disabled children of low-to-medium-income families for covered health care services.
Department |
FY 2014 Projected Spending |
FY 2015 Recommended Spending |
Office of the Secretary of Health and Human Services |
$2,090,239,529 |
$2,088,464,924 |
Budgetary Appropriations |
$2,058,489,529 |
$2,075,764,924 |
Trust Spending |
$31,750,000 |
$12,700,000 |
Totals |
$2,090,239,529 |
$2,088,464,924 |
Government Function: Health Coverage Related Services
Program Category: Subsidized Health Coverage
Program: Seniors Health Coverage
For the purpose of providing health insurance to low- to medium-income seniors. Services are designed to provide comprehensive medical and social services to frail elders so that they are able to live in their communities instead of in nursing homes.
Department |
FY 2014 Projected Spending |
FY 2015 Recommended Spending |
Department of Elder Affairs |
$3,227,410,466 |
$3,478,189,454 |
Budgetary Appropriations |
$3,227,410,466 |
$3,478,189,454 |
Totals |
$3,227,410,466 |
$3,478,189,454 |
Government Function: Health Coverage Related Services
Program Category: Subsidized Health Coverage
Program: State-Subsidized Wrap-around Program
For the purpose of reducing health insurance premiums for individuals and small businesses in Massachusetts by offering competitive subsidies through eligible health insurance carriers to reduce the cost of health insurance coverage for low-income residents who are not eligible for Medicaid.
Department |
FY 2014 Projected Spending |
FY 2015 Recommended Spending |
Office of the Secretary for Administration and Finance |
$61,219,639 |
$235,437,266 |
Budgetary Appropriations |
$31,472,952 |
$0 |
Trust Spending |
$29,746,687 |
$235,437,266 |
Totals |
$61,219,639 |
$235,437,266 |
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