For the commonwealth's share of the group insurance premium and plan costs incurred in fiscal year 2026; provided, that funds may be expended from this item for the commonwealth's share of group insurance premium and plan costs provided to employees and retirees in prior fiscal years; provided further, that notwithstanding any general or special law to the contrary, funds in this item shall not be available during the accounts payable period of fiscal year 2026 and any unexpended balance in this item shall revert to the General Fund on June 30, 2026; provided further, that funds may be expended from this item for elderly retired governmental employees and retired municipal teachers; provided further, that the commission may pay premium and plan costs for municipal employees and retirees who are enrolled in the commission's health plans under the commission's regulations; provided further, that the rules for determining the commonwealth's share of the group insurance premiums for active and retired state employees shall be the same as the standards in effect on July 1, 2012; provided further, that notwithstanding
section 26 of chapter 29 of the General Laws, the commission may negotiate, purchase and execute contracts before July 1 of each year for policies of group insurance under
chapter 32A of the General Laws; provided further, that the group insurance commission shall obtain reimbursement for premium and administrative expenses from other agencies and authorities not funded by state appropriations; provided further, that the secretary of administration and finance shall charge the department of unemployment assistance and other departments, authorities, agencies and divisions which have federal or other funds allocated to them for this purpose for that portion of insurance premium and plan costs as the secretary determines shall be borne by such funds and shall notify the comptroller of the amounts to be transferred, after similar determination, from the several state or other funds and amounts received in payment of all such charges or transfers shall be credited to the General Fund; provided further, that the secretary of administration and finance may charge all agencies for the commonwealth's share of the health insurance costs incurred on behalf of any employees of those agencies who are on leave of absence for a period of more than 1 year; provided further, that the amounts received in payment for the charges shall be credited to the General Fund; provided further, that not less than 90 days before any changes in coverage, benefits or the schedule of copayments and deductibles for plans offered by the group insurance commission, the commission shall notify the house and senate committees on ways and means; and provided further, that not later than March 3, 2026, the commission shall report to the house and senate committees on ways and means on: (i) the average full cost premium equivalent per enrollee; (ii) the average actual cost per enrollee for enrollees from participating municipalities; (iii) the contribution ratios for each participating municipality for fiscal year 2026; (iv) the number of members in high deductible health plans; (v) the premium reimbursement paid by each municipality per active enrollee by plan; (vi) the average employee premium contribution by plan for each municipality; (vii) estimates for the total premium per active enrollee by plan for each municipality; (viii) the average employee out--of--pocket expenditure and premium contribution by salary level of employees; (ix) a comparison of the total premium estimate with the sum total of municipality reimbursement and average employee premium contribution; (x) the total amount spent on pharmaceutical drugs; and (xi) the cost of the commonwealth's projected share of premiums for the next fiscal year
