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Budget Recommendations

Department of Elder Affairs

Health and Human Services
         Department of Elder Affairs
Account Description
FY06
GAA
FY07
House 2
 
Prescription Advantage  
   9110-1455   For the costs of the drug insurance program authorized by section 39 of chapter 19A of the General Laws; provided, that amounts received by the department of elder affairs' vendor as premium or enrollment fee revenue for this program may be retained and expended by the vendor for the purposes of the program; provided further, that notwithstanding any general or special law to the contrary, unless otherwise prohibited by state or federal law, prescription drug coverage or benefits payable by the department of elder affairs, and the entities with which it has contracted for administration of the subsidized catastrophic drug insurance program pursuant to the provisions of said section 39 of said chapter 19A shall be the payer of last resort for such program for eligible persons with regard to any other third party prescription coverage or benefits available to such eligible persons; provided further, that said program is subject to appropriation; provided further, that expenditures shall not exceed the amount authorized herein in fiscal year 2007; provided further, that the department of elder affairs may take steps for the coordination of benefits with the Medicare prescription drug benefit created pursuant to the Medicare Prescription Drug Improvement and Modernization Act of 2003, to ensure that Massachusetts residents take advantage of said benefit; and provided further, that the department of elder affairs may provide assistance for prescription drug costs to enrollees who qualify for Medicare Part D as well as assistance for premiums, deductibles, payments, and co-payments required by Medicare prescription drug plans and Medicare Advantage prescription drug plans, and assistance for deductibles, payments, and co-payments required by other plans which provide creditable prescription drug coverage as defined by section 104 of said Medicare Modernization Act, and which provide coverage of the cost of prescription drugs actuarially equal to or better than that provided by Medicare Part D 92,249,126 59,572,979
 
 
 Reduced funding to support Medicare Part D implementation.