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MassHealth Program Changes

SECTION 44.   (A) Section 25 of chapter 118E of the General Laws, as appearing in the 2008 Official Edition, is hereby amended by striking out, in lines 73, 75 and 79, the figure "$3 "and inserting in place thereof in each instance the following figure:- $5.

(B) Section 6 of chapter 118H of the General Laws, as so appearing, is hereby amended by striking out, in lines 11 to 16, the words "a copayment toward the purchase of each pharmaceutical product and for use of emergency room services in acute care hospitals for nonemergency conditions equal to that required of enrollees in the MassHealth program, as described in clause (5) of section 25 of chapter 118E" and inserting in place thereof the following words:- copayments equal to those required of enrollees in the MassHealth program.

(C) Notwithstanding section 53 of chapter 118E of the General Laws or any general or special law to the contrary, the secretary of health and human services may manage the MassHealth program within the appropriated levels in items 4000-0430, 4000-0500, 4000-0600, 4000-0700, 4000-0870, 4000-0875, 4000-0880, 4000-0890, 4000-0895, 4000-0950, 4000-0990, 4000-1400 and 4000-1405 by restructuring benefits to the extent permitted by federal law.

(D) Notwithstanding any general or special law to the contrary, the secretary of health and human services may make expenditures for which federal reimbursement is unavailable for (1) the equivalent of MassHealth Standard benefits for children under age 21 who are in the care or custody of the department of youth services or the department of children and families, and (2) dental benefits provided to clients of the department of developmental services who are age 21 or over.
 
 

Summary:
This section allows the Secretary of Health and Human Services to: * restructure MassHealth benefits within state appropriation limits and as allowed by federal law; * increase MassHealth co-pays from $3 to no more than $5 (Commonwealth Care co-pays will change to the same extent); and * make expenditures that are not federally reimbursable for certain DYS, DCF and DDS clients.