Governor Deval Patrick's Budget Recommendation - House 2 Fiscal Year 2015

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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