Tag: medicare (united states)

Democrats vow to challenge ban on gender-affirming care

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BOSTON — Foreshadowing a legal challenge, Massachusetts Attorney General Campbell is joining a chorus of criticism over the Trump administration’s move to effectively ban gender-affirming care for minors at hospitals that depend on federal funding.

On Thursday, the U.S. Department of Health and Human Services and Centers for Medicare and Medicaid Services issued new regulations that would once finalized, restrict the use of puberty blockers, hormone therapy and surgical interventions for transgender children.

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By Christian M. Wade | Statehouse Reporter

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December 22, 2025
State seeks piece of $50B rural hospital fund

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BOSTON — Massachusetts is chasing after a slice of a $50 billion federal fund created as part of President Donald Trump’s tax and policy bill to help offset the impact of looming Medicaid cuts on rural health care systems.

The Centers for Medicare & Medicaid Services launched its Rural Health Transformation Program last month, encouraging states to apply for a slice of the funding to “reimagine care delivery and develop innovative, enduring, state-driven solutions to tackle the root causes of poor health outcomes specific to rural America.”

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By Christian M. Wade | Statehouse Reporter

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October 6, 2025
Medicaid cuts create concern for North Shore nursing homes

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PEABODY — The One Big Beautiful Bill Act signed by President Donald Trump last month is causing concern among residents and caregivers at a local nursing home who rely on Medicaid.

Medicaid provides health care coverage to low-income individuals and families, and about every six in 10 nursing home residents in America rely on the program to pay for such care, according to KFF, a national non-partisan policy research center.

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By Caroline Enos | Staff Writer

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August 8, 2025
Cape Ann news in brief

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Listings may be sent to: Goings On, Gloucester Daily Times, 36 Whittemore St.,Gloucester, MA 01930, or emailed to Joann Mackenzie at jomackenzie@gloucestertimes.com, at least two weeks prior to an event.

Science writing contest

High school students interested in astronomy and space exploration are invited to enter a new astronomical science writing contest. Accepted genres for entries include research reports, news stories, essays, biographical profiles, book reviews, speculative fiction, dramatic scripts, poems, and musical lyrics. Submitted pieces should be 500 to 2,500 words in length, depending on the genre. Submission deadline is March 15.

Details about prizes and publishing opportunities may be found at https://bit.ly/4duz8AN.

More information on submissions including topical prompts may be found at https://bit.ly/3MXaD4x.

The contest is co-hosted by The Galactic Inquirer, a free online journal on diverse astronomical topics, the American Astronomical Society,vthe International Astronomical Union’s Office of Astronomy for Education, and the Slooh remote telescopes service.

Home upgrades

Essex County Habitat for Humanity’s Critical Home Repair/Aging in Place program can — by using volunteers, donated construction materials and flexible sources of funding — offer very affordable house repairs to help Gloucester seniors age in place. The projects typically take a week, and the homeowner can usually continue living in the home while the work is done. Upgrades include wheelchair ramps, weatherization, handicap features, repairing structural rotting, stairs, roofing, etc. The program is not limited to elder and/or disabled homeowners, and does repairs necessary to maintain sound condition of the home, weatherization and energy efficiency, those needed to alleviate critical health, life and safety issues or code violations, and those that will help older adults age safely in their homes. Habitat staff inspects the property and determines financial qualifications based on total household income. If physically able, the homeowner must contribute sweat equity hours and the home must be owner-occupied. Learn more at https://www.essexcountyhabitat.org/critical-home-repair-program/.

Teen task force

High school students of all faiths are invited to join Lappin Foundation’s Teen Antisemitism Task Force. Students will hear from experts about ways they can combat antisemitism and all forms of hate, as well as put into action what they learn. There will be opportunities for teens to share their experiences and ideas as well. Meetings will be held Tuesdays from 7:30-8:30 p.m., once a month. For the complete calendar and list of speakers, visit LappinFoundation.org. There is no cost to join the task force and students can attend meetings as their schedules allow. For more information email dcoltin@lappinfoundation.org. The Teen Antisemitism Task Force is supported by CJP and the Jewish Teen Initiative.

For job seekers

If you need help with your resume, cover letter, or some job searching advice, contact jobseeker@sawyerfreelibrary.org or call 978-325-5500 to make an appointment for in-person resume and cover letter assistance with a librarian. Computers, Chromebooks, tablets, Wi-Fi Hotspots, printing, photocopying, scanning, and saving via email and flash drive are all free at the Sawyer Free Library at 21 Main St. Questions? Visit sawyerfreelibrary.org or 978-325-5500.

ClamFest

ESSEX — The 39th Annual Essex ClamFest and Arts & Crafts Festival is 11 a.m. to 4 p.m. Saturday, Oct. 26, at Shepard Memorial Park, 24 Martin St, Essex. While the events are free, for $15 festival goes can sample tastes of Cape Ann’s finest chowders from noon to 1 p.m. and vote for their favorites. Tasting only while supplies last. Lots of fun activities, arts and crafts vendors, live entertainment and plenty of food vendors on-site. Visit capeannchamber.com

At Halibut Point

ROCKPORT — Rockport’s Halibut Point State Park is a coastal gem of the state Department of Conservation and Recreation, with free programs offered to the public. Fall is a particularly beautiful time to visit this singular seascape at 4 Gott Ave., Rockport, just off Route 127. An adult must accompany children. To book guided group tours please call 978-546-2997, visit or halibut.point@mass.gov Follow the park at @massdcr X (Twitter) and Instagram. ADA/reasonable accommodations.

Halibut Rocks! Geology at the Point, Sundays, Oct. 27, 10 a.m. to noon. Meet at visitors center, billions of years of geological evolution under your feet at this extraordinary seascape. Ages 8-plus. Rain cancels.

Atlantic Path trek, Sunday, Nov. 17, 11:30 a.m. to 3 p.m., meet at parking area. Great bird watching, curious geology, incredible views. Advisory: gorgeous but uneven rocky coastline. Prepare accordingly. Bring snacks/water. No amenities along the way. Rain Cancels. Ages 12 and older.

Halibut Point Tower Talk, Saturday, Dec. 7, noon to 2 p.m. During World War II, Halibut Point’s tower provided valuable coastal defense. Learn its history. Ages 12 and older, all abilities.

Halloween Mass

On Sunday, Oct. 27, at 11:45 a.m., Our Lady of Good Voyage Church, 142 Prospect St., welcomes all parents, grandparents, and children to join Father Jim for its third annual Halloween Faith & Family Mass, followed by treats on the lawn. Halloween is often described as a pagan holiday, but this is contrary to its true meaning and authentic origins. The word hallow actually means holy. All Hallows Eve is really a Catholic holiday with roots in both celebrating the lives of the saints and praying for the souls of our departed brothers and sisters. Following the mass, there will be treats on the lawn.

Drug Take-back Day

Monday, Oct. 26, is National Drug Take-Back Day and here in Gloucester, from 10 a.m. to 1:30 p.m., the Rose Baker Senior Center will host a collection site in its back lot at 6 Manual F. Lewis Street. The event will also serve to educate people on drug prevention strategies. All drug drop-offs are anonymous; no information is required. The service is free. Items accepted include prescription and over-the-counter medication, medication samples, vitamins, narcotics and liquid medication. Please note: Needles, thermometers, intravenous bags, infected or bloody material or inhalers will not be accepted.

Pancake Breakfast

ROCKPORT — Bring your appetite to Pigeon Cove Circle’s “all-you-can-eat” pancake breakfast Saturday, Oct. 26, from 8 to 11 a.m., 6 Breakwater Road, Rockport. On the menu are buttermilk, blueberry and buckwheat pancakes with sausage a real maple syrup. All for just $12. And at the bake table, everyone’s favorite Nisu.

Archaeological dig

Archaeologists from the Fiske Center for Archaeological Research at University of Massachusetts Boston will excavate land around the Babson-Alling House on Cape Ann Museum Green. (CAM Green) From 10 a.m. to 2 p.m., on Oct. 25, 26, and 31, the public is invited to observe the excavations which promise to uncover new information about the history of the site. The Georgian house was built by William Allen in 1740 and acquired by the Cape Ann Museum in 2019. The findings will be discussed on Nov. 23 at 3:30 p.m., as part of the CAMTalk: History Series, with Christa Beranek and Laura Paisley of the Fiske Center for Archaeological Research at UMass Boston. Admission is free at CAM Green, 13 Poplar St., Gloucester. Please note: parking is limited..

‘Tell-tale Heart’

From Oct. 24 to 27, the Gloucester Stage Company, 267 East Main St., Gloucester, presents an Edgar Allan Poe Double Header to put you in the mood for Halloween. Created and performed by Livy Scanlon and presented in partnership with The Hanover Theatre Reparatory, this imaginative one-person retelling of “The Tell-Tale Heart” and “The Cask of Amontillado” is staged as a seance, inviting audiences to conjure two of Poe’s darkest tales. This production runs for one hour with no intermission and is best best for adults and ages 13-plus. For tickets and information, and for schools interested in student matinees, visit gloucesterstage.com oremail Natascha Tretter at natascha@gloucesterstage.com.

At Manchester library

MANCHESTER-BY-THE-SEA — Fall is underway and with it, new programs and events at Manchester Public Library, 15 Union St., and new Sunday hours, 1-4 p.m. through April. Check out the schedule below and save the dates. Unless otherwise noted, all events will take place at the library. To register, visit www.manchesterpl.org, or call the library at 978-526-7711.

Lego Time, Mondays, 3:30 to 4:30 p.m. Drop-in, unstructured Lego building fun for kids ages 6 and older.

Cookbook Club, Saturday, Oct. 26, noon to 1 p.m., meets once a month to share recipes from a cookbook off our library shelves. October’s pick is “Diasporican : A Puerto Rican Cookbook” by Illyanna Maisonet. This month we are celebrating Hispanic Heritage Month with recipes. Questions? Call 978-526-7711.

Job search help, Monday, Oct. 28, 2 to 3 p.m. 10 Essential Ways To Avoid Job Scams & Conduct A Productive Modern Search (Virtual. Register on our website or by calling 978-526-7711.

Dungeons and Dragons for Adults (Virtual), Monday, Oct. 28, 7 to 9 p.m. Whatever your level, MBTS’s Head of Adult and Reference Services — Maddy — will be your Game Master.

Talent Show

Spaulding Education Fund’s “Night of Stars” talent show is all set for Saturday, Nov. 2, in the Manchester Essex Regional High School auditorium from 4-7 p.m. The entire North Shore community is invited. Performers of all ages may audition — details can be found at https://www.spauldingeducationfund.org/events. Special early-bird pricing is available until Oct. 25.

Blood drives

The American Red Cross urges blood and platelet donors, especially those with type O blood and donors giving platelets, to make and keep donation appointments now to help hospitals restock blood products for patients. As a thank-you, all who give through Oct. 31 will receive a $10 Amazon.com Gift Card by email, plus be automatically entered for a chance to win one of three $5,000 gift cards. For full details, visit RedCrossBlood.org/Treat.

For details on giving, visit RedCrossBlood.org/Help.

Wednesday, Oct. 30: 2-7 p.m., Magnolia Library & Community Center, 1 Lexington Ave., Gloucester.

Tuesday, Nov. 12: 2-7 p.m., Magnolia Library & Community Center, 1 Lexington Ave., Gloucester.

Thursday, Nov. 14: 9 a.m. to 2 p.m., Ipswich Community Center, 25 Green St., Ipswich.

Friday, Nov. 15: Noon to 5 p.m., Our Lady of Good Voyage, 142 Prospect St., Gloucester.

Monday, Nov. 18: 10 a.m. to 3 p.m., True North Ale Company, 116 County Road, Ipswich.

Appointments also are available at other locations and at the Danvers Blood Donation Center, 99 Rosewood Drive in Danvers, and by calling 800-733-2767, visiting redcrossblood.org or using the Red Cross Blood Donor App.

Exchange open

The Annisquam Exchange opens its doors Wednesday through Friday, 10 a.m. to 4 p.m. and Saturday, 10 a.m. to 2 p.m., through October. Offering Folly Cove designs, silver, collectibles, estate pieces, linens, fine jewelry, kitchenware, cards, Annisquam apparel from Annisquam Sewing Circle, artworks, toys, candy, and more, at 32 Leonard St. in Gloucester. To learn more, visit www.annisquamexchange.com or email annisquamexchange@gmail.com.

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jomackenzie@gloucestertimes.com (Joann Mackenzie)

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October 31, 2024
Mass. Democrats praise Harris’ VP pick

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BOSTON — Massachusetts Democrats are praising Vice President Kamala Harris for choosing Minnesota Gov. Tim Walz as her running mate in the upcoming presidential election.

Harris made the announcement on Tuesday morning, ending weeks of speculation about her pick for a second-in-command to challenge former Republican President Donald Trump and his running mate, Sen. J.D. Vance, R-Ohio, as Democrats seek to hold onto the White House after incumbent President Joe Biden bowed out of the race.

“Tim is a battle-tested leader who has an incredible track record of getting things done for Minnesota families. I know that he will bring that same principled leadership to our campaign, and to the office of the vice president,” Harris said in a statement.

Walz, 60, is a military veteran, former public school teacher and six-term congressman. He was first elected as Minnesota’s governor in 2018 after defeating an incumbent candidate, a rare feat in the conservative-leaning, largely rural state.

Gov. Maura Healey, a first-term Democrat and former surrogate for President Joe Biden, called Walz a “person of deep integrity and empathy” and lauded him as a “champion for the working families of his state (who) brings a common-sense approach to getting things done for the people he serves.”

“Kamala Harris and Tim Walz will build a country where people have the ability to not just get by, but get ahead. They will grow our economy, reduce the costs of housing and prescription drugs, and create jobs in every part of this country,” Healey said in a statement.

“They are the team we can trust to protect Social Security, Medicare, and the Affordable Care Act. And they will make sure every woman has access to the health care she needs,” she added.

Rep. Lori Trahan called Walz an “excellent choice” and lauded his work on veterans affairs, education, gun safety and expanding benefits for workers.

“He passed free school meals to make sure children don’t go hungry, gun safety laws to protect kids at school and in their communities, and paid leave for workers,” Trahan, a Westford Democrat, said in a statement. “We have a strong, proven ticket in Kamala Harris and Tim Walz who are ready to take our message for a better future directly to the American people.”

Rep. Seth Moulton called him a “committed veteran, leader, and friend” and said the Harris-Walz ticket will “fight to unite America and make our country better.”

“A tireless advocate for our troops, he knows how to stand up for those who have been left behind – or simply not appreciated for all they do for America,” the Salem Democrat said. “This election is a choice between community and chaos, between expanding freedoms for Americans or restricting them, between standing with our friends and allies or shirking responsibility and trust.”

Sen. Elizabeth Warren said Walz is a “terrific pick” for Harris’ second-in-command and also praised his accomplishments as a governor.

“As a former teacher, veteran, and one of the most effective governors in America, Walz has a strong track record of putting government on the side of working families,” Warren, a Cambridge Democrat, posted on X. “I’m all in for Harris-Walz!”

Sen. Ed Markey called Walz a “working class champion” and said he has the experience to help Kamala Harris lead our nation and deliver on the promises of a livable future for our people and planet.”

“We now have the ticket that will bring us to victory on Election Day,” the Malden Democrat posted on social media.

At least one Newburyport Democrat is also hailing the pick as a win for the ticket.

“I think Tim Walz was a great choice. He has fantastic experience that is very different from hers. He is a smart, honorable and highly qualified VP candidate,” Karen Trowbridge, Newburyport Democratic City Committee chair, said.

Trowbridge went on to say she believes the Democratic Party will unite behind Walz just as they united behind Harris.

“Democrats should feel proud and optimistic today,” she said.

The Trump campaign blasted Walz, as a “dangerously liberal extremist,” while warning that their vision for the country is “every American’s nightmare.”

“By picking Tim Walz as her running mate, Kamala Harris not only bent the knee to the radical left, she doubled down on her dangerously liberal, weak, and failed agenda,” Brian Hughes, the Trump campaign senior adviser, said in a statement.

“Walz would be a rubber stamp for Kamala to wage war on American energy, continue aiding and abetting an invasion on our border, and embolden our adversaries as the world is brought to the brink of World War III.”

Daily News editor Dave Rogers contributed to this report.

Christian M. Wade covers the Massachusetts Statehouse for North of Boston Media Group’s newspapers and websites. Email him at cwade@cnhinews.com.

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By Christian M. Wade | Statehouse Reporter

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August 7, 2024
Few prepared to cover long-term care costs

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Editor’s note: The share of the U.S. population older than 65 keeps rising – and will for decades to come. Since nearly half of Americans over 65 will pay for some version of long-term health care, CNHI News and The Associated Press examined the state of long-term care in the series High Cost of Long-Term Care, which began Friday and continues this week.

While many Americans will need long-term care as they get older, few are prepared to pay for it.

Medicare, which provides Americans over the age 65 with health insurance, doesn’t cover most long-term care services. And Medicaid — the primary safety net for long-term care coverage — only covers those who are indigent.

Federal estimates suggest 70% of people ages 65 and older will need long-term care before they die, but only 3% to 4% of Americans age 50 and older are paying for long-term care policies, according to insurance industry figures.

The high cost of premiums for those private long-term care policies puts it out of reach for most people.

Even some who have this kind of insurance find it doesn’t provide enough to cover the costs of home health aides, assisted-living facilities or nursing homes.

“People think that long-term care insurance is for everyone — but it is not,” said Jessie Slone, executive director of the American Association for Long-term Care Insurance, an advocacy group. “It’s for a very small subset of individuals who plan, and have some retirement assets and income they can use to pay for it.”

To qualify, applicants need to pass a health review. Slone said insurance companies have underwriting policies with “page after page” of conditions that will disqualify people from getting that coverage.”If you live a long life, the chances of you needing care are significant. So then the issue becomes who’s going to provide for that care, and who’s going to pay for it. For some, long-term care insurance is an option.”

Prices vary, based on the age when people apply, how good their health is at the time, and how much coverage they want. “You have to start looking at this generally in your 50s or 60s,” Slone said. “Because, as you get older, you’re going to have conditions which insurers are going to look at, determine that you’re very likely to need long-term care and not give you a policy.”

That coverage, if you can get it, doesn’t come cheap: In 2023, the annual average cost for a policy for a couple both age 55, taking out a $165,000 initial pool growing at 3% compounded annually — ranged from a low of $5,018 to $14,695 a year, according to the association.

But, compared to auto insurance — which most people may never use — long-term care insurance is a good investment for those who can afford it, Slone said. “Car insurance is the most expensive insurance you ever pay because the chances of you getting into a car accident are somewhat remote. But the chances of someone needing long-term care if they make it to 90 are pretty significant.”

Lori Smetanka, executive director of the National Consumer Voice for Quality Long-Term Care, a national nonprofit advocacy group, views it differently. She said the private long-term care insurance system has become a “bust” amid rising premiums and difficulties accessing benefits.

Consider the fact that the number of companies offering long-term care insurance is declining, while payouts are steadily increasing as the baby boomer generation ages.”Most people have found it very expensive,” Smetanka said. “But, at the same time, people are finding that it wasn’t covering what they needed.”

Last year, insurers paid a record of more than $14 billion to cover an estimated 353,000 long-term care claims, according to industry figures. That’s compared to about $11.6 billion just three years ago.

Currently, there are about 7.5 million people in the U.S. age 65 and older with private long-term care insurance, according to industry data.

With that incentive, some states, including Washington and California, are looking at creating long-term care social insurance pools funded by payroll taxes and other sources of funding. The effort also is being spurred, in part, by the rising costs borne by states for Medicaid long-term care coverage, which they share with the federal government.

“More and more states are coming to the conclusion that this is an under-funded system,” said Marc Cohen, a researcher and co-director of the LeadingAge LTSS Center at the University of Massachusetts at Boston. “There are simply not enough dollars going into the system – given the needs and the demands of the growing elderly population.”

So far, Washington is the only state to try to address the issue. A law approved by the state Legislature in 2019 created a long-term care benefit program, which provides residents with up to $36,500 to pay for costs such as caregiving, wheelchair ramps, meal deliveries and nursing home fees.

The Cares Funds is covered by a payroll tax that deducts 0.58% out of paychecks but guarantees a $36,500 lifetime benefit for those who have paid into the fund for 10 years.

Several other states are studying the issue. In California, a task force is looking at how to design a long-term care program, according to the National Conference of State Legislatures. Massachusetts, Illinois and Michigan also are weighing the costs versus benefits of creating a state long-term care benefits program.

But the issue of imposing new taxes to pay for long-term care insurance is controversial — and politically unpopular — on both a state and federal level.

Washington’s long-term care insurance law is facing a repeal effort from a group backed by hedge fund executive Brian Heywood that argues the system should be voluntary. Voters in November will decide whether to allow people to opt out, which supporters say would essentially gut the program.

“There are a lot of states that are looking to see what happens in Washington,” Cohen said. “If this billionaire who is funding this repeal effort wins, it will be a real blow.”

Cohen said efforts on a federal level to create a publicly funded insurance pool haven’t gained much traction. A long-term care program created by Congress through the CLASS Plan, which was tied to the Affordable Care Act, was voluntary. That law was repealed in early 2013.

“It never got off the ground before it was repealed,” he said. “With the dysfunction in Congress, we’re likely to see more action on a state level than the federal.”

Recent polls suggest there may be some public support for the move. A survey by the National Council on Aging found more than 90% of the 1,000 female respondents across party lines support the idea of creating a government program to pay for the cost of long-term care.

“The level of support was significant, and very bipartisan,” said Howard Bedlin, a long-term care expert with the council. “People keep talking about how Congress can’t find bipartisan support. Well, the voters clearly support it.

“The politicians just aren’t giving these issues the attention they deserve.”

Christian M. Wade is a reporter for North of Boston Media Group.

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By Christian M. Wade | CNHI News

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May 30, 2024
Safety net hospital fund shortfall widening

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BOSTON — Lawmakers are seeking more support for the state’s safety net hospitals amid rising concerns about the fiscal health of a fund that helps cover medical costs for large numbers of uninsured and low-income patients.

Hospitals and health insurers pay into the so-called safety net fund – a pool of money that helps fund care for hundreds of thousands of low-income residents who are uninsured or underinsured – with the state chipping in additional funding. But if the fund runs low, hospitals are on the hook for the shortfall.

The fund is projected to have a shortfall of more than $220 million in the upcoming fiscal year, hospitals say, rising to the highest level in nearly two decades.

Without additional funding, financially challenged hospitals will be forced to cover the deficit, leaving less money to provide medical care for low-income and uninsured patients, they say.

An amendment to the Senate’s version of the $57.9 billion state budget filed by Sen. Barry Finegold, D-Andover, would require commercial health insurance companies to cover 50% of any revenue shortfalls in the safety net fund.

“We need to do something to help our local hospitals,” Finegold said. “This is part of a long-term problem with funding for hospitals that serve the state’s most vulnerable residents. We need to fix it.”

Many earmarks

Finegold’s proposal is one of more than 1,000 amendments to the Senate’s budget, many of them local earmarks seeking to divert more state money to local governments, schools, cash-strapped community groups and nonprofits. Only a handful will likely make it into the Senate’s final spending package.

The plan faces pushback from the Massachusetts Association of Health Plans, which represents commercial insurers who would be impacted by the proposed changes to the hospital safety net program.

Lora Pellegrini, the group’s president and CEO, said requiring insurers to cover the fund’s shortfalls would jeopardize negotiations between the state Department of Health and Human Services and the U.S. Centers for Medicare and Medicaid Services that seek to reduce assessments paid by medical insurance carriers.

“This really came out of nowhere, and would be counterproductive to those efforts,” she said. “We have a committee process for a reason and that’s where these kinds of special interest issues should be vetted, not in the budget.”

But the move is backed by the Massachusetts Health and Hospital Association, which says requiring insurers to cover the shortfall would help alleviate an “unmanageable financial burden” on the health care system “by broadening funding support for the program.”

“The Health Safety Net is a vital component of Massachusetts’ healthcare infrastructure and its ability to cover the costs of care for low-income and uninsured patients,” Daniel McHale, MHP’s vice president for Healthcare Finance & Policy, said in a statement.

“At this increasingly fragile time for the entire health care system, it is imperative that we take the steps needed to stabilize the safety net for the people and providers who rely on it each day.”

Local hospitals affected

The state’s safety net hospitals and community health centers – which include Lawrence Hospital, Salem Hospital, Holy Family Hospital in Methuen and Anna Jaques Hospital in Newburyport – serve a disproportionate percentage of low-income patients.

Many are heavily dependent on Medicaid reimbursements, which are typically less than commercial insurance payouts.

Nearly 30% of Lawrence General’s gross revenue is for care provided to Medicaid, or MassHealth, patients. The state average is 18%.

Many community hospitals are collecting from low-paying government insurance programs, and getting below-average reimbursements from commercial insurers, advocates say.

Lawmakers also swept money from the hospital safety net fund to help cover the costs of new Medicare savings programs that pay some or all of eligible senior citizen’s premiums and other health care costs, including prescriptions.

Hospitals are also seeing increased demand from uninsured patients as hundreds of thousands of Medicaid recipients see their state-sponsored health care coverage dropped following the end of federal pandemic-related programs, which is driving up costs. Claims processing problems are another factor adding to hospital costs, they say.

Those and other factors have widened the fund’s shortfall from $68 million in fiscal 2022 to more than $210 million in the previous fiscal year, according to the hospital association. Combined, the shortfall could reach $600 million for the three fiscal years, the association said.

Biggest expense

The House, which approved its $58.2 billion version of the state budget two weeks ago, proposed $17.3 million in state funding for the hospital safety net fund. The Senate, which begins debate on its version of the budget next week, has proposed a similar amount.

In the current budget, the state allocated $91.4 million for the safety net fund.

But the House budget didn’t include an amendment requiring insurers to help hospitals pay the shortfall. That means even if the Senate approves Finegold’s amendment, it would still need to be negotiated as part of the final budget before landing on Gov. Maura Healey’s desk for consideration.

Health care coverage, in the meantime, is one of the state’s biggest expenses. Medicaid costs have doubled in the past decade and now account for nearly 40% of state spending.

MassHealth serves more than 2 million people – roughly one-third of the state’s population – despite federal Medicaid redeterminations that have reduced its rolls over the past year.

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By Christian M. Wade | Statehouse Reporter

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May 18, 2024