A communication from the Executive Office of Health and Human Services (see Section 2WWWW of Chapter 29 of the General Laws) submitting the MassHealth Non-Acute Care Hospital Reimbursement Trust Fund report for fiscal year 2025

194th Legislature (2025-2026)

Provides an auditable accounting of MassHealth Non-Acute Care Hospital Assessment Trust Fund activities for Hospital Rate Year 2024.

Placed on file

Summary of Bill HD 5814 (194th Massachusetts Legislature)

Purpose and Intent

The bill constitutes a communication from the Massachusetts Executive Office of Health and Human Services (EOHHS), specifically the Office of Medicaid, transmitting the MassHealth Non-Acute Care Hospital Reimbursement Trust Fund report for fiscal year 2025.

It fulfills a statutory requirement under Section 2WWWW of Chapter 29 of the General Laws to provide an accounting of fund activity, including transfers, credits, deposits, unspent balances, and the relationship of assessments and payments by hospital classes.

Key Provisions and Content

The document attached to the bill provides an accounting for MassHealth’s Non-Acute Care Hospital Assessment Trust Fund for Hospital Rate Year 2024 (October 1, 2023 – September 30, 2024).

For each class of hospitals, the report includes:

Amounts transferred, credited, deposited into the fund, and withdrawn from the fund.
Reasons for any unspent amounts remaining in the fund.
An analysis of the assessment amounts paid by each class of hospitals and the corresponding payments received by each class.

The report is intended to be an informational, auditable record rather than a regulatory change or policy adjustment.

Affected Entities and Stakeholders

Hospitals subject to the Non-Acute Care Hospital Assessment and the associated MassHealth payments and reimbursements.

MassHealth program administrators and the EOHHS division overseeing Medicaid.

Massachusetts state legislature, particularly the Chairs and Members of the Senate Ways and Means and House Ways and Means committees, who receive the report for review and oversight.

Procedural and Timeline Aspects

The report covers Hospital Rate Year 2024 (October 1, 2023 – September 30, 2024).

The Communication is dated June 9, 2026, and was placed on file on July 2, 2026.

The document provides contact information for questions (Sarah Nordberg) and indicates it is a formal reporting obligation under Section 2WWWW of Chapter 29.

No legislative text changing policy or fund structure is included in the bill; rather, this is a reporting requirement and formal accounting submission to legislative committees.

Potential Impact and Implications

Public transparency: Enables legislators and the public to see how Non-Acute Care Hospital funds are raised and spent, including how assessments compare with payments across hospital classes.

Policy oversight: Supports scrutiny of whether assessment revenues align with expenditures and whether any unspent funds are appropriately managed or carried forward.

Budgetary planning: Provides data that may influence future decisions on hospital assessments, reimbursement rates, and fund balancing.

Notes

The bill is essentially a mandated report rather than a bill proposing new policy changes. Its primary function is accountability and information sharing regarding the MassHealth Non-Acute Care Hospital Reimbursement (Assessment) Trust Fund for the specified fiscal year.