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MassHealth and State Fiscal Health: A New Look at the Effects of ...

MassHealth and State Fiscal Health: A New Look at the Effects of ...

Adjusting for

Adjusting for Massachusetts Bay Transportation Authority off-budget funding Prior to FY 2001, the state’s annual appropriations included state support for the Massachusetts Bay Transportation Authority. In order to maintain a consistent comparison of state revenues before and after this shift, beginning in FY 2001 we have added back into our revenue total the portion of the annual sales tax revenue now diverted directly to the Massachusetts Bay Transportation Authority or MBTA. Adjusting for timing of payments Because unlike other years the FY 2005 Medicaid expenditures do not include spending associated with the Accounts Payable period, we have added in that amount into our total Medicaid expenditures for FY 2005. We have added fifty percent of that same amount into our revenue total for that year to include the federal reimbursement associated with the Accounts Payable expenditures. Adjusting for drug rebates In analyzing Medicaid expenditures, we removed from our analysis the amounts associated with the drug rebates that are accounted for by the Commonwealth in the form of retained revenues. In order to ensure that our revenue numbers are comparable with this adjustment to spending, we have removed these amounts from our total revenues. 30

Actual Revenues Total Revenues and Other Financing Sources 1994 1995 1996 1997 1998 1999 Taxes 10,606,681,000 11,163,368,000 12,049,183,000 12,864,501,000 14,026,256,000 14,291,463,000 Assessments 213,484,000 229,093,000 238,440,000 226,070,000 255,134,000 264,295,000 Federal grants and reimbursements 2,901,231,000 2,969,722,000 3,039,091,000 3,019,692,000 3,361,181,000 3,442,929,000 Departmental 990,682,000 1,126,833,000 1,077,896,000 1,107,736,000 1,082,591,000 1,073,427,000 Miscellaneous 221,067,000 149,024,000 130,754,000 169,223,000 189,295,000 217,002,000 Subtotal Revenues 14,933,145,000 15,638,040,000 16,535,364,000 17,387,222,000 18,914,457,000 19,289,116,000 Transfers* 791,497,000 1,057,937,000 1,209,939,000 938,355,000 1,289,531,000 1,294,255,000 Subtotal Other Financing Sources 791,497,000 1,057,937,000 1,209,939,000 938,355,000 1,289,531,000 1,294,255,000 Total Revenues and Other Financing Sources 15,724,642,000 16,695,977,000 17,745,303,000 18,325,577,000 20,203,988,000 20,583,371,000 Adjustments to Revenues and Other Financing Sources Full Value of Tobacco Settlement — — — — — — MBTA Off-Budget Revenues — — — — — — Off-Budget School Building Assistance — — — — — — Drug Rebate Adjustment (56,992,235) (47,002,542) (60,171,360) (72,907,371) (100,620,112) (124,479,945) Timing of Payments Adjustment — — — — — — Total Adjustments to Revenues and Other Financing Sources (56,992,235) (47,002,542) (60,171,360) (72,907,371) (100,620,112) (124,479,945) Total Actual Revenues 15,667,649,765 16,648,974,458 17,685,131,640 18,252,669,629 20,103,367,888 20,458,891,055 Total Revenues and Other Financing Sources 2000 2001 2002 2003 2004 2005 Taxes 15,688,616,000 16,074,655,000 13,622,710,000 14,279,567,000 15,268,976,000 15,987,399,000 Assessments 109,074,000 92,503,000 129,354,000 107,069,000 126,621,000 122,303,000 Federal grants and reimbursements 3,645,550,000 3,974,158,000 4,334,934,000 4,523,648,000 5,098,536,000 4,696,883,000 Departmental 1,096,388,000 1,162,839,000 1,205,629,000 1,366,705,000 1,729,992,000 1,840,320,000 Miscellaneous 269,879,000 285,016,000 265,492,000 138,204,000 124,860,000 172,139,000 Subtotal Revenues 20,809,507,000 21,589,171,000 19,558,119,000 20,415,193,000 22,348,985,000 22,819,044,000 Transfers* 1,190,403,000 1,271,767,000 1,475,910,000 1,563,340,000 1,391,158,000 1,345,807,000 Subtotal Other Financing Sources 1,190,403,000 1,271,767,000 1,475,910,000 1,563,340,000 1,391,158,000 1,345,807,000 Total Revenues and Other Financing Sources 21,999,910,000 22,860,938,000 21,034,029,000 21,978,533,000 23,740,143,000 24,164,851,000 Adjustments to Revenues and Other Financing Sources Full Value of Tobacco Settlement 326,235,000 242,470,000 304,518,000 300,039,000 253,621,000 257,417,000 MBTA Off-Budget Revenues — 654,593,000 664,350,000 684,281,000 684,281,000 704,809,000 Off-Budget School Building Assistance — — — — — 395,700,000 Drug Rebate Adjustment (142,958,291) (162,206,918) (200,555,811) (199,099,212) (260,174,763) (291,614,379) Timing of Payments Adjustment — — — — — 55,150,000 Total Adjustments to Revenues and Other Financing Sources 183,276,709 734,856,082 768,312,189 785,220,788 677,727,237 1,121,461,621 Total Actual Revenues 22,183,186,709 23,595,794,082 21,802,341,189 22,763,753,788 24,417,870,237 25,286,312,621 * This amount includes Lottery revenues accounted for separately beginning in Fiscal Year 1997. 31

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