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MassachusettsH 4530194th General Court (2025-2026)HouseWALLET

An Act making appropriations for fiscal year 2025 to provide for supplementing certain existing appropriations and for certain other activities and projects

Sponsored By: House Committee on Ways and Means

Signed by Governor

House Ways and MeansHouse Steering, Policy and Scheduling

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 3 benefits, 0 costs, 0 mixed.

Emergency support for community health centers

The law provides $35 million in one-time support to community health centers. To receive funds, a center must get federal Health Center Program funding (42 U.S.C. 254b) and meet financial‑need criteria set by the secretary in consultation with the Massachusetts League of Community Health Centers. At least $2.5 million goes to the League for technical help and shared services. Payments may be delivered as enhanced Medicaid or other supplemental payments. These dollars cannot replace existing Medicaid or other state payments or be used to set future payments. Funds are for FY2025 and generally remain available through June 30, 2026.

More money for the Health Safety Net

The comptroller transfers $77 million from the Commonwealth Care Trust Fund to the Health Safety Net Trust Fund, as directed by the secretary of administration and finance. This is a one-time move that raises the Health Safety Net balance. The transfer helps pay for hospital and clinic care for low-income and uninsured patients.

One-time aid for struggling hospitals

The law provides $122 million in one-time payments to fiscally strained acute care hospitals. Private hospitals qualify based on high public‑payer mix, low statewide price, and negative margins, with four pools of at least $20M, $41M, $22M, and $17M. Each eligible private hospital’s share is proportional to its FY2023 Medicaid revenue in its pool. At least $16.5M goes to the non‑state public hospital system, and $10M goes to a named Middlesex County hospital. Payments run through enhanced Medicaid and cannot replace other Medicaid payments or be used to set future payments. EOHHS must publish hospital payment schedules and intended uses by March 2, 2026; funds stay available through June 30, 2026.

Sponsors & Cosponsors

Sponsor

  • House Committee on Ways and Means

    Affiliation unavailable

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 179 • No: 1

House vote • 9/17/2025

Passed to be engrossed

Yes: 148 • No: 1

committee vote • 9/16/2025

Committee In Part: H.4429 “An Act making appropriations for fiscal year 2025 to provide for supplementing certain existing appropriations and for certain other activities and projects” in part, as amended

Yes: 31 • No: 0 • Other: 5

Actions Timeline

  1. Signed by the Governor, Chapter 33 of the Acts of 2025

    9/22/2025

  2. Enacted and laid before the Governor

    9/18/2025Senate

  3. Enacted

    9/18/2025House

  4. Emergency preamble adopted

    9/18/2025Senate

  5. Emergency preamble adopted

    9/18/2025House

  6. Passed to be engrossed -see Roll Call #70 (Yeas 39 to Nays 0)

    9/18/2025Senate

  7. Read third

    9/18/2025Senate

  8. Read, rules suspended, read second, ordered to a third reading

    9/18/2025Senate

  9. Passed to be engrossed - 148 YEAS to 1 NAYS (See YEA and NAY No. 73)

    9/17/2025House

  10. Read third

    9/17/2025House

  11. Rules suspended

    9/17/2025House

  12. Read second and ordered to a third reading

    9/17/2025House

  13. Rules suspended

    9/17/2025House

  14. Committee reported that the matter be placed in the Orders of the Day for the next sitting

    9/17/2025House

  15. Committee recommended ought to pass and referred to the committee on House Steering, Policy and Scheduling

    9/17/2025House

  16. Reported on a part of H4003

    9/17/2025House

  17. Reported by the committee on House Ways and Means

    9/17/2025House

Bill Text

  • Chapter 33 of the Acts of 2025

    9/22/2025

    PDF

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