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MassHealth drives the largest growth in the FY26 budget, administration says; enrollment and acuity cited
Summary
Administration testimony identified MassHealth as the biggest single driver of FY26 spending growth and explained that higher enrollment, greater acuity among remaining members, prescription drug costs and MCO rate pressures are key causes.
Secretariat and administration officials told the Joint Committee on Ways and Means that MassHealth (Massachusetts Medicaid) accounts for a large share of the FY26 expenditure growth and will require significant budget attention.
Secretary Matt Gorkewitz said MassHealth growth is “one of the bigger challenges” for FY26. He told the committee MassHealth enrollment stands at about 2.2 million members—roughly 260,000 more than pre-pandemic levels—and that the program emerged from the COVID-era…
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