The bill requires the Executive Office of Health and Human Services to provide a report to the House and Senate Committees on Ways and Means regarding the implementation of the expanded Medicare Savings Program (MSP) eligibility for seniors, as outlined in section 25A of chapter 118E. The report must cover the period from July 1, 2023, to June 30, 2024, and include details such as the number of seniors enrolled in MSP with household incomes exceeding 135% of the federal poverty level, total enrollment figures for various Medicare programs, annual spending on Medicare premiums and cost-sharing, and transfers from the Prescription Advantage program and Health Safety Net Trust Fund to support the MSP expansion.

The report highlights significant enrollment figures, including a total of 292,068 seniors and disabled individuals in the Qualified Medicare Beneficiary (QMB) program and a total MassHealth expenditure of $54 million for MSP-only members with incomes over 133% of the federal poverty level during the specified fiscal year. Additionally, the report notes that the expansion of MSP eligibility has led to a decrease in demand for the Health Safety Net, as costs previously covered by this program are now managed through MassHealth and the federal Part D low-income subsidy. The report also indicates that there were no transfers from the Prescription Advantage program to the General Fund for fiscal year 2024, while a transfer of $7.7 million occurred from the Health Safety Net Trust Fund.