The Children's Medical Security Plan (CMSP) provides essential primary and preventive health care services to children and adolescents in Massachusetts who are not eligible for other MassHealth benefits and are uninsured. As of December 31, 2024, there were 87,730 children eligible for CMSP, with enrollment demographics showing a slight fluctuation in eligibility over the preceding months. Effective January 1, 2025, the bill establishes that enrollee premiums will be set to zero for those with incomes up to 300% of the Federal Poverty Level (FPL), while a sliding scale will apply for those with higher incomes. Additionally, all copayments for CMSP members will be eliminated starting on the same date.

The report details the financial aspects of CMSP for the second quarter of Fiscal Year 2025, highlighting total expenditures of $11,729,120 across various service types, including medical, dental, and pharmacy claims. The data indicates a total of 185,805 claims filed during this period, with significant spending on medical claims amounting to $8,444,691, dental claims totaling $3,089,092, and pharmacy claims at $195,337. This comprehensive overview underscores the program's commitment to providing accessible health care services to eligible children in Massachusetts.