The bill presents a revised Fiscal Year 2026 transfer schedule for the Medical Assistance Trust Fund, which reflects a reduction in the transfer amount due to delayed approval by the Centers for Medicare and Medicaid Services of a State Plan Amendment. As a result, MassHealth has expended less than what was appropriated for the fiscal year. The transfer provides an operating subsidy from the General Fund to the Medical Assistance Trust Fund, specifically for the MassHealth provider payment account, public hospital transformation and incentive initiative payments, and Medicaid care organization payments.

The revised transfer schedule indicates a total transfer amount of $707,105,520, which includes a reduction of $148,550,000. New legal language has been inserted to include an "OT Schedule" and an "Accounts Payable Period" reflecting the updated transfer amounts. The monthly transfer amounts are detailed in an attachment accompanying the bill, and the Comptroller has committed to notifying the committees of any further changes to the schedule.