Healey deputy: Congressional proposals likely mean ‘billions’ in MassHealth cuts

With all signs pointing to disruptions in the relationship between D.C. and states like Massachusetts. Medicaid is in the crosshairs of a pursuit for trillions of dollars in tax cuts and federal spending reductions over the next decade, and that could have massive impacts on MassHealth. Another recurring topic of questions from lawmakers was Governor Healey’s proposal to level-fund the personal care attendant program (PCA) and tie PCA spending to health care spending benchmarks from the Health Policy Commission. It helps keep people independent and not in nursing facilities, but the program’s costs have soared from $1.2 billion in fiscal 2020 to an estimated $2 billion by fiscal 2027.