Massachusetts § 2YYYY - Substance Use Disorder Federal Reinvestment Trust Fund

§ 2YYYY. Substance Use Disorder Federal Reinvestment Trust Fund

[ Text of section effective until June 30, 2028. Repealed by 2017, 110, Sec. 9. See, 2017, 110, Sec. 58 as amended by 2022, 126, Sec. 115.]

  Section 2YYYY. In order to implement MassHealth's substance use disorder section 1115 waiver demonstration project and to enhance and expand substance use disorder services, there shall be established and set up on the books of the commonwealth a separate fund to be known as the Substance Use Disorder Federal Reinvestment Trust Fund, in this section called the fund. There shall be credited to the fund revenues equal to the amount of federal financial participation received by the Commonwealth's General Fund for expenditures for residential recovery services, transitional support services, family recovery services, recovery support navigator services, recovery coach services and other new or expanded substance use disorder treatment services and any other federal reimbursements, grants, premiums, gifts, interest or other contributions from any source received that are specifically designated to be credited to the fund. The secretary of health and human services shall be the trustee of the fund.

[ Second paragraph effective until November 25, 2025. For text effective November 25, 2025, see below.]

  The secretary may expend, without further appropriation: (i) not more than $105,000,000 per fiscal year from the fund to expand and support the residential treatment system to treat individuals with a substance use disorder or co-occurring mental health and substance use disorder and to expand and increase access to the 24-hour diversionary system; (ii) not more than $135,000,000 per fiscal year from the fund to reduce stigma, expand access, support implementation and increase competencies for medications for substance use disorder; (iii) not more than $35,000,000 per fiscal year from the fund to support access to evidence-based recovery services through peer and paraprofessional services; and (iv) not more than $80,000,000 per fiscal year from the fund to ensure appropriate assessment for levels of care utilizing American Society of Addiction Medicine or other evidence-based modalities and to support integration of physical health, mental health and substance use disorder care across all provider settings. To accommodate timing discrepancies between the receipt of revenues and related expenditures, the fund may incur expenses, and the comptroller shall certify for payment, amounts not to exceed the most recent revenue estimate as certified by the MassHealth director, as reported in the state accounting system. Amounts credited to the fund shall not be subject to further appropriation and money remaining in the fund at the end of a fiscal year shall not revert to the General Fund and shall be available for expenditure in the subsequent fiscal year.

[ Second paragraph as amended by 2025, 73, Sec. 14 effective November 25, 2025. For text effective until November 25, 2025, see above.]

  The secretary may expend, without further appropriation: (i) not more than $160,000,000 per fiscal year from the fund to expand and support the residential treatment system to treat individuals with a substance use disorder or co-occurring mental health and substance use disorder and to expand and increase access to the 24-hour diversionary system; (ii) not more than $135,000,000 per fiscal year from the fund to reduce stigma, expand access, support implementation and increase competencies for medications for substance use disorder; (iii) not more than $35,000,000 per fiscal year from the fund to support access to evidence-based recovery services through peer and paraprofessional services; and (iv) not more than $85,000,000 per fiscal year from the fund to ensure appropriate assessment for levels of care utilizing American Society of Addiction Medicine or other evidence-based modalities and to support integration of physical health, mental health and substance use disorder care across all provider settings. To accommodate timing discrepancies between the receipt of revenues and related expenditures, the fund may incur expenses, and the comptroller shall certify for payment, amounts not to exceed the most recent revenue estimate as certified by the MassHealth director, as reported in the state accounting system. Amounts credited to the fund shall not be subject to further appropriation and money remaining in the fund at the end of a fiscal year shall not revert to the General Fund and shall be available for expenditure in the subsequent fiscal year.

  The secretary shall report annually, on or before August 1, to the house and senate committees on ways and means and the senate and house chairs of the joint committee on mental health, substance use and recovery on the revenue and expenditure activity within the trust fund. The secretary shall report quarterly to the house and senate committees on ways and means and the joint committee on mental health, substance use and recovery on expenditures from the fund that support the components of the roadmap for behavioral health reform; provided, however, that the report shall include: (i) information on which components of the roadmap such funds are allocated to support; and (ii) provide a breakdown of the progress and status of any such components of the roadmap.