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MAMH’s priorities for the state’s FY25 budget include investments in promotion and prevention initiatives, evidence-based treatment, and recovery supports and services to benefit people with behavioral health conditions.

MAMH Budget Priorities Areas of Focus

Access to Care

Line Item Budget Priority Proposed Funding Level

DMH 5046-0000 Adult Mental Health and Supports Services

MAMH requests $19M, a $3.75M increase in funding over FY24 GAA and level funding with FY25 H2, for the Department for Mental Health (DMH) Adult Emergency Department (ED) Diversion Initiative

Governor's Budget: $19M may be expended

House Budget: No earmark

Senate Budget: $19M may be expended

EOHHS 4000-0300

MAMH requests $2.5M, a $1.25M increase in funding over FY24 GAA and a $2.5M increase in funding over FY25 H2, to implement the pilot of the Middlesex County Restoration Center

Governor's Budget: No earmark

House Budget: No earmark

Senate Budget: $1.5M

EOEA 9110-1640 Geriatric Mental Health Services

MAMH requests $4.5M, a $2M increase in funding over FY24 GAA and a $1.99M increase in funding over FY25 H2, for Elder Mental Health Outreach Teams (EMHOTs)

Governor's Budget: $2.509M

House Budget: $2.509M

Senate Budget: $2.509M

Housing

Line Item Budget Priority Proposed Funding Level

HLC 7004-9033 Rental Subsidy Program for DMH clients

DMH 5046-0000 Adult Mental Health and Supports Services

DMH 5047-0001 Emergency Service Programs and Acute Inpatient Mental Health Care Services

MAMH requests $36.748M, a $5M increase in funding over FY24 GAA and FY25 H2, for the Department of Mental Health Rental Subsidy Program (DMH RSP)

Governor's Budget: $36.048M = $16.548M (HLC 7004-9033) + $19.5M (DMH 5046-0000)

House Budget: unknown = $16.548M (HLC 7004-9033) + unknown (DMH 5046-0000)

Senate Budget: $36.048M= $16.548M (HLC 7004-9033) + $16.8M (DMH 5046-0000) + $2.7M (DMH 5047-0001)

DMH 5046-2000 Statewide Homelessness Support Services

MAMH requests $27.624M, level funding with FY24 GAA and a $1M increase in funding over FY25 H2, for the Safe Haven Program

Governor's Budget: $26.61M

House Budget: $26.61M

Senate Budget: $26.61M, including $1M to expand the Safe Haven Program in a manner that ensures geographically equitable access

Prevention

Line Item Budget Priority Proposed Funding Level

DMH 5042-5000 Child and Adolescent Mental Health Services

MAMH, with the Children’s Mental Health Campaign, requests $3.75M for the School-Based Behavioral Health Technical Assistance Center

Governor's Budget: No funding

House Budget: $200K

Senate Budget: $500K

Outside Section

Budget Priority Proposed Funding Level

MAMH requests the state Division of Insurance annually report to the Legislature on their actions taken to comply with mental health parity provisions enacted in 2022, including how they evaluated and resolved consumer complaints and any examinations they conducted of insurance carrier compliance.

Governor's Budget: N/A

House Budget: N/A

Senate Budget: Amendment introduced and adopted

Next Steps

The House and Senate appoint three members each to a "Conference Committee" to reconcile the differences between the House and Senate proposals. One member of the minority party must be appointed by each branch. The Conference Committee reports a final compromise bill to the House and Senate for a final vote of acceptance in each branch.

The Governor has 10 days to review the budget and act to either approve or veto the budget. The Governor may approve or veto the entire budget, veto, or reduce specific line items, veto outside sections or submit changes as an amendment to the budget for further consideration by the Legislature.

Following any legislative overrides to the Governor's actions, the budget is finalized and is commonly referred to as the "General Appropriations Act" for the upcoming fiscal year.

Massachusetts government is funded on a fiscal year basis. A fiscal year runs from July 1st to June 30th. The budget process is typically finalized in July.

Massachusetts FY24 State Budget

On August 9, 2023, Governor Healey signed the $56 billion FY24 budget bill with $272.42 million of vetoes. The Legislature overrode 23 vetoes, restoring about $80 million and finalizing the FY24 budget on October 5, 2023. You can learn more about MAMH's budget priorities and the final funding amounts secured below.

Massachusetts FY24 9C Budget Cuts

On January 8, 2024, Governor Healey announced $375 million in fiscal year 2024 budget cuts, including:

  • A $13 million cut to aid for the lowest-income children and families in the Commonwealth, thus eliminating the 10% cash assistance grant increases
  • A $5.25 million cut to Department of Public Health (DPH) behavioral health supports, specifically the DPH Loan Repayment Program; and
  • A $5 million cut for Department of Mental Health (DMH) loan forgiveness.

The Lift Our Kids Coalition is organizing efforts to urge Governor Healey to reverse the cuts to cash assistance. Click here to send an e-mail to her.

After the reduction, there remains $8 million for DPH behavioral health supports/ loan repayment program. Alternate funding sources include the Nursing Facility Forgivable Loan Program, Loan Repayment Assistance Program for Human Service Workers, and Behavioral Health and Addiction Services Loan Forgiveness.

Five million remains for DMH loan forgiveness. Still intact is the $192M Behavioral Health Trust Fund appropriations, $100 million for student loan repayment assistance, $25 million for scholarships, $25 million for stipends, and $20M for clinical supervision incentives.

The Federal COVID Relief/American Rescue Plan Act (ARPA) Spending Bill

The FY24 Conference Committee budget includes $192M to appropriate federal COVID Relief/ARPA dollars in the Behavioral Health Trust Fund to enhance and expand access to mental and behavioral health supports and services, including investments in loan repayment assistance and scholarship programs for health professionals.

MAMH served on the Behavioral Health Advisory Commission, which made recommendations on the disbursement of money in the fund. MAMH also submitted written testimony with recommendations for how to invest the dollars in the fund.

Interested in getting involved? Learn more about efforts to expand access to behavioral health care, decriminalize mental health, and promote wellness, and Take Action here!