There is hereby established and set up on the books of the commonwealth a separate
fund to be known as the Commonwealth Care Trust Fund. The secretary of administration and finance shall be the trustee of the fund and
shall expend money in the fund for the purposes described herein.
There shall be credited to the trust fund: (a) employer medical assistance contributions
under section 189 of chapter 149; (b) all revenue from surcharges imposed under section 18 of chapter 176Q; (c) any transfers from the Health Safety Net Trust Fund established in section 66 of chapter 118E; (d) revenues deposited from penalties collected under chapter 111M; and (e) any
revenue from appropriations or other monies authorized by the general court and specifically
designated to be credited to the fund. Amounts credited to the fund shall be expended without further appropriation for
programs administered by the commonwealth health insurance connector authority pursuant
to chapter 176Q that are designed to increase health coverage for residents of the
commonwealth. Money from the fund may be transferred to the Health Safety Net Trust Fund or any
successor fund, as necessary to provide payments to acute hospitals and community
health centers for reimbursable health services. Not later than January 1, the comptroller shall report an update of revenues for
the current fiscal year and prepare estimates of revenues to be credited to the fund
in the subsequent fiscal year. The comptroller shall file this report with the secretary of administration and
finance, the secretary of health and human services, the joint committee on health
care financing and the house and senate committees on ways and means. To accommodate timing discrepancies between the receipt of revenue and related expenditures,
the comptroller may certify for payment amounts not to exceed the most recent estimate
of revenues as certified by the secretary of administration and finance to be deposited
under this section. Monies remaining in the fund at the end of a fiscal year shall not revert to the
General Fund; provided, however, that the comptroller shall report the amount remaining
in the fund at the end of each fiscal year to the house and senate committees on ways
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