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Budget Summary FY2015

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50950015 - Inpatient Facilities and Community-Based Mental Health Service
Data Current as of:  10/17/2014





Account Description FY2014
Spending
FY2015
GAA
5095-0015 Inpatient Facilities and Community-Based Mental Health Service
For the operation of hospital facilities and community-based mental health services; provided, that in order to comply with the decision in Olmstead v. L.C. ex rel. Zimring, 527 U.S. 581 and to enhance care for clients served by the department, the department shall discharge clients residing in the inpatient facilities to residential services in the community when the following criteria are met: (a) the client is deemed clinically suited for a more integrated setting; (b) community residential service capacity and resources available are sufficient to provide each client with an equal or improved level of service; and (c) the cost to the commonwealth of serving the client in the community is less than or equal to the cost of serving the client in inpatient care; provided further, that any client transferred to another inpatient facility as the result of a facility closure shall receive a level of care that is equal to or greater than the care that had been received at the closed facility; provided further, that the department may allocate funds in an amount not to exceed $5,000,000 from this item to item 5046-0000, as necessary, under allocation plans submitted to the house and senate committees on ways and means 30 days before any transfer for residential and day services for clients formerly receiving inpatient care at the centers and facilities; provided further, that at least 180 days prior to closing an inpatient mental health facility, the secretary of housing and economic development, or a designee, and the commissioner of capital asset management and maintenance, or a designee, shall meet jointly with affected municipal officials and produce a plan for the timely demolition of buildings, remediation of hazardous materials, and future use of the property, including disposition by the commonwealth for redevelopment or conservation, if appropriate; provided further, that the department shall maintain no fewer inpatient beds in fiscal year 2015 than were maintained in fiscal year 2014; provided further, that the department shall maintain no fewer than 671 inpatient beds by June 30, 2015; provided further, that the department shall operate no fewer than 260 adult continuing care inpatient beds as of April 15, 2015 at Worcester Recovery Center and Hospital; provided further, that in fiscal year 2015, 45 beds shall be continuing care inpatient beds on the campus of Taunton State Hospital; provided further, that the department shall take no action in fiscal year 2015 to reduce the number of state-operated continuing care inpatient beds or other state-operated programs on the Taunton State Hospital campus or relocate any administrative hospital services associated with the operation of the hospital off campus; provided further, that the department shall not enter into any new lease agreements or interagency agreements for new vendor-operated programs until the department, in conjunction with the division of capital asset management and maintenance, has developed a master plan with appropriate community input detailing future uses for the Taunton State Hospital campus; and provided further, that this master plan shall be submitted no sooner than March 2, 2015 to the executive office for administration and finance, the executive office of health and human services, the joint committee on mental health and substance abuse and the house and senate committees on ways and means
173,216,512 183,883,536