This is not the official budget document.

Budget Summary FY2009

Department of Public Health
Data Current as of:  6/22/2009



FISCAL YEAR 2009 BUDGET SUMMARY ($000)
ACCOUNT FY2009
Conference		 FY2009
Vetoes		 FY2009
Overrides		 FY2009
GAA		 FY2009
Total
Spending
Department of Public Health 21,912 0 0 21,912 21,206  
End of Life Care Commission Retained Revenue 35 0 0 35 35  
Community Health Center Services 7,766 -308 0 7,458 7,398  
Environmental Health Assessment and Compliance 4,134 0 0 4,134 3,749  
Nuclear Power Reactor Monitoring Fee Retained Revenue 1,577 0 0 1,577 1,574  
Prescription Drug Registration and Monitoring Fee Retained Revenue 609 0 0 609 607  
Division of Health Care Quality and Improvement 8,818 -100 100 8,818 8,614  
Division of Health Care Quality Health Facility Licensing Fee Retained Revenue 1,330 0 0 1,330 1,329  
Primary Care Center and Loan Forgiveness Program 850 0 0 850 515  
Academic Detailing Program 500 0 0 500 250  
Certified Nurse's Aide Scholarships Fund 250 0 0 250 41  
Board of Registration in Nursing 1,725 0 0 1,725 1,543  
Board of Registration in Pharmacy 541 0 0 541 484  
Board of Registration in Medicine and Acupuncture 2,670 0 0 2,670 2,234  
Health Boards of Registration 472 0 0 472 422  
Board of Registration in Medicine Fee Retained Revenue 300 0 0 300 300  
Regional Emergency Medical Services 1,247 0 0 1,247 1,115  
Sexual Assault Nurse Examiner (SANE) and Pediatric SANE Programs 3,623 0 0 3,623 3,601  
HIV/AIDS Prevention, Treatment and Services 37,667 0 0 37,667 35,901  
HIV/AIDS Drug Program Manufacturer Rebates Retained Revenue 1,500 0 0 1,500 1,500  
Division of Substance Abuse Services 80,557 0 0 80,557 77,656  
Substance Abuse Step-Down Recovery Services 5,000 0 0 5,000 4,800  
Secure Treatment Facilities for Opiate Addiction 5,000 0 0 5,000 0  
Compulsive Behavior Treatment Program Retained Revenue 1,000 0 0 1,000 1,000  
Dental Health Services 3,147 0 0 3,147 2,453  
Family Health Services 7,620 -360 360 7,620 5,835  
Women, Infants, and Children's Nutritional Services 13,565 0 0 13,565 13,565  
Early Intervention Services Medicaid Reimbursement Retained Revenue 6,500 0 0 6,500 7,000  
WIC Program Manufacturer Rebates Retained Revenue 24,600 0 0 24,600 25,600  
Early Intervention Services 42,936 0 0 42,936 41,582  
Newborn Hearing Screening Program 84 0 0 84 84  
Shaken Baby Syndrome Prevention Program 350 0 0 350 303  
Suicide Prevention and Intervention Program 4,753 0 0 4,753 4,013  
Health Promotion and Disease Prevention 14,710 -512 512 14,710 12,913  
Domestic Violence and Sexual Assault Prevention and Treatment 6,392 0 0 6,392 6,353  
Blood Lead Testing Fee Retained Revenue 1,442 0 0 1,442 1,442  
State Laboratory and Communicable Disease Control Services 15,653 0 0 15,653 15,305  
State Laboratory Tuberculosis Testing Fee Retained Revenue 300 0 0 300 300  
Vital Records, Research, Cancer and Community Data 400 0 0 400 400  
Teenage Pregnancy Prevention Services 4,056 0 0 4,056 3,671  
Infection Prevention Program 1,000 0 0 1,000 780  
Universal Immunization Program 51,582 0 0 51,582 45,450  
School-Based Health Programs 17,457 -390 390 17,457 16,697  
Smoking Prevention and Cessation Programs 12,750 0 0 12,750 12,118  
Western Massachusetts Hospital Federal Reimbursement Retained Revenue 16,542 0 0 16,542 16,551  
Shattuck Private Medical Vendor Retained Revenue 500 0 0 500 500  
Direct Care Staff Recruitment 0 0 0 0 212  
Public Health Hospitals 144,881 0 0 144,881 141,891  
Shattuck Hospital Department of Correction Inmate Retained Revenue 4,160 0 0 4,160 4,160  
Pediatric Palliative Care 1,000 0 0 1,000 787  
Violence Prevention Grants 3,500 0 0 3,500 3,465  
TOTAL    588,963 -1,670 1,362 588,655 559,306  

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account description amount
DEPARTMENT OF PUBLIC HEALTH 559,305,536
Budgetary Direct Appropriations 559,305,536
Direct Appropriations
4510-0100 Department of Public Health
For the operation of the department; provided, that the department of public health shall report to the joint committee on public health, the joint committee on health care financing, and the house and senate committees on ways and means not later than February 2, 2009, on the impact of increased private and public health insurance coverage, pursuant to chapter 58 of the acts of 2006, and on the utilization and financial needs of public health programs; and provided further, that the report shall include, but not be limited to, the following: (a) an estimate of cost-savings to public health programs generated by increased public and private health insurance coverage in the commonwealth; (b) an assessment of the utilization of public health programs since 2006 including, early intervention services, state laboratory testing services, communicable disease testing services, HIV and AIDS-related services, substance abuse treatment services, family planning services, immunizations, and disease prevention and management services; (c) an assessment of the extent to which health insurance carriers offer benefits coverage for health services provided by public health programs; and (d4) any regulatory, legislative and other recommendations necessary to identify and recoup payment for public health services from liable private insurance carriers and other parties in order to minimize costs to the commonwealth 		21,205,853
4510-0110 Community Health Center Services
For community health center services; provided, that no funds shall be expended in the AA object class; provided further, that $1,000,000 shall be expended for the managed care program at community health centers known as CenterCare; provided further, that $225,000 shall be expended on a statewide program of technical assistance to community health centers to be provided by a state primary care association qualified under section 330(f)(1) of the United States Public Health Service Act, 42 U.S.C. section 254c(f)(1); provided further, that $300,000 shall be expended for medical respite services provided by the Boston health care for the homeless program; provided further, that not less than $200,000 shall be expended for the Community Health Center of Cape Cod; provided further, that not less than $150,000 shall be expended for the Duffy Health Center; provided further, that not less than $150,000 shall be expended for the Manet Community Health Center; provided further, that not less than $125,000 shall be expended for Merrimack Valley Hospice Home Care; and provided further, that $40,000 shall be expended for the Dismas House at the Worcester county house of correction 		7,397,772
4510-0600 Environmental Health Assessment and Compliance
For an environmental and community health hazards program, including control of radiation and nuclear hazards, consumer products protection, food and drugs, lead poisoning prevention in accordance with chapter 482 of the acts of 1993, lead-based paint inspections in day care facilities, inspection of radiological facilities, licensing of x-ray technologists and the administration of the bureau of environmental health assessment pursuant to chapter 111F of the General Laws the 'Right-to-Know' law; provided, that the expenditures from this item for the fair packaging and labeling survey program shall be contingent upon the prior approval of the proper federal authorities for reimbursement of 100 per cent of the amounts so expended; provided further, that $195,000 shall be expended for the purpose of the director of the bureau of environmental health assessment of the department to continue an environmental risk assessment of the health impacts of the General Lawrence Logan Airport in the East Boston section of the city of Boston on any community that is located within a 5 mile radius of the airport and is potentially impacted by the airport; provided further, that the assessment may include, but not be limited to, examining incidences of respiratory diseases and cancers and performing medical and laboratory tests and examinations of residents of these communities; provided further, that the bureau shall report its findings, together with any recommended response actions by the commonwealth, to the house and senate committees on ways and means not later than February 2, 2009; provided further, that the department shall file a report with the house and senate committees on ways and means, the joint committee on public health, and the joint committee on health care financing, on the status of local health inspections of food establishments, consistent with the department of public health food safety regulations and a report on the current waiting list for indoor air inspections by October 1, 2008; provided further, that not more than $14,800 shall be allocated to the Franklin Regional Council of Governments for costs associated with the regional public health program; provided further, that $150,000 shall be expended for the completion of the comprehensive study of the exposure routes and patterns of contaminants in the Maple Meadowbrook Aquifer migrating to and affecting the Wilmington drinking water supply and the study of incidents of childhood cancer in the town of Wilmington; and provided further, that not less than $75,000 shall be expended for the purposes of research and prevention activities associated with Lyme Disease to be conducted by the Barnstable County Department of Health and The Environment 		3,749,071
4510-0710 Division of Health Care Quality and Improvement
For the operation of the division of health care quality and the office of patient protection; provided, that the division shall be responsible for assuring the quality of patient care provided by the commonwealth's health care facilities and services, and for protecting the health and safety of patients who receive care and services in nursing homes, rest homes, clinical laboratories, clinics, institutions for the mentally retarded and the mentally ill, hospitals and infirmaries, including the inspection of ambulance services; provided further, that investigators shall conduct investigations of abuse, neglect, mistreatment and misappropriation; provided further, that all investigators in the division of health care quality responsible for the investigations shall receive training by the Medicaid fraud control unit in the office of the attorney general; provided further, that the division shall continue a comprehensive training, education and outreach program for nursing home administrators and managers and other supervisory personnel in long-term care to improve the quality of care in long-term care facilities; provided further, that the program shall promote the use of best practices, models of quality care giving and the culture of workforce retention within the facilities and shall focus on systemic ways to reduce deficiencies; provided further, that investigators shall conduct investigations of abuse, neglect, mistreatment and misappropriation; provided further, that all investigators in the division of health care quality responsible for the investigations shall receive training by the Medicaid fraud control unit of the office of the attorney general; provided further, that services funded through this item shall include, but not be limited to: education, training, intervention, support, surveillance and evaluation; provided further, that the department shall report to the house and senate committees on ways and means on the results of the program not later than April 30, 2009; provided further; that not less than $100,000 be expended to oversee the operation and administration of the Massachusetts primary stroke Service Designation Hospital programs established by 105 CMR (130.1400), provided that all fund shall be used for the purpose of collecting and analyzing data from all primary stroke service designated hospitals in the commonwealth and for a full time surveyor for the purpose of ensuring compliance with primary stroke center designation criteria; and provided further, that $40,000 shall be expended for Bedside Advocates, Inc. for the development of a pilot project focused on transitional care for geriatric patients transitioning to their homes from acute care hospitals;
 8,613,638
4510-0715 Primary Care Center and Loan Forgiveness Program
For the operation of a center for primary care recruitment and placement to improve access to primary care services; provided, that not less than $500,000 shall be expended for a primary care workforce development and loan forgiveness grant program 		514,876
4510-0716 Academic Detailing Program
For the operation of an evidence-based outreach and education program designed to provide information and education on the therapeutic and cost-effective utilization of prescription drugs to physicians, pharmacists and other health care professionals authorized to prescribe and dispense prescription drugs 		250,000
4510-0720 Certified Nurse's Aide Scholarships Fund
For a scholarship program for certified nurses' aide and direct care worker training; provided, that recipients of the scholarship shall commit to working in the commonwealth for 2 years following certification; provided further, that no funds shall be expended in the AA object class; provided further, that the scholarships shall cover the full cost of tuition to an approved certified nurses' aide or long-term care direct worker training program, including approved programs providing for cross-training; provided further, that funds shall also be available to provide adult basic education and English as a second language training for applicants otherwise meeting criteria for the scholarships, as well as pilot training programs using enhanced curricula designed to support increased retention; provided further, that the department shall, in consultation with the nursing home industry, consumer groups, the department of labor and workforce development, the Commonwealth Corporation, training providers and other appropriate state and local agencies, conduct outreach regarding the availability of such scholarships; provided further, that the department shall consult with the scholarship program advisory council and the extended care career ladder initiative to review and recommend new training requirements for certified nurses' aides, home health aides and home care workers to improve the quality of the direct care workforce and the quality of care provided in all long-term care settings by developing skill standards, supporting the transition from training to work, improving retention, promoting portability, recognizing career advancement curricula and addressing language and education barriers; and provided further, that costs for outreach activities shall not exceed 5 per cent of the amount appropriated in this item and administrative costs of the program shall not exceed 5 per cent of the amount appropriated in this item 		40,600
4510-0721 Board of Registration in Nursing
For the operation and administration of the board of registration in nursing; provided, that the board shall prepare an annual report detailing the total number of cases referred to and investigated by the board, the resolution of these cases, the approximate number of cases assigned to each investigator and any increases or decreases in cases referred to the board in the previous 6 months; provided further, that the board shall submit the report to the house and senate committees on ways and means, the joint committee on health care financing, the joint committee on public health and the commissioner of public health; provided further, that the board shall prepare a compilation of cases involving preventable medical error that resulted in harm to a patient or health care provider for the purpose of assisting health care providers, hospitals and pharmacies to modify their practices and techniques to avoid errors; and provided further, that the board shall submit the compilation to the house and senate committees on ways and means, the joint committee on health care financing, the joint committee on public health and the commissioner of the department of public health by January 4, 2009, and shall make the compilation widely available, including by electronic means, to the public and to all hospitals, pharmacies and health care providers doing business in the commonwealth 		1,543,337
4510-0722 Board of Registration in Pharmacy
For the operation and administration of the board of registration in pharmacy; provided, that the board shall prepare an annual report detailing the total number of cases referred to and investigated by the board, the resolution of these cases, the approximate number of cases assigned to each investigator and any increases or decreases in cases referred to the board in the previous 6 months; provided further, that the board shall submit the report to the house and senate committees on ways and means, the joint committee on health care financing, the joint committee on public health and the commissioner of the department of public health; provided further, that the board shall prepare a compilation of cases involving preventable medical error that resulted in harm to a patient or health care provider for the purpose of assisting health care providers, hospitals and pharmacies to modify their practices and techniques to avoid error; and provided further, that the board shall submit the compilation to the house and senate committees on ways and means, the joint committee on health care financing, the joint committee on public health and the commissioner of the department of public health by January 4, 2009, and shall make the compilation widely available, including by electronic means, to the public and to all hospitals, pharmacies and health care providers doing business in the commonwealth 		484,257
4510-0723 Board of Registration in Medicine and Acupuncture
For the operation and administration of the board of registration in medicine and the committee on acupuncture; provided, that the board of registration in medicine shall prepare an annual report addressing its activities with respect to licensing, enforcement, law and policy, patient safety and other relevant topics including, but not limited to, the total number of cases referred to and reviewed by the board, the resolution of such cases, the approximate number of cases assigned to each investigator, any increases or decreases in cases referred to the board in the previous 6 months, a compilation of cases from its patient care assessment program describing incidents involving preventable medical error that resulted in harm to patient or health care provider for the purpose of assisting the providers, hospitals and pharmacies to modify their practices and techniques to avoid error and any other relevant topics; provided further, that the board shall submit the report to the general court, house and senate committees on ways and means and the joint committee on health care financing and the joint committee on public health by January 4, 2009, and shall make the compilation widely available, including by electronic means, to the public; and provided further, that the board shall promulgate rules and regulations to coordinate their patient care assessment program with the boards of registration in nursing and pharmacy 		2,233,915
4510-0725 Health Boards of Registration
For the operation and administration of certain health boards of registration, including the boards of registration in dentistry, nursing home administrators, physician assistants, perfusionists, genetic counselors and respiratory care 		422,338
4510-0790 Regional Emergency Medical Services
For regional emergency medical services; provided, that no funds shall be expended in the AA object class; provided further, that the regional emergency medical services councils, designated under 105 CMR 170.101 and the C-MED medical emergency communications centers that were in existence on January 1, 1992, shall remain the designated councils and C-MED communications centers 		1,115,165
4510-0810 Sexual Assault Nurse Examiner (SANE) and Pediatric SANE Programs
For a statewide sexual assault nurse examiner program and pediatric sexual assault nurse examiner program for the care of victims of sexual assault; provided, that funds shall be expended for a contract with the Massachusetts Children's Alliance to support children's advocacy centers; provided further, that the program shall be established by the department to operate under specific statewide protocols and by an on-call system of nurse examiners; and provided further, that the department may designate a metrowest district and may expend funds within said district 		3,601,330
4512-0103 HIV/AIDS Prevention, Treatment and Services
For human immunodeficiency virus and acquired immune deficiency syndrome services and programs; provided, that no funds shall be expended in the AA object class; provided further, that particular attention shall be paid to direct funding proportionately to each of the demographic groups afflicted by HIV/AIDS; provided further, that funds shall be expended for rental housing subsidies for the purposes of preventing admissions to acute hospitals, chronic hospitals and nursing homes for persons with acquired immune deficiency syndrome; provided further, that no funds from this item shall be expended for disease research in fiscal year 2009 and provided further that not less than $500,000 shall be spent to reduce HIV/AIDS disparities in communities of color, including African American, Latino, immigrant and refugee populations, linguistic minorities, and other populations disproportionately at risk, for prevention and education programs, counseling and testing, and treatment and supportive services 		35,901,026
4512-0200 Division of Substance Abuse Services
For the division of substance abuse services, including a program to reimburse driver alcohol education programs for services provided for court adjudicated indigent clients; provided that no funds shall be expended in the AA object class; provided further, that not less than $3,000,000 shall be expended for the establishment of 60 community-based beds in locked-down, non-correctional settings for men who have been civilly committed to a substance abuse treatment program pursuant to section 35 of chapter 123 of the General Laws; provided further, that not less than $1,500,000 shall be expended for 3 Sobriety High Schools; provided further, that not less than $1,500,000 shall be expended for maintaining the substance abuse and mental health programs in houses of correction in Hampden county, Norfolk county, Middlesex county and Barnstable county; provided further, that 1 counselor shall continue to be assigned for every 200 inmates within each facility; provided further, that not less than $1,149,750 shall be expended to the Gavin Foundation for a male adolescent residential facility for substance abuse and rehabilitation services and an adjoining female adolescent residential facility for substance abuse and rehabilitation services, both operated by the Cushing House located in the South Boston section of Boston; provided further, that not less than $933,000 shall be expended for the Volunteers of America Rebound Youth Residential Recovery Program at Long Island Hospital in the city of Boston for substance abuse and rehabilitation services to youths with addictions; provided further, that not less than $750,350 shall be expended for a contract with STEP, Inc., for sobriety treatment, education and prevention; provided further, that not less than $500,000 shall be provided to the Essex county district attorney to continue to develop a pilot program for non-violent offenders in a non-correctional locked down substance abuse treatment facility; provided further, that not less than $500,000 shall be expended for maintaining the substance abuse and mental health programs in houses of correction in Hampden County; provided further, that $500,000 shall be expended for an opiate education and counseling competitive grant program in Suffolk county; provided further, that not less than $475,000 shall be expended to fund 10 beds through the CAB program in conjunction with the H.E.A.T. program at Woburn the division of the district court; provided further, that not less than $400,000 shall be provided to the Boston municipal court to fund treatment coordinators for the drug court program to treat nonviolent, substance-abusing offenders; provided further, that not less than $319,500 shall be expended for a contract with Gavin Foundation, Inc., to provide a Total Immersion program in conjunction with the probation departments of the South Boston division of the district court, the Somerville division of the district court, the Hingham division of the district court, the Brighton division of the district court, and other district courts and that the funding shall be expended for the maintenance of a training program by the Gavin Foundation for a statewide Total Immersion program; provided further, that $300,000 shall be expended for the Hampden county Residential Program For Women; provided further, that not less than $250,000 shall be expended for the Albany Street Shelter operated by Cambridge and Somerville Program for Drug and Alcohol Rehabilitation or CASPAR; provided further, that not less than $250,000 shall be expended for the New Beginnings program; provided further, that not less than $250,000 shall be expended for Phoenix House, for the purposes of establishing an independent 18-bed women's sober-living facility in the Dorchester section of the city of Boston, for females with alcohol and chemical dependency; provided further, that not less than $225,000 shall be expended for the operation of the Barnstable Action for New Directions (BAND) program facilitated by the Gosnold Society of Cape Cod Inc., in conjunction with the Barnstable district court and the Cape and Islands district attorney; provided further, that not less than $200,000 shall be expended for a substance abuse treatment program for children in the custody of the department of youth services; provided further, that not less than $200,000 shall be expended for the Link House, Inc., in the town of Salisbury, for purposes of establishing transitional housing for women in recovery from substance abuse; provided further, that not less than $200,000 shall be expended for The Gavin Foundation, Inc. to provide drug and alcohol abuse prevention education through the Speakers for Hope Program; provided further, that $200,000 shall be expended for the Massachusetts Interscholastic Athletic Association's substance abuse program; provided further, that not less than 158,000 shall be expended for the Haitian Multi-Service Center in the Dorchester section of Boston; provided further, that not less than $155,000 shall be expended for the maintenance and operation of the Intensive Outpatient Program at the South Boston Collaborative for the purposes of responding to adolescent suicide clusters and drug abuse in the South Boston section of the city of Boston; provided further, that not less than $150,000 shall be expended to the Berkshire County Youth Development Project for youth intervention services; provided further, that there shall be a recovery support center in each region; provided further, that not less than $150,000 shall be expended on the Hampden County Residential Program for Women; provided further, that not more than $150,000 shall be expended for the Hampden County Sheriff to operate an innovative residential program for recently released female offenders in the Springfield area; provided further, that not less than $150,000 shall be expended for the Lowell House; provided further, that $150,000 shall be expended for the Northern Educational Services, Inc., in Springfield, to operate the Youth Zone Program; provided further, that not less than $145,000 shall be expended for the Arlington Youth Consultation Center; provided further, that not less than $145,000 shall be expended in grants for the Framingham Coalition for the Prevention of Drug and Alcohol Abuse; provided further, that not less than $125,000 shall be expended for Self Esteem Boston's substance abuse direct service prevention programs and provider training programs; provided further, that not less than $100,000 shall be expended for the substance abuse prevention programs of the Arlington Youth Health and Safety Coalition; provided further, that not less than $100,000 shall be expended for a contract with Bay Cove Human Services, Inc. for the purpose of establishing an independent licensed halfway house in the Charlestown neighborhood of Boston, in collaboration with the Charlestown Recovery House, Inc. for persons in recovery from alcoholism and chemical dependency; provided further, that not less than $100,000 shall be expended for New North Citizens' Council, Inc. Springfield Women's Addiction-Recovery Network; provided further, that not less than $100,000 shall be expended on the Russian Teens-at-Risk program operated by the Jewish Family Children's Service in the cities of Boston and Lynn and the town of Brookline; provided further, that $100,000 shall be expended for the prevention of substance abuse in the town of Saugus; provided further, that not less than $100,000 shall be expended to the Springfield Public Health Department for drug prevention outreach and education; provided further, that not less than $100,000 shall be expended for the Winchester Substance Abuse Coalition in the town of Winchester; provided further, that not less than $90,000 shall be expended for Franklin Medical Center's Beacon Recovery Program at the Orange Recovery House; provided further, that $75,000 shall be expended to continue an Opiate Abuse Prevention and Intervention Program for Youth in the city of Melrose; provided further, that not less than $75,000 shall be expended for the Charlestown Substance Abuse Coalition for securing placement of at-risk adults in job-training programs, apprenticeships and permanent employment; provided further, that not less than $75,000 shall be provided to Second Step, Inc. in the city of Newton for the provision of substance abuse prevention and education programs to the survivors of domestic violence and their children; provided further, that not less than $75,000 shall be expended for the Tynan Community Center's Adolescence Wellness Program in the South Boston section of the city of Boston; provided further, that not less than $70,000 shall be expended for the Adolescent Education program of the South Boston Neighborhood House in the South Boston section of the city of Boston; provided further, that no less than $60,000 shall be provided to Project COPE, Inc. in Lynn for the prevention and education of the problems associated with OxyContin and heroin use; provided further, that not less than $50,000 shall be expended for teens through programs provided by the Ashland Recreational Department; provided further, that not less than $50,000 shall be expended for the Exodus Outreach Recovery Program; provided further, that not less than $50,000 shall be expended for the Louis D. Brown Peace Institute for homicide victims' family support services and anti-violence advocacy programs; provided further, that not less than $30,000 shall be expended for the Boat People SOS, Inc. Bilingual Community Liaison Project in Springfield; and provided further, that not less than $20,000 shall be provided for Stand Down Bilingual outreach center in the city of Springfield 		77,656,206
4512-0201 Substance Abuse Step-Down Recovery Services
For substance abuse step-down recovery services, otherwise known as level B beds and services, and other critical recovery services with severely reduced capacity; provided, that no funds shall be expended in the AA object class; provided further, that not less than $200,000 shall be expended for the Northern Educational Services (NES), Inc., so-called, to provide recovery services for 40 men by setting-up housing consisting of a 13 bed residency in Springfield; and provided further, that the department shall submit quarterly to the house and senate committees on ways and means a report on the number of individuals served by the step-down recovery services program 		4,800,000
4512-0202 Secure Treatment Facilities for Opiate Addiction
For 2 pilot pre-arraignment jail diversion programs primarily for nonviolent offenders with OxyContin or heroin addiction to be procured by the department of public health; provided, that each program shall have at least 60 beds and shall provide clinical assessment services to the respective courts, inpatient treatment for up to 90 days and ongoing case management services for up to one year; provided further, that individuals may be diverted to this or other programs by a district attorney in conjunction with the office of the commissioner of probation if: (a) there is reason to believe that the individual being diverted suffers from an addiction to OxyContin or heroin, or other substance use disorder; and (b) the diversion of an individual is clinically appropriate and consistent with established clinical and public safety criteria; provided further, that both programs shall be established in separate counties and a location deemed suitable by the department of public health; provided further, that the department of public health shall coordinate operations with county sheriffs, the district attorneys, the office of the commissioner of probation and the department of correction; provided further, that not more than $500,000 may be used to support the ongoing treatment needs of clients post 90 days for which there is no other payer; and provided further, that the department of public health shall provide an annual report to the joint committee on mental health and substance abuse and the house and senate committees on ways and means as to the outcomes of the program and the cost of operations 		0
4512-0500 Dental Health Services
For dental health services; provided, that no funds shall be expended in the AA object class; provided further, that funds shall be expended to maintain a program of dental services for the developmentally disabled; provided further; that the department shall submit to the house and senate committees on ways and means a quarterly report on the number of children served by this dental health services program and the number of children waiting to be served by the program; provided further, that not less than $90,000 shall be expended to The Community Coalition of Cape Cod Inc. for support and implementation of a model dental program that provides comprehensive dental care for low-income uninsured adults throughout Cape Cod; provided further, that not less than $150,000 shall be allotted to the Taunton Oral Health Clinic in the city of Taunton for the basic dental needs of moderate and low income residents of southeastern Massachusetts; provided further, that $750,000 shall be expended for the Forsyth Institute's Center for Children's Oral Health to fund a school-based demonstration project to offer preventive oral health care to children in high need areas including Boston, Lynn, and the Cape and Islands; and provided further, that not less than $500,000 shall be expended on the open wide health pilot program in Hampden county 		2,452,712
4513-1000 Family Health Services
For the provision of family health services; provided, that no funds shall be expended in the AA object class; provided further, that not less than $6,000,000 shall be provided for comprehensive family planning services, including HIV counseling and testing, community-based health education and outreach services, provided by agencies certified as comprehensive family planning agencies; provided further, that $25,000 shall be expended for regional respite, counseling and holistic therapy services offered by the Cancer Connection, located in the city of Northampton; provided further, that not less than $50,000 shall be provided for the Molly Bish Institute for Child Safety at Mt. Wachusett Community College; provided further, that not less then $100,000 shall be expended for the Massachusetts Sudden Infant Death Center at Boston Medical Center; provided further, that not less than $350,000 be expended for the operations of the Regional Poison Control Center, located at the Children's Hospital in Boston; provided further, that not less than $350,000 shall be expended for ROCA, Inc. for outreach and youth development for at-risk youth and young adults in Chelsea, Revere, and East Boston; provided further, that of said $350,000, not less than $150,000 shall be expended for such programs in the Bowdoin/Geneva and the Uphams Corner/North Dorchester sections of Boston; provided further, that not less than $35,000 shall be expended for the Immigrants Assistance Center, Inc., in New Bedford for its unique bilingual AIDS education; provided further, that not less than $10,000 shall be expended for the Cancer House of Hope in the city of Westfield; provided further, that $450,000 shall be expended for the Massachusetts Birth Defects Monitoring Program; provided further, that not less than $50,000 shall be expended for Falmouth Family Planning; and provided further, that $200,000 shall be expended for an elder health and outreach program in Saugus
 5,835,000
4513-1002 Women, Infants, and Children's Nutritional Services
For women, infants and children's (WIC) nutrition services in addition to funds received under the federal nutrition program; provided, that no funds shall be expended in the AA object class; provided further, that all new WIC cases, in excess of fiscal year 1991 caseload levels, shall be served in accordance with priority categories 1 through 7, as defined by the state WIC program; and provided further, that not less than $680,000 shall be expended for the Growth and Nutrition Program 		13,565,092
4513-1020 Early Intervention Services
For the early intervention program; provided, that no funds shall be expended in the AA object class; provided further, that the department shall report quarterly to the house and senate committees on ways and means the total number of units of service purchased and the total expenditures for the units of service paid by the department, the executive office of health and human services and third party payers for early intervention services for the following services categories: home visit, center-based individual, child-focused group, parent-focused group, screening and assessment; provided further, that the department shall make all reasonable efforts to secure third party and Medicaid reimbursements for the services funded in this item; provided further, that funds from this item shall be expended for a reserve to provide respite services to families of children enrolled in early intervention programs who have complex care requirements, multiple disabilities and extensive medical and health needs; provided further, that priority shall be given to low and moderate income families; provided further, that the department shall submit to the house and senate committees on ways and means a report on the number of families served by the program and the amount of funds appropriated in this item granted to qualified families not later than February 2, 2009; provided further, that no claim for reimbursement made on behalf of an uninsured person shall be paid from this item until the program receives notice of a denial of eligibility for the MassHealth program from the executive office of health and human services; provided further, that nothing in this item shall give rise to or shall be construed as giving rise to enforceable legal rights to any such services or an enforceable entitlement to the early intervention services funded in this item; provided further, that funds from this item may be expended for a rate increase; provided further, that not less than $1,000,000 shall be expended for the provision of cost reimbursement funding to certified Early Intervention programs; and provided further, that the department shall provide written notification to the senate and house committees on ways and means 90 days prior to any change to its current eligibility criteria 		41,582,041
4513-1023 Newborn Hearing Screening Program
For the universal newborn hearing screening program; provided, that no funds shall be expended in the AA object class; and provided further, that the funds appropriated in this item shall be expended for the notification of and follow through with affected families, primary care providers and early intervention programs upon the department's receipt of data indicative of potential hearing disorders in newborns 		84,076
4513-1024 Shaken Baby Syndrome Prevention Program
For the operation of a comprehensive, state-wide shaken baby syndrome prevention program including community-based, hospital-based and statewide activities; provided, that services funded through this item shall include, but not be limited to: education, training, intervention, support, surveillance and evaluation 		303,096
4513-1026 Suicide Prevention and Intervention Program
For the provision of statewide and community-based suicide prevention, intervention, post-intervention, and surveillance activities and the implementation of a statewide suicide prevention plan; provided, that funds shall be expended for the costs of a collaborative study with the Geriatric Mental Health Services program within the department of elder affairs for the purpose of creating a program to address elder suicide behavior and attempts; provided further, that funds shall be expended for a Veterans in Crisis Hotline; provided further, that the hotline shall be for the use of veterans who seek counseling programs operated by the department of veterans affairs and/or concerned family members of those veterans so that they may be directed towards the programs and services offered by their local or regional VA office; and provided further, that the hotline shall be staffed by counselors or outreach programs contracted by the department and trained in issues of mental health counseling and veterans services 		4,013,095
4513-1111 Health Promotion and Disease Prevention
For the promotion of health and disease prevention including, but not limited to, the following programs: breast cancer prevention, diabetes screening and outreach, ovarian cancer screening, a statewide STOP stroke program and ongoing stroke prevention and education, hepatitis C prevention and management, multiple sclerosis screening, information, education, treatment programs and the Multiple Sclerosis Home Living Navigating Key Services program administered by the Central New England Chapter of the National Multiple Sclerosis Society, renal disease prevention and management, Lyme disease prevention and research, colorectal cancer prevention, prostate cancer screening, education and treatment with a particular focus on African American males, osteoporosis education, a program to combat mental retardation in children suffering from a genetic effect causing phenylketonuria, maintenance of the Amyotrophic Lateral Sclerosis registry created pursuant section 25A of chapter 111 of the General Laws, maintenance of the statewide lupus database, early detection and treatment of lung cancer, education, awareness and early detection of brain aneurysms, and the operation of the Betsy Lehman Center for patient safety; provided further, that the department shall expend not less than the same amount available in each item in fiscal year 2008; provided further, that sites for Hepatitis C services shall be distributed throughout the commonwealth so as to ensure coverage in all geographic regions, including currently underserved areas proximate to Boston, Cape Ann, Fitchburg, Leominster, Lowell, Pittsfield, Springfield and Worcester; and provided further, that not less than $75,000 shall be expended for the operation of NECPAD, a support organization which provides patient education and support for people diagnosed with PKU or related disorders and their families
 		12,913,198
4513-1130 Domestic Violence and Sexual Assault Prevention and Treatment
For the domestic violence and sexual assault prevention and treatment program; provided, that of the amount appropriated in this item, funds shall be expended for rape prevention and victim services, including the statewide Spanish language hotline for sexual abuse and domestic violence services for immigrants, and refugees and statewide suicide and violence prevention outreach to gay and lesbian youth; provided further, that not less than $350,000 shall be expended for the public health model of community engagement and intervention services and crisis housing for sexual violence and intimate partner violence in the GLBT community; provided further, that not less than $20,000 shall be expended for a Spanish speaking battered women's hotline provided by Delamano, a Lawrence-based domestic violence support organization; provided further, that not less than $300,000 shall be expended for sexual and domestic violence prevention; provided further, that not less than $1,050,000 shall be expended for domestic violence batterers' intervention services; provided further, that not less than $300,000 shall be expended for sexual abuse and domestic violence services for immigrants and refugees; provided further, that not less than $200,000 shall be expended for Close to Home, a domestic violence prevention program located in Dorchester; and provided further, that not less than $75,000 shall be expended for the Alternative House 		6,353,324
4516-1000 State Laboratory and Communicable Disease Control Services
For the administration of the center for laboratory and communicable disease control, including the division of communicable venereal diseases, the division of tuberculosis control and the state laboratory institute; provided, that the department shall give priority to the analysis of samples used in the prosecution of controlled substances offenses; provided further, that funds shall be expended for an eastern encephalitis testing program and for tuberculosis testing and treatment services; provided further, that no funds appropriated in this item shall be expended for administrative, space or energy expenses of the department not directly related to personnel or programs funded in this item; provided further, that funds from this item may be expended for the purchase of equipment for the drug laboratory at the state laboratory institute; provided further, that not less than $240,000 shall be expended for the maintenance of the statewide rabies control program, coordinated by the department providing assistance to cities, towns and the public and for the interagency collaboration through the rabies advisory committee, the 24-hour epidemiological and clinical consultation for rabies exposures and the rapid laboratory diagnostic services; and provided further, that of said $240,000, not less than $150,000 shall be expended for the continuation of the Oral Rabies Vaccine Project on Cape Cod operated through a contract with Tufts University School of Veterinary Medicine in collaboration with the federal Centers for Disease Control and Prevention 		15,305,086
4530-9000 Teenage Pregnancy Prevention Services
For teenage pregnancy prevention services; provided, that no funds shall be expended in the AA object class; provided further, that applications for such funds shall be administered through the department upon receipt and approval of coordinated community service plans to be evaluated in accordance with guidelines issued by the department; provided further, that portions of the grants may be used for state agency purchases of designated services identified by the community service plans; provided further, that funding shall be expended on those communities with the highest teen birth rates according to an annual statistical estimate conducted by the department; provided further, that funds shall be expended on programming directed at children under the care of the department of social services who are at high risk for teenage pregnancy; provided further, that the department shall collaborate with the department of social services on this programming; provided further, that not less than $400,000 shall be expended for the Northern Berkshire Community Coalition in the Berkshire region; provided further, that of said $400,000, not more than 10 percent shall be used for administrative services; provided further, that of said $400,000 not less than $250,000 shall be expended for the teen pregnancy prevention programs in the cities of North Adams and Pittsfield; provided further, that of said $250,000, not less than $125,000 shall be expended for said program in the city of Pittsfield; provided further that $50,000 shall be expended for teen pregnancy prevention programs in the town of Southbridge; provided further that $100,000 shall be expended for teen pregnancy prevention services in the town of Orange; and provided further, that no less than $15,000 shall be provided to Girls, Inc. of Lynn for teen pregnancy prevention 		3,670,586
4570-1502 Infection Prevention Program
For the purposes of implementing a proactive statewide infection prevention and control program 		780,290
4580-1000 Universal Immunization Program
For the operation of the universal immunization program; provided, that no funds shall be expended in the AA object class; provided further, that no funds appropriated in this item shall be expended for administrative or energy expenses of the department not directly related to programs funded in this item 		45,449,649
4590-0250 School-Based Health Programs
For school health services and school-based health centers in public and non-public schools; provided, that no funds shall be expended in the AA object class; provided further, that services shall include, but not be limited to: (a) strengthening the infrastructure of school health services in the areas of personnel and policy development, programming and interdisciplinary collaboration; (b) developing linkages between school health services programs and community health providers; (c) incorporating health education programs, including tobacco prevention and cessation activities in school curricula and in the provision of school based health services; and (d) incorporating obesity prevention programs, including nutrition and wellness programs, in school curricula to address the nutrition and lifestyle habits needed for healthy development; provided further, that the services shall meet standards and eligibility guidelines established by the department in consultation with the department of education; provided further, that not less than $300,000 shall be expended for mental health and substance abuse services in school-based health centers; provided further, that not less than $550,000 shall be expended for the commission on gay and lesbian youth; provided further, that $150,000 shall be expended for the Childhood Obesity School Nutrition Project within the department to initiate or maintain school lunch programs focused on diminishing the epidemic of childhood obesity; provided further, that food service providers working with public schools wishing to institute or maintain a school nutrition program designed to reduce childhood obesity may submit an application to the department indicating the various nutritional and educational steps the school plans to implement with the grant, not to exceed $10,000 per school per year; provided further, that eligible programs shall focus on providing healthier choices for lunch programs and provide incentives and information to make healthier meal choices in the school lunch line; provided further, that 1 or more schools may be included in an application; provided further, that grant applications and other appropriate criteria shall be determined and reviewed by the department; provided further, that not less than $200,000 shall be expended for the North Quabbin Community Coalition for support and implementation of four model community coalitions and community capacity building activities; provided further, that not less than $15,000,000 shall be expended for school nurses and school based health centers; and provided further, that not less than $100,000 shall be expended to the H.E.L.P. program so-called, for black males health; and provided further, that not less than $75,000 shall be expended for a pilot program to provide community health services through the school-based health center at the Helen A. Bowditch Health Center at Elm Park school in the city of Worcester 		16,697,430
4590-0300 Smoking Prevention and Cessation Programs
For smoking prevention and cessation programs; provided, that no funds shall be expended in the AA object class 		12,117,950
4590-0914 Direct Care Staff Recruitment
211,530
4590-0915 Public Health Hospitals
For the maintenance and operation of Tewksbury hospital, Massachusetts hospital school, Lemuel Shattuck hospital and the hospital bureau, including the state office of pharmacy services; provided, that all revenue generated by the hospitals shall be credited to the General Fund; provided further, that no funds appropriated in this item shall be expended for administrative, space or energy expenses of the department not directly related to personnel or programs funded in this item; provided further, that Tewksbury hospital shall not be used to house county, state or other prisoners; provided further, that the department shall take no action to reduce or realign the client population and services at Tewksbury hospital unless such action results in alternative service delivery in an appropriate and cost-effective method of care; provided further, that staffing configurations at Tewksbury hospital shall be consistent with the client population and service realignment; provided further, that $241,743 shall be made available for the fifth of 6 annual TELP payments for a CT scanner procured for Lemuel Shattuck hospital; provided further, that reimbursements received for medical services provided at the Lemuel Shattuck hospital to inmates of county correctional facilities not managed by private health care vendors shall be credited to item 4590-0903 of section 2B; and provided further, that notwithstanding any general or special law to the contrary, the department shall seek to obtain federal financial participation for care provided to inmates of the department of correction and of county correctional facilities who are treated at the public health hospitals; provided further, that not less than $855,000 shall be expended for a new dialysis unit at Tewksbury State Hospital; provided further, that the department shall submit a report to the house and senate committees on ways and means not later than January 31, 2008, on the progress of the expansion and the use of the funds 		141,891,472
4590-1503 Pediatric Palliative Care
For the pediatric palliative care program established in section 24K of chapter 111 of the General Laws 		786,850
4590-1506 Violence Prevention Grants
For a grant program to be administered by the department of public health to support the establishment of a comprehensive youth violence prevention program; provided, that the commissioner of public health shall distribute grant funds through a competitive grant program that gives preference to applications that: (a) serve communities that have been identified by the department as being high risk communities for youth violence; (b) demonstrate multi-disciplinary collaboration, including youth serving community organizations, state agencies, local law enforcement, medical and public health professionals, and faith-based organizations; (c) utilize a youth development framework that includes addressing out-of-school time activities, mentoring, leadership training, employment readiness training, conflict resolution, education support, family support services and financial literacy; (d) provide positive programming during, but not limited to, the hours of 2 pm and 10 pm; and (e) demonstrate the ability to work with the department staff to conduct comprehensive evaluations of program development and implementation activities; provided further, that no grants shall be awarded to law enforcement agencies; provided further, that funds shall be considered one-time and grants shall not annualize in fiscal year 2010; provided further, that administrative costs for successful grant applications shall not exceed 3 per cent of the value of the grant; provided further, that no grant funds shall be expended on food or beverages; provided further, that the department of public health shall publish guidelines and an application for the grant program not later than July 31, 2008; provided further, that awards shall be made to applicants not later than September 1, 2008; provided further, that the department of public health shall report to the house and senate committees on ways and means and the executive office of administration and finance not later than November 1, 2008, detailing the grant amount awarded to each recipient and a description of each grant; and provided further, that each grant recipient shall provide the department of public health with a comprehensive list of best practices that have been instituted as a result of these grants 		3,464,541

account description amount
Retained Revenues
4510-0106 End of Life Care Commission Retained Revenue
For the end of life care commission, established by section 480 of chapter 159 of the acts of 2000; provided, that not more than $35,000 shall be expended from revenues associated with grant and development activities 		35,000
4510-0615 Nuclear Power Reactor Monitoring Fee Retained Revenue
The department may expend not more than $150,000 from assessments collected under section 5K of chapter 111 of the General Laws for services provided to monitor, survey and inspect nuclear power reactors; provided, that the department may expend not more than $1,426,652 from fees collected from licensing and inspecting users of radioactive material within the commonwealth under licenses presently issued by the Nuclear Regulatory Commission; provided further, that the revenues may be used for the costs of both programs, including the compensation of employees; and provided further, that for the purpose of accommodating timing discrepancies between the receipt of retained revenues and related expenditures, the department may incur expenses and the comptroller may certify for payment amounts not to exceed the lower of this authorization or the most recent revenue estimate as reported in the state accounting system 		1,574,144
4510-0616 Prescription Drug Registration and Monitoring Fee Retained Revenue
The department may not expend more than $608,831 for a drug registration and monitoring program from revenues collected from fees charged to registered practitioners, including physicians, dentists, veterinarians, podiatrists and optometrists for controlled substance registration; provided, that funds may be expended from this item for the costs of personnel; and provided further, that for the purpose of accommodating timing discrepancies between the receipt of retained revenues and related expenditures, the department may incur expenses and the comptroller may certify for payment amounts not to exceed the lower of this authorization or the most recent revenue estimate as reported in the state accounting system 		607,195
4510-0712 Division of Health Care Quality Health Facility Licensing Fee Retained Revenue
For the department of public health; provided, that the department may expend not more than $530,387 in revenues collected from the licensure of health facilities for program costs of the division of health care quality; provided, that the department may expend not more than $800,000 from revenues collected from individuals applying for emergency medical technician licensure and recertification; and provided further, that notwithstanding any general or special law to the contrary, for the purpose of accommodating timing discrepancies between the receipt of retained revenue and related expenditures, the department may incur expenses and the comptroller may certify for payment amounts not to exceed the lesser of this authorization or the most recent revenue estimate therefore as reported in the state accounting system 		1,328,936
4510-0726 Board of Registration in Medicine Fee Retained Revenue
For the board of registration in medicine, including the physician profiles program; provided, that the board may expend revenues not to exceed $300,000 from new revenues associated with increased license and renewal fees 		300,000
4512-0106 HIV/AIDS Drug Program Manufacturer Rebates Retained Revenue
For the department of public health which may expend for the human immunodeficiency virus and acquired immune deficiency syndrome drug assistance program an amount not to exceed $1,500,000 from revenues received from pharmaceutical manufacturers participating in the section 340B rebate program of the Public Health Service Act, administered by the federal Health Resources and Services Administration and Office of Pharmacy Affairs 		1,500,000
4512-0225 Compulsive Behavior Treatment Program Retained Revenue
The department of public health may expend not more than $1,000,000 for a compulsive gamblers' treatment program from unclaimed prize money held in the State Lottery Fund for more than 1 year from the date of the drawing when the unclaimed prize money was won, and from the proceeds of a multi-jurisdictional lottery game under subsection (e) of section 24A of chapter 10 of the General Laws; provided, that the state comptroller shall transfer the amount to the General Fund; and provided further, that notwithstanding any general or special law to the contrary, for the purpose of accommodating timing discrepancies between the receipt of retained revenue and related expenditures, the department may incur expenses and the comptroller may certify for payment amounts not to exceed the lesser of this authorization or the most recent revenue estimate therefor as reported in the state accounting system 		1,000,000
4513-1010 Early Intervention Services Medicaid Reimbursement Retained Revenue
For the department of public health; provided, that said department may expend not more than $6,500,000 in revenue received from the collection of federal financial participation for early intervention services delivered to Medicaid-eligible children by developmental educators and professionals in related disciplines; provided further, that nothing in this item shall give rise to or shall be construed as giving rise to enforceable legal rights to any such services or an enforceable entitlement to the services funded in this item; and provided further, that the revenue may be used to pay for current and prior year claims 		7,000,000
4513-1012 WIC Program Manufacturer Rebates Retained Revenue
The department of public health may expend not more than $24,600,000 from revenues received from the federal cost-containment initiatives including, but not limited to, infant formula rebates; provided, that for the purpose of accommodating timing discrepancies between the receipt of retained revenues and related expenditures, the department may incur expenses and the comptroller may certify for payment amounts not to exceed the lesser of this authorization or the most-recent revenue estimate as reported in the state accounting system 		25,600,000
4516-0263 Blood Lead Testing Fee Retained Revenue
For the department of public health; provided, that said department may expend not more than $1,442,468 in revenues from various blood lead testing fees collected from insurers and individuals for the purpose of conducting such tests; and provided further, that notwithstanding any general or special law to the contrary, for the purpose of accommodating timing discrepancies between the receipt of retained revenues and related expenditures, the department may incur expenses and the comptroller may certify for payment amounts not to exceed the lesser of this authorization or the most recent revenue estimate therefore, as reported in the state accounting system 		1,442,468
4516-1022 State Laboratory Tuberculosis Testing Fee Retained Revenue
For the department of public health; provided, that the department may expend not more than $300,000 generated by fees collected from insurers for tuberculosis tests performed at the state laboratory institute; provided further, that revenues collected may be used to supplement the costs of said laboratory; and provided further, that for the purpose of accommodating timing discrepancies between the receipt of retained revenues and related expenditures, the department may incur expenses and the comptroller may certify for payment amounts not to exceed the lesser of this authorization or the most-recent revenue estimate, as reported in the state accounting system 		300,000
4518-0200 Vital Records, Research, Cancer and Community Data
The department may expend not more than $400,000 generated by fees collected from the following services provided at the registry of vital records and statistics: amendments of vital records, requests for vital records not issued in person at the registry and research requests performed by registry staff at the registry; provided, that revenues so collected may be used for all program costs, including the compensation of employees; provided further, that the registrar of vital records and statistics shall exempt from payment of a fee any person requesting a copy of a birth certificate for the purpose of establishing eligibility for Medicaid; and provided further, that for the purpose of accommodating timing discrepancies between the receipt of retained revenues and related expenditures, the department may incur expenses and the comptroller may certify for payment amounts not to exceed the lesser of this authorization or the most recent revenue estimate, as reported in the state accounting system 		400,000
4590-0912 Western Massachusetts Hospital Federal Reimbursement Retained Revenue
The department may expend an amount not to exceed $16,542,017 from reimbursements collected for western Massachusetts hospital services, subject to the approval of the commissioner of public health; provided, that such revenues may be expended for the purpose of hospital-related costs, including personnel, capital expenditures, DD object class charge-backs and motor vehicle replacement; provided further, that all revenues expended shall be pursuant to schedules submitted to the secretary of administration and finance and the house and senate committees on ways and means; provided further, that not withstanding any special or general laws to the contrary, the western Massachusetts hospital shall be eligible to receive and retain full payment under the medical assistance program administered by the executive office of health and human services pursuant to chapter 118E of the general laws for all goods and services provided by the hospital in accordance with all federal requirements; provided further, that notwithstanding any general or special law to the contrary, the western Massachusetts hospital shall reimburse the General Fund for a portion of employee benefit expenses, according to a schedule submitted by the commissioner of public health and approved by the secretary for administration and finance; provided further, that such reimbursement shall not exceed 10 per cent of total personnel costs for the hospital; provided further, that for the purpose of accommodating timing discrepancies between the receipt of retained revenues and related expenditures, the department may incur expenses and the comptroller may certify for payment amounts not to exceed the lesser of this authorization or the most recent revenue estimate as reported in the state accounting system; and provided further, that no funds appropriated herein shall be expended for administrative, space or energy expenses of the department not directly related to personnel or programs funded in this item 		16,551,391
4590-0913 Shattuck Private Medical Vendor Retained Revenue
For the department of public health which may expend not more than $500,000 for payments received for those services provided by the Lemuel Shattuck hospital to inmates of county correctional facilities; provided, that for the purpose of accommodating timing discrepancies between the receipt of retained revenues and related expenditures, the department may incur expenses and the comptroller may certify for payment amounts not to exceed the lesser of this authorization or the most recent revenue estimate as reported in the state accounting system 		500,000
4590-0917 Shattuck Hospital Department of Correction Inmate Retained Revenue
For the department of public health; provided, that the department may expend an amount not to exceed $4,160,000 from payments received from the vendor managing health services for state correctional facilities for inmate medical services provided by the Lemuel Shattuck hospital; provided, that the payments may include capitation payments, fee for service payments, advance payments and other compensation arrangements established by contract between the vendor and the hospital; and provided further, that notwithstanding any general or special law to the contrary, for the purpose of accommodating timing discrepancies between the receipt of retained revenues and related expenditures, the department may incur expenses and the comptroller may certify for payment amounts not to exceed the lower of this authorization or the most recent revenue estimate therefore as reported in the state accounting system 		4,160,000

account description amount
Intragovernmental Service Spending 49,736,520
4510-0108 Chargeback for State Office Pharmacy Services
For the costs of pharmaceutical drugs and services provided by the state office for pharmacy services, in this section called SOPS; provided, that SOPS shall notify in writing all agencies listed below of their obligations under this item by July 15, 2008; provided further, that SOPS shall continue to be the sole provider of pharmacy services for the following agencies currently under SOPS: the department of public health, the department of mental health, the department of mental retardation, the department of correction, the sheriff's departments of Franklin, Hampden and Plymouth, and the Soldiers' Home in Holyoke; provided further, that SOPS shall become the sole provider of pharmacy services to the following agencies currently not being serviced by SOPS: the sheriff's departments of Worcester, Middlesex, Hampshire, Berkshire, Essex, Suffolk, Norfolk, Bristol, Barnstable and Dukes, the Soldiers' Homes in Chelsea and the department of youth services; provided further, that SOPS shall be the sole provider of pharmacy services for all said agencies and all costs for pharmacy services shall be charged by this item; provided further, that pursuant to the SOPS report completed on December 15, 2007, said agencies shall not charge or contract with any other alternative vendor for pharmacy services other than SOPS; provided further, that SOPS shall develop an implementation plan to transition the following agencies within the current fiscal year: the sheriff's departments of Worcester, Middlesex, Hampshire, Berkshire, Essex, Suffolk, Norfolk, Bristol, Barnstable and Dukes, the Soldiers' Homes in Chelsea and the department of youth services; provided further, that SOPS will validate previously submitted pharmacy expenditures including HDAP drug reimbursements during fiscal year 2009; provided further, that SOPS shall continue to work to reduce medication costs, provide standardized policies and procedures in a clinically responsible manner, provide comprehensive data analysis and improve the quality of clinical services; provided further, that SOPS shall report to the house and senate committees on ways and means no later than April 15, 2009 detailing the projected savings realized by each transitioning agency in comparison to their pharmacy costs in fiscal year 2008 and their projected savings for fiscal year 2010; and provided further, that the report shall also provide recommendations for the inclusion of other entities that may realize cost savings by joining SOPS
                Intragovernmental Service Fund ............... 100%
45,786,520
4590-0901 Chargeback for Consolidated Public Health Hospitals
For the costs of medical services provided at public health hospitals pursuant to a schedule of services and fees approved by the commissioner of public health, which may be expended for the purposes of hospital related costs, including, but not limited to, capital repair and the maintenance and motor vehicle replacement; provided, that notwithstanding any general or special law to the contrary, for the purpose of accommodating timing discrepancies between the receipt of retained revenue and related expenditures, the department may incur expenses and the comptroller may certify for payment amounts not to exceed the lower of this authorization or the most recent revenue estimate thereof as reported in the state accounting system
                Intragovernmental Service Fund ............... 100%
150,000
4590-0903 Chargeback for Medical Services for County Corrections Inmates
For the costs of medical services provided at the department of public health Lemuel Shattuck hospital to inmates of the county correctional facilities; provided, that the costs shall be charged to items 8910-0000, 8910-0010, 8910-0102, 8910-0105, 8910-0107, 8910-0108, 8910-0110, 8910-0145 and 8910-0619 of section 2 pursuant to the provisions thereof; provided further, that expenditures from this item shall be for hospital-related costs including, but not limited to, capital repair and the maintenance and motor vehicle replacement; and provided further, that notwithstanding any general or special law to the contrary, for the purpose of accommodating timing discrepancies between the receipt of retained revenue and related expenditures, the department may incur expenses and the comptroller may certify for payment amounts not to exceed the lower of this authorization or the most recent revenue estimate thereof as reported in the state accounting system
                Intragovernmental Service Fund ............... 100%
3,800,000

account description amount
Federal Grant Spending 263,459,519
4500-1000 Preventive Health Services Block Grant
For the purposes of a federally funded grant entitled, Preventive Health Services Block Grant 		3,170,463
4500-1050 Rape Prevention and Education
For the purposes of a federally funded grant entitled, Rape Prevention and Education 		989,283
4500-1065 State Partnership to Improve Minority Health
For the purposes of a federally funded grant entitled State Partnership to Improve Minority Health 		154,867
4500-2000 Maternal and Child Health Services Block Grant
For the purposes of a federally funded grant entitled, Maternal and Child Health Services Block Grant 		12,097,344
4502-1012 Cooperative Health Statistics System
For the purposes of a federally funded grant entitled, Cooperative Health Statistics System 		614,398
4510-0109 State Loan Repayment Project
For the purposes of a federally funded grant entitled, State Loan Repayment Project 		250,000
4510-0113 Office of Rural Health
For the purposes of a federally funded grant entitled, Office of Rural Health 		148,500
4510-0118 Primary Care Cooperative Agreement
For the purposes of a federally funded grant entitled, Primary Care Cooperative Agreement 		108,954
4510-0119 Rural Hospital Flexibility Program
For the purposes of a federally funded grant entitled, Rural Hospital Flexibility Program 		297,900
4510-0219 Small Rural Hospital Improvement Grant
For the purposes of a federally funded grant entitled, Small Rural Hospital Improvement Program 		89,450
4510-0221 Targeted Oral Health Services
For the purposes of a federally funded grant entitled, Targeted Oral Health Services 		160,000
4510-0400 Medicare and Medicaid Survey and Certification
For the purposes of a federally funded grant entitled, Medicare and Medicaid Survey and Certification 		7,637,790
4510-0404 Hospital Bioterrorism Preparedness
For the purposes of a federally funded grant entitled, Bioterrorism Hospital Preparedness 		9,983,770
4510-0500 Clinical Laboratory Improvement Amendments
For the purposes of a federally funded grant entitled, Clinical Laboratory Improvement 		312,536
4510-0609 Nuclear Regulatory Commission Security Inspections
For the purposes of a federally funded grant entitled, NRC Security Inspections 		5,000
4510-0619 Food and Drug Administration Inspection of Food Establishments
For the purposes of a federally funded grant entitled, FDA Inspection of Food Establishments 		322,736
4510-0627 Prescription Drug Monitoring
For the purposes of a federally funded grant entitled, Enhancement of Infrastructure Reporting and Interstate Exchange 		275,000
4510-0628 Developing and Enhancing Prescription Dr
For the purposes of a federally funded grant entitled, Enhancement of Infrastructure Collaborative Data Sharing 		400,000
4510-0630 Enabling Electronic Prescribing and Enha
For the purposes of a federally funded grant entitled, Enabling Electronic Prescribing and Enhancement 		425,710
4510-0636 Childhood Lead Paint Poisoning Prevention
For the purposes of a federally funded grant entitled, Childhood Lead Paint Poisoning Prevention 		1,145,179
4510-0793 Rural Access to Emergency Devices Act
For the purposes of a federally funded grant entitled, RURAL Automatic External Defibrillator 		22,532
4510-9014 Mammography Quality Standards Act Inspections
For the purposes of a federally funded grant entitled, Mammography Quality Standards Act Inspections 		152,854
4510-9040 Diabetes Control Program
For the purposes of a federally funded grant entitled, Diabetes Control Program 		1,070,134
4510-9043 Demonstration Program to Conduct Toxic Waste Site Health Impact Assessments
For the purposes of a federally funded grant entitled, Demonstration Program to Conduct Toxic Waste Site Health Impact Assessments 		448,648
4510-9048 Indoor Radon Development Program
For the purposes of a federally funded grant entitled, Indoor Radon Development Program 		159,330
4510-9053 Beaches Environmental Assessment
For the purposes of a federally funded grant entitled, Beaches Environmental Assessment 		251,749
4510-9056 National Environmental Public Health Tracking
For the purposes of a federally funded grant entitled, National Environmental Public Health Tracking 		949,213
4512-0102 Sexually Transmitted Disease Control
For the purposes of a federally funded grant entitled, Sexually Transmitted Disease Control 		1,588,813
4512-0179 Vaccination Assistance Project
For the purposes of a federally funded grant entitled, Vaccination Assistance Project 		5,821,257
4512-0180 Epidemiology and Lab Surveillance
For the purposes of a federally funded grant entitled, Epidemiology and Lab Surveillance 		1,491,209
4512-9064 Adolescent Treatment
For the purposes of a federally funded grant entitled, Adolescent Treatment 		365,780
4512-9065 State Outcomes Measurement and Management System
For the purposes of a federally funded grant entitled, State Outcomes Measurement and Management System 		75,000
4512-9066 State Epidemiological Outcomes Workshop
For the purposes of a federally funded grant entitled, State Epidemiological Outcomes Workshop 		100,000
4512-9067 Screening and Brief Intervention
For the purposes of a federally funded grant entitled, Screening and Brief Intervention 		2,826,914
4512-9068 Collaborative for Action, Leadership, and Learning
For the purposes of a federally funded grant entitled, Collaborative for Action, Leadership, and Learning 		2,093,000
4512-9069 Substance Abuse Prevention and Treatment Block Grant
For the purposes of a federally funded grant entitled, Substance Abuse Prevention and Treatment Block Grant 		35,754,518
4512-9070 Promoting Safe and Statable Families
For the purposes of a federally funded grant entitled, Promoting Safe and Stable Families 		500,000
4512-9071 OJJDP Substance Abuse Prevention
For the purposes of a federally funded grant entitled, OJJDP Substance Abuse Prevention 		700,000
4512-9426 Uniform Alcohol and Drug Abuse Data Collection
For the purposes of a federally funded grant entitled, Uniform Alcohol and Drug Abuse Data Collection 		73,198
4513-0111 Housing Opportunities - People with AIDS
For the purposes of a federally funded grant entitled, Housing Opportunities-People with AIDS 		166,000
4513-1123 ADULT VIRAL HEPATITIS PREVENTION
For the purposes of a federally funded grant entitled, Adult Viral Hepatitis Prevention Coordinator 		105,925
4513-9007 Nutritional Status of Women, Infants and Children
For the purposes of a federally funded grant entitled, Nutritional Status of Women, Infants, and Children (WIC) 		89,471,755
4513-9018 Augmentation and Evaluation of Established Health Education - Risk Reduction
For the purposes of a federally funded grant entitled, Augmentation and Evaluation of Established Health Education - Risk Reduction 		11,092,885
4513-9020 Expanded & Integrated HIV Testing
For the purposes of a federally funded grant entitled, Expanded and Integrated HIV Testing 		690,000
4513-9021 Program for Infants and Toddlers with Disabilities
For the purposes of a federally funded grant entitled, Program for Infants and Toddlers with Handicaps 		8,214,170
4513-9022 Prevention of Disability State-Based Project
For the purposes of a federally funded grant entitled, Prevention Disability State Based Project 		200,552
4513-9027 Massachusetts Community AIDS Resource Enhancement - MassCare
For the purposes of a federally funded grant entitled, MassCare - Community AIDS Resource Enhancement 		888,693
4513-9030 Comprehensive Primary Care System Planning for Massachusetts Children
For the purposes of a federally funded grant entitled, Planning a Comprehensive Primary Care System for All Mass Children and Youth 		94,644
4513-9035 AIDS Surveillance and Seroprevalence Project
For the purposes of a federally funded grant entitled, AIDS Surveillance and Seroprevalence Project 		1,502,762
4513-9037 Ryan White Comprehensive AIDS Resources
For the purposes of a federally funded grant entitled, Ryan White Comprehensive AIDS Resources 		20,393,618
4513-9038 Shelter Plus Care - Worcester
For the purposes of a federally funded grant entitled, Shelter Plus Care - Worcester 		288,504
4513-9046 Congenital Anomalies Center of Excellence
For the purposes of a federally funded grant entitled, Congenital Anomalies Center of Excellence 		697,633
4513-9051 Rural Domestic Violence and Child Victimization Project
For the purposes of a federally funded grant entitled, Rural Domestic Violence and Children Victimization Project 		450,000
4513-9060 Residential Fire Injury Prevention, Intervention and Surveillance
For the purposes of a federally funded grant entitled, Residential Fire Injury Prevention - Mass Injury Intervention and Surveillance 		145,000
4513-9066 Universal Newborn Hearing Screening Enhancement Project
For the purposes of a federally funded grant entitled, Universal Newborn Hearing Screening-Enhancement Project 		175,000
4513-9071 Early Hearing Detection and Intervention - Tracking and Research
For the purposes of a federally funded grant entitled, Early Hearing Detection and Intervention (EHDI) Tracking and Research 		170,000
4513-9076 Early Childhood Comprehensive Systems
For the purposes of a federally funded grant entitled, Early Childhood Comprehensive Systems 		140,000
4513-9077 Emergency Medical Services for Children Partnership II
For the purposes of a federally funded grant entitled, Emergency Medical Services for Children Partnership II 		115,000
4513-9078 Asthma Planning Collaborative
For the purposes of a federally funded grant entitled, Asthma Planning Collaborative 		335,000
4513-9080 Massachusetts Perinatal Connection Project
For the purposes of a federally funded grant entitled, Mass. Perinatal Connection Project 		210,000
4513-9081 State Implementation Grant for Children with Special Health Care Needs
For the purpose of a federally funded grant entitled, State Implementation Grant for Children with Special Health Care Needs 		50,000
4513-9082 CAPTA Requirement to Identify and Serve Substance Exposed Newborns
For the purpose of a federally funded grant entitled, CAPTA Requirement to Identify and Serve Substance Exposed Newborns 		250,000
4513-9083 Massachusetts Youth Suicide Prevention Program
For the purposes of a federally funded grant entitled, Massachusetts Youth Suicide Prevention Program 		455,704
4513-9085 Massachusetts Pregnancy Risk
For the purposes of a federally funded grant entitled, Massachusetts Pregnancy Risk 		198,026
4514-1005 WIC - Management Information Systems
For the purposes of a federally funded grant entitled, WIC-Management Information Systems 		200,000
4514-1006 WIC SPECIAL PROJECT GETTING TO THE HEART
For the purposes of a federally funded grant entitled, Getting to the Heard of the Matter 		94,990
4515-0115 Tuberculosis Control Project
For the purposes of a federally funded grant entitled, Tuberculosis Control Project 		1,641,161
4515-0121 Tuberculosis Epidemiologic Studies Consortium
For the purposes of a federally funded grant entitled, Tuberculosis Epidemiological Studies and Consortium 		366,019
4515-0200 STD and HIV Prevention Training Centers
For the purposes of a federally funded grant entitled, STD/HIV Prevention Training Centers 		356,641
4515-0204 Strengthening Surveillance for Infectiou
For the purposes of a federally funded grant entitled, Strengthening Surveillance for Infectious Disease 		175,000
4515-0205 HIV TRAINING THROUGH PREVENTION TRAINING
For the purposes of a federally funded grant entitled, HIV Training through Prevention Training Centers 		99,999
4516-1021 Public Health Preparedness and Response for Bioterrorism
For the purposes of a federally funded grant entitled, Public Health Preparedness and Response for Bioterrorism 		17,273,541
4516-1025 Morbidity and Risk Behavior Surveillance
For the purposes of a federally funded grant entitled, Morbidity and Risk Behavior Surveillance 		378,620
4518-0505 Technical Data - Massachusetts Birth and Infant Death File Linkage and Analysis
For the purposes of a federally funded grant entitled, Tech Data & Mass Birth/Infant Death File Linkage/Analysis Assistive Reproductive 		24,885
4518-0514 National Violent Death Reporting System
For the purposes of a federally funded grant entitled, National Violent Death Reporting System 		321,368
4518-0534 Public Health Injury Surveillance & Prevention
For the purposes of a federally funded grant entitled, Public Health Injury Surveillance and Prevention 		742,877
4518-1000 Procurement of Information for the National Death Index
For the purposes of a federally funded grant entitled, Procurement of Information for the National Death Index 		33,500
4518-1002 Massachusetts Death File - Social Security Administration
For the purposes of a federally funded grant entitled, Massachusetts Death File - Social Security Administration 		83,000
4518-1003 Massachusetts Birth Records - Social Security Administration
For the purposes of a federally funded grant entitled, Massachusetts Birth Records - Social Security Administration 		281,351
4518-1004 Promoting Integration of State Health In
For the purposes of a federally funded grant entitled, Promoting Integration of State Health Information Systems 		199,897
4518-9023 Census of Fatal Occupational Injuries
For the purposes of a federally funded grant entitled, Census of Fatal Occupational Injuries 		44,200
4518-9030 Public Health Injury Surveillance And Prevention Program
For the purpose of a federally funded grant entitled, Public Health Injury Surveillance and Prevention Program 		159,660
4570-1509 Massachusetts Cardiovascular Disease Prevention
For the purposes of a federally funded grant entitled, Massachusetts Cardiovascular Disease Prevention 		1,144,341
4570-1512 National Cancer Prevention Control
For the purposes of a federally funded grant entitled, National Cancer Prevention Control 		5,341,046
4570-1515 Chronic Disease Prevention and Health Promotion
For the purposes of a federally funded grant entitled, Chronic Diseases Prevention and Health Promotion 		4,363,523
4570-1516 Paul Coverdell National Acute Stroke Reg
For the purposes of a federally funded grant entitled, Paul Coverdell Acute Stroke Registry 		600,000

account description amount
Trust and Other Spending 148,366
4510-1060 Rape Prevention Program Planning and Evaluation Capacity Building 16,532
4512-9086 Oral Health Workforce Activities Support Grant 131,834