This is not the official budget document.

Budget Summary FY2010

Department of Public Health
Data Current as of:  1/26/2010



FISCAL YEAR 2010 BUDGET SUMMARY ($000)
ACCOUNT FY2010
Conference		 FY2010
Vetoes		 FY2010
GAA		 October
Budget
Reductions
Pharmaceutical and Medical Device Marketing Regulation 840 0 840 -202
Public Health Critical Operations and Essential Services 18,542 0 18,542 -185
Community Health Center Services 1,000 0 1,000 0
Environmental Health Assessment and Compliance 3,161 0 3,161 -6
Nuclear Power Reactor Monitoring Fee Retained Revenue 1,575 0 1,575 -2
Prescription Drug Registration and Monitoring Fee Retained Revenue 1,000 0 1,000 -156
Division of Health Care Quality and Improvement 7,287 0 7,287 -242
Division of Health Care Quality Health Facility Licensing Fee Retained Revenue 1,342 0 1,342 -4
Primary Care Center and Loan Forgiveness Program 500 -250 250 0
Academic Detailing Program 250 -250 0 0
Board of Registration in Nursing 1,231 0 1,231 -75
Board of Registration in Pharmacy 333 0 333 -10
Board of Registration in Medicine and Acupuncture 1,812 0 1,812 -525
Health Boards of Registration 359 0 359 -11
Board of Registration in Medicine Fee Retained Revenue 300 0 300 0
Regional Emergency Medical Services 956 0 956 0
Sexual Assault Nurse Examiner (SANE) and Pediatric SANE Programs 3,503 -500 3,003 0
HIV/AIDS Prevention, Treatment and Services 35,336 0 35,336 -5
HIV/AIDS Drug Program Manufacturer Rebates Retained Revenue 1,500 0 1,500 0
Bureau of Substance Abuse Services 75,924 0 75,924 0
Substance Abuse Step-Down Recovery Services 4,800 0 4,800 0
Secure Treatment Facilities for Opiate Addiction 4,000 -2,000 2,000 0
Substance Abuse Family Intervention & Care Pilot 2,000 -1,000 1,000 0
Compulsive Behavior Treatment Program Retained Revenue 1,000 0 1,000 -500
Dental Health Services 1,424 0 1,424 0
Family Health Services 4,756 -100 4,656 0
Women, Infants, and Children's Nutritional Services 13,565 -1,100 12,465 0
WIC Program Manufacturer Rebates Retained Revenue 26,875 0 26,875 0
Early Intervention Services 25,555 0 25,555 0
Newborn Hearing Screening Program 71 0 71 0
Shaken Baby Syndrome Prevention Program 193 0 193 0
Suicide Prevention and Intervention Program 3,569 0 3,569 -350
Health Promotion and Disease Prevention 8,455 -1,159 7,296 -1,009
Domestic Violence and Sexual Assault Prevention and Treatment 4,908 0 4,908 0
Blood Lead Testing Fee Retained Revenue 1,442 0 1,442 0
State Laboratory and Communicable Disease Control Services 13,676 0 13,676 -11
Matching funds for a Federal Emergency Preparedness Grant 1,134 0 1,134 0
State Laboratory Tuberculosis Testing Fee Retained Revenue 300 0 300 0
Vital Records, Research, Cancer and Community Data 400 0 400 0
Teenage Pregnancy Prevention Services 3,148 0 3,148 -500
Infection Prevention Program 669 0 669 -100
Universal Immunization Program 52,136 0 52,136 0
School-Based Health Programs 13,422 0 13,422 -1,500
Smoking Prevention and Cessation Programs 5,001 0 5,001 -500
Western Massachusetts Hospital Federal Reimbursement Retained Revenue 16,555 0 16,555 -14
Shattuck Hospital Private Medical Vendor Retained Revenue 500 0 500 0
Public Health Hospitals 138,462 -797 137,665 -1,382
Shattuck Hospital Department of Correction Inmate Retained Revenue 4,160 0 4,160 0
Pediatric Palliative Care 786 0 786 0
Violence Prevention Grants 2,000 0 2,000 -3
TOTAL    511,714 -7,156 504,558 -7,293

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account description amount
DEPARTMENT OF PUBLIC HEALTH 823,301,304
Direct Appropriations
4510-0100 Public Health Critical Operations and Essential Services
For the administration and operation of the department, including the personnel support of programmatic staff within the department 		18,542,090
4510-0110 Community Health Center Services
For community health center services 		1,000,000
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 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, 2009 		3,160,567
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 services funded through this item shall include, but not be limited to: education, training, intervention, support, surveillance and evaluation; and 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, 2010 		7,286,521
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 funds may be expended for primary care workforce development and loan forgiveness grant program 		250,000
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; and 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 by January 4, 2010 		1,230,663
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; and 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 by January 4, 2010 		333,135
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, 2010, 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 		1,812,024
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 		358,904
4510-0790 Regional Emergency Medical Services
For regional emergency medical services; provided, that no funds shall be expended in the AA object class; and 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 		955,855
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 to support children's advocacy centers; and provided further, that the program shall operate under specific statewide protocols and by an on-call system of nurse examiners 		3,003,336
4512-0103 HIV/AIDS Prevention, Treatment and Services
For human immunodeficiency virus and acquired immune deficiency syndrome services and programs; provided, that particular attention shall be paid to direct funding proportionately to each of the demographic groups afflicted by HIV/AIDS; and provided further, that no funds from this item shall be expended for disease research in fiscal year 2010 		35,335,527
4512-0200 Bureau 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 funds may be expended for programs that received funding in fiscal year 2009 		75,924,448
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; 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 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 1 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 shall be used to support the ongoing treatment needs of clients after 90 days for which there is no other payer; and provided further, that not later than August 2, 2010, the department of public health shall provide a 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 		2,000,000
4512-0203 Substance Abuse Family Intervention & Care Pilot
For family intervention and care management services programs, a pilot young adult treatment program, and early intervention services, for individuals who are dependent on or addicted to alcohol or controlled substances or both alcohol and controlled substances 		1,000,000
4512-0500 Dental Health Services
For dental health services; provided, 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; and provided further, that funds may be expended for the Forsyth Institute's Center for Children's Oral Health 		1,424,477
4513-1000 Family Health Services
For the provision of family health services; provided, that funds 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; and provided further, that funds may be expended for the Massachusetts birth defects monitoring program 		4,655,623
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 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 		12,465,092
4513-1020 Early Intervention Services
For the early intervention program; provided, 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 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 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 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; and provided further, that these funds may be used to pay for current and prior year claims 		25,554,904
4513-1023 Newborn Hearing Screening Program
For the universal newborn hearing screening program; provided, 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 		71,497
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 		192,988
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 may be expended for a program to address elder suicide behavior and attempts with the Geriatric Mental Health Services program within the department of elder affairs; provided further, that funds may 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 		3,569,444
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; 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 to section 25A of chapter 111 of the General Laws; maintenance of the statewide lupus database; and the operation of the Betsy Lehman Center for patient safety 		7,295,685
4513-1130 Domestic Violence and Sexual Assault Prevention and Treatment
For domestic violence and sexual assault prevention and victim services, including batterers' intervention and services for immigrants and refugees? provided, that funds shall be expended for rape prevention and victim services, including the statewide Spanish language hotline? provided further, that funds shall be expended for statewide suicide and violence prevention outreach to gay and lesbian youth, and the public health model of community engagement and intervention services for crisis housing for sexual violence and intimate partner violence in the GLBT community; and provided further, that monies may be expended for the classroom based domestic violence prevention education program administered in item 0340-0900 in fiscal year 2009 		4,908,264
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; and provided further, that funds from this item may be expended for the purchase of equipment for the drug laboratory at the state laboratory institute 		13,676,268
4516-1010 Matching funds for a Federal Emergency Preparedness Grant
For state matching funds required by the Pandemic and All-Hazards Preparedness Act 		1,133,713
4530-9000 Teenage Pregnancy Prevention Services
For teenage pregnancy prevention services; provided, 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 children and families who are at high risk for teenage pregnancy; and provided further, that the department shall collaborate with the department of children and families on this programming 		3,148,327
4570-1502 Infection Prevention Program
For the purposes of implementing a proactive statewide infection prevention and control program 		668,820
4580-1000 Universal Immunization Program
For the operation of the universal immunization program, including the purchase and distribution of the rotavirus vaccine; provided, 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; provided further, that notwithstanding any general or special law to the contrary, each health insurance carrier, as defined in chapter 176O of the General Laws, that conducts business in the commonwealth shall contribute to the total amount determined by the department to be sufficient to cover the costs of purchasing and distributing childhood vaccines for children in this item; and provided further, that the division of health care finance and policy, in consultation with the department, shall specify by regulation the method of calculating a proportional contribution and procedures for payment of the contribution to the General Fund 		52,135,817
4590-0250 School-Based Health Programs
For school health services and school-based health centers in public and non-public schools; 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 funds may be expended for the support of the commission on gay, lesbian, bisexual and transgender youth, established in section 67 of chapter 3 of the General Laws, and may be used to address the recommendations of said commission for reduction of health disparities for gay, lesbian, bisexual and transgender youth; provided further, that funds shall be expended for school nurses and school based health center programs; and provided further, that funds may be expended for the Massachusetts Model of Community Coalitions 		13,422,121
4590-0300 Smoking Prevention and Cessation Programs
For smoking prevention and cessation programs 		5,001,077
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 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 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 		137,664,607
4590-1503 Pediatric Palliative Care
For the pediatric palliative care program established in section 24K of chapter 111 of the General Laws 		786,444
4590-1506 Violence Prevention Grants
For a competitive grant program to be administered by the department of public health to support the establishment of a comprehensive youth violence prevention program; provided, that eligibility shall be determined by the criteria set forth in item 4590-1506 of section 2 of chapter 182 of the acts of 2008; provided further, that no grants shall be awarded to law enforcement agencies; provided further, that funds shall be considered 1-time and grants shall not annualize in fiscal year 2011; 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 report to the house and senate committees on ways and means and the executive office of administration and finance not later than November 1, 2009, 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 		2,000,000

account description amount
Retained Revenues
4510-0040 Pharmaceutical and Medical Device Marketing Regulation
For the department of public health; provided, that the department may expend for the regulation of all pharmaceutical and medical device companies that market their products in Massachusetts an amount not to exceed $840,000 from fees assessed under chapter 111N of the General Laws 		840,000
4510-0615 Nuclear Power Reactor Monitoring Fee Retained Revenue
The department may expend not more than $75,000 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 $1,499,783 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 		1,574,783
4510-0616 Prescription Drug Registration and Monitoring Fee Retained Revenue
The department may expend not more than $1,000,000 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 		1,000,000
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 $460,137 in revenues collected from the licensure of health facilities for program costs of the division of health care quality; provided further, that the department may expend not more than $882,132 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 		1,342,269
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
4513-1012 WIC Program Manufacturer Rebates Retained Revenue
The department of public health may expend not more than $26,875,000 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 		26,875,000
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 therefor, 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
For the department of public health, which may expend an amount not to exceed $16,554,915 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 notwithstanding any general or special law 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 of 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 		16,554,915
4590-0913 Shattuck Hospital 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 further, 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 therefor as reported in the state accounting system 		4,160,000

account description amount
Intragovernmental Service Spending 51,815,393
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, 2009; 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 developmental services, the department of correction, the department of youth services, the sheriff's departments of Bristol, Essex, Franklin, Hampden, Hampshire, and Plymouth, and the Soldiers' Homes in Holyoke and Chelsea; 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, Berkshire, Suffolk, Norfolk, Barnstable and Dukes; 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 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, Berkshire, Suffolk, Norfolk, Barnstable and Dukes; provided further, that SOPS shall validate previously-submitted pharmacy expenditures including HIV Drug Assistance Program drug reimbursements during fiscal year 2010; 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, 2010 detailing the projected savings realized by each transitioning agency in comparison to their pharmacy costs in fiscal year 2009 and their projected savings for fiscal year 2011; 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%
47,865,393
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, 8910-0619, 8910-8200, 8910-8300, 8910-8400, 8910-8500, 8910-8600, and 8910-8800 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 266,928,238
4500-1000 Preventive Health Services Block Grant
For the purposes of a federally funded grant entitled, Preventive Health Services Block Grant 		3,205,114
4500-1050 Rape Prevention and Education
For the purposes of a federally funded grant entitled, Rape Prevention and Education 		879,343
4500-1060 Rape Prevention Program Planning and Evaluation Capacity Building
For the purposes of a federally funded grant entitled, the Rape Prevention Program Planning and Evaluation Capacity Building 		80,500
4500-1065 State Partnership to Improve Minority Health
For the purposes of a federally funded grant entitled, State Partnership to Improve Minority Health 		113,523
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 		11,863,729
4502-1012 Cooperative Health Statistics System
For the purposes of a federally funded grant entitled, Cooperative Health Statistics System 		426,970
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 		147,480
4510-0118 Primary Care Cooperative Agreement
For the purposes of a federally funded grant entitled, Primary Care Cooperative Agreement 		108,983
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 		89,340
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 		7,703,529
4510-0404 Bioterrorism Hospital Preparedness
For the purposes of a federally funded grant entitled, Bioterrorism Hospital Preparedness 		9,454,744
4510-0500 Clinical Laboratory Improvement Amendments
For the purposes of a federally funded grant entitled, Clinical Laboratory Improvement 		291,613
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 		317,508
4510-0626 Statewide Surveillance of Health Concerns & Toxic Algae Blooms
For the purposes of a federally funded grant entitled, Statewide Surveillance of Health Concerns & Toxic Algae Blooms 		149,339
4510-0627 Prescription Drug Monitoring
For the purposes of a federally funded grant entitled, Enhancement of Infrastructure Reporting and Interstate Exchange 		46,332
4510-0628 Developing and Enhancing Prescription Drugs
For the purposes of a federally funded grant entitled, Enhancement of Infrastructure Collaborative Data Sharing 		66,667
4510-0630 Enabling Electronic Prescribing and Enhancement
For the purposes of a federally funded grant entitled, Enabling Electronic Prescribing and Enhancement 		467,981
4510-0636 Childhood Lead Paint Poisoning Prevention
For the purposes of a federally funded grant entitled, Childhood Lead Paint Poisoning Prevention 		1,149,690
4510-0638 Edward Byrne Memorial State and Local Law Enforcement Assistance
For the purposes of a federally funded grant entitled, Edward Byrne Memorial State and Local Law Enforcement Assistance 		200,000
4510-0639 Food Protection Rapid Response Team
For the purposes of a federally funded grant entitled, Food Protection Rapid Response Team 		497,519
4510-0640 Mass Food Protection Task Force Conference
For the purposes of a federally funded grant entitled, Mass Food Protection Task Force Conference 		5,000
4510-9014 Mammography Quality Standards Act Inspections
For the purposes of a federally funded grant entitled, Mammography Quality Standards Act Inspections 		163,405
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 		412,000
4510-9048 Indoor Radon Development Program
For the purposes of a federally funded grant entitled, Indoor Radon Development Program 		159,243
4510-9053 Beaches Environmental Assessment
For the purposes of a federally funded grant entitled, Beaches Environmental Assessment 		314,988
4510-9056 National Environmental Public Health Tracking
For the purposes of a federally funded grant entitled, National Environmental Public Health Tracking 		901,502
4512-0102 Sexually Transmitted Disease Control
For the purposes of a federally funded grant entitled, Sexually Transmitted Disease Control 		1,534,840
4512-0179 Vaccination Assistance Project
For the purposes of a federally funded grant entitled, Vaccination Assistance Project 		5,928,069
4512-0180 Epidemiology and Lab Surveillance
For the purposes of a federally funded grant entitled, Epidemiology and Lab Surveillance 		978,028
4512-9064 Adolescent Treatment
For the purposes of a federally funded grant entitled, Adolescent Treatment 		50,950
4512-9065 State Outcomes Measurement and Management System
For the purposes of a federally funded grant entitled, State Outcomes Measurement and Management System 		150,000
4512-9067 Screening and Brief Intervention
For the purposes of a federally funded grant entitled, Screening and Brief Intervention 		2,800,000
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 		37,576,554
4512-9070 Promoting Safe and Stable Families
For the purposes of a federally funded grant entitled, Promoting Safe and Stable Families 		500,000
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 		82,226
4513-0111 Housing Opportunities - People with AIDS
For the purposes of a federally funded grant entitled, Housing Opportunities-People with AIDS 		246,507
4513-1123 Adult Viral Hepatitis Prevention Coordinator
For the purposes of a federally funded grant entitled, Adult Viral Hepatitis Prevention Coordinator 		107,351
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) 		91,536,061
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 and Integrated HIV Testing
For the purposes of a federally funded grant entitled, Expanded and Integrated HIV Testing 		677,946
4513-9021 Program for Infants and Toddlers with Handicaps
For the purposes of a federally funded grant entitled, Program for Infants and Toddlers with Handicaps 		7,346,249
4513-9022 Prevention Disability State-Based Project
For the purposes of a federally funded grant entitled, Prevention Disability State Based Project 		275,000
4513-9023 Mass HIV/AIDS National Behavioral Surveillance
For the purposes of a federally funded grant entitled, Mass HIV/AIDS National Behavioral Surveillance 		402,797
4513-9027 MassCare - Community AIDS Resource Enhancement
For the purposes of a federally funded grant entitled, MassCare - Community AIDS Resource Enhancement 		879,806
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 		99,750
4513-9035 AIDS Surveillance and Seroprevalence Project
For the purposes of a federally funded grant entitled, AIDS Surveillance and Seroprevalence Project 		976,614
4513-9037 Ryan White Comprehensive AIDS Resources
For the purposes of a federally funded grant entitled, Ryan White Comprehensive AIDS Resources 		24,458,758
4513-9038 Shelter Plus Care - Worcester
For the purposes of a federally funded grant entitled, Shelter Plus Care - Worcester 		312,684
4513-9046 Congenital Anomalies Center of Excellence
For the purposes of a federally funded grant entitled, Congenital Anomalies Center of Excellence 		1,004,400
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 		449,779
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 		194,579
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
4513-9082 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 Mass Youth Suicide Prevention Program
For the purposes of a federally funded grant entitled, Massachusetts Youth Suicide Prevention Program 		254,039
4513-9085 Massachusetts Pregnancy Risk
For the purposes of a federally funded grant entitled, Massachusetts Pregnancy Risk 		175,864
4513-9086 Oral Health Workforce Activities Support Grant
For the purposes of a federally funded grant entitled, Oral Health Workforce Activities Support Grant 		97,098
4513-9087 Grants to States to Support Oral Health Workforce Activities
For the purposes of a federally funded grant entitled, Grants to support Oral Health Workforce Activities 		144,331
4513-9088 Helping Hands for Infants and their Families
For the purposes of a federally funded grant entitled, Helping Hands for Infants and their families 		475,000
4513-9089 First Time Motherhood'-New Parents Initiative
For the purposes of a federally funded grant entitled, First Time Motherhood- New Parents Initiative 		335,000
4514-1006 Getting to the Heart of the Matter
For the purposes of a federally funded grant entitled, Getting to the Heard of the Matter 		87,103
4515-0115 Tuberculosis Control Project
For the purposes of a federally funded grant entitled, Tuberculosis Control Project 		1,572,316
4515-0121 Tuberculosis Epidemiologic Studies Consortium
For the purposes of a federally funded grant entitled, Tuberculosis Epidemiological Studies and Consortium 		308,061
4515-0200 STD/HIV Prevention Training Centers
For the purposes of a federally funded grant entitled, STD/HIV Prevention Training Centers 		433,774
4515-0204 Strengthening Surveillance for Infectious Disease
For the purposes of a federally funded grant entitled, Strengthening Surveillance for Infectious Disease 		175,000
4515-0205 HIV Training through Prevention Training Centers
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 		15,109,316
4516-1025 Morbidity and Risk Behavior Surveillance
For the purposes of a federally funded grant entitled, Morbidity and Risk Behavior Surveillance 		255,363
4516-1027 Massachusetts Electronic Lab Data Exchange Project Supports
For the purposes of a federally funded grant entitled, Massachusetts Electronic Lab Data Exchange Project Supports 		561,254
4518-0505 Technical Data - Massachusetts Birth/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 		82,721
4518-0514 National Violent Death Reporting System
For the purposes of a federally funded grant entitled, National Violent Death Reporting System 		257,839
4518-0534 Public Health Injury Surveillance and Prevention
For the purposes of a federally funded grant entitled, Public Health Injury Surveillance and Prevention 		752,732
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 		20,327
4518-1002 Massachusetts Death File - Social Security Administration
For the purposes of a federally funded grant entitled, Massachusetts Death File - Social Security Administration 		33,000
4518-1003 Massachusetts Birth Records - Social Security Administration
For the purposes of a federally funded grant entitled, Massachusetts Birth Records - Social Security Administration 		168,000
4518-1004 Promoting Integration State Health
For the purposes of a federally funded grant entitled, Promoting Integration of State Health Information Systems 		41,555
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 		116,760
4570-1509 Massachusetts Cardiovascular Disease Prevention
For the purposes of a federally funded grant entitled, Massachusetts Cardiovascular Disease Prevention 		1,144,034
4570-1512 National Cancer Prevention Control
For the purposes of a federally funded grant entitled, National Cancer Prevention Control 		3,440,786
4570-1514 Wise Woman
For the purposes of a federally funded grant entitled, Wise Woman 		900,000
4570-1515 Chronic Disease Prevention and Health Promotion
For the purposes of a federally funded grant entitled, Chronic Diseases Prevention and Health Promotion 		2,357,900
4570-1516 Paul Coverdell Acute Stroke Registry
For the purposes of a federally funded grant entitled, Paul Coverdell Acute Stroke Registry 		600,000
4570-1517 Nutrition Obesity
For the purposes of a federally funded grant entitled, Nutrition Obesity 		1,075,152
4570-1520 Massachusetts Integration of Chronic Disease
For the purposes of a federally funded grant entitled, Mass Integrated Chronic Disease 		2,035,805

account description amount