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| ACCOUNT | FY2015 Conference |
FY2015 Vetoes |
FY2015 Overrides |
FY2015 GAA |
|
|---|---|---|---|---|---|
| 4000-0600 | MassHealth Senior Care | 3,197,069 | 0 | 0 | 3,197,069 |
| 4000-0640 | MassHealth Nursing Home Supplemental Rates | 301,400 | 0 | 0 | 301,400 |
| 9110-0100 | Department of Elder Affairs Administration | 2,197 | 0 | 0 | 2,197 |
| 9110-0104 | HCBS Policy Lab | 250 | 0 | 0 | 250 |
| 9110-1455 | Prescription Advantage | 16,342 | 0 | 0 | 16,342 |
| 9110-1500 | Elder Enhanced Home Care Services Program | 63,077 | 0 | 0 | 63,077 |
| 9110-1604 | Supportive Senior Housing Program | 5,451 | 0 | 0 | 5,451 |
| 9110-1630 | Elder Home Care Purchased Services | 104,412 | 0 | 0 | 104,412 |
| 9110-1633 | Elder Home Care Case Management and Administration | 35,547 | 0 | 0 | 35,547 |
| 9110-1636 | Elder Protective Services | 22,811 | 0 | 0 | 22,811 |
| 9110-1660 | Elder Congregate Housing Program | 2,515 | 0 | 0 | 2,515 |
| 9110-1700 | Elder Homeless Placement | 186 | 0 | 0 | 186 |
| 9110-1900 | Elder Nutrition Program | 7,378 | 0 | 0 | 7,378 |
| 9110-9002 | Grants to Councils on Aging | 11,615 | 0 | 0 | 11,615 |
| TOTAL | 3,770,250 | 0 | 0 | 3,770,250 | |
| account | description | amount |
|---|---|---|
| DEPARTMENT OF ELDER AFFAIRS | 3,807,436,139 | |
| Direct Appropriations | ||
| 4000-0600 | MassHealth Senior Care
For health care services provided to MassHealth members who are seniors and for the operation of the MassHealth senior care options initiative under section 9D of chapter 118E of the General Laws; provided, that funds may be expended from this item for health care services provided to these recipients in prior fiscal years; provided further, that funds shall be expended for the community choices initiative; provided further, that no payment for special provider costs shall be made from this item without the prior written approval of the secretary of administration and finance; provided further, that benefits of the community choices initiative shall not be reduced below the services provided in fiscal year 2014; provided further, that the eligibility requirements for this demonstration project shall not be more restrictive than those established in fiscal year 2014; provided further, that funds shall be expended from this item to implement the pre-admission counseling and assessment program under the fourth paragraph of section 9 of said chapter 118E, which shall be implemented on a statewide basis through the aging and disability resource consortia; provided further, that notwithstanding any general or special law to the contrary, funds shall be expended from this item to maintain a personal needs allowance of $72.80 per month for individuals residing in nursing homes and rest homes who are eligible for MassHealth, emergency aid to the elderly, disabled and children program or supplemental security income; provided further, that notwithstanding any general or special law to the contrary, for any nursing home or non-acute chronic disease hospital that provides kosher food to its residents, the executive office of elder affairs, in consultation with the center for health information and analysis, in recognition of the special innovative program status granted by the executive office of health and human services, shall continue to make the standard payment rates established in fiscal year 2006 to reflect the high dietary costs incurred in providing kosher food; provided further that effective October 1, 2014, for the fiscal year ending June 30, 2015, the executive office of health and human services shall establish nursing facility Medicaid rates that are up to $47,476,982 in payments above the payments made to nursing facilities for fiscal year 2014, for the purpose of establishing the base year at calendar year 2007 costs; provided further, that the $47,476,982 in payments shall be subject to the availability of federal financial participation; provided further, that the executive office of health and human services shall notify the secretary of administration and finance and the chairs of the house and senate committee on ways and means prior to October 1, 2014, on the ability to obtain federal financial participation; provided further, that if federal financial participation is not available for said payments, the executive office of health and human services shall maintain the rates at the 2005 base year and shall make a one-time supplemental payment for nursing facility Medicaid rates for an amount not less than $23,738,491; provided further, that the executive office of health and human services shall report to the house and senate committees on ways and means, not later than March 2, 2015 on: (i) the extent to which quality indicators and other measures are incorporated into the determination of payment rates and amounts dispersed to nursing facilities; and (ii) a proposal to enhance the incorporation of quality indicators and other measures into nursing facility rates; provided further, that in fiscal year 2015, MassHealth shall expend not less than the amount expended in fiscal year 2014 to reimburse nursing home facilities for bed hold days; provided further, that to the extent feasible, MassHealth shall reimburse such facilities for up to 20, but not fewer than 10 medical leave of absence days; provided further, that MassHealth shall guarantee 10 nonmedical leave of absence days; provided further, that not later than January 1, 2015, MassHealth shall report to the house and senate committees on ways and means on: (a) the number of nursing facility clients on a leave of absence, delineated by nursing facility, by medical leave of absence and nonmedical leave of absence and the total number of days on leave of absence; (b) monthly capacity levels per nursing homes and the monthly total number of empty beds per nursing facility; (c) the average payment amount per nursing facility client; and (d) the aggregate payment amount per nursing facility by month; provided further, that no nursing home may reassign a patient's bed during a leave of absence eligible for reimbursement under this item; and provided further, that MassHealth shall reimburse nursing home leave of absence days at a rate of not less than $30 per day |
3,197,069,129 |
| 4000-0640 | MassHealth Nursing Home Supplemental Rates
For nursing facility Medicaid rates; provided, that notwithstanding any general or special law to the contrary, in fiscal year 2015 the executive office of health and human services, in consultation with the center for health information and analysis, shall establish nursing facility Medicaid rates that cumulatively total $298,600,000 more than the annual payment rates established under the rates in effect as of June 30, 2002; provided further, that the MassHealth agency shall adopt all additional regulations and procedures necessary to carry out this item; provided further, that an amount for expenses related to the collection and administration of section 63 of chapter 118E of the General Laws shall be transferred to the executive office of health and human services; provided further, that the payments made under this item shall be allocated in an amount sufficient to implement section 622 of chapter 151 of the acts of 1996; provided further, that not less than $2,800,000 shall be expended as incentive payments to nursing facilities meeting the criteria determined under the MassHealth Nursing Facility Pay-for-Performance Program and that have established and participated in a cooperative effort in each qualifying nursing facility between representatives of employees and management that is focused on implementing that criteria and improving the quality of services available to MassHealth members and that shall decide jointly how to expend such incentive payments; and provided further, that the MassHealth agency shall adopt all additional regulations and procedures necessary to carry out this item |
301,400,000 |
| 9110-0100 | Department of Elder Affairs Administration
For the operation of the executive office of elder affairs and regulation of assisted living facilities; provided, that the executive office of elder affairs shall report to the house and senate committees on ways and means the number of assisted living units certified and the total revenues generated from application and certification fees for such units |
2,197,063 |
| 9110-0104 | HCBS Policy Lab
For the support of the home and community-based services policy lab fund, established pursuant to section 54 of this act; provided, that in addition to this appropriation, the secretary of elder affairs may transfer an amount not to exceed a total of $250,000 from the funds appropriated to line items 9110-1500, 9110-1630, 9110-1636 and 9110-1900 to this line item; provided further, that not later than September 15, 2014, the secretary shall file a report with the joint committee on elder affairs, the joint committee on health care financing and the house and senate committees on ways and means detailing an initial plan for the research and analytic activities to be supported by the fund pursuant to section 254 of this act; and provided further, that the executive office of elder affairs shall identify and pursue non-state sources of funding for the home and community-based services policy lab |
250,000 |
| 9110-1455 | Prescription Advantage
For the costs of the drug insurance program authorized in section 39 of chapter 19A of the General Laws; provided, that amounts received by the executive office of elder affairs' vendor as premium revenue for this program may be retained and expended by the vendor for the purposes of the program; provided further, that funds shall be expended for the operation of the pharmacy outreach program established in section 4C of said chapter 19A; provided further, that notwithstanding any general or special law to the contrary, unless otherwise prohibited by state or federal law, prescription drug coverage or benefits payable by the executive office of elder affairs and the entities with which it has contracted for administration of the subsidized catastrophic drug insurance program pursuant to said section 39 of said chapter 19A, shall be the payer of last resort for this program for eligible persons with regard to any other third-party prescription coverage or benefits available to such eligible persons; provided further, that the executive office shall notify the house and senate committees on ways and means not less than 90 days in advance of any action to limit or cap the number of enrollees in the program; provided further, that this program shall be subject to appropriation; provided further, that notification shall be given to the house and senate committees on ways and means at least 30 days prior to any coverage or benefits expansions; provided further, that the executive office shall take steps for the coordination of benefits with the Medicare prescription drug benefit, created pursuant to the federal Medicare Prescription Drug, Improvement, and Modernization Act of 2003, Public Law 108-173, to ensure that residents of the commonwealth take advantage of this benefit; provided further, that a person shall also be eligible to enroll in the program at any time within a year after reaching age 65; provided further, that the executive office shall allow those who meet the program eligibility criteria to enroll in the program at any time during the year; provided further, that $180,000 shall be expended for the serving the health information needs of everyone, or SHINE, program; provided further, that these funds shall be used to assist seniors in choosing the Medicare plan that best fits their budget while meeting their health care needs; and provided further, that the department shall report to the house and senate committees on ways and means not later than March 2, 2015 on the number of seniors served by the SHINE program and their average annualized premium savings |
16,342,178 |
| 9110-1500 | Elder Enhanced Home Care Services Program
For the provision of enhanced home care services, including case management to elders who meet the eligibility requirements of the home care program and need services above the level customarily provided under the program to remain safely at home, including elders previously enrolled in the managed care in housing, enhanced community options, and chronic care enhanced services programs; provided, that the secretary shall seek to obtain federal financial participation for all services provided to seniors who qualify for Medicaid benefits pursuant to the waiver in section 1915C of the Social Security Act, as codified at 42 U.S.C. section 1396n(c); provided further, that the executive office shall collect income data on persons receiving services provided in this item; provided further, that the executive office shall submit a report to the house and senate committees on ways and means detailing the population served by this item delineated by both 2014 federal poverty income levels and 2014 social security income standards; provided further, that the report shall be submitted not later than February 6, 2015; and provided further, that the executive office of elder affairs shall report, not later than March 4, 2015, to the house and senate committees on ways and means on: (i) the number of seniors receiving services through this item and item 9110-1630; and (ii) the number of seniors on a waitlist for these services, by month, from January 2011 to January 2015 |
63,077,339 |
| 9110-1604 | Supportive Senior Housing Program
For the operation of the supportive senior housing program at state or federally-assisted housing sites; provided, that funds shall be expended to fund existing sites |
5,450,900 |
| 9110-1630 | Elder Home Care Purchased Services
For the operation of the elder home care program, including contracts with aging service access points or other qualified entities for the home care program, home care, health aides, home health and respite services, geriatric mental health services and other services provided to the elderly; provided, that sliding-scale fees shall be charged to qualified elders; provided further, that the secretary of elder affairs may waive collection of sliding-scale fees in cases of extreme financial hardship; provided further, that not more than $11,500,000 in revenues accrued from sliding-scale fees shall be retained by the individual home care corporations without reallocation by the executive office of elder affairs and shall be expended for the purposes of the home care program, consistent with guidelines to be issued by the executive office; provided further, that the executive office shall report quarterly to the house and senate committees on ways and means and the executive office for administration and finance on the amount expended from this item for purchase of service expenditures by category of service as set forth in 651 CMR 3.01 and 651 CMR 3.03; provided further, that no rate increase shall be awarded in fiscal year 2015 which would cause a reduction in client services or the number of clients served; provided further, that no funds shall be expended from this item to pay for salary increases for direct service workers who provide state-funded homemaker and home health aide services which would cause a reduction in client services; provided further, that funding shall be expended for provider training and outreach to lesbian, gay, bisexual and transgender elders and caregivers; provided further, that the secretary of elder affairs may transfer an amount not to exceed 3 per cent of the funds appropriated in this item to item 9110-1633 for case management services and the administration of the home care program; and provided further, that not less than $4,630,000 shall be transferred from the Community First Trust Fund established in section 25 of this act to the General Fund in support of this item |
104,411,964 |
| 9110-1633 | Elder Home Care Case Management and Administration
For the operation of the elder home care case management program, including contracts with aging service access points or other qualified entities for home care case management services and the administration of the home care corporations funded through items 9110-1630 and 9110-1500; provided, that such contracts shall include the costs of administrative personnel, home care case managers, travel, rent and other costs deemed appropriate by the executive office of elder affairs; provided further, that no funds appropriated in this item shall be expended for the enhancement of management information systems; and provided further, that the secretary of elder affairs may transfer an amount not to exceed 3 per cent of the funds appropriated herein to item 9110-1630 |
35,546,961 |
| 9110-1636 | Elder Protective Services
For the elder protective services program including, but not limited to, protective services case management, guardianship services, the statewide elder abuse hotline, money management services, and the elder-at-risk program; provided, that not less than $50,000 shall be expended for the establishment of and administrative support of regional financial abuse specialist teams as recommended by the elder protective service commission established by section 204 of chapter 139 of the acts of 2012; provided further, that the executive office of elder affairs shall provide a report to the house and senate chairs of the joint committee on elder affairs on the implementation of FAST teams on or before June 30, 2015; and provided further, that no less than $50,000 shall be allocated for the Stanley Street Treatment and Resource Center in the city of Fall River |
22,810,663 |
| 9110-1660 | Elder Congregate Housing Program
For congregate and shared housing services and naturally occurring retirement communities for the elderly; provided, that not less than $642,000 shall be expended from this item for providers of naturally occurring retirement communities with whom the department of elder affairs entered into service agreements in fiscal year 2014 at proportions of total available funding equal to those provided in fiscal year 2014 |
2,514,626 |
| 9110-1700 | Elder Homeless Placement
For residential assessment and placement programs for homeless elders |
186,000 |
| 9110-1900 | Elder Nutrition Program
For the elder nutrition program; provided, that no less than the amount appropriated in item 9110-1900 of section 2 of chapter 38 of the acts of 2013 shall be expended for the senior farm share program; provided further, that not less than $750,000 shall be expended for home delivered meals; and provided further, that $250,000 shall be expended to continue the administration of the geriatrics program pursuant to item 9110-1900 of section 2 of chapter 182 of the acts of 2008 |
7,378,317 |
| 9110-9002 | Grants to Councils on Aging
For grants to the councils on aging and for grants to or contracts with non-public entities which are consortia or associations of councils on aging; provided, that all monies appropriated in this item shall be expended under the distribution schedules for formula and incentive grants established by the secretary of elder affairs; provided further, that the distribution schedules shall be submitted to the house and senate committees on ways and means not later than February 17, 2015; provided further, that not less than $50,000 shall be expended for a 1-time grant to the city of Westfield; provided further, that not less than $1,000,000 shall be expended for the service incentive grant; and provided further, that not less than $65,000 shall be expended for a 1-time grant to the city of Everett |
11,615,000 |
| account | description | amount |
|---|---|---|
| Retained Revenues | ||
| account | description | amount |
|---|---|---|
| Federal Grant Spending | 37,185,999 | |
| 9110-1074 | Older Americans Act
For the purposes of a federally funded grant entitled, Older Americans Act |
10,182,633 |
| 9110-1077 | National Family Caregiver Support Program
For the purposes of a federally funded grant entitled, National Family Caregiver Support Program |
3,700,000 |
| 9110-1095 | Health Information Counseling
For the purposes of a federally funded grant entitled, Health Information Counseling |
1,097,000 |
| 9110-1173 | Older Americans Act
For the purposes of a federally funded grant entitled, Older Americans Act |
13,383,620 |
| 9110-1174 | Nutrition Services Incentive Program
For the purposes of a federally funded grant entitled, Nutrition Services Incentive Program |
4,885,300 |
| 9110-1178 | Community Service Employment Program
For the purposes of a federally funded grant entitled, Community Service Employment Program |
1,831,043 |
| 9110-1190 | MA Chronic Disease Self-Management Education Program
For the purposes of a federally funded grant entitled, MA Chronic Disease Self-Management Education Program |
638,910 |
| 9110-1191 | Enhanced Alcohol and Drug Recovery Options Counseling Program
For the purposes of a federally funded grant entitled, Enhanced ADRC Options Counseling Program |
1,467,493 |