| ACCOUNT | FY2018 Conference |
FY2018 Vetoes |
FY2018 Overrides |
FY2018 GAA |
|
|---|---|---|---|---|---|
| 5011-0100 | Department of Mental Health Administration and Operations | 27,409 | 0 | 0 | 27,409 |
| 5042-5000 | Child and Adolescent Mental Health Services | 91,738 | -2,800 | 2,800 | 91,738 |
| 5046-0000 | Adult Mental Health and Support Services | 387,081 | -850 | 850 | 387,081 |
| 5046-0006 | Adult Community-Based Placements | 4,000 | 0 | 0 | 4,000 |
| 5046-2000 | Statewide Homelessness Support Services | 22,728 | 0 | 0 | 22,728 |
| 5046-4000 | CHOICE Program Retained Revenue | 125 | 0 | 0 | 125 |
| 5047-0001 | Emergency Services and Mental Health Care | 24,102 | 0 | 0 | 24,102 |
| 5055-0000 | Forensic Services Program for Mentally Ill Persons | 9,233 | 0 | 0 | 9,233 |
| 5095-0015 | Inpatient Facilities and Community Based Mental Health | 205,623 | 0 | 0 | 205,623 |
| 5095-1016 | Occupancy Fees Retained Revenue | 500 | 0 | 0 | 500 |
| TOTAL | 772,538 | -3,650 | 3,650 | 772,538 | |
| account | description | amount |
|---|---|---|
| DEPARTMENT OF MENTAL HEALTH | 787,068,364 | |
| Direct Appropriations | ||
| 5011-0100 | Department of Mental Health Administration and Operations
For the operation of the department of mental health |
27,408,942 |
| 5042-5000 | Child and Adolescent Mental Health Services
For child and adolescent services, including the costs of psychiatric and related services provided to children and adolescents determined to be medically-ready for discharge from acute hospital units or mental health facilities and who are experiencing unnecessary delays in being discharged due to the lack of more appropriate settings; provided, that to fund those services, the commissioner of mental health may allocate funds from the amount appropriated in this item to other departments within the executive office of health and human services; provided further, that the department shall not refer or discharge a child or adolescent to the custody or care of the department of children and families until the department of mental health forwards its assessment and recommendation as to whether the child or adolescent is appropriate for foster care or, due to severe emotional disturbance, is more appropriate for group care; provided further, that the department shall expend not less than $3,700,000 for the Massachusetts child psychiatry access project, also known as MCPAP; provided further, that not less than $500,000 of that sum shall be expended for the Massachusetts child psychiatry access project for moms statewide to address mental health concerns in pregnant and postpartum women; provided further, that amounts expended from this item for the Massachusetts child psychiatry access project that are related to services provided on behalf of commercially insured clients shall be assessed by the commissioner of mental health on surcharge payors, as defined in section 64 of chapter 118E of the General Laws, and shall be collected in a manner consistent with the department of mental health's regulations; provided further, that not less than $100,000 of that sum shall be expended to increase capacity for telephonic, face-to-face psychiatric or behavioral health consultations for patients; provided further, that the department shall report, not later than March 1, 2018 to the house and senate committees on ways and means on: (i) an overview of MCPAP care coordination efforts; (ii) the number of psychiatric consultations, face-to-face consultations and referrals made to specialists on behalf of children with behavioral health needs in fiscal year 2017 and fiscal year 2018; and (iii) recommendations to: (a) increase the number of specialists receiving referrals through MCPAP; and (b) improve care coordination efforts to identify specialists available and accepting new child and adolescent patients, with priority to those who exhibit complex conditions and experience long wait lists for specialty psychiatry; provided further, that not less than $300,000 shall be expended for a loan forgiveness program to increase the number and distribution of mental health professionals treating children and adolescents and who commit to working within geographically underserved areas in Massachusetts; provided further, that the department of mental health shall implement this program according to specific guidelines and criteria as they see fit; provided further, that the program shall require participating mental health professionals treating children and adolescents to commit to working within a geographically underserved area for a minimum of 5 years and accept MassHealth members; provided further, that not less than $50,000 shall be expended for a partnership with the department of early education and care to improve access to early childhood mental health; provided further, that in order to strengthen public access to mental health services for children and adolescents, not less than $1,950,000 shall be expended for: (i) increasing case management services for children and adolescents; (ii) enhancing services for persons ages 16 to 24, inclusive; and (iii) maximizing resources for consultation and training for child and family mental health through increased collaboration with day care centers, schools and community agencies; provided further, that the department shall report on the implementation of clause XVI to the house and senate committees on ways and means, not later than March 19, 2018 on: (a) the distribution of funds, delineated by initiative; (b) the number of individuals served; (c) the outcomes measured; and (d) recommendations for expanding cost-effective and evidence-based early mental health identification and prevention programming for children and adolescents in fiscal year 2019 and fiscal year 2020; provided further, that not less than $75,000 shall be expended for YouthConnect in the communities of East Boston; provided further, that the Department shall expend not less than $50,000 for the Children's Room in Arlington; provided further, that not less than $100,000 shall be expended for the Alliance for Inclusion and Prevention's services; provided further, that not less than $75,000 shall be expended for the Northwestern Juvenile Fire Intervention Response Education and Safety Partnership, Inc.; and provided further, that not less than $150,000 shall be expended to the Arlington Youth Counseling Center |
91,738,321 |
| 5046-0000 | Adult Mental Health and Support Services
For adult mental health and support services; provided, that the department may allocate not more than $5,000,000 from item 5095-0015 to this item, as necessary, under allocation plans submitted to the house and senate committees on ways and means 30 days before any such transfer, for residential and day services for clients formerly receiving care at department facilities; provided further, that the department shall report to the house and senate committees on ways and means on the distribution of funds per adult and child planning population and the types of services received in each region for fiscal year 2018, no later than February 1, 2018; provided further, that the department shall maintain in fiscal year 2018 the same amount of community-based placements in the previous 3 fiscal years; provided further, that the department shall expend not less than the fiscal year 2017 amount on clubhouses in fiscal year 2018 clubhouses; provided further, that funds shall be expended at the same level as the prior fiscal year for jail diversion programs in municipalities that provide equal matching funds from other public or private sources; provided further, that $2,000,000 shall be expended to expand the jail diversion program to include a Crisis Intervention Team; provided further, that the department shall issue a report not later than December 29, 2017, to the house and senate committees on ways and means regarding: (i) number of crisis intervention team and jail diversion efforts; (ii) amount of funding per grant, delineated by city, town or provider; (iii) potential savings achieved; (iv) recommendations for expansion; and (v) outcomes measured; provided further, that the department of mental health and the executive office of elder affairs shall execute an elder mental health interagency service agreement for adult home and community behavioural health services to adults over the age of 60; provided further, that not less than $500,000 shall be expended for these services; provided further, that the department shall expend not less than $250,000 for the assisted outpatient treatment program at Eliot Community Human Services, Inc. to treat residents who suffer from serious and persistent mental illness and experience repeated interaction with law enforcement or have a high rate of recurring hospitalization due to their mental illness, either through a voluntary agreement with the resident or by court order mandating that the resident receive the treatment described in this program; provided further, that the department, in conjunction with Eliot Community Human Services, Inc., shall report to the house and senate committees on ways and means not later than April 2, 2018 on the assisted outpatient treatment program which shall include baseline and current metrics related to clients served including, but not limited to: (a) behavioral and physical medical diagnosis; (b) status of activities of daily living, including food, shelter and employment; (c) psychiatric hospitalizations; (d) treatment history; and (e) insurance status; provided further, that the report shall include the following: (1) factors that proved successful in treating pilot participants, including practices used and type of staff functions necessary for success in treating pilot participants; (2) identification of issues and practices that present barriers to successful treatment; (3) cost analysis of treatment; (4) plan for creating a sustainable program based on information from the analysis report; and (5) proposal for a sustainable course of funding to implement the program; provided further, that not less than $100,000 shall be expended for the interface referral services of William James College, Inc. in Plymouth county; and provided further, that not less than $250,000 shall be expended to the International Institute of New England, Inc. for culturally and linguistically appropriate mental health services for immigrants and refugees who have experienced torture and trauma |
387,080,579 |
| 5046-0006 | Adult Community-Based Placements
For adult mental health community-based placements; provided, that funds shall be used to expand community-based placements for discharge-ready individuals currently in the department's continuing care facilities; and provided further, that the annualized cost of these placements in fiscal year 2019 shall not exceed the amount appropriated in this item |
4,000,000 |
| 5046-2000 | Statewide Homelessness Support Services
For homelessness services |
22,727,689 |
| 5047-0001 | Emergency Services and Mental Health Care
For emergency service programs and acute inpatient mental health care services; provided, that the department shall require a performance specification to be developed for safe aftercare options for adults upon release from acute inpatient mental health care services; and provided further, that the emergency service programs shall take all reasonable steps to identify and invoice the third-party insurer of all persons serviced by the programs |
24,101,834 |
| 5055-0000 | Forensic Services Program for Mentally Ill Persons
For forensic services provided by the department; provided, that funds may be expended for juvenile court clinics |
9,232,517 |
| 5095-0015 | Inpatient Facilities and Community Based Mental Health
For the operation of hospital facilities and community-based mental health services; provided, that in order to comply with the decision in Olmstead v. L.C. ex rel. Zimring, 527 U.S. 581 (1999) and to enhance care for clients served by the department, the department shall discharge clients residing in the inpatient facilities to residential services in the community when the following criteria are met: (i) the client is deemed clinically suited for a more integrated setting; (ii) the community residential service capacity and resources available are sufficient to provide each client with an equal or improved level of service; and (iii) the cost to the commonwealth of serving the client in the community is less than or equal to the cost of serving the client in inpatient care; provided further, that any client transferred to another inpatient facility as the result of a facility closure shall receive a level of care that is equal to or greater than the care that had been received at the closed facility; provided further, that the department may allocate funds of not more than $5,000,000 from this item to item 5046-0000, as necessary, under allocation plans submitted to the house and senate committees on ways and means 30 days before any transfer for residential and day services for clients formerly receiving inpatient care at the centers and facilities; provided further, that the department shall maintain not less than 671 inpatient beds in its system in fiscal year 2018; provided further, that of these 671 beds, 45 beds shall be continuing care inpatient beds on the campus of Taunton State Hospital; provided further, that within the existing appropriation, the department may operate more beds at Taunton State Hospital; provided further, that the department shall operate not fewer than 260 adult continuing care inpatient beds at Worcester Recovery Center and Hospital; provided further, that the department shall not take action in fiscal year 2018 to reduce the number of state-operated continuing care inpatient beds or other state-operated programs at the Taunton State Hospital campus or relocate administrative hospital services associated with the operation of the hospital off-campus; provided further, that the department shall not enter into new vendor-operated lease agreements for expansion of existing vendor-operated programs; provided further, that the department shall not enter into new interagency agreements or expansion of existing interagency agreements, programs or facilities until the department, in conjunction with the division of capital asset management and maintenance, develops a comprehensive long-term use master plan for the campus on or after March 2, 2018, with appropriate community input that is consistent with maintaining publicly-provided mental health services currently delivered on-campus at Taunton State Hospital; provided further, that the plan shall include maintaining existing affiliations with institutions of higher education and possible future relationships with those institutions and others to maintain the sustainability of Taunton State Hospital; provided further, that the plan shall be consistent with maintaining the campus of Taunton State Hospital as a publicly-run mental health facility and shall not prohibit the inclusion of behavioral health programs or publicly-run pilot programs to meet the needs of servicing individuals with mental health, behavioral health and those dual-diagnosed on the campus as part of the comprehensive master plan; and provided further, that the master plan shall be submitted to the executive office for administration and finance, the executive office of health and human services, the senate and house chairs of the joint committee on mental health and substance abuse and the chairs of the house and senate committees on ways and means |
205,623,406 |
| account | description | amount |
|---|---|---|
| Retained Revenues | ||
| 5046-4000 | CHOICE Program Retained Revenue
For the department of mental health, which may expend not more than $125,000 in retained revenues collected from occupancy fees charged to the tenants in the creative housing option in community environments, the CHOICE program under chapter 167 of the acts of 1987; provided, that all fees collected under that program shall be expended for the routine maintenance and repair of facilities in the CHOICE program |
125,000 |
| 5095-1016 | Occupancy Fees Retained Revenue
For the department of mental health, which may expend not more than $500,000 in retained revenues collected from occupancy fees charged to the tenants of the state hospitals; provided, that all collected fees shall be expended to support the costs to sustain operations of the state hospital facilities; 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 |
500,000 |
| account | description | amount |
|---|---|---|
| Federal Grant Spending | 14,530,076 | |
| 5012-9122 | Project for Assistance in Transition from Homelessness
For the purposes of a federally funded grant entitled, Project for Assistance in Transition from Homelessness |
1,559,382 |
| 5012-9171 | NITT Healthy Transitions
For the purposes of a federally funded grant entitled, NITT - Healthy Transitions |
1,000,000 |
| 5012-9172 | Court Related Enhanced Services for Treatment
For the purposes of a federally funded grant entitled, Court Related Enhanced Services for Treatment (CREST) |
348,142 |
| 5012-9173 | Primary and Behavioral Health Care Integration
For the purposes of a federally funded grant entitled, Primary and Behavioral Health Integration (PBHC) |
400,000 |
| 5012-9174 | Second Chance Act Reentry Initiative Mission-WI-RAPS
For the purposes of a federally funded grant entitled, Wi-RAPS |
3,000 |
| 5012-9401 | Block Grant- Community Mental Health Services
For the purposes of a federally funded grant entitled, Block Grant- Community Mental Health Services |
10,943,458 |
| 5046-9102 | Shelter Plus Care Program
For the purposes of a federally funded grant entitled, Shelter Plus Care Program |
276,094 |
| account | description | amount |
|---|