Home > Health and Human Services > Public Health - Budget Summary

Department of Public Health
Data Current as of: 8/10/2018

FISCAL YEAR 2019 BUDGET SUMMARY ($000)
ACCOUNT		FY2019 Conference	FY2019 Vetoes	FY2019 Overrides	FY2019 GAA
4510-0020	Food Protection Program Retained Revenue	151	0	0	151
4510-0025	SEAL Dental Program Retained Revenue	894	0	0	894
4510-0040	Pharmaceutical and Medical Device Marketing Regulation RR	74	0	0	74
4510-0100	Public Health Critical Operations and Essential Services	17,651	0	0	17,651
4510-0110	Community Health Center Services	1,279	0	0	1,279
4510-0112	Postpartum Depression Pilot Program	200	0	0	200
4510-0600	Environmental Health Assessment and Compliance	3,906	-125	125	3,906
4510-0615	Nuclear Power Reactor Monitoring Fee Retained Revenue	1,772	0	0	1,772
4510-0616	Prescription Drug Registration and Monitoring Fee RR	1,038	0	0	1,038
4510-0710	Division of Health Care Quality and Improvement	11,348	0	0	11,348
4510-0712	Division of Health Care Quality Health Facility Licensing Fee	3,118	0	0	3,118
4510-0721	Board of Registration in Nursing	670	0	0	670
4510-0722	Board of Registration in Pharmacy	1,119	0	0	1,119
4510-0723	Board of Registration in Medicine and Acupuncture	153	0	0	153
4510-0724	Board of Registration in Medicine Retained Revenue	301	0	0	301
4510-0725	Health Boards of Registration	358	0	0	358
4510-0790	Regional Emergency Medical Services	807	0	0	807
4510-0810	Sexual Assault Nurse Examiner (SANE) and PediatricSANE Program	5,145	0	0	5,145
4510-3008	ALS Registry	267	0	0	267
4510-3010	Down Syndrome Clinic	150	0	0	150
4512-0103	HIV/AIDS Prevention Treatment and Services	30,834	0	0	30,834
4512-0106	HIV/AIDS Drug Program Manufacturer Rebates Retained Revenue	7,500	0	0	7,500
4512-0200	Bureau of Substance Addiction Services	141,863	0	0	141,863
4512-0201	Substance Abuse Step-Down Recovery Services	4,908	0	0	4,908
4512-0202	Secure Treatment Facilities for Opiate Addiction	5,000	0	0	5,000
4512-0203	Substance Abuse Family Intervention and Care Pilot	1,440	0	0	1,440
4512-0204	Nasal Naloxone Pilot Expansion	1,020	0	0	1,020
4512-0205	Substance Abuse Grants	3,784	0	0	3,784
4512-0225	Compulsive Behavior Treatment Program Retained Revenue	1,500	0	0	1,500
4512-0500	Dental Health Services	2,025	-150	150	2,025
4513-1000	Family Health Services	6,300	0	0	6,300
4513-1002	Women Infants and Children Nutrition Services	11,870	0	0	11,870
4513-1012	WIC Program Manufacturer Rebates Retained Revenue	28,400	0	0	28,400
4513-1020	Early Intervention Services	29,300	0	0	29,300
4513-1023	Newborn Hearing Screening Program	82	0	0	82
4513-1026	Suicide Prevention and Intervention Program	4,491	0	0	4,491
4513-1027	Samaritans Inc Suicide Prevention Services	400	0	0	400
4513-1098	Services to Survivors of Homicide Victims	200	0	0	200
4513-1111	Health Promotion and Disease Prevention	4,059	-150	150	4,059
4513-1121	Stop Stroke Program	500	-250	250	500
4513-1130	Domestic Violence and Sexual Assault Prevention and Treatment	37,322	0	0	37,322
4513-1131	Healthy Relationships Grant Program	150	0	0	150
4516-0263	Blood Lead Testing Fee Retained Revenue	1,137	0	0	1,137
4516-1000	State Laboratory and Communicable Disease Control Services	12,333	0	0	12,333
4516-1005	STI Billing Retained Revenue	1,000	0	0	1,000
4516-1010	Matching funds for a Federal Emergency Preparedness Grant	1,509	0	0	1,509
4516-1022	State Laboratory Tuberculosis Testing Fee Retained Revenue	280	0	0	280
4516-1039	Health Care Industry Plan Review retained revenue	200	0	0	200
4518-0200	Vital Records Research Cancer and Community Data Ret Rev	625	0	0	625
4530-9000	Teenage Pregnancy Prevention Services	3,000	0	0	3,000
4580-1000	Universal Immunization Program	2,276	0	0	2,276
4590-0250	School-Based Health Programs	12,841	-800	800	12,841
4590-0300	Smoking Prevention and Cessation Programs	4,219	0	0	4,219
4590-0912	Western Massachusetts Hospital Federal Reimbursement Retained	23,060	0	0	23,060
4590-0913	Shattuck Hospital Private Medical Vendor Retained Revenue	508	0	0	508
4590-0915	Public Health Hospitals	158,254	0	0	158,254
4590-0917	Shattuck Hospital Department of Correction Inmate Retained Rev	4,552	0	0	4,552
4590-0918	SOPS Department of Correction Retained Revenue	26,959	0	0	26,959
4590-0924	Tewksbury Hospital Retained Revenue	1,860	0	0	1,860
4590-0925	Prostate Cancer Research	800	0	0	800
4590-1503	Pediatric Palliative Care	3,816	0	0	3,816
4590-1506	Violence Prevention Grants	2,000	0	0	2,000
4590-1507	Youth At-Risk Matching Grants	4,978	0	0	4,978
4590-2001	Tewksbury Hospital DDS Client Retained Revenue	3,626	0	0	3,626
4590-2010	Grandparents Raising Grandchildren Opioid Commiss	50	0	0	50
TOTAL		643,232	-1,475	1,475	643,232

Hide line item language

DEPARTMENT OF PUBLIC HEALTH

968,529,857

Direct Appropriations

4510-0100

Public Health Critical Operations and Essential Services
For the administration and operation of the department of public health, including the personnel support of programmatic staff within the department, including the health statistics program, the operation of the registry of vital records and statistics and the cancer registry established under section 111B of chapter 111 of the General Laws

17,650,781

4510-0110

Community Health Center Services
For community health center services; provided, that not less than $250,000 shall be expended on a statewide program of technical assistance to said community health centers, which shall be provided by a state primary care association qualified under section 330A(f)(1) of the Public Health Service Act, as codified at 42 U.S.C. section 254c(f)(1); provided further, that not less than $100,000 shall be expended to Manet Community Health Center, Incorporated for the further development of in-house, integrated behavioral health programs in Manet's health center locations in the city of Quincy, the town of Hull and the city of Taunton; provided further, that the programs shall provide assessment, counseling and treatment for conditions and disorders relating to mental health, substance abuse and both mental health and substance abuse; provided further, that not less than $250,000 shall be expended to the Greater Lawrence Family Health Center, Inc. for programs to increase access to health care for the medically underserved in the city of Haverhill; provided further, that such programs shall include the development of a full-service community health center in the city of Haverhill with collaborative, graduate degree-level programs to train advanced practice nurses by Regis College; provided further, that the expenditure of such funds shall be contingent on the Greater Lawrence Family Health Center, Inc. providing a matching amount of not less than $250,000 in private funding; provided further, that not less than $25,000 shall be expended for the Mattapan Integrative Care Partnership Pilot program among the Mattapan Community Health Center, Inc., Mattahunt Community Center, Mattapan Early Elementary School and the Boston University's Wheelock College of Education and Human Development; provided further, that not less than $175,000 shall be expended for the continuation of a comprehensive substance abuse and narcotic use reduction program at a federally qualified community health center located in South Boston; provided further, that not less than $125,000 shall be expended towards the North End Waterfront Neighborhood Health Center for the purpose of operations and maintenance of treating substance abuse; and provided further, that not less than $100,000 shall be expended for the operation of the South Boston Community Health Center, Inc. and its youth ambassador program and South Boston leadership initiative

1,278,653

4510-0112

Postpartum Depression Pilot Program
For the department of public health to conduct a postpartum depression pilot program at community health centers in the cities of Holyoke, Lynn, Worcester and the Jamaica Plain section of the City of Boston

200,000

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 under 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 under chapter 111F of the General Laws; provided, that not less than $25,000 shall be expended to the Silent Spring Institute, Inc; and provided further, that not less than $125,000 shall be expended for the testing and treatment of cyanobacteria and related contaminants in Monponsett Pond in the town of Halifax

3,905,666

4510-0710

Division of Health Care Quality and Improvement
For the operation of the division of health care safety and quality and the office of patient protection; provided, that services funded through this item shall include, but not be limited to: education, training, intervention, support, surveillance and evaluation; provided further, that funds shall be expended for the advancement of the prescription monitoring program and the maintenance and enhancement of prescription drug monitoring information exchange architecture to support interstate prescription drug monitoring data sharing; provided further, that the division shall be responsible for assuring 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 individuals with intellectual or developmental disabilities 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 department shall expend not less than $500,000 for the development and implementation of the Mobile Integrated Healthcare program; provided further, that funds shall be expended for the full registration of practitioners, physician assistants and registered nurses authorized by the board of registration in nursing to practice in advanced practice nursing roles under section 7A of chapter 94C of the General Laws; and provided further, that not less than $50,000 shall be expended to Fairview Hospital for a feasibility study for shared regional emergency medical services in southern Berkshire County

11,347,647

4510-0721

Board of Registration in Nursing
For the operation and administration of the board of registration in nursing

670,216

4510-0722

Board of Registration in Pharmacy
For the operation and administration of the board of registration in pharmacy

1,118,929

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

152,775

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 therapists

357,953

4510-0790

Regional Emergency Medical Services
For regional emergency medical services; provided, that the regional emergency medical services councils designated under 105 C.M.R. 170.101 and the central medical emergency direction centers that were in existence on January 1, 1992 shall remain the designated councils and central medical emergency direction centers

807,000

4510-0810

Sexual Assault Nurse Examiner (SANE) and PediatricSANE Program
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 not less than $900,000 shall be expended for the support of the statewide delivery system of children's advocacy centers with funding administered by the Massachusetts Children's Alliance, Inc.; and provided further, that the program shall operate under specific statewide protocols and by an on-call system of nurse examiners

5,144,520

4510-3008

ALS Registry
For the Argeo Paul Cellucci Amyotrophic Lateral Sclerosis Registry established in section 25A of chapter 111 of the General Laws

267,415

4510-3010

Down Syndrome Clinic
For a grant to the Down syndrome program at the Children's Medical Center at the University of Massachusetts medical center based on the patient-centered medical home concept

150,000

4512-0103

HIV/AIDS Prevention Treatment and Services
For human immunodeficiency virus and acquired immune deficiency syndrome, or HIV/AIDS, services, programs and related services for persons affected by the associated conditions of viral hepatitis, sexually transmitted infections and tuberculosis; provided, that funding shall be provided proportionately to each of the demographic groups afflicted by HIV/AIDS and associated conditions; provided further, that in compliance with the Patient Protection and Affordable Care Act, the department of public health shall ensure that vendors delivering HIV/AIDS community testing and screening shall seek third-party reimbursement for these services; and provided further, that no funds from this item shall be expended for disease research in fiscal year 2019

30,834,416

4512-0200

Bureau of Substance Addiction Services
For the bureau of substance abuse services; including a program to reimburse driver alcohol education programs for services provided for court-adjudicated indigent clients; provided, that not less than $500,000 shall be expended for a voluntary training and accreditation program for owners and operators of alcohol and drug-free housing under section 18A of chapter 17 of the General Laws; provided further, that the department of public health shall ensure that vendors providing methadone treatment shall seek third-party reimbursement for these services; provided further, that not less than $3,500,000 shall be expended for opening 5 new recovery centers that are not currently funded by the department of public health; provided further, that not less than $1,500,000 shall be expended to preserve and expand the programs currently funded by the Massachusetts Access to Recovery (MA-ATR) program; provided further, that not less than $1,180,000 shall be expended for the extended release naltrexone program under section 158 of chapter 46 of the acts of 2015; provided further, that the department of public health shall provide not less than $100,000 for a statewide program to improve training for the care of newborns with neonatal abstinence syndrome at hospital-based facilities that care for mothers and newborns, including the 10 level III neonatal intensive care units; provided further, that under section 236 of chapter 111 of the General Laws, as appearing in section 1 of chapter 332 of the acts of 2016, the department shall enhance data sharing capabilities and collaborate across agencies to ensure coordination of services for newborns with neonatal abstinence syndrome; provided further, that not less than $1,000,000 shall be expended for supportive case management services;provided further, that not less than $1,000,000 shall be expended to increase the number of residential rehabilitation services with priority given to families, youth, transitional age youth and young adults; provided further, that not less than $250,000 shall be expended on substance abuse programming for recovery centers; provided further, that not less than $60,000 shall be expended for the Opioid Task Force in the town of Natick; provided further, not less than $500,000 shall be expended on substance abuse treatment for victims of commercial sexual exploitation; provided further, that said treatment shall utilize a medical model and include trauma-informed services with intensive peer support; provided further, that not less than $100,000 shall be expended on the South Middlesex Council's opioid crisis response program; and provided further, that in order to support and strengthen public access to substance abuse services in the commonwealth, funds shall be expended to maintain programming, including but not limited to, the following: (a) centralized intake capacity service, pursuant to section 18 of chapter 17 of the General Laws; (b) the number and type of facilities that provide treatment; and (c) detoxification and clinical stabilization service beds in the public system

	General Fund	...............	78.31%
	Marijuana Regulation Fund	...............	21.69%

141,863,457

4512-0201

Substance Abuse Step-Down Recovery Services
For substance abuse step-down recovery services, 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

4,908,180

4512-0202

Secure Treatment Facilities for Opiate Addiction
For jail diversion programs primarily for non-violent offenders with opioid or opiate addiction, to be procured by the department of public health; provided, that each program shall have not less than 60 beds and shall provide clinical assessment services to the respective courts, inpatient treatment for not more than 90 days and ongoing case management services for not more than 1 year; provided further, that individuals may be diverted to this or other programs by a district attorney in conjunction with the commissioner of probation if: (a) there is reason to believe that the individual being diverted suffers from an addiction to opiate, opiate or another substance use disorder; and (b) the diversion of the individual is clinically appropriate and consistent with established clinical and public safety criteria; provided further, that programs shall be established in separate counties in locations deemed suitable by the department of public health; provided further, that the department of public health shall coordinate operations with the sheriffs, the district attorneys, the commissioner of probation and the department of correction; and 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

5,000,000

4512-0203

Substance Abuse Family Intervention and Care Pilot
For family intervention and care management services programs, a young adult treatment program and early intervention services for individuals who are dependent on or addicted to alcohol, controlled substances or both

1,440,450

4512-0204

Nasal Naloxone Pilot Expansion
For the purchase, administration and training of first-responder and bystander naloxone distribution programs; provided, that funds shall be expended to maintain funding for first responder naloxone grants and bystander distribution in communities with high incidence of overdose; provided further, that the commissioner of public health may transfer funds between this item and item 4512-0200 as necessary under an allocation plan which shall detail the distribution of the funds to be transferred; provided further, that the commissioner shall file said allocation plan with the house and senate committees on ways and means not less than 30 days before any such transfer; provided further, that the department of public health shall submit a report not later than October 5, 2018 to the house and senate committees on ways and means on: (a) the communities included in the program expansion; (b) the number of participants for each community; and (c) the amount of naloxone purchased and distributed, delineated by community; and provided further, that not less than $20,000 shall be provided for the county of Barnstable for the purchase of naloxone through the municipal naloxone bulk purchase program

1,020,000

4512-0205

Substance Abuse Grants
For grants and contracts with substance use programs to provide comprehensive prevention, intervention and recovery services; provided, that not less than $30,000 shall be expended for the substance use peer recovery program in the town of Ashland; provided further, that $75,000 shall be expended for the Hopkinton Organizing for Prevention Program; provided further, that $50,000 shall be expended for the T.H.R.I.V.E. Substance Abuse Prevention Program; provided further, that not less than $150,000 shall be expended for the Holliston School Substance Abuse Prevention program; provided further, that not less than $45,000 shall be expended for the post-naloxone treatment program in the town of Holliston; provided further, that not less than $25,000 shall be expended for the Natick Service Council for Veterans substance abuse prevention; provided further, that not less than $50,000 shall be expended for Serenity House, Inc.; provided further, that not less than $50,000 shall be expended for the Drug Story Theater, Inc.'s program for substance use prevention, treatment and education; provided further, that not less than $75,000 shall be expended for the Cambridge Health Alliance Foundation, Inc., for increased access to office-based opioid treatment services in the city of Everett; provided further, that not less than $200,000 shall be expended for a federally-qualified community health center with a 24-hour-a-day, 7-day-a-week emergency department licensed as a satellite unit under 105 CMR 1304; provided further, that not less than $155,000 shall be expended to the South Boston Collaborative Center, Inc., for substance abuse programming; provided further, that not less than $50,000 shall be expended for the town of Lynnfield to hire a coordinator for a new substance abuse committee; provided further, that not less than $150,000 shall be expended for the Empowering Mothers for Positive Outcomes with Early Referral Program at Baystate Medical Center, Inc.; provided further, that not less than $50,000 shall be expended for the Champion Plan, Inc. in the city of Brockton; provided further, that not less than $54,000 shall be expended for The Improbable Players, Inc., to provide school-based programs on substance use prevention; provided further, that not less than $25,000 shall be expended for the Charlestown Coalition; provided further, that not less than $100,000 shall be expended for planning, initial staffing and startup costs at Saint Francis House, Inc., in the city of Boston for its substance use disorder outpatient clinic; provided further, that not less than $25,000 shall be expended for a substance use and detox program in the county of Dukes County administered through Martha's Vineyard Community Services, Inc.; provided further, that not less than $35,000 shall be expended for Community Action for Safe Alternatives, CASA, in the town of Winthrop; provided further, that not less than $270,000 shall be expended in equal amounts for the following substance abuse coalitions and community partnerships: Avon Coalition for Every Student; Braintree Community Partnership on Substance Abuse; Canton Alliance Against Substance Abuse; EB Hope, Inc., in the town of East Bridgewater; Easton Wings of Hope; Milton Substance Abuse Prevention Coalition; Randolph Substance Abuse Prevention Coalition; Sharon Substance Prevention and Resource Commission; and Organizing Against Substances in Stoughton; provided, that not less than $250,000 shall be expended for a contract with The Gavin Foundation, Inc. to provide a Total Immersion Program in conjunction with the Probation Departments of the South Boston division of district courts and other district courts, provided that The Gavin Foundation, Inc. shall be contracted to provide Total Immersion Programs stated herein; provided further, that not less than $200,000 shall be expended for Project RIGHT's substance abuse/trauma prevention initiative in the Grove Hall area of Boston; provided further, that not less than $200,000 shall be expended to Railroad Street Youth Project in Great Barrington for the Berkshire County Youth Development Project for youth intervention services; provided further, that not less than $200,000 shall be expended for the operation of the operation of The Dimock Center's Behavioral Health continuum of substance use care to provide comprehensive treatment for individuals suffering from substance use disorder and other behavioral health challenges; provided further, that not less than $200,000 shall be expended for the operation and property improvements of Into Action Recovery; provided further that no less than $150,000 shall be expended to Harbor Health Services for a grant program to prevent and treat addiction to opioid and related substances; provided further, that no less than $150,000 shall be expended to the town of Braintree for Braintree's Community Partnership on Substance Abuse; provided, that not less than $150,000 shall be expended for Self Esteem Boston's direct service and provider training programs; provided further, that not less than $100,000 shall be expended for the New Beginnings program that targets youth at risk and in recovery in collaboration with school districts; provided further, that not less than $150,000 shall be expended for Office-Based Addiction/Opioid Treatment, a program of the Greater New Bedford Community Health Center; provided further that not less than $50,000 shall be expended to Baystate Noble Hospital in Westfield for a grant program to prevent and treat opioid addiction and related substance abuse; provided further, that not less than $50,000 shall be expended for the Milford Police Department and the Juvenile Advocacy Group to maintain a regional substance abuse outreach and intervention program in the Greater Milford area; provided further, that $50,000 shall be expended for the City of Revere's Substance Use Disorder Initiatives; provided further, that not less than $50,000 shall be expended on the Leominster Police Department Substance Abuse Task Force & Outreach Program; provided further, that not less than $25,000 shall be expended on substance abuse programming for Plymouth Recovery Center, not yet contracted with the Bureau of Substance Addiction Services; provided further, that not less than $25,000 shall be expended to fund substance misuse and mental health treatment in Nantucket County administered by the town of Nantucket; provided further that not less than $25,000 shall be expended for Cory's Cause for the purpose of funding substance abuse prevention and treatment programs in the City of Taunton; provided further; that no less than $20,000 shall be expended for the Decisions at Every Turn Coalition, for grants and contracts with substance abuse programs to provide comprehensive prevention, intervention and recovery services; provided further, that not less than $20,000 shall be expended for the Merrimack Valley Prevention and Substance Abuse Project toward resources, community outreach and programs in Methuen, Lawrence, Haverhill and North Andover; provided further, that not less than $20,000 shall be allocated to The Psychological Center in Lawrence toward the Women's View program; provided further, that not less than $15,000 shall be expended for the purpose of seeking sustained recovery for adults fighting addiction for the Pelican Intervention Fund located in the City of Newburyport; provided further, that no less than $10,000 be expended on substance abuse and addiction awareness and education efforts at the Reading Coalition Against Substance Abuse; provided further, that no less than $10,000 be expended on substance abuse and addiction awareness and education efforts at the Woburn Coalition Against Substance Abuse; and provided further that, notwithstanding any general or special law to the contrary, no funds shall be transferred from this item to any other item of appropriation

3,784,000

4512-0500

Dental Health Services
For dental health services; provided, that not less than $1,595,525 shall be expended for the comprehensive dental program for adults with developmental disabilities; and provided further, that $300,000 shall be expended for the Forsyth Institute's Center for Children's Oral Health to expand the ForsythKids program focused on children and adolescents and to study the emerging association between oral health status and academic performance; and provided further, that $150,000 shall be expended for the Forsyth Institutes Center for Childrens Oral Health to expand the ForsythKids program focused on children and adolescents and to study the emerging association between oral health status and academic performance

2,025,016

4513-1000

Family Health Services
For the provision of family health services; provided, that funds shall be expended for comprehensive family planning services, including HIV counseling and testing, community-based health education and outreach services provided by comprehensive family planning agencies; provided further, that funds may be expended for the program's critical congenital heart defects screening activities; and provided further, that funds may be expended for the birth defects monitoring program

6,300,000

4513-1002

Women Infants and Children Nutrition Services
For women, infants and children, or WIC, nutrition services in addition to funds received under the federal nutrition program; provided, that funds from this item shall supplement federal funds to enable federally-eligible women, infants and children to be served through the WIC program

11,869,725

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 on 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 service categories: home visit, center-based individual, child-focused group, parent-focused group and 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 the department shall submit to the house and senate committees on ways and means a report on the number of families served by the program and the amount of funds appropriated in this item granted to qualified families not later than January 7, 2019; 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 MassHealth shall cover the costs incurred for the transportation of MassHealth members who participate in the early intervention program; 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 house and senate committees on ways and means not less than 90 days before any change to its current eligibility criteria; provided further, that no eligibility changes shall be made before January 1, 2019; provided further, that such funds may be used to pay for current and prior year claims; provided further, that the department shall provide services to eligible children through 1 service delivery model and shall not determine eligibility for services based on family insurance status; provided further, that not later than March 15, 2019, the department shall submit to the executive office for administration and finance and to the house and senate committees on ways and means a status update on the early intervention state assigned student identifier pilot program; and provided further, that the update shall include a cost estimate for expanding the pilot to additional sites in fiscal year 2020

29,300,167

4513-1023

Newborn Hearing Screening Program
For the universal newborn hearing screening program; provided, that 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

81,543

4513-1026

Suicide Prevention and Intervention Program
For the provision of statewide and community-based suicide prevention, intervention, post-intervention and surveillance activities and the implementation of a statewide suicide prevention plan; provided, that funds shall be expended for 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 not less than $100,000 shall be expended for a program to address adolescent suicide behavior and suicide attempts in collaboration with the department of mental health; provided further, that not less than $100,000 shall be expended for the United Way of Tri-County's Call 2 Talk program; provided further, that $50,000 shall be expended to The Samaritans of Fall River/New Bedford, Inc.; provided further that not less than $30,000 shall be provided for the town of Medfield for public awareness and education on suicide prevention; andprovided further, that funds shall be expended for a veterans-in-crisis hotline to be used by veterans or concerned family members who seek counseling programs operated by the department of veterans' services so that they may be directed towards the programs and services offered by their local or regional veterans' office, to be staffed by counselors or outreach program personnel contracted by the department and trained in issues of mental health counseling and veterans' services

4,490,788

4513-1027

Samaritans Inc Suicide Prevention Services
For The Samaritans Inc.; provided, that funds shall be used for suicide prevention services

400,000

4513-1098

Services to Survivors of Homicide Victims
For the provision of statewide support services for the survivors of homicide victims, including outreach services, burial assistance, grief counseling and other support services; provided, that funds shall be expended as grants in the aggregate amount of not less than $200,000 to the Louis D. Brown Peace Institute Corporation, a community-based support organization dedicated to serving families and communities impacted by violence; and provided further, that the Louis D. Brown Peace Institute shall establish and administer a process to distribute not more than $100,000 to the Massachusetts Survivors of Homicide Victims Network organizations throughout the commonwealth in the form of grants

200,000

4513-1111

Health Promotion and Disease Prevention
For the promotion of health and disease prevention including, but not limited to, the following programs: (a) breast cancer prevention; (b) diabetes screening and outreach; (c) ovarian cancer screening; (d) hepatitis C prevention and management; (e) multiple sclerosis screening, information, education and treatment programs and the Multiple Sclerosis Home Living Independently Navigating Key Services program administered by the Greater New England Chapter of the National Multiple Sclerosis Society; (f) colorectal cancer prevention; (g) prostate cancer screening, education and treatment with a particular focus on men with African-American, Hispanic or Latino heritage, family history of the disease and other men at high risk; (h) osteoporosis education; and (i) maintenance of the statewide lupus database; provided further, that funding shall be expended for Mass in Motion community grants in an amount not less than expended in fiscal year 2018, contingent upon receipt of matching federal prevention block grant funds;provided further, that notwithstanding any general or special law to the contrary, $100,000 shall be appropriated to the University of Massachusetts at Dartmouth for the operation of its Cranberry Health Research Center; provided further, that not less than $100,000 shall be expended for macular degeneration research into prevention and treatment at The Schepens Eye Research Institute, Inc; provided further, that not less than $25,000 shall be expended to The Magical Moon Foundation, Inc., in the town of Marshfield to support services that empower children and families faced with cancer diagnoses; provided further, that not less than $50,000 shall be expended for education and support of patients diagnosed with phenylketonuria, PKU, or related disorders and their families through a grant to the New England Connection for PKU and Allied Disorders, Inc; provided further, that not less than $200,000 shall be expended for Community Servings for the purposes of providing medically tailored meals to persons battling chronic illnesses, workforce training programs to those recovering from addiction and opportunities for expanded services and locations; provided further, that $50,000 shall be expended for the Cancer Connection in the city of Northampton to provide programs and support for men, women and children living with a cancer diagnosis; and provided further that not less than $100,000 shall be expended for a grant to a statewide Alzheimer's disease advocacy and education organization for a public awareness and education campaign as recommended by the Centers for Disease Control and Prevention

4,059,369

4513-1121

Stop Stroke Program
For a statewide STOP stroke program; provided, that funds shall be expended for stroke treatment and ongoing prevention services; provided further, that the department of public health shall expend not less than $200,000 to provide educational programming as part of the F.A.S.T. campaign on the signs and symptoms of stroke and stroke warning signs with a focus on communities that have the highest incidence of stroke, which shall not be used for personnel costs; provided further, that the department of public health shall provide quality improvement measures that align with the stroke consensus metrics by utilizing a nationally recognized data set platform, and expand the statewide registry that compiles information and statistics on stroke care using confidentiality standards not less secure than a nationally recognized data set platform, known as the stroke registry data platform; provided further, that the department shall expend not less than $200,000 to require all primary stroke service hospitals and emergency medical services agencies to report data consistent with nationally-recognized guidelines on the treatment of individuals with confirmed stroke in the commonwealth; provided further, that not less than $100,000 shall be expended to oversee the operation and administration of designated primary stroke service hospital programs, established by 105 CMR 130.1400; provided further, that the department of public health shall expend not less than $100,000 to provide educational programming as part of the F.A.S.T. campaign on the signs and symptoms of stroke and stroke warning signs with a focus on communities that have the highest incidence of stroke, which shall not be used for personnel costs; provided further, that the department of public health shall provide quality improvement measures that align with the stroke consensus metrics by utilizing a nationally recognized data set platform, and expand the statewide registry that compiles information and statistics on stroke care using confidentiality standards not less secure than a nationally recognized data set platform, known as the stroke registry data platform; provided further, that the department shall expend not less than $100,000 to require all primary stroke service hospitals and emergency medical services agencies to report data consistent with nationally-recognized guidelines on the treatment of individuals with confirmed stroke in the commonwealth; provided further, that not less than $50,000 shall be expended to oversee the operation and administration of designated primary stroke service hospital programs, established by 105 CMR 130.1400; and provided further, that such funds shall be used to collect and analyze data from designated primary stroke service hospitals in the commonwealth and for the salary of a full-time surveyor who shall be primarily responsible for ensuring compliance with primary stroke service designation criteria

500,000

4513-1130

Domestic Violence and Sexual Assault Prevention and Treatment
For domestic violence and sexual assault prevention and survivor services, including: (a) intimate partner abuse education, formerly the batterers' intervention services; (b) services for immigrants and refugees; (c) rape crisis center survivor services and prevention; and (d) intervention services and crisis housing for sexual violence and intimate partner violence in the lesbian, gay, bisexual, transgender, queer and questioning communities; provided, that funds shall be expended for rape prevention and victim services, including the statewide Spanish language hotline, community-based domestic violence response, emergency and transitional residential services for sexual and domestic violence victims and their children and supervised visitation and trauma services for children who witness violence and targeted services for department of children and families involved families; provided further, that not less than $100,000 shall be expended as a grant to the New Bedford Women's Center, Inc., in the city of New Bedford for school-based domestic violence prevention programs for adolescents and young adults in the greater New Bedford area; provided further, that not less than $75,000 shall be expended for the Katie Brown Educational Program, Inc. for a pilot instructional initiative, the Train the Trainer program, to train educators and increase the number of Southeastern Massachusetts students who acquire invaluable knowledge about the prevention of relationship violence; provided further, that not less than $1,000,000 shall be expended equally to the 17 rape crisis center regions in addition to the amounts received under the fiscal year 2018 contract with the department of public health for the purpose of hiring additional advocates to meet services needs as identified by each rape crisis center; provided further, that not less than $2,000,000 shall be expended to the general community-based domestic violence programs in addition to the amounts received under the fiscal year 2018 contract with the department of public health for the purpose of hiring additional advocates to meet service needs as identified by said programs; provided further, that not less than $25,000 shall be expended on the Leominster Police Department domestic violence liaison position; provided further, that not less than $10,000 shall be expended for the purpose of providing resources for domestic violence investigations for the police department in the town of Salisbury; and provided further, that the department of public health shall ensure that there shall not be a disruption in survivor services and violence prevention activities or a negative impact on program functioning during fiscal year 2019

37,321,882

4513-1131

Healthy Relationships Grant Program
For a competitive grant program in public schools from grades 5 through 12 that will promote healthy relationships and address teen dating violence; provided, that the department of elementary and secondary education shall develop a 3 year grant program for 10 schools on anti-teen dating violence programming for implementation for the school year beginning in 2018; provided further, that the grant program shall be for schools in which the majority of students are eligible for free or reduced lunch; and provided further, that at least 1 grantee shall be a school located in a municipality with a population of 25,000 or less

150,000

4516-1000

State Laboratory and Communicable Disease Control Services
For the operation of the bureau of infectious disease and laboratory sciences, including the division of sexually transmitted disease prevention and the Massachusetts State Public Health Laboratory; provided, that funds shall be expended for an eastern encephalitis testing program and for tuberculosis testing and treatment services; provided further, that the department of public health shall ensure that vendors delivering tuberculosis clinical services and treatment shall seek third-party reimbursement for these services; and 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

12,332,648

4516-1010

Matching funds for a Federal Emergency Preparedness Grant
For state matching funds required by the Pandemic and All-Hazards Preparedness Act, Public Law 109-417

1,509,345

4530-9000

Teenage Pregnancy Prevention Services
For teenage pregnancy prevention services; provided, that applications for such funds shall be administered through the department of public health upon receipt and approval of coordinated community service plans to be evaluated under the guidelines issued by the department; provided further, that portions of the grants may be used for state agency purchases of designated services identified by said 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 highrisk for teenage pregnancy; and provided further, that the department shall collaborate with the department of children and families on said programming

3,000,000

4580-1000

Universal Immunization Program
For the operation of the universal immunization program; provided, that all costs related to childhood vaccines shall be paid for through the Vaccine Purchase Trust Fund established under section 24N of chapter 111 of the General Laws

2,276,169

4590-0250

School-Based Health Programs
For school health services and school-based health centers in public and nonpublic schools; provided, 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 funds shall be expended for school nurses and school-based health center programs; provided further that not less than $250,000 shall be expended to enhance the commonwealth's capacity to support the development of school-based Bridge programs for youths who have had prolonged absences due to hospitalization for physical or mental health care; provided further, that funds may be expended to address the recommendations of the permanent commission on lesbian, gay, bisexual, transgender, queer and questioning youth established in section 67 of chapter 3 of the General Laws for the reduction of health disparities for gay, lesbian, bisexual, transgender, queer and questioning youth; provided further, that not less than $100,000 shall be expended for the Massachusetts model of community coalition; provided further, that no less than $100,000 shall be expended for the purpose of establishing and supporting a school-based health center at Malden High School in the city of Malden; provided further that not less than $25,000 shall be expended to Methuen High School toward the Students Against Destructive Decisions substance abuse program; provided further, that not less than $50,000 shall be expended for the Northern Berkshire Community Coalition, Inc., in the city of North Adams; provided further, that not less than $500,000 shall be expended to open 5 new school-based health centers; and provided further, that not less than $50,000 shall be expended for the North Quabbin Community Coalition in the town of Athol

12,840,955

4590-0300

Smoking Prevention and Cessation Programs
For smoking prevention and cessation programs

4,218,872

4590-0915

Public Health Hospitals
For the maintenance and operation of Tewksbury Hospital, Pappas Rehabilitation Hospital for Children, Lemuel Shattuck Hospital and the hospital bureau, including the state office of pharmacy services; provided, that reimbursements received for medical services provided at the Lemuel Shattuck Hospital to inmates of houses of correction not managed by private health care vendors shall be credited to item 4590-0903 of section 2B; provided further, that Tewksbury Hospital shall maintain the same number of beds in fiscal year 2019 as was maintained in fiscal year 2018; provided further, that the Pappas Rehabilitation Hospital for Children shall maintain not less than 120 beds for clients in its inpatient setting to the extent feasible within the appropriation; and provided further that not less than $150,000 shall be expended for the Pappas Rehabilitation Hospital for Children Summer Program

158,254,041

4590-0925

Prostate Cancer Research
For the costs of a prostate cancer awareness, education and research program focusing on men with African-American, Hispanic or Latino heritage, family history of the disease and other men at high risk; provided, that the department of public health shall oversee and manage said program and shall grant funds from this item to a non-profit foundation that shall leverage existing partnerships with other state-funded nonprofit research organizations and current and past federally, state and privately funded prostate cancer programs aimed at saving lives, improving quality of life and reducing health care costs

800,000

4590-1503

Pediatric Palliative Care
For the pediatric palliative care program established in section 24K of chapter 111 of the General Laws

3,816,053

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; and provided further, that funds shall be considered 1-time and grants shall not annualize in fiscal year 2020

2,000,000

4590-1507

Youth At-Risk Matching Grants
For matching grants to the Massachusetts Alliance of Boys & Girls Clubs, Inc., the Alliance of Massachusetts YMCAS, Inc., the YWCA organizations, non-profit community centers and teen empowerment and youth development programs; provided, that not less than $103,151 shall be expended for the renovation of the Fitchburg YMCA; provided further, that not less than $25,000 shall be expended for Crossroads for Kids, Inc., of the city of Boston and the town of Duxbury for their summer and year-round out-of-school program serving at-risk youth; provided, that the department shall award not less than $450,000 to the YWCA organizations, which shall be distributed equally between the Alliance of YWCA's member organizations; provided further, that the department shall award not less than $1,400,000 to the Alliance of Massachusetts YMCAs, Inc. which shall be distributed between the alliance's member organizations; provided further, that not less than $30,000 shall be expended for the South Holyoke Safe Neighborhood Initiative; provided further, that not less than $150,000 shall be expended to the Center for Teen Empowerment, Inc.; provided further, that the department of public health shall award not less than $900,000 for competitively procured grants to youth at-risk programs utilizing an evidence-based positive youth development model, including programs that serve lesbian, gay, bisexual, transgender, queer and questioning youth; provided further, that the department of public health shall award not less than $1,700,000 to the Massachusetts Alliance of Boys and Girls Clubs, Inc., which shall be distributed equally between its member organizations; provided further, that not less than $200,000 shall be expended for the Big Brothers Big Sisters of Massachusetts Bay Mentor 2.0 program; and provided further, that not less than $20,000 be expended for the Lawrence Sue�os Basketball Summer League to support the recreational, social, and health benefits the league provides to low-income youth in the City of Lawrence

4,978,151

4590-2010

Grandparents Raising Grandchildren Opioid Commiss
For the department of elder affairs which shall contract with the University of Massachusetts medical school to conduct a study on opioid use in the commonwealth specifically related to the impact opioid use has had and may continue to have on grandparents and other relatives raising related children; provided further, that the study shall investigate and report on, among other topics: (i) the number of individuals in the commonwealth raising related children of relatives; (ii) the number of individuals in the commonwealth raising grandchildren because 1 or both parents are addicted to an opioid drug; (iii) resources available to provide services to both the grandparent or other relative and to the children; and (iv) whether such services are coordinated in a manner that is beneficial to the grandparents and other relatives

50,000

account	description	amount
Retained Revenues
4510-0020	Food Protection Program Retained Revenue For the department of public health, which may expend not more than $151,200 in retained revenues collected from fees charged by the food protection program for program costs of said program; 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 lower of this authorization or the most recent revenue estimate as reported in the state accounting system	151,200
4510-0025	SEAL Dental Program Retained Revenue For the department of public health, which may expend not more than $893,590 for the MDPH-SEAL program, from retained revenues collected from MassHealth and other third-party reimbursements for preventive oral health procedures; 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 lower of this authorization or the most recent revenue estimate as reported in the state accounting system	893,590
4510-0040	Pharmaceutical and Medical Device Marketing Regulation RR For the department of public health, which may expend not more than $73,734 from fees assessed under chapter 111N of the General Laws for the regulation of all pharmaceutical and medical device companies that market their products in the commonwealth; 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 lower of this authorization or the most recent revenue estimate as reported in the state accounting system	73,734
4510-0615	Nuclear Power Reactor Monitoring Fee Retained Revenue For the department of public health, which may expend not more than $180,000 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 $1,592,312 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 retained revenues may be used for the costs of both programs, including the compensation of employees; provided further, that in fiscal year 2019 the department shall expend an amount not less than expended in fiscal year 2018 for the C-10 Research and Education Foundation, Inc. to provide radiological monitoring in the 6 communities of the commonwealth that are within the plume exposure emergency planning zone of Seabrook Nuclear Power plant; 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	1,772,312
4510-0616	Prescription Drug Registration and Monitoring Fee RR For the department of public health, which may expend not more than $1,037,750 for a drug registration and monitoring program from retained 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	1,037,750
4510-0712	Division of Health Care Quality Health Facility Licensing Fee For the department of public health, which may expend not more than $3,118,125 in retained revenues collected from the licensure of health facilities and fees for the program costs of the division of health care quality resulting from individuals applying for emergency medical technician licensure and recertification; 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 lower of this authorization or the most recent revenue estimate as reported in the state accounting system	3,118,125
4510-0724	Board of Registration in Medicine Retained Revenue For the board of registration in medicine, including the physician profiles program; provided, that the board may expend revenues not to exceed $300,503 from new revenues associated with increased license and renewal fees	300,503
4512-0106	HIV/AIDS Drug Program Manufacturer Rebates Retained Revenue For the department of public health, which may expend for the HIV Drug Assistance Program (HDAP) not more than $7,500,000 from revenues received from pharmaceutical manufacturers participating in the section 340B rebate program of the Public Health Service Act administered by the Health Resources and Services Administration and the office of pharmacy affairs; provided, that these services shall include activities eligible for coverage through the Ryan White HIV/AIDS Program, with priority given to HDAP; provided further, that any excess rebate revenue collected beyond the ceiling of this appropriation shall be deposited in the General Fund; provided further, that services in an amount equivalent to the amount deposited in the General Fund shall be funded through item 4512-0103; and provided further, that the department of public health may make expenditures from the start of each fiscal year from this account in anticipation of receipt of rebate revenues from pharmaceutical manufacturers	7,500,000
4512-0225	Compulsive Behavior Treatment Program Retained Revenue For the department of public health, which may expend not more than $1,500,000 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 comptroller shall transfer the amount to the General Fund; 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	1,500,000
4513-1012	WIC Program Manufacturer Rebates Retained Revenue For the department of public health, which may expend not more than $28,400,000 from retained revenues received from 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 lower of this authorization or the most recent revenue estimate as reported in the state accounting system	28,400,000
4516-0263	Blood Lead Testing Fee Retained Revenue For the department of public health, which may expend not more than $1,137,094 in retained revenues from blood lead testing fees collected from insurers and individuals for the purpose of conducting such tests; 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 lower of this authorization or the most recent revenue estimate as reported in the state accounting system	1,137,094
4516-1005	STI Billing Retained Revenue For the department of public health, which may expend not more than $1,000,000 generated by fees collected from providers or insurers for sexually-transmitted infections testing performed at the State Public Health Laboratory; provided, that collected retained revenues 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 lower of this authorization or the most recent revenue estimate as reported in the state accounting system	1,000,000
4516-1022	State Laboratory Tuberculosis Testing Fee Retained Revenue For the department of public health, which may expend not more than $279,678 generated by fees collected from insurers for tuberculosis tests performed at the State Public Health Laboratory; provided, that collected retained revenues 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 lower of this authorization or the most recent revenue estimate as reported in the state accounting system	279,678
4516-1039	Health Care Industry Plan Review retained revenue For the department of public health, which may expend not more than $200,000 in retained revenues collected from application fees collected under section 25C of chapter 111 of the General Laws to support the operations of the determination of need program and health care facility plan review within the department of public health; provided, 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 as reported in the state accounting system; and provided further, that any unexpended funds in this item shall not revert but shall be made available until June 30, 2020	200,000
4518-0200	Vital Records Research Cancer and Community Data Ret Rev For the department of public health, which may expend not more than $625,213 generated by fees collected from the following services provided at the registry of vital records and statistics, including amendments of vital records and requests for vital records not issued in person at said registry, requests for heirloom certificates and research requests performed by registry staff at said registry; provided, that collected retained revenues 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 verification of birth to establish 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 lower of this authorization or the most recent revenue estimate as reported in the state accounting system	625,213
4590-0912	Western Massachusetts Hospital Federal Reimbursement Retained For the department of public health, which may expend not more than $23,060,382 from reimbursements collected for Western Massachusetts Hospital services, subject to the approval of the commissioner of public health; provided, 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 under chapter 118E of the General Laws for all goods and services provided by the hospital under federal requirements; 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	23,060,382
4590-0913	Shattuck Hospital Private Medical Vendor Retained Revenue For the department of public health, which may expend not more than $507,937 for payments received for those services provided by the Lemuel Shattuck Hospital to inmates of houses of correction; 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 lower of this authorization or the most recent revenue estimate as reported in the state accounting system	507,937
4590-0917	Shattuck Hospital Department of Correction Inmate Retained Rev For the department of public health, which may expend not more than $4,552,181 from payments received from the vendor managing health services for state correctional facilities for inmate medical services provided by the Lemuel Shattuck Hospital; provided, that the payments may include capitation payments, fee for service payments, advance payments and other compensation arrangements established by contract between the vendor and the hospital; and provided further, that 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	4,552,181
4590-0918	SOPS Department of Correction Retained Revenue For the state office of pharmacy services, which may expend not more than $26,959,206 from retained revenues collected from vendors providing health care services to the department of correction; 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 lower of this authorization or the most recent revenue estimate as reported in the state accounting system	26,959,206
4590-0924	Tewksbury Hospital Retained Revenue For the department of public health, which may expend not more than $1,860,436 from reimbursements collected by Tewksbury Hospital based on a revenue enhancement project to obtain Medicaid coverage for patients whose services are not currently being reimbursed; 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 lower of this authorization or the most recent revenue estimate as reported in the state accounting system	1,860,436
4590-2001	Tewksbury Hospital DDS Client Retained Revenue For the department of public health, which may expend not more than $3,626,167 of payments received for services provided by Tewksbury Hospital to clients of the department of developmental services, including for the provision of behavioral health services and the continuation of short-term medical rehabilitation for clients of the department of developmental services; 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 lower of this authorization or the most recent revenue estimate as reported in the state accounting system	3,626,167

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 item called SOPS; provided, that SOPS shall notify in writing all agencies listed below of their obligations under this item by July 16, 2018; 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 sheriffs'offices of Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk and Plymouth and the Soldiers' Homes in the cities of Holyoke and Chelsea; 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; provider further, that SOPS shall become the sole provider of pharmacy services to the sheriffs'offices of Worcester and Suffolk; provided further, that these agencies shall not charge or contract with any other alternative vendor for pharmacy services other than SOPS; provided further, that SOPS shall validate previously-submitted pharmacy expenditures including HIV Drug Assistance Program drug reimbursements during fiscal year 2019; and provided further, that SOPS shall report to the house and senate committees on ways and means not later than April 15, 2019 detailing recommendations for the inclusion of other entities that may realize cost savings by joining SOPS

Intragovernmental Services Fund

...............

100%

47,865,393

4590-0901

Chargeback for Consolidated Public Health Hospitals
For the costs of medical services provided at department of public health hospitals and charged to other state agencies

Intragovernmental Services 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 houses of correction; provided, that the costs shall be charged to items 8910-0102, 8910-0105, 8910-0107, 8910-0108, 8910-0110, 8910-0145, 8910-0619, 8910-8200, 8910-8300, 8910-8400, 8910-8500, 8910-8600, 8910-8700 and 8910-8800 of section 2

Intragovernmental Services Fund

...............

100%

3,800,000

account	description	amount
Federal Grant Spending		273,482,174
4500-1001	Preventive Health and Health Services Block Grant For the purposes of a federally funded grant entitled, Preventive Health and Health Services Block Grant	4,352,084
4500-1054	Massachusetts Sexual Assault Service Program For the purposes of a federally funded grant entitled, Massachusetts Sexual Assault Service Program	441,341
4500-1056	Mass Rape Prevention and Education Program For the purposes of a federally funded grant entitled, Mass Rape Prevention and Education Program	845,819
4500-1069	State Loan Repayment Program For the purposes of a federally funded grant entitled, Massachusetts State Loan Repayment Program	550,000
4500-1070	OMH State Partnership Initiative Proposal Oral Health Equity For the purposes of a federally funded grant entitled, OMH State Partnership Initiative Proposal Oral Health Equity	200,000
4500-2000	Maternal and Child Health Services For the purposes of a federally funded grant entitled, Maternal and Child Health Services	11,900,000
4502-1012	Cooperative Health Statistics System For the purposes of a federally funded grant entitled, Cooperative Health Statistics System	826,825
4510-0114	State Primary Care Offices For the purposes of a federally funded grant entitled, State Primary Care Offices	250,000
4510-0117	State Office of Rural Health For the purposes of a federally funded grant entitled, State Office of Rural Health	180,000
4510-0120	Rural Hospital Flexibility Program For the purposes of a federally funded grant entitled, Rural Hospital Flexibility Program	312,013
4510-0224	Small Rural Hospital Improvement Grant Program For the purposes of a federally funded grant entitled, Small Rural Hospital Improvement Grant Program	54,000
4510-0225	Children's Oral Healthcare Access Program For the purposes of a federally funded grant entitled, Children's Oral Healthcare Access Program	250,000
4510-0227	Clinical Comm Pedi Weight Mgmt For the purposes of a federally funded grant entitled, Clinical Community Pediatric Weight Management	1,477,519
4510-0401	Medicare and Medicaid Survey and Certification For the purposes of a federally funded grant entitled, Medicare and Medicaid Survey and Certification	9,033,093
4510-0404	Hospital Preparedness Programs For the purposes of a federally funded grant entitled, Hospital Preparedness Programs	4,315,709
4510-0501	Clinical Laboratory Improvement Amendment For the purposes of a federally funded grant entitled, Clinical Laboratory Improvement Amendment	306,184
4510-0507	Impact Act for Hospice Recert Surveys For the purposes of a federally funded grant entitled, Impact Act for Hospice Recertification Surveys	231,045
4510-0609	Nuclear Regulatory Commission Security Inspections For the purposes of a federally funded grant entitled, Nuclear Regulatory Commission Security Inspections	31,866
4510-0619	FDA Inspection of Food Establishments For the purposes of a federally funded grant entitled, FDA Inspection of Food Establishments	277,714
4510-0637	Food Protection Rapid Response Infrastructure Enhancement For the purposes of a federally funded grant entitled, Food Protection Rapid Response Infrastructure Enhancement	306,664
4510-0643	Harold Rogers Prescription Drug Monitoring Program For the purposes of a federally funded grant entitled, Harold Rogers Prescription Drug Monitoring Program	204,438
4510-0812	Sexual Assault Forensic Examination Telemedicine Center For the purposes of a federally funded grant entitled, Sexual Assault Forensic Examination Telemedicine Center	434,152
4510-9014	Mammography Quality Standards Act For the purposes of a federally funded grant entitled, Mammography Quality Standards Act	371,722
4510-9048	Indoor Radon Development Program For the purposes of a federally funded grant entitled, Indoor Radon Development Program	150,000
4510-9053	Beach Monitoring For the purposes of a federally funded grant entitled, Beach Monitoring	242,500
4510-9065	Reduce Environmental Exposure For the purposes of a federally funded grant entitled, Reduce Environmental Exposure	420,000
4510-9066	Development and Implementation of Replicable Enhancement For the purposes of a federally funded grant entitled, Development and Implementation of Replicable Enhancement	312,959
4510-9067	Development and Implementation of Brace in Mass For the purposes of a federally funded grant entitled, Development and Implementation of Brace in Mass	213,713
4510-9068	Maintenance and Enhancement of the State and Nat'l Environment For the purposes of a federally funded grant entitled, Maintenance and Enhancement of the State and Nat'l Environment	1,128,207
4510-9069	Mass Childhood Lead Poisoning Prevention Program For the purposes of a federally funded grant entitled, Mass Childhood Lead Poisoning Prevention Program	424,221
4512-0100	Sexually Transmitted Disease Control For the purposes of a federally funded grant entitled, Sexually Transmitted Disease Control	1,577,779
4512-0108	Mass Applications for STD Surveillance Parts A and B For the purposes of a federally funded grant entitled, Mass Applications for STD Surveillance Parts A and B	546,754
4512-0150	Immunization and Vaccines for Children For the purposes of a federally funded grant entitled, Immunization and Vaccines for Children	2,694,823
4512-0186	Epidemiology and Laboratory for Infectious Disease For the purposes of a federally funded grant entitled, Epidemiology and Laboratory for Infection Disease	1,179,707
4512-0190	PPHF Increasing HPV Vaccination Coverage Rates For the purposes of a federally funded grant entitled, PPHF Increasing HPV Vaccination Coverage Rates	3,855,361
4512-0195	Build Enhance Epidemiology Lab Health For the purposes of a federally funded grant entitled, Build Enhance Epidemiology Lab Health	3,671,480
4512-0196	Supplemental Funding Epidemiology and Lab Capacity Ebola For the purposes of a federally funded grant entitled, Supplemental Funding Epidemiology and Lab Capacity Ebola	500,000
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	47,160,733
4512-9082	Mass Family Recovery Project Southeast For the purposes of a federally funded grant entitled, Mass Family Recovery Project Southeast	322,095
4512-9085	Strategic Prevention Framework For the purposes of a federally funded grant entitled, Strategic Prevention Framework	1,648,187
4512-9086	The Moms Do Care Project For the purposes of a federally funded grant entitled, The Moms Do Care Project	500,000
4512-9087	Mass State Youth Treatment Implementation Project For the purposes of a federally funded grant entitled, Mass State Youth Treatment Implementation Project	954,988
4512-9089	Prevent Pres Drug Overuse Misuse For the purposes of a federally funded grant entitled, Prevent Pres Drug Overdose Misuse	1,233,750
4512-9090	Mass State Targeted Response to the Opioid Crisis For the purposes of a federally funded grant entitled, Medication Assisted Treatment	100,000
4512-9091	Mass PPW PTL Grant Project Promise For the purposes of a federally funded grant entitled, Mass PPW PTL Grant Project Promise	1,100,000
4512-9096	Substance Abuse For the purposes of a federally funded grant entitled, Substance Abuse	108,500
4512-9426	Uniform Alcohol and Drug Abuse Data For the purposes of a federally funded grant entitled, Uniform Alcohol and Drug Abuse Data	112,099
4513-0111	Housing Opportunities for People with AIDS Program For the purposes of a federally funded grant entitled, Housing Opportunities for People with AIDS program	369,876
4513-1226	Mass Implementation of Essentials for Childhood For the purposes of a federally funded grant entitled, Mass Implementation of Essentials for Childhood	35,190
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	79,037,578
4513-9021	Infants and Toddlers with Disabilities For the purposes of a federally funded grant entitled, Infants and Toddlers with Disabilities	9,387,849
4513-9031	State Systems Development Initiative for MA For the purposes of a federally funded grant entitled, State Systems Development Initiative for MA	100,000
4513-9037	Ryan White Care Act For the purposes of a federally funded grant entitled, Ryan White Care Act	19,449,687
4513-9044	MassREACH Evaluate Effectiveness Novel Public Health Delivery For the purposes of a federally funded grant entitled, MassREACH Evaluate Effectiveness Novel Public Health Delivery	924,498
4513-9045	HIV/AIDS Surveillance For the purposes of a federally funded grant entitled, HIV/AIDS Surveillance	1,130,368
4513-9047	Comprehensive HIV Prevention Project for Health Departments For the purposes of a federally funded grant entitled, Comprehensive HIV Prevention Project for Health Departments	5,460,669
4513-9049	National HIV Behavioral Surveillance NHBS For the purposes of a federally funded grant entitled, National HIV Behavioral Surveillance NHBS	468,739
4513-9052	TB Testing and Treatment in High Risk Communities For the purposes of a federally funded grant entitled, TB Testing and Treatment in High Risk Communities	500,000
4513-9053	MA Increase HPV Vaccine Coverage by Strengthen Adolescent Act For the purposes of a federally funded grant entitled, MA Increase HPV Vaccine Coverage by Strengthen Adolescent Act	494,398
4513-9070	Emergency Medical Services For Children For the purposes of a federally funded grant entitled, Emergency Medical Services for Children	130,000
4513-9094	Special Projects of National Significance For the purposes of a federally funded grant entitled, Special Projects of National Significance	291,969
4513-9104	Universal Newborn Hearing Screening For the purposes of a federally funded grant entitled, Universal Newborn Hearing Screening	250,000
4513-9106	Mass Comprehensive Asthma Control Program For the purposes of a federally funded grant entitled, Mass Comprehensive Asthma Control Program	650,000
4513-9107	Mass Center for Birth Defects Research and Prevention For the purposes of a federally funded grant entitled, Mass Center for Birth Defects Research and Prevention	1,025,000
4513-9109	Mass Perinatal Quality Collaborative For the purposes of a federally funded grant entitled, Mass Perinatal Quality Collaborative	200,000
4513-9110	B Existing PRAMS Pregnancy Risk Assessment For the purposes of a federally funded grant entitled, B Existing PRAMS Pregnancy Risk Assessment	157,500
4513-9111	CISS SECCS Planning For the purposes of a federally funded grant entitled, CISS SECCS Planning	426,600
4513-9112	Mass EHDI Project For the purposes of a federally funded grant entitled, Mass EHDI Project	250,000
4513-9113	Maternal Infant Early Childhood Home Visiting Grant Program For the purposes of a federally funded grant entitled, Maternal Infant Childhood Home Visiting Grant Program	1,654,420
4513-9114	Surveillance and Intervention for Infants from Zika Virus For the purposes of a federally funded grant entitled, Surveillance and Intervention for Infants from Zika Virus	52,000
4513-9127	Ryan White Title IV Program For the purposes of a federally funded grant entitled, Ryan White Title IV Program	500,115
4513-9193	Mass Launch Expansion For the purposes of a federally funded grant entitled, Mass Launch Expansion	680,000
4514-1013	FY2015 WIC Special Project Grants For the purposes of a federally funded grant entitled, FY2015 WIC Special Project Grants	45,800
4514-1014	WIC Regional Infrastructure For the purposes of a federally funded grant entitled, WIC Regional Infrastructure	14,060
4515-0116	Tuberculosis Elimination and Lab Control Coop Agreement For the purposes of a federally funded grant entitled, Tuberculosis Elimination and Lab Control Coop Agreement	1,867,214
4515-0210	The Sylvie Ratelle Prevention Training Center For the purposes of a federally funded grant entitled, The Sylvie Ratelle Prevention Training Center	350,000
4515-1125	Viral Hepatitis Prevention and Surveillance For the purposes of a federally funded grant entitled, Viral Hepatitis Prevention and Surveillance	485,160
4515-1126	Expansion Operationalization of Syndromic Surveillance For the purposes of a federally funded grant entitled, Expansion Operationalization and Syndromic Surveillance	307,355
4516-1021	Hospital Preparedness and Public Health Emergency Preparedness For the purposes of a federally funded grant entitled, Hospital Preparedness and Public Health Emergency Preparedness	13,011,333
4516-1024	Ebola Preparedness and Response Activities For the purposes of a federally funded grant entitled, Ebola Preparedness and Response Activities	200,000
4516-1035	Mass Expanded Biomonitoring Program For the purposes of a federally funded grant entitled, Mass Expanded Biomonitoring Program	1,245,301
4516-1036	Accreditation for State Food Testing Laboratories For the purposes of a federally funded grant entitled, Accreditation for State Food Testing Laboratories	200,000
4518-0505	Technology Data and Massachusetts Birth and Infant Death File For the purposes of a federally funded grant entitled, Technology Data and Massachusetts Birth and Infant Death File	23,275
4518-0519	Maximizing Use of Mass Workers Compensation Data For the purposes of a federally funded grant entitled, Maximizing Use of Mass Workers Compensation Data	200,000
4518-0520	Mass Violent Death Reporting System For the purposes of a federally funded grant entitled, Mass Violent Death Reporting System	242,740
4518-0535	Expanded Occupational Health Surveillance in MA For the purposes of a federally funded grant entitled, Expanded Occupational Health Surveillance in MA	745,000
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	73,000
4518-1002	Mass Death File - Social Security Administration For the purposes of a federally funded grant entitled, Mass Death File - Social Security Administration	158,705
4518-1003	Birth Records for the Social Security Administration For the purposes of a federally funded grant entitled, Birth Records for the Social Security Administration	318,396
4518-9023	Census of Fatal Occupational Injuries For the purposes of a federally funded grant entitled, Census of Fatal Occupational Inquiries	54,778
4518-9039	MA Youth Suicide Prevention Project For the purposes of a federally funded grant entitled, MA Youth Suicide Prevention Project	736,000
4518-9052	Behavioral Risk Factor Surveillance System For the purposes of a federally funded grant entitled, Behavioral Risk Surveillance System	39,330
4518-9053	Behavioral Risk Factor Surveillance System For the purposes of a federally funded grant entitled, Behavioral Risk Surveillance System	263,000
4570-1527	Personal Responsibility Education Program 2010 For the purposes of a federally funded grant entitled, Personal Responsibility Education Program 2010	1,404,514
4570-1534	Federal Drug Administration Tobacco 2011 For the purposes of a federally funded grant entitled, Federal Drug Administration Tobacco 2011	1,002,860
4570-1541	Support for Pregnant Parenting Teen For the purposes of a federally funded grant entitled, Support for Pregnant Parenting Teen	1,500,000
4570-1545	Ensuring Quitline Capacity For the purposes of a federally funded grant entitled, Ensuring Quitline Capacity	305,965
4570-1548	Paul Coverdell National Acute Stroke Prevention For the purposes of a federally funded grant entitled, Paul Coverdell National Acute Stroke Prevention	750,000
4570-1549	Mass Health and Disability Program For the purposes of a federally funded grant entitled, Mass Health and Disability Program	350,000
4570-1552	Mass State Health Prevention Chronic Disease For the purposes of a federally funded grant entitled, Mass State Health Prevention Chronic Disease	1,457,225
4570-1553	Mass State Health Prevention Chronic Disease For the purposes of a federally funded grant entitled, Mass State Health Prevention Chronic Disease	1,253,412
4570-1554	FY14 Family Planning Services FOA For the purposes of a federally funded grant entitled, FY14 Family Planning Services FOA	1,353,000
4570-1557	Mass Organized Approaches to Increase Colorectal Cancer Screen For the purposes of a federally funded grant entitled, Mass Organized Approaches to Increase Colorectal Cancer Screen	630,699
4570-1559	Mass State and Local Public Health Actions to Prevent Obesity For the purposes of a federally funded grant entitled, Mass State and Local Public Health Actions to Prevent Obesity	3,520,000
4570-1560	Tobacco Control Program For the purposes of a federally funded grant entitled, Tobacco Control Program	1,868,436
4570-1561	Mass Core Violence Injury Prevention Program For the purposes of a federally funded grant entitled, Mass Core Violence Injury Prevention Program	475,000
4570-1562	The Family Violence Service State Grants For the purposes of a federally funded grant entitled, The Family Violence Service State Grants	2,066,545
4570-1563	Enhanced Opioid-Involved Morbidity Mortality Surveillance For the purposes of a federally funded grant entitled, Enhanced Opioid-Involved Morbidity Mortality Surveillance	637,155
4570-1571	Mass Cancer Prevention and Control Program For the purposes of a federally funded grant entitled, Mass Cancer Prevention and Control Program	3,390,416

account	description	amount

top of page

Budget Summary FY2019

Department of Public HealthData Current as of: 8/10/2018

Department of Public Health
Data Current as of: 8/10/2018