| ACCOUNT | FY2019 Conference |
FY2019 Vetoes |
FY2019 Overrides |
FY2019 GAA |
|
|---|---|---|---|---|---|
| 5011-0100 | Department of Mental Health Administration and Operations | 27,918 | 0 | 0 | 27,918 |
| 5042-5000 | Child and Adolescent Mental Health Services | 92,857 | 0 | 0 | 92,857 |
| 5046-0000 | Adult Mental Health and Support Services | 488,736 | 0 | 0 | 488,736 |
| 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 | 24,103 | 0 | 0 | 24,103 |
| 5055-0000 | Forensic Services Program for Mentally Ill Persons | 10,797 | 0 | 0 | 10,797 |
| 5095-0015 | Inpatient Facilities and Community Based Mental Health | 208,230 | 0 | 0 | 208,230 |
| 5095-1016 | Occupancy Fees Retained Revenue | 500 | 0 | 0 | 500 |
| TOTAL | 875,994 | 0 | 0 | 875,994 | |
| account | description | amount |
|---|---|---|
| DEPARTMENT OF MENTAL HEALTH | 891,714,243 | |
| Direct Appropriations | ||
| 5011-0100 | Department of Mental Health Administration and Operations
For the operation of the department of mental health |
27,917,805 |
| 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 said 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 $3,875,000 for the Massachusetts Child Psychiatry Access Project, or MCPAP; provided further, that not less than $675,000 of that sum shall be expended for MCPAP for mothers statewide to address mental health concerns in pregnant and postpartum women and to expand support for pregnant and postpartum women by adding substance use disorder-specific education, training, consultation and care coordination to the project's existing capacity; provided further, that amounts expended from this item for MCPAP 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 later than March 1, 2019, the department shall report to the house and senate committees on ways and means on: (a) an overview of MCPAP care coordination efforts; (b) 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 2018 and fiscal year 2019; and (c) recommendations to: (i) increase the number of specialists receiving referrals through MCPAP; and (ii) 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 in order to strengthen public access to mental health services for children and adolescents not less than $1,950,000 shall be expended for: (a) increasing case management services for children and adolescents; (b) enhancing services for persons ages 16 to 24, inclusive; and (c) 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 to the house and senate committees on ways and means not later than March 19, 2019 on: (i) the distribution of funds, delineated by initiative; (ii) the number of individuals served; (iii) the outcomes measured; and (iv) recommendations for expanding cost-effective and evidence-based early mental health identification and prevention programming for children and adolescents in fiscal year 2020 and fiscal year 2021; provided further, that not less than $10,500 shall be expended for the Massachusetts School Mental Health Consortium in the city of Methuen; provided further, that not less than $160,000 shall be expended to the Arlington Youth Counseling Center; provided further, that not less than $75,000 shall be expended on YouthConnect to provide community-based mental health services to high-risk youth and their families residing in the East Boston community; provided further, that not less than $100,000 shall be expended on the Alliance for Inclusion and Prevention's training and workforce development; provided further, that not less than $50,000 shall be expended on the Shrewsbury Youth and Family Services, Inc.; and provided further, that not less than $90,000 shall be expended on the juvenile firesetter intervention and prevention program in Hampshire and Franklin Counties, the town of Athol, and the city of Holyoke |
92,857,039 |
| 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 not less than 30 days before any such transfer, for residential and day services for clients formerly receiving care at department facilities; provided, that the department shall report to the house and senate committees on ways and means on said distribution of funds per adult and child planning population and the types of services received in each region for fiscal year 2019, not later than February 1, 2019; provided further, that the department shall maintain in fiscal year 2019 the same amount of community-based placements in the previous 3 fiscal years; provided further, that in fiscal year 2019 the department shall expend on clubhouses not less than the amount expended on clubhouses in fiscal year 2018; provided further, that funds shall be expended at not less than 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 $3,000,000 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 14, 2018, to the house and senate committees on ways and means regarding the: (a) number of crisis intervention team and jail diversion efforts; (b) amount of funding per grant, delineated by city, town or provider; (c) potential savings achieved; (d) recommendations for expansion; and (e) outcomes measured; provided further, that not less than $250,000 shall be expended on the expansion of low threshold, safe haven housing for mentally ill men and women who have been chronically homeless and are currently living in emergency shelter or on the streets in Boston; provided further, that not less than $250,000 shall be expended on the International Institute of New England for culturally and linguistically appropriate mental health services for immigrants and refugees who have experienced torture and trauma; 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 said 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 not later than April 1, 2019, the department, in conjunction with Eliot Community Human Services, Inc., shall report to the house and senate committees on ways and means 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: (i) factors that proved successful in treating pilot participants, including practices used and type of staff functions necessary for success in treating pilot participants; (ii) identification of issues and practices that present barriers to successful treatment; (iii) cost analysis of treatment; (iv) plan for creating a sustainable program based on information from the analysis report; and (v) a proposal for a sustainable course of funding to implement the program; provided further, that not less than $45,000 shall be expended for the community impact unit of the police department of the town of Barnstable in consultation with NAMI Cape Cod, Inc. and the county of Barnstable for a designated emergency site that shall provide shelter, address basic human needs and provide protective oversight and assistance for the high-risk chronically homeless population on Cape Cod; provided further, that not less than $20,000 shall be expended for the county of Barnstable to conduct a study of the Plymouth county outreach project and to determine the viability of replicating the project in the county of Barnstable; and provided further, that not less than $500,000 shall be expended for an elder behavioral health interagency service agreement between the department of mental health and the executive office of elder affairs for adult and community based behavioral health services for adults over the age of 60 |
488,735,614 |
| 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 |
24,103,309 |
| 5055-0000 | Forensic Services Program for Mentally Ill Persons
For forensic services provided by the department; provided, that not less than $3,500,000 shall be expended for juvenile court clinics |
10,797,407 |
| 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: (a) the client is deemed clinically suited for a more integrated setting; (b) the community residential service capacity and resources available are sufficient to provide each client with an equal or improved level of service; and (c) 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 not less than 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 2019; provided further, that of said 671 beds, not less than 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 less 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 2019 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 or expand existing vendor-operated programs; provided further, that the department shall not enter into new interagency agreements or expand 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 not later than March 2, 2019 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 maintenance of 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 maintenance of the Taunton state hospital campus 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 individuals with mental health diagnoses, behavioral health diagnoses and those dual-diagnosed on the campus as part of the comprehensive master plan; 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 joint committee on mental health and substance abuse and the house and senate committees on ways and means; provided further, that the department may authorize, on the campus of Taunton state hospital, a behavioral health emergency department relief pilot program to accept medically-stable individuals with high acuity behavioral health and dual diagnoses from emergency departments in the Southeast region; provided further, that medically-stable patients presenting in an emergency department with a high acuity behavioral health condition or who have a dual diagnosis shall be transferred to the pilot program if another appropriate setting cannot be located within 4 hours of admission to the emergency department; provided further, that the pilot program shall care for patients either for 14 days following admission or until an appropriate placement is found that meets the patient's needs, whichever is sooner; provided further, that the pilot program may be operated by the department and staffed by department registered nurses, psychiatrists and other staff as needed; provided further, that within the first 6 months following the authorization of the program by the department, in consultation with the department of public health, the National Alliance on Mental Illness, the Massachusetts Nurses Association and the Emergency Nurses Association shall establish a staffing plan and program protocols; provided further that for the purposes of the pilot program, Taunton state hospital may accept patients classified under section 12 of chapter 123 of the General Laws; provided further, that the pilot program may be authorized to operate for a period of up to 2 years, with a report to be filed by the department with the joint committee on mental health, substance use and recovery within 6 months of the projected conclusion date of the program; provided further, that any report shall evaluate the success of the program in decreasing emergency department overcrowding in the southeast region and the quality of care provided in the program; and provided further, that the report may be drafted by an independent entity, utilizing data from the department and the local hospitals in the southeast region |
208,230,158 |
| 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, or CHOICE program under chapter 167 of the acts of 1987; provided, that all fees collected under said 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 fees collected 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 | 15,720,222 | |
| 5012-9122 | Project for Assistance in Transition from Homelessness
For the purposes of a federally funded grant entitled, PATH |
1,558,333 |
| 5012-9171 | NITT Healthy Transitions
For the purposes of a federally funded grant entitled, NITT-Healthy Transition |
1,000,000 |
| 5012-9172 | Court Related Enhanced Services
For the purposes of a federally funded grant entitled, Court Related Enhanced Services (CREST) |
87,372 |
| 5012-9173 | Primary and Behavioral Health Care Integration
For the purposes of a federally funded grant entitled, Primary and Behavioral Health (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 |
| 5012-9176 | Suicide prevention
For the purposes of a federally funded grant entitled, Suicide Prevention |
588,541 |
| 5012-9401 | Block Grants for Community Mental Health Services
For the purposes of a federally funded grant entitled, Block Grants for Community Mental Health Services |
10,637,515 |
| 5012-9402 | Expansion and Sustainability Cooperative Agreement
For the purposes of a federally funded grant entitled, Expansion and Sustainability Cooperative Agreement |
1,200,111 |
| 5046-9102 | Shelter Plus Care Program
For the purposes of a federally funded grant entitled, Shelter Plus Care |
245,350 |
| account | description | amount |
|---|