| ACCOUNT | FY2019 Conference |
FY2019 Vetoes |
FY2019 Overrides |
FY2019 GAA |
|
|---|---|---|---|---|---|
| 5911-1003 | DDS Service Coordination and Administration | 69,039 | -50 | 50 | 69,039 |
| 5911-2000 | Transportation Services | 24,325 | 0 | 0 | 24,325 |
| 5920-2000 | Community Residential Services | 1,192,178 | 0 | 0 | 1,192,178 |
| 5920-2010 | State Operated Residential Services | 211,639 | 0 | 0 | 211,639 |
| 5920-2025 | Community Day and Work Programs | 210,705 | -25 | 25 | 210,705 |
| 5920-3000 | Respite Family Supports | 65,015 | 0 | 0 | 65,015 |
| 5920-3010 | Autism Division | 6,974 | 0 | 0 | 6,974 |
| 5920-3020 | Autism Omnibus | 18,084 | 0 | 0 | 18,084 |
| 5920-3025 | Aging with Developmental Disabilities | 130 | 0 | 0 | 130 |
| 5920-5000 | Turning 22 Program and Services | 25,155 | 0 | 0 | 25,155 |
| 5930-1000 | State Facilities for People with Intellectual Disabilities | 102,784 | 0 | 0 | 102,784 |
| TOTAL | 1,926,027 | -75 | 75 | 1,926,027 | |
| account | description | amount |
|---|---|---|
| DEPARTMENT OF DEVELOPMENTAL SERVICES | 1,932,726,587 | |
| Direct Appropriations | ||
| 5911-1003 | DDS Service Coordination and Administration
For the administration and operation of the department of developmental services; provided, that the department shall not charge user fees for transportation or community day services; provided further, that the department shall issue a report to the house and senate committees on ways and means not later than February 22, 2019 detailing: (a) significant expense increases incurred by the department; (b) measures implemented by the department to reduce costs; and (c) improved outcomes in programs and services funded by the department; provided further, that the department shall not charge fees for eligibility determination for services provided by the department or for applications or requests for transfer of guardianship; provided further, that not less than $175,000 shall be expended for the Massachusetts Down Syndrome Congress, Inc; provided further, that not less than $50,000 shall be expended for the Center for Autism and Neurodevelopmental Disorders at the University of Massachusetts memorial medical center and the University of Massachusetts medical school based on the patient-centered medical home concept; and provided further, that not less than $100,000 shall be allocated as mitigation amongst the cities and towns hosting a developmental center, referred to as a "state school" under chapter 19B of the General Laws |
69,038,505 |
| 5911-2000 | Transportation Services
For transportation costs associated with community-based day and work programs; provided, that the department shall provide transportation prioritized by need |
24,324,627 |
| 5920-2000 | Community Residential Services
For vendor-operated, community-based residential adult services, including intensive individual supports; provided, that annualized funding shall be expended for turning 22 clients who began receiving the services in fiscal year 2018 under item 5920-5000 of section 2 of chapter 47 of the acts of 2017; provided further that the department shall report to the house and senate committees and ways and means not later than October 24, 2018 detailing the use of shared living services in the commonwealth, which shall include, but not be limited to the: (a) number of clients living in shared living placements, broken down by age and location; (b) average cost of shared living services; (c) number of clients living in a shared living placement with individuals they knew prior to the arrangement; (d) department's oversight of the application and placement process; (e) safeguards in place for clients receiving these services; and (f) potential for growth of the program; provided further, that the commissioner of developmental services may transfer funds from this item to item 5920-2010, as necessary, under an allocation plan which shall detail, by object class, the distribution of the funds to be transferred and which shall be filed with the house and senate committees on ways and means not less than 30 days before any such transfer; and provided further, that not more than $5,000,000 shall be transferred from this item in fiscal year 2019 |
1,192,178,088 |
| 5920-2010 | State Operated Residential Services
For state-operated, community-based residential services for adults, including community-based health services |
211,638,776 |
| 5920-2025 | Community Day and Work Programs
For community-based day and work programs and associated transportation costs for adults; provided, that the department shall provide transportation prioritized by need; provided further, that the department shall support individuals with disabilities who transitioned from employment services offered at sheltered workshops to community-based employment as part of the commonwealth's employment first initiative; provided further, that any public-private partnerships with employers and non-profits shall encourage the highest level of independence among individuals with disabilities and provide options to maximize community involvement and participation; provided further, that not later than December 14, 2018, the department shall issue a report to the house and senate committees on ways and means and the joint committee on children, families and persons with disabilities detailing: (a) eligible individuals who transitioned to community-based employment in fiscal year 2018 and those projected for fiscal year 2019; and (b) the number and types of transitions funded by the pilot program since its inception, delineated by fiscal year; provided further, that not less than $75,000 shall be expended to the town of Natick to support Camp Arrowhead to provide recreational programs for individuals with disabilities; and provided further, that not less than $25,000 shall be expended on the Opportunity Works for the Project SEARCH program |
210,704,791 |
| 5920-3000 | Respite Family Supports
For respite services and intensive family supports |
65,014,863 |
| 5920-3010 | Autism Division
For contracted support services for families with autistic children through the autism division at the department of developmental services; provided, that the department shall expend not less than $5,000,000 to provide services under the children's autism spectrum disorder waiver under section 1915(c) of the Social Security Act, 42 U.S.C. 1396n(c); provided further, that this waiver shall include children with autism spectrum disorder ages 0 to 8, inclusive, including children with autism spectrum disorder ages 0 to 3, inclusive, receiving services through the department of public health's early intervention program; provided further, that the department shall take all steps necessary to ensure that the waiver program is fully enrolled and eligible children with autism immediately begin to receive services under said waiver; provided further, that the department shall immediately file any waiver amendment necessary to comply with the requirements of this item with the federal Centers for Medicare and Medicaid Services; provided further, that the department shall report to the house and senate committees on ways and means, the joint committee on education and the joint committee on children, families and persons with disabilities on the number of contracted support services provided for families with autistic children under this item and the costs associated with such services not later than January 9, 2019; provided further, that such report shall include, but not be limited to, the services provided by the children's autism spectrum disorder waiver, with information regarding the number of children enrolled in the waiver and receiving services, linguistic and cultural diversity, age, gender and geographic representation of the applicants and the children enrolled in the program and department plans to continue to assess the demand for waiver services, any executive office of health and human services plans to expand the waiver for children on the autism spectrum of all ages in the future and any other information determined relevant by the department; and provided further, that the department shall submit copies of amended waivers to the house and senate committees on ways and means, the joint committee on education and the joint committee on children, families and persons with disabilities upon submission of the amendment |
6,974,349 |
| 5920-3020 | Autism Omnibus
For the implementation of chapter 226 of the acts of 2014, including services and supports for individuals with a developmental disability attributable to autism spectrum disorder, Smith-Magenis syndrome or Prader-Willi syndrome; provided, that the department shall submit quarterly reports to the house and senate committees on ways and means detailing: (a) the number of individuals eligible for services; (b) the number of eligible individuals served; (c) the type of services provided and cost per service; and (d) the cost per individual; and provided further, that not less than $300,000 shall be expended for the commission on autism established undersaid chapter 226 |
18,083,764 |
| 5920-3025 | Aging with Developmental Disabilities
For funding to support initiatives to address the needs of individuals with developmental disabilities who are aging including, but not limited to, individuals with Down syndrome and Alzheimer's disease, through the identification of best practices for services for affected individuals, including: (a) medical care coordination models that address conditions common to individuals with developmental disabilities who are aging; (b) training for direct care and other staff in the identification of dementia or other age-related conditions; and (c) the collection of data regarding the effectiveness of the initiatives included in this item; provided, that not later than March 1, 2019, the department shall report to the executive office for administration and finance and the house and senate committees on ways and means on the status of these initiatives including, but not limited to: (i) the number of participants served by each initiative; (ii) the participant outcomes, including impacts on the physical and cognitive health of participants; (iii) the cost of each initiative and the cost per participant; (iv) the implementation plans for these initiatives in fiscal years 2020 and 2021; and (v) recommendations for enhancing the care of individuals with developmental disabilities who are aging; and provided further, that not less than $30,000 shall be expended for the dementia-friendly community program in the town of Ashland |
130,000 |
| 5920-5000 | Turning 22 Program and Services
For services to clients of the department who turn 22 years of age during fiscal year 2019; provided, that the department shall report to the house and senate committees on ways and means not later than January 11, 2019 on the use of any funds encumbered or expended from this item including, but not limited to, the number of clients served in each region and the types of services purchased in each region; and provided further, that not less than $110,000 shall be expended for WORK, Inc. to develop a program for individuals with disabilities to improve workforce development and employment opportunities |
25,154,805 |
| 5930-1000 | State Facilities for People with Intellectual Disabilities
For the operation of facilities for individuals with intellectual disabilities; 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 intermittent care facilities for individuals with intellectual disabilities, or an ICF/IID, to residential services in the community if (a) the client is deemed clinically suited for a more integrated setting; (b) 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 an ICF/IID; provided further, that any client transferred to another ICF/IID 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 ICF/IID; provided further, that the department may allocate funds from this item to items 5920-2000, 5920-2010 and 5920-2025, as necessary, under allocation plans which shall be 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 an ICF/IID; and provided further, that the department shall report to the house and senate committees on ways and means not later than December 14, 2018 on all efforts to comply with the decision in Olmstead v. L.C. ex rel. Zimring, 527 U.S. 581 (1999), the enhancement of care within available resources to clients served by the department and the steps taken to consolidate or close an ICF/IID |
102,784,019 |
| account | description | amount | ||||
|---|---|---|---|---|---|---|
| Intragovernmental Service Spending | 6,500,000 | |||||
| 5948-0012 | Chargeback for Special Education Alternatives
For the operation of a program providing alternatives to residential placements for children with intellectual disabilities, including the costs of intensive home-based supports provided for the purposes of item 7061-0012
|
6,500,000 | ||||
| account | description | amount |
|---|---|---|
| Federal Grant Spending | 200,000 | |
| 5947-0015 | Lifespan Respite Care Program
For the purposes of a federally funded grant entitled, Lifespan Respite Care Program |
100,000 |
| 5947-0021 | Partnership for Transition to Employment
For the purposes of a federally funded grant entitled, Partnership for Transition to Employment |
100,000 |
| account | description | amount |
|---|