| ACCOUNT | FY2019 Conference |
FY2019 Vetoes |
FY2019 Overrides |
FY2019 GAA |
|
|---|---|---|---|---|---|
| 9110-0100 | Elder Affairs Administration | 2,100 | 0 | 0 | 2,100 |
| 9110-0600 | Community Choices | 228,151 | 0 | 0 | 228,151 |
| 9110-1455 | Prescription Advantage | 16,940 | 0 | 0 | 16,940 |
| 9110-1604 | Supportive Senior Housing Program | 5,911 | 0 | 0 | 5,911 |
| 9110-1630 | Home Care Services | 175,054 | -35 | 35 | 175,054 |
| 9110-1633 | Home Care Case Management and Admin | 58,949 | 0 | 0 | 58,949 |
| 9110-1636 | Protective Services | 31,612 | 0 | 0 | 31,612 |
| 9110-1660 | Congregate Housing | 2,063 | 0 | 0 | 2,063 |
| 9110-1700 | Elder Homeless Placement | 286 | 0 | 0 | 286 |
| 9110-1900 | Nutrition Services Programs | 7,269 | 0 | 0 | 7,269 |
| 9110-9002 | Grants to Councils On Aging | 17,776 | 0 | 0 | 17,776 |
| TOTAL | 546,110 | -35 | 35 | 546,110 | |
| account | description | amount |
|---|---|---|
| DEPARTMENT OF ELDER AFFAIRS | 583,585,994 | |
| 9110-0100 | Elder Affairs Administration
For the operation of the executive office of elder affairs and the regulation of assisted living facilities |
2,099,609 |
| 9110-0600 | Community Choices
For health care services provided to MassHealth members who are seniors eligible for community-based waiver services; provided, that funds may be expended from this item for health care services provided to recipients in prior fiscal years; provided further, that the benefits of community-based waiver services shall not be reduced below the services provided in fiscal year 2018; provided further, that the eligibility requirements for this program shall not be more restrictive than those established in fiscal year 2018; provided further, that funds shall be expended from this item to implement the pre-admission counseling and assessment program under the fourth paragraph of section 9 of chapter 118E of the General Laws, which shall be implemented on a statewide basis through the Aging and Disability Resource Consortia; and provided further, that funds from this item may be expended for the Clinical Assessment and Eligibility Program and the Comprehensive Service and Screening Model Program |
228,150,762 |
| 9110-1455 | Prescription Advantage
For the costs of the drug insurance program under section 39 of chapter 19A of the General Laws and for the operations of the consolidated MassOptions, prescription advantage and 800-age-info customer service centers; provided, that amounts received by the executive office of elder affairs' vendor as premium revenue for this program may be retained and expended by the vendor for the program; provided further, that funds shall be expended for the operation of the pharmacy outreach program under section 4C of said chapter 19A; provided further, that notwithstanding any general or special law to the contrary, unless otherwise prohibited by state or federal law, prescription drug coverage or benefits payable by the executive office and the entities with which it has contracted for administration of the subsidized catastrophic prescription drug insurance program under said section 39 of said chapter 19A shall be the payer of last resort for this program for eligible persons with regard to any other third-party prescription drug coverage or benefits available to eligible persons; provided further, that the executive office shall notify the house and senate committees on ways and means not less than 90 days prior to any action to limit or cap the number of enrollees in the program; provided further, that this program shall be subject to appropriation; provided further, that notification shall be given to the house and senate committees on ways and means not less than 30 days before any coverage or benefits expansions; provided further, that the executive office shall seek to obtain maximum federal funding for discounts on prescription drugs available to the executive office and to prescription advantage enrollees; provided further, that the executive office shall take steps for the coordination of benefits with the Medicare prescription drug benefit created under the federal Medicare Prescription Drug, Improvement and Modernization Act of 2003, Public Law 108-173, to ensure that residents take advantage of this benefit; provided further, that residents shall also be eligible to enroll in the program at any time within 1 year after reaching age 65; and provided further, that the executive office shall allow those who meet the program eligibility criteria to enroll in the program at any time during the year |
16,939,784 |
| 9110-1604 | Supportive Senior Housing Program
For the operation of the supportive senior housing program at state or federally-assisted housing sites; provided, that funds shall be expended to fund existing sites |
5,910,893 |
| 9110-1630 | Home Care Services
For the operation of the elder home care program, including contracts with aging service access points or other qualified entities for the home care program, home care, health aides, home health and respite services, geriatric mental health services and other services provided to the elderly; provided, that sliding-scale fees shall be charged to qualified elders; provided further, that the secretary of elder affairs may waive collection of sliding-scale fees in cases of extreme financial hardship; provided further, that not more than $16,000,000 in revenues accrued from sliding-scale fees shall be retained by the individual home care organizations without reallocation by the executive office of elder affairs and shall be expended for the home care program, consistent with guidelines to be issued by the executive office; provided further, that no rate increase shall be awarded in fiscal year 2019 that would cause a reduction in client services or the number of clients served; provided further, that no funds shall be expended from this item to pay for salary increases for direct service workers who provide state-funded homemaker and home health aide services that would cause a reduction in client services; provided further, that funding shall be expended for provider training and outreach to gay, lesbian, bisexual, transgender, queer and questioning elders and to caregivers; provided further, that not less than $35,000 shall be expended for a 1 year pilot program for the demonstration of the community network aging in place in Brookline, Nauset, and Reading; provided further, that the secretary of elder affairs may transfer not more than 3 per cent of the funds appropriated in this item to item 9110-1633 for case management services and the administration of the home care program; provided further, that the secretary of elder affairs shall expend not less than $1,400,000 between this item and item 9110-1633 on recipients of the home care over-income cost-sharing program and on a study of the cost effectiveness of the home care program, including the over-income cost-sharing program; provided further, the secretary shall report to the house and senate committees on ways and means not later than February 1, 2019 on the impacts of the home care and over-income cost-sharing programs, both in aggregate and disaggregated by income level and acuity: (i) caseload and expenditures made from said programs; and (ii) preliminary and projected cost effectiveness from the population served including, but not limited to, estimated savings from avoided nursing facility admissions, cost-sharing by recipients and, if available, reduced medical costs; provided further, that not more than $100,000 from this amount shall be expended for the home care cost effectiveness study; and provided further, that $100,000 from this amount shall not revert to the General Fund but shall be available for expenditure through January 1, 2020 for the continuation of the cost effectiveness study in subsequent fiscal years without further appropriation |
175,054,124 |
| 9110-1633 | Home Care Case Management and Admin
For the operation of the elder home care case management program, including contracts with aging service access point or other qualified entities for home care case management services and the administration of the home care organizations funded through item 9110-1630; provided, that the contracts shall include the costs of administrative personnel, home care case managers, travel, rent and other costs deemed appropriate by the executive office of elder affairs; and provided further, that the secretary of elder affairs may transfer an amount not more than 3 per cent of the funds appropriated to line item 9110-1630 |
58,948,934 |
| 9110-1636 | Protective Services
For the elder protective services program, including, but not limited to, protective services case management, guardianship services, the statewide elder abuse hotline, money management services and the elder-at-risk program |
31,611,680 |
| 9110-1660 | Congregate Housing
For congregate and shared housing services and naturally occurring retirement communities for the elderly; provided, that not less than $642,000 shall be expended for providers of naturally occurring retirement communities with whom the department of elder affairs entered into service agreements in fiscal year 2018, at proportions of total available funding equal to those provided in fiscal year 2018 |
2,063,482 |
| 9110-1700 | Elder Homeless Placement
For assessment, placement and homelessness prevention services for homeless and at-risk elders |
286,000 |
| 9110-1900 | Nutrition Services Programs
For the elder nutrition program; provided, that not less than the amount appropriated in item 9110-1900 of section 2 of chapter 38 of the acts of 2013 shall be expended for the senior farm share program; and provided further, that not less than $750,000 shall be expended for home delivered meals |
7,268,675 |
| 9110-9002 | Grants to Councils On Aging
For grants to the councils on aging and for grants to or contracts with non-public entities which are consortia or associations of councils on aging; provided, that notwithstanding the former proviso, all funds appropriated in this item shall be expended in accordance with the distribution schedules for formula and incentive grants established by the secretary of elder affairs; provided further, that the formula grant portion of this item shall be $12 per-elder; provided further, that not less than $20,000 shall be expended for repairs and upgrades to the heating, ventilation and air conditioning system at the Rehoboth senior center; provided further, that not less than $20,000 shall be expended for a new generator at the Seekonk Council on Aging; provided further, that not less than $90,000 shall be provided for the town of Needham for senior transportation; provided further, that not less than $100,000 shall be expended for the Holliston Senior Center; provided further, that not less than $10,000 shall be expended to enhance services at the Carver Council on Aging; provided further, that not less than $10,000 shall be expended to enhance services at the Raynham Council on Aging; provided further, that not less than $10,000 shall be expended to enhance services at the Marion Council on Aging; provided further, that not less than $10,000 shall be expended to enhance services at the Dighton Council on Aging; provided further, that not less than $10,000 shall be expended to enhance services at the Berkley Council on Aging; provided further, that not less than $20,000 shall be expended to enhance services at the Bridgewater Council on Aging; provided further, that not less than $20,000 shall be expended to enhance services at the Wareham Council on Aging; provided further, that not less than $20,000 shall be expended to enhance services at the Middleborough Council on Aging; provided further, that not less than $20,000 shall be expended to enhance services at the Taunton Council on Aging; provided further, that not less than $20,000 shall be expended for design plans to implement a new heating, ventilation and air conditioning system at the town hall in the town of Norton; provided further, that not less than $15,000 shall be expended for the operation of the Alzheimer's Caregivers Respite Program at the Brookline Senior Center; provided further, that not less than $100,000 shall be expended to the city of Newton to conduct a feasibility study on the renovation, expansion and new construction of the Newton Senior Center; provided further, that not less than $50,000 shall be expended to the Rossetti-Cowan Senior Center in the city of Revere; provided further, that not less than $55,000 shall be expended equally between the councils on aging located in the municipalities of Agawam, Chicopee, Easthampton, Holyoke. Montgomery, Russell, Southampton, Southwick, Tolland and Westfield; provided further, that not less than $75,000 shall be expended for the Hadley Senior Center; provided further, that not less than $75,000 shall be expended for the South Hadley Senior Center; provided further that not less than $75,000 shall be expended for the cost associated with care and services provided at Whipple Senior Center in the town of Weymouth; provided further, that not less than $50,000 shall be expended to Claire Teague Senior Center in Great Barrington; provided further, that not less than $50,000 shall be expended to the town of Swansea for design plans to implement a new heating, ventilation, and air conditioning (HVAC) system at its Council on Aging Community Center; provided further, that not less than $50,000 shall be expended to the town of Millis for the purchase of a vehicle to provide transportation for seniors in the community; provided further, that not less than $50,000 shall be expended to the town of Longmeadow for transportation costs at the Longmeadow Adult Center; provided further, that not less than $50,000, shall be expended for the senior center renovation and expansion in the town of Mendon; provided further, that $25,000 shall be granted to the city of Quincy's Department of Elder Affairs; provided further that not less than $25,000 shall be expended for the Taunton Council on Aging for the purpose of funding the Dementia Friendly Massachusetts program in the city of Taunton; provided further, that not less than $25,000 shall be allocated for the operation of the South Boston Neighborhood House and its Senior Programs; provided further, that not less than $25,000 shall be expended for the design of an expansion to the Bellingham Senior Center; provided further, that not less than $25,000 shall be expended for the improvements and expansion of the Uxbridge Senior Center; provided further, that not less than $21,000 shall be expended to improve the health and safety of senior citizens in Medway; provided further, that not less than $15,000 shall be expended to the town of Burlington for improvement of the Burlington Council on Aging facility; provided further, that $25,000 shall be granted to the town of Randolph's Department of Elder Affairs; and provided further, that the distribution schedules shall be submitted to the house and senate committees on ways and means not later than February 15, 2019 |
17,776,125 |
| account | description | amount |
|---|---|---|
| Federal Grant Spending | 37,475,926 | |
| 9110-1074 | Older Americans Act
For the purposes of a federally funded grant entitled, Older Americans Act |
109,606 |
| 9110-1075 | Title VII Ombudsman
For the purposes of a federally funded grant entitled, Title VII Ombudsman |
336,169 |
| 9110-1076 | Title IIIB Supportive Service
For the purposes of a federally funded grant entitled, Title IIIB Supportive Service |
10,182,633 |
| 9110-1077 | National Family Caregiver Support Program
For the purposes of a federally funded grant entitled, National Family Caregiver Support Program |
3,700,000 |
| 9110-1079 | IIID Preventative Health
For the purposes of a federally funded grant entitled, IIID Preventative Health |
436,823 |
| 9110-1094 | State Health Insurance Assistance Program
For the purposes of a federally funded grant entitled, State Health Insurance Assistance Program |
883,747 |
| 9110-1157 | Ombudsman One Care Plan Initiative
For the purposes of a federally funded grant entitled, Ombudsman One Care Plan Initiative |
315,000 |
| 9110-1163 | MA EOEA Protective Services Project
For the purposes of a federally funded grant entitled, MA EOEA Protective Services Project |
206,000 |
| 9110-1164 | MA NWD ADRC Project
For the purposes of a federally funded grant entitled, MA NWD ADRC Project |
200,000 |
| 9110-1165 | MA ADSSP Part B Project
For the purposes of a federally funded grant entitled, MA NWD ADRC Project |
325,000 |
| 9110-1173 | Older Americans Act
For the purposes of a federally funded grant entitled, Older Americans Act |
13,383,620 |
| 9110-1174 | Nutrition Services Incentive Program
For the purposes of a federally funded grant entitled, Nutrition Services Incentive Program |
4,885,300 |
| 9110-1178 | Community Service Employment Program
For the purposes of a federally funded grant entitled, Senior Community Service Employment Program |
1,721,010 |
| 9110-1189 | MA Model Systems for Legal Assistance Project
For the purposes of a federally funded grant entitled, MA Model Systems for Legal Assistance Project |
178,500 |
| 9110-1194 | 2013 MIPPA ADRC
For the purposes of a federally funded grant entitled, FY2017 MIPPA PRIORITY 3 FOR ADRCS |
112,400 |
| 9110-1195 | Medicare Improvement AAA
For the purposes of a federally funded grant entitled, FY2017 MIPA PRIORITY 2 FOR AAAs |
106,843 |
| 9110-1196 | Medicare Improvement SHIP
For the purposes of a federally funded grant entitled, FY2017 MIPA PRIORITY 1 FOR SHIPS |
193,275 |
| 9110-1197 | Alzheimer's Disease Supportive Service Program
For the purposes of a federally funded grant entitled, Alzheimer's Disease Supportive Service Program |
200,000 |