Governor Deval Patrick's Budget Recommendation - House 1 Fiscal Year 2010

Governor's Budget Recommendation FY 2010

Department of Public Health




Fiscal Year 2010 Resource Summary ($000)
DEPARTMENT FY2010
Budgetary
Recommendations
FY2010
Federal, Trust,
and ISF
FY2010
Total
Spending
FY2010
Budgetary
Non-Tax Revenue
Department of Public Health 512,945 335,907 848,853 149,994

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account description amount
DEPARTMENT OF PUBLIC HEALTH 848,852,948
Budgetary Direct Appropriations 512,945,450
Direct Appropriations
4510-0100 Department of Public Health
For the operation of the department of public health
10,764,104
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 in accordance with 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 the 'Right-to-Know' law; provided, that the department may expend from this item to monitor, survey and inspect nuclear power reactors, including those presently licensed by the Nuclear Regulatory Commission
4,722,227
4510-0700 Addiction and Tobacco Control Services
For addiction and tobacco control services, including a program to reimburse alcohol education programs for services provided for court-adjudicated indigent clients, a program to fund substance abuse step-down recovery services, otherwise known as level B beds and services, smoking prevention and cessation programs, a compulsive gamblers' treatment program, and a pilot pre-arraignment jail diversion program primarily for nonviolent offenders with OxyContin or heroin addiction to be procured by the department
                Commonwealth Wellness Fund ............... 86.00%
                General Fund ............... 14.00%
92,146,883
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; provided, that the board may retain and expend new revenues associated with increased license and renewal fees
2,112,024
4510-1000 Infectious Disease Prevention and Control
For the operation and administration of infectious disease prevention and control programs within the department of public health, including human immunodeficiency virus and acquired immune deficiency syndrome services and programs, the universal immunization program and communicable disease control, including the division of communicable venereal diseases, the division of tuberculosis control and the state laboratory institute; provided, that particular attention shall be paid to direct funding proportionately to each of the demographic groups afflicted by HIV/AIDS; provided further, that within the laboratory institute, the department shall give priority to the analysis of samples used in the prosecution of controlled substances offenses; provided further, that funds may be expended for an eastern encephalitis testing program, for tuberculosis testing and treatment services and to conduct blood lead testing; and provided further, that funds may be expended as state matching funds required by the Pandemic and All-Hazards Preparedness Act
97,577,016
4510-2500 Health Promotion, Violence Prevention and Workforce Expansion
For the operation and administration of health promotion, disease prevention, violence prevention and workforce expansion programs; provided, that programs and services funded in this item shall include health education services, community health center services, a center for primary care recruitment and placement, a statewide sexual assault nurse examiner program and pediatric sexual assault nurse examiner program, dental services including dental services for the developmentally disabled, a comprehensive, statewide shaken baby syndrome prevention program, domestic violence and sexual assault prevention and treatment including rape prevention and victim services, teenage pregnancy prevention services in highest teen birth rate communities, school health services and school-based health centers in public and non-public schools, an evidence-based outreach and education program designed to provide information and education on the therapeutic and cost-effective utilization of prescription drugs, family health services and an end of life care commission; provided further, that a competitive grant program may be administered by the department of public health to support the establishment of a comprehensive youth violence prevention program; and provided further, that funds shall be expended for matching grants to boys and girls clubs, YMCAs and YWCA organizations, non-profit community centers, and youth development programs
                Commonwealth Wellness Fund ............... 87.00%
                General Fund ............... 13.00%
52,544,238
4512-0120 Child's Health and Nutrition
For the operation of children's health and nutrition programs, including the women, infants and children's nutrition services in addition to funds received under the federal nutrition assistance program, early intervention, universal newborn hearing screening and pediatric palliative care; provided, that the department shall make all reasonable efforts to secure third party and Medicaid reimbursements for early intervention services; provided further, that nothing in this item shall give rise to or shall be construed as giving rise to enforceable legal rights to the services or an enforceable entitlement to the services funded in this item; provided further, that funds from this item may be expended for a reserve 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, with priority given to low and moderate income families; and provided further, that funds may be used for current and prior year early intervention claims
43,610,926
4512-9999 Public Health Hospitals and State Office of Pharmacy Services
For the maintenance and operation of Tewksbury hospital, western Massachusetts hospital, Massachusetts hospital school, Lemuel Shattuck hospital and the hospital bureau, including the state office of pharmacy services; provided, that all revenue generated by the hospitals shall be credited to the General Fund; provided further, that the department may expend funds from this item for inmate healthcare services provided by the Lemuel Shattuck hospital; and provided further, that notwithstanding any general or special law to the contrary, the department shall seek to obtain federal financial participation for care provided to department of correction and county correctional facility inmates who are treated at the public health hospitals
155,003,347
4513-0100 Health Care Safety and Quality Programs
For the operation and administration of health care safety and quality programs including the division of health care quality and the office of patient protection, regional emergency medical services, statewide infection prevention and control and certain health boards of registrations including the boards of registration in nursing, pharmacy, dentistry, nursing home administrators, physician assistants, perfusionists, genetic counselors and respiratory care; provided, that the department shall be responsible for assuring the 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 the mentally retarded 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 the division shall continue a comprehensive training, education and outreach program for nursing home administrators and managers and other supervisory personnel in long-term care to improve the quality of care in long-term care facilities; provided further, that the program shall promote the use of best practices, models of quality care giving and the culture of workforce retention within the facilities and shall focus on systemic ways to reduce deficiencies; and provided further, that the boards may retain and expend new revenues associated with increased license and renewal fees
12,593,142
4513-0400 Critical Operations and Essential Services
For the personnel support of programmatic staff within the department, including the essential services of health care quality and safety, addiction and tobacco control services, health promotion, violence prevention, workforce expansion, infectious disease prevention and control, laboratory science, children's health and nutrition and environmental health assessment and compliance
6,018,175
4518-0201 Vital Records, Research, Cancer and Community Data
For the operation of the health statistics program, including the collection, analysis and dissemination of relevant health data, including the operation of the cancer registry and the secure registration, preservation and certification of vital records by the registry of vital records and statistics
2,465,811

account description amount
Retained Revenues
4512-1500 DPH Federal/Intergovernmental Retained Revenues
The department of public health may expend for the human immunodeficiency virus and acquired immune deficiency syndrome drug assistance program an amount not to exceed $1,500,000 from revenues received from pharmaceutical manufacturers participating in the section 340B rebate program of the Public Health Services Act, administered by the federal Health Resources and Services Administration and office of Pharmacy Affairs; provided, that the department may expend for inmate medical services provided by the Lemuel Shattuck hospital an amount not to exceed $4,172,557 from payments received from the vender managing health services; provided further, that the department may expend for supplemental food, healthcare referrals and nutrition education for pregnant and breastfeeding women, infants and children up to age 5 an amount not to exceed $26,875,000 from revenues received from the federal cost-containment initiative including, but not limited to, infant formula; provided further, that the department may expend for the regulation of all pharmaceutical and medical device companies that market their products in Massachusetts an amount not to exceed $840,000 from fees assessed under chapter 111N of the General Laws; and provided further, that notwithstanding any general or special law to the contrary, for the purpose of accommodating timing discrepancies between the receipt of revenues and related expenditures, the department may incur expenses and the comptroller may certify for payment amounts not to exceed the lesser of this authorization or the most recent revenue estimate, as reported in the state accounting system
33,387,557

account description amount
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
                Intragovernmental Service 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
                Intragovernmental Service 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 county correctional facilities; provided, that those costs shall be charged to items 8910-0000, 8910-0010, 8910-0102, 8910-0105, 8910-0107, 8910-0108, 8910-0110, 8910-0145 and 8910-0619
                Intragovernmental Service Fund ............... 100%
3,800,000

account description amount
Federal Grant Spending 264,811,533
4500-1000 Preventive Health Services Block Grant
For the purposes of a federally funded grant entitled, Preventive Health Services Block Grant
3,205,114
4500-1050 Rape Prevention and Education
For the purposes of a federally funded grant entitled, Rape Prevention and Education
879,343
4500-1065 State Partnership to Improve Minority Health
For the purposes of a federally funded grant entitled, State Partnership to Improve Minority Health
113,523
4500-2000 Maternal and Child Health Services Block Grant
For the purposes of a federally funded grant entitled, Maternal and Child Health Services Block Grant
11,863,729
4502-1012 Cooperative Health Statistics System
For the purposes of a federally funded grant entitled, Cooperative Health Statistics System
426,970
4510-0109 State Loan Repayment Project
For the purposes of a federally funded grant entitled, State Loan Repayment Project
250,000
4510-0113 Office of Rural Health
For the purposes of a federally funded grant entitled, Office of Rural Health
147,480
4510-0118 Primary Care Cooperative Agreement
For the purposes of a federally funded grant entitled, Primary Care Cooperative Agreement
108,983
4510-0119 Rural Hospital Flexibility Program
For the purposes of a federally funded grant entitled, Rural Hospital Flexibility Program
297,900
4510-0219 Small Rural Hospital Improvement Grant
For the purposes of a federally funded grant entitled, Small Rural Hospital Improvement Grant
89,340
4510-0221 Targeted Oral Health Services
For the purposes of a federally funded grant entitled, Targeted Oral Health Services
160,000
4510-0400 Medicare and Medicaid Survey and Certification
For the purposes of a federally funded grant entitled, Medicare and Medicaid Survey and Certification
7,703,529
4510-0404 Bioterrorism Hospital Preparedness
For the purposes of a federally funded grant entitled, Bioterrorism Hospital Preparedness
9,454,744
4510-0500 Clinical Laboratory Improvement Amendments
For the purposes of a federally funded grant entitled, Clinical Laboratory Improvement Amendments
291,613
4510-0609 Nuclear Regulatory Commission Security Inspections
For the purposes of a federally funded grant entitled, Nuclear Regulatory Commission Security Inspections
5,000
4510-0619 Food and Drug Administration Inspection of Food Establishments
For the purposes of a federally funded grant entitled, Food and Drug Administration Inspection of Food Establishments
317,508
4510-0626 Statewide Surveillance of Health Concerns & Toxic Algae Blooms
For the purposes of a federally funded grant entitled, Statewide Surveillance of Health Concerns & Toxic Algae Blooms
149,339
4510-0627 Prescription Drug Monitoring
For the purposes of a federally funded grant entitled, Prescription Drug Monitoring
46,332
4510-0628 Developing and Enhancing Prescription Drugs
For the purposes of a federally funded grant entitled, Developing and Enhancing Prescription Drugs
66,667
4510-0630 Enabling Electronic Prescribing and Enhancement
For the purposes of a federally funded grant entitled, Enabling Electronic Prescribing and Enhancement
467,981
4510-0636 Childhood Lead Paint Poisoning Prevention
For the purposes of a federally funded grant entitled, Childhood Lead Paint Poisoning Prevention
1,149,690
4510-0638 Edward Byrne Memorial State and Local Law Enforcement Assistance
For the purposes of a federally funded grant entitled, Edward Byrne Memorial State and Local Law Enforcement Assistance
200,000
4510-0639 Food Protection Rapid Response Team
For the purposes of a federally funded grant entitled, Food Protection Rapid Response Team
497,519
4510-0640 Mass Food Protection Task Force Conference
For the purposes of a federally funded grant entitled, Mass Food Protection Task Force Conference
5,000
4510-9014 Mammography Quality Standards Act Inspections
For the purposes of a federally funded grant entitled, Mammography Quality Standards Act Inspections
163,405
4510-9040 Diabetes Control Program
For the purposes of a federally funded grant entitled, Diabetes Control Program
1,070,134
4510-9043 Demonstration Program to Conduct Toxic Waste Site Health Impact Assessments
For the purposes of a federally funded grant entitled, Demonstration Program to Conduct Toxic Waste Site Health Impact Assessments
412,000
4510-9048 Indoor Radon Development Program
For the purposes of a federally funded grant entitled, Indoor Radon Development Program
159,243
4510-9053 Beaches Environmental Assessment
For the purposes of a federally funded grant entitled, Beaches Environmental Assessment
314,988
4510-9056 National Environmental Public Health Tracking
For the purposes of a federally funded grant entitled, National Environmental Public Health Tracking
901,502
4512-0102 Sexually Transmitted Disease Control
For the purposes of a federally funded grant entitled, Sexually Transmitted Disease Control
1,534,840
4512-0179 Vaccination Assistance Project
For the purposes of a federally funded grant entitled, Vaccination Assistance Project
5,928,069
4512-0180 Epidemiology and Lab Surveillance
For the purposes of a federally funded grant entitled, Epidemiology and Lab Surveillance
978,028
4512-9064 Adolescent Treatment
For the purposes of a federally funded grant entitled, Adolescent Treatment
50,950
4512-9065 State Outcomes Measurement and Management System
For the purposes of a federally funded grant entitled, State Outcomes Measurement and Management System
150,000
4512-9067 Screening and Brief Intervention
For the purposes of a federally funded grant entitled, Screening and Brief Intervention
2,800,000
4512-9068 Collaborative for Action, Leadership and Learning
For the purposes of a federally funded grant entitled, Collaborative for Action, Leadership and Learning
2,093,000
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
37,576,554
4512-9070 Promoting Safe and Stable Families
For the purposes of a federally funded grant entitled, Promoting Safe and Stable Families
500,000
4512-9426 Uniform Alcohol and Drug Abuse Data Collection
For the purposes of a federally funded grant entitled, Uniform Alcohol and Drug Abuse Data Collection
82,226
4513-0111 Housing Opportunities - People with AIDS
For the purposes of a federally funded grant entitled, Housing Opportunities - People with AIDS
246,507
4513-1123 Adult Viral Hepatitis Prevention Coordinator
For the purposes of a federally funded grant entitled, Adult Viral Hepatitis Prevention Coordinator
107,351
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
91,536,061
4513-9018 Augmentation and Evaluation of Established Health Education - Risk Reduction
For the purposes of a federally funded grant entitled, Augmentation and Evaluation of Established Health Education - Risk Reduction
11,092,885
4513-9020 Expanded and Integrated HIV Testing
For the purposes of a federally funded grant entitled, Expanded and Integrated HIV Testing
677,946
4513-9021 Program for Infants and Toddlers with Handicaps
For the purposes of a federally funded grant entitled, Program for Infants and Toddlers with Handicaps
7,346,249
4513-9022 Prevention Disability State-Based Project
For the purposes of a federally funded grant entitled, Prevention Disability State-Based Project
275,000
4513-9023 Mass HIV/AIDS National Behavioral Surveillance
For the purposes of a federally funded grant entitled, Mass HIV/AIDS National Behavioral Surveillance
402,797
4513-9027 MassCare - Community AIDS Resource Enhancement
For the purposes of a federally funded grant entitled, MassCare - Community AIDS Resource Enhancement
879,806
4513-9030 Comprehensive Primary Care System Planning for Massachusetts Children
For the purposes of a federally funded grant entitled, Comprehensive Primary Care System Planning for Massachusetts Children
99,750
4513-9035 AIDS Surveillance and Seroprevalence Project
For the purposes of a federally funded grant entitled, AIDS Surveillance and Seroprevalence Project
976,614
4513-9037 Ryan White Comprehensive AIDS Resources
For the purposes of a federally funded grant entitled, Ryan White Comprehensive AIDS Resources
24,458,758
4513-9038 Shelter Plus Care - Worcester
For the purposes of a federally funded grant entitled, Shelter Plus Care - Worcester
312,684
4513-9046 Congenital Anomalies Center of Excellence
For the purposes of a federally funded grant entitled, Congenital Anomalies Center of Excellence
1,004,400
4513-9051 Rural Domestic Violence and Child Victimization Project
For the purposes of a federally funded grant entitled, Rural Domestic Violence and Child Victimization Project
449,779
4513-9060 Residential Fire Injury Prevention, Intervention and Surveillance
For the purposes of a federally funded grant entitled, Residential Fire Injury Prevention, Intervention and Surveillance
145,000
4513-9066 Universal Newborn Hearing Screening - Enhancement Project
For the purposes of a federally funded grant entitled, Universal Newborn Hearing Screening - Enhancement Project
175,000
4513-9071 Early Hearing Detection and Intervention - Tracking and Research
For the purposes of a federally funded grant entitled, Early Hearing Detection and Intervention - Tracking and Research
194,579
4513-9077 Emergency Medical Services for Children Partnership II
For the purposes of a federally funded grant entitled, Emergency Medical Services for Children Partnership II
115,000
4513-9078 Asthma Planning Collaborative
For the purposes of a federally funded grant entitled, Asthma Planning Collaborative
335,000
4513-9082 CAPTA Requirement to Identify and Serve Substance Exposed Newborns
For the purposes of a federally funded grant entitled, CAPTA Requirement to Identify and Serve Substance Exposed Newborns
250,000
4513-9083 Mass Youth Suicide Prevention Program
For the purposes of a federally funded grant entitled, Mass Youth Suicide Prevention Program
254,039
4513-9085 Massachusetts Pregnancy Risk
For the purposes of a federally funded grant entitled, Massachusetts Pregnancy Risk
175,864
4513-9086 Oral Health Workforce Activities Support Grant
For the purposes of a federally funded grant entitled, Oral Health Workforce Activities Support Grant
97,098
4513-9087 Grants to States to Support Oral Health Workforce Activities
For the purposes of a federally funded grant entitled, Grants to States to Support Oral Health Workforce Activities
144,331
4513-9088 Helping Hands for Infants and their Families
For the purposes of a federally funded grant entitled, Helping Hands for Infants and their Families
475,000
4513-9089 First Time Motherhood'-New Parents Initiative
For the purposes of a federally funded grant entitled, First Time Motherhood'-New Parents Initiative
335,000
4514-1006 Getting to the Heart of the Matter
For the purposes of a federally funded grant entitled, Getting to the Heart of the Matter
87,103
4515-0115 Tuberculosis Control Project
For the purposes of a federally funded grant entitled, Tuberculosis Control Project
1,572,316
4515-0121 Tuberculosis Epidemiologic Studies Consortium
For the purposes of a federally funded grant entitled, Tuberculosis Epidemiologic Studies Consortium
308,061
4515-0200 STD/HIV Prevention Training Centers
For the purposes of a federally funded grant entitled, STD/HIV Prevention Training Centers
433,774
4515-0204 Strengthening Surveillance for Infectious Disease
For the purposes of a federally funded grant entitled, Strengthening Surveillance for Infectious Disease
175,000
4515-0205 HIV Training through Prevention Training Centers
For the purposes of a federally funded grant entitled, HIV Training through Prevention Training Centers
99,999
4516-1021 Public Health Preparedness and Response for Bioterrorism
For the purposes of a federally funded grant entitled, Public Health Preparedness and Response for Bioterrorism
15,109,316
4516-1025 Morbidity and Risk Behavior Surveillance
For the purposes of a federally funded grant entitled, Morbidity and Risk Behavior Surveillance
255,363
4516-1027 Massachusetts Electronic Lab Data Exchange Project Supports
For the purposes of a federally funded grant entitled, Massachusetts Electronic Lab Data Exchange Project Supports
561,254
4518-0505 Technical Data - Massachusetts Birth/Infant Death File Linkage and Analysis
For the purposes of a federally funded grant entitled, Technical Data - Massachusetts Birth/Infant Death File Linkage and Analysis
82,721
4518-0514 National Violent Death Reporting System
For the purposes of a federally funded grant entitled, National Violent Death Reporting System
257,839
4518-0534 Public Health Injury Surveillance and Prevention
For the purposes of a federally funded grant entitled, Public Health Injury Surveillance and Prevention
752,732
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
20,327
4518-1002 Massachusetts Death File - Social Security Administration
For the purposes of a federally funded grant entitled, Massachusetts Death File - Social Security Administration
33,000
4518-1003 Massachusetts Birth Records - Social Security Administration
For the purposes of a federally funded grant entitled, Massachusetts Birth Records - Social Security Administration
168,000
4518-1004 Promoting Integration State Health
For the purposes of a federally funded grant entitled, Promoting Integration State Health
41,155
4518-9023 Census of Fatal Occupational Injuries
For the purposes of a federally funded grant entitled, Census of Fatal Occupational Injuries
44,200
4518-9030 Public Health Injury Surveillance and Prevention Program
For the purposes of a federally funded grant entitled, Public Health Injury Surveillance and Prevention Program
116,760
4570-1509 Massachusetts Cardiovascular Disease Prevention
For the purposes of a federally funded grant entitled, Massachusetts Cardiovascular Disease Prevention
1,144,034
4570-1512 National Cancer Prevention Control
For the purposes of a federally funded grant entitled, National Cancer Prevention Control
3,440,786
4570-1514 Wise Woman
For the purposes of a federally funded grant entitled, Wise Woman
900,000
4570-1515 Chronic Disease Prevention and Health Promotion
For the purposes of a federally funded grant entitled, Chronic Disease Prevention and Health Promotion
2,357,900
4570-1516 Paul Coverdell Acute Stroke Registry
For the purposes of a federally funded grant entitled, Paul Coverdell Acute Stroke Registry
600,000
4570-1517 Nutrition Obesity
For the purposes of a federally funded grant entitled, Nutrition Obesity
1,075,152
account description amount
Trust and Other Spending 19,280,572
4510-0606 Urea Formaldehyde Foam Insulation for Homeowners 21,600
4510-0622 Radiation Control Trust 363,141
4510-0623 Surveillance of Health Outcomes and Drinking Water Quality Testing Trust 49,504
4510-0625 Low Level Radioactive Waste Rebate 292,384
4510-0635 Lead Paint Education and Training 2,106,435
4510-0714 Civil Monetary Penalties 550,000
4510-0727 Health Boards Professional Licensure Trust 6,853,211
4510-0729 Board of Registration in Medicine Trust 6,001,097
4510-2059 Mass Hospital School Telecommunications 9,827
4510-6921 Organ Transplant Fund 150,000
4512-0105 Massachusetts AIDS Fund 165,000
4512-9410 Share Revolving Loan Fund 20,000
4514-0100 Catastrophic Illness in Children Relief 2,598,373
4514-0200 Spinal Cord Injury Trust Fund 100,000


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