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Executive Office of Health and Human Services - Detail

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Fiscal Year 2011 Resource Summary ($000)

SECRETARIAT	FY2011 Budgetary Recommendations	FY2011 Federal, Trust, and ISF	FY2011 Total Spending	FY2011 Budgetary Non-Tax Revenue
Office of the Secretary of Health and Human Services	7,244,842	1,273,160	8,518,001	6,155,863
Department of Elder Affairs	3,028,152	28,861	3,057,013	1,388,493
Office of Health Services	1,130,056	789,530	1,919,586	560,226
Office of Children, Youth, and Family Services	1,669,043	0	1,669,043	631,555
Office of Disabilities and Community Services	1,367,491	109,342	1,476,833	467,065
Department of Veterans' Services	66,614	1,080	67,694	315
TOTAL	14,506,198	2,201,972	16,708,170	9,203,516

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Historical Budget Levels ($000)

Secretariat	FY2008       GAA	FY2009       GAA	FY2010       GAA	FY2010 Projected Spending *	FY2011      House 2
Executive Office of Health and Human Services	5,889,274	6,155,821	6,706,994	6,795,411	7,244,842
Department of Elder Affairs	2,635,036	2,742,996	2,664,197	2,875,953	3,028,152
Office of Health Services	1,230,069	1,291,608	1,166,085	1,147,969	1,130,056
Office of Children, Youth, and Family Services	1,806,740	1,892,939	1,694,878	1,682,779	1,669,043
Office of Disabilities and Community Services	1,353,078	1,406,241	1,383,496	1,372,833	1,367,491
Department of Veterans' Services	43,793	50,624	56,380	58,424	66,614
TOTAL	12,957,991	13,540,228	13,672,031	13,933,369	14,506,198

Note:  GAA is General Appropriation Act.

* Projected spending reflects budget reductions implemented through the Governor's authority under section 9C of Chapter 29.  

Historical Spending Categories ($000)

SPENDING CATEGORY	FY2007 Expended	FY2008 Expended	FY2009 Expended	FY2010 Projected Spending *	FY2011 House 2
Wages & Salaries	4,092,090	4,306,665	4,237,711	3,978,956	4,088,188
Employee Benefits	1,182,179	1,011,388	1,131,615	1,228,826	1,394,371
Operating Expenses	1,217,032	1,968,672	1,476,863	969,431	924,482
Public Assistance	11,663,047	12,590,650	13,070,212	13,628,435	14,187,919
Grants & Subsidies	6,055,275	6,185,698	5,785,730	5,616,518	5,686,536
Debt Service	2,008,220	1,989,968	2,007,284	2,039,827	1,931,063
TOTAL	26,217,844	28,053,041	27,709,416	27,461,993	28,212,560

 

* Projected spending reflects budget reductions implemented through the Governor's authority under section 9C of Chapter 29.
 
 
 

Historical Employment Levels

Secretariat	June FY2007	June FY2008	June FY2009	Approved FY2010	Projected FY2011
Executive Office of Health and Human Services	1,205	1,250	1,334	1,524	1,512
Department of Elder Affairs	44	47	50	45	45
Office of Health Services	6,181	6,321	6,048	5,370	5,093
Office of Children, Youth, and Family Services	5,859	5,954	5,973	5,614	5,610
Office of Disabilities and Community Services	7,784	7,878	7,493	7,297	7,056
Department of Veterans' Services	43	47	47	46	46
TOTAL	21,117	21,496	20,944	19,895	19,361

Figures represent full-time equivalents (FTEs) paid from budgeted funds, and exclude those paid from capital, federal grants and trust funds. FY2011 FTE figures are preliminary and may not represent actual levels.

Office of the Secretary of Health and Human Services

Fiscal Year 2011 Resource Summary ($000)

DEPARTMENT	FY2011 Budgetary Recommendations	FY2011 Federal, Trust, and ISF	FY2011 Total Spending	FY2011 Budgetary Non-Tax Revenue
Office of the Secretary of Health and Human Services	7,244,842	1,273,160	8,518,001	6,155,863

account	description	amount
OFFICE OF THE SECRETARY OF HEALTH AND HUMAN SERVICES		8,518,001,096
Budgetary Direct Appropriations		7,244,841,585
Direct Appropriations
4000-0050	Personal Care Attendant Council For the personal care attendant quality home care workforce council established under section 29 of chapter 118G of the General Laws	183,758
4000-0300	Executive Office of Health and Human Services and Medicaid Administration For the operation of the office of the secretary of health and human services, including the operation of the managed care oversight board; provided, that the executive office shall provide technical and administrative assistance to agencies under the purview of the secretariat receiving federal funds; provided further, that the executive office shall continue to develop and implement the common client identifier; provided further, that funds appropriated in this item shall be expended for administrative and contracted services related to the implementation and operation of programs authorized by chapter 118E of the General Laws; provided further, that in consultation with the division of health care finance and policy, no rate increase shall be provided to existing Medicaid provider rates without taking all measures possible under Title XIX of the Social Security Act to ensure that rates of payment to providers do not exceed the rates that are necessary to meet only those costs which must be incurred by efficiently and economically operated providers in order to provide services of adequate quality; provided further, that expenditures for the purposes of each item appropriated for programs authorized by chapter 118E shall be accounted for in the Massachusetts management accounting and reporting system not more than 10 days after the expenditures have been made by the Medicaid management information system; provided further, that no expenditures shall be made that are not federally reimbursable, including those related to Titles XIX or XXI of the Social Security Act or the MassHealth demonstration waiver approved under section 1115(a) of the act or the community first section 1115 demonstration waiver, whether made by the executive office or another commonwealth entity, except as explicitly authorized, or unless made for cost containment efforts the purposes and amounts of which have been submitted to the executive office for administration and finance and the house and senate committees on ways and means 30 days prior to making these expenditures; provided further, that the executive office may continue to recover provider overpayments made in the current and prior fiscal years through the Medicaid management information system, and that these recoveries shall be considered current fiscal year expenditure refunds; provided further, that the executive office may collect directly from a liable third party any amounts paid to contracted providers under chapter 118E for which the executive office later discovers another third party is liable if no other course of recoupment is possible; provided further, that no funds shall be expended for the purpose of funding interpretive services directly or indirectly related to a settlement or resolution agreement with the office of civil rights or any other office, group or entity; provided further, that interpretive services currently provided shall not give rise to enforceable legal rights for any party or to an enforceable entitlement to interpretive services; provided further, that the federal financial participation received from claims filed based on in-kind administrative services related to outreach and eligibility activities performed by certain community organizations, under the "covering kids initiative", and in accordance with the federal revenue criteria in 45 CFR 74.23 or any other federal regulation which provides a basis for federal financial participation, shall be credited to this item and may be expended, without further appropriation, on administrative services including those covered under an agreement with the organizations participating in the initiative; provided further, that notwithstanding any general or special law to the contrary, the executive office shall require the commissioner of mental health to approve any prior authorization or other restriction on medication used to treat mental illness in accordance with written policies, procedures and regulations of the department of mental health; and provided further, that any unexpended balance in items 4000-0430, 4000-0500, 4000-0600, 4000-0700, 4000-0870, 4000-0875, 4000-0880, 4000-0890, 4000-0895, 4000-0950, 4000-0990, 4000-1400 or 4000-1405 on June 30, 2011 shall revert to the General Fund	91,299,259
4000-0301	MassHealth Auditing and Utilization Reviews For the costs of MassHealth provider and member audit and utilization review activities including eligibility verification, disability evaluations, provider financial and clinical audits and other initiatives intended to enhance program integrity	1,747,904
4000-0355	Health Care Quality and Cost Council For the operation of a health care quality and cost council to promote high-quality, cost-effective patient-centered care	736,990
4000-0430	MassHealth CommonHealth Plan For the CommonHealth program to provide primary and supplemental medical care and assistance to disabled adults and children under sections 9A, 16 and 16A of chapter 118E of the General Laws; provided, that funds may be expended from this item for health care services provided to the recipients in prior fiscal years; provided further, that the executive office shall maximize federal reimbursement for state expenditures made on behalf of such adults and children; provided further, that children shall be determined eligible for the medical care and assistance if they meet the disability standards as defined by the executive office, which standards shall be no more restrictive than the standards in effect on July 1, 1996; and provided further, that the executive office shall process CommonHealth applications within 45 days of receipt of a completed application or within 90 days if a determination of disability is required	133,254,517
4000-0500	MassHealth Managed Care For health care services provided to medical assistance recipients under the executive office's primary care clinician/mental health and substance abuse plan or through a health maintenance organization under contract with the executive office and for MassHealth benefits provided to children, adolescents and adults under clauses (a) to (d), inclusive, and clause (h) of subsection (2) of section 9A of chapter 118E of the General Laws and section 16C of said chapter 118E; provided, that no funds shall be expended from this item for children and adolescents under clause (c) of said subsection (2) of said section 9A of said chapter 118E whose family incomes, as determined by the executive office, exceed 150 per cent of the federal poverty level; provided further, that funds may be expended from this item for health care services provided to the recipients in prior fiscal years; provided further, that expenditures from this item shall be made only for the purposes expressly stated herein; provider further, that funds may be expended from this item to enhance the ability of hospitals, community health centers, and primary care clinicians to serve populations in need more efficiently and effectively; provided further, that the executive office shall maximize federal reimbursements for state expenditures made to these providers; and provided further, that notwithstanding any general or special law to the contrary, the secretary of health and human services shall not, without prior written or verbal consent, reassign the behavioral health benefit of any eligible person to a managed care plan under contract with the office of MassHealth if the benefit is already managed by MassHealth's specialty behavioral health managed care contractor	3,767,055,766
4000-0700	MassHealth Fee-for-Service Payments For health care services provided to medical assistance recipients under the executive office's health care indemnity/third party liability plan and medical assistance recipients not otherwise covered under the executive office's managed care or senior care plans, and for MassHealth benefits provided to children, adolescents and adults under clauses (a) to (d), inclusive and clause (h) of subsection (2) of section 9A and section 16C of chapter 118E of the General Laws; provided, that no payments for special provider costs shall be made from this item without the prior written approval of the secretary of administration and finance; provided further, that no funds shall be expended from this item for children and adolescents under clause (c) of said subsection (2) of said section 9A of said chapter 118E whose family incomes, as determined by the executive office, exceed 150 per cent of the federal poverty level; provided further, that children who have aged out of the custody of the department of children and families shall be eligible for benefits until they reach age 21; provided further, that funds shall be expended from this item for members who qualify for early intervention services; provided further, that funds may be expended from this item for health care services provided to the recipients in prior fiscal years; provided further, that $20,000,000 shall be expended from this item, or item 4000-0500, if necessary to achieve maximum federal financial participation, to enhance the ability of hospitals, community health centers and primary care clinicians to serve populations in need more efficiently and effectively; provided further, that the executive office shall maximize federal reimbursements for state expenditures made to these providers; provided further, that notwithstanding the foregoing, funds may be expended from this item for the purchase of third party insurance including, but not limited to, Medicare for any medical assistance recipient; provided further, that the executive office may reduce MassHealth premiums or copayments or offer other incentives to encourage enrollees to comply with wellness goals; provided further, that the executive office shall not, in fiscal year 2011, fund programs relating to case management with the intention of reducing length of stay for neonatal intensive care unit cases; and provided further, that funds may be expended from this item for activities relating to disability determinations or utilization management and review, including patient screenings and evaluations, regardless of whether such activities are performed by a state agency, contractor, agent or provider	1,721,468,034
4000-0870	MassHealth Basic Coverage For health care services provided to adults participating in the medical assistance program under clause (g) of subsection (2) of section 9A of chapter 118E of the General Laws; provided, that funds may be expended from this item for health care services provided to the recipients in prior fiscal years	165,351,318
4000-0875	MassHealth Breast and Cervical Cancer Treatment For the provision of benefits to eligible women who require medical treatment for either breast or cervical cancer in accordance with section 1902(a)(10)(A)(ii)(XVIII) of the Breast and Cervical Cancer Prevention and Treatment Act of 2000, Public Law 106-354, and in accordance with section 10D of chapter 118E of the General Laws; provided, that the executive office shall provide those benefits to women whose income, as determined by the executive office, does not exceed 250 per cent of the federal poverty level, subject to continued federal approval; provided further, that eligibility for the benefits shall be extended solely for the duration of the cancerous condition; provided further, that before the provision of any benefits covered by this item, the executive office shall require screening for either breast or cervical cancer at the comprehensive breast and cervical cancer early detection program operated by the department of public health, in accordance with item 4570-2500 of section 2D; and provided further, that funds may be expended from this item for health care services provided to these recipients in prior fiscal years	4,770,999
4000-0880	MassHealth Family Assistance Plan For MassHealth benefits under clause (c) of subsection (2) of section 9A and section 16C of chapter 118E of the General Laws for children and adolescents whose family incomes as determined by the executive office are above 150 per cent of the federal poverty level; provided, that funds may be expended from this item for health care services provided to the children and adolescents in prior fiscal years	222,090,812
4000-0890	MassHealth Premium Assistance and Insurance Partnership Program For the cost of health insurance subsidies paid to employees and employers of small businesses in the insurance reimbursement program under section 9C of chapter 118E of the General Laws; and provided further, that funds may be expended from this item for health care services provided to these persons in prior fiscal years	58,181,956
4000-0895	Healthy Start Program For the healthy start program to provide medical care and assistance to pregnant women and infants residing in the commonwealth under section 10E of chapter 118E of the General Laws; and provided further, that funds may be expended from this item for health care services provided to these persons in prior fiscal years	14,409,312
4000-0950	Children's Behavioral Health Initiative For the purposes of administrative and program expenses associated with the children's behavioral health initiative, in accordance with the settlement agreement in the case of Rosie D. et al. v. Romney, United States District Court for the District of Massachusetts civil action No. 01-30199-MAP, to provide comprehensive, community-based behavioral health services to children suffering from severe emotional disturbances; and provided further, that funds may be expended from this item for health care services provided to these persons in prior fiscal years	106,737,656
4000-0990	Children's Medical Security Plan For the children's medical security plan to provide primary and preventive health services for uninsured children from birth through age 18; provided, that the executive office shall prescreen enrollees and applicants for Medicaid eligibility; provided further, that no applicant shall be enrolled in the program until the applicant has been denied eligibility for the MassHealth program; provided further, that the MassHealth benefit request shall be used as a joint application to determine the eligibility for both MassHealth and the children's medical security plan; provided further, that the executive office shall maximize federal reimbursements for state expenditures made on behalf of the children; provided further, that the executive office shall expend all necessary funds from this item to ensure the provision of the maximum benefit levels for this program, as authorized by section 10F of chapter 118E of the General Laws; provided further, that the maximum benefit levels for this program shall be made available only to those children who have been determined by the executive office to be ineligible for MassHealth benefits; and provided further, that funds may be expended from this item for health care services provided to these persons in prior fiscal years	12,089,722
4000-1400	MassHealth HIV Plan For the purposes of providing MassHealth benefits to persons with a diagnosis of human immunodeficiency virus with incomes up to 200 per cent of the federal poverty level; provided, that funds may be expended from this item for health care services provided to these persons in prior fiscal years	18,801,714
4000-1405	MassHealth Essential For the operation of a program of preventive and primary care for chronically unemployed persons who are not receiving unemployment insurance benefits and who are not eligible for medical assistance but who are determined by the executive office of health and human services to be long-term unemployed; provided, that such persons shall meet the eligibility requirements of the MassHealth program established in section 9A of chapter 118E of the General Laws; provided further, that persons eligible under subsection (7) of section 16D of said chapter 118E shall also be eligible to receive benefits under this item; provided further, that the income of such persons shall not exceed 100 per cent of the federal poverty level; provided further, that said eligibility requirements shall not exclude from eligibility persons who are employed intermittently or on a non-regular basis; provided further, that the provision of care to such persons under this program may, taking into account capacity, continuity of care, and geographic considerations, be restricted to certain providers; provided further, that the secretary may limit or close enrollment if necessary in order to ensure that expenditures from this item do not exceed the amount appropriated herein; provided further, however, that no such limitation shall be implemented unless the secretary has given 90 days notice to the house and senate committees on ways and means and the joint committee on health care financing; and provided further, that funds may be expended from this item for health care services provided to recipients in prior fiscal years	344,913,540
4000-1420	Medicare Part D Phased Down Contribution For the purposes of making payment to the federal Centers for Medicare and Medicaid Services in compliance with Title XIX of the Social Security Act	265,273,814
4000-1700	Health and Human Services Information Technology Costs For the provision of information technology services within the executive office of health and human services	91,374,514

account	description	amount
Retained Revenues
4000-0320	MassHealth Recoveries from Current and Prior Fiscal Years Retained Revenue The executive office of health and human services may expend for medical care and assistance rendered in the current year an amount not to exceed $225,000,000 from the monies received from recoveries and collections of any current or prior year expenditures; provided, that notwithstanding any general or special law to the contrary, the balance of any personal needs accounts collected from nursing and other medical institutions upon a medical assistance member's death and held by the executive office for more than 3 years may be credited to this item	225,000,000
4000-0360	Health Information Analysis Retained Revenue The health care quality and cost council may expend for operation of the council an amount not to exceed $100,000 from the monies received from the sale of data reports	100,000

account	description	amount
Intragovernmental Service Spending		60,639,638
4000-0102	Chargeback for Human Services Transportation For the cost of transportation services for health and human services clients and the operation of the health and human services transportation office                 Intragovernmental Service Fund ............... 100%	7,278,157
4000-0103	Chargeback for Human Services Administration For the costs of core administrative functions performed within the executive office of health and human services; provided, that the secretary of health and human services may, notwithstanding any general or special law to the contrary, identify administrative activities and functions common to the separate agencies, departments, offices, divisions and commissions within the executive office and designate them "core administrative functions" in order to improve administrative efficiency and preserve fiscal resources; provided further, that common functions that may be designated core administrative functions include, without limitation, human resources, financial management and leasing and facility management; provided further, that all employees performing functions so designated may be employed by the executive office and the executive office shall charge the agencies, departments, offices, divisions and commissions for these services; provided further, that upon the designation of a function as a core administrative function, the employees of each agency, department, office or commission who perform these core administrative functions may be transferred to the executive office of health and human services; provided further, that the reorganization shall not impair the civil service status of any transferred employee who immediately before the effective date of this act either holds a permanent appointment in a position classified under chapter 31 of the General Laws or has tenure in a position by reason of section 9A of chapter 30 of the General Laws; and provided further, that nothing in this section shall be construed to impair or change an employee's status, rights, or benefits under chapter 150E of the General Laws                 Intragovernmental Service Fund ............... 100%	19,824,955
4000-1701	Chargeback for Health and Human Services Information Technology Costs For the cost of information technology services provided to agencies of the executive office of health and human services                 Intragovernmental Service Fund ............... 100%	33,536,526

account	description	amount
Federal Grant Spending		9,424,573
4000-9058	My Child For the purposes of a federally funded grant entitled, My Child	1,365,589
4000-9401	Community Mental Health Services For the purposes of a federally funded grant entitled, Community Mental Health Services	8,058,984

account	description	amount
Trust and Other Spending		1,203,095,300
4000-0330	Connector Administration Expendable Trust	5,600,000
4000-1068	Medical Assistance Trust Fund	392,500,000
4000-3113	Fiscal Intermediary Expendable Trust	50,000
4000-4000	Health Insurance Portability and Accountability Act Fund	8,000,000
4000-5819	Commonwealth Care Trust Fund	796,945,300

 

Historical Budget Levels ($000)

Account		FY2008       GAA	FY2009       GAA	FY2010       GAA	FY2010 Projected Spending *	FY2011      House 2
4000-0050	Personal Care Attendant Council	0	300	188	185	184
4000-0112	Youth-at-Risk Matching Grants	5,705	5,845	1,500	1,500	0
4000-0265	Primary Care Workforce	1,700	1,700	450	0	0
4000-0300	Executive Office of Health and Human Services and Medicaid Administration	142,273	145,369	95,375	90,913	91,299
4000-0301	MassHealth Auditing and Utilization Reviews	2,200	2,226	1,748	1,748	1,748
4000-0320	MassHealth Recoveries from Current and Prior Fiscal Years Retained Revenue	225,000	225,000	225,000	225,000	225,000
4000-0352	MassHealth Enrollment Outreach Grants	3,500	3,500	0	0	0
4000-0355	Health Care Quality and Cost Council	1,000	1,889	813	812	737
4000-0360	Health Information Analysis Retained Revenue	0	100	100	100	100
4000-0430	MassHealth CommonHealth Plan	101,582	111,900	103,394	106,180	133,255
4000-0500	MassHealth Managed Care	2,884,675	3,121,385	3,456,560	3,456,560	3,767,056
4000-0650	Community First Initiative	0	20,000	0	0	0
4000-0700	MassHealth Fee-for-Service Payments	1,683,747	1,535,816	1,607,620	1,700,449	1,721,468
4000-0870	MassHealth Basic Coverage	117,206	122,700	155,140	155,140	165,351
4000-0875	MassHealth Breast and Cervical Cancer Treatment	5,422	5,500	4,190	4,190	4,771
4000-0880	MassHealth Family Assistance Plan	137,979	211,100	205,718	205,718	222,091
4000-0890	MassHealth Premium Assistance and Insurance Partnership Program	36,090	40,300	52,140	52,140	58,182
4000-0891	MassHealth Insurance Partnership for Employers	5,490	5,200	0	0	0
4000-0895	Healthy Start Program	18,135	19,400	17,201	17,201	14,409
4000-0950	Children's Behavioral Health Initiative	0	0	65,689	65,689	106,738
4000-0990	Children's Medical Security Plan	15,223	16,500	14,187	14,187	12,090
4000-1400	MassHealth HIV Plan	16,591	16,591	18,079	18,079	18,802
4000-1405	MassHealth Essential	251,838	304,600	324,450	324,450	344,914
4000-1420	Medicare Part D Phased Down Contribution	233,916	238,900	268,631	268,631	265,274
4000-1700	Health and Human Services Information Technology Costs	0	0	88,824	86,541	91,375
TOTAL		5,889,274	6,155,821	6,706,994	6,795,411	7,244,842

Note:  GAA is General Appropriation Act.

* Projected spending reflects budget reductions implemented through the Governor's authority under section 9C of Chapter 29.  
No budgetary historical spending data available.  
 

Historical Employment Levels

Account	Description	June FY2007	June FY2008	June FY2009	Approved FY2010	Projected FY2011
4000-0050	Personal Care Attendant Council	0	3	2	2	2
4000-0102	Chargeback for Human Services Transportation	11	12	13	13	13
4000-0103	Chargeback for Human Services Administration	378	394	388	265	265
4000-0140	Betsy Lehman Center	2	0	0	0	0
4000-0300	Executive Office of Health and Human Services and Medicaid Administration	810	838	865	780	766
4000-0301	MassHealth Auditing and Utilization Reviews	5	0	0	1	1
4000-0355	Health Care Quality and Cost Council	0	3	1	1	1
4000-0650	Community First Initiative	0	0	65	0	0
4000-1700	Health and Human Services Information Technology Costs	0	0	0	370	372
4000-1701	Chargeback for Health and Human Services Information Technology Costs	0	0	0	93	93
TOTAL		1,205	1,250	1,334	1,524	1,512

Figures represent full-time equivalents (FTEs) paid from budgeted funds, and exclude those paid from capital, federal grants and trust funds. FY2011 FTE figures are preliminary and may not represent actual levels.
 

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Department of Elder Affairs

Fiscal Year 2011 Resource Summary ($000)

DEPARTMENT	FY2011 Budgetary Recommendations	FY2011 Federal, Trust, and ISF	FY2011 Total Spending	FY2011 Budgetary Non-Tax Revenue
Department of Elder Affairs	3,028,152	28,861	3,057,013	1,388,493

account	description	amount
DEPARTMENT OF ELDER AFFAIRS		3,057,012,883
Budgetary Direct Appropriations		3,028,152,227
4000-0600	MassHealth Senior Care For health care services provided to MassHealth members who are seniors, and for the operation of the senior care options program under section 9D of chapter 118E of the General Laws; provided, that funds may be expended from this item for health care services provided to these recipients in prior fiscal years; provided further, that funds shall be expended for the "community choices" initiative; provided further, that no payment for special provider costs shall be made from this item without the prior written approval of the secretary of administration and finance; provided further, that benefits for this demonstration project shall not be reduced below the services provided in fiscal year 2010; provided further, that notwithstanding any general or special law to the contrary, funds shall be expended from this item for the purpose of maintaining a personal needs allowance of up to $72.80 per month for individuals residing in nursing homes and rest homes who are eligible for MassHealth, Emergency Aid to the Elderly Disabled and Children program or Supplemental Security Income; provided further, that notwithstanding any general or special law to the contrary, for any nursing home or non-acute chronic disease hospital that provides kosher food to its residents, the department, in consultation with the division, in recognition of the unique special innovative program status granted by the executive office, shall continue to make the standard payment rates established in fiscal year 2006 to reflect the high dietary costs incurred in providing kosher food; provided further, that notwithstanding any general or special law to the contrary, nursing facility rates effective July 1, 2010 may be developed using the costs of calendar year 2005	2,488,616,244
4000-0640	MassHealth Nursing Home Supplemental Rates For nursing facility Medicaid rates; provided, that notwithstanding any general or special law to the contrary, in fiscal year 2011 the division of health care finance and policy shall establish nursing facility Medicaid rates that cumulatively total $288,500,000 more than the annual payment rates established by the division under the rates in effect as of June 30, 2002; provided further, that funds shall be expended in an amount not less than that appropriated in fiscal year 2011 for purposes of reimbursing nursing facilities for up to 10 bedhold days for patients of the facility on medical and non-medical leaves of absence; provided further, that an amount for expenses related to the collection and administration of section 25 of chapter 118G of the General Laws shall be transferred to the division of health care finance and policy; and provided further, that the payments made under this item shall be allocated in an amount sufficient to implement section 622 of chapter 151 of the acts of 1996	288,500,000
9110-0100	Department of Elder Affairs Administration For the operation of the department of elder affairs	2,062,442
9110-1455	Prescription Advantage For the costs of the drug insurance program authorized by section 39 of chapter 19A of the General Laws; provided, that amounts received by the department of elder affairs' vendor as premium or enrollment fee revenue for this program may be retained and expended by the vendor for the purposes of the program; and 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 department of elder affairs, and the entities with which it has contracted for administration of the subsidized catastrophic drug insurance program under section 39 shall be the payer of last resort for this program for eligible persons with regard to any other third party prescription coverage or benefits available to these eligible persons	31,515,454
9110-1500	Elder Enhanced Home Care Services Program For the provision of enhanced home care services, including case management to elders who meet the eligibility requirements of the home care program and who need services above the level customarily provided under the program to remain safely at home, including elders previously enrolled in the managed care in housing, enhanced community options, and chronic care enhanced services programs; provided, that the secretary shall actively seek to obtain federal financial participation for all services provided to seniors who qualify for Medicaid benefits under the section 1915C waiver	45,789,340
9110-1604	Supportive Senior Housing Program For the operation of the supportive senior housing program at state or federally assisted housing sites	4,014,802
9110-1630	Elder Home Care Purchased 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 a sliding fee shall be charged to qualified elders; provided further, that the secretary of elder affairs may waive collection of sliding fees in cases of extreme financial hardship; provided further, that not more than $11,500,000 in revenues accrued from sliding fees shall be retained by the individual home care corporations without re-allocation by the executive office of elder affairs, and shall be expended for the purposes of the home care program, consistent with guidelines to be issued by the executive office; provided further, that the executive office shall report quarterly to the house and senate committees on ways and means and the executive office for administration and finance on the receipt and expenditure of revenues accrued from the sliding fees; and provided further, that the secretary of elder affairs may transfer an amount not to exceed 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	100,304,918
9110-1633	Elder Home Care Case Management and Administration For the operation of the elder home care case management program, including contracts with aging service access points, or other qualified entities for home care case management services and the administration of the home care corporations funded through item 9110-1630 and item 9110-1500; provided, that such 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; provided further, that no funds appropriated in this item shall be expended for the enhancement of management information systems; and provided further, that the secretary of elder affairs may transfer an amount not to exceed 3 per cent of the funds appropriated to line item 9110-1630	36,068,041
9110-1636	Elder Protective Services For the operation of the elder protective services program	15,249,147
9110-1660	Elder Congregate Housing Program For congregate and shared housing services for the elderly	1,503,617
9110-1700	Residential Placement for Homeless Elders For residential assessment and placement programs for homeless elders	136,000
9110-1900	Elder Nutrition Program For the elder nutrition program	6,277,154
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	8,115,068

account	description	amount
Federal Grant Spending		28,702,217
9110-1074	Older Americans Act - Title III and Title VII For the purposes of a federally funded grant entitled, Older Americans Act - Title III and Title VII	9,475,299
9110-1077	National Family Caregiver Support Program For the purposes of a federally funded grant entitled, National Family Caregiver Support Program	89,860
9110-1095	Health Information Counseling and Assistance For the purposes of a federally funded grant entitled, Health Information Counseling and Assistance	1,128,491
9110-1150	Empowering Older People For the purposes of a federally funded grant entitled, Empowering Older People	253,469
9110-1173	Older Americans Act - Title III Nutrition Program For the purposes of a federally funded grant entitled, Older Americans Act - Title III Nutrition Program	14,289,338
9110-1178	Community Service Employment Program For the purposes of a federally funded grant entitled, Community Service Employment Program	2,772,882
9110-3000	Senior Medicare Patrol Integration For the purposes of a federally funded grant entitled, Senior Medicare Patrol Integration	100,898
9110-3031	ADRC Strategic Planning For the purposes of a federally funded grant entitled, ADRC Strategic Planning	250,000
9110-3200	Community Based Alzheimer Care Project For the purposes of a federally funded grant entitled, Community Based Alzheimer Care Project	234,627
9110-3300	Mass Next Generation Performance Outcome Measurement Project For the purposes of a federally funded grant entitled, Mass Next Generation Performance Outcome Measurement Project	107,353

account	description	amount
Trust and Other Spending		158,439
9100-1850	Elder Service Training Program	9,508
9110-0103	Coming Home - Elder Affordable Assisted Living	5,301
9110-1155	NCOA Sustainable Systems Expendable Trust	143,630

 

Historical Budget Levels ($000)

Account		FY2008       GAA	FY2009       GAA	FY2010       GAA	FY2010 Projected Spending *	FY2011      House 2
4000-0600	MassHealth Senior Care	2,053,754	2,158,355	2,114,611	2,333,504	2,488,616
4000-0640	MassHealth Nursing Home Supplemental Rates	288,500	288,500	288,500	288,500	288,500
9110-0100	Department of Elder Affairs Administration	2,916	3,742	2,120	2,099	2,062
9110-1455	Prescription Advantage	60,504	57,534	40,000	34,392	31,515
9110-1500	Elder Enhanced Home Care Services Program	47,411	48,199	45,789	45,789	45,789
9110-1604	Supportive Senior Housing Program	4,189	4,203	4,015	4,015	4,015
9110-1630	Elder Home Care Purchased Services	105,225	106,716	100,307	100,305	100,305
9110-1633	Elder Home Care Case Management and Administration	39,869	40,368	36,068	36,068	36,068
9110-1636	Elder Protective Services	15,009	16,246	16,252	15,249	15,249
9110-1640	Geriatric Mental Health Services Program	225	225	0	0	0
9110-1650	Family Caregivers Program	250	250	0	0	0
9110-1660	Elder Congregate Housing Program	2,623	2,789	1,504	1,504	1,504
9110-1700	Residential Placement for Homeless Elders	350	450	136	136	136
9110-1900	Elder Nutrition Program	6,325	6,805	6,280	6,277	6,277
9110-9002	Grants to Councils on Aging	7,885	8,615	8,615	8,115	8,115
TOTAL		2,635,036	2,742,996	2,664,197	2,875,953	3,028,152

Note:  GAA is General Appropriation Act.

* Projected spending reflects budget reductions implemented through the Governor's authority under section 9C of Chapter 29.  
No budgetary historical spending data available.  
 

Historical Employment Levels

Account	Description	June FY2007	June FY2008	June FY2009	Approved FY2010	Projected FY2011
9110-0100	Department of Elder Affairs Administration	27	33	32	27	27
9110-0102	For the Regulation of Assisted Living	1	0	0	0	0
9110-1455	Prescription Advantage	13	10	12	12	12
9110-1630	Elder Home Care Purchased Services	1	1	1	1	1
9110-1636	Elder Protective Services	1	2	4	4	4
9110-1900	Elder Nutrition Program	1	1	1	1	1
TOTAL		44	47	50	45	45

Figures represent full-time equivalents (FTEs) paid from budgeted funds, and exclude those paid from capital, federal grants and trust funds. FY2011 FTE figures are preliminary and may not represent actual levels.
 

---

 

Office of Health Services

Fiscal Year 2011 Resource Summary ($000)

DEPARTMENT	FY2011 Budgetary Recommendations	FY2011 Federal, Trust, and ISF	FY2011 Total Spending	FY2011 Budgetary Non-Tax Revenue
Division of Health Care Finance and Policy	17,032	420,000	437,032	304,488
Department of Public Health	491,281	344,933	836,214	155,066
Department of Mental Health	621,742	24,597	646,340	100,672
TOTAL	1,130,056	789,530	1,919,586	560,226

 

 

Historical Budget Levels ($000)

Department	FY2008       GAA	FY2009       GAA	FY2010       GAA	FY2010 Projected Spending *	FY2011      House 2
Division of Health Care Finance and Policy	13,979	17,513	17,449	17,122	17,032
Department of Public Health	548,684	588,655	504,558	497,029	491,281
Department of Mental Health	667,407	685,441	644,078	633,817	621,742
TOTAL	1,230,069	1,291,608	1,166,085	1,147,969	1,130,056

Note:  GAA is General Appropriation Act.

* Projected spending reflects budget reductions implemented through the Governor's authority under section 9C of Chapter 29.  

Historical Spending Categories ($000)

SPENDING CATEGORY	FY2007 Expended	FY2008 Expended	FY2009 Expended	FY2010 Projected Spending *	FY2011 House 2
Wages & Salaries	364,776	380,126	376,999	345,048	321,770
Employee Benefits	14,892	14,765	14,653	14,708	14,420
Operating Expenses	131,979	145,961	145,355	144,261	137,044
Public Assistance	657,617	674,728	657,309	630,397	641,043
Grants & Subsidies	16,238	18,367	19,265	13,554	15,779
TOTAL	1,185,502	1,233,948	1,213,582	1,147,969	1,130,056

 

* Projected spending reflects budget reductions implemented through the Governor's authority under section 9C of Chapter 29.
 
 
 

Historical Employment Levels

Department	June FY2007	June FY2008	June FY2009	Approved FY2010	Projected FY2011
Division of Health Care Finance and Policy	95	101	112	115	115
Department of Public Health	2,352	2,477	2,424	2,330	2,305
Department of Mental Health	3,733	3,743	3,512	2,924	2,672
TOTAL	6,181	6,321	6,048	5,370	5,093

Figures represent full-time equivalents (FTEs) paid from budgeted funds, and exclude those paid from capital, federal grants and trust funds. FY2011 FTE figures are preliminary and may not represent actual levels.

---

Division of Health Care Finance and Policy

account	description	amount
DIVISION OF HEALTH CARE FINANCE AND POLICY		437,032,227
Budgetary Direct Appropriations		17,032,227
4100-0060	Division of Health Care Finance and Policy For the operation of the division and the administration of the Health Safety Net Trust Fund established in section 36 of chapter 118G of the General Laws; provided, that notwithstanding any general or special law to the contrary, the assessment to acute hospitals authorized under section 5 of said chapter 118G for the estimated expenses of the division shall include in fiscal year 2011 the estimated expenses, including indirect costs, of the division and shall be equal to the amount appropriated in this item less amounts projected to be collected in fiscal year 2011 from: (a) filing fees; (b) fees and charges generated by the division's publication or dissemination of reports and information; and (c) federal financial participation received as reimbursement for the division's administrative costs; provided further, that the assessed amount shall not be less than 65 per cent of the total expenses appropriated for the division and the health safety net office	17,032,227

account	description	amount
Trust and Other Spending		420,000,000
4100-0090	Health Safety Net Trust Fund - Community Health Centers	29,000,000
4100-0091	Health Safety Net Trust Fund - Hospital	385,000,000
4100-0092	Health Safety Net and Demonstration Projects	6,000,000

 

Historical Budget Levels ($000)

Account		FY2008       GAA	FY2009       GAA	FY2010       GAA	FY2010 Projected Spending *	FY2011      House 2
4100-0060	Division of Health Care Finance and Policy	13,979	17,513	17,449	17,122	17,032
TOTAL		13,979	17,513	17,449	17,122	17,032

Note:  GAA is General Appropriation Act.

* Projected spending reflects budget reductions implemented through the Governor's authority under section 9C of Chapter 29.  
No budgetary historical spending data available.  
 

Historical Employment Levels

Account	Description	June FY2007	June FY2008	June FY2009	Approved FY2010	Projected FY2011
4100-0060	Division of Health Care Finance and Policy	95	101	112	115	115
TOTAL		95	101	112	115	115

Figures represent full-time equivalents (FTEs) paid from budgeted funds, and exclude those paid from capital, federal grants and trust funds. FY2011 FTE figures are preliminary and may not represent actual levels.
 

---

 

Department of Public Health

account	description	amount
DEPARTMENT OF PUBLIC HEALTH		836,214,006
Budgetary Direct Appropriations		491,281,270
Direct Appropriations
4510-0100	Public Health Critical Operations and Essential Services For the operation of the department of public health	17,916,854
4510-0700	Addiction Control Services For addiction control services, which may include 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, 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                 Health and Prevention Fund ............... 100%	81,184,876
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	1,286,813
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; provided further, that funds may be expended as state matching funds required by the Pandemic and All-Hazards Preparedness Act; and provided further, notwithstanding any general or special law to the contrary, the costs of purchasing and distributing childhood vaccines for children in this item may be assessed on surcharge payers under section 38 of chapter 118G of the General Laws and may be collected in a manner consistent with said chapter 118G.	103,475,064
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 may 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                 Health and Prevention Fund ............... 83.00%                 General Fund ............... 17.00%	40,286,313
4512-0120	Children's Health and Nutrition For the operation of children's health and nutrition programs; provided, that the department may expend funds for 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 further, 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                 Health and Prevention Fund ............... 83.00%                 General Fund ............... 17.00%	38,865,075
4512-1500	Federally Required & 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 $4,160,000 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 $640,000 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	33,175,235
4512-9999	Consolidated Public Health Hospitals 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	151,744,504
4513-0100	Health Care Safety and Quality 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, 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 may expend funds for 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 further, that the department may expend funds from this item to monitor, survey and inspect nuclear power reactors, including those presently licensed by the Nuclear Regulatory Commission; provided further, 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 intellectually disabled 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	16,395,459
4590-0300	Smoking Prevention and Cessation Programs For smoking prevention and cessation programs                 Health and Prevention Fund ............... 90.00%                 General Fund ............... 10.00%	5,251,077

account	description	amount
Retained Revenues
4510-0726	Board of Registration in Medicine Fee Retained Revenue For the board of registration in medicine, including the physician profiles program; provided, that the board may expend revenues not to exceed $300,000 from new revenues associated with increased license and renewal fees	300,000
4510-0811	Sexual Assault Nurse Practitioner Retained Revenue The department of public health may expend not more than $1,000,000 from contributions and other revenue derived from public and private sources for the statewide sexual assault nurse examiner program and pediatric sexual assault nurse examiner program for the care of victims of sexual assault	1,000,000
4518-0200	Vital Records, Research, Cancer and Community Data The department may expend not more than $400,000 generated by fees collected from the following services provided at the registry of vital records and statistics: amendments of vital records, requests for vital records not issued in person at the registry and research requests performed by registry staff at the registry; provided, that revenues so collected 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 copy of a birth certificate for the purpose of establishing 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 lesser of this authorization or the most recent revenue estimate, as reported in the state accounting system	400,000

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 8910-0010, 8910-0102, 8910-0105, 8910-0107, 8910-0108, 8910-0110, 8910-0145, 8910-8200, 8910-8300, 8910-8400, 8910-8500, 8910-8600, 8910-8700, and 8910-8800 and 8910-0619                 Intragovernmental Service Fund ............... 100%	3,800,000

account	description	amount
Federal Grant Spending		272,081,771
4500-0115	ARRA- State Primary Care Offices For the purposes of a federally funded grant entitled, ARRA- State Primary Care Offices	42,470
4500-1000	Preventive Health Services Block Grant For the purposes of a federally funded grant entitled, Preventive Health Services Block Grant	2,749,602
4500-1050	Rape Prevention and Education For the purposes of a federally funded grant entitled, Rape Prevention and Education	842,169
4500-1051	Sexual Assault Services Program For the purposes of a federally funded grant entitled, Sexual Assualt Services Program	141,192
4500-1060	Rape Prevention Program Planning and Evaluation Capacity Building For the purposes of a federally funded grant entitled, Rape Prevention Program Planning and Evaluation Capacity Building	100,000
4500-1065	State Partnership to Improve Minority Health For the purposes of a federally funded grant entitled, State Partnership to Improve Minority Health	147,876
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	11,758,404
4502-1012	Cooperative Health Statistics System For the purposes of a federally funded grant entitled, Cooperative Health Statistics System	531,239
4510-0109	State Loan Repayment Project For the purposes of a federally funded grant entitled, State Loan Repayment Project	250,000
4510-0111	ARRA- State Loan Repayment Program For the purposes of a federally funded grant entitled, ARRA- State Loan Repayment Program	100,000
4510-0113	Office of Rural Health For the purposes of a federally funded grant entitled, Office of Rural Health	171,236
4510-0118	Primary Care Cooperative Agreement For the purposes of a federally funded grant entitled, Primary Care Cooperative Agreement	110,923
4510-0119	Rural Hospital Flexibility Program For the purposes of a federally funded grant entitled, Rural Hospital Flexibility Program	303,900
4510-0219	Small Rural Hospital Improvement Grant For the purposes of a federally funded grant entitled, Small Rural Hospital Improvement Grant	81,000
4510-0221	Targeted Oral Health Services For the purposes of a federally funded grant entitled, Targeted Oral Health Services	160,000
4510-0222	Massachusetts Oral Health Workforce in new Sites II For the purposes of a federally funded grant entitled, Massachusetts Oral Health Workforce in new Sites II	398,775
4510-0400	Medicare and Medicaid Survey and Certification For the purposes of a federally funded grant entitled, Medicare and Medicaid Survey and Certification	9,282,552
4510-0404	Bio-terrorism Hospital Preparedness For the purposes of a federally funded grant entitled, Bio-terrorism Hospital Preparedness	8,301,006
4510-0405	Pandemic Flu Healthcare Prep Improvement For the purposes of a federally funded grant entitled, Pandemic Flu Healthcare Prep Improvement	7,500
4510-0500	Clinical Laboratory Improvement Amendments For the purposes of a federally funded grant entitled, Clinical Laboratory Improvement Amendments	295,153
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	317,833
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	150,000
4510-0630	Enabling Electronic Prescribing and Enhancement For the purposes of a federally funded grant entitled, Enabling Electronic Prescribing and Enhancement	230,150
4510-0636	Childhood Lead Paint Poisoning Prevention For the purposes of a federally funded grant entitled, Childhood Lead Paint Poisoning Prevention	1,100,320
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	60,236
4510-0639	Food Protection Rapid Response Team For the purposes of a federally funded grant entitled, Food Protection Rapid Response Team	497,617
4510-9014	Mammography Quality Standards Act Inspections For the purposes of a federally funded grant entitled, Mammography Quality Standards Act Inspections	174,629
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	411,815
4510-9048	Indoor Radon Development Program For the purposes of a federally funded grant entitled, Indoor Radon Development Program	155,000
4510-9053	Beaches Environmental Assessment For the purposes of a federally funded grant entitled, Beaches Environmental Assessment	271,790
4510-9056	National Environmental Public Health Tracking For the purposes of a federally funded grant entitled, National Environmental Public Health Tracking	939,098
4512-0102	Sexually Transmitted Disease Control For the purposes of a federally funded grant entitled, Sexually Transmitted Disease Control	1,566,298
4512-0178	ARRA- Immunization For the purposes of a federally funded grant entitled, ARRA- Immunization	461,924
4512-0179	Vaccination Assistance Project For the purposes of a federally funded grant entitled, Vaccination Assistance Project	5,872,112
4512-0180	Epidemiology and Lab Surveillance For the purposes of a federally funded grant entitled, Epidemiology and Lab Surveillance	1,048,637
4512-0181	ARRA- Meningococcal Virus Prevention For the purposes of a federally funded grant entitled, ARRA- Meningococcal Virus Prevention	99,500
4512-0182	ARRA- Preventing Healthcare Associated Infections For the purposes of a federally funded grant entitled, ARRA- Preventing Healthcare Associated Infections	730,466
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	37,030,730
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	180,474
4513-1123	Adult Viral Hepatitis Prevention Coordinator For the purposes of a federally funded grant entitled, Adult Viral Hepatitis Prevention Coordinator	106,790
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	94,944,088
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	11,092,895
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 Disabilities For the purposes of a federally funded grant entitled, Program for Infants and Toddlers with Disabilities	7,606,943
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	100,000
4513-9035	AIDS Surveillance and Seroprevalence Project For the purposes of a federally funded grant entitled, AIDS Surveillance and Seroprevalence Project	972,639
4513-9037	Ryan White Comprehensive AIDS Resources For the purposes of a federally funded grant entitled, Ryan White Comprehensive AIDS Resources	21,225,000
4513-9038	Shelter Plus Care - Worcester For the purposes of a federally funded grant entitled, Shelter Plus Care - Worcester	298,836
4513-9046	Congenital Anomalies Center of Excellence For the purposes of a federally funded grant entitled, Congenital Anomalies Center of Excellence	1,000,000
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	400,000
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	100,000
4513-9066	Universal Newborn Hearing Screening - Enhancement Project For the purposes of a federally funded grant entitled, Universal Newborn Hearing Screening - Enhancement Project	300,000
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
4513-9076	Early Childhood Comprehensive Systems For the purposes of a federally funded grant entitled, Early Childhood Comprehensive Systems	140,000
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	130,000
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	65,859
4513-9083	Mass Youth Suicide Prevention Program For the purposes of a federally funded grant entitled, Mass Youth Suicide Prevention Program	542,270
4513-9085	Massachusetts Pregnancy Risk For the purposes of a federally funded grant entitled, Massachusetts Pregnancy Risk	173,864
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	92,706
4513-9090	Infants & Families with Disabilities For the purposes of a federally funded grant entitled, Infants & Families with Disabilities	2,659,359
4513-9091	ARRA- HNI Health Disparities (READY) For the purposes of a federally funded grant entitled, ARRA- HNI Health Disparities (READY)	431,245
4513-9092	Addressing Asthma From a Public Health Perspective For the purposes of a federally funded grant entitled, Addressing Asthma From a Public Health Perspective	450,000
4513-9093	Massachusetts LAUNCH For the purposes of a federally funded grant entitled, Massachusetts LAUNCH	850,000
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	51,400
4514-1007	ARRA- WIC Systems For the purposes of a federally funded grant entitled, ARRA- WIC Systems	624,969
4515-0115	Tuberculosis Control Project For the purposes of a federally funded grant entitled, Tuberculosis Control Project	1,553,501
4515-0121	Tuberculosis Epidemiologic Studies Consortium For the purposes of a federally funded grant entitled, Tuberculosis Epidemiologic Studies Consortium	472,549
4515-0200	STD/HIV Prevention Training Centers For the purposes of a federally funded grant entitled, STD/HIV Prevention Training Centers	367,993
4515-0204	Strengthening Surveillance for Infectious Disease For the purposes of a federally funded grant entitled, Strengthening Surveillance for Infectious Disease	176,376
4515-0205	HIV Training through Prevention Training Centers For the purposes of a federally funded grant entitled, HIV Training through Prevention Training Centers	46,672
4515-0206	Health Literacy & Oral Health Status of African Refugees For the purposes of a federally funded grant entitled, Health Literacy & Oral Health Status of African Refugees	522,202
4516-1021	Public Health Preparedness and Response for Bio-terrorism For the purposes of a federally funded grant entitled, Public Health Preparedness and Response for Bio-terrorism	14,050,475
4516-1028	State Local Pub Health Infrastructure For the purposes of a federally funded grant entitled, State and Local Public Health Infrastructure	1,049,486
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	26,399
4518-0514	National Violent Death Reporting System For the purposes of a federally funded grant entitled, National Violent Death Reporting System	263,348
4518-0534	Public Health Injury Surveillance and Prevention For the purposes of a federally funded grant entitled, Public Health Injury Surveillance and Prevention	745,793
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	27,500
4518-1002	Massachusetts Death File - Social Security Administration For the purposes of a federally funded grant entitled, Massachusetts Death File - Social Security Administration	42,500
4518-1003	Massachusetts Birth Records - Social Security Administration For the purposes of a federally funded grant entitled, Massachusetts Birth Records - Social Security Administration	242,033
4518-9023	Census of Fatal Occupational Injuries For the purposes of a federally funded grant entitled, Census of Fatal Occupational Injuries	48,645
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	135,488
4518-9035	Newborn Screening Trust For the purposes of a federally funded grant entitled, Newborn Screening Trust	242,000
4570-1509	Massachusetts Cardiovascular Disease Prevention For the purposes of a federally funded grant entitled, Massachusetts Cardiovascular Disease Prevention	1,144,041
4570-1512	National Cancer Prevention Control For the purposes of a federally funded grant entitled, National Cancer Prevention Control	4,979,553
4570-1513	Colorectal Cancer Screening For the purposes of a federally funded grant entitled, Colorectal Cancer Screening	1,000,000
4570-1514	Wise Woman For the purposes of a federally funded grant entitled, Wise Woman	900,000
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	1,000,152
4570-1520	Massachusetts Integration of Chronic Disease For the purposes of a federally funded grant entitled, Massachusetts Integration of Chronic Disease	2,482,222

account	description	amount
Trust and Other Spending		21,035,572
4510-0606	Urea Formaldehyde Foam Insulation for Homeowners	29,419
4510-0622	Radiation Control Trust	362,889
4510-0623	Surveillance of Health Outcomes and Drinking Water Quality Testing Trust	5,430
4510-0625	Low Level Radioactive Waste Rebate	290,030
4510-0635	Lead Paint Education and Training	2,250,650
4510-0714	Civil Monetary Penalties	330,000
4510-0727	Health Boards Professional Licensure Trust	6,336,652
4510-0729	Board of Registration in Medicine Trust	7,698,691
4510-2059	Mass Hospital School Telecommunications	10,547
4510-6921	Organ Transplant Fund	175,000
4512-0105	Massachusetts AIDS Fund	165,000
4513-1110	Wellness Initiative Expendable Trust	250,000
4514-0100	Catastrophic Illness in Children Relief	3,001,264
4514-0200	Spinal Cord Injury Trust Fund	130,000

 

Historical Budget Levels ($000)

Account		FY2008       GAA	FY2009       GAA	FY2010       GAA	FY2010 Projected Spending *	FY2011      House 2
4510-0040	Pharmaceutical and Medical Device Marketing Regulation	0	0	840	638	0
4510-0099	Health Facility Licensing, Inspections and Records Fee Retained Revenue	6,000	0	0	0	0
4510-0100	Public Health Critical Operations and Essential Services	17,091	21,912	18,542	18,357	17,917
4510-0106	End of Life Care Commission Retained Revenue	100	35	0	0	0
4510-0110	Community Health Center Services	7,289	7,458	1,000	954	0
4510-0600	Environmental Health Assessment and Compliance	3,997	4,134	3,161	3,104	0
4510-0615	Nuclear Power Reactor Monitoring Fee Retained Revenue	1,524	1,577	1,575	1,573	0
4510-0616	Prescription Drug Registration and Monitoring Fee Retained Revenue	601	609	1,000	844	0
4510-0700	Addiction Control Services	0	0	0	0	81,185
4510-0710	Division of Health Care Quality and Improvement	8,402	8,818	7,287	7,045	0
4510-0712	Division of Health Care Quality Health Facility Licensing Fee Retained Revenue	1,305	1,330	1,342	1,339	0
4510-0715	Primary Care Center and Loan Forgiveness Program	0	850	250	250	0
4510-0716	Academic Detailing Program	0	500	0	0	0
4510-0720	Certified Nurse's Aide Scholarships Fund	250	250	0	0	0
4510-0721	Board of Registration in Nursing	1,651	1,725	1,231	1,156	0
4510-0722	Board of Registration in Pharmacy	513	541	333	286	0
4510-0723	Board of Registration in Medicine and Acupuncture	2,545	2,670	1,812	1,287	1,287
4510-0725	Health Boards of Registration	446	472	359	348	0
4510-0726	Board of Registration in Medicine Fee Retained Revenue	300	300	300	300	300
4510-0790	Regional Emergency Medical Services	1,247	1,247	956	956	0
4510-0810	Sexual Assault Nurse Examiner (SANE) and Pediatric SANE Programs	3,610	3,623	3,003	3,153	0
4510-0811	Sexual Assault Nurse Practitioner Retained Revenue	0	0	0	0	1,000
4510-1000	Infectious Disease Prevention and Control	0	0	0	0	103,475
4510-2500	Health Promotion, Violence Prevention and Workforce Expansion	0	0	0	0	40,286
4512-0103	HIV/AIDS Prevention, Treatment and Services	36,941	37,667	35,336	35,330	0
4512-0106	HIV/AIDS Drug Program Manufacturer Rebates Retained Revenue	1,900	1,500	1,500	1,500	0
4512-0120	Children's Health and Nutrition	0	0	0	0	38,865
4512-0200	Bureau of Substance Abuse Services	77,811	80,557	75,924	75,924	0
4512-0201	Substance Abuse Step-Down Recovery Services	5,000	5,000	4,800	4,800	0
4512-0202	Secure Treatment Facilities for Opiate Addiction	0	5,000	2,000	2,000	0
4512-0203	Substance Abuse Family Intervention & Care Pilot	0	0	1,000	1,500	0
4512-0225	Compulsive Behavior Treatment Program Retained Revenue	1,000	1,000	1,000	500	0
4512-0500	Dental Health Services	2,618	3,147	1,424	1,424	0
4512-1500	Federally Required & Intergovernmental Retained Revenues	0	0	0	0	33,175
4512-9999	Consolidated Public Health Hospitals	0	0	0	0	151,745
4513-0100	Health Care Safety and Quality	0	0	0	0	16,395
4513-1000	Family Health Services	7,207	7,620	4,656	4,656	0
4513-1002	Women, Infants, and Children's Nutritional Services	13,327	13,565	12,465	12,465	0
4513-1010	Early Intervention Services Medicaid Reimbursement Retained Revenue	4,500	6,500	0	0	0
4513-1012	WIC Program Manufacturer Rebates Retained Revenue	22,000	24,600	26,875	26,875	0
4513-1020	Early Intervention Services	38,237	42,936	25,555	25,555	0
4513-1023	Newborn Hearing Screening Program	83	84	71	71	0
4513-1024	Shaken Baby Syndrome Prevention Program	350	350	193	193	0
4513-1026	Suicide Prevention and Intervention Program	3,750	4,753	3,569	3,219	0
4513-1111	Health Promotion and Disease Prevention	14,169	14,710	7,296	6,286	0
4513-1130	Domestic Violence and Sexual Assault Prevention and Treatment	3,867	6,392	4,908	4,908	0
4516-0263	Blood Lead Testing Fee Retained Revenue	1,487	1,442	1,442	1,442	0
4516-1000	State Laboratory and Communicable Disease Control Services	15,050	15,653	13,676	13,416	0
4516-1010	Matching funds for a Federal Emergency Preparedness Grant	0	0	1,134	1,134	0
4516-1022	State Laboratory Tuberculosis Testing Fee Retained Revenue	300	300	300	300	0
4518-0200	Vital Records, Research, Cancer and Community Data	400	400	400	400	400
4530-9000	Teenage Pregnancy Prevention Services	4,031	4,056	3,148	2,648	0
4570-1502	Infection Prevention Program	1,000	1,000	669	569	0
4580-1000	Universal Immunization Program	48,772	51,582	52,136	52,136	0
4590-0250	School-Based Health Programs	16,748	17,457	13,422	11,720	0
4590-0300	Smoking Prevention and Cessation Programs	12,750	12,750	5,001	4,501	5,251
4590-0912	Western Massachusetts Hospital Federal Reimbursement Retained Revenue	16,007	16,542	16,555	16,306	0
4590-0913	Shattuck Hospital Private Medical Vendor Retained Revenue	500	500	500	500	0
4590-0915	Public Health Hospitals	135,206	144,881	137,665	136,216	0
4590-0917	Shattuck Hospital Department of Correction Inmate Retained Revenue	4,000	4,160	4,160	4,160	0
4590-1503	Pediatric Palliative Care	800	1,000	786	786	0
4590-1506	Violence Prevention Grants	2,000	3,500	2,000	1,997	0
TOTAL		548,684	588,655	504,558	497,029	491,281

Note:  GAA is General Appropriation Act.

* Projected spending reflects budget reductions implemented through the Governor's authority under section 9C of Chapter 29.  
No budgetary historical spending data available.  
 

Historical Employment Levels

Account	Description	June FY2007	June FY2008	June FY2009	Approved FY2010	Projected FY2011
4510-0100	Public Health Critical Operations and Essential Services	209	215	186	167	151
4510-0110	Community Health Center Services	0	0	1	0	0
4510-0600	Environmental Health Assessment and Compliance	48	61	54	0	0
4510-0615	Nuclear Power Reactor Monitoring Fee Retained Revenue	17	16	17	0	0
4510-0616	Prescription Drug Registration and Monitoring Fee Retained Revenue	6	6	6	0	0
4510-0710	Division of Health Care Quality and Improvement	105	105	102	0	0
4510-0712	Division of Health Care Quality Health Facility Licensing Fee Retained Revenue	12	13	15	0	0
4510-0715	Primary Care Center and Loan Forgiveness Program	0	0	3	0	0
4510-0721	Board of Registration in Nursing	31	31	34	0	0
4510-0722	Board of Registration in Pharmacy	11	13	12	0	0
4510-0723	Board of Registration in Medicine and Acupuncture	63	76	74	72	72
4510-0725	Health Boards of Registration	11	12	12	0	0
4510-0810	Sexual Assault Nurse Examiner (SANE) and Pediatric SANE Programs	13	15	16	0	0
4510-1000	Infectious Disease Prevention and Control	0	0	0	152	151
4510-2500	Health Promotion, Violence Prevention and Workforce Expansion	0	0	0	50	50
4512-0103	HIV/AIDS Prevention, Treatment and Services	0	0	2	0	0
4512-0120	Children's Health and Nutrition	0	0	0	3	3
4512-0500	Dental Health Services	0	0	1	0	0
4512-1500	Federally Required & Intergovernmental Retained Revenues	0	0	0	10	14
4512-9999	Consolidated Public Health Hospitals	0	0	0	1,635	1,625
4513-0100	Health Care Safety and Quality	0	0	0	232	229
4513-1000	Family Health Services	0	0	4	0	0
4513-1020	Early Intervention Services	0	0	1	0	0
4513-1023	Newborn Hearing Screening Program	0	0	1	0	0
4513-1024	Shaken Baby Syndrome Prevention Program	0	1	1	0	0
4513-1026	Suicide Prevention and Intervention Program	0	3	6	0	0
4513-1111	Health Promotion and Disease Prevention	0	15	16	0	0
4513-1130	Domestic Violence and Sexual Assault Prevention and Treatment	0	0	2	0	0
4516-0263	Blood Lead Testing Fee Retained Revenue	18	17	16	0	0
4516-1000	State Laboratory and Communicable Disease Control Services	133	144	140	0	0
4516-1022	State Laboratory Tuberculosis Testing Fee Retained Revenue	1	1	1	0	0
4518-0200	Vital Records, Research, Cancer and Community Data	0	0	9	9	9
4530-9000	Teenage Pregnancy Prevention Services	0	0	2	0	0
4570-1502	Infection Prevention Program	0	5	5	0	0
4580-1000	Universal Immunization Program	0	0	1	0	0
4590-0250	School-Based Health Programs	0	0	10	0	0
4590-0912	Western Massachusetts Hospital Federal Reimbursement Retained Revenue	195	213	209	0	0
4590-0915	Public Health Hospitals	1,478	1,508	1,465	0	0
4590-0917	Shattuck Hospital Department of Correction Inmate Retained Revenue	0	8	0	0	0
4590-1503	Pediatric Palliative Care	0	1	1	0	0
TOTAL		2,352	2,477	2,424	2,330	2,305

Figures represent full-time equivalents (FTEs) paid from budgeted funds, and exclude those paid from capital, federal grants and trust funds. FY2011 FTE figures are preliminary and may not represent actual levels.
 

---

 

Department of Mental Health

account	description	amount
DEPARTMENT OF MENTAL HEALTH		646,339,820
Budgetary Direct Appropriations		621,742,379
Direct Appropriations
5011-0100	Department of Mental Health Administration and Operations For the operation of the department of mental health	27,375,404
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 for the purpose of funding these 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	72,173,509
5046-0000	Mental Health Services Including Adult, Homeless, and Emergency Supports For adult mental health and support services, including homelessness services, emergency service programs and acute inpatient mental health care services; provided, that the department shall continue an interagency service agreement with the executive office of health and human services for the purchase-of-services and for such other services as the agreement may provide; 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; and provided further, that the department shall report to the house and senate committees on ways and means and the secretary of administration and finance on the distribution of funds per adult and child planning population and the types of services received in each region for fiscal year 2011 not later than February 2, 2011	380,012,325
5055-0000	Forensic Services Program for Mentally Ill Persons For forensic services provided by the department	8,081,928
5095-0015	Inpatient Facilities and Community-Based Mental Health Services For hospital facilities and community-based mental health services	133,974,213

account	description	amount
Retained Revenues
5046-4000	CHOICE Program Retained Revenue The department of mental health may expend for the routine maintenance and repair of facilities in the creative housing option in community environments, the CHOICE program, authorized by chapter 167 of the acts of 1987, an amount not to exceed $125,000 in revenues collected from occupancy fees charged to the tenants of the program	125,000

account	description	amount
Federal Grant Spending		3,905,120
5012-9121	Project for Assistance in Transition from Homelessness For the purposes of a federally funded grant entitled, Project for Assistance in Transition from Homelessness	1,544,000
5012-9160	Jail Diversion and Trauma Recovery For the purposes of a federally funded grant entitled, Jail Diversion and Trauma Recovery	710,000
5012-9161	Community Re-Entry for Women For the purposes of a federally funded grant entitled, Community Re-Entry for Women	75,000
5046-9102	Shelter Plus Care Program For the purposes of a federally funded grant entitled, Shelter Plus Care Program	201,120
5047-9102	Comprehensive Mental Health Services for Children and their Families For the purposes of a federally funded grant entitled, Comprehensive Mental Health Services for Children and their Families	1,375,000

account	description	amount
Trust and Other Spending		20,692,321
5011-2001	Mental Health Information System Fund	3,516,089
5311-9101	Solomon Mental Health Center	553,692
5535-2689	Cape Cod and Islands Mental Health and Mental Retardation Center	3,050,549
5540-2689	Brockton Multi-Service Center	2,208,181
5541-2689	Dr. John C. Corrigan, Jr. Mental Health Center	3,994,763
5542-2689	Research and Training Trust	10,000
5651-2689	Massachusetts Mental Health Center	1,165,440
5652-2689	Dr. Solomon Carter Fuller Mental Health Center	3,730,404
5653-2689	Lindemann Mental Health Center	1,673,431
5654-2689	Mary Palmer's Mental Health Center Expendable Trust	3,020
5655-2690	Governor Francis P. Murphy Fund	42,000
5851-2689	Quincy Mental Health Center	744,752

 

Historical Budget Levels ($000)

Account		FY2008       GAA	FY2009       GAA	FY2010       GAA	FY2010 Projected Spending *	FY2011      House 2
5011-0100	Department of Mental Health Administration and Operations	40,142	38,360	29,648	28,673	27,375
5042-5000	Child and Adolescent Mental Health Services	73,531	76,202	72,200	72,184	72,174
5046-0000	Mental Health Services Including Adult, Homeless, and Emergency Supports	315,563	322,068	309,784	302,914	380,012
5046-2000	Statewide Homelessness Support Services	22,385	22,452	20,134	20,134	0
5046-4000	CHOICE Program Retained Revenue	125	125	125	125	125
5047-0001	Emergency Services and Acute Mental Health Care	36,159	36,228	34,705	34,554	0
5055-0000	Forensic Services Program for Mentally Ill Persons	8,019	8,105	8,148	8,099	8,082
5095-0015	Inpatient Facilities and Community-Based Mental Health Services	171,484	181,900	169,333	167,134	133,974
TOTAL		667,407	685,441	644,078	633,817	621,742

Note:  GAA is General Appropriation Act.

* Projected spending reflects budget reductions implemented through the Governor's authority under section 9C of Chapter 29.  
No budgetary historical spending data available.  
 

Historical Employment Levels

Account	Description	June FY2007	June FY2008	June FY2009	Approved FY2010	Projected FY2011
5011-0100	Department of Mental Health Administration and Operations	364	361	346	264	256
5042-5000	Child and Adolescent Mental Health Services	111	113	96	96	96
5046-0000	Mental Health Services Including Adult, Homeless, and Emergency Supports	1,034	1,045	899	923	923
5047-0001	Emergency Services and Acute Mental Health Care	7	17	11	0	0
5047-0002	Emergency Services and Acute Mental Health Care Retained Revenue	9	0	0	0	0
5055-0000	Forensic Services Program for Mentally Ill Persons	34	34	31	32	32
5095-0015	Inpatient Facilities and Community-Based Mental Health Services	2,174	2,174	2,128	1,610	1,366
TOTAL		3,733	3,743	3,512	2,924	2,672

Figures represent full-time equivalents (FTEs) paid from budgeted funds, and exclude those paid from capital, federal grants and trust funds. FY2011 FTE figures are preliminary and may not represent actual levels.
 

---

 

Office of Children, Youth, and Family Services

Fiscal Year 2011 Resource Summary ($000)

DEPARTMENT	FY2011 Budgetary Recommendations	FY2011 Federal, Trust, and ISF	FY2011 Total Spending	FY2011 Budgetary Non-Tax Revenue
Office for Refugees and Immigrants	250	0	250	0
Department of Youth Services	143,745	0	143,745	2,403
Department of Transitional Assistance	765,080	0	765,080	432,064
Department of Children and Families	759,969	0	759,969	197,087
TOTAL	1,669,043	0	1,669,043	631,555

 

 

Historical Budget Levels ($000)

Department	FY2008       GAA	FY2009       GAA	FY2010       GAA	FY2010 Projected Spending *	FY2011      House 2
Office for Refugees and Immigrants	500	650	250	250	250
Department of Youth Services	160,354	163,069	152,136	147,078	143,745
Department of Transitional Assistance	845,792	892,742	758,733	759,888	765,080
Department of Children and Families	800,095	836,478	783,760	775,564	759,969
TOTAL	1,806,740	1,892,939	1,694,878	1,682,779	1,669,043

Note:  GAA is General Appropriation Act.

* Projected spending reflects budget reductions implemented through the Governor's authority under section 9C of Chapter 29.  

Historical Spending Categories ($000)

SPENDING CATEGORY	FY2007 Expended	FY2008 Expended	FY2009 Expended	FY2010 Projected Spending *	FY2011 House 2
Wages & Salaries	322,945	347,300	342,715	322,365	323,395
Employee Benefits	14,809	12,277	13,213	13,238	13,373
Operating Expenses	72,609	75,944	73,731	61,039	64,836
Public Assistance	1,346,380	1,391,681	1,431,859	1,285,997	1,267,300
Grants & Subsidies	6,465	6,876	5,145	140	140
TOTAL	1,763,207	1,834,079	1,866,664	1,682,779	1,669,043

 

* Projected spending reflects budget reductions implemented through the Governor's authority under section 9C of Chapter 29.
 
 
 

Historical Employment Levels

Department	June FY2007	June FY2008	June FY2009	Approved FY2010	Projected FY2011
Department of Youth Services	878	881	898	907	907
Department of Transitional Assistance	1,583	1,627	1,606	1,435	1,435
Department of Children and Families	3,398	3,446	3,469	3,272	3,268
TOTAL	5,859	5,954	5,973	5,614	5,610

Figures represent full-time equivalents (FTEs) paid from budgeted funds, and exclude those paid from capital, federal grants and trust funds. FY2011 FTE figures are preliminary and may not represent actual levels.

---

Office for Refugees and Immigrants

account	description	amount
OFFICE FOR REFUGEES AND IMMIGRANTS		250,000
Budgetary Direct Appropriations
4003-0122	Low-Income Citizenship Program For a citizenship for New Americans program to assist legal permanent residents of the commonwealth who will be eligible for citizenship within 3 years in becoming citizens of the United States; provided, that persons who would qualify for benefits under chapter 118A of the General Laws but for their status as legal non-citizens shall be given highest priority for services; and provided further, that persons who currently receive state-funded benefits which could be replaced in whole or in part by federally-funded benefits if these persons become citizens, shall be given priority for services	250,000

 

Historical Budget Levels ($000)

Account		FY2008       GAA	FY2009       GAA	FY2010       GAA	FY2010 Projected Spending *	FY2011      House 2
4003-0122	Low-Income Citizenship Program	500	650	250	250	250
TOTAL		500	650	250	250	250

Note:  GAA is General Appropriation Act.

* Projected spending reflects budget reductions implemented through the Governor's authority under section 9C of Chapter 29.  
No budgetary historical spending data available.  
 
No budgetary historical employment levels data available.  

---

 

Department of Youth Services

account	description	amount
DEPARTMENT OF YOUTH SERVICES		143,744,597
Budgetary Direct Appropriations
4200-0010	Department of Youth Services Administration and Operations For the operation of the department of youth services	4,516,910
4200-0100	Non-Residential Services for Committed Population For supervision, counseling and other community-based services provided by the department to committed youth in non-residential care programs	21,936,465
4200-0200	Residential Services for Detained Population For pre-trial detention programs, including purchase-of-service and state-operated programs incidental to the operation of certain residential care programs	18,311,369
4200-0300	Residential Services for Committed Population For secure facilities, including education, purchase-of-service, state-operated programs and expenses incidental to the operation of committed facilities	96,479,853
4200-0500	Department of Youth Services Teacher Salaries For enhanced salaries for teachers at the department of youth services	2,500,000

 

Historical Budget Levels ($000)

Account		FY2008       GAA	FY2009       GAA	FY2010       GAA	FY2010 Projected Spending *	FY2011      House 2
4200-0010	Department of Youth Services Administration and Operations	5,547	5,658	4,628	4,548	4,517
4200-0100	Non-Residential Services for Committed Population	22,427	22,829	21,813	21,751	21,936
4200-0200	Residential Services for Detained Population	24,730	25,719	23,868	20,143	18,311
4200-0300	Residential Services for Committed Population	104,350	105,564	99,327	98,136	96,480
4200-0500	Department of Youth Services Teacher Salaries	3,300	3,300	2,500	2,500	2,500
TOTAL		160,354	163,069	152,136	147,078	143,745

Note:  GAA is General Appropriation Act.

* Projected spending reflects budget reductions implemented through the Governor's authority under section 9C of Chapter 29.  
No budgetary historical spending data available.  
 

Historical Employment Levels

Account	Description	June FY2007	June FY2008	June FY2009	Approved FY2010	Projected FY2011
4200-0010	Department of Youth Services Administration and Operations	42	41	35	34	34
4200-0100	Non-Residential Services for Committed Population	218	209	214	219	219
4200-0200	Residential Services for Detained Population	198	208	220	220	220
4200-0300	Residential Services for Committed Population	419	424	429	434	434
TOTAL		878	881	898	907	907

Figures represent full-time equivalents (FTEs) paid from budgeted funds, and exclude those paid from capital, federal grants and trust funds. FY2011 FTE figures are preliminary and may not represent actual levels.
 

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Department of Transitional Assistance

account	description	amount
DEPARTMENT OF TRANSITIONAL ASSISTANCE		765,079,873
Budgetary Direct Appropriations
4400-1000	Department of Transitional Assistance Administration and Operations For the operation of the department of transitional assistance, including the costs of case workers and domestic violence specialists at local area offices; provided, that funds shall also be made available for programs to increase the commonwealth's participation rate in the federal supplemental nutrition assistance program and other federal nutrition programs	112,549,581
4401-1000	Employment Services Program For employment and training services, including support services, for recipients of benefits provided under the transitional aid to families with dependent children program and the absent parents of those recipients; provided, that funds from this item may be expended on former recipients of the program for up to 1 year after termination of their benefits; provided further, that certain parents who have not yet reached the age of 18 years, including those who are ineligible for transitional aid to families with dependent children and who would qualify for benefits under chapter 118 of the General Laws but for the deeming of the grandparents' income, shall be eligible to receive services; provided further, that funds shall be expended for the provision of structured settings provided in subsection (i) of section 110 of chapter 5 of the acts of 1995 for parents under the age of 20 who are receiving benefits under the transitional aid to families with dependent children program; and provided further, the department will collaborate with the executive office of labor and workforce to develop options that maximize the use of employment service resources for recipients of benefits provided under the transitional aid to families with dependent children program	12,979,064
4403-2000	TAFDC Grant Payments For the operation of a program of transitional aid to families with dependent children; provided, that notwithstanding any general or special law to the contrary, benefits under the program shall be paid only to citizens of the United States and to non-citizens for whom federal funds may be used to provide benefits; provided further, that the need standard shall be equal to the standard in effect in fiscal year 2010 unless the department determines that a reduction in the monthly payment standard should be implemented before the end of the fiscal year to keep program expenditures within the amounts appropriated in this item; provided further, that the payment standard shall be equal to the need standard; provided further, that the payment standard for families who do not qualify for an exempt category of assistance under subsection (e) of section 110 of chapter 5 of the acts of 1995 shall be 2.75 per cent below the payment standard, under the state plan required under the Personal Responsibility and Work Opportunity Reconciliation Act of 1996; provided further, that the department of transitional assistance shall notify all teen parents receiving benefits from the programs of the requirements in clause (2) of subsection (i) of section 110; provided further, that a $40 per month rent allowance shall be paid to all households incurring a rent or mortgage expense and not residing in public housing or subsidized housing; provided further, that a non-recurring children's clothing allowance in the amount of $150 shall be provided to each child eligible under these programs in September 2010; provided further, that the children's clothing allowance shall be included in the standard of need for the month of September 2010; provided further, that benefits under this program shall not be available to those families in which a child has been removed from the household under a court order after a care and protection hearing on child abuse, nor to adult recipients otherwise eligible for transitional aid to families with dependent children but for the temporary removal of the dependent child or children from the home by the department of children and families in accordance with that department's procedures; provided further, that notwithstanding section 2 of chapter 118 of the General Laws or any other general or special law to the contrary, the department shall render aid to pregnant women with no other eligible dependent children only if it has been medically verified that the child is expected to be born within the month these payments are to be made or within the 3 month period following the month of payment, and who, if the child had been born and was living with her in the month of payment, would be categorically and financially eligible for transitional aid to families with dependent children benefits; provided further, that certain families that suffer a reduction in benefits due to a loss of earned income and participation in retrospective budgeting may receive a supplemental benefit to compensate them for this loss; provided further, that the department shall review and revise its disability standards to reflect current medical and vocational criteria	319,165,900
4403-2007	Supplemental Nutritional Program For a nutritional benefit program for low-income workers; provided, that benefits shall be provided only to those for whom receiving these benefits will improve the work participation rate under the federal program of temporary assistance for needy families	800,000
4403-2119	Teen Structured Settings Program For the provision of structured settings as provided in subsection (i) of section 110 of chapter 5 of the acts of 1995, or any successor statute, for parents under the age of 20 who are receiving benefits under the transitional aid to families with dependent children program	6,576,243
4405-2000	State Supplement to Supplemental Security Income For the state supplement to the supplemental security income program for the aged and disabled, including a program for emergency needs for supplemental security income recipients; provided, that funds may be expended from this item for burial expenses incurred in the prior fiscal year; provided further, that the department of transitional assistance, in collaboration with the executive office of health and human services, may fund an optional supplemental living arrangement category under the supplemental security income program that makes payments to persons living in assisted living residences certified under chapter 19D of the General Laws who meet the income and clinical eligibility criteria established by the department and the executive office; provided further, that the optional category of payments shall only be administered in conjunction with the Medicaid group adult foster care benefit; and provided further, that reimbursements to providers for services rendered in prior fiscal years may be expended from this item	224,184,854
4408-1000	Emergency Aid to the Elderly, Disabled and Children For a program of cash assistance to certain residents of the commonwealth, entitled emergency aid to the elderly, disabled and children found by the department to be eligible for this aid under chapter 117A of the General Laws and regulations adopted by the department and subject to the limitations of appropriation for this purpose; provided, that benefits under this item shall only be provided to residents who are citizens of the United States or qualified aliens or non-citizens otherwise permanently residing in the United States under color of law and shall not be provided to illegal or undocumented aliens; provided further, that any such individual shall not be subject to sponsor income deeming or related restrictions; provided further, that the payment standard shall equal the payment standard in effect under the general relief program in fiscal year 1991; provided further, that the department may provide benefits to persons age 65 or older who have applied for benefits under chapter 118A of the General Laws, to persons suffering from a medically determinable impairment or combination of impairments which is expected to last for a period as determined by department regulations and which substantially reduces or eliminates the individual's capacity to support himself and which has been verified by a competent authority, to certain persons caring for a disabled person, to otherwise eligible participants in the vocational rehabilitation program of the Massachusetts rehabilitation commission and to dependent children who are ineligible for benefits under both chapter 118 of the General Laws and the separate program created by section 210 of chapter 43 of the acts of 1997 and parents or other caretakers of dependent children who are ineligible under chapter 118 and under the separate program; provided further, that the department shall review and revise its disability standards to reflect current medical and vocational criteria; provided further, that no ex-offender, person over age 45 without a prior work history or person in a residential treatment facility shall be eligible for benefits under this program unless the person otherwise meets the eligibility criteria described in this item and defined by regulations of the department; provided further, that no person incarcerated in a correctional institution shall be eligible for benefits under the program; provided further, that no funds shall be expended from this item for the payment of expenses associated with any medical review team, other disability screening process or costs associated with verifying disability for this program; provided further, that the department shall adopt emergency regulations under chapter 30A of the General Laws to implement the changes to this program required by this item promptly and within the appropriation; provided further, that in initially implementing the program for this fiscal year, the department shall include all eligibility categories permitted in this item at the payment standard in effect for the former general relief program in fiscal year 1991; provided further, that in adopting, amending or rescinding its regulations with respect to eligibility or benefits, including the payment standard, medical benefits and any other benefits under this program, the department shall take into account the amounts available to it for expenditure by this item so as not to exceed the amount appropriated in this item; provided further, that the department may adopt emergency regulations under chapter 30A of the General Laws to implement these eligibility or benefit changes or both; provided further, that nothing in this item shall be construed as creating any right accruing to recipients of the former general relief program; provided further, that reimbursements collected from the Social Security Administration on behalf of former clients of the emergency aid to the elderly, disabled and children program or unprocessed payments from the program that are returned to the department shall be credited to the General Fund; and provided further, that notwithstanding any general or special law to the contrary, the funds made available in this item shall be the only funds available for the program, and the department shall not spend funds for the program in excess of the amount made available in this item	88,824,231

 

Historical Budget Levels ($000)

Account		FY2008       GAA	FY2009       GAA	FY2010       GAA	FY2010 Projected Spending *	FY2011      House 2
4400-1000	Department of Transitional Assistance Administration and Operations	68,058	68,137	52,728	51,710	112,550
4400-1001	Food Stamp Participation Rate Programs	2,631	2,933	2,356	2,356	0
4400-1025	Domestic Violence Specialists	692	722	726	726	0
4400-1100	Caseworker Salaries and Benefits	56,693	58,873	54,607	54,517	0
4401-1000	Employment Services Program	27,162	27,721	23,043	20,979	12,979
4401-1100	Employment Services Program Federal Food Stamp Reimbursement Retained Revenue	7,000	0	0	0	0
4401-1101	Employment Services Program Retained Revenue	0	7,000	2,450	950	0
4403-2000	TAFDC Grant Payments	274,470	302,743	308,077	316,187	319,166
4403-2007	Supplemental Nutritional Program	0	1,200	1,200	800	800
4403-2119	Teen Structured Settings Program	6,876	6,928	6,577	6,576	6,576
4403-2120	Emergency Assistance - Family Shelters and Services	83,122	87,224	0	0	0
4405-2000	State Supplement to Supplemental Security Income	212,028	219,305	222,311	221,657	224,185
4406-3000	Homeless Individuals Assistance	35,940	36,282	0	0	0
4406-3010	Home and Healthy for Good	1,200	1,200	0	0	0
4408-1000	Emergency Aid to the Elderly, Disabled and Children	69,920	72,476	84,659	83,430	88,824
TOTAL		845,792	892,742	758,733	759,888	765,080

Note:  GAA is General Appropriation Act.

* Projected spending reflects budget reductions implemented through the Governor's authority under section 9C of Chapter 29.  
No budgetary historical spending data available.  
 

Historical Employment Levels

Account	Description	June FY2007	June FY2008	June FY2009	Approved FY2010	Projected FY2011
4400-1000	Department of Transitional Assistance Administration and Operations	491	494	483	1,433	1,433
4400-1001	Food Stamp Participation Rate Programs	8	9	9	0	0
4400-1025	Domestic Violence Specialists	11	12	12	0	0
4400-1100	Caseworker Salaries and Benefits	1,049	1,087	1,075	0	0
4403-2119	Teen Structured Settings Program	2	2	2	2	2
4403-2120	Emergency Assistance - Family Shelters and Services	22	23	25	0	0
TOTAL		1,583	1,627	1,606	1,435	1,435

Figures represent full-time equivalents (FTEs) paid from budgeted funds, and exclude those paid from capital, federal grants and trust funds. FY2011 FTE figures are preliminary and may not represent actual levels.
 

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Department of Children and Families

account	description	amount
DEPARTMENT OF CHILDREN AND FAMILIES		759,968,559
Budgetary Direct Appropriations
Direct Appropriations
4800-0015	Social Worker Services and Related Operational Support For the operation of the department of children and families, including the costs of the department's social workers, administration, purchased operational support and foster care review; provided, that the department shall pursue the establishment of a DCF operated service coordination and referral function; the department may enter into a public-private partnership contract agreement for utilization management functions; and provided further, that flex services provided by the department may be funded from this item	237,781,590
4800-0038	Services for Children and Families For services to children and families including but not limited to permanency, stabilization, placement, congregate care, juvenile offender placement and the sexual abuse intervention network	497,219,634
4800-1400	Support Services for People at Risk of Domestic Violence For shelters and support services, including payroll costs, for people at risk of domestic violence	20,627,311

account	description	amount
Retained Revenues
4800-0016	Roca Retained Revenue for Cities and Towns The department of children and families may expend for the operation of the transitional employment program an amount not to exceed $2,000,000 from revenues collected for services provided by the participants; provided, that notwithstanding any general or special law to the contrary, the department may enter into a contract with Roca, Inc. to manage the transitional employment program and to provide services to participants from the aging-out population, parolees, probationers, youth service releasees or other community residents considered to have employment needs	2,000,000
4800-0091	Child Welfare Training Institute Retained Revenue The department of children and families may expend for the purpose of administering a child welfare professional development training institute an amount not to exceed $2,340,024 from federal reimbursements received under Title IV-E of the Social Security Act; provided, that notwithstanding any general or special law to the contrary, for the purposes 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	2,340,024

 

Historical Budget Levels ($000)

Account		FY2008       GAA	FY2009       GAA	FY2010       GAA	FY2010 Projected Spending *	FY2011      House 2
4800-0015	Social Worker Services and Related Operational Support	78,031	77,338	69,880	67,976	237,782
4800-0016	Roca Retained Revenue for Cities and Towns	2,000	2,000	500	2,000	2,000
4800-0021	Enhanced Comprehensive Social Services	0	5,000	0	0	0
4800-0025	Foster Care Review	2,866	2,976	2,690	2,677	0
4800-0030	DSS Regional Administration	20,931	21,021	7,000	10,750	0
4800-0036	Sexual Abuse Intervention Network	739	740	698	698	0
4800-0038	Services for Children and Families	293,663	313,793	299,234	291,876	497,220
4800-0041	Group Care Services	228,237	229,555	223,569	220,669	0
4800-0091	Child Welfare Training Institute Retained Revenue	3,000	3,000	2,673	2,134	2,340
4800-0151	Placement Services for Juvenile Offenders	319	319	271	271	0
4800-1100	Social Workers for Case Management	147,289	157,263	155,319	155,091	0
4800-1400	Support Services for People at Risk of Domestic Violence	23,020	23,473	21,925	21,422	20,627
TOTAL		800,095	836,478	783,760	775,564	759,969

Note:  GAA is General Appropriation Act.

* Projected spending reflects budget reductions implemented through the Governor's authority under section 9C of Chapter 29.  
No budgetary historical spending data available.  
 

Historical Employment Levels

Account	Description	June FY2007	June FY2008	June FY2009	Approved FY2010	Projected FY2011
4800-0015	Social Worker Services and Related Operational Support	597	631	611	3,227	3,223
4800-0025	Foster Care Review	43	44	42	0	0
4800-0036	Sexual Abuse Intervention Network	6	6	8	0	0
4800-0038	Services for Children and Families	8	8	4	13	13
4800-0091	Child Welfare Training Institute Retained Revenue	8	7	11	12	12
4800-0151	Placement Services for Juvenile Offenders	0	0	1	0	0
4800-1100	Social Workers for Case Management	2,714	2,728	2,772	0	0
4800-1400	Support Services for People at Risk of Domestic Violence	23	23	20	20	20
TOTAL		3,398	3,446	3,469	3,272	3,268

Figures represent full-time equivalents (FTEs) paid from budgeted funds, and exclude those paid from capital, federal grants and trust funds. FY2011 FTE figures are preliminary and may not represent actual levels.
 

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Office of Disabilities and Community Services

Fiscal Year 2011 Resource Summary ($000)

DEPARTMENT	FY2011 Budgetary Recommendations	FY2011 Federal, Trust, and ISF	FY2011 Total Spending	FY2011 Budgetary Non-Tax Revenue
Massachusetts Commission for the Blind	27,037	10,510	37,547	2,857
Massachusetts Rehabilitation Commission	42,118	93,241	135,359	3,669
Massachusetts Commission for the Deaf and Hard of Hearing	4,895	453	5,348	128
Soldiers' Home in Massachusetts	26,271	0	26,271	11,471
Soldiers' Home in Holyoke	19,803	0	19,803	11,925
Department of Developmental Services	1,247,366	5,138	1,252,504	437,015
TOTAL	1,367,491	109,342	1,476,833	467,065

 

 

Historical Budget Levels ($000)

Department	FY2008       GAA	FY2009       GAA	FY2010       GAA	FY2010 Projected Spending *	FY2011      House 2
Massachusetts Commission for the Blind	29,186	30,068	26,909	26,893	27,037
Massachusetts Rehabilitation Commission	45,266	50,415	44,788	42,150	42,118
Massachusetts Commission for the Deaf and Hard of Hearing	5,682	5,795	5,334	4,990	4,895
Soldiers' Home in Massachusetts	26,343	27,269	26,294	26,313	26,271
Soldiers' Home in Holyoke	20,185	20,806	19,803	20,006	19,803
Department of Developmental Services	1,226,416	1,271,886	1,260,367	1,252,479	1,247,366
TOTAL	1,353,078	1,406,241	1,383,496	1,372,833	1,367,491

Note:  GAA is General Appropriation Act.

* Projected spending reflects budget reductions implemented through the Governor's authority under section 9C of Chapter 29.  

Historical Spending Categories ($000)

SPENDING CATEGORY	FY2007 Expended	FY2008 Expended	FY2009 Expended	FY2010 Projected Spending *	FY2011 House 2
Wages & Salaries	349,631	360,920	353,363	341,669	322,883
Employee Benefits	13,818	14,070	13,450	13,938	14,127
Operating Expenses	86,529	89,692	87,586	82,053	79,305
Public Assistance	863,154	900,203	930,765	935,172	951,176
TOTAL	1,313,132	1,364,885	1,385,163	1,372,833	1,367,491

 

* Projected spending reflects budget reductions implemented through the Governor's authority under section 9C of Chapter 29.
 
 
 

Historical Employment Levels

Department	June FY2007	June FY2008	June FY2009	Approved FY2010	Projected FY2011
Massachusetts Commission for the Blind	93	96	52	52	52
Massachusetts Rehabilitation Commission	59	61	63	63	59
Massachusetts Commission for the Deaf and Hard of Hearing	55	55	53	52	50
Soldiers' Home in Massachusetts	398	388	370	373	373
Soldiers' Home in Holyoke	323	324	313	308	308
Department of Developmental Services	6,857	6,955	6,642	6,449	6,214
TOTAL	7,784	7,878	7,493	7,297	7,056

Figures represent full-time equivalents (FTEs) paid from budgeted funds, and exclude those paid from capital, federal grants and trust funds. FY2011 FTE figures are preliminary and may not represent actual levels.

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Massachusetts Commission for the Blind

account	description	amount
MASSACHUSETTS COMMISSION FOR THE BLIND		37,547,279
Budgetary Direct Appropriations		27,037,118
4110-0001	MCB Administration and Operations For the operation of the Massachusetts commission for the blind, including the costs of the community services and turning 22 programs and vocational rehabilitation services for the blind undertaken in cooperation with the federal government; provided, that the commission shall work in conjunction with the department of developmental disabilities to secure the maximum amount of federal reimbursements available for the care of turning 22 clients and to secure similar rates for contracted residential services; and provided further, that no funds from the federal vocational rehabilitation grants or state funds shall be deducted for pensions, group health and life insurance, or any other fringe benefit or indirect costs of federally reimbursed state employees	18,685,475
4110-1010	State Supplement to Federal Supplemental Security Income (SSI) for the Blind For aid to the adult blind; provided, that funds may be expended from this item for burial expenses incurred in the prior fiscal year and for sheltered workforce employee retirement benefits	8,351,643

account	description	amount
Federal Grant Spending		10,198,161
4110-3020	Vocational Rehabilitation Grant for the Blind For the purposes of a federally funded grant entitled, Vocational Rehabilitation Grant for the Blind	150,000
4110-3021	Basic Support Grant for the Blind For the purposes of a federally funded grant entitled, Basic Support Grant for the Blind	8,171,893
4110-3023	Independent Living for the Blind - Adaptive Housing For the purposes of a federally funded grant entitled, Independent Living for the Blind - Adaptive Housing	65,550
4110-3026	Independent Living - Services to Older Blind Americans For the purposes of a federally funded grant entitled, Independent Living - Services to Older Blind Americans	774,609
4110-3027	Rehabilitation Training for the Blind For the purposes of a federally funded grant entitled, Rehabilitation Training for the Blind	29,280
4110-3028	Supported Employment for the Blind For the purposes of a federally funded grant entitled, Supported Employment for the Blind	128,085
4110-3030	ARRA- Basic Support Vocational Rehabilitation Services For the purposes of a federally funded grant entitled, ARRA- Basic Support Vocational Rehabilitation Services	550,294
4110-3032	ARRA- Older Independent Blind For the purposes of a federally funded grant entitled, ARRA- Older Independent Blind	328,450

account	description	amount
Trust and Other Spending		312,000
4110-6600	Educational Purposes Trust Fund	275,000
4110-6606	Vending Facility Operators Trust Fund	37,000

 

Historical Budget Levels ($000)

Account		FY2008       GAA	FY2009       GAA	FY2010       GAA	FY2010 Projected Spending *	FY2011      House 2
4110-0001	MCB Administration and Operations	1,122	1,169	1,014	1,000	18,685
4110-1000	Community Services for the Blind	4,367	4,546	3,835	3,835	0
4110-1010	State Supplement to Federal Supplemental Security Income (SSI) for the Blind	8,352	8,352	8,352	8,352	8,352
4110-1020	Medical Assistance Eligibility Determination for the Blind	329	370	0	0	0
4110-2000	Turning 22 Program and Services	9,909	10,663	10,663	10,661	0
4110-2001	Turning 22 - New Clients	175	0	0	0	0
4110-3010	Vocational Rehabilitation for the Blind	3,030	3,045	3,045	3,045	0
4110-4000	Ferguson Industries for the Blind	1,902	1,924	0	0	0
TOTAL		29,186	30,068	26,909	26,893	27,037

Note:  GAA is General Appropriation Act.

* Projected spending reflects budget reductions implemented through the Governor's authority under section 9C of Chapter 29.  
No budgetary historical spending data available.  
 

Historical Employment Levels

Account	Description	June FY2007	June FY2008	June FY2009	Approved FY2010	Projected FY2011
4110-0001	MCB Administration and Operations	6	7	7	52	52
4110-1000	Community Services for the Blind	41	40	37	0	0
4110-1020	Medical Assistance Eligibility Determination for the Blind	5	6	0	0	0
4110-2000	Turning 22 Program and Services	8	8	8	0	0
4110-4000	Ferguson Industries for the Blind	34	34	0	0	0
TOTAL		93	96	52	52	52

Figures represent full-time equivalents (FTEs) paid from budgeted funds, and exclude those paid from capital, federal grants and trust funds. FY2011 FTE figures are preliminary and may not represent actual levels.
 

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Massachusetts Rehabilitation Commission

account	description	amount
MASSACHUSETTS REHABILITATION COMMISSION		135,358,566
Budgetary Direct Appropriations		42,117,609
4120-1000	MRC Administration and Operations For the operation of the commission including the housing registry for the disabled, the turning 22 program of the commission, home care assistance, employment assistance and independent living assistance services; provided further, that the commissioner shall report quarterly to the house and senate committees on ways and means and the secretary of administration and finance on the number of clients served and the amount expended on each type of service; provided further, that upon the written request of the commissioner of revenue, the commission shall provide lists of individual clients to whom or on behalf of whom payments have been made for the purpose of verifying eligibility and detecting and preventing fraud, error and abuse in the programs administered by the commission; and provided further, that the lists shall include client names and social security numbers and payee names and other identification, if different from a client's	21,207,713
4120-2000	Vocational Rehabilitation for the Disabled For vocational rehabilitation services operated in cooperation with the federal government; provided, that no funds from the federal vocational rehabilitation grant or state appropriation shall be deducted for pensions, group health and life insurance and any other indirect cost of federally reimbursed state employees	10,028,514
4120-6000	Head Injury Treatment Services For head injury treatment services	10,881,382

account	description	amount
Federal Grant Spending		79,666,675
4120-0020	Vocational Rehabilitation Program Federal Funds For the purposes of a federally funded grant entitled, Vocational Rehabilitation Program Federal Funds	40,119,565
4120-0021	ARRA- Basic Vocational Rehabilitation Support For the purposes of a federally funded grant entitled, ARRA- Basic Vocational Rehabilitation Support	2,998,320
4120-0040	Vocational Rehabilitation Comprehensive Systems Personnel Development Training For the purposes of a federally funded grant entitled, Vocational Rehabilitation Comprehensive Systems Personnel Development Training	110,200
4120-0187	Supported Employment Program Federal Funds For the purposes of a federally funded grant entitled, Supported Employment Program Federal Funds	516,463
4120-0191	Informed Members Planning and Assessing Choices Together For the purposes of a federally funded grant entitled, Informed Members Planning and Assessing Choices Together	165,637
4120-0511	Disability Determination Services For the purposes of a federally funded grant entitled, Disability Determination Services	33,035,552
4120-0603	Innovation Strategies for Transition Youth with Disabilities For the purposes of a federally funded grant entitled, Innovation Strategies for Transition Youth with Disabilities	350,000
4120-0608	Traumatic Brain Injury (TBI) Implementation Grant For the purposes of a federally funded grant entitled, Traumatic Brain Injury (TBI) Implementation Grant	120,000
4120-0760	Independent Living Federal Grant For the purposes of a federally funded grant entitled, Independent Living Federal Grant	1,750,000
4120-0768	Assistive Technology Act For the purposes of a federally funded grant entitled, Assistive Technology Act	500,938

account	description	amount
Trust and Other Spending		13,574,282
4120-0029	Vocational Rehabilitation for the Multi-Disabled Trust Fund	3,000,000
4120-0030	Workforce Coordinating Grant Trust Account	44,796
4120-0032	Employment Services Training	20,000
4120-0607	Development Employment Strategies and Services Competencies / Training	9,486
4120-6002	Head Injury Treatment Services Trust Fund	10,500,000

 

Historical Budget Levels ($000)

Account		FY2008       GAA	FY2009       GAA	FY2010       GAA	FY2010 Projected Spending *	FY2011      House 2
4120-1000	MRC Administration and Operations	586	647	473	467	21,208
4120-2000	Vocational Rehabilitation for the Disabled	8,048	10,982	10,599	10,405	10,029
4120-3000	Employment Assistance	8,382	8,561	4,171	2,469	0
4120-4000	Independent Living Assistance for the Multi-Disabled	11,401	12,449	11,946	11,943	0
4120-4001	Accessible Housing Placement and Registry for Disabled Persons	89	89	80	80	0
4120-4010	Turning 22 Program and Services	764	884	802	802	0
4120-5000	Home Care Services for the Multi-Disabled	5,978	5,868	5,508	5,104	0
4120-6000	Head Injury Treatment Services	10,018	10,934	11,209	10,882	10,881
TOTAL		45,266	50,415	44,788	42,150	42,118

Note:  GAA is General Appropriation Act.

* Projected spending reflects budget reductions implemented through the Governor's authority under section 9C of Chapter 29.  
No budgetary historical spending data available.  
 

Historical Employment Levels

Account	Description	June FY2007	June FY2008	June FY2009	Approved FY2010	Projected FY2011
4120-1000	MRC Administration and Operations	3	4	4	48	44
4120-3000	Employment Assistance	10	11	11	0	0
4120-4000	Independent Living Assistance for the Multi-Disabled	13	14	16	0	0
4120-5000	Home Care Services for the Multi-Disabled	17	17	17	0	0
4120-5050	Home Care, Employment and Independent Living Medicaid Reimbursement	2	0	0	0	0
4120-6000	Head Injury Treatment Services	15	15	15	15	15
TOTAL		59	61	63	63	59

Figures represent full-time equivalents (FTEs) paid from budgeted funds, and exclude those paid from capital, federal grants and trust funds. FY2011 FTE figures are preliminary and may not represent actual levels.
 

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Massachusetts Commission for the Deaf and Hard of Hearing

account	description	amount
MASSACHUSETTS COMMISSION FOR THE DEAF AND HARD OF HEARING		5,348,045
Budgetary Direct Appropriations		4,895,345
Direct Appropriations
4125-0100	Massachusetts Commission for the Deaf and Hard of Hearing For the operation of the Massachusetts commission for the deaf and hard of hearing	4,895,345

account	description	amount
Intragovernmental Service Spending		250,000
4125-0122	Chargeback for Interpreter Services For the costs of interpreter services provided by staff of the Massachusetts commission for the deaf and hard of hearing                 Intragovernmental Service Fund ............... 100%	250,000

account	description	amount
Trust and Other Spending		202,700
4125-0104	Interpreter Services Revolving Fund	202,700

 

Historical Budget Levels ($000)

Account		FY2008       GAA	FY2009       GAA	FY2010       GAA	FY2010 Projected Spending *	FY2011      House 2
4125-0100	Massachusetts Commission for the Deaf and Hard of Hearing	5,670	5,783	5,334	4,990	4,895
4125-0102	Interpreters for State House Events	12	12	0	0	0
TOTAL		5,682	5,795	5,334	4,990	4,895

Note:  GAA is General Appropriation Act.

* Projected spending reflects budget reductions implemented through the Governor's authority under section 9C of Chapter 29.  
No budgetary historical spending data available.  
 

Historical Employment Levels

Account	Description	June FY2007	June FY2008	June FY2009	Approved FY2010	Projected FY2011
4125-0100	Massachusetts Commission for the Deaf and Hard of Hearing	55	55	53	52	50
TOTAL		55	55	53	52	50

Figures represent full-time equivalents (FTEs) paid from budgeted funds, and exclude those paid from capital, federal grants and trust funds. FY2011 FTE figures are preliminary and may not represent actual levels.
 

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Soldiers' Home in Massachusetts

account	description	amount
SOLDIERS' HOME IN MASSACHUSETTS		26,271,449
Budgetary Direct Appropriations
Direct Appropriations
4180-0100	Soldiers' Home in Massachusetts Administration and Operations For the maintenance and operation of the soldiers' home in Massachusetts, located in the city of Chelsea, for qualified veterans as defined by section 7 of chapter 4 of the General Laws, with services provided to include skilled nursing, long term care, Alzheimer's unit, supervised / assisted living with clinical support and domiciliary beds; provided, that all pharmacy services shall be purchased through the state office of pharmacy services	25,940,788

account	description	amount
Retained Revenues
4180-1100	License Plate Sales Retained Revenue The soldiers' home in Massachusetts, located in the city of Chelsea, may expend for facility maintenance and patient care an amount not to exceed $330,661; provided, that 60 per cent of all revenues generated under section 2 of chapter 90 of the General Laws through the purchase of license plates with the designation VETERAN by eligible veterans of the commonwealth, after compensating the registry of motor vehicles for the costs associated with the license plates, shall be deposited into and for the purposes of this account; and provided further, 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, prior appropriation continued	330,661

 

Historical Budget Levels ($000)

Account		FY2008       GAA	FY2009       GAA	FY2010       GAA	FY2010 Projected Spending *	FY2011      House 2
4180-0100	Soldiers' Home in Massachusetts Administration and Operations	26,043	26,969	25,963	25,941	25,941
4180-1100	License Plate Sales Retained Revenue	301	301	331	372	331
TOTAL		26,343	27,269	26,294	26,313	26,271

Note:  GAA is General Appropriation Act.

* Projected spending reflects budget reductions implemented through the Governor's authority under section 9C of Chapter 29.  
No budgetary historical spending data available.  
 

Historical Employment Levels

Account	Description	June FY2007	June FY2008	June FY2009	Approved FY2010	Projected FY2011
4180-0100	Soldiers' Home in Massachusetts Administration and Operations	398	388	370	373	373
TOTAL		398	388	370	373	373

Figures represent full-time equivalents (FTEs) paid from budgeted funds, and exclude those paid from capital, federal grants and trust funds. FY2011 FTE figures are preliminary and may not represent actual levels.
 

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Soldiers' Home in Holyoke

account	description	amount
SOLDIERS' HOME IN HOLYOKE		19,803,450
Budgetary Direct Appropriations
Direct Appropriations
4190-0100	Soldiers' Home in Holyoke Administration and Operations For the maintenance and operation of the soldiers' home in Holyoke, qualified veterans as defined by section 7 of chapter 4 of the General Laws, with services provided to include long term care, Alzheimer's unit, and domiciliary beds; provided, that all pharmacy services shall be purchased through the state office of pharmacy services	19,438,450

account	description	amount
Retained Revenues
4190-0101	Holyoke Antenna Retained Revenue For the soldiers' home in Holyoke which may expend for its operation an amount not to exceed $5,000 from the licensing of the property for placement of aerial antennas	5,000
4190-0102	Pharmacy Co-Payment Fee Retained Revenue The soldiers' home in Holyoke may expend for the outpatient pharmacy program an amount not to exceed $110,000 from co-payments which it may charge to users of the program; provided, that the rates of the co-payments and the procedures for their administration shall be determined annually by the soldiers' home superintendent; and provided further, 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 soldiers' home 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	110,000
4190-0200	Holyoke Telephone and Television Retained Revenue The soldiers' home in Holyoke may expend for the provision of television and telephone services to residents an amount not to exceed $25,000 from fees collected from veterans in its care	25,000
4190-1100	License Plate Sales Retained Revenue The soldiers' home in Holyoke may expend for facility maintenance and patient care an amount not to exceed $225,000; provided, that 40 per cent of all revenues generated under section 2 of chapter 90 of the General Laws through the purchase of license plates with the designation VETERAN by eligible veterans of the commonwealth, after compensating the registry of motor vehicles for the costs associated with the license plates, shall be deposited into and for the purposes of this account; and provided further, 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, prior appropriation continued	225,000

 

Historical Budget Levels ($000)

Account		FY2008       GAA	FY2009       GAA	FY2010       GAA	FY2010 Projected Spending *	FY2011      House 2
4190-0100	Soldiers' Home in Holyoke Administration and Operations	19,734	20,323	19,438	19,438	19,438
4190-0101	Holyoke Antenna Retained Revenue	0	83	5	5	5
4190-0102	Pharmacy Co-Payment Fee Retained Revenue	225	151	110	110	110
4190-0200	Holyoke Telephone and Television Retained Revenue	25	25	25	25	25
4190-1100	License Plate Sales Retained Revenue	200	225	225	428	225
TOTAL		20,185	20,806	19,803	20,006	19,803

Note:  GAA is General Appropriation Act.

* Projected spending reflects budget reductions implemented through the Governor's authority under section 9C of Chapter 29.  
No budgetary historical spending data available.  
 

Historical Employment Levels

Account	Description	June FY2007	June FY2008	June FY2009	Approved FY2010	Projected FY2011
4190-0100	Soldiers' Home in Holyoke Administration and Operations	323	324	313	308	308
TOTAL		323	324	313	308	308

Figures represent full-time equivalents (FTEs) paid from budgeted funds, and exclude those paid from capital, federal grants and trust funds. FY2011 FTE figures are preliminary and may not represent actual levels.
 

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Department of Developmental Services

account	description	amount
DEPARTMENT OF DEVELOPMENTAL SERVICES		1,252,503,885
Budgetary Direct Appropriations		1,247,365,846
Direct Appropriations
5911-1003	Department of Developmental Services Administration and Operations For the administration and operation of the department of developmental services	62,866,194
5911-2000	Community Programs for the Intellectually Disabled For community-based day and work programs for adults, including transportation costs associated with the adult services program; provided, that transportation shall be provided on the basis of priority of need as determined by the department; provided further, that funds shall be expended for respite services and intensive family supports; and provided further, that the department shall pursue the highest rates of federal reimbursement possible for those services	172,913,700
5920-2000	Community and State Operated Residential Services For state- and vendor-operated community-based residential adult services, including intensive individual supports and community-based health services; provided, that funds shall be expended towards compliance with the terms of the Rolland settlement agreement, dated June 16, 2008, Civil Action No. 98-30208-KPN, filed in the United States District Court of Massachusetts in order to provide active services for class members; and provided further, that the department shall maximize federal reimbursement, whenever possible under federal regulation, for the direct and indirect costs of services provided by the employees funded in this item	851,751,486
5920-2002	DDS Rolland Court Monitor For court monitor costs in compliance with the terms of the Rolland settlement agreement, dated June 16, 2008, Civil Action No. 98-30208-KPN, filed in the United States District Court of Massachusetts in order to provide active services for class members	400,000
5920-3010	Autism Division For support services for families with autistic children through the autism division	4,075,764
5920-5000	Turning 22 Program and Services For services to clients of the department who turn 22 years of age during state fiscal year 2011	5,000,000
5930-1000	State Facilities for the Intellectually Disabled For the operation of facilities for individuals with intellectual disabilities	150,208,702

account	description	amount
Retained Revenues
5982-1000	Templeton Developmental Center Farm Product Sales Retained Revenue The department of developmental services may expend for program costs of the Templeton developmental center, including supplies, equipment and facility maintenance, an amount not to exceed $150,000 received from the sale of milk and other farm-related products at the center; 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	150,000

account	description	amount
Intragovernmental Service Spending		2,356,000
5948-0012	Chargeback for Special Ed Alternatives for Intellectually Disabled Children 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                 Intragovernmental Service Fund ............... 100%	2,356,000

account	description	amount
Federal Grant Spending		43,139
5947-0011	Real Choice Systems Change Grant Program For the purposes of a federally funded grant entitled, Real Choice Systems Change Grant Program	43,139

account	description	amount
Trust and Other Spending		2,738,900
5911-2001	Department of Mental Retardation Commissioners' Trust	2,706,600
5920-0002	Belchertown Carousel Trust	32,300

 

Historical Budget Levels ($000)

Account		FY2008       GAA	FY2009       GAA	FY2010       GAA	FY2010 Projected Spending *	FY2011      House 2
5911-1003	Department of Developmental Services Administration and Operations	72,093	73,864	67,225	65,636	62,866
5911-2000	Community Programs for the Intellectually Disabled	14,137	14,137	13,537	12,037	172,914
5920-2000	Community and State Operated Residential Services	547,808	569,561	697,681	691,475	851,751
5920-2002	DDS Rolland Court Monitor	0	0	0	0	400
5920-2006	Residential Rate Increases	2,000	2,000	0	0	0
5920-2010	State-Operated Residential Supports for the Intellectually Disabled	130,965	137,438	144,559	145,118	0
5920-2020	Boulet Lawsuit - Residential Services for the Mentally Retarded	87,813	87,972	0	0	0
5920-2025	Community Day and Work Programs for the Intellectually Disabled	122,670	129,159	119,989	119,864	0
5920-3000	Respite Family Supports for the Intellectually Disabled	55,044	56,094	46,521	46,396	0
5920-3010	Autism Division	3,278	6,264	4,123	4,072	4,076
5920-5000	Turning 22 Program and Services	7,700	7,700	5,000	5,000	5,000
5930-1000	State Facilities for the Intellectually Disabled	182,759	187,546	161,581	162,731	150,209
5982-1000	Templeton Developmental Center Farm Product Sales Retained Revenue	150	150	150	150	150
TOTAL		1,226,416	1,271,886	1,260,367	1,252,479	1,247,366

Note:  GAA is General Appropriation Act.

* Projected spending reflects budget reductions implemented through the Governor's authority under section 9C of Chapter 29.  
No budgetary historical spending data available.  
 

Historical Employment Levels

Account	Description	June FY2007	June FY2008	June FY2009	Approved FY2010	Projected FY2011
5911-1000	Department of Mental Retardation Central Administration	57	0	0	0	0
5911-1003	Department of Developmental Services Administration and Operations	0	949	915	891	821
5920-1000	Regional Administration	858	0	0	0	0
5920-2000	Community and State Operated Residential Services	2	2	3	3,055	2,890
5920-2010	State-Operated Residential Supports for the Intellectually Disabled	2,825	2,902	2,858	0	0
5920-2020	Boulet Lawsuit - Residential Services for the Mentally Retarded	60	85	92	0	0
5920-3010	Autism Division	0	3	4	4	4
5930-1000	State Facilities for the Intellectually Disabled	3,053	3,014	2,771	2,499	2,499
TOTAL		6,857	6,955	6,642	6,449	6,214

Figures represent full-time equivalents (FTEs) paid from budgeted funds, and exclude those paid from capital, federal grants and trust funds. FY2011 FTE figures are preliminary and may not represent actual levels.
 

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Department of Veterans' Services

Fiscal Year 2011 Resource Summary ($000)

DEPARTMENT	FY2011 Budgetary Recommendations	FY2011 Federal, Trust, and ISF	FY2011 Total Spending	FY2011 Budgetary Non-Tax Revenue
Department of Veterans' Services	66,614	1,080	67,694	315

account	description	amount
DEPARTMENT OF VETERANS' SERVICES		67,694,258
Budgetary Direct Appropriations		66,614,258
Direct Appropriations
1410-0010	Veterans' Services Administration and Operations For the operation of the department of veterans' services; provided, that a report shall be submitted to the joint committee on veterans' and federal affairs and the house and senate committees on ways and means not later than December 31, 2010, on the implementation of and the outreach efforts of the "welcome home bill"; provided further, that the report shall include the participation rates for service, hindrances to enrollment for the program, and recommendations, including any necessary statutory or other changes to increase the number of service men and women who apply for such service; and provided further, that funds shall be used for the revenue maximization project of the department of elder affairs to identify individuals eligible for veterans' pensions who are currently receiving home health care services	2,257,172
1410-0012	Veterans' Outreach Centers Including Homeless Shelters For services to veterans, including the maintenance and operation of outreach centers, the women veterans' outreach program, homelessness services, and the maintenance and operation of homeless shelters and transitional housing for veterans at the New England Shelter for Homeless Veterans located in the city of Boston; provided, that the outreach centers shall provide counseling to incarcerated veterans and to Vietnam era veterans and their families who may have been exposed to agent orange; and provided further, that these centers shall also provide services to veterans who were discharged after September 11, 2001 and their families	6,150,302
1410-0400	Veterans' Benefits Including Annuities For the payment of veterans' annuities under section 6B of chapter 115 of the General Laws and for reimbursements to cities and towns for payments to certain veterans under section 6 of chapter 115 of the General Laws; provided, that funds may be expended from this item for payment of fuel allowance benefits provided to recipients	56,960,648
1410-0630	Agawam and Winchendon Veterans' Cemeteries For the administration of the veterans' cemeteries in the towns of Agawam and Winchendon	946,136

account	description	amount
Retained Revenues
1410-0018	Agawam and Winchendon Veterans' Cemeteries Fees and Grants Retained Revenue The department of veterans' services may expend for the maintenance and operation of the Agawam and Winchendon veterans' cemeteries an amount not to exceed $300,000 from revenues collected from federal reimbursements, fees, grants, gifts or other contributions to the cemeteries	300,000

account	description	amount
Federal Grant Spending		1,000,000
1410-0054	Homeless Veterans' Reintegration, Training, and Placement For the purposes of a federally funded grant entitled, Homeless Veterans' Reintegration, Training, and Placement	200,000
1410-0055	Homeless Veterans' Reintegration Program Urban-Worcester For the purposes of a federally funded grant entitled, Homeless Veterans' Reintegration Program Urban-Worcester	300,000
1410-0056	Veterans' Workforce Investment For the purposes of a federally funded grant entitled, Veterans' Workforce Investment	500,000

account	description	amount
Trust and Other Spending		80,000
1410-0011	Women's Veterans Network	2,000
1410-0600	War Veterans' Reimbursement Fund	2,000
1410-2526	Agent Training	16,000
1410-2537	Statewide Advocacy for Veterans' Empowerment (SAVE)	60,000

 

Historical Budget Levels ($000)

Account		FY2008       GAA	FY2009       GAA	FY2010       GAA	FY2010 Projected Spending *	FY2011      House 2
1410-0010	Veterans' Services Administration and Operations	2,157	2,339	2,159	2,075	2,257
1410-0012	Veterans' Outreach Centers Including Homeless Shelters	1,943	2,390	1,739	1,739	6,150
1410-0015	Women Veterans' Outreach	42	50	50	50	0
1410-0018	Agawam and Winchendon Veterans' Cemeteries Fees and Grants Retained Revenue	300	300	300	317	300
1410-0100	Veterans' Pension Determination and Revenue Recovery	98	98	98	98	0
1410-0250	Assistance to Homeless Veterans	2,827	2,827	2,083	2,083	0
1410-0251	New England Shelter for Homeless Veterans	2,277	2,278	2,279	2,279	0
1410-0300	Annuities to Qualified Disabled Veterans, Gold Star Parents and Spouses	18,104	18,524	18,945	18,945	0
1410-0400	Veterans' Benefits Including Annuities	15,165	20,904	27,864	29,977	56,961
1410-0630	Agawam and Winchendon Veterans' Cemeteries	879	913	864	862	946
TOTAL		43,793	50,624	56,380	58,424	66,614

Note:  GAA is General Appropriation Act.

* Projected spending reflects budget reductions implemented through the Governor's authority under section 9C of Chapter 29.  
No budgetary historical spending data available.  
 

Historical Employment Levels

Account	Description	June FY2007	June FY2008	June FY2009	Approved FY2010	Projected FY2011
1410-0010	Veterans' Services Administration and Operations	28	31	30	29	29
1410-0630	Agawam and Winchendon Veterans' Cemeteries	15	16	17	17	17
TOTAL		43	47	47	46	46

Figures represent full-time equivalents (FTEs) paid from budgeted funds, and exclude those paid from capital, federal grants and trust funds. FY2011 FTE figures are preliminary and may not represent actual levels.
 

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