Governor Charles D. Baker's Budget Recommendation - House 1 Fiscal Year 2016

Search for line item

Go

Health and Human Services




Hide line item language

Executive Office of Health and Human Services


EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES
Fiscal Year 2016 Resource Summary ($000)
DEPARTMENT FY 2016
Budgetary
Recommendations
FY 2016
Federal, Trust,
and ISF
FY 2016
Total
Spending
FY 2016
Budgetary
Non-Tax Revenue
Office of the Secretary of Health and Human Services 12,417,724 1,562,121 13,979,845 7,692,694
Department of Elder Affairs 3,546,752 35,358 3,582,110 1,646,390
Center for Health Information and Analysis 32,890 1,731 34,621 36,335
Department of Public Health 533,334 453,491 986,825 191,547
Department of Mental Health 727,626 22,470 750,096 95,681
Office for Refugees and Immigrants 363 19,992 20,355 0
Department of Youth Services 175,920 447 176,367 7,113
Department of Transitional Assistance 703,031 5,226 708,256 470,692
Department of Children and Families 900,518 15,898 916,416 202,659
Massachusetts Commission for the Blind 21,866 12,157 34,023 3,871
Massachusetts Rehabilitation Commission 46,832 118,292 165,124 3,677
Massachusetts Commission for the Deaf and Hard of Hearing 5,645 447 6,092 208
Soldiers' Home in Massachusetts 30,139 18 30,158 14,971
Soldiers' Home in Holyoke 24,480 0 24,480 17,385
Department of Developmental Services 1,750,857 11,419 1,762,276 632,336
Department of Veterans' Services 91,988 13 92,002 705
TOTAL 21,009,966 2,259,080 23,269,046 11,016,263


account description amount
OFFICE OF THE SECRETARY OF HEALTH AND HUMAN SERVICES 13,979,844,572
Budgetary Direct Appropriations 12,417,723,863
Direct Appropriations
1599-0017 End Family Homelessness Reserve Fund
For a homelessness prevention reserve at the executive office of health and human services; provided, that funds shall be used to provide tailored and flexible short-term assistance to families that are homeless with a goal of rapid housing stabilization; provided further, that the funds may be used for prevention, diversion, or stabilization; provided further, that the secretary of health and human services may, with the approval of the secretary of administration and finance, transfer from this item amounts necessary to meet any costs associated with the purposes of this item; and provided further, that the department may enter into interagency service agreements as needed
20,000,000
1599-0321 Women's Preventive Health Reserve
For a reserve to provide funding for women's preventive health services, as prescribed by section 2713(a)(4) of the Public Health Service Act; provided, that funding is limited to mitigating costs incurred by individuals affected by health plans sponsored by businesses who choose to opt out of coverage for women's preventive health services
300,000
1599-6903 Chapter 257 Reserve
For the fiscal year 2016 costs of chapter 257of the acts of 2008 rate implementations, including, but not limited to, costs associated with any court order or settlement between providers of services and the Commonwealth related to the rate implementation process; provided, that the secretary of administration and finance may transfer from the sum appropriated in this item to other items of appropriation and allocations thereof for fiscal year 2016 amounts that are necessary to meet these costs where the amounts otherwise available are insufficient for the purpose, in accordance with a transfer plan which shall be filed in advance with the house and senate committees on ways and means
30,000,000
4000-0005 Safe and Successful Youth Initiative
For youth violence prevention program grants administered by the executive office of health and human services; provided, that the programs shall be targeted at reducing youth violence among young persons at highest risk for being perpetrators or victims of gun and community violence; and provided further, that these funds shall be available to those municipalities with the highest number of youth homicides and serious assaults as determined by the executive office of health and human services
7,585,036
4000-0050 Personal Care Attendant Council
For the operation of the PCA quality home care workforce council established under section 71 of chapter 118E of the General Laws
1,783,088
4000-0051 Family Resource Centers
For the establishment and operation of family resource centers to provide community-based services to families, including families with children requiring assistance and to provide a mechanism to the juvenile court to refer families to community-based services under section 16U of chapter 6A of the General Laws and section 39E of chapter 119 of the General Laws
2,500,000
4000-0300 EOHHS and MassHealth 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 center for health information and analysis, 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 required for administration of the executive office, for the equivalent of MassHealth Standard benefits for children under age 21 who are in the care or custody of the department of youth services or the department of children and families, for dental benefits provided to clients of the department of developmental services who are age 21 or over, and otherwise as explicitly authorized, or unless made for the purposes and amounts 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, 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, 4000-0640, 4000-0700, 4000-0875, 4000-0880, 4000-0885, 4000-0940, 4000-0950, 4000-0990, 4000-1400, 4000-1420 or 4000-1425 on June 30, 2016 shall revert to the General Fund
90,898,463
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; provided, that no expenditures shall be made from this item that are not federally reimbursable
4,487,432
4000-0328 State Plan Amendment Support
For the executive office of health and human services, which shall use the funding in this item to pursue and submit applications for new state plan amendments, state plan options and state waiver or demonstration requests for federal approval under Public Law 111-148, the Patient Protection and Affordable Care Act, including but not limited to the following purposes: (i) the health homes state option authorized under 42 U.S.C. 1396w-4; and (ii) the 1915(i) home and community-based services state plan authorized under 42 U.S.C. 1396n(i); provided, that the executive office shall seek to maximize opportunities that expand community-based services and increase federal reimbursement, including enhanced federal medical assistance percentage rates; and provided further, that the executive office shall report not later than September 30, 2015 to the house and senate committees on ways and means on the status of submitted and pending applications and the projected fiscal impact to the commonwealth of federal approval for these applications
400,000
4000-0430 MassHealth CommonHealth Plan
For the executive office of health and human services to expend 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
119,495,216
4000-0500 MassHealth Managed Care
For the executive office of health and human services to expend 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 section 9 of chapter 118E of the General Laws and clauses (a) to (d), inclusive, and clause (h) of subsection (2) of section 9A of said chapter 118E and section 16C of said chapter 118E; provided, that no funds shall be expended from this item for children and adolescents under said 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; provided further, that up to $30,000,000 shall be expended from this item, or item 4000-0500 if necessary, to achieve maximum federal financial participation, to enhance the ability of hospitals and community health centers 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 such expenditures may include up to $30,000,000 for fiscal year 2015 or fiscal year 2016.
5,931,539,597
4000-0700 MassHealth Fee for Service Payments
For the executive office of health and human services to expend for health care services provided to medical assistance recipients under its 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 section 9 of chapter 118E of the General Laws and clauses (a) to (d), inclusive and clause (h) of subsection (2) of section 9A of said chapter 118E and section 16C of said chapter 118E; 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 said 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 through the age limit specified in MassHealth's approved State Plan; 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 the executive office shall not, in fiscal year 2016, fund programs relating to case management with the intention of reducing length of stay for neonatal intensive care unit cases; 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 maximize federal reimbursements for state expenditures made to these providers; 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 the activities are performed by a state agency, contractor, agent or provider
2,489,792,092
4000-0875 MassHealth Breast and Cervical Cancer Treatment
For the executive office of health and human services to expend for the provision of benefits to eligible individuals 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 under section 10D of chapter 118E of the General Laws; provided, that the executive office shall provide those benefits to individuals 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; and provided further, that funds may be expended from this item for health care services provided to these recipients in prior fiscal years
6,011,459
4000-0880 MassHealth Family Assistance Plan
For the executive office of health and human services to expend 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 children and adolescents in prior fiscal years; provided further, that funds may be expended from this item for health care subsidies provided to eligible individuals under the last paragraph of section 9 of said chapter 118E; and provided further, that funds may be expended from this item for health care services provided to eligible individuals under section 16D of said chapter 118E
253,769,135
4000-0885 Small Business Employee Premium Assistance
For the cost of health insurance subsidies paid to employees of small businesses in the insurance reimbursement program under section 9C of chapter 118E of the General Laws; provided, that funds may be expended from this item for health care services provided to these persons in prior fiscal years; provided further, that funds may be expended only for employees who are ineligible for subsidized insurance through the Health Connector and ineligible for any other MassHealth program; provided further, that enrollment in this program may be capped to ensure that MassHealth expenditures do not exceed the amount appropriated; and provided further, that funds may be expended from this item for health care services provided to individuals eligible under clause (j) of subsection (2) of section 9A of chapter 118E of the General Laws
32,420,971
4000-0940 ACA Expansion Populations
For the purposes of providing health care services related to the federal Patient Protection and Affordable Care Act, Public Law 111-148; provided, that funds may be expended from this item for health care services to individuals ages 19 through 64, inclusive, whose family incomes as determined by the executive office of health and human services do not exceed 133 per cent of the federal poverty level and who are eligible under clauses (b) and (d) of subsection (2) of section 9A of chapter 118E of the General Laws
1,712,110,508
4000-0950 Children's Behavioral Health Initiative
For the executive office of health and human services to expend 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. 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; provided, that funds may be expended from this item for health care services provided to these persons in prior fiscal years
221,798,049
4000-0990 Children's Medical Security Plan
For the executive office of health and human services to expend 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
13,214,180
4000-1400 MassHealth HIV Plan
For the executive office of health and human services to expend for the purposes of providing MassHealth benefits to individuals 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
24,878,351
4000-1420 Medicare Part D Phased Down Contribution
For payment to the Federal Centers for Medicare and Medicaid Services in compliance with 42 USC 1396u-5(c)(1)(a)
334,396,782
4000-1425 Hutchinson Settlement
For administrative and program expenses associated with community support services for persons with acquired brain injury who were residing in long-term care facilities, in accordance with the mediated solution to the final settlement agreement in the case of Hutchinson et al. v. Patrick et al., United States District Court for the District of Massachusetts civil action No. 07-30084-MAP; provided, that funds may be expended from this item for health care services provided to these persons in prior fiscal years
49,412,000
4000-1602 MassHealth Operations
For the costs associated with improving MassHealth field operations; provided, that no expenditures shall be made from this item that are not federally reimbursable
2,261,448
4000-1604 Health Care System Reform
For MassHealth costs associated with the implementation of payment reform and the Patient Protection and Affordable Care Act (ACA), Public Law 111-148; provided, that no expenditures shall be made from this item that are not federally reimbursable
972,161
4000-1700 Health and Human Services IT Costs
For the provision of information technology services within the executive office of health and human services
123,478,157

account description amount
Retained Revenues
4000-0320 MassHealth Recoveries from Current and Prior Fiscal Years RR
For the executive office of health and human services to 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 recipient's death and held by the executive office for more than three years may be credited to this item
225,000,000
4000-0321 EOHHS Contingency Contracts Retained Revenue
For the executive office of health and human services, which may expend not more than $50,000,000 for contingency fee contracts related to pursuing federal reimbursement or avoiding costs in its capacity as the single state agency under Title XIX and XXI of the Social Security Act and as the principal agency for all of the agencies within the executive office and other federally-assisted programs administered by the executive office; provided, that notwithstanding any general or special law or regulation to the contrary, such contingency contracts shall not exceed 3 years except with prior review and approval by the executive office for administration and finance; provided further, that the secretary of health and human services shall submit to the secretary of administration and finance and the house and senate committees on ways and means an annual report detailing the amounts of the agreements, the ongoing and new projects, and the amount of federal reimbursement and cost avoidance derived from the contracts no later than September 15 for the previous fiscal year activities; provided further, that for the purpose of accommodating timing discrepancies between the receipt of revenue and payments required under contingency contracts the comptroller shall 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; provided, that notwithstanding any general or special law to the contrary, the executive office of health and human services, acting in its capacity as the single state agency under Title XIX of the Social Security Act and as the principal agency for all of the agencies within the executive office and other federally-assisted programs administered by the executive office, may enter into interdepartmental services agreements with the University of Massachusetts medical school to perform activities that the secretary of health and human services, in consultation with the comptroller, determines appropriate and within the scope of the proper administration of said Title XIX and other federal funding provisions to support the programs and activities of the executive office; provided further, the activities may include: (1) providing administrative services including, but not limited to, providing the medical expertise to support or administer utilization management activities, determining eligibility based on disability, supporting case management activities and similar initiatives; (2) providing consulting services related to quality assurance, program evaluation and development, integrity and soundness and project management; and (3) providing activities and services to pursue federal reimbursement or avoid costs, third-party liability and recoup payments to third parties; provided further, that federal reimbursement for any expenditure made by the University of Massachusetts medical school relative to federally-reimbursable services the university provides under these interdepartmental service agreements or other contracts with the executive office shall be distributed to the university and recorded distinctly in the state accounting system; provided further, the secretary may negotiate contingency fees for activities and services related to pursuing federal reimbursement or avoiding costs and the comptroller shall certify these fees and pay them upon the receipt of this revenue, reimbursement or demonstration of costs avoided; provided further, contracts for contingency fees shall not exceed 3 years and shall not be renewed without prior review and approval by the executive office for administration and finance; provided further, the secretary shall not pay contingency fees to the University of Massachusetts medical school in excess of $40,000,000 for state fiscal year 2016; provided, however, that contingency fees paid to the University of Massachusetts medical school under an interagency service agreement for recoveries related to the special disability workload projects shall be excluded from that $40,000,000 limit for state fiscal year 2016; and provided further, the secretary of health and human services shall submit to the secretary of administration and finance and the senate and house committees on ways and means a quarterly report detailing the amounts of the agreements, the ongoing and new projects undertaken by the university, the amounts expended on personnel and the amount of federal reimbursement and recoupment payments that the university collected.
50,000,000

account description amount
Section 2E
1595-1067 Delivery System Transformation Initiatives Trust Fund
For an operating transfer to the Delivery System Transformation Initiatives Trust Fund under section 35UU of chapter 10 of the General Laws; provided, that these funds shall be expended under the delivery system transformation initiative master plan and hospital-specific plans approved in the MassHealth section 1115 demonstration for state or federal fiscal year 2015; provided further, that all payments from the Delivery System Transformation Initiatives Trust Fund shall be subject to the availability of federal financial participation, shall be made only in accordance with federally approved payment methods, shall be consistent with federal funding requirements and all federal payment limits as determined by the secretary of health and human services and shall be subject to the terms and conditions of an agreement with the executive office of health and human services; and provided further, that the secretary of health and human services shall make payments of up to $49,338,667 from the Delivery System Transformation Initiatives Trust Fund to the Cambridge public health commission for federal fiscal year 2015 only after the Cambridge public health commission transfers up to $24,669,334 of its funds to the Delivery System Transformation Initiatives Trust Fund using a federally permissible source of funds which shall fully satisfy the non-federal share of such payment
189,141,606
1595-1068 Medical Assistance Trust Fund
For an operating transfer to the MassHealth provider payment account in the Medical Assistance Trust Fund established in section 2QQQ of chapter 29 of the General Laws; provided, that, except as otherwise provided in this item, these funds shall be expended only for services provided during state or federal fiscal year 2015 or 2016; provided further, that all payments from the Medical Assistance Trust Fund shall be subject to the availability of federal financial participation, shall be made only in accordance with federally-approved payment methods, shall be consistent with federal funding requirements and all federal payment limits as determined by the secretary of health and human services and shall be subject to the terms and conditions of an agreement with the executive office of health and human services; provided further, that the secretary of health and human services shall notify, in writing, the house and senate committees on ways and means and the house and the joint committee on healthcare financing for any increases in payments within 15 days; and provided further, that the secretary of health and human services shall make a supplemental payment of up to $120,000,000 from the Medical Assistance Trust Fund to the Cambridge public health commission for dates of service in state and federal fiscal year 2016 only after the Cambridge public health commission transfers up to $60,000,000 of its funds to the Medical Assistance Trust Fund using a federally permissible source of funds which shall fully satisfy the non-federal share of such payment; and provided further, that the secretary of health and human services shall make a payment of up to $220,000,000 from the Medical Assistance Trust Fund to the Cambridge public health commission for qualifying state fiscal year 2016 public hospital transformation and incentive initiative payments only after the Cambridge public health commission transfers up to $110,000,000 of its funds to the Medical Assistance Trust Fund using a federally permissible source of funds which shall fully satisfy the non-federal share of such payment
465,000,000
1595-1069 Health Information Technology Trust Fund
For an operating transfer to the Health Information Technology Trust Fund under section 35RR of chapter 10 of the general laws; provided, that these funds shall be expended for operating costs for the health information exchange; and provided further that these funds shall be expended for operating costs for the health insurance exchange and integrated eligibility system
15,078,132

account description amount
Intragovernmental Service Spending 63,037,948
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%
8,878,161
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 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%
22,189,326
4000-1701 Chargeback for Health and Human Services IT
For the cost of information technology services provided to agencies of the executive office of health and human services
                Intragovernmental Service Fund ............... 100%
31,970,461

account description amount
Federal Grant Spending 20,022,957
4000-1169 State Innovation Models Model Design Test Assistance Fund
For the purposes of a federally funded grant entitled, State Innovation Models Model Design Test Assistance Fund
6,539,155
4000-1235 Demonstration to Integrate Care for Dual Eligible Individual
For the purposes of a federally funded grant entitled, Demonstration to Integrate Care for Dual Eligible Individual
333,276
4000-1314 Demonstration Ombudsman Program
For the purposes of a federally funded grant entitled, Demonstration Ombudsman Program
547,992
4000-1826 Money Follows the Person Y4
For the purposes of a federally funded grant entitled, Money Follows the Person Y4
2,879,154
4000-9401 Community Mental Health Services Block Grants
For the purposes of a federally funded grant entitled, Community Mental Health Services Block Grants
9,723,380
account description amount
Trust and Other Spending 1,479,059,804
4000-0090 Health Safety Net CHCs and Demos 81,000,000
4000-0091 Health Safety Net Hospital Payments 404,416,846
4000-0092 Health Safety Net Claims Operations 9,877,350
4000-0330 Connector Administration Expendable Trust 1,489,343
4000-1067 Delivery System Transformation Initiatives Trust Fund 213,810,939
4000-1068 Medical Assistance Trust Fund 632,000,000
4000-1069 Health Information Technology Trust Fund 128,634,921
4000-4000 Health Insurance Portability and Accountability Act Fund 7,830,405

 

 
Hide line item language



account description amount
DEPARTMENT OF ELDER AFFAIRS 3,582,109,866
Budgetary Direct Appropriations 3,546,752,303
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 (SCO) 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 SCO benefits shall not be reduced below the services provided in fiscal year 2015; 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, the Emergency Aid to Elders, Disabled and Children program or Supplemental Security Income; provided further, that funds may be expended from this item to implement the pre-admission counseling and assessment program under the third paragraph of section 9 of chapter 118E of the General Laws, which shall be implemented on a statewide basis through aging and disability resource consortia; 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 executive office of elder affairs, in consultation with the center for health information and analysis, in recognition of the special innovative program status granted by the executive office of health and human services, shall continue to make the standard payment rates established in fiscal year 2006 to reflect the high dietary costs incurred in providing kosher food; and provided further, that notwithstanding any general or special law to the contrary, nursing facility rates effective October 1, 2015 may be developed using the costs of calendar year 2007
                General Fund ............... 99.90%
                Community First Trust Fund - Budgeted ............... 0.10%
2,972,950,333
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 2016 the center for health information and analysis shall establish nursing facility Medicaid rates that cumulatively total $291,600,000 more than the annual payment rates established under the rates in effect as of June 30, 2002; provided further, that an amount for expenses related to the collection and administration of section 63 of chapter 118E of the General Laws shall be transferred to the executive office of health and human services; and provided further, that the payments made pursuant to this item shall be allocated in an amount sufficient to implement section 622 of chapter 151 of the acts of 1996
291,600,000
9110-0100 Department of Elder Affairs Administration
For the operation of the executive office of elder affairs
2,343,832
9110-1455 Prescription Advantage
For the costs of the drug insurance program under section 39 of chapter 19A of the General Laws; provided, that amounts received by the executive office of elder affairs' vendor as premium revenue for this program may be retained and expended by the vendor for the purposes of the program; provided further, that funds shall be expended for the operation of the pharmacy outreach program under section 4C of chapter 19A of the General Laws; provided further, that notwithstanding any general or special law to the contrary, unless otherwise prohibited by state or federal law, prescription drug coverage or benefits payable by the executive office of elder affairs and the entities with which it has contracted for administration of the subsidized catastrophic drug insurance program under said section 39 of said chapter 19A, shall be the payer of last resort for this program for eligible persons with regard to any other third-party prescription coverage or benefits available to the eligible persons; provided further, that the executive office shall seek to obtain maximum federal funding for discounts on prescription drugs available to the executive office and to prescription advantage enrollees; provided further, that the executive office shall take steps for the coordination of benefits with the Medicare prescription drug benefit created under the federal Medicare Prescription Drug Improvement and Modernization Act of 2003 to ensure that Massachusetts residents take advantage of this benefit; provided further, that a person shall be eligible to enroll in the program at any time within a year after reaching age 65; and provided further, that the executive office shall allow those who meet the program eligibility criteria to enroll in the program at any time during the year
18,759,240
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 of elder affairs shall actively seek to obtain federal financial participation for all services provided to seniors who qualify for Medicaid benefits under the section 1915C waiver
                General Fund ............... 98.62%
                Community First Trust Fund - Budgeted ............... 1.38%
70,255,327
9110-1604 Supportive Senior Housing Program
For the operation of the supportive senior housing program at state or federally assisted housing sites
5,493,672
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, 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; 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
                General Fund ............... 93.76%
                Community First Trust Fund - Budgeted ............... 6.24%
106,667,534
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 the contracts shall include the costs of administrative personnel, home care case managers, travel, rent and other costs deemed appropriate by the executive office of elder affairs; 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
34,680,284
9110-1636 Elder Protective Services
For the operation of the elder protective services program
23,173,139
9110-1660 Elder Congregate Housing Program
For congregate and shared housing services for the elderly
2,154,626
9110-1700 Elder Homeless Placement
For residential assessment and placement programs for homeless elders
186,000
9110-1900 Elder Nutrition Program
For the elder nutrition program
7,253,316
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
11,235,000

account description amount
Federal Grant Spending 34,687,221
9110-1074 Older Americans Act
For the purposes of a federally funded grant entitled, Older Americans Act
8,992,181
9110-1076 Title IIIB Supportive Service
For the purposes of a federally funded grant entitled, Older Americans Act - Title IIIB
1,190,451
9110-1077 National Family Caregiver Support Program
For the purposes of a federally funded grant entitled, National Family Caregiver Support Program
3,700,000
9110-1095 Health Information Counseling
For the purposes of a federally funded grant entitled, Health Information Counseling
275,755
9110-1173 Older Americans Act
For the purposes of a federally funded grant entitled, Older Americans Act
13,383,620
9110-1174 Nutrition Services Incentive Program
For the purposes of a federally funded grant entitled, Nutrition Services Incentive Program
4,885,300
9110-1178 Community Service Employment Program
For the purposes of a federally funded grant entitled, Community Service Employment Program
1,881,340
9110-1190 MA Chronic Disease Self-Management Education Program
For the purposes of a federally funded grant entitled, MA Chronic Disease Self-Management Education Program
100,714
9110-1191 Enhanced Alcohol and Drug Recovery Options Counseling Program
For the purposes of a federally funded grant entitled, Enhanced Alcohol and Drug Recovery Options Counseling Program
198,706
9110-1194 2013 MIPPA ADRC
For the purposes of a federally funded grant entitled, 2013 MIPPA ADRC
79,154
account description amount
Trust and Other Spending 670,342
9110-0093 Veterans Independence Plus Initiative Trust Fund 670,342

 

 
Hide line item language



account description amount
CENTER FOR HEALTH INFORMATION AND ANALYSIS 34,621,149
Budgetary Direct Appropriations 32,890,444
Direct Appropriations
4100-0060 Center for Health Information and Analysis
For the operation of the center for health information and analysis established in chapter 12C of the General Laws; provided, that notwithstanding any general or special law to the contrary, the estimated expenses of the center shall be assessed in the manner prescribed by section 7 of said chapter 12C
29,467,892

account description amount
Retained Revenues
4100-0061 All Payer Claims Database Retained Revenue
For the center for health information and analysis, which may expend for the development, operations and maintenance of an all payer claims database, an amount not to exceed $3,422,552 from amounts paid to the center for any and all fees paid for health data information and from any federal financial participation associated with the collection and administration of health care claims data; provided, that notwithstanding any general or special law to the contrary, and for the purpose of accommodating discrepancies between the receipt of retained revenues and related expenditures, the center 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
3,422,552
account description amount
Trust and Other Spending 1,730,705
4100-1085 Health Insurance Exchange Risk Adjustment Project 1,730,705

 

 
Hide line item language



account description amount
DEPARTMENT OF PUBLIC HEALTH 986,824,864
Budgetary Direct Appropriations 533,333,716
Direct Appropriations
4510-0100 Public Health Critical Operations and Essential Services
For the administration and operation of the department of public health
18,938,083
4510-0110 Community Health Center Services
For community health center services
794,775
4510-0600 Environmental Health Assessment and Compliance
For an environmental and community health hazards program, including control of radiation and nuclear hazards, consumer products protection, food and drugs and lead poisoning prevention under 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; provided, that the department may expend from this item to monitor, survey and inspect nuclear power reactors, including those now licensed by the Nuclear Regulatory Commission
4,227,791
4510-0710 Division of Health Care Quality and Improvement
For the operation of the division of health care quality and improvement
10,683,173
4510-0721 Board of Registration in Nursing
For the operation and administration of the board of registration in nursing
1,017,723
4510-0722 Board of Registration in Pharmacy
For the operation and administration of the board of registration in pharmacy
1,292,013
4510-0723 Board of Registration in Medicine and Acupuncture
For the operation and administration of the board of registration in medicine and acupuncture
1,133,722
4510-0725 Health Boards of Registration
For the operation and administration of certain health boards of registration, including the boards of registration in dentistry, nursing home administrators, physician assistants, perfusionists, genetic counselors and respiratory care
385,266
4510-0790 Regional Emergency Medical Services
For regional emergency medical services; provided, that the regional emergency medical services councils, designated under 105 CMR 170.101, shall remain the designated councils
731,959
4510-0810 Sexual Assault Nurse Examiner (SANE) and PediatricSANE Program
For a statewide sexual assault nurse examiner program and pediatric sexual assault nurse examiner program for the care of victims of sexual assault; provided, that funds shall be expended to support children's advocacy centers; and provided further, that the program shall operate under specific statewide protocols and by an on-call system of nurse examiners
3,869,814
4510-3008 ALS Registry
For the Argeo Paul Cellucci Amyotrophic Lateral Sclerosis Registry created under section 25A of chapter 111 of the General Laws
261,230
4512-0103 HIV/AIDS Prevention Treatment and Services
For human immunodeficiency virus and acquired immune deficiency syndrome services and programs and related services for persons affected by the associated conditions of viral hepatitis and sexually transmitted infections; provided, that particular attention shall be paid to direct funding proportionately to each of the demographic groups afflicted by HIV/AIDS and associated conditions; and provided further, that no funds from this item shall be expended for disease research in fiscal year 2016
29,911,301
4512-0200 Bureau of Substance Abuse Services
For the operation of the bureau of substance abuse services
90,424,903
4512-0201 Substance Abuse Step-Down Recovery Services
For substance abuse step-down recovery services, otherwise known as level B beds and services, and other critical recovery services with severely reduced capacity
4,800,000
4512-0202 Secure Treatment Facilities for Opiate Addiction
For jail diversion programs primarily for nonviolent offenders with OxyContin or heroin addiction to be procured by the department of public health; provided, that each program shall provide clinical assessment services to the respective courts, inpatient treatment for up to 90 days and ongoing case management services for up to one year; provided further, that individuals may be diverted to this or other programs by a district attorney in conjunction with the office of the commissioner of probation if: (a) there is reason to believe that the individual being diverted suffers from an addiction to OxyContin or heroin, or other substance use disorder; and (b) the diversion of an individual is clinically appropriate and consistent with established clinical and public safety criteria; provided further, that programs shall be established in separate counties in locations deemed suitable by the department of public health; provided further, that the department of public health shall coordinate operations with the sheriffs, the district attorneys, the office of the commissioner of probation and the department of correction; and provided further, that not more than $500,000 shall be used to support the ongoing treatment needs of clients after 90 days for which there is no other payer
2,000,000
4512-0203 Substance Abuse Family Intervention and Care Pilot
For family intervention and care management services programs, a young adult treatment program and early intervention services for individuals who are dependent on or addicted to alcohol, controlled substances or both alcohol and controlled substances
1,500,000
4512-0204 Nasal Narcan Pilot Expansion
For the purchase, administration, and training of first-responder and bystander naloxone distribution programs; provided, funds shall be expended to maintain funding for first responder naloxone grants and bystander distribution in communities with high incidence of overdose; provided further, that the commissioner of public health may transfer funds between this item and item 4512-0200, as necessary, under an allocation plan which shall detail the distribution of the funds to be transferred and which the commissioner shall file with the house and senate committees on ways and means 30 days before any such transfer; and provided further, that the department of public health shall submit a report to the house and senate committees on ways and means not later than October 1, 2015 on: (a) the communities receiving first responder grants; (b) the number of naloxone bystander program enrollments for each community; and (c) the amount of naloxone purchased and distributed
1,000,000
4512-0210 Substance Abuse Treatment Trust Fund
For the capitalization of the substance abuse services fund created in section 137 of chapter 165 of the acts of 2014; provided, that $10,000,000 shall be expended to increase the number of clients receiving substance abuse treatment through the bureau of substance abuse services; provided further, that in meeting the requirements of the preceding proviso, the bureau shall utilize a range of treatment settings including, but not limited to: (i) detoxification services; (ii) clinical stabilization services; (iii) residential treatment services; (iv) outpatient treatment services; (v) counseling; (vi) promoting primary care practitioner's access to available, trained and certified addiction specialists for consultation or referral; and (vii) educating primary care providers, including nurse practitioners and physician assistants, about addiction prevention and treatment and to encourage primary care physicians, nurse practitioners and physician assistants to screen for signs of substance abuse; provided further, that in determining the range of services to expand, the bureau shall select a range of treatment settings that prioritizes: (a) treatment methods that are evidence-based and cost effective; (b) ensuring substance abuse treatment access to historically underserved populations; and (c) availability of a continuum of services and care for clients entering substance abuse treatment at any level; provided further, that the commissioner of public health shall report quarterly to the executive office of administration and finance, the joint committee on mental health and substance abuse and the house and senate committees on ways and means on: (1) the way funds were spent in the previous quarter, including, but not limited to, an itemized accounting of the goods and services that were procured; (2) an accounting of substance abuse services provided by the fund, broken down by month and type of service, since 2011 through the current quarter; (3) the number of clients served, by month and type of service, by the goods and services procured in the previous quarter; (4) amounts expended by type of service for each month in the prior quarter; and (5) procurement and service goals for the subsequent quarter; and provided further, that one-half of the revenue received by the commonwealth under section 264 of chapter 165 of the acts of 2014 or $5,000,000, whichever is less, shall be used to support this item
10,000,000
4512-0500 Dental Health Services
For the provision of dental health services in residential and community settings
1,736,188
4513-1000 Family Health Services
For the provision of family health services; provided, that funds shall be provided for comprehensive family planning services, including HIV counseling and testing, community-based health education and outreach services provided by agencies certified as comprehensive family planning agencies; and provided further, that funds may be expended for the Massachusetts birth defects monitoring program
5,024,931
4513-1002 Women Infants and Children's Nutritional Services
For Women, Infants and Children (WIC) nutrition services in addition to funds received under the federal nutrition program; provided, that funds from this item shall supplement federal funds to enable federally eligible women, infants and children to be served through the WIC program
12,536,830
4513-1020 Early Intervention Services
For the early intervention program; provided, that the department shall make all reasonable efforts to secure third party and Medicaid reimbursements for the services funded in this item; provided further, that funds from this item may be expended 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; provided further, that priority shall be given to low and moderate income families; provided further, that no claim for reimbursement made on behalf of an uninsured person shall be paid from this item until the program receives notice of a denial of eligibility for the MassHealth program from the executive office of health and human services; provided further, that MassHealth shall cover the costs incurred for the transportation of MassHealth members who participate in the early intervention program; provided further, that nothing in this item shall give rise to or shall be construed as giving rise to enforceable legal rights to any such services or an enforceable entitlement to the early intervention services funded in this item; and provided further, that these funds may be used to pay for current and prior year claims
27,600,167
4513-1023 Newborn Hearing Screening Program
For the operation of the newborn hearing screening program
81,226
4513-1026 Suicide Prevention and Intervention Program
For the provision of statewide and community-based suicide prevention, intervention, post-intervention and surveillance activities
3,953,741
4513-1098 Services to Survivors of Homicide Victims
For the provision of statewide support services for survivors of homicide victims, including outreach services, burial assistance, grief counseling and other support services; provided, that funds shall be expended as grants in the aggregate amount of $150,000 to the Louis D. Brown Peace Institute, a community-based support organization dedicated to serving families and communities impacted by violence
150,000
4513-1111 Health Promotion and Disease Prevention
For the promotion of health and disease prevention
3,437,386
4513-1130 Domestic Violence and Sexual Assault Prevention and Treatment
For domestic violence and sexual assault treatment and prevention programs
5,760,068
4516-1000 State Laboratory and Communicable Disease Control Services
For the administration of state laboratory and communicable disease control services
12,848,230
4516-1010 Matching funds for a Federal Emergency Preparedness Grant
For state matching funds required by the federal Pandemic and All-Hazards Preparedness Act
1,955,811
4530-9000 Teenage Pregnancy Prevention Services
For teenage pregnancy prevention services
2,561,962
4570-1502 Infection Prevention Program
For a statewide infection prevention and control program
286,253
4580-1000 Universal Immunization Program
For the operation of the universal immunization program; provided, that all costs related to childhood vaccines shall be paid for through the Vaccine Purchase Trust Fund established under section 24N of chapter 111 of the General Laws
2,220,284
4590-0250 School-Based Health Programs
For school health services and school-based health centers in schools
12,285,974
4590-0300 Smoking Prevention and Cessation Programs
For smoking prevention and cessation programs
3,868,096
4590-0915 Public Health Hospitals
For the maintenance and operation of Tewksbury hospital, Massachusetts hospital school, Lemuel Shattuck hospital and the hospital bureau, including the state office of pharmacy services; provided, that reimbursements received for medical services provided at the Lemuel Shattuck hospital to inmates of county correctional facilities not managed by private health care vendors shall be credited to item 4590-0903 of section 2B; 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 inmates of the department of correction and of county correctional facilities who are treated at the public health hospitals
154,536,237
4590-1503 Pediatric Palliative Care
For the pediatric palliative care program established in section 24K of chapter 111 of the General Laws
1,554,739
4590-1506 Violence Prevention Grants
For a competitive grant program to be administered by the department of public health to support the establishment of a comprehensive youth violence prevention program
1,334,449
4590-1507 Youth At-Risk Matching Grants
For matching grants to the Massachusetts Alliance of Boys & Girls Clubs, the Alliance of Massachusetts YMCAs and YWCA organizations, nonprofit community centers and youth development programs
4,150,000

account description amount
Retained Revenues
4510-0020 Food Protection Program Retained Revenue
For the department of public health, which may expend not more than $149,414 in revenues collected from fees charged by the food protection program; provided, that notwithstanding any general or special law to the contrary, for the purpose of accommodating timing discrepancies between the receipt of retained revenue 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
149,414
4510-0025 SEAL Dental Program Retained Revenue
For the department of public health, which may expend not more than $893,149 from revenues collected from MassHealth and other third party reimbursement for preventive oral health procedures for a school-based sealant program, known as the SEAL Program; 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
893,149
4510-0040 Pharmaceutical and Medical Device Marketing Regulation RR
For the department of public health, which may expend not more than $273,061 from fees assessed under chapter 111N of the General Laws for the regulation of all pharmaceutical and medical device companies that market their products in the commonwealth; 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
273,061
4510-0615 Nuclear Power Reactor Monitoring Fee Retained Revenue
For the department of public health, which may expend not more than $180,000 from assessments collected under section 5K of chapter 111 of the General Laws for services provided to monitor, survey and inspect nuclear power reactors; provided, that the department may expend not more than $1,912,966 from fees collected from licensing and inspecting users of radioactive material within the commonwealth under licenses presently issued by the Nuclear Regulatory Commission; provided further, that the revenues may be used for the costs of both programs, including the compensation of employees; 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
1,912,966
4510-0616 Prescription Drug Registration and Monitoring Fee RR
For the department of public health, which may expend not more than $1,268,266 for a prescription drug registration and monitoring program from revenues collected from fees charged to registered practitioners, including physicians, dentists, veterinarians, podiatrists and optometrists for controlled substance registration; provided, that funds may be expended from this item for the costs of personnel; 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
1,268,266
4510-0712 Division of Health Care Quality Health Facility Licensing Fee
For the department of public health, which may expend not more than $2,547,181 in revenues collected from the licensure of health facilities for program costs of the division of health care quality and improvement; provided further, that the department may expend not more than $893,189 from revenues collected from individuals applying for emergency medical technician licensure and recertification; 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 revenue 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
2,547,181
4510-0724 Board of Registration in Medicine RR
For the board of registration in medicine, including the physician profiles program; provided, that the board may expend revenues not to exceed $300,503 from new revenues associated with increased license and renewal fees
300,503
4512-0106 HIV/AIDS Drug Program Manufacturer Rebates Retained Revenue
For the department of public health, which may expend not more than $7,500,000 from revenues received from pharmaceutical manufacturers participating in the section 340B rebate program of the Public Health Service Act, administered by the federal health resources and services administration and the office of pharmacy affairs, for activities eligible for the Ryan White Care Act, with priority given to the human immunodeficiency virus and acquired immune deficiency syndrome drug assistance program; provided, that any excess rebate revenue collected beyond the ceiling of this appropriation will be deposited in the general fund; provider further, that services in an amount equivalent to the amount deposited in the general fund be funded through the 4512-0103 appropriation; and provided further, that these services must include activities that would be eligible for coverage through the Ryan White Care Act
7,500,000
4512-0225 Compulsive Behavior Treatment Program Retained Revenue
For the department of public health, which may expend not more than $1,000,000 for a compulsive behavior treatment program from unclaimed prize money held in the State Lottery Fund for more than 1 year from the date of the drawing when the unclaimed prize money was won, and from the proceeds of a multi-jurisdictional lottery game under subsection (e) of section 24A of chapter 10 of the General Laws; provided, that the state comptroller shall transfer the amount to the General Fund; 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 revenue 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
1,000,000
4513-1012 WIC Program Manufacturer Rebates Retained Revenue
For the department of public health, which may expend not more than $27,600,000 from revenues received from the federal cost-containment initiatives including, but not limited to, infant formula rebates; provided, 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
27,600,000
4516-0263 Blood Lead Testing Fee Retained Revenue
For the department of public health, which may expend not more than $1,034,368 in revenues from various blood lead testing fees collected from insurers and individuals for the purpose of conducting these tests; 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 lesser of this authorization or the most recent revenue estimate, as reported in the state accounting system
1,034,368
4516-1005 STI Billing Retained Revenue
For the department of public health, which may expend not more than $545,275 generated by fees collected from providers or insurers for sexually-transmitted infections testing performed at the state laboratory institute; provided, that revenues collected may be used to supplement the costs of the laboratory; and provided further, that for the purpose of accommodating timing discrepancies between the receipt of retained revenues and related expenditures, the department may incur expenses and the comptroller may certify for payment amounts not to exceed the lower of this authorization or the most recent revenue estimate as reported in the state accounting system
545,275
4516-1022 State Laboratory Tuberculosis Testing Fee Retained Revenue
For the department of public health, which may expend not more than $279,209 generated by fees collected from insurers for tuberculosis tests performed at the state laboratory institute; provided, that revenues collected may be used to supplement the costs of the laboratory; 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 lesser of this authorization or the most recent revenue estimate, as reported in the state accounting system
279,209
4518-0200 Vital Records Research Cancer and Community Data
For the department of public health, which may expend not more than $382,664 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 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 lesser of this authorization or the most recent revenue estimate, as reported in the state accounting system
382,664
4590-0912 Western Massachusetts Hospital Federal Reimbursement Retained
For the department of public health, which may expend not more than $22,287,399 from reimbursements collected for Western Massachusetts hospital services for the operation of the Western Massachusetts hospital; provided, that notwithstanding any general or special law to the contrary, the hospital shall be eligible to receive and retain full reimbursement from the Medicaid program; provided further, that notwithstanding any general or special law to the contrary, the hospital shall reimburse the General Fund for a portion of employee benefit expenses according to a schedule submitted by the commissioner of public health and approved by the secretary of administration and finance; provided further, that this reimbursement shall not exceed 10 per cent of total personnel costs for the hospital; 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
22,287,399
4590-0913 Shattuck Hospital Private Medical Vendor Retained Revenue
For the department of public health, which may expend not more than $523,229 for payments received for those services provided by the Lemuel Shattuck hospital to inmates of county correctional facilities; 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 lesser of this authorization or the most recent revenue estimate as reported in the state accounting system
523,229
4590-0917 Shattuck Hospital Department of Correction Inmate RR
For the department of public health, which may expend not more than $4,667,960 from payments received from the vendor managing health services for state correctional facilities for inmate medical services provided by the Lemuel Shattuck hospital; provided, that the payments may include capitation payments, fee for service payments, advance payments and other compensation arrangements established by contract between the vendor and the hospital; 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
4,667,960
4590-0918 SOPS Department of Correction Retained Revenue
For the state office of pharmacy services, which may expend not more than $14,000,000 from revenues collected from vendors providing health care services to the department of correction; provided, that for the purpose of accommodating discrepancies between the receipt of retained revenue 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
14,000,000
4590-0924 Tewksbury Hospital RR
For the department of public health, which may expend not more than $1,808,053 from reimbursements collected by Tewksbury hospital based on a revenue enhancement project to obtain Medicaid coverage for patients whose services are not currently being reimbursed; provided, that 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 lower of this authorization or the most recent revenue estimate as reported in the state accounting system
1,808,053
4590-2001 Tewksbury Hospital DDS Client Retained Revenue
For the department of public health, which may expend not more than $3,506,694 of payments received for those services provided by Tewksbury hospital to clients of the department of developmental services including the provision of behavioral health services and the continuation of short term medical rehabilitation; 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 lesser of this authorization or the most recent revenue estimate, as reported in the state accounting system
3,506,694

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, in this section called SOPS; provided, that SOPS shall notify in writing all agencies listed below of their obligations under this item by July 15, 2015; provided further, that SOPS shall continue to be the sole provider of pharmacy services for the following agencies currently under SOPS: the department of public health, the department of mental health, the department of developmental services, the department of correction, the sheriff's departments of Bristol, Essex, Franklin, Hampden, Hampshire, Plymouth, Middlesex, Berkshire, Norfolk, and Barnstable and the soldiers' homes in Holyoke and Chelsea; provided further, that SOPS shall become the sole provider of pharmacy services to the following agencies currently not being serviced by SOPS: the sheriff's departments of Worcester and Suffolk; provided further, that SOPS shall be the sole provider of pharmacy services for all said agencies and all costs for pharmacy services shall be charged by this item; provided further, that these agencies shall not charge or contract with any other alternative vendor for pharmacy services other than SOPS; provided further, that SOPS shall develop an implementation plan to transition the following agencies within the current fiscal year: the sheriff's departments of Worcester and Suffolk; provided further, that SOPS shall validate previously-submitted pharmacy expenditures including HIV Drug Assistance Program drug reimbursements during fiscal year 2016; and provided further, that SOPS shall continue to work to reduce medication costs, provide standardized policies and procedures in a clinically responsible manner, provide comprehensive data analysis and improve the quality of clinical 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 and charged to other state agencies
                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 8910-0102, 8910-0105, 8910-0107, 8910-0108, 8910-0110, 8910-0145, 8910-8200, 8910-8300, 8910-8400, 8910-8500, 8910-8600, 8910-8700, 8910-8800 and 8910-0619
                Intragovernmental Service Fund ............... 100%
3,800,000

account description amount
Federal Grant Spending 287,007,855
4500-1001 Preventive Health and Health Services Block Grant
For the purposes of a federally funded grant entitled, Peventive Health and Health Services Block Grant
4,352,084
4500-1025 Strengthening Public Health Infrastructure
For the purposes of a federally funded grant entitled, Strengthening Public Health Infrastructure
395,570
4500-1056 Mass Rape Prevention and Education Program
For the purposes of a federally funded grant entitled, Mass Rape Prevention and Education Program
566,346
4500-1067 Proposal Upon the Infrastructure of MA DPH
For the purposes of a federally funded grant entitled, MA Partnership to Improve Minority Health
155,987
4500-2000 Maternal and Child Health Services
For the purposes of a federally funded grant entitled, Maternal and Child Health Services
11,207,259
4502-1012 Cooperative Health Statistics System
For the purposes of a federally funded grant entitled, Cooperative Health Statistics System
990,780
4510-0107 State Loan Repayment
For the purposes of a federally funded grant entitled, State Loan Repayment
166,075
4510-0113 Office of Rural Health
For the purposes of a federally funded grant entitled, Office of Rural Health
206,134
4510-0114 State Primary Care Offices
For the purposes of a federally funded grant entitled, State Primary Care Offices
247,868
4510-0119 Rural Hospital Flexibility Program
For the purposes of a federally funded grant entitled, Rural Hospital Flexibility Program
344,816
4510-0219 Small Rural Hospital Improvement Grant
For the purposes of a federally funded grant entitled, Small Rural Hospital Improvement Grant
79,596
4510-0222 Grants to States to Support Oral Health
For the purposes of a federally funded grant entitled, Grants to States to Support Oral Health
514,611
4510-0400 Medicare and Medicaid Survey and Certification Grant
For the purposes of a federally funded grant entitled, Medicare and Medicaid Survey and Certification Grant
9,573,003
4510-0404 Hospital Prepardness Programs
For the purposes of a federally funded grant entitled, Hospital Preparedness Programs
4,331,889
4510-0500 Clinical Laboratory Improvement
For the purposes of a federally funded grant entitled, Clinical Laboratory Improvement
371,567
4510-0609 Nuclear Regulatory Commission Security Inspections
For the purposes of a federally funded grant entitled, Nuclear Regulatory Commission Security Inspections
5,000
4510-0617 Drug Control Program Within MDPH
For the purposes of a federally funded grant entitled, Drug Control Program Within DPH
165,000
4510-0619 FDA Inspection of Food Establishments
For the purposes of a federally funded grant entitled, FDA Inspection of Food Establishments
603,335
4510-0639 Food Protection Rapid Response Team
For the purposes of a federally funded grant entitled, Food Protection Rapid Response Team
348,992
4510-0643 Harold Rogers Prescription Drug Monitoring Program
For the purposes of a federally funded grant entitled, Harold Rogers Prescription Drug Monitoring Program
124,322
4510-0644 Prescription Drug Monitoring Program Technology Enhancements
For the purposes of a federally funded grant entitled, Prescription Drug Monitoring Program Technology Enhancements
190,723
4510-0812 Sexual Assault Forensic Examination Telemedicine Center
For the purposes of a federally funded grant entitled, Sexual Assault Forensic Examination Telemedicine Center
1,590,606
4510-9014 Mammography Quality Standards Act
For the purposes of a federally funded grant entitled, Mammography Quality Standards Act
258,518
4510-9048 Indoor Radon Development Program
For the purposes of a federally funded grant entitled, Indoor Radon Development Program
169,632
4510-9053 Beach Monitoring
For the purposes of a federally funded grant entitled, Beach Monitoring
292,863
4510-9059 State and National Environment Maintenance and Enhancement
For the purposes of a federally funded grant entitled, State and National Environment Maintenance and Enhancement
1,116,505
4510-9060 Development and Implementation of Brace in MA
For the purposes of a federally funded grant entitled, Building Resilience Against Climate Effects in Mass
310,188
4510-9064 Enhanced MFRPS Capacity Env Sampling
For the purposes of a federally funded grant entitled, Manufactured Food Regulatory Program
374,954
4510-9065 Reduce Environmental Exposure
For the purposes of a federally funded grant entitled, Reduce Environmental Exposure
433,906
4512-0100 Sexually Transmitted Disease Control
For the purposes of a federally funded grant entitled, Sexually Transmitted Disease Control
1,787,573
4512-0104 Mass App for STD Surveillance Network Parts A and B
For the purposes of a federally funded grant entitled, Mass App for STD Surveillance Network Parts A and B
752,991
4512-0177 Enhancing Immunization Systems and Infrastructure Improvements
For the purposes of a federally funded grant entitled, Enhancing Immunization Systems and Infrastructure Improvements
173,079
4512-0179 Immunization and Vaccines for Children Grant
For the purposes of a federally funded grant entitled, Immunization and Vaccines for Children Grant
6,221,734
4512-0186 Epidemiology and Laboratory for Infectious Disease
For the purposes of a federally funded grant entitled, Epidemiology and Laboratory for Infectious Disease
1,378,336
4512-0187 Prevention and Public Health Funds Immunization 2012
For the purposes of a federally funded grant entitled, Prevention and Public Health Funds Immunization 2012
619,746
4512-0189 ELC Non PPHF
For the purposes of a federally funded grant entitled, Epidemiology and Laboratory Capacity Program Non PPHF
100,969
4512-0190 PPHF Increasing HPV Vaccination Coverage Rates
For the purposes of a federally funded grant entitled, PPHF Increasing HPV Vaccination Coverage Rates
441,938
4512-0195 Build Enhance Epidemiology Lab Health Info Sys Cap Mass
For the purposes of a federally funded grant entitled, Build Enhance Epidemiology Lab Health
1,049,718
4512-9065 State Outcomes, Measurement, and Management System
For the purposes of a federally funded grant entitled, State Outcomes, Measurement, and Management System
19,059
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
47,160,685
4512-9072 Massachusetts Access to Recovery Program
For the purposes of a federally funded grant entitled, Massachusetts Access to Recovery Program
865,075
4512-9075 Drug Court Discretionary Grant
For the purposes of a federally funded grant entitled, Drug Court Discretionary Grant
667,107
4512-9076 State Prevention Framework Grant
For the purposes of a federally funded grant entitled, State Prevention Framework Grant
1,468,695
4512-9078 State Adolescent Treatment Enhancement and Dissemination
For the purposes of a federally funded grant entitled, State Adolescent Treatment Enhancement and Dissemination
1,194,879
4512-9079 Mission Forward
For the purposes of a federally funded grant entitled, Mission Forward
353,872
4512-9080 Enhance MA Support Services
For the purposes of a federally funded grant entitled, Cooperative Agreement to Benefit Homeless Individuals
922,616
4512-9081 Promoting Safe and Stable Families
For the purposes of a federally funded grant entitled, Promoting Safe and Stable Families Program
193,362
4512-9082 Mass Family Recovery Project Southeast
For the purposes of a federally funded grant entitled, Mass Family Recovery Project Southeast
866,004
4512-9083 MCH Research
For the purposes of a federally funded grant entitled, MCH Research
83,357
4512-9426 Uniform Alcohol and Drug Abuse Data
For the purposes of a federally funded grant entitled, Uniform Alcohol and Drug Abuse Data
164,226
4513-0111 Housing Opportunities for People with AIDS Program
For the purposes of a federally funded grant entitled, Housing Opportunities for People with AIDS Program
197,288
4513-1225 Mass Implementation of Essentials for Childhood
For the purposes of a federally funded grant entitled, Mass Implementation of Essentials for Childhood
176,600
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
87,946,340
4513-9018 Comprehensive HIV Prevention Project for Health Departments
For the purposes of a federally funded grant entitled, Comprehensive HIV Prevention Project for Health Departments
5,470,202
4513-9021 Infants and Toddlers with Disabilities
For the purposes of a federally funded grant entitled, Infants and Toddlers with Disabilities
10,443,691
4513-9023 Massachusetts HIV and AIDS National Behavioral Surveillance
For the purposes of a federally funded grant entitled, Massachusetts HIV and AIDS National Behavioral Surveillance
489,308
4513-9027 Mass Care - Community Aids Resource
For the purposes of a federally funded grant entitled, Mass Care - Community Aids Resource
567,238
4513-9030 Planning a Comprehensive Primary Care
For the purposes of a federally funded grant entitled, Planning a Comprehensive Primary Care
103,206
4513-9037 Ryan White Care Act
For the purposes of a federally funded grant entitled, Ryan White Care Act
19,595,838
4513-9038 Shelter Plus Care - Worcester
For the purposes of a federally funded grant entitled, Shelter Plus Care - Worcester
302,712
4513-9040 HIV and AIDS Surveillance
For the purposes of a federally funded grant entitled, HIV and AIDS Surveillance
1,169,671
4513-9041 Hit Capacity Building Initiative - AIDS Drug Assistance
For the purposes of a federally funded grant entitled, Hit Capacity Building Initiative - AIDS Drug Assistance
100,000
4513-9042 Systems Linkages and Access to Care for Population HIV
For the purposes of a federally funded grant entitled, Systems Linkages and Access to Care for Population HIV
964,167
4513-9043 Mass IMPACT
For the purposes of a federally funded grant entitled, Mass IMPACT
773,121
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
335,000
4513-9076 Early Childhood Comprehensive Systems
For the purposes of a federally funded grant entitled, Early Childhood Comprehensive Systems
170,792
4513-9077 Emergency Medical Services for Children
For the purposes of a federally funded grant entitled, Emergency Medical Services for Children
134,420
4513-9085 Pregnancy Risk Assessment Monitoring System
For the purposes of a federally funded grant entitled, Pregnancy Risk Assessment Monitoring System
141,194
4513-9092 Addressing Asthma Health from a Public Health Perspective
For the purposes of a federally funded grant entitled, Addressing Asthma Health from a Public Health Perspective
286,859
4513-9093 Mass Launch
For the purposes of a federally funded grant entitled, Mass Launch
488,678
4513-9097 Office of Healthy Homes and Lead Hazard Control
For the purposes of a federally funded grant entitled, Office of Healthy Homes and Lead Hazard Control
71,285
4513-9098 Maternal Infant and Early Childhood Home Visiting - ACA
For the purposes of a federally funded grant entitled, Maternal Infant and Early Childhood Home Visiting - ACA
9,170,815
4513-9100 Surveillance On Congenital Defects
For the purposes of a federally funded grant entitled, Surveillance On Congenital Defects
503,906
4513-9101 Mass Center for Birth Defects Research and Prevention
For the purposes of a federally funded grant entitled, Mass Center for Birth Defects Research and Prevention
685,238
4513-9103 Maternal Infant and Early Childhood Home Visiting Program
For the purposes of a federally funded grant entitled, Maternal Infant and Early Childhood Home Visiting Program
1,367,539
4513-9104 Universal Newborn Hearing Screening
For the purposes of a federally funded grant entitled, Universal Newborn Hearing Screening
259,000
4513-9105 Early Hearing Detection and Intervention
For the purposes of a federally funded grant entitled, Early Hearing Detection
172,087
4514-1008 2010 Women, Infants and Children Special Project
For the purposes of a federally funded grant entitled, 2010 Women, Infants and Children Special Project
42,295
4514-1012 Women Infants and Children
For the purposes of a federally funded grant entitled, EBT Grant
1,891,666
4515-0115 Tuberculosis Control Project
For the purposes of a federally funded grant entitled, Tuberculosis Control Project
2,228,848
4515-0204 Strengthening Surveillance for Infectious Disease
For the purposes of a federally funded grant entitled, Strengthening Surveillance for Infectious Disease
83,334
4515-0205 HIV Training Through Prevention Training
For the purposes of a federally funded grant entitled, HIV Training Through Prevention Training
23,704
4515-0208 Sylvie Ratelle PTC STD HIV Prevention
For the purposes of a federally funded grant entitled, Sylvie Ratelle PTC STD HIV Prevention
542,148
4515-1124 Adult Viral Hepatitis Prevention
For the purposes of a federally funded grant entitled, Adult Viral Hepatitis Prevention
659,352
4516-1021 Public Health Emergency Preparedness and Response
For the purposes of a federally funded grant entitled, Public Health Emergency Preparedness & Response
13,458,412
4516-1034 Accreditation for State Food Testing Laboratories
For the purposes of a federally funded grant entitled, Accreditation for State Food Testing Laboratories
225,158
4518-0505 Technology Data and Massachusetts Birth and Infant Death File
For the purposes of a federally funded grant entitled, Technology Data and Massachusetts Birth and Infant Death File
75,595
4518-0514 National Violent Death Reporting System
For the purposes of a federally funded grant entitled, National Violent Death Reporting System
237,364
4518-0534 Public Health Injury Surveillance and Prevention
For the purposes of a federally funded grant entitled, Public Health Injury Surveillance and Prevention
839,128
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
195,000
4518-1002 Massachusetts Death File - Social Security Administration
For the purposes of a federally funded grant entitled, Massachusetts Death File - Social Security Administration
167,200
4518-1003 Birth Records - MA for Social Security Administration
For the purposes of a federally funded grant entitled, Birth Records - MA for Social Security Administration
315,253
4518-9023 Census of Fatal Occupational Injuries
For the purposes of a federally funded grant entitled, Census of Fatal Occupational Injuries
54,105
4518-9034 Core Violence and Injury Prevention
For the purposes of a federally funded grant entitled, Core Violence and Injury Prevention
435,027
4518-9038 Youth Suicide Prevention Project
For the purposes of a federally funded grant entitled, Youth Suicide Prevention Project
480,000
4518-9044 Massachusetts Citizen Verification for Federal Employment
For the purposes of a federally funded grant entitled, Massachusetts Citizen Verification for Federal Employment
8,000
4570-1513 Colorectal Cancer Screening
For the purposes of a federally funded grant entitled, Colorectal Cancer Screening
586,679
4570-1520 Massachusetts Integration of Chronic Disease
For the purposes of a federally funded grant entitled, Massachusetts Integration of Chronic Disease
1,634,449
4570-1526 Demonstrating the Capacity of Comprehensive Cancer Control
For the purposes of a federally funded grant entitled, Demonstrating the Capacity of Comprehensive Cancer Control
173,819
4570-1527 Personal Responsibility Education Program 2010
For the purposes of a federally funded grant entitled, Personal Responsibility Education Program 2010
1,404,514
4570-1531 Behavioral Risk Factor Surveillance System
For the purposes of a federally funded grant entitled, Behavioral Risk Factor Surveillance System
3,378
4570-1534 Federal Drug Administration - Tobacco - 2011
For the purposes of a federally funded grant entitled, Federal Drug Administration - Tobacco - 2011
697,435
4570-1535 Mass Health Impact Assessment to Foster Healthy Community
For the purposes of a federally funded grant entitled, Mass Health Impact Assessment to Foster Healthy Community
93,178
4570-1538 Massachusetts Community Transformation - Middlesex
For the purposes of a federally funded grant entitled, Massachusetts Community Transformation - Middlesex
456,748
4570-1539 Childhood Obesity
For the purposes of a federally funded grant entitled, Childhood Obesity
1,730,561
4570-1540 Category B Implementation - Mass Community Transformation
For the purposes of a federally funded grant entitled, Category B Implementation - Mass Community Transformation
459,258
4570-1541 Support for Pregnant Parenting Teen
For the purposes of a federally funded grant entitled, Support for Pregnant Parenting Teen
1,511,231
4570-1542 Improve Health of People With Disabilities-Secondary Condition
For the purposes of a federally funded grant entitled, Improve Health of People With Disabilities-Secondary Condition
11,658
4570-1543 Massachusetts Cancer Prevention and Control Program
For the purposes of a federally funded grant entitled, Massachusetts Cancer Prevention and Control Program
264,403
4570-1544 Paul Coverdell National Acute Stroke Registry
For the purposes of a federally funded grant entitled, Paul Coverdell National Acute Stroke Registry
546,826
4570-1545 Ensuring Quitline Capacity
For the purposes of a federally funded grant entitled, Ensuring Quitline Capacity
313,460
4570-1546 Behavioral Factor Surveillance System
For the purposes of a federally funded grant entitled, Behavioral Factor Surveillance System
277,744
4570-1547 Mass State Health Prevention Chronic Disease
For the purposes of a federally funded grant entitled, Mass State Health Prevention Chronic Disease
322,300
4570-1550 Improving the Health of People With Disabilities
For the purposes of a federally funded grant entitled, Improving Health People W Disabilities
300,861
4570-1551 MA Cancer Prevention and Control Program
For the purposes of a federally funded grant entitled, MA Cancer Prevention and Control Program
3,820,389
4570-1552 Mass State Health Prevention Chronic Disease
For the purposes of a federally funded grant entitled, State Health Prevention Chronic Disease
473,574
4570-1553 Mass State Health Prevention Chronic Disease
For the purposes of a federally funded grant entitled, State Health Prevention Chronic Disease
1,190,456
4570-1554 FY14 Family Planning Services FOA
For the purposes of a federally funded grant entitled, FY14 Family Planning Services FOA
714,000
account description amount
Trust and Other Spending 114,667,900
4500-0031 Dockside Testing Trust Fund 162,527
4510-0035 Ortho-McNeil Janssen Expendable Trust 740,000
4510-0038 Medical Marijuana Trust Fund 3,629,983
4510-0070 Safety and Health for Home Care Workers Trust 24,715
4510-0410 Steward and Caritas Christi Impact Study 124,986
4510-0622 Radiation Control Trust 565,764
4510-0625 Low Level Radioactive Waste Rebate Trust 280,865
4510-0635 Lead Paint Education and Training Trust 2,299,934
4510-0714 Civil Monetary Penalties Trust 217,413
4510-0727 Health Boards Professional Licensure Trust 10,577,259
4510-0729 Board of Registration in Medicine Trust 9,038,910
4510-1016 Vaccine Purchase Trust Fund 61,528,387
4510-2059 Mass Hospital School Telecommunications Trust 45,802
4510-2062 Western Mass Hospital Telecommunications Trust 39,794
4510-2082 Lemuel Shattuck Hospital Telecommunications Trust 20,000
4510-6837 Organ Tissue Donor Registration 315,188
4510-6921 Organ Transplant Fund 100,000
4512-0105 Massachusetts AIDS Trust 75,000
4513-1110 Wellness Initiative Expendable Trust 176,250
4513-1224 Prevention and Wellness Trust Fund 21,173,287
4513-9095 PELL Data System and Research Trust 177,024
4514-0100 Catastrophic Illness in Children Relief Trust 2,685,045
4514-0200 Spinal Cord Injury Trust 106,725
4516-1032 Bio-Watch Laboratory Support Trust 194,968
4516-1033 Molecular Tests for TB Services Trust 47,492
4518-9035 Newborn Screening Trust 187,330
4518-9046 Enhance Cancer Registry Data Comparative 67,252
4518-9048 Behavioral Risk Factor Surveillance and DAET Trust 26,000
4590-9122 Western Mass Hospital Trust Fund 40,000

 

 
Hide line item language



account description amount
DEPARTMENT OF MENTAL HEALTH 750,095,987
Budgetary Direct Appropriations 727,625,989
Direct Appropriations
5011-0100 Department of Mental Health Administration and Operations
For the operation of the department of mental health
28,720,221
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
80,420,672
5046-0000 Adult Mental Health and Support Services
For adult mental health and support services; provided, that the department shall allocate funds in an amount not to exceed $5,000,000 from item 5095-0015 to this item, as necessary, for community services for clients formerly receiving care at department facilities
                General Fund ............... 96.43%
                Community First Trust Fund - Budgeted ............... 3.57%
370,816,250
5046-2000 Statewide Homelessness Support Services
For homelessness services; provided, that $2,000,000 shall be expended for a special initiative for mentally ill homeless individuals
22,134,979
5047-0001 Emergency Services and Mental Health Care
For emergency service programs, community and facility services
24,258,428
5055-0000 Forensic Services Program for Mentally Ill Persons
For forensic services provided by the department
9,183,473
5095-0015 Inpatient Facilities and Community Based Mental Health
For the operation of hospital facilities and community-based mental health services; provided, that the department may allocate funds in an amount not to exceed $5,000,000 from item 5095-0015 to item 5046-0000 for community services for clients formerly receiving inpatient care at the department facilities
191,466,966

account description amount
Retained Revenues
5046-4000 CHOICE Program Retained Revenue
For the department of mental health, which may expend not more than $125,000 in revenue collected from occupancy fees charged to the tenants in the creative housing option in community environments, the CHOICE program, authorized by chapter 167 of the acts of 1987; provided, that all fees collected under that program shall be expended for the routine maintenance and repair of facilities in the CHOICE program
125,000
5095-1016 Occupancy Fees Retained Revenue
For the department of mental health, which may expend not more than $500,000 in revenue collected from occupancy fees charged to the tenants of the state hospitals; provided, that all fees collected shall be expended to support the costs to sustain operations of the state hospital facilities; and provided further, that for the purpose of accommodating timing discrepancies between the receipt of retained revenues and related expenditures, the department may incur expenses and the comptroller may certify for payment amounts not to exceed the lower of this authorization or the most recent revenue estimate as reported in the state accounting system
500,000

account description amount
Federal Grant Spending 2,852,525
5012-9122 Project for Assistance in Transition from Homelessness
For the purposes of a federally funded grant entitled, Project for Assistance in Transition from Homelessness
1,558,000
5012-9162 Transition Age Youth and Young Adult Care
For the purposes of a federally funded grant entitled, Transition Age Youth & Young Adult Care
994,311
5012-9170 Mission Integrated Re-Entry and Peer Support
For the purposes of a federally funded grant entitled, Mission Integrated Re-Entry and Peer Support
75,000
5046-9102 Shelter Plus Care Program
For the purposes of a federally funded grant entitled, Shelter Plus Care Program
225,214
account description amount
Trust and Other Spending 19,617,473
5011-2001 Mental Health Information System Trust 3,943,785
5095-2690 MMHC Facility Reserve Fund Trust 300,000
5311-9101 Solomon Mental Health Center Trust 137,119
5535-2689 Cape Cod and Islands Mental Health and Retardation Center 3,076,756
5540-2689 Brockton Multi-Service Center Trust 2,332,720
5541-2689 Dr John C Corrigan, Jr Mental Health Center Trust 2,957,851
5542-2689 Research and Training Trust 25,161
5651-2689 Massachusetts Mental Health Center Trust 1,991,017
5652-2689 Dr Solomon Carter Fuller Mental Health Center Trust 3,678,093
5653-2689 Lindemann Mental Health Center Trust 572,648
5851-2689 Quincy Mental Health Center Trust 602,323

 

 
Hide line item language



account description amount
OFFICE FOR REFUGEES AND IMMIGRANTS 20,355,492
Budgetary Direct Appropriations 363,299
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; 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; and provided further, that funds may be expended for the programmatic and administrative support of the agency's refugee and immigrant services
363,299

account description amount
Federal Grant Spending 19,232,521
4003-0814 Refugee Preventative Health
For the purposes of a federally funded grant entitled, Refugee Preventative Health
1,979
4003-0822 Peer Award
For the purposes of a federally funded grant entitled, Peer Award
99,496
4003-0823 Cuban Haitian Award
For the purposes of a federally funded grant entitled, Cuban Haitian Award
97,307
4003-0825 Wilson Fish
For the purposes of a federally funded grant entitled, Wilson Fish
3,904,485
4003-0826 Refugee Cash and Medical Assistance
For the purposes of a federally funded grant entitled, Refugee Cash and Medical Assistance
12,630,893
4003-0833 Refugee School Impact
For the purposes of a federally funded grant entitled, Refugee School Impact
27,515
4003-0844 Refugee Targeted Assistance Program
For the purposes of a federally funded grant entitled, Refugee Targeted Assistance Program
866,995
4003-0851 Mass Refugee Enterprise Achievement Program
For the purposes of a federally funded grant entitled, Mass Refugee Enterprise Achievement Program
11,249
4003-0855 Refugee Social Services Program
For the purposes of a federally funded grant entitled, Refugee Social Services Program
1,583,896
4003-0858 Empowering Families Program
For the purposes of a federally funded grant entitled, Empowering Families Program
8,706
account description amount
Trust and Other Spending 759,672
4003-0091 Office of Refugees and Immigrants Trust Fund 600,000
4003-0820 AmeriCorps MA New American Integration Program Expend Trust 159,672

 

 
Hide line item language



account description amount
DEPARTMENT OF YOUTH SERVICES 176,367,259
Budgetary Direct Appropriations 175,920,085
4200-0010 Department of Youth Services Administration and Operations
For the administration of the department of youth services; provided, the commissioner of youth services may transfer funds between items 4200-0100 and 4200-0200, 4200-0300 as necessary; provided further, that the commissioner may transfer up to 7 per cent of the amount appropriated in each item; and provided further, that 15 days before any such transfer is made, the commissioner shall file with the secretary of administration and finance and the house and senate committees on ways and means a plan showing the amounts to be transferred and the reason for the proposed transfer
4,434,660
4200-0100 Non-Residential Services for Committed Population
For supervision, counseling and other community-based services provided to committed youths in non-residential care programs of the department
23,286,596
4200-0200 Residential Services for Detained Population
For pretrial detention programs, including purchase-of-service and state-operated programs
26,687,833
4200-0300 Residential Services for Committed Population
For secure facilities, including purchase-of-service and state-operated programs incidental to the operations of the facilities
116,251,547
4200-0500 Department of Youth Services Teacher Salaries
For enhanced salaries for teachers at the department of youth services
3,154,187
4200-0600 Department of Youth Services Alternative Lock Up Program
For the operation of secure facilities to detain arrested youth prior to arraignment under the alternative lock up program
2,105,262
account description amount
Trust and Other Spending 447,174
4202-0602 Annie E. Casey Foundation Grant 10,463
4202-2112 Department of Youth Services - School Lunch Program 381,711
4202-8001 DYS Expendable Trust 55,000

 

 
Hide line item language



account description amount
DEPARTMENT OF TRANSITIONAL ASSISTANCE 708,256,045
Budgetary Direct Appropriations 703,030,531
4400-1000 Dept. of Transitional Assistance Administration & Operation
For the operation of the department of transitional assistance; provided, that funds shall be expended for a grant to Project Bread - The Walk for Hunger, Inc.; provided further, that after April 1, 2016, the commissioner of the department of transitional assistance may transfer funds for identified deficiencies between items, 4403-2000, 4405-2000 and 4408-1000; provided further, that the distribution of the funds to be transferred shall be included in an allocation plan, which the commissioner shall file with the house and senate committees on ways and means 15 days prior to a transfer; and provided further, pursuant to approval by the executive office for administration and finance, the commissioner of the department of transitional assistance may transfer funds for identified deficiencies between this item and 4400-1100
65,148,736
4400-1001 Food Stamp Participation Rate Programs
For programs to increase the commonwealth's participation rate in the supplemental nutrition assistance program and other federal nutrition programs
3,190,535
4400-1025 Domestic Violence Specialists
For domestic violence specialists at local area offices
1,046,651
4400-1100 Caseworkers Reserve
For the payroll of the department's caseworkers; provided, that only employees of bargaining unit 8 shall be paid from this item
70,833,479
4400-1979 Pathways to Self Sufficiency
For the department of transitional assistance to administer, in consultation with the Commonwealth Corporation, an employment counseling and job training program and the pathways to self-sufficiency program respectively established under section 3B and section 3C of chapter 118 of the General Laws, and for the full employment program established under section 110 of chapter 5 of the acts of 1995
3,250,000
4401-1000 Employment Services Program
For employment and training services for recipients of benefits provided under the transitional aid to families with dependent children program; 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; and 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
11,806,041
4403-2000 Transitional Aid to Families with Dependent Children Grant Pmt
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 2015 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 notwithstanding section 218 of chapter 149 of the acts of 2004, recipients whose youngest child of record is of the age at which full time schooling is mandatory or older shall be required to participate in 30 hours per week of a work-related activity; 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 said section 110 of said chapter 5; 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 of $150 shall be provided to each child eligible under these programs in September 2015; provided further, that the children's clothing allowance may be included in the standard of need for the month of September 2015; 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; and provided further, that the department may review and revise its disability standards to reflect current medical and vocational criteria
229,083,946
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
1,200,000
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
9,854,932
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 the expenses of special grants to recipients residing in rest homes, as provided in section 7A of chapter 118A of the General Laws, may be paid from this item; provided further, that the department, 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 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
228,738,399
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 the aid under chapter 117A of the General Laws and regulations promulgated by the department and subject to the limitations of appropriation therefore; 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; provided further, notwithstanding any general or special law to the contrary, non-citizen applicants who are lawful permanent residents or who are determined to be permanently residing in the United States under color of law shall not be eligible for benefits until they have resided in the United States for five years; provided further, benefits shall not be provided to illegal or undocumented aliens; provided further, that the individual shall not be a 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 such individuals' capacity to support themselves 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 said chapter 118 and under said separate program; 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 in promulgating, 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 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
78,877,812
account description amount
Federal Grant Spending 5,225,514
4400-3062 13 SNAP Program and Tech Improvement Grant
For the purposes of a federally funded grant entitled, SNAP Virtual Gateway Modernization Grant
221,514
4400-3063 Farmers Market Access to Supplemental Nutritional Assistance
For the purposes of a federally funded grant entitled, Farmers Market Access to Supplemental Nutritional Assistance
4,000
4400-3064 SNAP Nutrition Education and Obesity Prevention
For the purposes of a federally funded grant entitled, SNAP Nutrition Education and Obesity Prevention
4,000,000
4400-3067 Supplemental Nutritional Assistance Employment and Training
For the purposes of a federally funded grant entitled, Supplemental Nutritional Assistance Employment and Training
1,000,000

 

 
Hide line item language



account description amount
DEPARTMENT OF CHILDREN AND FAMILIES 916,416,051
Budgetary Direct Appropriations 900,518,424
Direct Appropriations
4800-0015 Clinical Support Services and Operations
For central, regional and area office clinical support services, operations and administration; provided, that the associated expenses of employees whose AA and DD object class costs are paid from item 4800-1100 shall be paid from this item; provided further, that the commissioner of the department of children and families may transfer funds between items 4800-0030, 4800-0038, 4800-0040 and 4800-0041 as necessary, pursuant to an allocation plan, which shall detail by object class the distribution of the funds to be transferred and which the commissioner shall file with the house and senate committees on ways and means 15 days prior to any such transfer; provided further, that not more than 5 per cent of any item shall be transferred in fiscal year 2016; provided further, that the commissioner may transfer funds from line item 4800-1100 into line item 4800-0015 for the purpose of maintaining appropriate staffing ratios; provided further, that the commissioner shall notify the house and senate committees on ways and means 15 days in advance of any such transfer; and provided further, that not more than 2 per cent of funds from line item 4800-1100 shall be transferred in fiscal year 2016
80,703,822
4800-0025 Foster Care Review
For foster care review services
3,247,347
4800-0030 DCF Local and Regional Management of Services
For the continuation of local and regional coordination and management of services; provided, that flex services may be funded from this item
6,000,000
4800-0036 Sexual Abuse Intervention Network
For a sexual abuse intervention network program to be administered in conjunction with the district attorneys
698,740
4800-0038 Services for Children and Families
For services to children and families including but not limited to permanency, stabilization, placement and congregate care; provided, that the department may contract with provider agencies for the coordination and management of services, including flex
277,494,460
4800-0040 Family Support and Stabilization
For family preservation and unification services
44,610,551
4800-0041 Congregate Care Services
For congregate care services; provided, that funds may be expended from this item to provide intensive community-based services, including intensive in-home support and stabilization services, to children who would otherwise be placed in residential settings
249,564,682
4800-0151 Placement Services for Juvenile Offenders
For a program to provide alternative overnight non-secure placements for status offenders and nonviolent delinquent youths up to the age of 18 in order to prevent the inappropriate use of juvenile cells in police stations for such offenders, in compliance with the federal Juvenile Justice and Delinquency Prevention Act of 1974, as amended; provided, that the programs which provide the alternative non-secure placements shall collaborate with the appropriate county sheriff's office to provide referrals of those offenders and delinquent youths to any programs within the sheriff's office designed to positively influence youths or reduce, if not altogether eliminate, juvenile crime
504,388
4800-0200 DCF Family Resource Centers
For the support and maintenance of family resource centers
7,392,963
4800-1100 Social Workers for Case Management
For the salaries and benefits of the department's social workers
201,819,297
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 and for the operation of the New Chardon Street homeless shelter
23,972,020

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 $2,510,154 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
2,510,154

account description amount
Federal Grant Spending 15,803,581
4800-0006 Children Justice Act
For the purpose of a federal funded grant entitled, Children's Justice Act
396,157
4800-0007 Family Violence Prevention and Services
For the purposes of a federally funded grant entitled, Family Violence Prevention and Services
1,891,861
4800-0009 Independent Living Program - Title IV-E
For the purposes of a federally funded grant entitled, Independent Living Program - Title IV-E
2,852,884
4800-0013 Promoting Safe and Stable Families Program Title IV-B Subpart 2
For the purposes of a federally funded grant entitled, Promoting Safe and Stable Families Program Title IV-B Subpart 2
4,912,102
4800-0084 Educational and Training Voucher
For the purposes of a federally funded grant entitled, Educational and Training Voucher
914,417
4800-0089 Adoption Incentives Payments
For the purposes of a federally funded grant entitled, Adoption Incentives Payments
9,126
4899-0001 Child Welfare Services - Title IV-B, Subpart 1
For the purposes of a federally funded grant entitled, Child Welfare Services - Title IV-B, Subpart 1
3,712,761
4899-0021 National Center for Child Abuse and Neglect
For the purposes of a federally funded grant entitled, National Center for Child Abuse and Neglect
474,273
4899-0024 Massachusetts Child Trauma Project
For the purposes of a federally funded grant entitled, Massachusetts Child Trauma Project
640,000
account description amount
Trust and Other Spending 94,046
4800-3110 Private Scholarship Donations 20,000
4899-8102 New Chardon Street Temporary Home 24,046
4899-8104 Casey Family - Centered Practice Expendable Trust 50,000

 

 
Hide line item language



account description amount
MASSACHUSETTS COMMISSION FOR THE BLIND 34,023,277
Budgetary Direct Appropriations 21,865,825
4110-0001 Administration and Program Operations
For the operation of the Massachusetts commission for the blind, including the cost of sheltered workforce employee retirement benefits
1,486,228
4110-1000 Community Services for the Blind
For the community services program
4,204,928
4110-2000 Turning 22 Program and Services
For the turning 22 program of the commission
13,167,056
4110-3010 Vocational Rehabilitation for the Blind
For a program of vocational rehabilitation for the blind in cooperation with the federal government; provided, that no funds from federal vocational rehabilitation grants or state appropriations shall be deducted for pensions, group health and life insurance, or any other of these indirect costs of federally reimbursed state employees
3,007,613

account description amount
Federal Grant Spending 11,455,038
4110-3021 Vocational Rehabilitation Services Program
For the purposes of a federally funded grant entitled, Vocational Rehabilitation Services Program
10,503,238
4110-3023 State Independent Living Services - State Grants
For the purposes of a federally funded grant entitled, State Independent Living Services - State Grants
54,000
4110-3026 Independent Living Services for Older Blind Individuals
For the purposes of a federally funded grant entitled, Independent Living Services for Older Blind Individuals
856,800
4110-3027 Rehabilitation Training - Section 4
For the purposes of a federally funded grant entitled, Rehabilitation Training - Section 4
11,000
4110-3028 Supported Employment for Individuals With Disabilities
For the purposes of a federally funded grant entitled, Supported Employment for Individuals With Disabilities
30,000
account description amount
Trust and Other Spending 702,414
4110-3236 Vocational Rehab Cost Reimbursement Program Trust 95,508
4110-6600 Educational Purposes Trust Fund 125,500
4110-6606 Vending Facility Operators Trust Fund 481,406

 

 
Hide line item language



account description amount
MASSACHUSETTS REHABILITATION COMMISSION 165,124,377
Budgetary Direct Appropriations 46,832,075
4120-0200 Independent Living Centers
For independent living centers
5,545,568
4120-1000 Massachusetts Rehabilitation Commission
For the operation of the commission
430,981
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
10,219,193
4120-3000 Employment Assistance
For employment assistance services for severely disabled adults
2,246,934
4120-4000 Independent Living Assistance for the Multi Disabled
For independent living assistance services for the multi-disabled
8,777,574
4120-4010 Turning 22 Program and Services
For the turning 22 program of the commission
646,359
4120-5000 Home Care Services for the Multi Disabled
For home care services
4,306,174
4120-6000 Head Injury Treatment Services
For head injury treatment services
14,659,292

account description amount
Federal Grant Spending 108,632,053
4120-0020 Basic Vocational Rehabilitation Grant
For the purposes of a federally funded grant entitled, Basic Vocational Rehabilitation Grant
60,134,392
4120-0040 Vocational Rehab and Personnel Development Training
For the purposes of a federally funded grant entitled, Vocational Rehab and Personnel Development Training
74,000
4120-0187 Supported Employment Services Grant
For the purposes of a federally funded grant entitled, Supported Employment Services Grant
426,165
4120-0191 Informed Members Planning and Assessing
For the purposes of a federally funded grant entitled, Informed Members Planning and Assessing
172,776
4120-0511 Social Security Admin Disability Determination Program
For the purposes of a federally funded grant entitled, Social Security Admin Disability Determination Program
45,467,363
4120-0760 Independent Living Federal Funds
For the purposes of a federally funded grant entitled, Independent Living Federal Funds
1,850,942
4120-0768 State Grants for Assistive Technology
For the purposes of a federally funded grant entitled, State Grants for Assistive Technology
506,415
account description amount
Trust and Other Spending 9,660,249
4120-0029 Vocational Rehabilitation for the Multi-Disabled Trust Fund 2,888,354
4120-0030 Workforce Coordinating Grant Trust Account 12,409
4120-0607 Employment Strategies and Services Trust 9,486
4120-6002 Head Injury Treatment Services Trust Fund 6,750,000

 

 
Hide line item language



account description amount
MASSACHUSETTS COMMISSION FOR THE DEAF AND HARD OF HEARING 6,092,254
Budgetary Direct Appropriations 5,645,031
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
5,645,031

account description amount
Intragovernmental Service Spending 250,000
4125-0122 Chargeback for Interpreter Services
For the costs of interpreter services provided by commission staff; provided, that the costs of personnel may be charged to this item; and provided further, that for the purpose of accommodating discrepancies between the receipt of retained revenues and related expenditures, the commission 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
                Intragovernmental Service Fund ............... 100%
250,000
account description amount
Trust and Other Spending 197,223
4125-0104 Interpreter Services Revolving Fund 197,223

 

 
Hide line item language



account description amount
SOLDIERS' HOME IN MASSACHUSETTS 30,157,587
Budgetary Direct Appropriations 30,139,153
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
29,539,153

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 $600,000; 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
600,000
account description amount
Trust and Other Spending 18,434
4180-1101 Soldiers Home Telecommunication Lease Expendable Trust 18,434

 

 
Hide line item language



account description amount
SOLDIERS' HOME IN HOLYOKE 24,479,580
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
23,170,537
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 $50,000 from fees collected from veterans in its care
50,000
4190-0300 Holyoke 12 Bed Retained Revenue
For the soldiers' home in Holyoke which may expend not more than $744,043 for the operation of 12 long term care beds from revenue generated through the occupancy of these beds; 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 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
744,043
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 $400,000; 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
400,000

 

 
Hide line item language



account description amount
DEPARTMENT OF DEVELOPMENTAL SERVICES 1,762,275,953
Budgetary Direct Appropriations 1,750,857,414
Direct Appropriations
5911-1003 DDS Service Coordination and Administration
For the service coordination and administration of the department of developmental services
69,918,985
5911-2000 Transportation Services
For transportation costs associated with community-based day and work programs; provided, that the department shall provide transportation on the basis of priority of need as determined by the department
18,996,018
5920-2000 Community Residential Services for Developmentally Disabled
For vendor-operated, community-based, residential adult services, including intensive individual supports; provided, that the commissioner of the department of developmental services shall transfer funds from this item to item 5920-2010, as necessary, pursuant to an allocation plan, which shall detail, by object class, the distribution of the funds to be transferred and which the commissioner shall file with the house and senate committees on ways and means 15 days before the transfer; and provided further, that not more than $5,000,000 shall be transferred from this item in fiscal year 2016
                General Fund ............... 98.43%
                Community First Trust Fund - Budgeted ............... 1.57%
1,084,666,855
5920-2010 State Operated Residential Services
For state-operated, community-based, residential services for adults, including community-based health services
214,737,045
5920-2025 Community Day and Work Programs
For community-based day and work programs and associated transportation costs for adults; provided, that the department shall provide transportation on the basis of priority of need as determined by the department
173,509,830
5920-2026 Community Based Employment
For the support of individuals with disabilities transitioning from employment services offered at sheltered workshops to community-based employment or day support program services
5,048,666
5920-3000 Respite Family Supports for the Developmentally Disabled
For respite services and intensive family supports
                General Fund ............... 79.32%
                Community First Trust Fund - Budgeted ............... 20.68%
59,802,269
5920-3010 Autism Division
For support services for families with autistic children through the autism division
5,585,431
5920-5000 Turning 22 Program and Services
For services to clients of the department who turn 22 years of age during state fiscal year 2016
6,500,000
5930-1000 State Facilities for the Developmentally Disabled
For the operation of facilities for individuals with intellectual disabilities; provided, that the department may allocate funds from this item to items 5920-2000, 5920-2010 and 5920-2025, as necessary, under allocation plans submitted to the house and senate committees on ways and means 30 days before any transfer for residential and day services for clients formerly receiving inpatient care at ICF/MRs
112,092,315

account description amount
Intragovernmental Service Spending 6,500,000
5948-0012 Chargeback for Special Education Alternatives
For the operation of a program providing alternatives to residential placements for children with intellectual disabilities, including the costs of intensive home-based supports provided for the purposes of item 7061-0012
                Intragovernmental Service Fund ............... 100%
6,500,000
account description amount
Trust and Other Spending 4,918,539
5911-0001 Templeton Parents Guardians Friends Expendable Trust 29,388
5911-2001 DDS Commissioner Trust 4,889,151

 

 
Hide line item language



account description amount
DEPARTMENT OF VETERANS' SERVICES 92,001,676
Budgetary Direct Appropriations 91,988,368
Direct Appropriations
1410-0010 Veterans' Services Administration and Operations
For the operation of the department of veterans' services; provided, that not less than $500,000 shall be expended for the operation of peer support services in order to provide crisis intervention and homelessness prevention for veterans of the commonwealth; and provided further, that not less than $85,000 shall be expended for the Canines for Combat Veterans program to train assistance dogs for veterans
3,389,267
1410-0012 Veterans' Outreach Centers Including Homeless Shelters
For services to veterans, including the maintenance and operation of outreach centers, homeless shelters and transitional housing; provided, that the 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
3,073,641
1410-0015 Women Veterans' Outreach
For the women veterans' outreach program
108,338
1410-0024 Veteran Service Officer Training and Certification
For training and certification of veteran benefits and service officers
350,000
1410-0075 Train Vets to Treat Vets
For the purpose of the train vets to treat vets program; provided, that the department shall work in conjunction with the Massachusetts School of Professional Psychology to administer a behavioral health career development program for returning veterans
250,000
1410-0250 Assistance to Homeless Veterans
For the operation of homeless shelters and transitional housing for veterans; provided, that not less than $90,000 shall be expended for support services for a transitional housing program for homeless veterans located in Chelsea, Massachusetts
3,111,629
1410-0251 New England Shelter for Homeless Veterans
For the maintenance and operation of homeless shelters and transitional housing for veterans at the New England Center for Homeless Veterans located in the city of Boston
2,592,470
1410-0400 Veterans' Benefits
For reimbursements to cities and towns for money paid for veterans' benefits and for payments to certain veterans under section 6 of chapter 115 of the General Laws and for the payment of annuities to certain disabled veterans and the parents and un-remarried spouses of certain deceased veterans; provided, that annuity payments made under this item shall be made under sections 6A, 6B and 6C of chapter 115 of the General Laws; provided further, that notwithstanding any general or special law to the contrary, 100 per cent of the amounts of veterans' benefits paid by cities and towns to residents of a soldiers' home, homeless shelter or transitional housing facility shall be paid by the commonwealth to the several cities and towns; provided further, that under section 9 of said chapter 115, the department shall reimburse cities and towns for the cost of United States flags placed on the graves of veterans on Memorial Day; provided further, that the secretary of veterans' services shall continue a training program for veterans' agents and directors of veterans' services in cities and towns; provided further, that the department of veterans' services shall provide such training in several locations across the commonwealth; provided further, that training shall be provided annually and on an as needed basis to veterans' service organizations recognized by the department of veterans affairs to provide information and education regarding the benefits available under said chapter 115 and all other benefits to which a veteran or a veteran's dependents may be entitled; provided further, that any person applying for veterans' benefits to pay for services available under chapter 118E of the General Laws shall also apply for medical assistance under said chapter 118E to minimize costs to the commonwealth and its municipalities; provided further, that veterans' agents shall complete applications authorized by the executive office under said chapter 118E for a veteran, surviving spouse or dependent applying for medical assistance under said chapter 115; provided further, that the veterans' agent shall file the application for the veteran, surviving spouse or dependent for assistance under said chapter 118E; provided further, that the executive office of health and human services shall act on all said chapter 118E applications and advise the applicant and the veterans' agent of the applicant's eligibility for said chapter 118E healthcare; provided further, that the veterans' agent shall advise the applicant of the right to assistance for medical benefits under said chapter 115 pending approval of the application for assistance under said chapter 118E by the executive office; provided further, that the secretary may supplement healthcare under said chapter 118E with healthcare coverage under said chapter 115 if the secretary determines that supplemental coverage is necessary to afford the veteran, surviving spouse or dependent sufficient relief and support; provided further, that payments to, or on behalf of, a veteran, surviving spouse or dependent under said chapter 115 shall not be considered income for the purposes of determining eligibility under said chapter 118E; and provided further, that benefits awarded under section 6B of said chapter 115 shall be considered countable income
77,151,193
1410-0630 Agawam and Winchendon Veterans' Cemeteries
For the administration of the veterans' cemeteries in the towns of Agawam and Winchendon
1,171,830
1410-1616 War Memorials
For war memorials selected by the secretary of veterans' services through a competitive grant process
100,000

account description amount
Retained Revenues
1410-0018 Agawam and Winchendon Cemeteries 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 $690,000 from revenues collected from federal reimbursements, fees, grants, gifts or other contributions to the cemeteries
690,000
account description amount
Trust and Other Spending 13,308
1410-2526 Agent Training 13,308

 

 

top of page link top of page