Governor Charles D. Baker's Budget Recommendation - House 1 Fiscal Year 2018

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Executive Office of Health and Human Services


EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES
Fiscal Year 2018 Resource Summary ($000)
DEPARTMENT FY 2018
Budgetary
Recommendation
FY 2018
Federal, Trust,
and ISF
FY 2018
Total
Spending
FY 2018
Budgetary
Non-Tax Revenue
Office of the Secretary of Health and Human Services 17,207,942 1,607,728 18,815,670 10,862,683
Department of Elder Affairs 529,818 37,991 567,809 105,509
Department of Public Health 606,068 469,837 1,075,905 229,212
Department of Mental Health 773,199 26,953 800,152 117,503
Office for Refugees and Immigrants 400 20,194 20,594 0
Department of Youth Services 182,238 680 182,918 9,410
Department of Transitional Assistance 617,560 9,425 626,984 465,949
Department of Children and Families 985,598 13,609 999,206 229,290
Massachusetts Commission for the Blind 22,686 10,328 33,014 3,436
Massachusetts Rehabilitation Commission 49,738 126,573 176,311 4,599
Massachusetts Commission for the Deaf and Hard of Hearing 5,598 665 6,263 226
Department of Developmental Services 1,900,538 14,125 1,914,663 785,082
Department of Veterans' Services 93,000 75 93,075 705
Soldiers' Home in Massachusetts 27,814 18 27,832 11,840
Soldiers' Home in Holyoke 24,064 0 24,064 15,521
TOTAL 23,026,260 2,338,202 25,364,462 12,840,966
account description amount
OFFICE OF THE SECRETARY OF HEALTH AND HUMAN SERVICES 18,815,670,051
Budgetary Recommendation 17,207,942,171
Direct Appropriations 16,264,539,565
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 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
1,000,000
1599-6903 CHAPTER 257 AND HUMAN SERVICE RESERVE
For the fiscal year 2018 costs of chapter 257 of the acts of 2008 rate implementations and the compensation or salary and associated employee-related costs to personnel earning less than $40,000 in annual compensation who are employed by private human service providers that deliver human and social services under contracts with departments within the executive office of health and human services and the executive office of elder affairs; provided, that chapter 257 of the acts of 2008 rate implementations may include but are 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 further, that home care workers shall be eligible for funding from this item; provided further, that workers from shelters and programs that serve homeless individuals and families that were previously contracted through the department of transitional assistance and the department of public health who are currently contracted with the department of housing and community development and direct care workers that serve homeless veterans through the department of veterans' services shall be eligible for funding from this item; provided further, that no funds from this item shall be allocated to special education programs under chapter 71B of the General Laws, contracts for early education and care services or programs for which payment rates are negotiated and paid as class rates as established by the executive office of health and human services; provided further, that no funds shall be allocated from this item to contracts funded exclusively by federal grants as delineated in section 2D; and provided further, 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 2018 amounts that are necessary to meet these costs where the amounts otherwise available are insufficient for the purpose
39,698,478
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
6,500,000
4000-0007 UNACCOMPANIED HOMELESS YOUTH SERVICES
For housing and supportive services for unaccompanied youth pursuant to section 16X of chapter 6A of the General Laws
2,000,000
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
1,683,000
4000-0300 EOHHS AND MASSHEALTH ADMINISTRATION
For the operation of the office of the secretary of health and human services; 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 shall not exceed the rates that are necessary to meet only those costs which shall be incurred by efficiently and economically operated providers in order to provide services of adequate quality; 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, for managed care capitation payments for any MassHealth members who are residents of Institutions for Mental Disease for more than 15 days in any calendar month, 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 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; provided further, that a total of $20,000,000 may be expended from items 4000-0601 , 4000-0700 , and 4000-1425 during the fiscal year 2018 Accounts Payable period to pay for services delivered during fiscal year 2018; provided further, that the secretary of health and human services, with the written approval of the secretary of administration and finance, may authorize transfers of surplus among items 4000-0320 , 4000-0430 , 4000-0500 , 4000-0601 , 4000-0641 , 4000-0700 , 4000-0875 , 4000-0880 , 4000-0885 , 4000-0940 , 4000-0950 , 4000-0990 , 4000-1400 , 4000-1420 and 4000-1425 for the purpose of reducing any deficiency in these items; provided further, that any such transfer shall be made not later than September 30, 2018; and provided further, that any projected aggregate deficiency among these items shall be reported to the house and senate committees on ways and means not less than 90 days before the projected exhaustion of total funding
102,602,733
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
164,396,477
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 through the executive office's managed care delivery systems, including a behavioral health contractor, the Primary Care Clinician Plan, Primary Care Accountable Care Organizations, MassHealth managed care organizations, and Accountable Care Partnership 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 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; and provided further, that funds may be expended from this item for health care services provided to the recipients in prior fiscal years
5,553,251,863
4000-0601 MASSHEALTH SENIOR CARE
For health care services provided to MassHealth members who are seniors and for the operation of the senior care options program under section 9D of chapter 118E of the General Laws; provided, that funds may be expended from this item for health care services provided to these recipients in prior fiscal years; provided further, that 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 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 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 health and human services, 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, 2017 may be developed using the costs of calendar year 2007, or any subsequent year that the secretary of health and human services may select in the secretary's discretion
3,526,935,443
4000-0641 MASSHEALTH NURSING HOME SUPPLEMENTAL RATES
For nursing facility Medicaid rates; provided, that notwithstanding any general or special law to the contrary, in fiscal year 2018 the executive office of health and human services, in consultation with the center for health information and analysis, shall establish nursing facility Medicaid rates that cumulatively total at least $309,600,000 more than the annual payment rates established under the rates in effect as of June 30, 2002; provided further, that not less than $35,500,000 shall be expended to fund a rate-add on for wages, benefits and related employee costs of direct care staff of nursing homes; provided further, MassHealth shall adopt all additional regulations and procedures to carry out this section; 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
345,100,000
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 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 $750,000 shall be distributed and managed in the same manner as designated in section 60 of chapter 118 of the acts of 2012 ; 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 customer service, 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
2,751,697,224
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 under section 1902(a)(10)(A)(ii)(XVIII) of the Breast and Cervical Cancer Prevention and Treatment Act of 2000, Public Law 106-354 and section 10D of chapter 118E of the General Laws; provided, that the executive office of health and human services shall provide these benefits to individuals whose incomes, as determined by the executive office, do not exceed 250 per cent of the federal poverty level, subject to continued federal approval; and provided further, that funds may be expended from this item for health care services provided to these recipients in prior fiscal years
6,191,803
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
526,812,502
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 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 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 said chapter 118E
34,042,020
4000-0940 MASSHEALTH AFFORDABLE CARE ACT EXPANSION POPULATIONS
For providing health care services related to the 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 to 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 those who are eligible under clauses (b) and (d) of subsection (2) of section 9A of chapter 118E of the General Laws
2,256,942,984
4000-0950 CHILDREN'S BEHAVIORAL HEALTH INITIATIVE
For administrative and program expenses associated with the children's behavioral health initiative, under the settlement agreement in the case of Rosie D. v. Romney, 410 F. Supp. 2d 18 (D. Mass. 2006), 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
247,337,564
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 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 this program, as authorized by section 10F of chapter 118E of the General Laws; provided further, that the maximum benefit levels for this program shall be made available only to those children who have been determined by the executive office to be ineligible for MassHealth benefits; and provided further, that funds may be expended from this item for health care services provided to these persons in prior fiscal years
12,471,111
4000-1400 MASSHEALTH HIV PLAN
For the provision of MassHealth benefits to persons diagnosed with 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 those persons in prior fiscal years
27,374,419
4000-1420 MEDICARE PART D PHASED DOWN CONTRIBUTION
For payment to the Centers for Medicare and Medicaid Services in compliance with Title XIX of the Social Security Act
441,754,986
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 under the mediated solution to the final settlement agreement in the case of Hutchinson ex rel. Julien v. Patrick, 683 F. Supp. 2d 121 (D. Mass. 2010); provided, that funds may be expended from this item for health care services provided to these persons in prior fiscal years
83,182,921
4000-1700 HEALTH AND HUMAN SERVICES IT COSTS
For the provision of information technology services within the executive office of health and human services
133,564,037
Retained Revenues 285,000,000
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 $60,000,000 for contingency fee contracts related to pursuing federal reimbursement or avoiding costs in its capacity as the single state agency under Titles 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 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 not later than September 15, 2017 for the previous fiscal year activities; provided further, that for the purpose of accommodating timing discrepancies between the receipt of retained revenues 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 further, that after providing payments due in accordance with the terms of the contingency contracts, the office may use available funds to support special MassHealth project that lead to cost savings, cost avoidance or recoupments for the MassHealth program, that focus on MassHealth eligibility operations, systems enhancements and program integrity initiatives; provided further, that any enhanced federal financial participation received for these special projects, including the Implementation Advanced Planning Document or other eligibility operations and systems enhancement that support reforms and improvements to the MassHealth program shall be deposited into this account; provided further, 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 Titles 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 may enter into interdepartmental service 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 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: (i) 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; (ii) providing consulting services related to quality assurance, program evaluation and development, integrity and soundness and project management; and (iii) 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 Massachusetts management accounting and reporting system; provided further, that 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, that contracts for contingency fees shall not be renewed without prior review and approval by the executive office for administration and finance; provided further, that the secretary shall not pay contingency fees to the University of Massachusetts medical school in excess of $40,000,000 for state fiscal year 2018; provided further, that the contingency fees paid to the University of Massachusetts medical school under an interdepartmental service agreement for recoveries related to the special disability workload projects shall be excluded from that $40,000,000 limit for state fiscal year 2018; and 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 a quarterly report detailing the amounts of the agreements, the ongoing and new projects undertaken by the university, the amount expended on personnel and the amount of federal reimbursement and recoupment payments that the university collected
60,000,000
Section 2E
1595-1067 DELIVERY SYSTEM TRANSFORMATION INITIATIVES TRUST FUND
For an operating transfer to the Delivery System Transformation Initiatives Trust Fund established pursuant to section 35UU of chapter 10 of the General Laws; provided, that these funds shall be expended pursuant to the delivery system transformation initiative master plan and hospital-specific plans approved in the MassHealth demonstration waiver pursuant to section 1115 of the Social Security Act, as codified at 42 U.S.C. section 1315 for state fiscal year 2017; provided further, that all payments from the fund shall be: (i) subject to the availability of federal financial participation; (ii) made only under federally-approved payment methods; (iii) consistent with federal funding requirements and all federal payment limits as determined by the secretary of health and human services; and (iv) 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 fund to the Cambridge public health commission only after the Cambridge public health commission transfers up to $24,669,334 of its funds to the fund using a federally-permissible source of funds which shall fully satisfy the non-federal share of the payment
189,149,334
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 these funds shall be expended for services provided during state or federal fiscal year 2017 or 2018 or for public hospital transformation and incentive initiative payments for state fiscal year 2018 or for Medicaid managed care entities and accountable care organizations incentive payments for state fiscal year 2018; provided further, that all payments from the Medical Assistance Trust Fund shall be: (i) subject to the availability of federal financial participation; (ii) made only under federally-approved payment methods; (iii) consistent with federal funding requirements and all federal payment limits as determined by the secretary of health and human services; and (iv) 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 joint committee on healthcare financing of increases in payments within 15 days; and provided further, that the secretary of health and human services shall make payments of up to $365,000,000 from the Medical Assistance Trust Fund to the Cambridge public health commission only after the Cambridge public health commission transfers the non-federal share of such payments to the Medical Assistance Trust Fund using a federally-permissible source of funds
452,400,000
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
13,853,272
1595-1310 COMMUNITY HOSPITAL REINVESTMENT TRUST FUND
For an operating transfer to the Community Hospital Reinvestment Trust Fund established pursuant to section 2TTTT of chapter 29 of the General Laws
3,000,000

account description amount
Intragovernmental Service Spending 63,037,949
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%
22,189,327
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 14,818,188
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
4,299,731
4000-1436 ADULT CORE CONTRACEPTION
For the purposes of a federally funded grant entitled, Adult Core Contraception
25,000
4000-9401 COMMUNITY MENTAL HEALTH SERVICES BLOCK GRANTS
For the purposes of a federally funded grant entitled, Community Mental Health Services Block Grants
10,493,457

account description amount
Trust Spending 1,529,871,743
4000-0090 HEALTH SAFETY NET PAYMENTS - NON HOSPITAL 83,000,000
4000-0091 HEALTH SAFETY NET PAYMENTS - HOSPITAL 251,000,000
4000-0092 HEALTH SAFETY NET CLAIMS OPERATIONS 11,600,000
4000-0097 COMMUNITY FIRST TRUST FUND NON-BUDGETED 3,434,080
4000-0129 MONEY FOLLOWS THE PERSON REBALANCING GRANT TRUST FUND 7,500,000
4000-0330 CONNECTOR ADMINISTRATION EXPENDABLE TRUST 3,749,000
4000-1067 DELIVERY SYSTEM TRANSFORMATION INITIATIVES TRUST FUND 213,818,667
4000-1068 MEDICAL ASSISTANCE TRUST FUND 629,300,000
4000-1069 HEALTH INFORMATION TECHNOLOGY TRUST FUND 135,000,000
4000-1309 MASSHEALTH DELIVERY SYSTEM REFORM TRUST FUND 189,149,333
4000-4000 HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT FUND 2,110,663
4000-4005 YOUTH AT RISK EXPENDABLE TRUST 210,000




Hide line item language

account description amount
DEPARTMENT OF ELDER AFFAIRS 567,808,771
Budgetary Recommendation 529,817,706
9110-0100 DEPARTMENT OF ELDER AFFAIRS ADMINISTRATION
For the operation of the executive office of elder affairs
2,087,778
9110-0600 COMMUNITY CHOICES
For health care services provided to MassHealth members who are seniors and are eligible for community-based waiver services; provided, that funds may be expended from this item for health care services provided to these recipients in prior fiscal years; provided further, that the benefits of community-based waiver services shall not be reduced below the services provided in fiscal year 2017; provided further, that the eligibility requirements for this program shall not be more restrictive than those established in fiscal year 2017; provided further, that funds shall be expended from this item to implement the pre-admission counseling and assessment program under the fourth paragraph of section 9 of said chapter 118E of the General Laws, which shall be implemented on a statewide basis through the aging and disability resource consortia; and provided further, that funds from this item may be expended for the Clinical Assessment and Eligibility Program and the Comprehensive Services Screening Model Program
225,675,000
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 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
17,179,054
9110-1604 SUPPORTIVE SENIOR HOUSING PROGRAM
For the operation of the supportive senior housing program at state or federally assisted housing sites
5,668,475
9110-1630 ELDER HOME CARE PURCHASED SERVICES
For the operation of the state elder home care program, including contracts with aging service access points for the home care program, home care, health aides, home health and respite services, geriatric mental health services and other services provided to the elderly; provided, that sliding-scale fees shall be charged to qualified elders; provided further, that the secretary of elder affairs may waive collection of sliding-scale fees in cases of extreme financial hardship; provided further, that not more than $16,000,000 in revenues accrued from sliding-scale fees shall be retained by the individual home care organizations without reallocation by the executive office of elder affairs and shall be expended for the home care program, consistent with guidelines to be issued by the executive office; and provided further, that the secretary of elder affairs may transfer not more than 3 per cent of the funds appropriated in this item to item 9110-1633 for case management services and the administration of the home care program
174,184,360
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 organizations funded through item 9110-1630 ; provided, that the contracts shall include the costs of administrative personnel, home care case managers, travel, rent and other costs deemed appropriate by the executive office of elder affairs; and provided further, that the secretary of elder affairs may transfer an amount not to exceed 3 per cent of the funds appropriated to line item 9110-1630
52,271,372
9110-1636 ELDER PROTECTIVE SERVICES
For the operation of the elder protective services program
29,207,918
9110-1660 ELDER CONGREGATE HOUSING PROGRAM
For congregate and shared housing services for the elderly
2,069,880
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
7,257,869
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
14,030,000

account description amount
Federal Grant Spending 36,591,065
9110-1074 OLDER AMERICANS ACT
For the purposes of a federally funded grant entitled, Older Americans Act
109,606
9110-1075 TITLE VII OMBUDSMAN
For the purposes of a federally funded grant entitled, Title VII Ombudsman
336,169
9110-1076 TITLE IIIB SUPPORTIVE SERVICE
For the purposes of a federally funded grant entitled, Title IIIB Supportive Service
10,182,633
9110-1077 NATIONAL FAMILY CAREGIVER SUPPORT PROGRAM
For the purposes of a federally funded grant entitled, National Family Caregiver Support Program
3,700,000
9110-1079 IIID PREVENTATIVE HEALTH
For the purposes of a federally funded grant entitled, IIID Preventative Health
436,823
9110-1094 STATE HEALTH INSURANCE ASSISTANCE PROGRAM
For the purposes of a federally funded grant entitled, State Health Insurance Assistance Program
1,097,000
9110-1173 OLDER AMERICANS ACT NUTRITIONAL PROGRAM
For the purposes of a federally funded grant entitled, Older Americans Act Nutritional Program
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
9110-1197 ALZHEIMER'S DISEASE SUPPORTIVE SERVICE PROGRAM
For the purposes of a federally funded grant entitled, Alzheimer's Disease Supportive Service Program
200,000

account description amount
Trust Spending 1,400,000
9110-0093 VETERANS INDEPENDENCE PLUS INITIATIVE TRUST FUND 1,400,000




Hide line item language

account description amount
DEPARTMENT OF PUBLIC HEALTH 1,075,905,449
Budgetary Recommendation 606,068,093
Direct Appropriations 496,422,649
0950-0050 GLBT COMMISSION
For the commission on gay and lesbian youth; provided, that funds shall be used to address issues related to the implementation of the state's anti-bullying law as provided in section 37O of chapter 71 of the General Laws
500,000
4510-0100 PUBLIC HEALTH CRITICAL OPERATIONS AND ESSENTIAL SERVICES
For the administration and operation of the department of public health
17,717,687
4510-0110 COMMUNITY HEALTH CENTER SERVICES
For community health center services
692,354
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
3,738,321
4510-0710 DIVISION OF HEALTH CARE QUALITY AND IMPROVEMENT
For the operation of the division of health care quality and improvement
11,403,176
4510-0721 BOARD OF REGISTRATION IN NURSING
For the operation and administration of the board of registration in nursing
657,782
4510-0722 BOARD OF REGISTRATION IN PHARMACY
For the operation and administration of the board of registration in pharmacy
1,164,216
4510-0723 BOARD OF REGISTRATION IN MEDICINE AND ACUPUNCTURE
For the operation and administration of the board of registration in medicine and committee on acupuncture
170,539
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, community health workers and respiratory care
358,869
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
831,959
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
4,728,855
4510-3008 ALS REGISTRY
For the Argeo Paul Cellucci Amyotrophic Lateral Sclerosis Registry created under section 25A of chapter 111 of the General Laws
267,439
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, sexually transmitted infections, and tuberculosis; 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 2018
28,334,416
4512-0200 BUREAU OF SUBSTANCE ABUSE SERVICES
For the operation of the bureau of substance abuse services
127,675,888
4512-0201 SUBSTANCE ABUSE STEP-DOWN RECOVERY SERVICES
For substance abuse step-down recovery services
4,908,180
4512-0202 SECURE TREATMENT FACILITIES FOR OPIATE ADDICTION
For jail diversion programs primarily for nonviolent offenders with opioid or opiate 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 opioids or opiates, 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
1,485,000
4512-0204 NASAL NALOXONE PILOT EXPANSION
For the purchase, administration, and training of first-responder and bystander naloxone distribution programs; provided, that 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 2, 2017 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
4512-0211 RECOVERY HIGH SCHOOLS
For the administrative and programmatic costs of recovery high schools
3,100,000
4512-0500 DENTAL HEALTH SERVICES
For the provision of dental health services in residential and community settings
1,672,529
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
4,829,544
4513-1002 WOMEN INFANTS AND CHILDREN NUTRITION 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
12,236,830
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
31,123,238
4513-1023 NEWBORN HEARING SCREENING PROGRAM
For the operation of the newborn hearing screening program
82,396
4513-1026 SUICIDE PREVENTION AND INTERVENTION PROGRAM
For the provision of statewide and community-based suicide prevention, intervention, post-intervention and surveillance activities
4,140,051
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 $100,000 to the Louis D. Brown Peace Institute, a community-based support organization dedicated to serving families and communities impacted by violence
100,000
4513-1111 HEALTH PROMOTION AND DISEASE PREVENTION
For the promotion of health and disease prevention
3,460,977
4513-1130 DOMESTIC VIOLENCE AND SEXUAL ASSAULT PREVENTION AND TREATMENT
For domestic violence and sexual assault prevention and treatment programs; provided, that shelter costs for homeless individuals and families, or people at risk of homelessness, may be expended from this item
31,335,559
4516-1000 STATE LABORATORY AND COMMUNICABLE DISEASE CONTROL SERVICES
For the administration of state laboratory and communicable disease control services
12,520,173
4516-1010 MATCHING FUNDS FOR A FEDERAL EMERGENCY PREPAREDNESS GRANT
For state matching funds required by the federal Pandemic and All-Hazards Preparedness Act
1,541,815
4530-9000 TEENAGE PREGNANCY PREVENTION SERVICES
For teenage pregnancy prevention services
2,408,251
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
2,292,039
4590-0250 SCHOOL-BASED HEALTH PROGRAMS
For school health services and school-based health centers in schools
11,944,395
4590-0300 SMOKING PREVENTION AND CESSATION PROGRAMS
For smoking prevention and cessation programs
3,833,878
4590-0915 PUBLIC HEALTH HOSPITALS
For the maintenance and operation of Tewksbury hospital, Pappas Rehabilitation Hospital for Children, 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
156,920,732
4590-1503 PEDIATRIC PALLIATIVE CARE
For the pediatric palliative care program established in section 24K of chapter 111 of the General Laws
1,806,334
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
1,339,227
4590-1507 YOUTH AT-RISK MATCHING GRANTS
For competitively procured Youth At-Risk programs utilizing an evidence based positive youth development model
2,100,000
Retained Revenues 109,645,444
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 $891,286 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
891,286
4510-0040 PHARMACEUTICAL AND MEDICAL DEVICE MARKETING REGULATION RR
For the department of public health, which may expend not more than $73,061 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
73,061
4510-0615 NUCLEAR POWER REACTOR MONITORING FEE RETAINED REVENUE
For the department of public health, which may expend not more than $1,663,993 from fees collected from licensing and inspecting users of radioactive material within the commonwealth under licenses presently issued by the Nuclear Regulatory Commission, and 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 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
1,663,993
4510-0616 PRESCRIPTION DRUG REGISTRATION AND MONITORING FEE RR
For the department of public health, which may expend not more than $1,029,680 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
1,029,680
4510-0712 DIVISION OF HEALTH CARE QUALITY HEALTH FACILITY LICENSING FEE
For the department of public health, which may expend not more than $3,128,302 in revenues collected from the licensure of health facilities and individuals applying for emergency medical technician licensure, and recertification for program costs of the division of health care quality and improvement; and 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
3,128,302
4510-0724 BOARD OF REGISTRATION IN MEDICINE RETAINED REVENUE
For the board of registration in medicine, including the physician profiles program; provided, that the board may expend revenues not to exceed $300,503 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 $1,500,000 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
1,500,000
4513-1012 WIC PROGRAM MANUFACTURER REBATES RETAINED REVENUE
For the department of public health, which may expend not more than $26,800,000 from revenues received from the federal cost-containment initiatives including, but not limited to, infant formula rebates; 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
26,800,000
4516-0263 BLOOD LEAD TESTING FEE RETAINED REVENUE
For the department of public health, which may expend not more than $1,134,733 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
1,134,733
4516-1005 STI BILLING RETAINED REVENUE
For the department of public health, which may expend not more than $650,000 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 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
650,000
4516-1022 STATE LABORATORY TUBERCULOSIS TESTING FEE RETAINED REVENUE
For the department of public health, which may expend not more than $277,918 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
277,918
4516-1037 MOBILE INTEGRATED HEALTH RETAINED REVENUE
For the department of public health, which may expend for the implementation of chapter 111O of the General Laws and rules and regulations promulgated thereunder not more than $1,000,000 in retained revenues collected from application fees for approval of mobile integrated health programs and renewal thereof, and from fines and penalties imposed by the department on mobile integrated health programs; 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; and provided further, that any unexpended funds in this item shall not revert but shall be made available until June 30, 2019
1,000,000
4516-1038 HOME HEALTH AGENCY LICENSURE RETAINED REVENUE
For the department of public health, which may expend for the implementation of section 51K of chapter 111 of the General Laws and rules and regulations promulgated thereunder not more than $2,300,000 in retained revenues collected as application fees, fines, and penalties authorized by that section; 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; and provided further, that any unexpended funds in this item shall not revert but shall be made available until June 30, 2019
2,300,000
4516-1039 HEALTH CARE INDUSTRY PLAN REVIEW RETAINED REVENUE
For the department of public health, which may expend, to support the operations of the determination of need program and health care facility plan review within the department of public health, not more than $400,000 in retained revenues collected from application fees collected under section 25C of chapter 111 of the General Laws; 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; and provided further, that any unexpended funds in this item shall not revert but shall be made available until June 30, 2019
400,000
4518-0200 VITAL RECORDS RESEARCH CANCER AND COMMUNITY DATA RET REV
For the department of public health, which may expend not more than $615,693 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, notwithstanding any general or special law to the contrary 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
615,693
4590-0912 WESTERN MASSACHUSETTS HOSPITAL FEDERAL REIMBURSEMENT RETAINED
For the department of public health, which may expend not more than $22,671,944 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
22,671,944
4590-0913 SHATTUCK HOSPITAL PRIVATE MEDICAL VENDOR RETAINED REVENUE
For the department of public health, which may expend not more than $507,937 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
507,937
4590-0917 SHATTUCK HOSPITAL DEPARTMENT OF CORRECTION INMATE RETAINED REV
For the department of public health, which may expend not more than $4,552,181 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
4,552,181
4590-0918 SOPS DEPARTMENT OF CORRECTION RETAINED REVENUE
For the state office of pharmacy services, which may expend not more than $27,056,732 from revenues collected from vendors providing health care services to the department of correction; provided, that notwithstanding any general or special law to the contrary, 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
27,056,732
4590-0924 TEWKSBURY HOSPITAL RETAINED REVENUE
For the department of public health, which may expend not more than $1,852,322 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 notwithstanding any general or special law to the contrary, for the purpose of accommodating timing discrepancies between the receipt of revenues and related expenditures, the department may incur expenses and the comptroller may certify for payment amounts not to exceed the lower of this authorization or the most recent revenue estimate as reported in the state accounting system
1,852,322
4590-2001 TEWKSBURY HOSPITAL DDS CLIENT RETAINED REVENUE
For the department of public health, which may expend not more than $3,589,745 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
3,589,745

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, 2017; 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, Suffolk, 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 agency currently not being serviced by SOPS: the sheriff's department of Worcester; 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 agency within the current fiscal year: the sheriff's department of Worcester; provided further, that SOPS shall validate previously submitted pharmacy expenditures including HIV Drug Assistance Program drug reimbursements during fiscal year 2018; 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 291,047,213
4500-1001 PREVENTIVE HEALTH AND HEALTH SERVICES BLOCK GRANT
For the purposes of a federally funded grant entitled, Preventive Health and Health Services Block Grant
4,352,084
4500-1054 MASSACHUSETTS SEXUAL ASSAULT SERVICE PROGRAM
For the purposes of a federally funded grant entitled, Massachusetts Sexual Assault Service Program
441,341
4500-1056 MASS RAPE PREVENTION AND EDUCATION PROGRAM
For the purposes of a federally funded grant entitled, Mass Rape Prevention and Education Program
655,819
4500-1069 STATE LOAN REPAYMENT PROGRAM
For the purposes of a federally funded grant entitled, State Loan Repayment Program
550,000
4500-1070 OMH STATE PARTNERSHIP INITIATIVE PROPOSAL ORAL HEALTH EQUITY
For the purposes of a federally funded grant entitled, OMH State Partnership Initiative Proposal Oral Health Equity
200,000
4500-2000 MATERNAL AND CHILD HEALTH SERVICES
For the purposes of a federally funded grant entitled, Maternal and Child Health Services
11,366,265
4502-1012 COOPERATIVE HEALTH STATISTICS SYSTEM
For the purposes of a federally funded grant entitled, Cooperative Health Statistics System
990,780
4510-0114 STATE PRIMARY CARE OFFICES
For the purposes of a federally funded grant entitled, State Primary Care Offices
272,847
4510-0117 STATE OFFICE OF RURAL HEALTH
For the purposes of a federally funded grant entitled, State Office of Rural Health
171,598
4510-0120 RURAL HOSPITAL FLEXIBILITY PROGRAM
For the purposes of a federally funded grant entitled, Rural Hospital Flexibility Program
312,013
4510-0223 ORAL HEALTH WORKFORCE ACTIVITIES
For the purposes of a federally funded grant entitled, Oral Health Workforce Activities
500,000
4510-0224 SMALL RURAL HOSPITAL IMPROVEMENT GRANT PROGRAM
For the purposes of a federally funded grant entitled, Small Rural Hospital Improvement Grant Program
81,293
4510-0225 CHILDREN'S ORAL HEALTHCARE ACCESS PROGRAM
For the purposes of a federally funded grant entitled, Children's Oral Healthcare Access Program
250,000
4510-0227 CLINICAL COMM PEDI WEIGHT MGMT
For the purposes of a federally funded grant entitled, Clinical Comm Pedi Weight Mgmt
1,477,519
4510-0401 MEDICARE AND MEDICAID SURVEY AND CERTIFICATION
For the purposes of a federally funded grant entitled, Medicare and Medicaid Survey and Certification
9,025,728
4510-0404 HOSPITAL PREPAREDNESS PROGRAMS
For the purposes of a federally funded grant entitled, Hospital Preparedness Programs
4,372,887
4510-0501 CLINICAL LABORATORY IMPROVEMENT AMENDMENT
For the purposes of a federally funded grant entitled, Clinical Laboratory Improvement Amendment
368,299
4510-0507 IMPACT ACT FOR HOSPICE RECERT SURVEYS
For the purposes of a federally funded grant entitled, Impact Act for Hospice Recert Surveys
231,045
4510-0617 DRUG CONTROL PROGRAM WITHIN DPH
For the purposes of a federally funded grant entitled, Drug Control Program Within DPH
44,006
4510-0619 FDA INSPECTION OF FOOD ESTABLISHMENTS
For the purposes of a federally funded grant entitled, FDA Inspection of Food Establishments
603,335
4510-0637 FOOD PROTECTION RAPID RESPONSE INFRASTRUCTURE ENHANCEMENT
For the purposes of a federally funded grant entitled, Food Protection Rapid Response Team
306,664
4510-0812 SEXUAL ASSAULT FORENSIC EXAMINATION TELEMEDICINE CENTER
For the purposes of a federally funded grant entitled, Sexual Assault Forensic Examination Telemedicine Center
1,540,000
4510-9048 INDOOR RADON DEVELOPMENT PROGRAM
For the purposes of a federally funded grant entitled, Indoor Radon Development Program
150,000
4510-9053 BEACH MONITORING
For the purposes of a federally funded grant entitled, Beach Monitoring
244,780
4510-9066 DEVELOPMENT AND IMPLEMENTATION OF REPLICABLE ENHANCEMENT
For the purposes of a federally funded grant entitled, Development and Implementation of Enhance MFRPS Capacity Environmental Sampling
312,959
4510-9067 DEVELOPMENT AND IMPLEMENTATION OF BRACE IN MASS
For the purposes of a federally funded grant entitled, Development and Implementation of Building Resilience Against Climate Effects in Mass
219,257
4510-9068 MAINTENANCE ENHANCEMENT OF THE STATE AND NATIONAL ENVIRONMENT
For the purposes of a federally funded grant entitled, Maintenance and Enhancement of the State and National Environment
1,128,207
4510-9069 MASS CHILDHOOD LEAD POISONING PREVENTION PROGRAM
For the purposes of a federally funded grant entitled, Mass Childhood Lead Poisoning Prevention Program
424,221
4512-0100 SEXUALLY TRANSMITTED DISEASE CONTROL
For the purposes of a federally funded grant entitled, Sexually Transmitted Disease Control
1,623,548
4512-0108 MASS APPLICATIONS FOR STD SURVEILLANCE PARTS A AND B
For the purposes of a federally funded grant entitled, Massachusetts Applications for STD Surveillance, Parts A and B
576,080
4512-0150 IMMUNIZATION AND VACCINES FOR CHILDREN
For the purposes of a federally funded grant entitled, Immunization and Vaccines for Children
3,505,474
4512-0186 EPIDEMIOLOGY AND LABORATORY FOR INFECTIOUS DISEASE
For the purposes of a federally funded grant entitled, Epidemiology and Laboratory for Infectious Disease
1,786,021
4512-0190 PPHF INCREASING HPV VACCINATION COVERAGE RATES
For the purposes of a federally funded grant entitled, PPHF Increasing HPV Vaccination Coverage Rates
4,301,517
4512-0195 BUILD ENHANCE EPIDEMIOLOGY LAB HEALTH
For the purposes of a federally funded grant entitled, Build Enhance Epidemiology Lab Health
3,671,480
4512-0196 SUPPLEMENTAL FUNDING EPIDEMIOLOGY AND LAB CAPACITY EBOLA
For the purposes of a federally funded grant entitled, Epidemiology and Laboratory Capacity - Ebola Supplemental
922,433
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
4512-9080 COOPERATIVE AGREEMENT TO BENEFIT HOMELESS INDIVIDUALS
For the purposes of a federally funded grant entitled, Cooperative Agreement to Benefit Homeless Individuals
241,584
4512-9082 MASS FAMILY RECOVERY PROJECT SOUTHEAST
For the purposes of a federally funded grant entitled, Mass Family Recovery Project Southeast
804,122
4512-9084 MASS ATR-IV BUILDING UPON AND SUSTAINING SUCCESS BUSS
For the purposes of a federally funded grant entitled, Mass ATR-IV Building Upon and Sustaining Success BUSS
350,000
4512-9085 STRATEGIC PREVENTION FRAMEWORK
For the purposes of a federally funded grant entitled, Strategic Prevention Framework
1,648,187
4512-9086 THE MOMS DO CARE PROJECT
For the purposes of a federally funded grant entitled, The Moms Do Care Project
1,000,000
4512-9087 MASS STATE YOUTH TREATMENT IMPLEMENTATION PROJECT
For the purposes of a federally funded grant entitled, MA State Youth Treatment Implementation Project
800,000
4512-9088 MISSION HOUSED ENHANCEMENT
For the purposes of a federally funded grant entitled, Mission Housed Enhancement
20,000
4512-9089 PREVENT PRES DRUG OVERUSE MISUSE
For the purposes of a federally funded grant entitled, Prevent Pres Drug Overuse Misuse
1,233,750
4512-9426 UNIFORM ALCOHOL AND DRUG ABUSE DATA
For the purposes of a federally funded grant entitled, Uniform Alcohol and Drug Abuse Data
82,226
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
308,246
4513-1226 MASS IMPLEMENTATION OF ESSENTIALS FOR CHILDHOOD
For the purposes of a federally funded grant entitled, Mass Implementation of Essentials for Childhood
200,000
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
83,923,786
4513-9010 INTEGRATED COMMUNITY SYSTEMS FOR CSHCN
For the purpose of a federally funded grant entitled, Integrated Community Systems for Children with Special Health Care Needs
200,000
4513-9021 INFANTS AND TODDLERS WITH DISABILITIES
For the purposes of a federally funded grant entitled, Infants and Toddlers with Disabilities
9,413,279
4513-9031 STATE SYSTEMS DEVELOPMENT INITIATIVE FOR MA
For the purposes of a federally funded grant entitled, State Systems Development Initiative for MA
100,000
4513-9037 RYAN WHITE CARE ACT
For the purposes of a federally funded grant entitled, Ryan White Care Act
18,946,173
4513-9043 MASS IMPACT
For the purposes of a federally funded grant entitled, Mass IMPACT
644,375
4513-9044 MASSREACH EVALUATE EFFECTIVENESS NOVEL PUBLIC HEALTH DELIVERY
For the purposes of a federally funded grant entitled, MassREACH
924,498
4513-9045 HIV/AIDS SURVEILLANCE
For the purposes of a federally funded grant entitled, HIV/AIDS Surveillance
1,236,110
4513-9047 COMPREHENSIVE HIV PREVENTION PROJECT FOR HEALTH DEPARTMENTS
For the purposes of a federally funded grant entitled, Comprehensive HIV Prevention Project for Health Departments
5,021,642
4513-9049 NATIONAL HIV BEHAVIORAL SURVEILLANCE NHBS
For the purposes of a federally funded grant entitled, National HIV Behavioral Surveillance NHBS
454,633
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
135,526
4513-9052 TB TESTING AND TREATMENT IN HIGH RISK COMMUNITIES
For the purposes of a federally funded grant entitled, TB Testing and Treatment in High Risk Communities
500,000
4513-9053 MA INCREASE HPV VACCINE COVERAGE BY STRENGTHEN ADOLESCENT ACT
For the purposes of a federally funded grant entitled, MA Increase HPV Vaccine Coverage by Strengthen Adolescent Act
249,998
4513-9070 EMERGENCY MEDICAL SERVICES FOR CHILDREN
For the purposes of a federally funded grant entitled, Emergency Medical Services for Children
130,000
4513-9094 SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE
For the purposes of a federally funded grant entitled, Special Projects of National Significance
834,783
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
1,410,253
4513-9104 UNIVERSAL NEWBORN HEARING SCREENING
For the purposes of a federally funded grant entitled, Universal Newborn Hearing Screening
250,000
4513-9106 MASS COMPREHENSIVE ASTHMA CONTROL PROGRAM
For the purposes of a federally funded grant entitled, Mass Comprehensive Asthma Control Program
650,000
4513-9107 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
1,050,000
4513-9109 MASS PERINATAL QUALITY COLLABORATIVE
For the purposes of a federally funded grant entitled, Mass Perinatal Quality Collaborative
200,000
4513-9110 B EXISTING PRAMS PREGNANCY RISK ASSESSMENT
For the purposes of a federally funded grant entitled, B Existing PRAMS Pregnancy Risk Assessment
175,000
4513-9111 CISS SECCS PLANNING
For the purposes of a federally funded grant entitled, CISS SECCS Planning
426,600
4513-9112 MASS EHDI PROJECT
For the purposes of a federally funded grant entitled, MA EHDI Project
166,302
4513-9113 MATERNAL INFANT EARLY CHILDHOOD HOME VISITING GRANT PROGRAM
For the purposes of a federally funded grant entitled, Maternal Infant Early Childhood Home Visiting Grant Program
6,433,683
4513-9114 SURVEILLANCE AND INTERVENTION FOR INFANTS FROM ZIKA VIRUS
For the purposes of a federally funded grant entitled, Surveillance and Intervention for Infants from Zika Virus
200,000
4513-9127 RYAN WHITE TITLE IV PROGRAM
For the purposes of a federally funded grant entitled, Ryan White Title IV Program
574,133
4513-9193 MASS LAUNCH EXPANSION
For the purposes of a federally funded grant entitled, Mass Launch Expansion
680,000
4514-1013 FY2015 WIC SPECIAL PROJECT GRANTS
For the purposes of a federally funded grant entitled, FY2015 WIC Special Project Grants
52,800
4515-0116 TUBERCULOSIS ELIMINATION AND LAB CONTROL COOP AGREEMENT
For the purposes of a federally funded grant entitled, Tuberculosis Elimination and Lab Control Coop Agreement
1,954,188
4515-0209 STRENGTHENING SURVEILLANCE FOR DISEASE AMONG NEW IMMIGRANTS
For the purposes of a federally funded grant entitled, Strengthening Surveillance for Infectious Disease Among New Immigrants
88,297
4515-0210 THE SYLVIE RATELLE PREVENTION TRAINING CENTER
For the purposes of a federally funded grant entitled, the Sylvie Ratelle Prevention Training Center
383,009
4515-1124 ADULT VIRAL HEPATITIS PREVENTION
For the purposes of a federally funded grant entitled, Adult Viral Hepatitis Prevention
28,677
4515-1125 VIRAL HEPATITIS PREVENTION AND SURVEILLANCE
For the purposes of a federally funded grant entitled, Viral Hepatitis Prevention and Surveillance
709,893
4515-1126 EXPANSION OPERATIONALIZATION OF SYNDROMIC SURVEILLANCE
For the purposes of a federally funded grant entitled, Expansion and Operationalization of Syndromic Surveillance
347,119
4515-1127 UTILIZATION OF IMMUNIZATION INFORMATION SYSTEMS
For the purposes of a federally funded grant entitled, Utilization of Immunization Information Systems for Assessment, Feedback, Incentives and Exchange Assessments
250,000
4516-1009 PHPR COOP AGREEMENT - ALL-HAZARDS PH EMERGENCIES ZIKA2016
For the purposes of a federally funded grant entitled, PHPR Coop Agreement - All-Hazards PH Emergencies ZIKA2016
281,525
4516-1021 PUBLIC HEALTH EMERGENCY PREPAREDNESS AND RESPONSE
For the purposes of a federally funded grant entitled, Public Health Emergency Preparedness and Response
13,458,412
4516-1024 EBOLA PREPAREDNESS AND RESPONSE ACTIVITIES
For the purposes of a federally funded grant entitled, Ebola Preparedness and Response Activities
1,175,000
4516-1034 ACCREDITATION FOR STATE FOOD TESTING LABORATORIES
For the purposes of a federally funded grant entitled, Accreditation for State Food Testing Laboratories
14,822
4516-1035 MASS EXPANDED BIOMONITORING PROGRAM
For the purposes of a federally funded grant entitled, Expanded Biomonitoring Program
1,135,200
4516-1036 ACCREDITATION FOR STATE FOOD TESTING LABORATORIES
For the purposes of a federally funded grant entitled, Accreditation for State Food Testing Laboratories
250,000
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
45,000
4518-0519 MAXIMIZING USE OF MASS WORKERS COMPENSATION DATA
For the purposes of a federally funded grant entitled, Maximizing Use of Mass Workers Compensation Data
200,000
4518-0520 MA VIOLENT DEATH REPORTING SYSTEM
For the purposes of a federally funded grant entitled, MA Violent Death Reporting System
242,740
4518-0535 EXPANDED OCCUPATIONAL HEALTH SURVEILLANCE IN MA
For the purposes of a federally funded grant entitled, Expanded Occupational Health Surveillance
695,000
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
95,000
4518-1002 MASSACHUSETTS DEATH FILE - SOCIAL SECURITY ADMINISTRATION
For the purposes of a federally funded grant entitled, Massachusetts Death File - Social Security Administration
176,000
4518-1003 BIRTH RECORDS FOR THE SOCIAL SECURITY ADMINISTRATION
For the purposes of a federally funded grant entitled, Birth Records for the Social Security Administration
283,059
4518-9023 CENSUS OF FATAL OCCUPATIONAL INJURIES
For the purposes of a federally funded grant entitled, Census of Fatal Occupational Injuries
54,105
4518-9039 MA YOUTH SUICIDE PREVENTION PROJECT
For the purposes of a federally funded grant entitled, MA Youth Suicide Prevention Project
809,612
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
4518-9052 BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM
For the purposes of a federally funded grant entitled, Behavioral Risk Factor Surveillance System
360,905
4570-1527 PERSONAL RESPONSIBILITY EDUCATION PROGRAM 2010
For the purposes of a federally funded grant entitled, Personal Responsibility Education Program 2010
1,404,514
4570-1534 FEDERAL DRUG ADMINISTRATION TOBACCO 2011
For the purposes of a federally funded grant entitled, Federal Drug Administration Tobacco 2011
982,082
4570-1541 SUPPORT FOR PREGNANT PARENTING TEEN
For the purposes of a federally funded grant entitled, Support for Pregnant Parenting Teen
1,500,000
4570-1545 ENSURING QUITLINE CAPACITY
For the purposes of a federally funded grant entitled, Ensuring Quitline Capacity
301,392
4570-1548 PAUL COVERDELL NATIONAL ACUTE STROKE PREVENTION
For the purposes of a federally funded grant entitled, Paul Coverdell National Acute Stroke Program
750,000
4570-1549 MASS HEALTH AND DISABILITY PROGRAM
For the purposes of a federally funded grant entitled, Mass Health and Disability Program
350,000
4570-1550 IMPROVING THE HEALTH OF PEOPLE WITH DISABILITIES
For the purposes of a federally funded grant entitled, Improving the Health of People With Disabilities
300,000
4570-1551 MA CANCER PREVENTION AND CONTROL PROGRAM
For the purposes of a federally funded grant entitled, MA Cancer Prevention and Control Program
3,884,998
4570-1552 MASS STATE HEALTH PREVENTION CHRONIC DISEASE
For the purposes of a federally funded grant entitled, Mass State Health Prevention Chronic Disease
1,126,744
4570-1553 MASS STATE HEALTH PREVENTION CHRONIC DISEASE
For the purposes of a federally funded grant entitled, Mass State Health Prevention Chronic Disease
1,257,044
4570-1554 FY14 FAMILY PLANNING SERVICES FOA
For the purposes of a federally funded grant entitled, Title X Family Planning Services
1,326,000
4570-1556 CORE VIOLENCE AND INJURY PREVENTION PROGRAM CORE VIPP
For the purposes of a federally funded grant entitled, Core Violence and Injury Prevention
43,074
4570-1557 MASS ORGANIZED APPROACHES TO INCREASE COLORECTAL CANCER SCREEN
For the purposes of a federally funded grant entitled, MA Organized Approaches to Increase Colorectal Cancer Screening
630,699
4570-1558 MASS HEALTH IMPACT ASSESSMENT TO FOSTER HEALTHY COMMUNITY
For the purposes of a federally funded grant entitled, MA Health Impact Assessment to Foster Healthy Community
40,761
4570-1559 MASS STATE AND LOCAL PUBLIC HEALTH ACTIONS TO PREVENT OBESITY
For the purposes of a federally funded grant entitled, MA State and Local Public Health Actions to Prevent Obesity
3,520,000
4570-1560 TOBACCO CONTROL PROGRAM
For the purposes of a federally funded grant entitled, Tobacco Control Program
1,868,436
4570-1561 MASS CORE VIOLENCE INJURY PREVENTION PROGRAM
For the purposes of a federally funded grant entitled, Mass Core Violence Injury Prevention Program
443,148
4570-1562 THE FAMILY VIOLENCE SERVICE STATE GRANTS
For the purposes of a federally funded grant entitled, The Family Violence Service State Grants
2,060,884
4570-1563 ENHANCED OPIOID-INVOLVED MORBIDITY MORTALITY SURVEILLANCE
For the purposes of a federally funded grant entitled, Enhanced Opioid-Involved Morbidity Mortality Surveillance
400,000

account description amount
Trust Spending 126,974,750
4500-0031 DOCKSIDE TESTING TRUST FUND 123,804
4503-1307 SEXUAL ASSAULT NURSE EXAMINER TRUST FUND 10,000
4510-0038 MEDICAL MARIJUANA TRUST FUND 5,873,304
4510-0622 RADIATION CONTROL TRUST 570,546
4510-0624 LOGAN AIRPORT HEALTH STUDY TRUST FUND 154,113
4510-0625 LOW LEVEL RADIOACTIVE WASTE REBATE TRUST 278,077
4510-0635 LEAD PAINT EDUCATION AND TRAINING TRUST 2,361,447
4510-0714 CIVIL MONETARY PENALTIES TRUST 1,553,353
4510-0727 HEALTH BOARDS PROFESSIONAL LICENSURE TRUST 11,885,589
4510-0729 BOARD OF REGISTRATION IN MEDICINE TRUST 10,945,736
4510-1016 VACCINE PURCHASE TRUST FUND 86,351,492
4510-2059 MASS HOSPITAL SCHOOL TELECOMMUNICATIONS TRUST 41,395
4510-6837 ORGAN TISSUE DONOR REGISTRATION 200,000
4510-6921 ORGAN TRANSPLANT FUND 100,000
4512-0105 MASSACHUSETTS AIDS TRUST 93,668
4513-1110 WELLNESS INITIATIVE EXPENDABLE TRUST 110,000
4513-1224 PREVENTION AND WELLNESS TRUST FUND 2,442,054
4513-9095 PELL DATA SYSTEM & RESEARCH EXPENDABLE TRUST 131,682
4514-0100 CATASTROPHIC ILLNESS IN CHILDREN RELIEF TRUST 3,029,290
4514-0200 SPINAL CORD INJURY TRUST 29,950
4516-1032 BIO-WATCH LABORATORY SUPPORT TRUST 113,951
4516-1033 MOLECULAR TESTS FOR TB SERVICES EXPENDABLE TRUST 82,036
4518-9035 NEWBORN SCREENING SERVICES EXPENDABLE TRUST 343,064
4590-3240 MUNICIPAL NALOXONE BULK PURCHASE PROGRAM 100,000
4590-9122 WESTERN MASS HOSPITAL TRUST FUND 50,199




Hide line item language

account description amount
DEPARTMENT OF MENTAL HEALTH 800,152,446
Budgetary Recommendation 773,199,057
Direct Appropriations 772,574,057
5011-0100 DEPARTMENT OF MENTAL HEALTH ADMINISTRATION AND OPERATIONS
For the operation of the department of mental health
27,527,407
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
88,906,785
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
387,630,579
5046-0006 ADULT COMMUNITY-BASED PLACEMENTS
For adult mental health community-based placements
4,000,000
5046-2000 STATEWIDE HOMELESSNESS SUPPORT SERVICES
For homelessness services
22,942,690
5047-0001 EMERGENCY SERVICES AND MENTAL HEALTH CARE
For emergency service programs, community and facility services
24,145,684
5055-0000 FORENSIC SERVICES PROGRAM FOR MENTALLY ILL PERSONS
For forensic services provided by the department
9,232,520
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
208,188,392
Retained Revenues 625,000
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 3,658,619
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
1,559,383
5012-9171 NITT HEALTHY TRANSITIONS
For the purposes of a federally funded grant entitled, NITT Healthy Transitions
1,000,000
5012-9172 COURT RELATED ENHANCED SERVICES FOR TREATMENT
For the purposes of a federally funded grant entitled, Court Related Enhanced Services for Treatment
348,142
5012-9173 PRIMARY AND BEHAVIORAL HEALTH CARE INTEGRATION
For the purposes of a federally funded grant entitled, Primary and Behavioral Health Care Integration
400,000
5012-9174 SECOND CHANCE ACT REENTRY INITIATIVE MISSION-WI-RAPS
For the purposes of a federally funded grant entitled, Second Chance Act Reentry Initiative Mission-WI-RAPS
75,000
5046-9102 SHELTER PLUS CARE PROGRAM
For the purposes of a federally funded grant entitled, Shelter Plus Care Program
276,094

account description amount
Trust Spending 23,294,770
5011-2001 MENTAL HEALTH INFORMATION SYSTEM TRUST 4,769,681
5011-6015 DMH BEHAVIORAL HEALTH SERVICE INFORMATION SYSTEMS INITIATIVE 137,362
5095-2690 MMHC FACILITY RESERVE FUND TRUST 300,000
5311-9101 SOLOMON MENTAL HEALTH CENTER TRUST 290,309
5535-2689 CAPE COD AND ISLANDS MENTAL HEALTH AND RETARDATION CENTER 4,646,738
5540-2689 BROCKTON MULTI-SERVICE CENTER TRUST 2,475,582
5541-2689 DR JOHN C CORRIGAN, JR MENTAL HEALTH CENTER TRUST 3,689,295
5542-2689 RESEARCH AND TRAINING TRUST 25,161
5651-2689 MASSACHUSETTS MENTAL HEALTH CENTER TRUST 1,285,495
5652-2689 DR SOLOMON CARTER FULLER MENTAL HEALTH CENTER TRUST 4,473,662
5653-2689 LINDEMANN MENTAL HEALTH CENTER TRUST 568,115
5851-2689 QUINCY MENTAL HEALTH CENTER TRUST 633,370




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account description amount
OFFICE FOR REFUGEES AND IMMIGRANTS 20,594,163
Budgetary Recommendation 400,000
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
400,000

account description amount
Federal Grant Spending 20,044,163
4003-0816 REFUGEE HEALTH PROMOTION
For the purposes of a federally funded grant entitled, Refugee Health Promotion
120,000
4003-0818 ELDERLY REFUGEE SERVICES
For the purposes of a federally funded grant entitled, Elderly Refugee Services
97,200
4003-0819 TEAMWORKS
For the purposes of a federally funded grant entitled, TEAMWORKS
170,000
4003-0821 REFUGEE SCHOOL IMPACT
For the purposes of a federally funded grant entitled, Refugee School Impact
402,700
4003-0822 PEER AWARD
For the purposes of a federally funded grant entitled, Peer Award
97,200
4003-0826 REFUGEE CASH AND MEDICAL ASSISTANCE
For the purposes of a federally funded grant entitled, Refugee Cash and Medical Assistance
12,684,000
4003-0835 WILSON FISH
For the purposes of a federally funded grant entitled, Wilson Fish
4,089,869
4003-0844 REFUGEE TARGETED ASSISTANCE PROGRAM
For the purposes of a federally funded grant entitled, Refugee Targeted Assistance Program
760,142
4003-0851 MASS REFUGEE ENTERPRISE ACHIEVEMENT PROGRAM
For the purposes of a federally funded grant entitled, Mass Refugee Enterprise Achievement Program
250,000
4003-0855 REFUGEE SOCIAL SERVICES PROGRAM
For the purposes of a federally funded grant entitled, Refugee Social Services Program
1,373,052

account description amount
Trust Spending 150,000
4003-0091 OFFICE OF REFUGEES AND IMMIGRANTS TRUST FUND 150,000




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account description amount
DEPARTMENT OF YOUTH SERVICES 182,917,875
Budgetary Recommendation 182,237,596
4200-0010 DEPARTMENT OF YOUTH SERVICES ADMINISTRATION AND OPERATIONS
For the administration of the department of youth services; provided, that the commissioner of youth services may transfer funds between items 4200-0100 , 4200-0200 , and 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
4,438,985
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
23,680,137
4200-0200 RESIDENTIAL SERVICES FOR DETAINED POPULATION
For pretrial detention programs, including purchase-of-service and state-operated programs
28,529,665
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
119,987,019
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
2,447,603

account description amount
Federal Grant Spending 81,959
4200-1602 SECOND CHANCE TREATMENT
For the purposes of a federally funded grant entitled, Second Chance Treatment
81,959

account description amount
Trust Spending 598,320
4202-0602 ANNIE E. CASEY FOUNDATION GRANT 50,000
4202-0603 LOOKOUT FOUNDATION EXPENDABLE TRUST 298,320
4202-2112 DEPARTMENT OF YOUTH SERVICES - SCHOOL LUNCH PROGRAM 150,000
4202-8001 DYS EXPENDABLE TRUST 100,000




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account description amount
DEPARTMENT OF TRANSITIONAL ASSISTANCE 626,984,231
Budgetary Recommendation 617,559,630
4400-1000 DEPT OF TRANSITIONAL ASSISTANCE ADMINISTRATION AND OPERATION
For the operation of the department of transitional assistance; provided, that 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, that 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
63,364,465
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; provided, that funds shall be expended for a grant to Project Bread - The Walk for Hunger, Inc.
3,097,297
4400-1020 SECURE JOBS CONNECT
For operation of the Secure Jobs Connect program for employment support, job training and job search services for homeless or previously homeless families receiving assistance from the department of housing and community development under items 7004-0101 , 7004-0108 , 7004-9024 or 7004-9316 ; provided, that participants receiving assistance under items 7004-0101 and 7004-0108 shall receive a minimum of 12 months of housing stabilization services under said items; provided, that services shall be delivered by community-based agencies that have demonstrated experience working in partnership with regional administering agencies, including, but not limited to: Community Teamwork, Inc.; Father Bill's & MainSpring, Inc.; HAP, Inc.; Jewish Vocational Service, Inc.; SER-Jobs for Progress, Inc.; South Middlesex Opportunity Council; and Worcester Community Action Council, Inc.; and provided further, that service delivery agencies shall seek additional federal, state or private funds to ensure the effective continuation of regional partnerships
800,000
4400-1025 DOMESTIC VIOLENCE SPECIALISTS
For domestic violence specialists at local area offices
1,556,589
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
71,383,010
4401-1000 EMPLOYMENT SERVICES PROGRAM
For employment and training services to provide a pathway to self-sufficiency for recipients of benefits provided under the transitional aid to families with dependent children program; provided, that the department will collaborate with the executive office of labor and workforce development to enable clients to successfully access the One Stop Career Centers and other state and local resources; provided further, that funds from this item may be expended on former recipients of the program for up to 1 year after termination of their benefits; provided further, that certain parents who have not yet reached the age of 18 years, including those who are ineligible for transitional aid to families with dependent children and who would qualify for benefits under chapter 118 of the General Laws but for the deeming of the grandparents' income, shall be eligible to receive services; and provided further, that the department may expend this item on such services for the non-custodial parents of dependent children receiving transitional aid to families with dependent children program
14,598,659
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 2017 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 $250 shall be provided to each child eligible under these programs in September 2017; provided further, that the children's clothing allowance may be included in the standard of need for the month of September 2017; 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
148,287,920
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
300,000
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
10,034,729
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
225,414,972
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, that 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; and 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
78,721,989

account description amount
Federal Grant Spending 9,050,000
4400-3064 SNAP NUTRITION EDUCATION AND OBESITY PREVENTION
For the purposes of a federally funded grant entitled, SNAP Nutrition Education and Obesity Prevention
5,000,000
4400-3066 TRAINING FOR FOOD STAMP ABLE-BODIED ADULTS WITHOUT DEPENDENTS
For the purposes of a federally funded grant entitled, Training for Food Stamp Able-Bodied Adults Without Dependents
1,650,000
4400-3067 SUPPLEMENTAL NUTRITIONAL ASSISTANCE EMPLOYMENT AND TRAINING
For the purposes of a federally funded grant entitled, Supplemental Nutritional Assistance Employment and Training
1,600,000
4400-3081 FOOD INSECURITY NUTRITION INCENTIVE GRANT PROGRAM
For the purposes of a federally funded grant program entitled, Food Insecurity Nutrition Incentive Grant Program
800,000

account description amount
Trust Spending 374,601
4400-3082 FOOD INSECURITY NUTRITION INCENTIVE GRANT PROGRAM MATCH 374,601




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account description amount
DEPARTMENT OF CHILDREN AND FAMILIES 999,206,393
Budgetary Recommendation 985,597,540
Direct Appropriations 980,926,800
0950-0030 COMMISSION ON GRANDPARENTS RAISING GRANDCHILDREN
For the commission on the status of grandparents raising grandchildren
111,714
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 2018; 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 2018
100,134,611
4800-0025 FOSTER CARE REVIEW
For foster care review services
4,142,546
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
9,000,000
4800-0036 SEXUAL ABUSE INTERVENTION NETWORK
For a sexual abuse intervention network program to be administered in conjunction with the district attorneys
699,547
4800-0038 SERVICES FOR CHILDREN AND FAMILIES
For services to children and families including, but not limited to: permanency, stabilization, shelter, placement and congregate care; provided, that services for people at risk of domestic violence, including payroll costs, be eligible for this item; and provided further, that the department may contract with provider agencies for the coordination and management of services, including flex services
292,138,783
4800-0040 FAMILY SUPPORT AND STABILIZATION
For family preservation and unification services
47,392,955
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
279,454,551
4800-0058 FOSTER ADOPTIVE AND GUARDIANSHIP PARENTS CAMPAIGN
For the support of a campaign to recruit new foster, adoptive and guardianship parents
250,000
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
509,943
4800-0200 DCF FAMILY RESOURCE CENTERS
For the operation, support and maintenance of the network of family resource centers
10,281,116
4800-1100 SOCIAL WORKERS FOR CASE MANAGEMENT
For the salaries and benefits of the department's social workers
236,811,034
Retained Revenues 4,670,740
4800-0016 ROCA RETAINED REVENUE FOR CITIES AND TOWNS
For the department of children and families, which 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
For the department of children and families, which may expend for the purpose of administering a child welfare professional development training institute an amount not to exceed $2,670,740 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
2,670,740

account description amount
Federal Grant Spending 13,589,945
4800-0006 CHILDREN'S JUSTICE ACT
For the purposes of a federally funded grant entitled, Children's Justice Act
315,020
4800-0009 INDEPENDENT LIVING PROGRAM - TITLE IV-E
For the purposes of a federally funded grant entitled, Independent Living Program - Title IV-E
3,143,968
4800-0013 PROMOTING SAFE & 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
4,803,414
4800-0084 EDUCATIONAL AND TRAINING VOUCHER
For the purposes of a federally funded grant entitled, Educational and Training Voucher
1,020,225
4800-0089 ADOPTION INCENTIVES PAYMENTS
For the purposes of a federally funded grant entitled, Adoption Incentives Payments
56,166
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
3,732,463
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
469,920
4899-0024 MASSACHUSETTS CHILD TRAUMA PROJECT
For the purposes of a federally funded grant entitled, Massachusetts Child Trauma Project
48,769

account description amount
Trust Spending 18,908
4800-3110 SOCIAL SERVICES-PRIVATE DONATIONS 18,908




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account description amount
MASSACHUSETTS COMMISSION FOR THE BLIND 33,013,892
Budgetary Recommendation 22,685,868
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
1,368,707
4110-1000 COMMUNITY SERVICES FOR THE BLIND
For the community services program
4,207,203
4110-2000 TURNING 22 PROGRAM AND SERVICES
For the turning 22 program of the commission which includes deaf-blind extended supports
13,767,655
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 appropriation shall be deducted for pensions, group health or life insurance or any other such indirect costs of federally reimbursed state employees
3,342,303

account description amount
Federal Grant Spending 9,553,040
4110-3021 VOCATIONAL REHABILITATION SERVICES PROGRAM
For the purposes of a federally funded grant entitled, Vocational Rehabilitation Services Program
8,760,000
4110-3025 FEDERAL INDEPENDENT LIVING GRANT - ADAPTIVE HOUSING
For the purposes of a federally funded grant entitled, Federal Independent Living Grant - Adaptive Housing
51,656
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
669,384
4110-3028 SUPPORTED EMPLOYMENT FOR INDIVIDUALS WITH DISABILITIES
For the purposes of a federally funded grant entitled, Supported Employment for Individuals with Disabilities
72,000

account description amount
Trust Spending 774,984
4110-3236 VOCATIONAL REHAB COST REIMBURSEMENT PROGRAM TRUST 45,516
4110-6600 EDUCATIONAL PURPOSES TRUST FUND 485,693
4110-6606 VENDING FACILITY OPERATORS TRUST FUND 243,775




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account description amount
MASSACHUSETTS REHABILITATION COMMISSION 176,311,303
Budgetary Recommendation 49,738,173
4120-0200 INDEPENDENT LIVING CENTERS
For independent living centers
6,130,018
4120-1000 MASSACHUSETTS REHABILITATION COMMISSION
For the operation of the commission
354,813
4120-2000 VOCATIONAL REHABILITATION FOR THE DISABLED
For vocational rehabilitation services operated in cooperation with the federal government; provided, that funds from the federal vocational rehabilitation grant or state appropriations shall not be deducted for pensions, group health or life insurance or any other such indirect costs of federally-reimbursed state employees
10,370,186
4120-3000 EMPLOYMENT ASSISTANCE
For employment assistance services
2,245,124
4120-4000 INDEPENDENT LIVING ASSISTANCE FOR THE MULTI DISABLED
For community-based independent living assistance services for the multi-disabled
9,481,551
4120-4001 ACCESSIBLE HOUSING PLACEMENT AND REGISTRY FOR DISABLED PERSONS
For the housing registry for the disabled
80,000
4120-4010 TURNING 22 PROGRAM AND SERVICES
For the turning 22 program of the commission
572,538
4120-5000 HOME CARE SERVICES FOR THE MULTI DISABLED
For home care services
4,320,431
4120-6000 HEAD INJURY TREATMENT SERVICES
For services for individuals with head injuries; provided, that the commission shall work with the executive office of health and human services to maximize federal reimbursement for clients receiving head injury services
16,183,512

account description amount
Federal Grant Spending 115,632,362
4120-0020 BASIC VOCATIONAL REHABILITATION GRANT
For the purposes of a federally funded grant entitled, Basic Vocational Rehabilitation Grant
60,262,798
4120-0187 SUPPORTED EMPLOYMENT SERVICES GRANT
For the purposes of a federally funded grant entitled, Supported Employment Services Grant
409,195
4120-0191 INFORMED MEMBERS PLANNING AND ASSESSING
For the purposes of a federally funded grant entitled, Informed Members Planning and Assessing
233,900
4120-0511 SOCIAL SECURITY ADMIN DISABILITY DETERMINATION PROGRAM
For the purposes of a federally funded grant entitled, Social Security Admin Disability Determination Program
52,187,201
4120-0610 ELDER TRAUMATIC BRAIN INJURY
For the purposes of a federally funded grant entitled, Traumatic Brain Injury Implementation
249,315
4120-0751 ASSISTIVE TECHNOLOGY GRANT
For the purposes of a federally funded grant entitled, State Grants for Assistive Technology
682,790
4120-0752 INDEPENDENT LIVING PART C
For the purposes of a federally funded grant entitled, FFY15IL PART C
1,314,447
4120-0753 INDEPENDENT LIVING PART B
For the purposes of a federally funded grant entitled, Independent Living Part B
292,716

account description amount
Trust Spending 10,940,768
4120-0029 VOCATIONAL REHABILITATION FOR THE MULTI-DISABLED TRUST FUND 2,172,115
4120-6002 HEAD INJURY TREATMENT SERVICES TRUST FUND 8,768,653




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account description amount
MASSACHUSETTS COMMISSION FOR THE DEAF AND HARD OF HEARING 6,263,262
Budgetary Recommendation 5,598,262
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
5,598,262

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 Spending 415,000
4125-0104 INTERPRETER SERVICES REVOLVING FUND 415,000




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account description amount
DEPARTMENT OF DEVELOPMENTAL SERVICES 1,914,662,637
Budgetary Recommendation 1,900,537,637
5911-1003 DDS SERVICE COORDINATION AND ADMINISTRATION
For service coordination and administration of the department of developmental services
69,797,140
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
23,838,463
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 2018
1,170,331,170
5920-2010 STATE OPERATED RESIDENTIAL SERVICES
For state-operated, community-based, residential services for adults, including community-based health services
216,612,361
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
205,139,405
5920-3000 RESPITE FAMILY SUPPORTS FOR THE DEVELOPMENTALLY DISABLED
For respite services and intensive family supports
63,779,097
5920-3010 AUTISM DIVISION
For support services for families with autistic children through the autism division
6,474,349
5920-3020 AUTISM OMNIBUS
For the implementation of chapter 226 of the acts of 2014 , including services and supports for individuals with a developmental disability attributable to autism spectrum disorder, Smith-Magenis syndrome, or Prader-Willi syndrome; provided, that the department shall submit a quarterly report to the house and senate committees on ways and means on the number of individuals served, type of services provided and the cost per individual
Community First Trust Fund ............... 100%
13,403,338
5920-5000 TURNING 22 PROGRAM AND SERVICES
For services to clients of the department who turn 22 years of age during state fiscal year 2018
24,191,670
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
106,970,644

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
Federal Grant Spending 425,000
5947-0012 LIFESPAN RESPITE CARE PROGRAM
For the purposes of a federally funded grant entitled, Lifespan Respite Care Program
75,000
5947-0014 LIFESPAN RESPITE CARE PROGRAM III
For the purposes of a federally funded grant entitled, Lifespan Respite Care Program III
100,000
5947-0021 PARTNERSHIP FOR TRANSITION TO EMPLOYMENT
For the purposes of a federally funded grant entitled, Partnership for Transition to Employment
250,000

account description amount
Trust Spending 7,200,000
5911-2001 DDS COMMISSIONER TRUST 7,200,000




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account description amount
DEPARTMENT OF VETERANS' SERVICES 93,075,298
Budgetary Recommendation 93,000,298
Direct Appropriations 92,310,298
1410-0010 VETERANS' SERVICES ADMINISTRATION AND OPERATIONS
For the operation of the department of veterans' services
3,759,629
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; provided that $1,300,000 shall be expended for education and training in veterans' mental and behavioral health issues, including suicide prevention and substance misuse and treatment, administered by a qualified non-profit organization
5,020,641
1410-0015 WOMEN VETERANS' OUTREACH
For the women veterans' outreach program
112,152
1410-0024 VETERAN SERVICE OFFICER TRAINING AND CERTIFICATION
For training and certification of veteran benefits and service officers; 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 chapter 115 of the General Laws and all other benefits to which a veteran or a veteran's dependents may be entitled
352,829
1410-0075 TRAIN VETS TO TREAT VETS
For the purpose of the train vets to treat vets program 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
3,202,655
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
2,392,470
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 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
75,675,270
1410-0630 AGAWAM AND WINCHENDON VETERANS' CEMETERIES
For the administration of the veterans' cemeteries in the towns of Agawam and Winchendon
1,194,652
1410-1616 WAR MEMORIALS
For war memorials selected by the secretary of veterans' services through a competitive grant process
350,000
Retained Revenues 690,000
1410-0018 AGAWAM AND WINCHENDON CEMETERIES RETAINED REVENUE
For the department of veterans' services, which may expend not more than $690,000 for the maintenance and operation of veterans' cemeteries in the city known as the town of Agawam and the town of Winchendon from revenue collected from fees, grants, gifts or other contributions to the cemeteries
690,000

account description amount
Federal Grant Spending 75,000
1410-0059 AGAWAM CEMETERY EXPANSION
For the purposes of a federally funded grant entitled, Agawam Cemetery Expansion
75,000




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account description amount
SOLDIERS' HOME IN MASSACHUSETTS 27,831,618
Budgetary Recommendation 27,813,618
Direct Appropriations 27,213,618
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
27,213,618
Retained Revenues 600,000
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 Spending 18,000
4180-1101 SOLDIERS' HOME TELECOMMUNICATION LEASE EXPENDABLE TRUST 18,000




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account description amount
SOLDIERS' HOME IN HOLYOKE 24,064,337
Budgetary Recommendation 24,064,337
Direct Appropriations 22,755,294
4190-0100 SOLDIERS' HOME IN HOLYOKE ADMINISTRATION AND OPERATIONS
For the maintenance and operation of the Soldiers' Home in Holyoke
22,755,294
Retained Revenues 1,309,043
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





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