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    Department of Public Health


    Fiscal Year 2019 Resource Summary ($000)
    DEPARTMENT FY 2019
    Budgetary
    Recommendation    		 FY 2019
    Federal, Trust,
    and ISF    		 FY 2019
    Total
    Spending    		 FY 2019
    Budgetary
    Non-Tax Revenue
    Department of Public Health 608,591 472,876 1,081,467 226,142

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    account description amount
    DEPARTMENT OF PUBLIC HEALTH 1,081,467,272
    Budgetary Recommendation 608,591,225
    Direct Appropriations 500,035,715
    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     		17,303,169
    4510-0110 COMMUNITY HEALTH CENTER SERVICES
    For community health center services     		503,653
    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     		3,755,666
    4510-0710 DIVISION OF HEALTH CARE QUALITY AND IMPROVEMENT
    For the operation of the division of health care quality and improvement; provided, that up to $500,000 may be expended for the development and implementation of the Mobile Integrated Health program     		11,297,647
    4510-0721 BOARD OF REGISTRATION IN NURSING
    For the operation and administration of the board of registration in nursing     		670,216
    4510-0722 BOARD OF REGISTRATION IN PHARMACY
    For the operation and administration of the board of registration in pharmacy     		1,118,782
    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     		152,543
    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     		357,953
    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     		807,000
    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     		4,844,520
    4510-3008 ALS REGISTRY
    For the Argeo Paul Cellucci Amyotrophic Lateral Sclerosis Registry created under section 25A of chapter 111 of the General Laws     		267,415
    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 2019     		28,059,582
    4512-0200 BUREAU OF SUBSTANCE ADDICTION SERVICES
    For the operation of the bureau of substance abuse services
                    General Fund ............... 77.10%
                    Marijuana Regulation Fund ............... 22.90%

    Note: In addition to this funding, the administration expects to spend $30,000,000 in fiscal year 2019 from the off-budget "Substance Use Disorder Federal Reinvestment Trust Fund" established under Chapter 110 of the Acts of 2017.     		136,123,457
    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     		1,940,000
    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     		1,440,450
    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 1, 2018 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     		970,000
    4512-0500 DENTAL HEALTH SERVICES
    For the provision of dental health services in residential and community settings     		1,725,016
    4513-1000 FAMILY HEALTH SERVICES
    For the provision of family health services; provided, that funds shall be provided for comprehensive family planning services, including HIV counseling and testing, community-based health education and outreach services provided by agencies certified as comprehensive family planning agencies; and provided further, that funds may be expended for the Massachusetts birth defects monitoring program     		5,629,394
    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     		11,869,725
    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     		29,300,167
    4513-1023 NEWBORN HEARING SCREENING PROGRAM
    For the operation of the newborn hearing screening program     		81,534
    4513-1026 SUICIDE PREVENTION AND INTERVENTION PROGRAM
    For the provision of statewide and community-based suicide prevention, intervention, post-intervention and surveillance activities     		4,010,788
    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 to the Louis D. Brown Peace Institute, a community-based support organization dedicated to serving families and communities impacted by violence     		200,000
    4513-1111 HEALTH PROMOTION AND DISEASE PREVENTION
    For the promotion of health and disease prevention     		3,434,369
    4513-1130 DOMESTIC VIOLENCE AND SEXUAL ASSAULT PREVENTION AND TREATMENT
    For domestic violence and sexual assault prevention and treatment programs; provided, that residential services for domestic violence survivors may be expended from this item     		34,111,883
    4516-1000 STATE LABORATORY AND COMMUNICABLE DISEASE CONTROL SERVICES
    For the operation of the bureau of infectious disease and laboratory sciences, including infectious disease surveillance and response and the Massachusetts state public health laboratory     		11,837,853
    4516-1010 MATCHING FUNDS FOR A FEDERAL EMERGENCY PREPAREDNESS GRANT
    For state matching funds required by the federal Pandemic and All-Hazards Preparedness Act     		1,509,345
    4530-9000 TEENAGE PREGNANCY PREVENTION SERVICES
    For teenage pregnancy prevention services     		2,494,872
    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     		2,276,169
    4590-0250 SCHOOL-BASED HEALTH PROGRAMS
    For school health services and school-based health centers in schools     		11,765,955
    4590-0300 SMOKING PREVENTION AND CESSATION PROGRAMS
    For smoking prevention and cessation programs     		3,358,872
    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     		156,964,356
    4590-1503 PEDIATRIC PALLIATIVE CARE
    For the pediatric palliative care program established in section 24K of chapter 111 of the General Laws     		2,606,334
    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     		1,338,850
    4590-1507 YOUTH AT-RISK MATCHING GRANTS
    For competitively procured Youth At-Risk programs utilizing an evidence based positive youth development model     		500,000
    Retained Revenues108,555,510
    4510-0020 FOOD PROTECTION PROGRAM RETAINED REVENUE
    For the department of public health, which may expend not more than $151,200 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     		151,200
    4510-0025 SEAL DENTAL PROGRAM RETAINED REVENUE
    For the department of public health, which may expend not more than $893,590 from revenues collected from MassHealth and other third party reimbursement for preventive oral health procedures for a school-based sealant program, known as the SEAL Program; provided, that notwithstanding any general or special law to the contrary, for the purpose of accommodating timing discrepancies between the receipt of retained revenues and related expenditures, the department may incur expenses and the comptroller may certify for payment amounts not to exceed the lower of this authorization or the most recent revenue estimate, as reported in the state accounting system     		893,590
    4510-0040 PHARMACEUTICAL AND MEDICAL DEVICE MARKETING REGULATION RR
    For the department of public health, which may expend not more than $73,734 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     		73,734
    4510-0615 NUCLEAR POWER REACTOR MONITORING FEE RETAINED REVENUE
    For the department of public health, which may expend not more than $1,772,312 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     		1,772,312
    4510-0616 PRESCRIPTION DRUG REGISTRATION AND MONITORING FEE RR
    For the department of public health, which may expend not more than $1,037,750 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     		1,037,750
    4510-0712 DIVISION OF HEALTH CARE QUALITY HEALTH FACILITY LICENSING FEE
    For the department of public health, which may expend not more than $3,118,125 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; 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     		3,118,125
    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; provided 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 $28,400,000 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     		28,400,000
    4516-0263 BLOOD LEAD TESTING FEE RETAINED REVENUE
    For the department of public health, which may expend not more than $1,137,094 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     		1,137,094
    4516-1005 STI BILLING RETAINED REVENUE
    For the department of public health, which may expend not more than $1,000,000 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     		1,000,000
    4516-1022 STATE LABORATORY TUBERCULOSIS TESTING FEE RETAINED REVENUE
    For the department of public health, which may expend not more than $279,678 generated by fees collected from insurers for tuberculosis tests performed at the state laboratory institute; provided, that revenues collected may be used to supplement the costs of the laboratory; and provided further, that notwithstanding any general or special law to the contrary, for the purpose of accommodating timing discrepancies between the receipt of retained revenues and related expenditures, the department may incur expenses and the comptroller may certify for payment amounts not to exceed the lesser of this authorization or the most recent revenue estimate, as reported in the state accounting system     		279,678
    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 $200,000 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     		200,000
    4518-0200 VITAL RECORDS RESEARCH CANCER AND COMMUNITY DATA RET REV
    For the department of public health, which may expend not more than $625,215 generated by fees collected from the following services provided at the registry of vital records and statistics: amendments of vital records, requests for vital records not issued in person at the registry, and research requests performed by registry staff at the registry; provided, that revenues so collected may be used for all program costs, including the compensation of employees; provided further, that 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     		625,215
    4590-0912 WESTERN MASSACHUSETTS HOSPITAL FEDERAL REIMBURSEMENT RETAINED
    For the department of public health, which may expend not more than $23,060,382 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     		23,060,382
    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; 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     		4,552,181
    4590-0918 SOPS DEPARTMENT OF CORRECTION RETAINED REVENUE
    For the state office of pharmacy services, which may expend not more than $26,959,206 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     		26,959,206
    4590-0924 TEWKSBURY HOSPITAL RETAINED REVENUE
    For the department of public health, which may expend not more than $1,860,436 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     		1,860,436
    4590-2001 TEWKSBURY HOSPITAL DDS CLIENT RETAINED REVENUE
    For the department of public health, which may expend not more than $3,626,167 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     		3,626,167

    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 16, 2018; 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 2019; 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 Services 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 Services 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 Services Fund ............... 100%
    		3,800,000

    account description amount
    Federal Grant Spending 285,016,598
    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     		845,819
    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     		11,900,000
    4502-1012 COOPERATIVE HEALTH STATISTICS SYSTEM
    For the purposes of a federally funded grant entitled, Cooperative Health Statistics System     		826,825
    4510-0114 STATE PRIMARY CARE OFFICES
    For the purposes of a federally funded grant entitled, State Primary Care Offices     		250,000
    4510-0117 STATE OFFICE OF RURAL HEALTH
    For the purposes of a federally funded grant entitled, State Office of Rural Health     		180,000
    4510-0120 RURAL HOSPITAL FLEXIBILITY PROGRAM
    For the purposes of a federally funded grant entitled, Rural Hospital Flexibility Program     		312,013
    4510-0224 SMALL RURAL HOSPITAL IMPROVEMENT GRANT PROGRAM
    For the purposes of a federally funded grant entitled, Small Rural Hospital Improvement Grant Program     		54,000
    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     		9,033,093
    4510-0404 HOSPITAL PREPAREDNESS PROGRAMS
    For the purposes of a federally funded grant entitled, Hospital Preparedness Programs     		4,315,709
    4510-0501 CLINICAL LABORATORY IMPROVEMENT AMENDMENT
    For the purposes of a federally funded grant entitled, Clinical Laboratory Improvement Amendment     		306,184
    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
    4510-0609 NUCLEAR REGULATORY COMMISSION SECURITY INSPECTIONS
    For the purposes of a federally funded grant entitled, Nuclear Regulatory Commission Security Inspections     		31,866
    4510-0619 FDA INSPECTION OF FOOD ESTABLISHMENTS
    For the purposes of a federally funded grant entitled, FDA Inspection of Food Establishments     		277,714
    4510-0637 FOOD PROTECTION RAPID RESPONSE INFRASTRUCTURE ENHANCEMENT
    For the purposes of a federally funded grant entitled, Food Protection Rapid Response Team     		306,664
    4510-0643 HAROLD ROGERS PRESCRIPTION DRUG MONITORING PROGRAM
    For the purposes of a federally funded grant entitled, Harold Rogers Prescription Drug Monitoring Program     		204,438
    4510-0812 SEXUAL ASSAULT FORENSIC EXAMINATION TELEMEDICINE CENTER
    For the purposes of a federally funded grant entitled, Sexual Assault Forensic Examination Telemedicine Center     		434,152
    4510-9014 MAMMOGRAPHY QUALITY STANDARDS ACT
    For the purposes of a federally funded grant entitled, Mammography Quality Standards Act     		371,722
    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     		242,500
    4510-9065 REDUCE ENVIRONMENTAL EXPOSURE
    For the purposes of a federally funded grant entitled, Reduce Environmental Exposure     		420,000
    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     		213,713
    4510-9068 MAINTENANCE AND ENHANCEMENT OF THE STATE AND NAT'L 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     		1,577,779
    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     		546,754
    4512-0150 IMMUNIZATION AND VACCINES FOR CHILDREN
    For the purposes of a federally funded grant entitled, Immunization and Vaccines for Children     		2,694,823
    4512-0186 EPIDEMIOLOGY AND LABORATORY FOR INFECTIOUS DISEASE
    For the purposes of a federally funded grant entitled, Epidemiology and Laboratory for Infectious Disease     		1,179,707
    4512-0190 PPHF INCREASING HPV VACCINATION COVERAGE RATES
    For the purposes of a federally funded grant entitled, PPHF Increasing HPV Vaccination Coverage Rates     		3,855,361
    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     		500,000
    4512-9069 SUBSTANCE ABUSE PREVENTION AND TREATMENT BLOCK GRANT
    For the purposes of a federally funded grant entitled, Substance Abuse Prevention and Treatment Block Grant     		47,160,733
    4512-9082 MASS FAMILY RECOVERY PROJECT SOUTHEAST
    For the purposes of a federally funded grant entitled, Mass Family Recovery Project Southeast     		322,095
    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     		500,000
    4512-9087 MASS STATE YOUTH TREATMENT IMPLEMENTATION PROJECT
    For the purposes of a federally funded grant entitled, MA State Youth Treatment Implementation Project     		954,988
    4512-9089 PREVENT PRES DRUG OVERUSE MISUSE
    For the purposes of a federally funded grant entitled, Prevent Pres Drug Overuse Misuse     		1,233,750
    4512-9090 MASS STATE TARGETED RESPONSE TO THE OPIOID CRISIS
    For the purposes of a federally funded grant entitled, Mass State Targeted Response to the Opioid Crisis     		11,742,924
    4512-9091 MASS PPW PTL GRANT PROJECT PROMISE
    For the purposes of a federally funded grant entitled, Mass PPW PTL Grant Project Promise     		1,100,000
    4512-9426 UNIFORM ALCOHOL AND DRUG ABUSE DATA
    For the purposes of a federally funded grant entitled, Uniform Alcohol and Drug Abuse Data     		112,099
    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     		369,876
    4513-1226 MASS IMPLEMENTATION OF ESSENTIALS FOR CHILDHOOD
    For the purposes of a federally funded grant entitled, Mass Implementation of Essentials for Childhood     		35,190
    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     		79,037,578
    4513-9021 INFANTS AND TODDLERS WITH DISABILITIES
    For the purposes of a federally funded grant entitled, Infants and Toddlers with Disabilities     		9,387,849
    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     		19,449,687
    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     		1,130,368
    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     		5,460,669
    4513-9049 NATIONAL HIV BEHAVIORAL SURVEILLANCE NHBS
    For the purposes of a federally funded grant entitled, National HIV Behavioral Surveillance NHBS     		468,739
    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     		494,398
    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     		291,969
    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     		1,025,000
    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     		157,500
    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     		250,000
    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     		1,654,420
    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     		52,000
    4513-9127 RYAN WHITE TITLE IV PROGRAM
    For the purposes of a federally funded grant entitled, Ryan White Title IV Program     		500,115
    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     		45,800
    4514-1014 WIC REGIONAL INFRASTRUCTURE
    For the purposes of a federally funded grant entitled, WIC Regional Infrastructure     		14,060
    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     		1,867,214
    4515-0210 THE SYLVIE RATELLE PREVENTION TRAINING CENTER
    For the purposes of a federally funded grant entitled, the Sylvie Ratelle Prevention Training Center     		350,000
    4515-1125 VIRAL HEPATITIS PREVENTION AND SURVEILLANCE
    For the purposes of a federally funded grant entitled, Viral Hepatitis Prevention and Surveillance     		485,160
    4515-1126 EXPANSION OPERATIONALIZATION OF SYNDROMIC SURVEILLANCE
    For the purposes of a federally funded grant entitled, Expansion and Operationalization of Syndromic Surveillance     		307,355
    4516-1021 HOSPITAL PREPAREDNESS AND PUBLIC HEALTH EMERGENCY PREPAREDNESS
    For the purposes of a federally funded grant entitled, Hospital Preparedness and Public Health Emergency Preparedness     		13,011,333
    4516-1024 EBOLA PREPAREDNESS AND RESPONSE ACTIVITIES
    For the purposes of a federally funded grant entitled, Ebola Preparedness and Response Activities     		200,000
    4516-1035 MASS EXPANDED BIOMONITORING PROGRAM
    For the purposes of a federally funded grant entitled, Expanded Biomonitoring Program     		1,245,301
    4516-1036 ACCREDITATION FOR STATE FOOD TESTING LABORATORIES
    For the purposes of a federally funded grant entitled, Accreditation for State Food Testing Laboratories     		200,000
    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     		23,275
    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 MASS VIOLENT DEATH REPORTING SYSTEM
    For the purposes of a federally funded grant entitled, Mass 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     		745,000
    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     		73,000
    4518-1002 MASS DEATH FILE - SOCIAL SECURITY ADMINISTRATION
    For the purposes of a federally funded grant entitled, Mass Death File - Social Security Administration     		158,705
    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     		318,396
    4518-9023 CENSUS OF FATAL OCCUPATIONAL INJURIES
    For the purposes of a federally funded grant entitled, Census of Fatal Occupational Injuries     		54,778
    4518-9039 MA YOUTH SUICIDE PREVENTION PROJECT
    For the purposes of a federally funded grant entitled, MA Youth Suicide Prevention Project     		736,000
    4518-9052 BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM
    For the purposes of a federally funded grant entitled, Behavioral Risk Factor Surveillance System     		39,330
    4518-9053 BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM
    For the purposes of a federally funded grant entitled, Behavioral Risk Factor Surveillance System     		263,000
    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     		1,002,860
    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     		305,965
    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
    4570-1552 MASS STATE HEALTH PREVENTION CHRONIC DISEASE
    For the purposes of a federally funded grant entitled, Mass State Health Prevention Chronic Disease     		1,457,225
    4570-1553 MASS STATE HEALTH PREVENTION CHRONIC DISEASE
    For the purposes of a federally funded grant entitled, Mass State Health Prevention Chronic Disease     		1,253,412
    4570-1554 FY14 FAMILY PLANNING SERVICES FOA
    For the purposes of a federally funded grant entitled, Title X Family Planning Services     		1,353,000
    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
    4570-1559 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     		475,000
    4570-1562 THE FAMILY VIOLENCE SERVICE STATE GRANTS
    For the purposes of a federally funded grant entitled, The Family Violence Service State Grants     		2,066,545
    4570-1563 ENHANCED OPIOID-INVOLVED MORBIDITY MORTALITY SURVEILLANCE
    For the purposes of a federally funded grant entitled, Enhanced Opioid-Involved Morbidity Mortality Surveillance     		637,155
    4570-1571 MASS CANCER PREVENTION AND CONTROL PROGRAM
    For the purposes of a federally funded grant entitled, Mass Cancer Prevention and Control Program     		3,390,416

    account description amount
    Trust Spending 136,044,056
    4500-0031 DOCKSIDE TESTING TRUST FUND 175,000
    4510-0038 MEDICAL MARIJUANA TRUST FUND 6,195,978
    4510-0070 SAFETY AND HEALTH FOR HOME CARE WORKERS TRUST 12,086
    4510-0622 RADIATION CONTROL TRUST 570,546
    4510-0624 LOGAN AIRPORT HEALTH STUDY TRUST FUND 78,000
    4510-0625 LOW LEVEL RADIOACTIVE WASTE REBATE TRUST 277,815
    4510-0635 LEAD PAINT EDUCATION AND TRAINING TRUST 3,418,917
    4510-0714 CIVIL MONETARY PENALTIES TRUST 691,594
    4510-0727 QUALITY IN HEALTH PROFESSIONS TRUST FUND 12,673,809
    4510-0729 BOARD OF REGISTRATION IN MEDICINE TRUST 13,329,596
    4510-1016 VACCINE PURCHASE TRUST FUND 88,611,930
    4510-2059 MASS HOSPITAL SCHOOL TELECOMMUNICATIONS TRUST 71,297
    4510-6837 ORGAN TISSUE DONOR REGISTRATION 175,537
    4510-6921 ORGAN TRANSPLANT FUND 100,000
    4512-0105 MASSACHUSETTS AIDS TRUST 93,667
    4513-1110 WELLNESS INITIATIVE EXPENDABLE TRUST 130,000
    4513-1135 DOMESTIC AND SEXUAL VIOLENCE ASSISTANCE 35,100
    4513-1224 PREVENTION AND WELLNESS TRUST FUND 4,926,449
    4513-9095 PELL DATA SYSTEM AND RESEARCH EXPENDABLE TRUST 120,000
    4514-0100 CATASTROPHIC ILLNESS IN CHILDREN RELIEF TRUST 2,900,000
    4514-0200 SPINAL CORD INJURY TRUST 480,000
    4516-1032 BIO-WATCH LABORATORY SUPPORT TRUST 115,408
    4516-1033 MOLECULAR TESTS FOR TB SERVICES EXPENDABLE TRUST 228,101
    4518-9035 NEWBORN SCREENING SERVICES EXPENDABLE TRUST 482,697
    4590-3240 MUNICIPAL NALOXONE BULK PURCHASE PROGRAM 87,275
    4590-9122 WESTERN MASS HOSPITAL TRUST FUND 63,254

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