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    Executive Office of Health and Human Services

    EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES
    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
    Office of the Secretary of Health and Human Services 16,873,215 2,077,887 18,951,102 10,816,264
    Department of Elder Affairs 544,637 37,063 581,700 113,701
    Department of Public Health 608,591 472,876 1,081,467 226,142
    Department of Mental Health 869,988 34,655 904,643 156,392
    Office for Refugees and Immigrants 400 17,873 18,273 0
    Department of Youth Services 177,789 920 178,709 7,681
    Department of Transitional Assistance 656,964 7,494 664,458 470,334
    Department of Children and Families 998,327 13,339 1,011,666 246,188
    Massachusetts Commission for the Blind 22,623 8,172 30,795 4,211
    Massachusetts Rehabilitation Commission 49,038 112,976 162,013 6,318
    Massachusetts Commission for the Deaf and Hard of Hearing 5,733 250 5,983 178
    Soldiers' Home in Massachusetts 27,886 0 27,886 11,146
    Soldiers' Home in Holyoke 23,921 0 23,921 16,426
    Department of Developmental Services 1,922,975 14,050 1,937,025 822,463
    Department of Veterans' Services 93,145 0 93,145 705
    TOTAL 22,875,233 2,797,555 25,672,788 12,898,150
    account description amount
    OFFICE OF THE SECRETARY OF HEALTH AND HUMAN SERVICES 18,951,101,934
    Budgetary Recommendation 16,873,214,740
    Direct Appropriations 15,937,221,468
    1599-6903 CHAPTER 257 AND HUMAN SERVICE RESERVE
    For the fiscal year 2019 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 2019 amounts that are necessary to meet these costs where the amounts otherwise available are insufficient for the purpose     		38,536,773
    4000-0005 SAFE AND SUCCESSFUL YOUTH INITIATIVE
    For youth violence prevention program grants administered by the executive office of health and human services; provided, that the programs shall be targeted at reducing youth violence among young persons at highest risk for being perpetrators or victims of gun and community violence; and provided further, that these funds shall be available to those municipalities with the highest number of youth homicides and serious assaults as determined by the executive office of health and human services     		7,320,000
    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 PCA COUNCIL
    For the operation of the PCA quality home care workforce council established under section 71 of chapter 118E of the General Laws     		1,779,222
    4000-0300 EOHHS AND MEDICAID 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 4000-0700 and 4000-1425 during the fiscal year 2019 Accounts Payable period to pay for services delivered during fiscal year 2019; 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, 2019; 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; and provided further, that the secretary may cumulatively transfer up to $2,343,000 to line items within the secretariat to fund collective bargaining obligations associated with the quarter point agreement     		103,379,599
    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     		170,898,671
    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 household 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     		5,557,010,341
    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, 2018 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     		3,583,516,725
    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 2019 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, that 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 household 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 $500,000 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     		2,625,178,033
    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 MassHealth's Breast and Cervical Cancer Demonstration Program 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 household 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     		468,898,836
    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 household incomes, as determined by the executive office of health and human services, do not exceed 133 per cent of the federal poverty level and who are eligible under clauses (b) and (d) of subsection (2) of section 9A of chapter 118E of the General Laws     		2,070,679,253
    4000-0950 CHILDREN'S BEHAVIORAL HEALTH INITIATIVE
    For administrative and program expenses associated with the children's behavioral health initiative, under the Remedial Order entered by the court 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     		254,757,691
    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     		12,096,978
    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     		27,483,527
    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     		425,567,963
    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     		100,019,726
    4000-1700 HEALTH AND HUMAN SERVICES INFORMATION TECHNOLOGY COSTS
    For the provision of information technology services within the executive office of health and human services     		102,764,307
    Retained Revenues296,750,000
    4000-0250 HIX RETAINED REVENUE
    For the executive office of health and human services which may expend for the costs of the operations and maintenance of the health insurance exchange not more than $15,000,000 from monies received from the commonwealth health insurance connector authority; provided, that for the purpose of accommodating timing discrepancies between the receipt of retained revenues and related expenditures, the office 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 unspent balance at the close of fiscal year 2019 shall remain in the account and may be expended for this item in fiscal year 2020     		15,000,000
    4000-0320 MASSHEALTH RETAINED REVENUE
    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 $56,750,000 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, 2018 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 projects that lead to cost savings, cost avoidance or recoupments for the MassHealth program, and 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 2019; 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 2019; 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     		56,750,000
    Section 2E
    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 2018 or 2019 or for public hospital transformation and incentive initiative payments for state fiscal year 2018 or 2019 or for Medicaid care organization payments under 42 CFR 438.6(c) for rate year 2018 or 2019; 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; and provided further, that the secretary of health and human services will utilize funds from the Medical Assistance Trust Fund to make payments of up to $443,750,000 to the Cambridge public health commission or to Medicaid care organizations for payment to the Cambridge public health commission if the Cambridge public health commission, in anticipation of receiving such payments, first voluntarily transfers an amount equal to the non-federal share of such payments to the Medical Assistance Trust Fund using a federally-permissible source of funds     		452,450,000
    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     		19,153,272
    1595-1070 SAFETY NET PROVIDER TRUST FUND
    For an operating transfer to the Safety Net Provider Trust Fund established pursuant to section 29YYYY of chapter 29 of the General Laws; provided, that these funds shall be expended pursuant to the Safety Net Provider eligibility criteria and payment methodology approved in the MassHealth demonstration pursuant to section 1115 of the Social Security Act, as codified at 42 U.S.C. section 1315 for state fiscal year 2018; and 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     		167,640,000

    account description amount
    Intragovernmental Service Spending 69,826,323
    4000-0102 HUMAN SERVICES TRANSPORTATION CHARGEBACK
    For the cost of transportation services for health and human services clients and the operation of the health and human services transportation office
                    Intragovernmental Services Fund ............... 100%
    		13,177,866
    4000-0103 CORE ADMINISTRATION CHARGEBACK
    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 Services Fund ............... 100%
    		24,626,686
    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 Services Fund ............... 100%
    		32,021,771

    account description amount
    Federal Grant Spending 239,000
    4000-1315 DEMONSTRATION OMBUDSMAN PROGRAMS
    For the purposes of a federally funded grant entitled, Demonstration Ombudsman Programs     		139,000
    4000-1436 ADULT CORE CONTRACEPTION
    For the purposes of a federally funded grant entitled, Adult Core Contraception     		100,000

    account description amount
    Trust Spending 2,007,821,871
    4000-0090 HEALTH SAFETY NET PAYMENTS - NON HOSPITAL 82,000,000
    4000-0091 HEALTH SAFETY NET PAYMENTS - HOSPITAL 375,617,348
    4000-0092 HEALTH SAFETY NET CLAIMS OPERATIONS 23,553,667
    4000-0129 MONEY FOLLOWS THE PERSON REBALANCING DEMONSTRATION GRANT 8,000,000
    4000-0330 CONNECTOR ADMINISTRATION EXPENDABLE TRUST 20,000
    4000-1068 MEDICAL ASSISTANCE TRUST FUND 654,250,000
    4000-1069 HEALTH INFORMATION TECHNOLOGY TRUST FUND 165,025,768
    4000-1309 MASSHEALTH DELIVERY SYSTEM REFORM TRUST FUND 646,699,952
    4000-1310 COMMUNITY HOSPITAL REINVESTMENT TRUST FUND 10,000,000
    4000-1313 NON ACUTE CARE HOSPITAL REIMBURSEMENT TRUST FUND 32,000,000
    4000-4000 HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT FUND 10,655,136

     
     
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    account description amount
    DEPARTMENT OF ELDER AFFAIRS 581,700,476
    Budgetary Recommendation 544,637,068
    9110-0100 ELDER AFFAIRS ADMINISTRATION
    For the operation of the executive office of elder affairs and the regulation of assisted living facilities     		2,099,609
    9110-0600 COMMUNITY CHOICES
    For health care services provided to MassHealth members who are seniors eligible for community-based waiver services; provided, that funds may be expended from this item for health care services provided to recipients in prior fiscal years; provided further, that subject to the assessed needs of consumers and/or the terms of the waiver, the funding for benefits of community-based waiver services shall not be reduced below the level of services provided in fiscal year 2018; provided further, that the eligibility requirements for this program shall not be more restrictive than those established in fiscal year 2018; 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 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 Service and Screening Model Program     		228,150,762
    9110-1455 PRESCRIPTION ADVANTAGE
    For the costs of the drug insurance program under section 39 of chapter 19A of the General Laws and for the operations of the consolidated MassOptions, prescription advantage, and 800-age-info customer service centers; 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 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     		16,939,784
    9110-1604 SUPPORTIVE SENIOR HOUSING PROGRAM
    For the operation of the supportive senior housing program at state or federally assisted housing sites     		5,910,893
    9110-1630 HOME CARE 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 line item 9110-1633 for case management services and the administration of the home care program     		175,019,124
    9110-1633 HOME CARE CASE MANAGEMENT AND ADMIN
    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 not more than 3 per cent of the funds appropriated in this item to line item 9110-1630     		58,948,934
    9110-1636 PROTECTIVE SERVICES
    For the elder protective services program, including, but not limited to, protective services case management, guardianship services, the statewide elder abuse hotline, money management services and the elder-at-risk program     		31,611,680
    9110-1660 CONGREGATE HOUSING
    For congregate and shared housing services for the elderly     		1,986,482
    9110-1700 ELDER HOMELESS PLACEMENT
    For residential assessment and placement programs for homeless elders     		186,000
    9110-1900 NUTRITION SERVICES PROGRAMS
    For the elder nutrition program     		7,268,675
    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     		16,515,125

    account description amount
    Federal Grant Spending 37,063,408
    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     		883,747
    9110-1157 OMBUDSMAN ONE CARE PLAN INITIATIVE
    For the purposes of a federally funded grant entitled, Ombudsman One Care Plan Initiative     		315,000
    9110-1163 MA EOEA PROTECTIVE SERVICES PROJECT
    For the purposes of a federally funded grant entitled, MA EOEA Protective Services Project     		206,000
    9110-1164 MA NWD ADRC PROJECT
    For the purposes of a federally funded grant entitled, MA NWD ADRC Project     		200,000
    9110-1165 MA ADSSP PART B PROJECT
    For the purposes of a federally funded grant entitled, MA ADSSP Part B Project     		325,000
    9110-1173 OLDER AMERICANS ACT
    For the purposes of a federally funded grant entitled, Older Americans Act     		13,383,620
    9110-1174 NUTRITION SERVICES INCENTIVE PROGRAM
    For the purposes of a federally funded grant entitled, Nutrition Services Incentive Program     		4,885,300
    9110-1178 COMMUNITY SERVICE EMPLOYMENT PROGRAM
    For the purposes of a federally funded grant entitled, Community Service Employment Program     		1,721,010
    9110-1189 MA MODEL SYSTEMS FOR LEGAL ASSISTANCE PROJECT
    For the purposes of a federally funded grant entitled, MA Model Systems for Legal Assistance Project     		178,500
    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

     
     
    Hide line item language

    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

     
     
    Hide line item language

    account description amount
    DEPARTMENT OF MENTAL HEALTH 904,643,159
    Budgetary Recommendation 869,988,290
    Direct Appropriations 869,363,290
    5011-0100 DEPARTMENT OF MENTAL HEALTH ADMINISTRATION AND OPERATIONS
    For the operation of the department of mental health     		27,917,806
    5042-5000 CHILD AND ADOLESCENT MENTAL HEALTH SERVICES
    For child and adolescent services, including funding for the Massachusetts child psychiatry access program and 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     		90,196,538
    5046-0000 ADULT MENTAL HEALTH AND SUPPORT SERVICES
    For adult mental health and support services, including community-based placements; 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     		486,670,614
    5046-2000 STATEWIDE HOMELESSNESS SUPPORT SERVICES
    For homelessness services     		22,727,689
    5047-0001 EMERGENCY SERVICES AND MENTAL HEALTH CARE
    For emergency service programs, community and facility services     		24,103,661
    5055-0000 FORENSIC SERVICES PROGRAM FOR MENTALLY ILL PERSONS
    For forensic services provided by the department     		9,297,407
    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     		208,449,575
    Retained Revenues625,000
    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 15,737,122
    5012-9122 PROJECT FOR ASSISTANCE IN TRANSITION FROM HOMELESSNESS
    For the purposes of a federally funded grant entitled, Project for Assistance in Transition from Homelessness     		1,558,333
    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 the purposes of a federally funded grant entitled, Court Related Enhanced Services     		87,372
    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     		19,900
    5012-9176 SUICIDE PREVENTION
    For the purposes of a federally funded grant entitled, Suicide Prevention     		588,541
    5012-9401 BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES
    For the purposes of a federally funded grant entitled, Block Grants for Community Mental Health Services     		10,637,515
    5012-9402 EXPANSION AND SUSTAINABILITY COOPERATIVE AGREEMENT
    For the purposes of a federally funded grant entitled, Expansion and Sustainability Cooperative Agreement     		1,200,111
    5046-9102 SHELTER PLUS CARE PROGRAM
    For the purposes of a federally funded grant entitled, Shelter Plus Care Program     		245,350

    account description amount
    Trust Spending 18,917,747
    5011-2001 MENTAL HEALTH INFORMATION SYSTEM FUND 3,878,415
    5011-6015 DMH BEHAVIORAL HEALTH SERVICE INFORMATION SYSTEMS INITIATIVE 137,362
    5311-9101 SOLOMON MENTAL HEALTH CENTER TRUST 281,984
    5535-2689 CAPE COD AND ISLANDS COMMUNITY MENTAL HEALTH CENTER 3,806,459
    5540-2689 BROCKTON MULTI-SERVICE CENTER TRUST 1,825,163
    5541-2689 DR JOHN C CORRIGAN, JR MENTAL HEALTH CENTER TRUST 3,718,605
    5542-2689 RESEARCH AND TRAINING TRUST 74,511
    5651-2689 MASSACHUSETTS MENTAL HEALTH CENTER TRUST 553,531
    5652-2689 DR SOLOMON CARTER FULLER MENTAL HEALTH CENTER TRUST 4,108,421
    5851-2689 QUINCY MENTAL HEALTH CENTER TRUST 533,296

     
     
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    account description amount
    OFFICE FOR REFUGEES AND IMMIGRANTS 18,272,949
    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 17,825,068
    4003-0806 REFUGEE CASH AND MEDICAL ASSISTANCE PROGRAM
    For the purposes of a federally funded grant entitled, Refugee Cash and Medical Assistance Program     		477,740
    4003-0816 REFUGEE HEALTH PROMOTION
    For the purposes of a federally funded grant entitled, Refugee Health Promotion     		30,000
    4003-0818 ELDERLY REFUGEE SERVICES
    For the purposes of a federally funded grant entitled, Elderly Refugee Services     		16,418
    4003-0819 TEAMWORKS
    For the purposes of a federally funded grant entitled, TEAMWORKS     		42,500
    4003-0821 REFUGEE SCHOOL IMPACT
    For the purposes of a federally funded grant entitled, Refugee School Impact     		264,000
    4003-0826 REFUGEE CASH AND MEDICAL ASSISTANCE
    For the purposes of a federally funded grant entitled, Refugee Cash and Medical Assistance     		12,600,000
    4003-0835 WILSON FISH
    For the purposes of a federally funded grant entitled, Wilson Fish     		3,222,000
    4003-0844 REFUGEE TARGETED ASSISTANCE PROGRAM
    For the purposes of a federally funded grant entitled, Refugee Targeted Assistance Program     		92,410
    4003-0855 REFUGEE SOCIAL SERVICES PROGRAM
    For the purposes of a federally funded grant entitled, Refugee Social Services Program     		1,080,000

    account description amount
    Trust Spending 47,881
    4003-0091 OFFICE OF REFUGEES AND IMMIGRANTS TRUST FUND 47,881

     
     
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    account description amount
    DEPARTMENT OF YOUTH SERVICES 178,709,194
    Budgetary Recommendation 177,789,194
    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     		4,287,115
    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     		23,920,854
    4200-0200 RESIDENTIAL SERVICES FOR DETAINED POPULATION
    For pretrial detention programs, including purchase-of-service and state-operated programs     		28,942,669
    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     		115,182,010
    4200-0500 DEPARTMENT OF YOUTH SERVICES TEACHER SALARIES
    For enhanced salaries for teachers at the department of youth services     		3,059,187
    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     		2,397,359

    account description amount
    Federal Grant Spending 146,000
    4200-1605 SECOND CHANCE ACT TREATMENT AND JUSTICE COLLABORATION
    For the purposes of a federally funded grant entitled, Second Chance Act Treatment and Justice Collaboration     		67,000
    4200-1606 REFUGEE CASH AND MEDICAL ASSISTANCE
    For the purposes of a federally funded grant entitled, Refugee Cash and Medical Assistance     		79,000

    account description amount
    Trust Spending 774,000
    4202-0602 ANNIE E. CASEY FOUNDATION GRANT 49,000
    4202-0603 LOOKOUT FOUNDATION EXPENDABLE TRUST 110,000
    4202-2112 DEPARTMENT OF YOUTH SERVICES - SCHOOL LUNCH PROGRAM 610,000
    4202-8001 DYS EXPENDABLE TRUST 5,000

     
     
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    account description amount
    DEPARTMENT OF TRANSITIONAL ASSISTANCE 664,457,982
    Budgetary Recommendation 656,963,828
    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     		62,690,196
    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.     		4,514,121
    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 further, 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     		650,000
    4400-1025 DOMESTIC VIOLENCE SPECIALISTS
    For domestic violence specialists at local area offices     		1,610,558
    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     		72,813,971
    4400-1979 PATHWAYS TO SELF SUFFICIENCY
    For the department of transitional assistance to administer, in consultation with the Commonwealth Corporation, an employment counseling and job training program and the pathways to self-sufficiency program respectively established under section 3B and section 3C of chapter 118 of the General Laws and for the full employment program established under section 110 of chapter 5 of the acts of 1995, as amended by section 29 of chapter 158 of the acts of 2014     		1,000,000
    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     		14,164,226
    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 2018 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 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 $300 shall be provided to each child eligible under these programs in September 2018; provided further, that the children's clothing allowance may be included in the standard of need for the month of September 2018; 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; and provided further, that the department's calculation of benefits shall not preclude the department from making eligibility or benefit changes that lead to an increase in eligibility or benefits     		194,112,725
    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
    4403-2008 TRANSPORTATION BENEFITS FOR SNAP WORK PROGRAM PARTICIPANTS
    For transportation benefits for Supplemental Nutrition Assistance Program recipients who are participating in the SNAP work program     		960,000
    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     		8,808,455
    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     		220,466,788
    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     		74,872,788

    account description amount
    Federal Grant Spending 7,451,154
    4400-3064 SNAP NUTRITION EDUCATION AND OBESITY PREVENTION
    For the purposes of a federally funded grant entitled, SNAP Nutrition Education and Obesity Prevention     		5,644,612
    4400-3067 SUPPLEMENTAL NUTRITIONAL ASSISTANCE EMPLOYMENT AND TRAINING
    For the purposes of a federally funded grant entitled, Supplemental Nutritional Assistance Employment and Training     		1,306,542
    4400-3081 FOOD INSECURITY NUTRITION INCENTIVE GRANT PROGRAM
    For the purposes of a federally funded grant program entitled, Food Insecurity Nutrition Incentive Grant Program     		500,000

    account description amount
    Trust Spending 43,000
    4400-0066 ARLOTTIE A POTTS TRUST 10,000
    4400-3082 FOOD INSECURITY NUTRITION INCENTIVE GRANT PROGRAM MATCH 33,000

     
     
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    account description amount
    DEPARTMENT OF CHILDREN AND FAMILIES 1,011,666,004
    Budgetary Recommendation 998,327,255
    Direct Appropriations 993,646,021
    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 2019; 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 2019     		102,653,558
    4800-0025 FOSTER CARE REVIEW
    For foster care review services     		4,197,923
    4800-0030 DCF LOCAL AND REGIONAL MANAGEMENT OF SERVICES
    For the continuation of local and regional coordination and management of services; provided, that flex services may be funded from this item     		6,672,922
    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     		297,006,167
    4800-0040 FAMILY SUPPORT AND STABILIZATION
    For family preservation and unification services     		48,911,855
    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     		285,762,918
    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     		10,058,440
    4800-1100 SOCIAL WORKERS FOR CASE MANAGEMENT
    For the salaries and benefits of the department's social workers     		236,811,034
    Retained Revenues4,681,234
    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 $2,681,234 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     		2,681,234

    account description amount
    Federal Grant Spending 13,328,849
    4800-0006 CHILDREN'S JUSTICE ACT
    For the purposes of a federally funded grant entitled, Children's Justice Act     		314,376
    4800-0009 INDEPENDENT LIVING PROGRAM - TITLE IV-E
    For the purposes of a federally funded grant entitled, Independent Living Program - Title IV-E     		3,125,354
    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     		4,562,366
    4800-0084 EDUCATIONAL AND TRAINING VOUCHER
    For the purposes of a federally funded grant entitled, Educational and Training Voucher     		1,020,813
    4800-0089 ADOPTION INCENTIVES PAYMENTS
    For the purposes of a federally funded grant entitled, Adoption Incentives Payments     		125,000
    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     		3,713,364
    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     		467,576

    account description amount
    Trust Spending 9,900
    4800-3110 SOCIAL SERVICES - PRIVATE DONATIONS 9,900

     
     
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    account description amount
    MASSACHUSETTS COMMISSION FOR THE BLIND 30,794,661
    Budgetary Recommendation 22,622,857
    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     		1,345,263
    4110-1000 COMMUNITY SERVICES FOR THE BLIND
    For the community services program     		4,221,917
    4110-2000 TURNING 22 PROGRAM AND SERVICES
    For the turning 22 program of the commission which includes deaf-blind extended supports     		13,714,942
    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     		3,340,735

    account description amount
    Federal Grant Spending 7,971,804
    4110-3021 STATE VOCATIONAL REHABILITATION SERVICES PROGRAM
    For the purposes of a federally funded grant entitled, State Vocational Rehabilitation Services Program     		7,750,000
    4110-3026 INDEPENDENT LIVING SERVICES FOR OLDER BLIND INDIVIDUALS
    For the purposes of a federally funded grant entitled, Independent Living Services for Older Blind Individuals     		221,804

    account description amount
    Trust Spending 200,000
    4110-3236 VOCATIONAL REHAB COST REIMBURSEMENT PROGRAM TRUST 50,000
    4110-6600 EDUCATIONAL PURPOSES FUND 50,000
    4110-6606 VENDING FACILITY OPERATORS TRUST FUND 100,000

     
     
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    account description amount
    MASSACHUSETTS REHABILITATION COMMISSION 162,013,302
    Budgetary Recommendation 49,037,632
    4120-0200 INDEPENDENT LIVING CENTERS
    For independent living centers     		6,046,117
    4120-1000 MASSACHUSETTS REHABILITATION COMMISSION
    For the operation of the commission     		351,425
    4120-2000 VOCATIONAL REHABILITATION FOR PEOPLE WITH DISABILITIES
    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     		10,419,053
    4120-3000 EMPLOYMENT ASSISTANCE
    For employment assistance services     		2,188,801
    4120-4000 INDEPENDENT LIVING ASSISTANCE
    For community-based independent living assistance services for people with multiple disabilities     		9,679,148
    4120-4001 ACCESSIBLE HOUSING REGISTRY FOR PEOPLE WITH DISABILITIES
    For the housing registry for people with disabilities     		80,000
    4120-4010 TURNING 22 PROGRAM AND SERVICES
    For the turning 22 program of the commission     		322,187
    4120-5000 HOME CARE SERVICES FOR PEOPLE WITH MULTIPLE DISABILITIES
    For home care services     		4,336,826
    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     		15,614,075

    account description amount
    Federal Grant Spending 99,923,700
    4120-0020 BASIC VOCATIONAL REHABILITATION GRANT
    For the purposes of a federally funded grant entitled, Basic Vocational Rehabilitation Grant     		47,358,113
    4120-0191 INFORMED MEMBERS PLANNING AND ASSESSING
    For the purposes of a federally funded grant entitled, Informed Members Planning and Assessing     		225,772
    4120-0511 SOCIAL SECURITY ADMIN DISABILITY DETERMINATION PROGRAM
    For the purposes of a federally funded grant entitled, Social Security Admin Disability Determination Program     		49,193,646
    4120-0751 ASSISTIVE TECHNOLOGY GRANT
    For the purposes of a federally funded grant entitled, State Grants for Assistive Technology     		521,105
    4120-0752 INDEPENDENT LIVING PART C
    For the purposes of a federally funded grant entitled, Independent Living Part C     		1,342,841
    4120-0753 INDEPENDENT LIVING PART B
    For the purposes of a federally funded grant entitled, Independent Living Part B     		282,223
    4120-0754 TRANSITION PATHWAY SERVICES GRANT
    For the purposes of a federally funded grant entitled, Transition Pathway Services Grant     		1,000,000

    account description amount
    Trust Spending 13,051,970
    4120-0029 VOCATIONAL REHABILITATION TRUST FUNDS 4,114,920
    4120-0030 NURSING PROJECT - COMMUNITY ENTERPRISES 42,116
    4120-0032 MRC EMPLOYMENT SERVICES TRAINING 125,000
    4120-6002 HEAD INJURY TREATMENT SERVICES TRUST FUND 8,769,934

     
     
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    account description amount
    MASSACHUSETTS COMMISSION FOR THE DEAF AND HARD OF HEARING 5,982,684
    Budgetary Recommendation 5,732,684
    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     		5,732,684

    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 Services Fund ............... 100%
    		250,000

     
     
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    account description amount
    SOLDIERS' HOME IN MASSACHUSETTS 27,886,377
    Budgetary Recommendation 27,886,377
    Direct Appropriations 27,286,377
    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     		27,286,377
    Retained Revenues600,000
    4180-1100 LICENSE PLATE SALES RETAINED REVENUE
    For the Soldiers' Home in Massachusetts, located in the city of Chelsea, which 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

     
     
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    account description amount
    SOLDIERS' HOME IN HOLYOKE 23,921,217
    Budgetary Recommendation 23,921,217
    Direct Appropriations 22,592,998
    4190-0100 SOLDIERS' HOME IN HOLYOKE ADMINISTRATION AND OPERATIONS
    For the maintenance and operation of the Soldiers' Home in Holyoke     		22,592,998
    Retained Revenues1,328,219
    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
    For the Soldiers' Home in Holyoke, which may expend for the outpatient pharmacy program an amount not to exceed $110,000 from copayments which it may charge to users of the program; provided, that the rates of the copayments 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
    For the Soldiers' Home in Holyoke, which 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 $763,219 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     		763,219
    4190-1100 LICENSE PLATE SALES RETAINED REVENUE
    For the Soldiers' Home in Holyoke, which 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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    account description amount
    DEPARTMENT OF DEVELOPMENTAL SERVICES 1,937,025,426
    Budgetary Recommendation 1,922,975,426
    5911-1003 DDS SERVICE COORDINATION AND ADMINISTRATION
    For service coordination and administration of the department of developmental services     		68,888,505
    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     		23,824,627
    5920-2000 COMMUNITY RESIDENTIAL SERVICES
    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 2019     		1,192,178,088
    5920-2010 STATE OPERATED RESIDENTIAL SERVICES
    For state-operated, community-based, residential services for adults, including community-based health services     		211,913,926
    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     		209,629,791
    5920-3000 RESPITE FAMILY SUPPORTS
    For respite services and intensive family supports     		64,014,863
    5920-3010 AUTISM DIVISION
    For support services for families of children with autism 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     		18,083,764
    5920-3025 AGING WITH DEVELOPMENTAL DISABILITIES
    For funding to support initiatives to address the needs of individuals with developmental disabilities who are aging including, but not limited to, individuals with Down syndrome and Alzheimer's disease, through the identification of best practices for services for such individuals, including: (i) medical care coordination models that address conditions common to individuals with developmental disabilities who are aging; (ii) training for direct care and other staff in the identification of dementia or other age-related conditions; and (iii) the collection of data regarding the effectiveness of the initiatives included in this item     		100,000
    5920-5000 TURNING 22 PROGRAM AND SERVICES
    For services to clients of the department who turn 22 years of age during state fiscal year 2019     		25,044,805
    5930-1000 STATE FACILITIES FOR PEOPLE WITH INTELLECTUAL DISABILITIES
    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     		102,822,708

    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 Services Fund ............... 100%
    		6,500,000

    account description amount
    Federal Grant Spending 350,000
    5947-0015 LIFESPAN RESPITE CARE PROGRAM
    For the purposes of a federally funded grant entitled, Lifespan Respite Care Program     		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'S TRUST 7,200,000

     
     
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    account description amount
    DEPARTMENT OF VETERANS' SERVICES 93,145,352
    Budgetary Recommendation 93,145,352
    Direct Appropriations 92,455,352
    1410-0010 VETERANS' SERVICES ADMINISTRATION AND OPERATIONS
    For the operation of the department of veterans' services     		3,847,840
    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; provided further, that these centers shall also provide services to veterans who were discharged after September 11, 2001, and their families; and provided further, that $1,300,000 shall be expended for clinical care, education and training in veterans' mental and behavioral health issues, including post-traumatic stress, traumatic brain injury, substance use disorder and suicide prevention 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, 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; and 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     		356,482
    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     		3,232,655
    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 and Home for 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     		75,910,270
    1410-0630 AGAWAM AND WINCHENDON VETERANS' CEMETERIES
    For the administration of the veterans' cemeteries in the towns of Agawam and Winchendon     		1,172,842
    1410-1616 WAR MEMORIALS
    For war memorials selected by the secretary of veterans' services through a competitive grant process     		160,000
    Retained Revenues690,000
    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

     
     
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