Section 18 Substance Use Disorder Trust Fund

Section 2YYYY of said chapter 29, as amended by section 16 of chapter 24 of the acts of 2021, is hereby further amended by striking out the second paragraph and inserting in place thereof the following paragraph:-

The secretary may expend, without further appropriation: (i) not more than $105 million per fiscal year from the fund to expand and support the residential treatment system to treat individuals with a substance use disorder or co-occurring mental health and substance use disorder and to expand and increase access to the 24-hour diversionary system; (ii) not more than $135 million per fiscal year from the fund to reduce stigma, expand access, support implementation and increase competencies for medications for substance use disorder; (iii) not more than $35 million per fiscal year from the fund to support access to evidence-based recovery services through peer and paraprofessional services; and (iv) not more than $80 million per fiscal year from the fund to ensure appropriate assessment for levels of care utilizing American Society of Addiction Medicine or other evidence-based modalities, and to support integration of physical health, mental health and substance use disorder care across all provider settings. The secretary may expend funds in excess of the limits set forth in this section by up to 15 per cent annually, subject to availability of funds within the trust. For the purpose of accommodating timing discrepancies between the receipt of revenues and related expenditures, the fund may incur expenses, and the comptroller shall certify for payment, amounts not to exceed the most recent revenue estimate as certified by the MassHealth director, as reported in the state accounting system. Amounts credited to the fund shall not be subject to further appropriation and monies remaining in the fund at the end of a fiscal year shall not revert to the General Fund and shall be available for expenditure in the subsequent fiscal year.

This section amends the Substance Use Disorder Trust Fund to adjust anticipated expenditures.