{"componentChunkName":"component---src-templates-appropriations-js","path":"/enacted/health-and-human-services/mental-health/","webpackCompilationHash":"8b08bb25ab913e50f272","result":{"data":{"site":{"buildTime":"2021-02-02T21:28:55.962Z","siteMetadata":{"title":"Summary FY21 Budget","siteUrl":"https://budget.digital.mass.gov/summary/fy21"}},"content":{"fields":{"baseSectionURL":"/enacted/"},"title":"Department of Mental Health","govLevelOne":"Health and Human Services","govLevelTwo":"Mental Health","govLevelThree":null,"tabs":[{"name":"Budget Summary","value":"budgetSummary"},{"name":"Budget Tracking","value":"budgetTracking"},{"name":"Historical Budget","value":"historicalBudget"},{"name":"Historical Spending","value":"historicalSpending"},{"name":"Agency Information","value":"agencyInformation"},{"name":"Org Chart","value":"orgChart"}],"budgetSummary":{"headers":[{"name":"State Organization","type":"string","align":"left","value":"organization","footnote":null},{"name":"FY2021 Governor's Recommendation","type":"currency","align":"right","value":"house1","footnote":"*"},{"name":"FY 2021 Conference","type":"currency","align":"right","value":"conference","footnote":null},{"name":"FY 2021 Vetoes","type":"currency delta","align":"right veto","value":"veto","footnote":null},{"name":"FY2021 Overrides","type":"currency delta","align":"right override","value":"override","footnote":null},{"name":"FY 2021 GAA","type":"currency","align":"right","value":"gaa","footnote":"1"}],"total":{"organization":"Total","house1":904187972,"conference":911642258,"veto":0,"override":0,"gaa":911642258},"data":[{"organization":"Department of Mental Health","govLevelOne":null,"govLevelTwo":"Mental Health","govLevelThree":null,"house1":904187972,"conference":911642258,"veto":0,"override":0,"gaa":911642258}],"footnotes":[{"index":"*","text":"These figures reflect the amounts included in the Revised House 2 budget proposal submitted by the Administration on October 14, 2020."},{"index":"1","text":"GAA: General Appropriations Act"}],"summaryDetails":{"headers":[{"name":"Line Item Number","type":"fuzzy","align":"left","value":"lineItemNumber","footnote":null},{"name":"Line Item Name","type":"fuzzy","align":"left","value":"lineItemName","footnote":null},{"name":"FY 2021 GAA","type":"currency","align":"right","value":"gaa","footnote":null},{"name":"appropriationType","type":"invisible","align":"left","value":"appropriationType","footnote":null},{"name":"appropriationSubType","type":"invisible","align":"left","value":"appropriationSubType","footnote":null},{"name":"Line Item Language","type":"invisible","align":"left","value":"lineItemLanguage","footnote":null}],"data":[{"govLevelOne":"Health and Human Services","govLevelTwo":"Mental Health","govLevelThree":null,"lineItemNumber":"50110100","lineItemName":"Department of Mental Health Administration and Operations","lineItemLanguage":"For the operation of the department of mental health","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":29553995,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":29553995,"gaa":29553995,"house1":29553996,"houseFinal":29553995,"override":0,"senateFinal":29553995,"veto":0}],"headers":[{"align":"right","name":"FY 2021 Governor","type":"currency","value":"house1","footnote":"*"},{"align":"right","name":"FY 2021 House Final","type":"currency","value":"houseFinal","footnote":null},{"align":"right","name":"FY 2021 Senate Final","type":"currency","value":"senateFinal","footnote":null},{"align":"right","name":"FY 2021 Conference","type":"currency","value":"conference","footnote":null},{"align":"right veto","name":"FY 2021 Governor's Veto","type":"currency delta","value":"veto","footnote":null},{"align":"right override","name":"FY 2021 Legislature's Override","type":"currency delta","value":"override","footnote":null},{"align":"right","name":"FY 2021 GAA","type":"currency","value":"gaa","footnote":"1"}]}},{"govLevelOne":"Health and Human Services","govLevelTwo":"Mental Health","govLevelThree":null,"lineItemNumber":"50425000","lineItemName":"Child and Adolescent Mental Health Services","lineItemLanguage":"For child and adolescent services, including the costs of psychiatric and related services provided to children and adolescents determined to be medically-ready for discharge from acute hospital units or mental health facilities and who are experiencing unnecessary delays in being discharged due to the lack of more appropriate settings; provided, that to fund said 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; provided further, that funds shall be expended to provide services to address behavioral health needs arising from the impact of COVID-19, including the impact of remote learning, and services to assist school districts with behavioral health support; provided further, that the department shall not refer or discharge a child or adolescent to the custody or care of the department of children and families until the department of mental health forwards its assessment and recommendation as to whether the child or adolescent is appropriate for foster care or, due to severe emotional disturbance, is more appropriate for group care; provided further, that the department shall expend not less than $3,875,000 for the Massachusetts Child Psychiatry Access Project, or MCPAP; provided further, that not less than $675,000 of that amount shall be expended for MCPAP for Moms statewide to address mental health concerns in pregnant and postpartum women and to expand support for pregnant and postpartum women by adding substance use disorder-specific education, training, consultation and care coordination to the project's existing capacity; provided further, that amounts expended from this item for MCPAP that are related to services provided on behalf of commercially-insured clients shall be assessed by the commissioner of mental health on surcharge payors, as defined in <a href=\"https://malegislature.gov/Laws/GeneralLaws/PartI/TitleXVII/Chapter118e/Section64\" target=\"_blank\">section 64 of chapter 118E</a> of the General Laws, and shall be collected in a manner consistent with the department of mental health's regulations; provided further, that not later than March 15, 2021, the department shall report to the house and senate committees on ways and means on: (i) an overview of MCPAP care coordination efforts; (ii) the number of psychiatric consultations, face-to-face consultations and referrals made to specialists on behalf of children with behavioral health needs in fiscal year 2020 and fiscal year 2021; and (iii) recommendations to: (a) increase the number of specialists receiving referrals through MCPAP; (b) increase access to MCPAP in regions currently underutilizing the project; and (c) improve care coordination efforts to identify specialists available and accepting new child and adolescent patients, with priority to those children and adolescents who exhibit complex conditions and experience long wait lists for specialty psychiatry; provided further, that not later than April 1, 2021, the department shall report to the house and senate committees on ways and means on: (1) the distribution of funds, delineated by initiative; (2) the number of individuals served; (3) the outcomes measured; and (4) recommendations for expanding cost-effective and evidence-based early mental health identification and prevention programming for children and adolescents in fiscal year 2021 and fiscal year 2022; provided further, that funds may support service adaptations necessitated by the 2019 novel coronavirus in order to ensure adequate and accessible services; provided further, that not less than $50,000 shall be expended for the NAN Project to provide peer-to-peer mental health awareness and suicide prevention programming in schools and communities; provided further, that not less than $50,000 shall be allocated to the Massachusetts Association for Mental Health, Inc. to partner with the BIRCh Center to develop a plan for establishment of a school based behavioral health technical assistance center; and provided further, that not less than $160,000 shall be expended to the Arlington Youth Counseling Center","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":94790000,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":94790000,"gaa":94790000,"house1":91045059,"houseFinal":94580000,"override":0,"senateFinal":94690000,"veto":0}],"headers":[{"align":"right","name":"FY 2021 Governor","type":"currency","value":"house1","footnote":"*"},{"align":"right","name":"FY 2021 House Final","type":"currency","value":"houseFinal","footnote":null},{"align":"right","name":"FY 2021 Senate Final","type":"currency","value":"senateFinal","footnote":null},{"align":"right","name":"FY 2021 Conference","type":"currency","value":"conference","footnote":null},{"align":"right veto","name":"FY 2021 Governor's Veto","type":"currency delta","value":"veto","footnote":null},{"align":"right override","name":"FY 2021 Legislature's Override","type":"currency delta","value":"override","footnote":null},{"align":"right","name":"FY 2021 GAA","type":"currency","value":"gaa","footnote":"1"}]}},{"govLevelOne":"Health and Human Services","govLevelTwo":"Mental Health","govLevelThree":null,"lineItemNumber":"50460000","lineItemName":"Adult Mental Health and Support Services","lineItemLanguage":"For adult mental health and support services; provided, that the department of mental health may allocate not more than $5,000,000 from item <a href=\"/enacted/health-and-human-services/mental-health/50950015\">5095-0015</a> to this item, as necessary, under allocation plans submitted to the house and senate committees on ways and means not less than 30 days before any such transfer, for residential and day services for clients formerly receiving care at department facilities; provided further, that not later than February 1, 2021, the department shall report to the house and senate committees on ways and means on the distribution of funds per adult and child planning population and the types of services received in each region in fiscal year 2021; provided further, that the department shall maintain in fiscal year 2021 the same amount of community-based placements in the previous 3 fiscal years; provided further, that in fiscal year 2021, the department shall expend on clubhouses not less than the amount expended on clubhouses in fiscal year 2020; provided further, that funds shall be expended for jail diversion programs in municipalities that provide equal matching funds from other public or private sources in an amount not less than $2,000,000 above the amount made available in fiscal year 2020; provided further, that not later than March 1, 2021, the department shall report to the house and senate committees on ways and means regarding the: (i) number of crisis intervention team and jail diversion efforts; (ii) amount of funding per grant, delineated by city, town or provider; (iii) potential savings achieved; (iv) recommendations for expansion; and (v) outcomes measured; provided further, that the department shall expend not less than $250,000 for the assisted outpatient treatment program at Eliot Community Human Services, Inc. to treat residents who suffer from serious and persistent mental illness and experience repeated interaction with law enforcement or have a high rate of recurring hospitalization due to mental illness, either through a voluntary agreement with the resident or by a court order mandating that the resident receive the treatment described in this program; provided further, that not later than April 1, 2021, the department, in conjunction with Eliot Community Human Services, Inc., shall report to the house and senate committees on ways and means on the assisted outpatient treatment program which shall include baseline and current metrics related to clients served including, but not limited to: (a) behavioral and physical medical diagnosis; (b) status of activities of daily living, including food, shelter and employment; (c) psychiatric hospitalizations; (d) treatment history; and (e) insurance status; provided further, that the report shall include: (1) factors that proved successful in treating pilot participants, including practices used and type of staff functions necessary for success in treating pilot participants; (2) identification of issues and practices that present barriers to successful treatment; (3) a cost analysis of treatment; (4) a plan for creating a sustainable program based on information from the analysis report; and (5) a proposal for a sustainable course of funding to implement the program; provided further, that not less than $250,000 shall be expended for the International Institute of New England, Inc. for culturally and linguistically appropriate mental health services for immigrants and refugees; provided further, that not less than $50,000 shall be expended on a grant to the Massachusetts Chapter of the National Association of Social Workers, Inc., for the purpose of providing assistance in connecting consumers to licensed clinical social workers through the Therapy Matcher program; provided further, that not less than $250,000 shall be expended on the expansion of low threshold, safe haven housing for mentally ill men and women who have been chronically homeless and are currently living in emergency shelter or on the streets in the city of Boston; provided further, that not less than $250,000 shall be provided to communities in the Metrowest region, including the city of Framingham and the towns of Ashland, Franklin, Holliston, Hopkinton, Medway and Natick to address unmet mental health needs related to the 2019 novel coronavirus; and provided further, that funds may support service adaptations necessitated by the 2019 novel coronavirus in order to ensure adequate and accessible services","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":501097324,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":501097324,"gaa":501097324,"house1":497387978,"houseFinal":500198605,"override":0,"senateFinal":500298605,"veto":0}],"headers":[{"align":"right","name":"FY 2021 Governor","type":"currency","value":"house1","footnote":"*"},{"align":"right","name":"FY 2021 House Final","type":"currency","value":"houseFinal","footnote":null},{"align":"right","name":"FY 2021 Senate Final","type":"currency","value":"senateFinal","footnote":null},{"align":"right","name":"FY 2021 Conference","type":"currency","value":"conference","footnote":null},{"align":"right veto","name":"FY 2021 Governor's Veto","type":"currency delta","value":"veto","footnote":null},{"align":"right override","name":"FY 2021 Legislature's Override","type":"currency delta","value":"override","footnote":null},{"align":"right","name":"FY 2021 GAA","type":"currency","value":"gaa","footnote":"1"}]}},{"govLevelOne":"Health and Human Services","govLevelTwo":"Mental Health","govLevelThree":null,"lineItemNumber":"50462000","lineItemName":"Statewide Homelessness Support Services","lineItemLanguage":"For homelessness services","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":22734301,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":22734301,"gaa":22734301,"house1":22734301,"houseFinal":22734301,"override":0,"senateFinal":22734301,"veto":0}],"headers":[{"align":"right","name":"FY 2021 Governor","type":"currency","value":"house1","footnote":"*"},{"align":"right","name":"FY 2021 House Final","type":"currency","value":"houseFinal","footnote":null},{"align":"right","name":"FY 2021 Senate Final","type":"currency","value":"senateFinal","footnote":null},{"align":"right","name":"FY 2021 Conference","type":"currency","value":"conference","footnote":null},{"align":"right veto","name":"FY 2021 Governor's Veto","type":"currency delta","value":"veto","footnote":null},{"align":"right override","name":"FY 2021 Legislature's Override","type":"currency delta","value":"override","footnote":null},{"align":"right","name":"FY 2021 GAA","type":"currency","value":"gaa","footnote":"1"}]}},{"govLevelOne":"Health and Human Services","govLevelTwo":"Mental Health","govLevelThree":null,"lineItemNumber":"50464000","lineItemName":"CHOICE Program Retained Revenue","lineItemLanguage":"For the department of mental health, which may expend not more than $125,000 in retained revenues collected from occupancy fees charged to the tenants in the creative housing option in community environments, or CHOICE, program under chapter 167 of the acts of 1987; provided, that all fees collected under said program shall be expended for the routine maintenance and repair of facilities in the CHOICE program","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":125000,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Retained Revenues","budgetTracking":{"data":[{"conference":125000,"gaa":125000,"house1":125000,"houseFinal":125000,"override":0,"senateFinal":125000,"veto":0}],"headers":[{"align":"right","name":"FY 2021 Governor","type":"currency","value":"house1","footnote":"*"},{"align":"right","name":"FY 2021 House Final","type":"currency","value":"houseFinal","footnote":null},{"align":"right","name":"FY 2021 Senate Final","type":"currency","value":"senateFinal","footnote":null},{"align":"right","name":"FY 2021 Conference","type":"currency","value":"conference","footnote":null},{"align":"right veto","name":"FY 2021 Governor's Veto","type":"currency delta","value":"veto","footnote":null},{"align":"right override","name":"FY 2021 Legislature's Override","type":"currency delta","value":"override","footnote":null},{"align":"right","name":"FY 2021 GAA","type":"currency","value":"gaa","footnote":"1"}]}},{"govLevelOne":"Health and Human Services","govLevelTwo":"Mental Health","govLevelThree":null,"lineItemNumber":"50470001","lineItemName":"Emergency Services and Mental Health Care","lineItemLanguage":"For emergency service programs and acute inpatient mental health care services; provided, that the department of mental health shall require a performance specification to be developed for safe aftercare options for adults upon release from acute inpatient mental health care services; provided further, that the emergency service programs shall take all reasonable steps to identify and invoice the third-party insurer of all persons serviced by the programs; and provided further, that funds may support program and service adaptations necessitated by the 2019 novel coronavirus in order to ensure adequate and accessible services","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":22139598,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":22139598,"gaa":22139598,"house1":22139598,"houseFinal":22139598,"override":0,"senateFinal":22139598,"veto":0}],"headers":[{"align":"right","name":"FY 2021 Governor","type":"currency","value":"house1","footnote":"*"},{"align":"right","name":"FY 2021 House Final","type":"currency","value":"houseFinal","footnote":null},{"align":"right","name":"FY 2021 Senate Final","type":"currency","value":"senateFinal","footnote":null},{"align":"right","name":"FY 2021 Conference","type":"currency","value":"conference","footnote":null},{"align":"right veto","name":"FY 2021 Governor's Veto","type":"currency delta","value":"veto","footnote":null},{"align":"right override","name":"FY 2021 Legislature's Override","type":"currency delta","value":"override","footnote":null},{"align":"right","name":"FY 2021 GAA","type":"currency","value":"gaa","footnote":"1"}]}},{"govLevelOne":"Health and Human Services","govLevelTwo":"Mental Health","govLevelThree":null,"lineItemNumber":"50550000","lineItemName":"Forensic Services Program for Mentally Ill Persons","lineItemLanguage":"For forensic services provided by the department of mental health; provided, that funds shall be expended for juvenile court clinics","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":11066817,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":11066817,"gaa":11066817,"house1":11066817,"houseFinal":11066817,"override":0,"senateFinal":11066817,"veto":0}],"headers":[{"align":"right","name":"FY 2021 Governor","type":"currency","value":"house1","footnote":"*"},{"align":"right","name":"FY 2021 House Final","type":"currency","value":"houseFinal","footnote":null},{"align":"right","name":"FY 2021 Senate Final","type":"currency","value":"senateFinal","footnote":null},{"align":"right","name":"FY 2021 Conference","type":"currency","value":"conference","footnote":null},{"align":"right veto","name":"FY 2021 Governor's Veto","type":"currency delta","value":"veto","footnote":null},{"align":"right override","name":"FY 2021 Legislature's Override","type":"currency delta","value":"override","footnote":null},{"align":"right","name":"FY 2021 GAA","type":"currency","value":"gaa","footnote":"1"}]}},{"govLevelOne":"Health and Human Services","govLevelTwo":"Mental Health","govLevelThree":null,"lineItemNumber":"50950015","lineItemName":"Inpatient Facilities and Community-Based Mental Health","lineItemLanguage":"For the operation of hospital facilities and community-based mental health services; provided, that in order to comply with the decision in Olmstead v. L.C. ex rel. Zimring, 527 U.S. 581 (1999) and to enhance care for clients, the department of mental health shall discharge clients residing in the inpatient facilities to residential services in the community if the following criteria are met: (i) the client is deemed clinically suited for a more integrated setting; (ii) the community residential service capacity and resources available are sufficient to provide each client with an equal or improved level of service; and (iii) the cost to the commonwealth of serving the client in the community is less than or equal to the cost of serving the client in inpatient care; provided further, that any client transferred to another inpatient facility as the result of a facility closure shall receive a level of care that is equal to or greater than the care that had been provided at the closed facility; provided further, that the department may allocate funds of not more than $5,000,000 from this item to item <a href=\"/enacted/health-and-human-services/mental-health/50460000\">5046-0000</a>, as necessary, under allocation plans submitted to the house and senate committees on ways and means not less than 30 days before any transfer for residential and day services for clients formerly receiving inpatient care at the centers and facilities; provided further, that funds may support service adaptations necessitated by the 2019 novel coronavirus in order to ensure adequate and accessible services; provided further, that the department shall maintain not less than 671 inpatient beds in its system in fiscal year 2021; provided further, that of said 671 beds, 45 beds shall be continuing care inpatient beds on the campus of Taunton State Hospital; provided further, that within the existing appropriation, the department may operate more beds at Taunton state hospital; provided further, that the department shall operate not less than 260 adult continuing care inpatient beds at Worcester recovery center and hospital; provided further, that the department shall not take action in fiscal year 2021 to reduce the number of state-operated continuing care inpatient beds or other state-operated programs at the Taunton state hospital campus or relocate administrative hospital services associated with the operation of the hospital off campus; provided further, that the department shall not enter into new vendor-operated lease agreements or expand existing vendor-operated programs; provided further, that the department shall not enter into new interagency agreements or expand existing interagency agreements, programs or facilities until the department, in conjunction with the division of capital asset management and maintenance, develops a comprehensive long-term use master plan for the campus, which shall be developed not later than March 2, 2021, with appropriate community input that is consistent with maintaining the publicly-provided mental health services that are currently delivered on-campus at Taunton state hospital; provided further, that the plan shall include maintenance of existing affiliations with institutions of higher education and possible future relationships with those institutions and others to maintain the sustainability of Taunton state hospital; provided further, that the plan shall be consistent with maintenance of the Taunton state hospital campus as a publicly-run mental health facility and shall not prohibit the inclusion of behavioral health programs or publicly-run pilot programs to meet the needs of individuals with mental health diagnoses, behavioral health diagnoses and those dual-diagnosed on the campus as part of the comprehensive long-term use master plan; provided further, that the comprehensive long-term use master plan shall be submitted to the executive office for administration and finance, the executive office of health and human services, the joint committee on mental health, substance use and recovery and the house and senate committees on ways and means; provided further, that the department may authorize on the campus of Taunton state hospital, a behavioral health emergency department relief pilot program to accept medically-stable individuals with high acuity behavioral health and dual diagnoses from emergency departments in the southeast region; provided further, that medically-stable patients presenting in an emergency department with a high acuity behavioral health condition or who have a dual diagnosis shall be transferred to the pilot program if another appropriate setting cannot be located within 4 hours of admission to the emergency department; provided further, that the pilot program shall care for patients either for 14 days following admission or until an appropriate placement is found that meets the patient's needs, whichever is sooner; provided further, that the pilot program may be operated by the department and staffed by department registered nurses, psychiatrists and other staff as needed; provided further, that within the first 6 months following the authorization of the program by the department, in consultation with the department of public health, the National Alliance on Mental Illness, the Massachusetts Nurses Association and the Emergency Nurses Association shall establish a staffing plan and program protocols; provided further, that for the purposes of the pilot program, Taunton state hospital may accept patients classified under <a href=\"https://malegislature.gov/Laws/GeneralLaws/PartI/TitleXVII/Chapter123/Section12\" target=\"_blank\">section 12 of chapter 123</a> of the General Laws; provided further, that the pilot program may be authorized to operate for not more than 2 years; provided further, that the department shall file a report with the joint committee on mental health, substance use and recovery within 6 months after the conclusion date of the program; provided further, that the report shall evaluate the success of the program in decreasing emergency department overcrowding in the southeast region and the quality of care provided in the program; and provided further, that the report may be drafted by an independent entity, utilizing data from the department and the local hospitals in the southeast region","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":229635223,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":229635223,"gaa":229635223,"house1":229635223,"houseFinal":229660223,"override":0,"senateFinal":229635223,"veto":0}],"headers":[{"align":"right","name":"FY 2021 Governor","type":"currency","value":"house1","footnote":"*"},{"align":"right","name":"FY 2021 House Final","type":"currency","value":"houseFinal","footnote":null},{"align":"right","name":"FY 2021 Senate Final","type":"currency","value":"senateFinal","footnote":null},{"align":"right","name":"FY 2021 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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","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":500000,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Retained Revenues","budgetTracking":{"data":[{"conference":500000,"gaa":500000,"house1":500000,"houseFinal":500000,"override":0,"senateFinal":500000,"veto":0}],"headers":[{"align":"right","name":"FY 2021 Governor","type":"currency","value":"house1","footnote":"*"},{"align":"right","name":"FY 2021 House Final","type":"currency","value":"houseFinal","footnote":null},{"align":"right","name":"FY 2021 Senate Final","type":"currency","value":"senateFinal","footnote":null},{"align":"right","name":"FY 2021 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Spending","appropriationSubType":"","budgetTracking":{"data":[{"conference":1558823,"gaa":1558823,"house1":1558823,"houseFinal":1558823,"override":0,"senateFinal":1558823,"veto":0}],"headers":[{"align":"right","name":"FY 2021 Governor","type":"currency","value":"house1","footnote":"*"},{"align":"right","name":"FY 2021 House Final","type":"currency","value":"houseFinal","footnote":null},{"align":"right","name":"FY 2021 Senate Final","type":"currency","value":"senateFinal","footnote":null},{"align":"right","name":"FY 2021 Conference","type":"currency","value":"conference","footnote":null},{"align":"right veto","name":"FY 2021 Governor's Veto","type":"currency delta","value":"veto","footnote":null},{"align":"right override","name":"FY 2021 Legislature's Override","type":"currency delta","value":"override","footnote":null},{"align":"right","name":"FY 2021 GAA","type":"currency","value":"gaa","footnote":"1"}]}},{"govLevelOne":"Health and Human Services","govLevelTwo":"Mental 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Zimring, 527 U.S. 581 (1999) and to enhance care for clients, the department of mental health shall discharge clients residing in the inpatient facilities to residential services in the community if the following criteria are met: (i) the client is deemed clinically suited for a more integrated setting; (ii) the community residential service capacity and resources available are sufficient to provide each client with an equal or improved level of service; and (iii) the cost to the commonwealth of serving the client in the community is less than or equal to the cost of serving the client in inpatient care; provided further, that any client transferred to another inpatient facility as the result of a facility closure shall receive a level of care that is equal to or greater than the care that had been provided at the closed facility; provided further, that the department may allocate funds of not more than $5,000,000 from this item to item <a 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and hospital; provided further, that the department shall not take action in fiscal year 2021 to reduce the number of state-operated continuing care inpatient beds or other state-operated programs at the Taunton state hospital campus or relocate administrative hospital services associated with the operation of the hospital off campus; provided further, that the department shall not enter into new vendor-operated lease agreements or expand existing vendor-operated programs; provided further, that the department shall not enter into new interagency agreements or expand existing interagency agreements, programs or facilities until the department, in conjunction with the division of capital asset management and maintenance, develops a comprehensive long-term use master plan for the campus, which shall be developed not later than March 2, 2021, with appropriate community input that is consistent with maintaining the publicly-provided mental health services that are currently delivered 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