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 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
5046-0000, 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 the department shall maintain not less than 671 inpatient beds in its system in fiscal year 2023; 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 maintain not less than 75 men's recovery from addiction program beds at Taunton state hospital; provided further, that the department shall maintain not less than 45 women's recovery from addiction program beds at Taunton state hospital; provided further, that the department shall not take action in fiscal year 2023 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 1, 2023, 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
section 12 of chapter 123 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 submit 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; 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; provided further, that not less than $100,000 shall be expended for the development of Family Health Center of Worcester, Inc.'s facility at 192 Chandler street in Worcester, in collaboration with UMass Memorial Medical Center, to serve the healthcare needs of people experiencing homelessness; and provided further, that not less than $5,000,000 shall be expended for a competitively-procured contract with a private healthcare facility for additional continuing care beds in fiscal year 2023
