4512-0200 Bureau of Substance Addiction Services

For the bureau of substance addiction services, including a program to reimburse driver alcohol education programs for services provided for court-adjudicated, indigent clients; provided, that the department of public health shall ensure that vendors providing methadone treatment shall seek third-party reimbursement for such services; provided further, that in order to support and strengthen public access to substance use disorder services, funds shall be expended to maintain programming including, but not limited to: (i) centralized intake capacity service under section 18 of chapter 17 of the General Laws; (ii) the number and type of facilities that provide treatment; and (iii) detoxification and clinical stabilization service beds in the public system; provided further, that not less than $3,000,000 shall be expended to preserve and expand the programs currently funded by the Massachusetts Access to Recovery, or MA-ATR, program; provided further, that not less than $1,000,000 shall be expended on the Massachusetts rehabilitation commission through an interagency service agreement with the bureau to support workforce development; provided further, that not less than $1,500,000 shall be expended for outpatient and mobile services for deaf/hard of hearing individuals and deaf/hard of hearing/blind individuals with substance use disorders; provided further, that not less than $10,000,000 shall be spent for expanding low-threshold housing, employing a housing first model, for homeless individuals with substance use and mental health disorders at risk for the human immunodeficiency virus; provided further, that not less than $3,000,000 shall be expended for the bureau to provide technical assistance and training to increase the number of providers delivering culturally, ethnically and linguistically diverse services in communities of color; provided further, that funds shall be expended to support municipalities utilizing grant funds from the Massachusetts Opioid Abuse Prevention Collaborative grant program; provided further, that not less than $1,000,000 shall be expended for supportive case management services; provided further, that not less than $1,000,000 shall be expended to increase the number of residential rehabilitation services, with priority given to families, youth, transitional age youth and young adults; provided further, that not less than $500,000 shall be expended for a voluntary training and accreditation program for owners and operators of alcohol and drug-free housing under section 18A of said chapter 17; provided further, that the department shall provide not less than $100,000 for a statewide program to improve training for the care of newborns with neonatal abstinence syndrome at hospital-based facilities that care for mothers and newborns, including the 10 level III neonatal intensive care units; provided further, that not less than $7,000,000 shall be expended for opening 10 new recovery centers that are not currently funded by the department; provided further, that in selecting such centers, the department shall, to the maximum extent possible, ensure that not less than 6 of the centers shall serve gateway municipalities as defined in section 3A of chapter 23A of the General Laws; provided further, that not later than September 30, 2022, the department shall submit a report to the house and senate committees on ways and means and the clerks of the house of representatives and the senate on the status of new recovery centers first funded in fiscal year 2021 and fiscal year 2022; provided further, that the report shall include, but not be limited to: (a) the number of providers that applied to open such recovery centers and the number of successful applications; (b) copies of procurement materials issued by the department including, but not limited to, requests for responses or proposals; (c) the geographic distribution of the new recovery centers contemplated by the department, if any, and of successful applicants, if any, at the time of the report; (d) a description of the obstacles encountered by the department in distributing funds first appropriated in fiscal year 2021 and fiscal year 2022 for this purpose; and (e) the actions taken by the department to overcome those obstacles; provided further, that funds shall be expended for the extended release of naltrexone program under section 158 of chapter 46 of the acts of 2015; provided further, that under section 236 of chapter 111 of the General Laws, the department shall enhance data-sharing capabilities and collaborate across agencies to ensure coordination of services for newborns with neonatal abstinence syndrome; provided further, that not less than $5,000,000 shall be expended for the bureau to provide technical assistance and training to the service systems of medication management, medication-assisted treatment and treatment of co-occurring disorders; provided further, that not less than $3,000,000 shall be expended for a program to support multidisciplinary, team-based substance use services for adults with severe and persistent substance use disorder; provided further, that the program shall: (1) include a team- based approach to service delivery that tailors services to the specific needs and acuity of each individual; (2) provide substance use and social services through a person-centered approach; and (3) not limit program services to a specific psychical location; provided further, that not less than $10,000,000 shall be expended to procure additional family supportive housing programs across the commonwealth; provided further, that not less than $7,000,000 shall be expended to address the addiction treatment workforce crisis through outreach and recruitment efforts and support to complete trainings and continuing education curriculum; provided further, that not less than $2,000,000 shall be expended for the bureau to address the addiction treatment workforce crisis through outreach and recruitment efforts at local and regional educational institutions and vocational-technical high schools; provided further, that such efforts shall prioritize the support of a culturally, ethnically and linguistically diverse workforce; provided further, that not less than $50,000 shall be expended for The Serenity House, Inc.; provided further, that not less than $1,000,000 shall be expended for contingency management programs to support individuals with stimulant use disorder; provided further, that not less than $4,533,180 shall be expended for substance use disorder step-down recovery services, known as level-B beds and services, and other critical recovery services with severely reduced capacity; provided further, that said funds shall be expended in the AA object class; provided further, that not less than $1,350,000 shall be expended for jail diversion programs primarily for nonviolent offenders with opioid or opiate addiction to be procured by the department of public health; provided further, that each jail diversion program shall have not fewer than 60 beds and shall provide clinical assessment services to the respective courts, inpatient treatment for not more than 90 days and ongoing case management services for not more than 1 year; provided further, that individuals may be diverted to this or other programs by a district attorney in conjunction with the commissioner of probation if: (A) there is reason to believe that the individual being diverted suffers from an addiction to opiates or another substance use disorder; and (B) the diversion of the 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 shall coordinate operations with the sheriffs, the district attorneys, the commissioner of probation and the department of correction; 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; and provided further, that not less than $1,440,000 shall be expended 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, prior appropriation continued

	General Fund	...............	37.75%
	Marijuana Regulation Fund	...............	62.25%