{"componentChunkName":"component---src-templates-appropriations-js","path":"/enacted/health-and-human-services/developmental-services/","webpackCompilationHash":"dfefa031cf8171c85d49","result":{"data":{"site":{"buildTime":"2023-06-02T20:43:50.515Z","siteMetadata":{"title":"Summary FY23 Budget","siteUrl":"https://budget.digital.mass.gov/summary/fy23"}},"content":{"fields":{"baseSectionURL":"/enacted/"},"title":"Department of Developmental Services","govLevelOne":"Health and Human Services","govLevelTwo":"Developmental Services","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":"FY2023 Governor's Recommendation","type":"currency","align":"right","value":"house1","footnote":null},{"name":"FY 2023 Conference","type":"currency","align":"right","value":"conference","footnote":null},{"name":"FY 2023 Vetoes","type":"currency delta","align":"right veto","value":"veto","footnote":null},{"name":"FY2023 Overrides","type":"currency delta","align":"right override","value":"override","footnote":null},{"name":"FY 2023 GAA","type":"currency","align":"right","value":"gaa","footnote":"1"}],"total":{"organization":"Total","house1":2366441480,"conference":2440474902,"veto":0,"override":0,"gaa":2440474902},"data":[{"organization":"Department of Developmental Services","govLevelOne":null,"govLevelTwo":"Developmental Services","govLevelThree":null,"house1":2366441480,"conference":2440474902,"veto":0,"override":0,"gaa":2440474902}],"footnotes":[{"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 2023 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":"Developmental Services","govLevelThree":null,"lineItemNumber":"59111003","lineItemName":"DDS Service Coordination and Administration","lineItemLanguage":"For the administration and operation of the department of developmental services; provided, that the department shall not charge user fees for transportation or community day services; provided further, that the department shall not charge fees for eligibility determination for services provided by the department or for applications or requests for transfer of guardianship; provided further, that regional employment collaboratives shall be funded at not less than the amount funded in fiscal year 2022; provided further, that the department shall issue a report to the house and senate committees on ways and means not later than February 22, 2023 detailing: (i) significant expense increases incurred by the department; (ii) measures implemented by the department to reduce costs; and (iii) improved outcomes in programs and services funded by the department; provided further, that the commissioner of developmental services may transfer funds between items <a href=\"/enacted/health-and-human-services/developmental-services/59202025\">5920-2025</a>, <a href=\"/enacted/health-and-human-services/developmental-services/59202000\">5920-2000</a>, <a href=\"/enacted/health-and-human-services/developmental-services/59112000\">5911-2000</a> and <a href=\"/enacted/health-and-human-services/developmental-services/59203000\">5920-3000</a>; provided further, that the commissioner shall notify the house and senate committees on ways and means not less than 30 days in advance of any such transfer; provided further, that not less than $75,000 shall be expended for Community Access to the Arts, Inc. in the town of Great Barrington; provided further, that not less than $25,000 shall be expended for the Charles River Center to provide grants for individuals to meaningfully participate in their community; (b) measures implemented by the department to reduce costs; and (c) improved outcomes in programs and services funded by the department; provided further, that not less than $200,000 shall be expended for the Massachusetts Down Syndrome Congress, Inc.; provided further, that not less than $50,000 shall be expended for the Center for Autism and Neurodevelopmental Disorders at the University of Massachusetts memorial medical center and the University of Massachusetts medical school based on the patient-centered medical home concept; and provided further, that not less than $20,000 shall be expended to You're with Us! Inc., in the city of Methuen","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":88212555,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":88212555,"gaa":88212555,"house1":87842554,"houseFinal":88192555,"override":0,"senateFinal":88037555,"veto":0}],"headers":[{"align":"right","name":"FY 2023 Governor","type":"currency","value":"house1","footnote":null},{"align":"right","name":"FY 2023 House Final","type":"currency","value":"houseFinal","footnote":null},{"align":"right","name":"FY 2023 Senate Final","type":"currency","value":"senateFinal","footnote":null},{"align":"right","name":"FY 2023 Conference","type":"currency","value":"conference","footnote":null},{"align":"right veto","name":"FY 2023 Governor's Veto","type":"currency delta","value":"veto","footnote":null},{"align":"right override","name":"FY 2023 Legislature's Override","type":"currency delta","value":"override","footnote":null},{"align":"right","name":"FY 2023 GAA","type":"currency","value":"gaa","footnote":"1"}]}},{"govLevelOne":"Health and Human Services","govLevelTwo":"Developmental Services","govLevelThree":null,"lineItemNumber":"59112000","lineItemName":"Transportation Services","lineItemLanguage":"For transportation costs associated with community- based day and work programs; provided, that the department shall provide transportation which shall be prioritized by need; and provided further, that not more than $7,000,000 of additional funds provided in fiscal year 2023 shall be expended by the department on transportation related to the new day and service components developed through item <a href=\"/enacted/health-and-human-services/developmental-services/59202025\">5920-2025</a>, and on preparation for any increased service need that may occur during the fiscal year in response to increased vaccinations and any improvement in the public health emergency","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":33869314,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":33869314,"gaa":33869314,"house1":24878794,"houseFinal":33869314,"override":0,"senateFinal":27095451,"veto":0}],"headers":[{"align":"right","name":"FY 2023 Governor","type":"currency","value":"house1","footnote":null},{"align":"right","name":"FY 2023 House Final","type":"currency","value":"houseFinal","footnote":null},{"align":"right","name":"FY 2023 Senate Final","type":"currency","value":"senateFinal","footnote":null},{"align":"right","name":"FY 2023 Conference","type":"currency","value":"conference","footnote":null},{"align":"right veto","name":"FY 2023 Governor's Veto","type":"currency delta","value":"veto","footnote":null},{"align":"right override","name":"FY 2023 Legislature's Override","type":"currency delta","value":"override","footnote":null},{"align":"right","name":"FY 2023 GAA","type":"currency","value":"gaa","footnote":"1"}]}},{"govLevelOne":"Health and Human Services","govLevelTwo":"Developmental Services","govLevelThree":null,"lineItemNumber":"59202000","lineItemName":"Community Residential Services","lineItemLanguage":"For vendor-operated, community-based residential adult services, including intensive individual supports; provided, that annualized funding shall be expended for turning 22 clients who began receiving services in fiscal year 2021 under item <a href=\"/enacted/health-and-human-services/developmental-services/59205000\">5920-5000</a> of <a href=\"https://malegislature.gov/Laws/SessionLaws/Acts/2020/Chapter227\" target=\"_blank\">section 2 of chapter 227 of the acts of 2020</a>; provided further, that not later than March 1, 2023, the department shall submit a report to the house and senate committees on ways and means detailing the use of shared-living services in the commonwealth, which shall include, but not be limited to, the: (i) number of clients living in shared-living placements, broken down by age and location; (ii) average cost of shared-living services; (iii) number of clients living in a shared-living placement with individuals they knew prior to the arrangement; (iv) department's oversight of the application and placement process; (v) safeguards in place for clients receiving these services; and (vi) potential for growth of the program; provided further, that not less than $25,000 shall be expended for the Center of Hope Foundation for parking improvements at the Center of Hope facility located at 54 Foster street in the town of Southbridge; provided further, that the commissioner of developmental services may transfer funds from this item to item <a href=\"/enacted/health-and-human-services/developmental-services/59202010\">5920-2010</a>, as necessary, under an allocation plan which shall detail, by object class, the distribution of the funds to be transferred and which shall be submitted to the house and senate committees on ways and means not less than 30 days before any such transfer; and provided further, that not more than $5,000,000 shall be transferred from this item in fiscal year 2023","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":1442384037,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":1442384037,"gaa":1442384037,"house1":1442359037,"houseFinal":1442384037,"override":0,"senateFinal":1442359037,"veto":0}],"headers":[{"align":"right","name":"FY 2023 Governor","type":"currency","value":"house1","footnote":null},{"align":"right","name":"FY 2023 House Final","type":"currency","value":"houseFinal","footnote":null},{"align":"right","name":"FY 2023 Senate Final","type":"currency","value":"senateFinal","footnote":null},{"align":"right","name":"FY 2023 Conference","type":"currency","value":"conference","footnote":null},{"align":"right veto","name":"FY 2023 Governor's Veto","type":"currency delta","value":"veto","footnote":null},{"align":"right override","name":"FY 2023 Legislature's Override","type":"currency delta","value":"override","footnote":null},{"align":"right","name":"FY 2023 GAA","type":"currency","value":"gaa","footnote":"1"}]}},{"govLevelOne":"Health and Human Services","govLevelTwo":"Developmental Services","govLevelThree":null,"lineItemNumber":"59202003","lineItemName":"Supportive Technology for Individuals","lineItemLanguage":"For supportive technology and remote services for individuals served by the department of developmental services","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":1750000,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":1750000,"gaa":1750000,"house1":500000,"houseFinal":1750000,"override":0,"senateFinal":1750000,"veto":0}],"headers":[{"align":"right","name":"FY 2023 Governor","type":"currency","value":"house1","footnote":null},{"align":"right","name":"FY 2023 House Final","type":"currency","value":"houseFinal","footnote":null},{"align":"right","name":"FY 2023 Senate Final","type":"currency","value":"senateFinal","footnote":null},{"align":"right","name":"FY 2023 Conference","type":"currency","value":"conference","footnote":null},{"align":"right veto","name":"FY 2023 Governor's Veto","type":"currency delta","value":"veto","footnote":null},{"align":"right override","name":"FY 2023 Legislature's Override","type":"currency delta","value":"override","footnote":null},{"align":"right","name":"FY 2023 GAA","type":"currency","value":"gaa","footnote":"1"}]}},{"govLevelOne":"Health and Human Services","govLevelTwo":"Developmental Services","govLevelThree":null,"lineItemNumber":"59202010","lineItemName":"State Operated Residential Services","lineItemLanguage":"For state-operated, community-based residential services for adults, including community-based health services; provided, that not less than $50,000 shall be expended for Caring Health Center to expand their access to health programs and services","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":255532588,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":255532588,"gaa":255532588,"house1":255482587,"houseFinal":255532588,"override":0,"senateFinal":255482587,"veto":0}],"headers":[{"align":"right","name":"FY 2023 Governor","type":"currency","value":"house1","footnote":null},{"align":"right","name":"FY 2023 House Final","type":"currency","value":"houseFinal","footnote":null},{"align":"right","name":"FY 2023 Senate Final","type":"currency","value":"senateFinal","footnote":null},{"align":"right","name":"FY 2023 Conference","type":"currency","value":"conference","footnote":null},{"align":"right veto","name":"FY 2023 Governor's Veto","type":"currency delta","value":"veto","footnote":null},{"align":"right override","name":"FY 2023 Legislature's Override","type":"currency delta","value":"override","footnote":null},{"align":"right","name":"FY 2023 GAA","type":"currency","value":"gaa","footnote":"1"}]}},{"govLevelOne":"Health and Human Services","govLevelTwo":"Developmental Services","govLevelThree":null,"lineItemNumber":"59202025","lineItemName":"Community Day and Work Programs","lineItemLanguage":"For community-based day and work programs and associated transportation costs for adults; provided, that the department of developmental services shall provide transportation which shall be prioritized by need; provided further, that the department shall support individuals with disabilities who transitioned from employment services offered at sheltered workshops to community-based employment as part of the commonwealth's employment first initiative; provided further, that any public-private partnerships with employers and nonprofits shall encourage the highest level of independence among individuals with disabilities and shall provide options to maximize community involvement and participation; provided further, that not later than April 3, 2023, the department shall submit a report to the joint committee on children, families and persons with disabilities and the house and senate committees on ways and means detailing: (i) the number of eligible individuals employed in community-based employment in fiscal year 2022 and the number estimated for fiscal year 2023; (ii) the number and types of community-based employment partners; (iii) the outcomes measured; and (iv) recommendations for expansion; provided further, that not more than $15,000,000 of additional funds provided in fiscal year 2023 shall be expended by the department to: (a) re-design the service system to respond to the new needs created by the COVID-19 pandemic, requiring new day services components or modalities, including but not limited to: remote and virtual supports, and in-home or in-community services; (b) provide bridge funding for community-based provider agencies to re-design their current service model, including but not limited to: recruiting and hiring new staff, training staff for new roles and providing technology supports for staff during the transition; (c) develop a new, more fluid service model based on the real-time, individual needs of constituents otherwise unable to engage in traditional day services; and (d) plan for increased service need that may occur during the fiscal year in response to increased vaccinations and any improvement in the public health emergency; provided further, that not less than $200,000 shall be expended for The Arc of Massachusetts to create a pilot program for individuals currently enrolled in day habilitation programs with a developmental disability, an intellectual disability or an autism spectrum disorder to receive applied behavior analysis services for a 6-month period; provided further, that such individuals shall be 21 years of age or older; provided further, that the pilot program shall occur from September 1, 2022 to March 1, 2023; provided further, that not later than May 1, 2023, The Arc of Massachusetts shall submit a report on the results of the program to the house and senate committees on ways and means and the joint committee on children, families and persons with disabilities; provided further, that such report shall include, but not be limited to: (1) the total cost of providing applied behavior analysis services; (2) the number of individuals served by the program; (c) the cost of services per individual; (3) savings associated with the provision of applied behavior analysis services; and (4) aggregated benefits to individuals associated with applied behavior analysis services; provided further, that the commissioner of developmental services may transfer such funds from this item to items <a href=\"/enacted/health-and-human-services/developmental-services/59202000\">5920-2000</a>, <a href=\"/enacted/health-and-human-services/developmental-services/59112000\">5911-2000</a>, <a href=\"/enacted/health-and-human-services/developmental-services/59203000\">5920-3000</a>, <a href=\"/enacted/health-and-human-services/developmental-services/59205000\">5920-5000</a> and <a href=\"/enacted/health-and-human-services/developmental-services/59301000\">5930-1000</a>; and provided further, that the commissioner shall notify the house and senate committees on ways and means not less than 30 days in advance of any such transfer","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":278562283,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":278562283,"gaa":278562283,"house1":227362283,"houseFinal":278362283,"override":0,"senateFinal":227562283,"veto":0}],"headers":[{"align":"right","name":"FY 2023 Governor","type":"currency","value":"house1","footnote":null},{"align":"right","name":"FY 2023 House Final","type":"currency","value":"houseFinal","footnote":null},{"align":"right","name":"FY 2023 Senate Final","type":"currency","value":"senateFinal","footnote":null},{"align":"right","name":"FY 2023 Conference","type":"currency","value":"conference","footnote":null},{"align":"right veto","name":"FY 2023 Governor's Veto","type":"currency delta","value":"veto","footnote":null},{"align":"right override","name":"FY 2023 Legislature's Override","type":"currency delta","value":"override","footnote":null},{"align":"right","name":"FY 2023 GAA","type":"currency","value":"gaa","footnote":"1"}]}},{"govLevelOne":"Health and Human Services","govLevelTwo":"Developmental Services","govLevelThree":null,"lineItemNumber":"59203000","lineItemName":"Respite Family Supports","lineItemLanguage":"For respite services and intensive family supports","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":90628537,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":90628537,"gaa":90628537,"house1":90628537,"houseFinal":90628537,"override":0,"senateFinal":90628537,"veto":0}],"headers":[{"align":"right","name":"FY 2023 Governor","type":"currency","value":"house1","footnote":null},{"align":"right","name":"FY 2023 House Final","type":"currency","value":"houseFinal","footnote":null},{"align":"right","name":"FY 2023 Senate Final","type":"currency","value":"senateFinal","footnote":null},{"align":"right","name":"FY 2023 Conference","type":"currency","value":"conference","footnote":null},{"align":"right veto","name":"FY 2023 Governor's Veto","type":"currency delta","value":"veto","footnote":null},{"align":"right override","name":"FY 2023 Legislature's Override","type":"currency delta","value":"override","footnote":null},{"align":"right","name":"FY 2023 GAA","type":"currency","value":"gaa","footnote":"1"}]}},{"govLevelOne":"Health and Human Services","govLevelTwo":"Developmental Services","govLevelThree":null,"lineItemNumber":"59203010","lineItemName":"Autism Division","lineItemLanguage":"For contracted support services for families of children with autism through the autism division at the department of developmental services; provided, that the department shall expend not less than $5,500,000 to provide services under the children's autism spectrum disorder waiver under section 1915 of the Social Security Act; provided further, that the waiver shall include children with autism spectrum disorder ages 0 to 8, inclusive, including children with autism spectrum disorder ages 0 to 3, inclusive, who are receiving services through the department of public health's early intervention program; provided further, that the department shall take all steps necessary to ensure that the waiver program is fully enrolled and that eligible children with autism immediately begin to receive services under said waiver; provided further, that the department shall immediately file any waiver amendment necessary with the federal Centers for Medicare and Medicaid Services to comply with the requirements of this item; provided further, that not later than January 13, 2023, the department shall report to the house and senate committees on ways and means, the joint committee on education and the joint committee on children, families and persons with disabilities on: (i) the number of contracted support services provided for families with children with autism under this item; (ii) the costs associated with such services; (iii) the services provided by the children's autism spectrum disorder waiver, with information regarding the number of children enrolled in the waiver and receiving services; (iv) the linguistic and cultural diversity, age, gender and geographic representation of the applicants and the children enrolled in the program; (v) the department's plans to continue to assess the demand for waiver services; (vi) any plans by the executive office of health and human services to expand the waiver for children on the autism spectrum of all ages in the future; and (vii) other information determined relevant by the department; and provided further, that the department shall submit copies of amended waivers to the house and senate committees on ways and means, the joint committee on education and the joint committee on children, families and persons with disabilities upon submission of the amendment","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":13933900,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":13933900,"gaa":13933900,"house1":7478032,"houseFinal":13933900,"override":0,"senateFinal":8433900,"veto":0}],"headers":[{"align":"right","name":"FY 2023 Governor","type":"currency","value":"house1","footnote":null},{"align":"right","name":"FY 2023 House Final","type":"currency","value":"houseFinal","footnote":null},{"align":"right","name":"FY 2023 Senate Final","type":"currency","value":"senateFinal","footnote":null},{"align":"right","name":"FY 2023 Conference","type":"currency","value":"conference","footnote":null},{"align":"right veto","name":"FY 2023 Governor's Veto","type":"currency delta","value":"veto","footnote":null},{"align":"right override","name":"FY 2023 Legislature's Override","type":"currency delta","value":"override","footnote":null},{"align":"right","name":"FY 2023 GAA","type":"currency","value":"gaa","footnote":"1"}]}},{"govLevelOne":"Health and Human Services","govLevelTwo":"Developmental Services","govLevelThree":null,"lineItemNumber":"59203020","lineItemName":"Autism Omnibus","lineItemLanguage":"For the implementation of <a href=\"https://malegislature.gov/Laws/SessionLaws/Acts/2014/Chapter226\" target=\"_blank\">chapter 226 of the acts of 2014</a>, including services and supports for individuals with a developmental disability attributable to autism spectrum disorder, Smith- Magenis syndrome or Prader-Willi syndrome; provided, that the department shall submit quarterly reports to the house and senate committees on ways and means detailing: (a) the number of individuals eligible for services; (b) the number of eligible individuals served; (c) the type of services provided; (d) the cost per service; and (e) the cost of services per individual; and provided further, that not less than $300,000 shall be expended for the commission on autism established in <a href=\"https://malegislature.gov/Laws/GeneralLaws/PartI/TitleII/Chapter6/Section217\" target=\"_blank\">section 217 of chapter 6</a> of the General Laws","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":42300000,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":42300000,"gaa":42300000,"house1":36607970,"houseFinal":42300000,"override":0,"senateFinal":42300000,"veto":0}],"headers":[{"align":"right","name":"FY 2023 Governor","type":"currency","value":"house1","footnote":null},{"align":"right","name":"FY 2023 House Final","type":"currency","value":"houseFinal","footnote":null},{"align":"right","name":"FY 2023 Senate Final","type":"currency","value":"senateFinal","footnote":null},{"align":"right","name":"FY 2023 Conference","type":"currency","value":"conference","footnote":null},{"align":"right veto","name":"FY 2023 Governor's Veto","type":"currency delta","value":"veto","footnote":null},{"align":"right override","name":"FY 2023 Legislature's Override","type":"currency delta","value":"override","footnote":null},{"align":"right","name":"FY 2023 GAA","type":"currency","value":"gaa","footnote":"1"}]}},{"govLevelOne":"Health and Human Services","govLevelTwo":"Developmental Services","govLevelThree":null,"lineItemNumber":"59203025","lineItemName":"Aging with Developmental Disabilities","lineItemLanguage":"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 affected 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; provided, that not later than April 3, 2023, the department of developmental services shall submit a report to the executive office for administration and finance and the house and senate committees on ways and means on the status of these initiatives including, but not limited to: (a) the number of participants served by each initiative; (b) the participant outcomes, including impacts on the physical and cognitive health of participants; (c) the cost of each initiative and the cost per participant; (d) the implementation plans for these initiatives in fiscal years 2024 and 2025; and (e) recommendations for enhancing the care of individuals with developmental disabilities who are aging","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":100000,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":100000,"gaa":100000,"house1":100000,"houseFinal":100000,"override":0,"senateFinal":100000,"veto":0}],"headers":[{"align":"right","name":"FY 2023 Governor","type":"currency","value":"house1","footnote":null},{"align":"right","name":"FY 2023 House Final","type":"currency","value":"houseFinal","footnote":null},{"align":"right","name":"FY 2023 Senate Final","type":"currency","value":"senateFinal","footnote":null},{"align":"right","name":"FY 2023 Conference","type":"currency","value":"conference","footnote":null},{"align":"right veto","name":"FY 2023 Governor's Veto","type":"currency delta","value":"veto","footnote":null},{"align":"right override","name":"FY 2023 Legislature's Override","type":"currency delta","value":"override","footnote":null},{"align":"right","name":"FY 2023 GAA","type":"currency","value":"gaa","footnote":"1"}]}},{"govLevelOne":"Health and Human Services","govLevelTwo":"Developmental Services","govLevelThree":null,"lineItemNumber":"59205000","lineItemName":"Turning 22 Program and Services","lineItemLanguage":"For services to clients of the department who turn 22 years of age during fiscal years 2022 and 2023; provided, that not later than January 6, 2023 the department shall report to the house and senate committees on ways and means on the use of any funds encumbered or expended from this item including, but not limited to, the number of clients served in each region and the types of services purchased in each region","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":84099551,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":84099551,"gaa":84099551,"house1":84099551,"houseFinal":84099551,"override":0,"senateFinal":84099551,"veto":0}],"headers":[{"align":"right","name":"FY 2023 Governor","type":"currency","value":"house1","footnote":null},{"align":"right","name":"FY 2023 House Final","type":"currency","value":"houseFinal","footnote":null},{"align":"right","name":"FY 2023 Senate Final","type":"currency","value":"senateFinal","footnote":null},{"align":"right","name":"FY 2023 Conference","type":"currency","value":"conference","footnote":null},{"align":"right veto","name":"FY 2023 Governor's Veto","type":"currency delta","value":"veto","footnote":null},{"align":"right override","name":"FY 2023 Legislature's Override","type":"currency delta","value":"override","footnote":null},{"align":"right","name":"FY 2023 GAA","type":"currency","value":"gaa","footnote":"1"}]}},{"govLevelOne":"Health and Human Services","govLevelTwo":"Developmental Services","govLevelThree":null,"lineItemNumber":"59301000","lineItemName":"State Facilities for People with Intellectual Disabilities","lineItemLanguage":"For the operation of facilities for individuals with intellectual disabilities; 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 developmental services shall discharge clients residing in intermittent care facilities for individuals with intellectual disabilities, or an ICF/IID, to residential services in the community if: (i) the client is deemed clinically suited for a more integrated setting; (ii) 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 an ICF/IID; provided further, that any client transferred to another ICF/IID as the result of a facility closure shall receive a level of care that is equal to or greater than the level of care that had been provided at the closed ICF/IID; provided further, that the department may allocate funds from this item to items <a href=\"/enacted/health-and-human-services/developmental-services/59202000\">5920-2000</a>, <a href=\"/enacted/health-and-human-services/developmental-services/59202010\">5920-2010</a> and 5920- 2025, as necessary, under allocation plans which shall be 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 an ICF/IID; and provided further, that not later than March 1, 2023, the department shall report to the house and senate committees on ways and means, on: (a) all efforts to comply with the decision in Olmstead v. L.C. ex rel. Zimring, 527 U.S. 581 (1999); (b) the enhancement of care within available resources to clients served by the department; and (c) the steps taken to consolidate or close an ICF/IID","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":109102137,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":109102137,"gaa":109102137,"house1":109102135,"houseFinal":109102137,"override":0,"senateFinal":109102136,"veto":0}],"headers":[{"align":"right","name":"FY 2023 Governor","type":"currency","value":"house1","footnote":null},{"align":"right","name":"FY 2023 House Final","type":"currency","value":"houseFinal","footnote":null},{"align":"right","name":"FY 2023 Senate Final","type":"currency","value":"senateFinal","footnote":null},{"align":"right","name":"FY 2023 Conference","type":"currency","value":"conference","footnote":null},{"align":"right veto","name":"FY 2023 Governor's 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provided further, that the department shall not charge fees for eligibility determination for services provided by the department or for applications or requests for transfer of guardianship; provided further, that regional employment collaboratives shall be funded at not less than the amount funded in fiscal year 2022; provided further, that the department shall issue a report to the house and senate committees on ways and means not later than February 22, 2023 detailing: (i) significant expense increases incurred by the department; (ii) measures implemented by the department to reduce costs; and (iii) improved outcomes in programs and services funded by the department; provided further, that the commissioner of developmental services may transfer funds between items <a href=\"/enacted/health-and-human-services/developmental-services/59202025\">5920-2025</a>, <a href=\"/enacted/health-and-human-services/developmental-services/59202000\">5920-2000</a>, <a href=\"/enacted/health-and-human-services/developmental-services/59112000\">5911-2000</a> and <a href=\"/enacted/health-and-human-services/developmental-services/59203000\">5920-3000</a>; provided further, that the commissioner shall notify the house and senate committees on ways and means not less than 30 days in advance of any such transfer; provided further, that not less than $75,000 shall be expended for Community Access to the Arts, Inc. in the town of Great Barrington; provided further, that not less than $25,000 shall be expended for the Charles River Center to provide grants for individuals to meaningfully participate in their community; (b) measures implemented by the department to reduce costs; and (c) improved outcomes in programs and services funded by the department; provided further, that not less than $200,000 shall be expended for the Massachusetts Down Syndrome Congress, Inc.; provided further, that not less than $50,000 shall be expended for the Center for Autism and Neurodevelopmental Disorders at the University of Massachusetts memorial medical center and the University of Massachusetts medical school based on the patient-centered medical home concept; and provided further, that not less than $20,000 shall be expended to You're with Us! Inc., in the city of Methuen","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":88212555,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":88212555,"gaa":88212555,"house1":87842554,"houseFinal":88192555,"override":0,"senateFinal":88037555,"veto":0}],"headers":[{"align":"right","name":"FY 2023 Governor","type":"currency","value":"house1","footnote":null},{"align":"right","name":"FY 2023 House Final","type":"currency","value":"houseFinal","footnote":null},{"align":"right","name":"FY 2023 Senate Final","type":"currency","value":"senateFinal","footnote":null},{"align":"right","name":"FY 2023 Conference","type":"currency","value":"conference","footnote":null},{"align":"right veto","name":"FY 2023 Governor's Veto","type":"currency delta","value":"veto","footnote":null},{"align":"right override","name":"FY 2023 Legislature's Override","type":"currency delta","value":"override","footnote":null},{"align":"right","name":"FY 2023 GAA","type":"currency","value":"gaa","footnote":"1"}]}},{"govLevelOne":"Health and Human Services","govLevelTwo":"Developmental Services","govLevelThree":null,"lineItemNumber":"59112000","lineItemName":"Transportation Services","lineItemLanguage":"For transportation costs associated with community- based day and work programs; provided, that the department shall provide transportation which shall be prioritized by need; and provided further, that not more than $7,000,000 of additional funds provided in fiscal year 2023 shall be expended by the department on transportation related to the new day and service components developed through item <a href=\"/enacted/health-and-human-services/developmental-services/59202025\">5920-2025</a>, and on preparation for any increased service need that may occur during the fiscal year in response to increased vaccinations and any improvement in the public health emergency","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":33869314,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":33869314,"gaa":33869314,"house1":24878794,"houseFinal":33869314,"override":0,"senateFinal":27095451,"veto":0}],"headers":[{"align":"right","name":"FY 2023 Governor","type":"currency","value":"house1","footnote":null},{"align":"right","name":"FY 2023 House Final","type":"currency","value":"houseFinal","footnote":null},{"align":"right","name":"FY 2023 Senate Final","type":"currency","value":"senateFinal","footnote":null},{"align":"right","name":"FY 2023 Conference","type":"currency","value":"conference","footnote":null},{"align":"right veto","name":"FY 2023 Governor's Veto","type":"currency delta","value":"veto","footnote":null},{"align":"right override","name":"FY 2023 Legislature's Override","type":"currency delta","value":"override","footnote":null},{"align":"right","name":"FY 2023 GAA","type":"currency","value":"gaa","footnote":"1"}]}},{"govLevelOne":"Health and Human Services","govLevelTwo":"Developmental Services","govLevelThree":null,"lineItemNumber":"59202000","lineItemName":"Community Residential Services","lineItemLanguage":"For vendor-operated, community-based residential adult services, including intensive individual supports; provided, that annualized funding shall be expended for turning 22 clients who began receiving services in fiscal year 2021 under item <a href=\"/enacted/health-and-human-services/developmental-services/59205000\">5920-5000</a> of <a href=\"https://malegislature.gov/Laws/SessionLaws/Acts/2020/Chapter227\" target=\"_blank\">section 2 of chapter 227 of the acts of 2020</a>; provided further, that not later than March 1, 2023, the department shall submit a report to the house and senate committees on ways and means detailing the use of shared-living services in the commonwealth, which shall include, but not be limited to, the: (i) number of clients living in shared-living placements, broken down by age and location; (ii) average cost of shared-living services; (iii) number of clients living in a shared-living placement with individuals they knew prior to the arrangement; (iv) department's oversight of the application and placement process; (v) safeguards in place for clients receiving these services; and (vi) potential for growth of the program; provided further, that not less than $25,000 shall be expended for the Center of Hope Foundation for parking improvements at the Center of Hope facility located at 54 Foster street in the town of Southbridge; provided further, that the commissioner of developmental services may transfer funds from this item to item <a href=\"/enacted/health-and-human-services/developmental-services/59202010\">5920-2010</a>, as necessary, under an allocation plan which shall detail, by object class, the distribution of the funds to be transferred and which shall be submitted to the house and senate committees on ways and means not less than 30 days before any such transfer; and provided further, that not more than $5,000,000 shall be transferred from this item in fiscal year 2023","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":1442384037,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":1442384037,"gaa":1442384037,"house1":1442359037,"houseFinal":1442384037,"override":0,"senateFinal":1442359037,"veto":0}],"headers":[{"align":"right","name":"FY 2023 Governor","type":"currency","value":"house1","footnote":null},{"align":"right","name":"FY 2023 House Final","type":"currency","value":"houseFinal","footnote":null},{"align":"right","name":"FY 2023 Senate Final","type":"currency","value":"senateFinal","footnote":null},{"align":"right","name":"FY 2023 Conference","type":"currency","value":"conference","footnote":null},{"align":"right veto","name":"FY 2023 Governor's Veto","type":"currency delta","value":"veto","footnote":null},{"align":"right override","name":"FY 2023 Legislature's Override","type":"currency delta","value":"override","footnote":null},{"align":"right","name":"FY 2023 GAA","type":"currency","value":"gaa","footnote":"1"}]}},{"govLevelOne":"Health and Human Services","govLevelTwo":"Developmental Services","govLevelThree":null,"lineItemNumber":"59202003","lineItemName":"Supportive Technology for Individuals","lineItemLanguage":"For supportive technology and remote services for individuals served by the department of developmental services","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":1750000,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":1750000,"gaa":1750000,"house1":500000,"houseFinal":1750000,"override":0,"senateFinal":1750000,"veto":0}],"headers":[{"align":"right","name":"FY 2023 Governor","type":"currency","value":"house1","footnote":null},{"align":"right","name":"FY 2023 House Final","type":"currency","value":"houseFinal","footnote":null},{"align":"right","name":"FY 2023 Senate Final","type":"currency","value":"senateFinal","footnote":null},{"align":"right","name":"FY 2023 Conference","type":"currency","value":"conference","footnote":null},{"align":"right veto","name":"FY 2023 Governor's Veto","type":"currency delta","value":"veto","footnote":null},{"align":"right override","name":"FY 2023 Legislature's Override","type":"currency delta","value":"override","footnote":null},{"align":"right","name":"FY 2023 GAA","type":"currency","value":"gaa","footnote":"1"}]}},{"govLevelOne":"Health and Human Services","govLevelTwo":"Developmental Services","govLevelThree":null,"lineItemNumber":"59202010","lineItemName":"State Operated Residential Services","lineItemLanguage":"For state-operated, community-based residential services for adults, including community-based health services; provided, that not less than $50,000 shall be expended for Caring Health Center to expand their access to health programs and services","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":255532588,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":255532588,"gaa":255532588,"house1":255482587,"houseFinal":255532588,"override":0,"senateFinal":255482587,"veto":0}],"headers":[{"align":"right","name":"FY 2023 Governor","type":"currency","value":"house1","footnote":null},{"align":"right","name":"FY 2023 House Final","type":"currency","value":"houseFinal","footnote":null},{"align":"right","name":"FY 2023 Senate Final","type":"currency","value":"senateFinal","footnote":null},{"align":"right","name":"FY 2023 Conference","type":"currency","value":"conference","footnote":null},{"align":"right veto","name":"FY 2023 Governor's Veto","type":"currency delta","value":"veto","footnote":null},{"align":"right override","name":"FY 2023 Legislature's Override","type":"currency delta","value":"override","footnote":null},{"align":"right","name":"FY 2023 GAA","type":"currency","value":"gaa","footnote":"1"}]}},{"govLevelOne":"Health and Human Services","govLevelTwo":"Developmental Services","govLevelThree":null,"lineItemNumber":"59202025","lineItemName":"Community Day and Work Programs","lineItemLanguage":"For community-based day and work programs and associated transportation costs for adults; provided, that the department of developmental services shall provide transportation which shall be prioritized by need; provided further, that the department shall support individuals with disabilities who transitioned from employment services offered at sheltered workshops to community-based employment as part of the commonwealth's employment first initiative; provided further, that any public-private partnerships with employers and nonprofits shall encourage the highest level of independence among individuals with disabilities and shall provide options to maximize community involvement and participation; provided further, that not later than April 3, 2023, the department shall submit a report to the joint committee on children, families and persons with disabilities and the house and senate committees on ways and means detailing: (i) the number of eligible individuals employed in community-based employment in fiscal year 2022 and the number estimated for fiscal year 2023; (ii) the number and types of community-based employment partners; (iii) the outcomes measured; and (iv) recommendations for expansion; provided further, that not more than $15,000,000 of additional funds provided in fiscal year 2023 shall be expended by the department to: (a) re-design the service system to respond to the new needs created by the COVID-19 pandemic, requiring new day services components or modalities, including but not limited to: remote and virtual supports, and in-home or in-community services; (b) provide bridge funding for community-based provider agencies to re-design their current service model, including but not limited to: recruiting and hiring new staff, training staff for new roles and providing technology supports for staff during the transition; (c) develop a new, more fluid service model based on the real-time, individual needs of constituents otherwise unable to engage in traditional day services; and (d) plan for increased service need that may occur during the fiscal year in response to increased vaccinations and any improvement in the public health emergency; provided further, that not less than $200,000 shall be expended for The Arc of Massachusetts to create a pilot program for individuals currently enrolled in day habilitation programs with a developmental disability, an intellectual disability or an autism spectrum disorder to receive applied behavior analysis services for a 6-month period; provided further, that such individuals shall be 21 years of age or older; provided further, that the pilot program shall occur from September 1, 2022 to March 1, 2023; provided further, that not later than May 1, 2023, The Arc of Massachusetts shall submit a report on the results of the program to the house and senate committees on ways and means and the joint committee on children, families and persons with disabilities; provided further, that such report shall include, but not be limited to: (1) the total cost of providing applied behavior analysis services; (2) the number of individuals served by the program; (c) the cost of services per individual; (3) savings associated with the provision of applied behavior analysis services; and (4) aggregated benefits to individuals associated with applied behavior analysis services; provided further, that the commissioner of developmental services may transfer such funds from this item to items <a href=\"/enacted/health-and-human-services/developmental-services/59202000\">5920-2000</a>, <a href=\"/enacted/health-and-human-services/developmental-services/59112000\">5911-2000</a>, <a href=\"/enacted/health-and-human-services/developmental-services/59203000\">5920-3000</a>, <a href=\"/enacted/health-and-human-services/developmental-services/59205000\">5920-5000</a> and <a href=\"/enacted/health-and-human-services/developmental-services/59301000\">5930-1000</a>; and provided further, that the commissioner shall notify the house and senate committees on ways and means not less than 30 days in advance of any such transfer","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":278562283,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":278562283,"gaa":278562283,"house1":227362283,"houseFinal":278362283,"override":0,"senateFinal":227562283,"veto":0}],"headers":[{"align":"right","name":"FY 2023 Governor","type":"currency","value":"house1","footnote":null},{"align":"right","name":"FY 2023 House Final","type":"currency","value":"houseFinal","footnote":null},{"align":"right","name":"FY 2023 Senate Final","type":"currency","value":"senateFinal","footnote":null},{"align":"right","name":"FY 2023 Conference","type":"currency","value":"conference","footnote":null},{"align":"right veto","name":"FY 2023 Governor's Veto","type":"currency delta","value":"veto","footnote":null},{"align":"right override","name":"FY 2023 Legislature's Override","type":"currency delta","value":"override","footnote":null},{"align":"right","name":"FY 2023 GAA","type":"currency","value":"gaa","footnote":"1"}]}},{"govLevelOne":"Health and Human Services","govLevelTwo":"Developmental Services","govLevelThree":null,"lineItemNumber":"59203000","lineItemName":"Respite Family Supports","lineItemLanguage":"For respite services and intensive family supports","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":90628537,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":90628537,"gaa":90628537,"house1":90628537,"houseFinal":90628537,"override":0,"senateFinal":90628537,"veto":0}],"headers":[{"align":"right","name":"FY 2023 Governor","type":"currency","value":"house1","footnote":null},{"align":"right","name":"FY 2023 House Final","type":"currency","value":"houseFinal","footnote":null},{"align":"right","name":"FY 2023 Senate Final","type":"currency","value":"senateFinal","footnote":null},{"align":"right","name":"FY 2023 Conference","type":"currency","value":"conference","footnote":null},{"align":"right veto","name":"FY 2023 Governor's Veto","type":"currency delta","value":"veto","footnote":null},{"align":"right override","name":"FY 2023 Legislature's Override","type":"currency delta","value":"override","footnote":null},{"align":"right","name":"FY 2023 GAA","type":"currency","value":"gaa","footnote":"1"}]}},{"govLevelOne":"Health and Human Services","govLevelTwo":"Developmental Services","govLevelThree":null,"lineItemNumber":"59203010","lineItemName":"Autism Division","lineItemLanguage":"For contracted support services for families of children with autism through the autism division at the department of developmental services; provided, that the department shall expend not less than $5,500,000 to provide services under the children's autism spectrum disorder waiver under section 1915 of the Social Security Act; provided further, that the waiver shall include children with autism spectrum disorder ages 0 to 8, inclusive, including children with autism spectrum disorder ages 0 to 3, inclusive, who are receiving services through the department of public health's early intervention program; provided further, that the department shall take all steps necessary to ensure that the waiver program is fully enrolled and that eligible children with autism immediately begin to receive services under said waiver; provided further, that the department shall immediately file any waiver amendment necessary with the federal Centers for Medicare and Medicaid Services to comply with the requirements of this item; provided further, that not later than January 13, 2023, the department shall report to the house and senate committees on ways and means, the joint committee on education and the joint committee on children, families and persons with disabilities on: (i) the number of contracted support services provided for families with children with autism under this item; (ii) the costs associated with such services; (iii) the services provided by the children's autism spectrum disorder waiver, with information regarding the number of children enrolled in the waiver and receiving services; (iv) the linguistic and cultural diversity, age, gender and geographic representation of the applicants and the children enrolled in the program; (v) the department's plans to continue to assess the demand for waiver services; (vi) any plans by the executive office of health and human services to expand the waiver for children on the autism spectrum of all ages in the future; and (vii) other information determined relevant by the department; and provided further, that the department shall submit copies of amended waivers to the house and senate committees on ways and means, the joint committee on education and the joint committee on children, families and persons with disabilities upon submission of the amendment","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":13933900,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":13933900,"gaa":13933900,"house1":7478032,"houseFinal":13933900,"override":0,"senateFinal":8433900,"veto":0}],"headers":[{"align":"right","name":"FY 2023 Governor","type":"currency","value":"house1","footnote":null},{"align":"right","name":"FY 2023 House Final","type":"currency","value":"houseFinal","footnote":null},{"align":"right","name":"FY 2023 Senate Final","type":"currency","value":"senateFinal","footnote":null},{"align":"right","name":"FY 2023 Conference","type":"currency","value":"conference","footnote":null},{"align":"right veto","name":"FY 2023 Governor's Veto","type":"currency delta","value":"veto","footnote":null},{"align":"right override","name":"FY 2023 Legislature's Override","type":"currency delta","value":"override","footnote":null},{"align":"right","name":"FY 2023 GAA","type":"currency","value":"gaa","footnote":"1"}]}},{"govLevelOne":"Health and Human Services","govLevelTwo":"Developmental Services","govLevelThree":null,"lineItemNumber":"59203020","lineItemName":"Autism Omnibus","lineItemLanguage":"For the implementation of <a href=\"https://malegislature.gov/Laws/SessionLaws/Acts/2014/Chapter226\" target=\"_blank\">chapter 226 of the acts of 2014</a>, including services and supports for individuals with a developmental disability attributable to autism spectrum disorder, Smith- Magenis syndrome or Prader-Willi syndrome; 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