{"componentChunkName":"component---src-templates-appropriations-js","path":"/enacted/health-and-human-services/health-and-human-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":"Office of the Secretary of Health and Human Services","govLevelOne":"Health and Human Services","govLevelTwo":"Health & Human 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":18214742598,"conference":19902121569,"veto":0,"override":0,"gaa":19902121569},"data":[{"organization":"Office of the Secretary of Health and Human Services","govLevelOne":null,"govLevelTwo":"Health & Human Services","govLevelThree":null,"house1":18214742598,"conference":19902121569,"veto":0,"override":0,"gaa":19902121569}],"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"15951068","lineItemName":"Medical Assistance Trust Fund","lineItemLanguage":"For an operating transfer to the MassHealth provider payment account under the Medical Assistance Trust Fund established in section 2QQQ of chapter 29 of the General Laws; provided, that these funds shall be expended for: (i) services provided; (ii) public hospital transformation and incentive initiative payments; (iii) health equity incentive payments; or (iv) Medicaid care organization payments under 42 CFR 438.6(c); provided further, that all payments from the Medical Assistance Trust Fund shall be: (a) subject to the availability of federal financial participation; (b) made only under federally-approved payment methods; (c) consistent with federal funding requirements and all federal payment limits as determined by the secretary of health and human services; and (d) subject to the terms and conditions of an agreement with the executive office of health and human services; provided further, that the secretary of health and human services shall notify, in writing, the house and senate committees on ways and means and the joint committee on health care financing of increases or decreases in any payments made within the term of the current 1115 waiver or other state plan amendments within 15 days of said payments; and provided further, that the secretary of health and human services shall utilize funds from the Medical Assistance Trust Fund to make payments of up to $441,300,000 to the Cambridge public health commission or to Medicaid care organizations for payment to the Cambridge public health commission if the Cambridge public health commission, in anticipation of receiving such payments, first voluntarily transfers an amount equal to the nonfederal share of such payments to the Medical Assistance Trust Fund using a federally-permissible source of funds","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":575899100,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Operating Transfers","budgetTracking":{"data":[{"conference":575899100,"gaa":575899100,"house1":575899100,"houseFinal":575899100,"override":0,"senateFinal":575899100,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"15951069","lineItemName":"Health Information Technology Trust Fund","lineItemLanguage":"For an operating transfer to the Health Information Technology Trust Fund established in section 35RR of chapter 10 of the General Laws; provided, that these funds shall be expended for operating costs for the statewide health information exchange and integrated eligibility system; and provided further, that not later than December 15, 2022, the executive office of health and human services shall submit a report to the house and senate committees on ways and means and the joint committee on health care financing detailing utilization in fiscal year 2022 of the Health Information Technology Trust Fund established in said section 35RR of said chapter 10, including the: (i) total dollar amount billed to the Health Information Technology Trust Fund; (ii) total dollar amount of federal reimbursement; (iii) initiatives and programs paid for out of the Health Information Technology Trust Fund; and (iv) amount disbursed from the Health Information Technology Trust Fund to each program and initiative outlined in the enabling statute","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":14177900,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Operating Transfers","budgetTracking":{"data":[{"conference":14177900,"gaa":14177900,"house1":14177900,"houseFinal":14177900,"override":0,"senateFinal":14177900,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"15951070","lineItemName":"Safety Net Provider Trust Fund","lineItemLanguage":"For an operating transfer to the Safety Net Provider Trust Fund established in section 2AAAAA of chapter 29 of the General Laws; provided, that these funds shall be expended pursuant to the Safety Net Provider eligibility criteria and payment methodology approved in the MassHealth demonstration waiver under section 1115 of the Social Security Act, as codified at 42 U.S.C. section 1315; provided further, that all payments from the fund shall be: (i) subject to the availability of federal financial participation; (ii) made only under federally-approved payment methods; (iii) consistent with federal funding requirements and all federal payment limits as determined by the secretary of health and human services; and (iv) subject to the terms and conditions of an agreement with the executive office of health and human services; and provided further, that not later than March 15, 2023, the executive office of health and human services shall submit a report to the house and senate committees on ways and means on: (a) payments made to each provider; (b) investments each provider has made with said payments for pursued reforms related to incentives outlined in said demonstration waiver; and (c) assessments of recipient providers based on quality measures under the Delivery System Reform Incentive Program","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":91410176,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Operating Transfers","budgetTracking":{"data":[{"conference":91410176,"gaa":91410176,"house1":91410176,"houseFinal":91410176,"override":0,"senateFinal":91410176,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"15951071","lineItemName":"Community Behavioral Health Trust Fund Transfer","lineItemLanguage":"For an operating transfer to the Community Behavioral Health Promotion and Prevention Trust Fund established pursuant to section 35GGG of chapter 10 of the General Laws, inserted by section 7 of chapter 208 of the acts of 2018","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":200000,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Operating Transfers","budgetTracking":{"data":[{"conference":200000,"gaa":200000,"house1":200000,"houseFinal":200000,"override":0,"senateFinal":0,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"15954512","lineItemName":"Behavioral Health Access Outreach and Support Trust","lineItemLanguage":"For an operating transfer to the Behavioral Health Outreach, Access and Support Trust Fund established in section 2GGGGG of chapter 29 of the General Laws; provided, that funds shall support initiatives to expand access to and utilization of behavioral health services including, but not limited to, public awareness campaigns, loan forgiveness for behavioral health professionals and pilot programs to address barriers to equitable behavioral healthcare","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":20000000,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":20000000,"gaa":20000000,"house1":0,"houseFinal":0,"override":0,"senateFinal":20000000,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"15996903","lineItemName":"Chapter 257 and Human Service Reserve","lineItemLanguage":"For the fiscal year 2023 costs of rate implementations under chapter 257 of the acts of 2008; provided, that rate implementations under said chapter 257 may include, but shall not be limited to, costs associated with any court order or settlement between providers of services and the commonwealth related to the rate implementation process; provided further, that preference in distributing funds from this item shall be given to personnel earning wages less than $20 per hour; provided further, that home care workers shall be eligible for funding from this item; provided further, that workers from shelters and programs that serve homeless individuals and families that were previously contracted through the department of transitional assistance and the department of public health who are currently contracted with the department of housing and community development and direct care workers that serve homeless veterans through the department of veterans' services shall be eligible for funding from this item; provided further, that no funds from this item shall be allocated to special education programs under chapter 71B of the General Laws, contracts for early education and care services or programs for which payment rates are negotiated and paid as class rates as established by the executive office of health and human services; provided further, that no funds shall be allocated from this item to contracts funded exclusively by federal grants as delineated in section 2D of this act; provided further, that the secretary of administration and finance may transfer from the sum appropriated in this item to other items of appropriation and allocations thereof for fiscal year 2023, amounts that are necessary to meet these costs where the amounts otherwise available are insufficient for the purpose of rate implementations; provided further, that the executive office for administration and finance shall submit quarterly reports to the house and senate committees on ways and means on transfers made from this item; provided further, that the report shall identify, by line item and service class, all transfers made from this item as of the date of the report and all transfers expected to be made before the end of the fiscal year; provided further, that not later than January 30, 2023, the executive office of health and human 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 implementation of rates under chapter 257 of the acts of 2008 including, the: (i) state costs for rates promulgated as of July 1, 2022, by regulation, department and program; (ii) state costs for rates promulgated as of January 1, 2023, by regulation, department and program; (iii) per cent of increase in state funding for rates to be reviewed between July 1, 2022 and June 30, 2023, by regulation, department and program; and (iv) fiscal impact for increases in state funding versus prior fiscal year actual costs for rates to be reviewed between July 1, 2022 and June 30, 2023, by regulation, department and program; provided further, that contracts between providers and the departments within the executive office of health and human services and the executive office of elder affairs shall require providers to report on the impact of the rate implementations on employee salaries, employee- related costs and operations; provided further, that not later than March 30, 2023, the executive office of health and human 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 implementation of ongoing and proposed initiatives that increase the hourly wages and compensation of the direct care human service workforce; provided further, that this report shall include: (a) average uniform financial report provider data on employee tax and fringe benefit information of the preceding 2 state fiscal years, as validated with information from the uniform financial report or a method determined by the executive office; (b) median salary and compensation information of the preceding 2 state fiscal years classified by direct care and front-line staff, medical and clinical staff and management staff, as validated with information from the uniform financial report or a method determined by the executive office; (c) a comparison of the median salary for each classification of staff position with the fiftieth percentile wage estimate for that position as determined by the United States Bureau of Labor Statistics for the commonwealth using the available data for that rate review; and (d) the average employee vacancy rates of direct care and front-line staff of the preceding two state fiscal years and the current fiscal year from the date of new rate implementations; provided further, that not later than March 3, 2023, the executive office health and human services shall report to the house and senate committees on ways and means a comparison of the median salary for each classification of staff position with the seventy-fifth percentile wage estimate for that position as determined by the Bureau of Labor Statistics for Massachusetts in the most recent available data; provided further, that not later than December 30, 2022, the executive office of health and human services shall report to the house and senate committees on ways and means the methodology used to develop service rates for home health aides, personal care aides and homemakers; and provided further, that any human service provider receiving revenue under said chapter 257 shall use not less than 75 per cent of received funds for compensation for their direct care, front-line and medical and clinical staff, which may include, but shall not be limited to, hourly rate increases, wraparound benefits, shift differentials, overtime, hiring and retention bonuses or recruitment, as defined by the executive office","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":230000000,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":230000000,"gaa":230000000,"house1":230000000,"houseFinal":230000000,"override":0,"senateFinal":230000000,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000005","lineItemName":"Safe and Successful Youth Initiative","lineItemLanguage":"For youth violence prevention program grants administered by the executive office of health and human services; provided, that the grants shall be targeted at reducing youth violence among young persons at highest annual risk of being perpetrators or victims of gun and community violence; provided further, that any new grants awarded from this item in fiscal year 2023 shall comply with the grant application requirements set forth in item 4000-0005 of section 2 of chapter 38 of the acts of 2013; provided further, that the executive office may select the same evaluator in fiscal year 2023 as selected in fiscal year 2022; provided further, that not later than February 15, 2023, the secretary of health and human services shall submit a report to the house and senate committees on ways and means detailing: (i) successful grant applications; (ii) the criteria used in selecting grant recipients; (iii) a set of clearly-defined goals and benchmarks on which grant recipients shall be evaluated; and (iv) outcomes and findings that demonstrate program success from the grant awards for fiscal year 2022; provided further, that funds may be set aside for the administration of these programs; provided further, that these funds shall be available to those municipalities with the highest number of annual youth homicides and serious assaults as determined by the executive office; provided further, that not less than $50,000 shall be expended for Awake Youth Violence Prevention; provided further, that not less than $100,000 shall be expended for Boston Asian: Youth Essential Services youth violence prevention programs; provided further, that not less than $250,000 shall be expended for BAGLY, Inc.; and provided further, that not less than $50,000 shall be expended for the Massachusetts Coalition to Prevent Gun Violence, Inc. for the operation of comprehensive educational programming on gun violence and gun violence prevention","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":13050000,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":13050000,"gaa":13050000,"house1":12600000,"houseFinal":13000000,"override":0,"senateFinal":12650000,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000007","lineItemName":"Unaccompanied Homeless Youth Services","lineItemLanguage":"For housing and supportive services for unaccompanied youth under section 16X of chapter 6A of the General Laws; provided, that not later than February 14, 2023, the secretary of health and human services shall submit a report to the house and senate committees on ways and means on: (i) the number of youths served through this item; (ii) the types of services received by participating youths; (iii) the number of youths who transition into stabilized housing and the zip code of the stabilized housing; (iv) the number of youths who remain in stabilized housing after 90 days, when applicable; (v) other quantifiable data related to client outcomes as determined by the secretary; (vi) the number of youths turned away from the program; and (vii) the amount of funding awarded to vendors for the delivery of services and the names of each vendor","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":9500000,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":9500000,"gaa":9500000,"house1":8500000,"houseFinal":8500000,"override":0,"senateFinal":9500000,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000009","lineItemName":"Office of Health Equity","lineItemLanguage":"For the office of health equity established in section 16AA of chapter 6A of the General Laws; provided, that the office may enter into service agreements with the department of public health to fulfill the obligations of the office; provided further, that not less than $250,000 shall be expended for the Greater Boston Sickle Cell Disease Association; and provided further, that not later than December 30, 2022, the office shall submit a report to the house and senate committees on ways and means on the development of the office of health equity within the executive office of health and human services and the implementation of programming as set forth in said section 16AA of said chapter 6A, including personnel costs and an organizational structure plan","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":350000,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":350000,"gaa":350000,"house1":100000,"houseFinal":350000,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000014","lineItemName":"Edward M Kennedy Community Health Center","lineItemLanguage":"For the Edward M. Kennedy Community Health Center, Inc. to provide training to community health workers who serve as the patient link to medical and social services for the disenfranchised population throughout the Worcester and MetroWest regions","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":200000,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":200000,"gaa":200000,"house1":0,"houseFinal":0,"override":0,"senateFinal":200000,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000020","lineItemName":"Nursing and Allied Health Workforce Development","lineItemLanguage":"For the nursing and allied health workforce development initiative, to develop and support strategies that increase the number of public higher education faculty members and students who participate in programs that support careers in fields related to nursing and allied health workforce; provided, that the amount appropriated in this item shall be transferred to the Massachusetts Nursing and Allied Health Workforce Development Trust Fund established in section 33 of chapter 305 of the acts of 2008; provided further, that funds shall be transferred to the fund according to an allotment schedule adopted by the executive office for administration and finance; and provided further, that not later than March 1, 2023, the executive office of health and human services shall submit a report to the joint committee on public health, the joint committee on health care finance, the joint committee on higher education and the house and senate committees on ways and means detailing the expenditures from the Massachusetts Nursing and Allied Health Workforce Development Trust Fund and both short and long term strategies to increase the number of public and private higher education faculty and students who participate in programs that support careers in fields related to nursing and allied health","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":1000000,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":1000000,"gaa":1000000,"house1":1000000,"houseFinal":1000000,"override":0,"senateFinal":1000000,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000050","lineItemName":"Personal Care Attendant Council","lineItemLanguage":"For the operation of the PCA quality home care workforce council established in section 71 of chapter 118E of the General Laws","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":2811797,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":2811797,"gaa":2811797,"house1":2811796,"houseFinal":2811797,"override":0,"senateFinal":2811797,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000051","lineItemName":"Family Resource Centers","lineItemLanguage":"For the operation and support of the network of child and family service programs throughout the commonwealth, including family resource centers supported through this item and item 4800-0200; provided, that centers within this item shall: (i) be consistent with the requirements under section 16U of chapter 6A of the General Laws; (ii) demonstrate adherence to an evidence-based model of service; and (iii) use measurable outcomes to assess quality; provided further, that the secretary of health and human services shall maintain the fiscal year 2022 contract with a third-party administration service organization to oversee the execution of, and the agency's compliance with, subsection (b) of said section 16U of said chapter 6A; provided further, that the executive office of health and human services shall submit biannual progress updates to the executive office for administration and finance, the joint committee on children, families and persons with disabilities and the house and senate committees on ways and means; provided further, that not later than March 31, 2023 and October 31, 2023, the executive office shall submit a report to the house and senate committees on ways and means detailing, but not limited to: (a) the number of children and families served at each center; (b) the types of programs; (c) program outcomes; (d) client feedback; and (e) progress on data sharing between centers; and provided further, that the network of child and family service programs shall coordinate with the executive office, the department of early education and care and municipal police departments to provide emergency assistance to missing or absent children at times when the juvenile court is not open, consistent with the requirements under section 39H of chapter 119 of the General Laws","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":500000,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":500000,"gaa":500000,"house1":0,"houseFinal":0,"override":0,"senateFinal":500000,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000100","lineItemName":"EHS Workforce Information Campaign","lineItemLanguage":"For the department of health and human services, in consultation with the department of higher education, for a public information campaign to educate and promote awareness of the availability of student loan forgiveness and assistance, tuition reimbursement, fellowships or other state and federal programs designed to benefit the health care and behavioral health workforce in the commonwealth and individuals who may be interested in joining the health care or behavioral health workforce; provided, that said public information campaign shall provide information about the centralized website established pursuant to subsection (b) of section 51 of this act","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":1000000,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":1000000,"gaa":1000000,"house1":0,"houseFinal":1000000,"override":0,"senateFinal":0,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000250","lineItemName":"HIX Retained Revenue","lineItemLanguage":"For the executive office of health and human services, which may expend for the costs of the operation and maintenance of the health insurance exchange not more than $15,000,000 from monies received from the commonwealth health insurance connector authority; provided, that notwithstanding any general or special law to the contrary, for the purpose of accommodating timing discrepancies between the receipt of retained revenue and related expenditures, the executive office 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":15000000,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Retained Revenues","budgetTracking":{"data":[{"conference":15000000,"gaa":15000000,"house1":15000000,"houseFinal":15000000,"override":0,"senateFinal":15000000,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000300","lineItemName":"EOHHS and Medicaid Administration","lineItemLanguage":"For the operation of the office of the executive office of health and human services, including the operation of the managed care oversight board; provided, that the executive office shall provide technical and administrative assistance to agencies under the purview of the secretariat receiving federal funds; provided further, that the executive office shall ensure that any collaborative assessments for children receiving services from multiple agencies within the secretariat shall be performed within existing resources; provided further, that the executive office shall continue to develop and implement the common client identifier; provided further, that funds appropriated in this item shall be expended for administrative and contracted services related to the implementation and operation of programs under chapter 118E of the General Laws; provided further, that the executive office and its agencies, when contracting for services on the islands of Martha's Vineyard and Nantucket and the town of Provincetown, shall take into consideration the increased costs associated with the provision of goods, services and housing in said jurisdictions; provided further, that MassHealth shall establish a direct phone number for court employees who serve participants of specialty courts to use in contacting MassHealth regarding enrollment and other benefits issues for participants and MassHealth shall notify the specialty courts administrator with the direct contact number and other pertinent information within 30 days after the effective date of this item; provided further, that in consultation with the center for health information and analysis, no rate increase shall be provided to existing Medicaid provider rates without taking all measures possible under Title XIX of the Social Security Act, codified at 42 U.S.C. chapter 7, subchapter XIX, to ensure that rates of payment to providers shall not exceed the rates that are necessary to meet the cost of efficiently and economically operated providers in order to provide services of adequate quality; provided further, that funds may be expended for the operation of the office of health equity under the department of public health and the executive office; provided further, that no expenditures, whether made by the executive office or another commonwealth entity, shall be made that are not federally reimbursable, including those related to Titles XIX or XXI of the Social Security Act, codified at 42 U.S.C. chapter 7, subchapters XIX or XXI, the MassHealth demonstration waiver approved under subsection (a) of section 1115 of Title XI of the Social Security Act, codified at 42 U.S.C. section 1315(a), or the community first section 1115 demonstration waiver under said section 1115 of said Title XI of the Social Security Act, codified at 42 U.S.C section 1315, except as required for: (i) the administration of the executive office; (ii) the equivalent of MassHealth Standard benefits for children under 21 years of age who are in the care or custody of the department of youth services or the department of children and families; (iii) the dental benefits provided to clients of the department of developmental services who are 21 years of age or older; (iv) the payments related to services delivered in institutions for mental disease for which federal financial participation is not otherwise available; (v) cost-containment efforts, the purposes and amounts of which shall be submitted to the executive office for administration and finance and the house and senate committees on ways and means not less than 30 days before making these expenditures; or (vi) otherwise as explicitly authorized with the prior written approval of the secretary of administration and finance; provided further, that the executive office of health and human services may continue to recover provider overpayments made in the current and prior fiscal years through the Medicaid management information system and these recoveries shall be considered current fiscal year expenditure refunds; provided further, that the executive office may collect directly from a liable third party any amounts paid to contracted providers under said chapter 118E for which the executive office later discovers another third party is liable if no other course of recoupment is possible; provided further, that funds shall be expended for interpretive services directly or indirectly related to a settlement or resolution agreement with the office of civil rights or any other office, group or entity; provided further, that, notwithstanding any general or special law to the contrary, the commissioner of mental health shall approve any prior authorization or other restriction on medication used to treat mental illness under written policies, procedures and regulations of the department of mental health; provided further, that not later than January 13, 2023, the executive office shall submit a report to the house and senate committees on ways and means on the: (a) number of members served in the dual eligible initiative; (b) average expenditure per member; (c) average expenditure per member before the demonstration project; and (d) number of clients that receive care at skilled nursing facilities; provided further, that not later than December 30, 2022, the executive office shall submit a report to the house and senate committees on ways and means and the joint committee on health care financing detailing utilization in fiscal year 2022 of the Health Safety Net Trust Fund established in section 66 of said chapter 118E, including the: (1) number of persons whose medical expenses were billed to the Health Safety Net Trust Fund; (2) total dollar amount billed to the Health Safety Net Trust Fund; (3) age, income level and insurance status of recipients using the Health Safety Net Trust Fund; (4) types of services paid for out of the Health Safety Net Trust Fund; and (5) amount disbursed from the Health Safety Net Trust Fund to each hospital and community health center; provided further, that not later than March 1, 2023, the executive office shall submit a report to the house and senate committees on ways and means and the joint committee on health care financing on: (A) total spending related to pharmaceutical utilization for fiscal year 2022; (B) estimated spending related to pharmaceutical utilization for fiscal year 2023; (C) the actual and estimated revenue amounts, both in the form of supplemental rebates and federal financial participation, received in fiscal year 2022 and fiscal year 2023 as a result of total pharmaceutical spending; (D) total or projected savings amounts delivered from supplemental rebate negotiations in fiscal year 2023; and (E) the relative impact of price and utilization of pharmaceutical drugs added to the MassHealth drug list within fiscal year 2022 and fiscal year 2023; provided further, that the executive office shall submit quarterly reports to the house and senate committees on ways and means and the joint committee on health care financing summarizing the projected total costs for the next fiscal year of pharmaceutical pipeline drugs identified by the executive office and expected to be made available for utilization within a 12-month period from the submission date of the filed report; provided further, that this report shall not identify the specific drugs, manufacturer identities or wholesale acquisition costs of individual drugs identified by the department; provided further, that the office of Medicaid shall coordinate with the health policy commission in the development of care delivery and payment models in the MassHealth program, including patient-centered medical homes and accountable care organizations, in order to ensure alignment of such models with the commission's certification programs under sections 14 and 15 of chapter 6D of the General Laws; provided further, that not later than January 13, 2023, the executive office shall submit a report to the house and senate committees on ways and means detailing the methodology used to project caseload and utilization in fiscal year 2022 and fiscal year 2023; provided further, that by the fifteenth day of the subsequent month, the executive office shall submit monthly MassHealth caseload reports in a searchable electronic format to the executive office for administration and finance and the house and senate committees on ways and means; provided further, that not less than $1,000,000 shall be transferred to the Criminal Justice and Community Support Trust Fund established in section 2QQQQQ of chapter 29 of the General Laws for the continuation of a pilot program to establish a county restoration center and program overseen by the Middlesex county restoration center commission to divert persons suffering from mental illness or substance use disorder who interact with law enforcement or the court system during a pre-arrest investigation or the pre-adjudication process from lock-up facilities and hospital emergency departments to appropriate treatment; provided further, that any unexpended balance in these accounts shall revert to the General Fund on June 30, 2023; provided further, that the executive office shall make a supplemental payment not less than $3,000,000 to Franciscan Children's Hospital, above base rates, to compensate for high-complexity pediatric care; provided further, that not less than $100,000 shall be expended for the Fishing Partnership Support Services for behavioral and mental health initiatives in coastal communities; provided further, that not less than $50,000 shall be expended for Catholic Charities in the city of Leominster for the purposes of expanding the diaper bank for the region; provided further, that not less than $550,000 shall be expended for the Massachusetts Association for Mental Health, Inc. for the purpose of managing the Network of Care, as the singular place where all mental health, substance use and related social services programs and organizations are curated into a state-wide online, searchable tool; provided further, that not less than $150,000 shall be expended for the critical care operations of New England Life Flight, Inc.; provided further, that not less than $50,000 shall be expended for Martha's Vineyard Community Services for the purpose of increasing access to health and human services on Martha's Vineyard; provided further, that not less than $90,000 shall be expended for Beth Israel Deaconess Hospital-Needham for behavioral health services; provided further, that not less than $20,000 shall be expended for a voluntary nonemergency ambulance transportation regional pilot program to aggregate and coordinate ambulance service resources to more efficiently meet health facility demand; provided further, that not less than $300,000 shall be expended for Health Care For All, Inc. for the costs associated with operating its free statewide nonprofit consumer assistance helpline in order to provide health coverage eligibility, enrollment and navigation assistance and to operate an online support platform for enrollment assistance across the state; provided further, that not less than $250,000 shall be expended for the Brookline Community Mental Health Center, Inc. in the town of Brookline to expand the healthy lives program; provided further, that not less than $325,000 shall be expended for the Massachusetts Consultation Service for Treatment of Addiction and Pain to provide case management and care navigation support to assist healthcare facilities, individual practitioners and other healthcare providers, including, but not limited to, nurse case managers, social workers and recovery coaches, in providing care and identifying community-based providers for referral for pain management and treatment of substance use disorder; provided further, that funds shall be expended to the Nantucket Cottage Hospital and Martha's Vineyard Hospital for off-island medical transportation, including the transportation of patients with behavioral health conditions; provided further, that the executive office of health and human services shall report to the house and senate committees on ways and means biannually on new initiatives and the status of the implementation of the behavioral health roadmap; and provided further, that not later than September 30, 2022, the first report shall be submitted","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":126029597,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":126029597,"gaa":126029597,"house1":123844597,"houseFinal":124579597,"override":0,"senateFinal":121094597,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000320","lineItemName":"MassHealth Retained Revenue","lineItemLanguage":"For the executive office of health and human services, which may expend not more than $225,000,000 for medical care and assistance rendered in the current year from the monies received from recoveries and collections of any current or prior year expenditures; provided, that notwithstanding any general or special law to the contrary, the balance of any personal needs accounts collected from nursing and other medical institutions upon the death of a medical assistance recipient and held by the executive office for more than 3 years may be credited to this item","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":225000000,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Retained Revenues","budgetTracking":{"data":[{"conference":225000000,"gaa":225000000,"house1":225000000,"houseFinal":225000000,"override":0,"senateFinal":225000000,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000321","lineItemName":"EOHHS Contingency Contracts Retained Revenue","lineItemLanguage":"For the executive office of health and human services, which may expend not more than $65,000,000 for contingency fee contracts related to pursuing federal reimbursement or avoiding costs in its capacity as the single state agency under Titles XIX and XXI of the Social Security Act, as codified at 42 U.S.C. chapter 7, subchapters XIX and XXI, and as the principal agency for all of the agencies within the executive office and other federally-assisted programs administered by the executive office; provided, that such contingency contracts shall not exceed 3 years except with prior review and approval by the executive office for administration and finance; provided further, that not later than December 30, 2022, the secretary of health and human services shall submit to the secretary of administration and finance and the house and senate committees on ways and means a report detailing: (i) the amounts of the agreements; (ii) a delineation of all ongoing and new projects; and (iii) the amount of federal reimbursement and cost avoidance derived from the contracts for the previous fiscal year's activities; provided further, that notwithstanding any general or special law to the contrary, for the purpose of accommodating timing discrepancies between the receipt of revenues and payments required under contingency contracts, the comptroller shall 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; provided further, that after providing payments due under the terms of the contingency contracts, the executive office may use available funds to support special MassHealth projects that will receive enhanced federal revenue opportunities, including MassHealth eligibility operations and systems enhancements that support reforms and improvements to MassHealth programs; provided further, that any enhanced federal financial participation received for these special projects, including the Implementation Advanced Planning Documents or other eligibility operations and systems enhancements that support reforms and improvements to MassHealth shall be deposited into this item; provided further, that, notwithstanding any general or special law to the contrary, the executive office may enter into interdepartmental service agreements with the University of Massachusetts medical school to perform activities that the secretary of health and human services, in consultation with the comptroller, determines to be within the scope of the proper administration of said Title XIX of the Social Security Act and other federal funding provisions to support the programs and activities of the executive office; provided further, that said activities may include providing: (a) administrative services including, but not limited to, utilization management activities and eligibility determinations based on disability and supporting case management activities and similar initiatives; (b) consulting services related to quality assurance, program evaluation and development, integrity and soundness and project management; and (c) activities and services to pursue federal reimbursement, avoid costs or identify third-party liability and recoup payments made to third parties; provided further, that federal reimbursement for any expenditure made by the University of Massachusetts medical school for federally reimbursable services the university provides under these interdepartmental service agreements or other contracts with the executive office shall be distributed to the university and recorded distinctly in the state accounting system; provided further, that the secretary of health and human services may negotiate contingency fees for activities and services related to pursuing federal reimbursement or avoiding costs and the comptroller shall certify these fees and pay them upon the receipt of this revenue, reimbursement or demonstration of costs avoided; provided further, that contingency fees paid to the University of Massachusetts medical school shall not exceed $40,000,000 for state fiscal year 2023 except for contingency fees paid under interdepartmental service agreements for recoveries related to special disability workload projects; and provided further, that, notwithstanding any general or special law to the contrary, for the purpose of accommodating timing discrepancies between the receipt of revenues and payments required under contingency contracts, the comptroller shall 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":65000000,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Retained Revenues","budgetTracking":{"data":[{"conference":65000000,"gaa":65000000,"house1":65000000,"houseFinal":65000000,"override":0,"senateFinal":65000000,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000430","lineItemName":"MassHealth CommonHealth Plan","lineItemLanguage":"For the CommonHealth program to provide primary and supplemental medical care and assistance to disabled adults and children under sections 9A, 16 and 16A of chapter 118E of the General Laws; provided, that funds may be expended from this item for health care services provided to the recipients in prior fiscal years; provided further, that the executive office of health and human services shall maximize federal reimbursement for state expenditures made on behalf of those adults and children; provided further, that children shall be determined eligible for medical care and assistance if they meet the disability standards as defined by the executive office; provided further, that, such standards shall be no more restrictive than those in effect on July 1, 1996; and provided further, that the executive office shall process a CommonHealth application within 45 days of receipt of a completed application or within 90 days if a determination of disability is required","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":209966564,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":209966564,"gaa":209966564,"house1":190606564,"houseFinal":190606564,"override":0,"senateFinal":190606564,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000500","lineItemName":"MassHealth Managed Care","lineItemLanguage":"For health care services provided to medical assistance recipients through the executive office of health and human services' managed care delivery systems, including a behavioral health contractor, the Primary Care Clinician Plan, Primary Care Accountable Care Organizations, MassHealth managed care organizations and Accountable Care Partnership Plans and for MassHealth benefits provided to children, adolescents and adults under section 9 of chapter 118E of the General Laws and clauses (a) to (d), inclusive, and clause (h) of subsection (2) of section 9A of said chapter 118E and section 16C of said chapter 118E; provided, that no funds shall be expended from this item for children and adolescents under clause (c) of said subsection (2) of said section 9A of said chapter 118E whose household incomes, as determined by the executive office, exceed 150 per cent of the federal poverty level; provided further, that the executive office shall require that any contract or other arrangement entered into by a managed care provider under the managed care delivery system for the provision and administration of pharmacy benefit management services on behalf of individuals enrolled in programs of medical assistance under this item, including a managed care provider participating in an accountable care partnership plan, shall include, but not be limited to, the requirement that pharmacy benefit managers: (i) identify all sources and amounts of income, payments and financial benefits related to the provision and administration of pharmacy benefit management services on behalf of the managed care provider including, but not limited to, pricing discounts, rebates, inflationary payments, credits, clawbacks, fees, grants, chargebacks, reimbursements or other benefits; and (ii) disclose to MassHealth the sources and amounts of all income, payments and financial benefits received by the pharmacy benefit manager; provided further, that not later than February 15, 2023, the executive office shall submit a report to the house and senate committees on ways and means detailing: (a) the total number of members participating in the Accountable Care Organization program; (b) disenrollment trends from the Partnership Plan, Primary Care Accountable Care Organization and Managed Care Organization-administered Accountable Care Organizations within the designated plan selection; (c) the outcomes achieved by accountable care organizations and community partners including, but not limited to, financial performance, patient safety, patient satisfaction, quality and aggregate and per-member reductions in spending compared to prior cost trends; (d) the results of benchmarks on accountable care organizations' and community partners' progress toward an integrated care delivery system; and (e) a summary of spending and activities related to traditionally non-reimbursed services to address health-related social needs including, but not limited to, home and community-based services, housing stabilization and support, utility assistance, non-medical transportation, physical activity, nutrition, sexual assault and domestic violence supports; provided further, that such summary shall include, to the maximum extent practicable, aggregated data on the results of preventative health care services such as health-related social needs screening, the number of referrals to human service providers to address such screening, the result of such referrals and changes in health status; provided further, that such data shall be stratified by demographic factors to support an analysis of the impact on health disparities; provided further, that where data is not available, a report on progress toward establishing necessary data systems shall be provided; provided further, that said summary shall include outcome measures for at-risk populations with chronic health conditions; provided further, that funds may be expended from this item for health care services provided to recipients in prior fiscal years; provided further, that not less than $2,000,000 shall be expended for Community Care Cooperative, a 501(c)(3) MassHealth Accountable Care Organization solely governed by Federally Qualified Health Centers to assist with the start-up of their efforts with shared services that enhance access and quality of care, administrative efficiency, reduce health disparities and promote health care cost containment; and provided further, that not later than January 16, 2023, the executive office shall conduct and submit a comparative analysis to the house and senate committees on ways and means and the joint committee on mental health, substance use and recovery, of the rate differential for inpatient psychiatric and substance use hospital per diem payments between MassHealth and its contracted health insurers, health plans, health maintenance organizations, behavioral health management firms and third-party administrators under contract to a Medicaid managed care organization or primary care clinician plan","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":5983593690,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":5983593690,"gaa":5983593690,"house1":5332060744,"houseFinal":5532060744,"override":0,"senateFinal":5530060744,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000601","lineItemName":"MassHealth Senior Care","lineItemLanguage":"For health care services provided to MassHealth members who are seniors, including those provided through the Medicare Savings Program, and for the operation of the MassHealth senior care options program under section 9D of chapter 118E of the General Laws; provided, that funds may be expended from this item for health care services provided to recipients in prior fiscal years; provided further, that notwithstanding any general or special law to the contrary, for the purposes of an individual's eligibility for the senior care options program, an individual is deemed to reach the age of 65 on the first day of the month in which their sixty-fifth birthday occurs; provided further, that no payment for special provider costs shall be made from this item without the prior written approval of the secretary of administration and finance; provided further, that funds shall be expended from this item to maintain a personal needs allowance of $72.80 per month for individuals residing in nursing and rest homes who are eligible for MassHealth, emergency aid to the elderly, the disabled and children program or supplemental security income; provided further, that notwithstanding any general or special law to the contrary, for any nursing home facility or non-acute chronic disease hospital that provides kosher food to its residents, the executive office of health and human services, in consultation with the center for health information and analysis and in recognition of the special innovative program status granted by the executive office, shall continue to make the standard payment rates established in fiscal year 2006 to reflect the high dietary costs incurred in providing kosher food; provided further, that not later than February 1, 2023, the secretary of health and human services shall submit a report to the house and senate committees on ways and means on the implementation of the Medicare Savings Program expanded program eligibility for seniors pursuant to section 25A of said chapter 118E; provided further, that said report shall include, but not be limited to: (i) the number of members who are seniors whose household incomes, as determined by the executive office, exceed 130 per cent of the federal poverty level, that are enrolled in Medicare Savings Programs during each month of the fiscal year; (ii) total enrollment in the Qualified Medicare Beneficiary program, Specified Low-Income Medicare Beneficiary Program and Qualifying Individual Program; (iii) total annual spending on Medicare premiums and cost-sharing for such members; and (iv) total annual transfers from the prescription advantage program in item 9110-1455 and Health Safety Net Trust Fund to fund the Medicare Savings Program expansion; provided further, that nursing facility rates effective October 1, 2022 under section 13D of said chapter 118E shall be developed using the costs of calendar year 2019; provided further, that MassHealth shall reimburse nursing home facilities for up to 20 medical leave-of-absence days and shall reimburse the facilities for up to 10 non-medical leave-of-absence days; provided further, that medical leave-of-absence days shall include an observation stay in a hospital in excess of 24 hours; provided further, that no nursing home shall reassign a patient's bed during a leave of absence that is eligible for reimbursement under this item; provided further, that not later than January 1, 2023, MassHealth shall submit a report to the house and senate committees on ways and means detailing, for fiscal year 2022: (a) the number of nursing facility clients on a leave of absence, delineated by the nursing facility, medical leave-of-absence days and medical leave-of-absence days that exceeded 10 days per hospital stay, nonmedical leave-of-absence days and the total number of days on leave of absence unduplicated member count; (b) licensed beds monthly capacity levels per nursing home and the monthly total number of empty beds per nursing facility, total number of all nursing home residents and total MassHealth nursing home residents; (c) the 6 separate MassHealth payment rates and the average payment amount rate per nursing facility client resident; (d) the actual number of nursing home residents for each of the 6 payment rates in clause (c); and (e) the aggregate payment amount per nursing facility by month; and provided further, that the information in such report shall be delineated by nursing facility, including grand totals where appropriate","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":3808875619,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":3808875619,"gaa":3808875619,"house1":3725368077,"houseFinal":3715210993,"override":0,"senateFinal":3750795619,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000641","lineItemName":"MassHealth Nursing Home Supplemental Rates","lineItemLanguage":"For nursing facility Medicaid rates; provided, that in fiscal year 2023, the executive office of health and human services, in consultation with the center for health information and analysis, shall establish rates that cumulatively total $342,100,000 more than the annual payment rates established under the rates in effect as of June 30, 2002; provided further, that an amount for expenses related to the collection and administration of section 63 of chapter 118E of the General Laws shall be transferred to the executive office; provided further, that the payments made under this item shall be allocated in an amount sufficient to implement section 622 of chapter 151 of the acts of 1996; provided further, that not later than July 1, 2022, pursuant to the executive office of health and human services' Administrative Bulletin 22-02 entitled 101 CMR 206.00: Standard Payments to Nursing Facilities and effective January 25, 2022, the executive office shall provide a Medicaid supplemental payment to nursing homes consistent with said bulletin and 101 CMR 206.00 to offset increased costs of providing care not accounted for in the nursing facility's prospective payment system rates during the COVID-19 pandemic; provided further, that not less than $40,000,000 shall be expended for payments consistent with the executive office of health and human services' Administrative Bulletin 22-02 entitled 101 CMR 206.00: Standard Payment to Nursing Facilities and effective January 15, 2022; provided further, that payments shall be distributed to nursing facilities based on their proportion of the total Medicaid Days reported by all nursing facility providers and used to pay for direct-care staffing costs; provided further, that not less than $56,250,000 shall be expended for the purpose of direct care staffing costs in nursing facilities and shall be distributed to nursing facilities in the form of a rate add-on solely for the purpose of permissible direct care costs as determined by MassHealth, in consultation with the Massachusetts Senior Care Association and 1199SEIU; provided further, that said rate add-on shall be based on a facility's total Medicaid days; provided further, that not less than $18,750,000 shall be distributed to nursing facilities in the form of a supplemental payment to promote quality improvement using a methodology as determined by MassHealth, in consultation with the Massachusetts Senior Care Association and 1199SEIU; provided further, that not later than February 1, 2023, the executive office shall submit a report to the house and senate committees on ways and means detailing the methodologies used to distribute funds for said rate add-on and said supplemental payment to promote quality improvement; and provided further, that not later than June 1, 2023, the executive office shall submit a report to the house and senate committees on ways and means detailing the expenditures from said rate add-on, including the number of employees receiving a wage increase and the average increase in wage, and said supplemental payment to promote quality improvement by recipient","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":510400000,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":510400000,"gaa":510400000,"house1":395400000,"houseFinal":435400000,"override":0,"senateFinal":470400000,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000700","lineItemName":"MassHealth Fee for Service Payments","lineItemLanguage":"For health care services provided to medical assistance recipients under the executive office of health and human services' health care indemnity or third-party liability plan, to medical assistance recipients not otherwise covered under the executive office's managed care or senior care plans and for MassHealth benefits provided to children, adolescents and adults under section 9 of chapter 118E of the General Laws and clauses (a) to (d), inclusive, and clause (h) of subsection (2) of section 9A of said chapter 118E and section 16C of said chapter 118E; provided, that no payments for special provider costs shall be made from this item without the prior written approval of the secretary of administration and finance; provided further, that no funds shall be expended from this item for children and adolescents under clause (c) of said subsection (2) of said section 9A of said chapter 118E whose household incomes as determined by the executive office exceed 150 per cent of the federal poverty level; provided further, that children who have aged out of the custody of the department of children and families shall be eligible for benefits through the age limit specified in MassHealth's approved state plan; provided further, that funds shall be expended from this item for members who qualify for early intervention services; provided further, that MassHealth shall expend $13,000,000 in the aggregate for acute care hospitals that have greater than 63 per cent of their gross patient service revenue from governmental payers and free care as determined by the executive office; provided further, that in fiscal year 2023, MassHealth shall maintain the same level of federally-optional chiropractic services that were in effect in fiscal year 2016 and were included in its state plan or demonstration program in effect on January 1, 2002 for members enrolled in the primary care clinician program; provided further, that in fiscal year 2023, the executive office shall not fund programs relating to case management with the intention of reducing length of stay for neonatal intensive care unit cases; provided further, that funds may be expended from this item for activities relating to customer service; provided further, that notwithstanding this item, funds may be expended from this item for the purchase of third-party insurance including, but not limited to, Medicare for any medical assistance recipient; provided further, that the executive office may reduce MassHealth premiums or copayments or offer other incentives to encourage enrollees to comply with wellness goals; provided further, that funds may be expended from this item for activities relating to disability determinations or utilization management and review, including patient screenings and evaluations, regardless of whether such activities are performed by a state agency, contractor, agent or provider; provided further, that MassHealth shall continue to expend funds for expanded oral health benefits, including endodontic and prosthodontic services, for adult members, consistent with the benefits provided beginning on January 1, 2021; provided further, that not later than March 1, 2023, the executive office shall report to the house and senate committees on ways and means on: (i) dental coverage available to MassHealth recipients as of January 1, 2023 as it compares to dental coverage available to MassHealth recipients on January 1, 2010; (ii) utilization of dental services in fiscal year 2022 and fiscal year 2023; (iii) the actual and projected costs and revenue associated with dental coverage in fiscal year 2022 and fiscal year 2023; and (iv) the estimated cost effectiveness of dental coverage as a contributor to MassHealth total cost of care; provided further, that dental services for adults shall be covered at least to the extent they were covered as of June 30, 2022; provided further, that not later than December 1, 2022, $750,000 shall be equally distributed to the teaching community health centers with family medicine residency programs in the cities of Worcester and Lawrence and in the South Boston section of the city of Boston; provided further, that the secretary of health and human services shall designate the league of community health centers to administer the funds and shall retain 5 per cent of the total funds; provided further, that the secretary shall: (a) report to the house and senate committees on ways and means on the use of the funds by teaching community health centers; and (b) audit said centers in order to confirm the use of the funds by each center for training purposes; and provided further, that funds may be expended from this item for health care services provided to recipients in prior fiscal years","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":3785206126,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":3785206126,"gaa":3785206126,"house1":3511975144,"houseFinal":3556175144,"override":0,"senateFinal":3595975144,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000875","lineItemName":"MassHealth Breast and Cervical Cancer Treatment","lineItemLanguage":"For the executive office of health and human services to expend for the provision of benefits to eligible individuals who require medical treatment for either breast or cervical cancer under section 2 of the Breast and Cervical Cancer Prevention and Treatment Act of 2000, Public Law 106-354, codified at 42 U.S.C. 1396a(a)(10)(A)(ii)(XVII) and section 10D of chapter 118E of the General Laws; provided, that the executive office shall provide these benefits to individuals whose incomes, as determined by the executive office, do not exceed 250 per cent of the federal poverty level, subject to continued federal approval; and provided further, that funds may be expended from this item for health care services provided to these recipients in prior fiscal years","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":18000000,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":18000000,"gaa":18000000,"house1":18000000,"houseFinal":18000000,"override":0,"senateFinal":18000000,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000880","lineItemName":"MassHealth Family Assistance Plan","lineItemLanguage":"For MassHealth benefits under clause (c) of subsection (2) of section 9A of chapter 118E of the General Laws and section 16C of said chapter 118E for children and adolescents whose household incomes, as determined by the executive office of health and human services, exceed 150 per cent of the federal poverty level; provided, that funds may be expended from this item for health care services provided to those children and adolescents in prior fiscal years; and provided further, that funds may be expended from this item for health care subsidies provided to eligible individuals under the last paragraph of section 9 and section 16D of said chapter 118E","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":325501115,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":325501115,"gaa":325501115,"house1":325501115,"houseFinal":325501115,"override":0,"senateFinal":325501115,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000885","lineItemName":"Small Business Employee Premium Assistance","lineItemLanguage":"For the cost of health insurance subsidies paid to employees of small businesses in the insurance reimbursement program under section 9C of chapter 118E of the General Laws; provided, that funds may be expended from this item for health care services provided to persons in prior fiscal years; provided further, that funds may be expended only for employees who are ineligible for subsidized insurance through the commonwealth health insurance connector authority and ineligible for any MassHealth program; provided further, that enrollment in this program may be capped to ensure that MassHealth expenditures shall not exceed the amount appropriated; and provided further, that funds may be expended from this item for health care services provided to individuals eligible under clause (j) of subsection (2) of section 9A of said chapter 118E","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":34042020,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":34042020,"gaa":34042020,"house1":34042020,"houseFinal":34042020,"override":0,"senateFinal":34042020,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000940","lineItemName":"MassHealth Affordable Care Act Expansion Populations","lineItemLanguage":"For providing health care services related to the Patient Protection and Affordable Care Act, Public Law 111-148; provided, that funds may be expended from this item for health care services to individuals ages 19 to 64, inclusive, whose household incomes, as determined by the executive office of health and human services, do not exceed 133 per cent of the federal poverty level and those who are eligible under clauses (b) and (d) of subsection (2) of section 9A of chapter 118E of the General Laws; and provided further, that in fiscal year 2023, MassHealth shall maintain the same level of vision services that were in effect in fiscal year 2022 for members enrolled in the CarePlus program","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":3411962041,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":3411962041,"gaa":3411962041,"house1":2855462041,"houseFinal":3233462041,"override":0,"senateFinal":3233462041,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000950","lineItemName":"Children's Behavioral Health Initiative","lineItemLanguage":"For administrative and program expenses associated with the children's behavioral health initiative to provide comprehensive, community-based behavioral health services to children suffering from severe emotional disturbances; provided, that funds may be expended from this item for health care services provided to these persons in prior fiscal years; provided further, that the secretary of health and human services shall report bianually to the house and senate committees on ways and means on the implementation of the initiative; provided further, that said reports shall include, but not be limited to: (i) the results of the scheduled plan to date, including a schedule detailing commencement of services and associated costs by service type; (ii) an analysis of compliance with the terms of the settlement agreement to date; (iii) a detailed itemization of services and service utilization by service type, geographical location and the age of the member receiving the service; (iv) data detailing the time that elapsed between a member's request for services and commencement of an initial assessment for services; (v) the time to complete the initial assessment and the time that elapsed between initial assessment for services and commencement of services; and (vi) a quarterly update of whether projected expenditures are likely to exceed the amount appropriated in this item; provided further, that any unexpended balance in this item shall revert to the General Fund on June 30, 2023; and provided further, that funds shall not be transferred from this item without notifying the house and senate committees on ways and means not less than 30 days before such a transfer","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":267782721,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":267782721,"gaa":267782721,"house1":267782721,"houseFinal":267782721,"override":0,"senateFinal":267782721,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000990","lineItemName":"Children's Medical Security Plan","lineItemLanguage":"For the executive office of health and human services to expend for the children's medical security plan to provide health services for uninsured children from birth through age 18, inclusive; provided, that the executive office shall prescreen enrollees and applicants for Medicaid eligibility; provided further, that no applicant shall be enrolled in the program until the applicant has been denied eligibility for the MassHealth program other than MassHealth Limited; provided further, that the MassHealth benefit request shall be used as a joint application to determine the eligibility for both MassHealth and the children's medical security plan; provided further, that the executive office shall maximize federal reimbursements for state expenditures made on behalf of the children; provided further, that the executive office shall expend all necessary funds from this item to ensure the provision of this program under section 10F of chapter 118E of the General Laws; provided further, that this program shall be made available only to those children who have been determined by the executive office to be ineligible for MassHealth benefits; and provided further, that funds may be expended from this item for health care services provided to those persons in prior fiscal years","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":17017088,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":17017088,"gaa":17017088,"house1":17017088,"houseFinal":17017088,"override":0,"senateFinal":17017088,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40001400","lineItemName":"MassHealth HIV Plan","lineItemLanguage":"For the provision of MassHealth benefits to persons diagnosed with human immunodeficiency virus with incomes that do not exceed 200 per cent of the federal poverty level; 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department of housing and community development and direct care workers that serve homeless veterans through the department of veterans' services shall be eligible for funding from this item; provided further, that no funds from this item shall be allocated to special education programs under chapter 71B of the General Laws, contracts for early education and care services or programs for which payment rates are negotiated and paid as class rates as established by the executive office of health and human services; provided further, that no funds shall be allocated from this item to contracts funded exclusively by federal grants as delineated in section 2D of this act; provided further, that the secretary of administration and finance may transfer from the sum appropriated in this item to other items of appropriation and allocations thereof for fiscal year 2023, amounts that are necessary to meet these costs where the amounts otherwise available are insufficient for the purpose of rate 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Services","govLevelThree":null,"lineItemNumber":"40000014","lineItemName":"Edward M Kennedy Community Health Center","lineItemLanguage":"For the Edward M. Kennedy Community Health Center, Inc. to provide training to community health workers who serve as the patient link to medical and social services for the disenfranchised population throughout the Worcester and MetroWest regions","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":200000,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":200000,"gaa":200000,"house1":0,"houseFinal":0,"override":0,"senateFinal":200000,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000020","lineItemName":"Nursing and Allied Health Workforce Development","lineItemLanguage":"For the nursing and allied health workforce development initiative, to develop and support strategies that increase the number of public higher education faculty members and students who participate in programs that support careers in fields related to nursing and allied health workforce; provided, that the amount appropriated in this item shall be transferred to the Massachusetts Nursing and Allied Health Workforce Development Trust Fund established in section 33 of chapter 305 of the acts of 2008; provided further, that funds shall be transferred to the fund according to an allotment schedule adopted by the executive office for administration and finance; and provided further, that not later than March 1, 2023, the executive office of health and human services shall submit a report to the joint committee on public health, the joint committee on health care finance, the joint committee on higher education and the house and senate committees on ways and means detailing the expenditures from the Massachusetts Nursing and Allied Health Workforce Development Trust Fund and both short and long term strategies to increase the number of public and private higher education faculty and students who participate in programs that support careers in fields related to nursing and allied health","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":1000000,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":1000000,"gaa":1000000,"house1":1000000,"houseFinal":1000000,"override":0,"senateFinal":1000000,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000050","lineItemName":"Personal Care Attendant Council","lineItemLanguage":"For the operation of the PCA quality home care workforce council established in section 71 of chapter 118E of the General Laws","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":2811797,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":2811797,"gaa":2811797,"house1":2811796,"houseFinal":2811797,"override":0,"senateFinal":2811797,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000051","lineItemName":"Family Resource Centers","lineItemLanguage":"For the operation and support of the network of child and family service programs throughout the commonwealth, including family resource centers supported through this item and item 4800-0200; provided, that centers within this item shall: (i) be consistent with the requirements under section 16U of chapter 6A of the General Laws; (ii) demonstrate adherence to an evidence-based model of service; and (iii) use measurable outcomes to assess quality; provided further, that the secretary of health and human services shall maintain the fiscal year 2022 contract with a third-party administration service organization to oversee the execution of, and the agency's compliance with, subsection (b) of said section 16U of said chapter 6A; provided further, that the executive office of health and human services shall submit biannual progress updates to the executive office for administration and finance, the joint committee on children, families and persons with disabilities and the house and senate committees on ways and means; provided further, that not later than March 31, 2023 and October 31, 2023, the executive office shall submit a report to the house and senate committees on ways and means detailing, but not limited to: (a) the number of children and families served at each center; (b) the types of programs; (c) program outcomes; (d) client feedback; and (e) progress on data sharing between centers; and provided further, that the network of child and family service programs shall coordinate with the executive office, the department of early education and care and municipal police departments to provide emergency assistance to missing or absent children at times when the juvenile court is not open, consistent with the requirements under section 39H of chapter 119 of the General Laws","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":500000,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":500000,"gaa":500000,"house1":0,"houseFinal":0,"override":0,"senateFinal":500000,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000100","lineItemName":"EHS Workforce Information Campaign","lineItemLanguage":"For the department of health and human services, in consultation with the department of higher education, for a public information campaign to educate and promote awareness of the availability of student loan forgiveness and assistance, tuition reimbursement, fellowships or other state and federal programs designed to benefit the health care and behavioral health workforce in the commonwealth and individuals who may be interested in joining the health care or behavioral health workforce; provided, that said public information campaign shall provide information about the centralized website established pursuant to subsection (b) of section 51 of this act","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":1000000,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":1000000,"gaa":1000000,"house1":0,"houseFinal":1000000,"override":0,"senateFinal":0,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000250","lineItemName":"HIX Retained Revenue","lineItemLanguage":"For the executive office of health and human services, which may expend for the costs of the operation and maintenance of the health insurance exchange not more than $15,000,000 from monies received from the commonwealth health insurance connector authority; provided, that notwithstanding any general or special law to the contrary, for the purpose of accommodating timing discrepancies between the receipt of retained revenue and related expenditures, the executive office 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":15000000,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Retained Revenues","budgetTracking":{"data":[{"conference":15000000,"gaa":15000000,"house1":15000000,"houseFinal":15000000,"override":0,"senateFinal":15000000,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000300","lineItemName":"EOHHS and Medicaid Administration","lineItemLanguage":"For the operation of the office of the executive office of health and human services, including the operation of the managed care oversight board; provided, that the executive office shall provide technical and administrative assistance to agencies under the purview of the secretariat receiving federal funds; provided further, that the executive office shall ensure that any collaborative assessments for children receiving services from multiple agencies within the secretariat shall be performed within existing resources; provided further, that the executive office shall continue to develop and implement the common client identifier; provided further, that funds appropriated in this item shall be expended for administrative and contracted services related to the implementation and operation of programs under chapter 118E of the General Laws; provided further, that the executive office and its agencies, when contracting for services on the islands of Martha's Vineyard and Nantucket and the town of Provincetown, shall take into consideration the increased costs associated with the provision of goods, services and housing in said jurisdictions; provided further, that MassHealth shall establish a direct phone number for court employees who serve participants of specialty courts to use in contacting MassHealth regarding enrollment and other benefits issues for participants and MassHealth shall notify the specialty courts administrator with the direct contact number and other pertinent information within 30 days after the effective date of this item; provided further, that in consultation with the center for health information and analysis, no rate increase shall be provided to existing Medicaid provider rates without taking all measures possible under Title XIX of the Social Security Act, codified at 42 U.S.C. chapter 7, subchapter XIX, to ensure that rates of payment to providers shall not exceed the rates that are necessary to meet the cost of efficiently and economically operated providers in order to provide services of adequate quality; provided further, that funds may be expended for the operation of the office of health equity under the department of public health and the executive office; provided further, that no expenditures, whether made by the executive office or another commonwealth entity, shall be made that are not federally reimbursable, including those related to Titles XIX or XXI of the Social Security Act, codified at 42 U.S.C. chapter 7, subchapters XIX or XXI, the MassHealth demonstration waiver approved under subsection (a) of section 1115 of Title XI of the Social Security Act, codified at 42 U.S.C. section 1315(a), or the community first section 1115 demonstration waiver under said section 1115 of said Title XI of the Social Security Act, codified at 42 U.S.C section 1315, except as required for: (i) the administration of the executive office; (ii) the equivalent of MassHealth Standard benefits for children under 21 years of age who are in the care or custody of the department of youth services or the department of children and families; (iii) the dental benefits provided to clients of the department of developmental services who are 21 years of age or older; (iv) the payments related to services delivered in institutions for mental disease for which federal financial participation is not otherwise available; (v) cost-containment efforts, the purposes and amounts of which shall be submitted to the executive office for administration and finance and the house and senate committees on ways and means not less than 30 days before making these expenditures; or (vi) otherwise as explicitly authorized with the prior written approval of the secretary of administration and finance; provided further, that the executive office of health and human services may continue to recover provider overpayments made in the current and prior fiscal years through the Medicaid management information system and these recoveries shall be considered current fiscal year expenditure refunds; provided further, that the executive office may collect directly from a liable third party any amounts paid to contracted providers under said chapter 118E for which the executive office later discovers another third party is liable if no other course of recoupment is possible; provided further, that funds shall be expended for interpretive services directly or indirectly related to a settlement or resolution agreement with the office of civil rights or any other office, group or entity; provided further, that, notwithstanding any general or special law to the contrary, the commissioner of mental health shall approve any prior authorization or other restriction on medication used to treat mental illness under written policies, procedures and regulations of the department of mental health; provided further, that not later than January 13, 2023, the executive office shall submit a report to the house and senate committees on ways and means on the: (a) number of members served in the dual eligible initiative; (b) average expenditure per member; (c) average expenditure per member before the demonstration project; and (d) number of clients that receive care at skilled nursing facilities; provided further, that not later than December 30, 2022, the executive office shall submit a report to the house and senate committees on ways and means and the joint committee on health care financing detailing utilization in fiscal year 2022 of the Health Safety Net Trust Fund established in section 66 of said chapter 118E, including the: (1) number of persons whose medical expenses were billed to the Health Safety Net Trust Fund; (2) total dollar amount billed to the Health Safety Net Trust Fund; (3) age, income level and insurance status of recipients using the Health Safety Net Trust Fund; (4) types of services paid for out of the Health Safety Net Trust Fund; and (5) amount disbursed from the Health Safety Net Trust Fund to each hospital and community health center; provided further, that not later than March 1, 2023, the executive office shall submit a report to the house and senate committees on ways and means and the joint committee on health care financing on: (A) total spending related to pharmaceutical utilization for fiscal year 2022; (B) estimated spending related to pharmaceutical utilization for fiscal year 2023; (C) the actual and estimated revenue amounts, both in the form of supplemental rebates and federal financial participation, received in fiscal year 2022 and fiscal year 2023 as a result of total pharmaceutical spending; (D) total or projected savings amounts delivered from supplemental rebate negotiations in fiscal year 2023; and (E) the relative impact of price and utilization of pharmaceutical drugs added to the MassHealth drug list within fiscal year 2022 and fiscal year 2023; provided further, that the executive office shall submit quarterly reports to the house and senate committees on ways and means and the joint committee on health care financing summarizing the projected total costs for the next fiscal year of pharmaceutical pipeline drugs identified by the executive office and expected to be made available for utilization within a 12-month period from the submission date of the filed report; provided further, that this report shall not identify the specific drugs, manufacturer identities or wholesale acquisition costs of individual drugs identified by the department; provided further, that the office of Medicaid shall coordinate with the health policy commission in the development of care delivery and payment models in the MassHealth program, including patient-centered medical homes and accountable care organizations, in order to ensure alignment of such models with the commission's certification programs under sections 14 and 15 of chapter 6D of the General Laws; provided further, that not later than January 13, 2023, the executive office shall submit a report to the house and senate committees on ways and means detailing the methodology used to project caseload and utilization in fiscal year 2022 and fiscal year 2023; provided further, that by the fifteenth day of the subsequent month, the executive office shall submit monthly MassHealth caseload reports in a searchable electronic format to the executive office for administration and finance and the house and senate committees on ways and means; provided further, that not less than $1,000,000 shall be transferred to the Criminal Justice and Community Support Trust Fund established in section 2QQQQQ of chapter 29 of the General Laws for the continuation of a pilot program to establish a county restoration center and program overseen by the Middlesex county restoration center commission to divert persons suffering from mental illness or substance use disorder who interact with law enforcement or the court system during a pre-arrest investigation or the pre-adjudication process from lock-up facilities and hospital emergency departments to appropriate treatment; provided further, that any unexpended balance in these accounts shall revert to the General Fund on June 30, 2023; provided further, that the executive office shall make a supplemental payment not less than $3,000,000 to Franciscan Children's Hospital, above base rates, to compensate for high-complexity pediatric care; provided further, that not less than $100,000 shall be expended for the Fishing Partnership Support Services for behavioral and mental health initiatives in coastal communities; provided further, that not less than $50,000 shall be expended for Catholic Charities in the city of Leominster for the purposes of expanding the diaper bank for the region; provided further, that not less than $550,000 shall be expended for the Massachusetts Association for Mental Health, Inc. for the purpose of managing the Network of Care, as the singular place where all mental health, substance use and related social services programs and organizations are curated into a state-wide online, searchable tool; provided further, that not less than $150,000 shall be expended for the critical care operations of New England Life Flight, Inc.; provided further, that not less than $50,000 shall be expended for Martha's Vineyard Community Services for the purpose of increasing access to health and human services on Martha's Vineyard; provided further, that not less than $90,000 shall be expended for Beth Israel Deaconess Hospital-Needham for behavioral health services; provided further, that not less than $20,000 shall be expended for a voluntary nonemergency ambulance transportation regional pilot program to aggregate and coordinate ambulance service resources to more efficiently meet health facility demand; provided further, that not less than $300,000 shall be expended for Health Care For All, Inc. for the costs associated with operating its free statewide nonprofit consumer assistance helpline in order to provide health coverage eligibility, enrollment and navigation assistance and to operate an online support platform for enrollment assistance across the state; provided further, that not less than $250,000 shall be expended for the Brookline Community Mental Health Center, Inc. in the town of Brookline to expand the healthy lives program; provided further, that not less than $325,000 shall be expended for the Massachusetts Consultation Service for Treatment of Addiction and Pain to provide case management and care navigation support to assist healthcare facilities, individual practitioners and other healthcare providers, including, but not limited to, nurse case managers, social workers and recovery coaches, in providing care and identifying community-based providers for referral for pain management and treatment of substance use disorder; provided further, that funds shall be expended to the Nantucket Cottage Hospital and Martha's Vineyard Hospital for off-island medical transportation, including the transportation of patients with behavioral health conditions; provided further, that the executive office of health and human services shall report to the house and senate committees on ways and means biannually on new initiatives and the status of the implementation of the behavioral health roadmap; and provided further, that not later than September 30, 2022, the first report shall be submitted","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":126029597,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":126029597,"gaa":126029597,"house1":123844597,"houseFinal":124579597,"override":0,"senateFinal":121094597,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000320","lineItemName":"MassHealth Retained Revenue","lineItemLanguage":"For the executive office of health and human services, which may expend not more than $225,000,000 for medical care and assistance rendered in the current year from the monies received from recoveries and collections of any current or prior year expenditures; provided, that notwithstanding any general or special law to the contrary, the balance of any personal needs accounts collected from nursing and other medical institutions upon the death of a medical assistance recipient and held by the executive office for more than 3 years may be credited to this item","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":225000000,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Retained Revenues","budgetTracking":{"data":[{"conference":225000000,"gaa":225000000,"house1":225000000,"houseFinal":225000000,"override":0,"senateFinal":225000000,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000321","lineItemName":"EOHHS Contingency Contracts Retained Revenue","lineItemLanguage":"For the executive office of health and human services, which may expend not more than $65,000,000 for contingency fee contracts related to pursuing federal reimbursement or avoiding costs in its capacity as the single state agency under Titles XIX and XXI of the Social Security Act, as codified at 42 U.S.C. chapter 7, subchapters XIX and XXI, and as the principal agency for all of the agencies within the executive office and other federally-assisted programs administered by the executive office; provided, that such contingency contracts shall not exceed 3 years except with prior review and approval by the executive office for administration and finance; provided further, that not later than December 30, 2022, the secretary of health and human services shall submit to the secretary of administration and finance and the house and senate committees on ways and means a report detailing: (i) the amounts of the agreements; (ii) a delineation of all ongoing and new projects; and (iii) the amount of federal reimbursement and cost avoidance derived from the contracts for the previous fiscal year's activities; provided further, that notwithstanding any general or special law to the contrary, for the purpose of accommodating timing discrepancies between the receipt of revenues and payments required under contingency contracts, the comptroller shall 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; provided further, that after providing payments due under the terms of the contingency contracts, the executive office may use available funds to support special MassHealth projects that will receive enhanced federal revenue opportunities, including MassHealth eligibility operations and systems enhancements that support reforms and improvements to MassHealth programs; provided further, that any enhanced federal financial participation received for these special projects, including the Implementation Advanced Planning Documents or other eligibility operations and systems enhancements that support reforms and improvements to MassHealth shall be deposited into this item; provided further, that, notwithstanding any general or special law to the contrary, the executive office may enter into interdepartmental service agreements with the University of Massachusetts medical school to perform activities that the secretary of health and human services, in consultation with the comptroller, determines to be within the scope of the proper administration of said Title XIX of the Social Security Act and other federal funding provisions to support the programs and activities of the executive office; provided further, that said activities may include providing: (a) administrative services including, but not limited to, utilization management activities and eligibility determinations based on disability and supporting case management activities and similar initiatives; (b) consulting services related to quality assurance, program evaluation and development, integrity and soundness and project management; and (c) activities and services to pursue federal reimbursement, avoid costs or identify third-party liability and recoup payments made to third parties; provided further, that federal reimbursement for any expenditure made by the University of Massachusetts medical school for federally reimbursable services the university provides under these interdepartmental service agreements or other contracts with the executive office shall be distributed to the university and recorded distinctly in the state accounting system; provided further, that the secretary of health and human services may negotiate contingency fees for activities and services related to pursuing federal reimbursement or avoiding costs and the comptroller shall certify these fees and pay them upon the receipt of this revenue, reimbursement or demonstration of costs avoided; provided further, that contingency fees paid to the University of Massachusetts medical school shall not exceed $40,000,000 for state fiscal year 2023 except for contingency fees paid under interdepartmental service agreements for recoveries related to special disability workload projects; and provided further, that, notwithstanding any general or special law to the contrary, for the purpose of accommodating timing discrepancies between the receipt of revenues and payments required under contingency contracts, the comptroller shall 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":65000000,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Retained Revenues","budgetTracking":{"data":[{"conference":65000000,"gaa":65000000,"house1":65000000,"houseFinal":65000000,"override":0,"senateFinal":65000000,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000430","lineItemName":"MassHealth CommonHealth Plan","lineItemLanguage":"For the CommonHealth program to provide primary and supplemental medical care and assistance to disabled adults and children under sections 9A, 16 and 16A of chapter 118E of the General Laws; provided, that funds may be expended from this item for health care services provided to the recipients in prior fiscal years; provided further, that the executive office of health and human services shall maximize federal reimbursement for state expenditures made on behalf of those adults and children; provided further, that children shall be determined eligible for medical care and assistance if they meet the disability standards as defined by the executive office; provided further, that, such standards shall be no more restrictive than those in effect on July 1, 1996; and provided further, that the executive office shall process a CommonHealth application within 45 days of receipt of a completed application or within 90 days if a determination of disability is required","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":209966564,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":209966564,"gaa":209966564,"house1":190606564,"houseFinal":190606564,"override":0,"senateFinal":190606564,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000500","lineItemName":"MassHealth Managed Care","lineItemLanguage":"For health care services provided to medical assistance recipients through the executive office of health and human services' managed care delivery systems, including a behavioral health contractor, the Primary Care Clinician Plan, Primary Care Accountable Care Organizations, MassHealth managed care organizations and Accountable Care Partnership Plans and for MassHealth benefits provided to children, adolescents and adults under section 9 of chapter 118E of the General Laws and clauses (a) to (d), inclusive, and clause (h) of subsection (2) of section 9A of said chapter 118E and section 16C of said chapter 118E; provided, that no funds shall be expended from this item for children and adolescents under clause (c) of said subsection (2) of said section 9A of said chapter 118E whose household incomes, as determined by the executive office, exceed 150 per cent of the federal poverty level; provided further, that the executive office shall require that any contract or other arrangement entered into by a managed care provider under the managed care delivery system for the provision and administration of pharmacy benefit management services on behalf of individuals enrolled in programs of medical assistance under this item, including a managed care provider participating in an accountable care partnership plan, shall include, but not be limited to, the requirement that pharmacy benefit managers: (i) identify all sources and amounts of income, payments and financial benefits related to the provision and administration of pharmacy benefit management services on behalf of the managed care provider including, but not limited to, pricing discounts, rebates, inflationary payments, credits, clawbacks, fees, grants, chargebacks, reimbursements or other benefits; and (ii) disclose to MassHealth the sources and amounts of all income, payments and financial benefits received by the pharmacy benefit manager; provided further, that not later than February 15, 2023, the executive office shall submit a report to the house and senate committees on ways and means detailing: (a) the total number of members participating in the Accountable Care Organization program; (b) disenrollment trends from the Partnership Plan, Primary Care Accountable Care Organization and Managed Care Organization-administered Accountable Care Organizations within the designated plan selection; (c) the outcomes achieved by accountable care organizations and community partners including, but not limited to, financial performance, patient safety, patient satisfaction, quality and aggregate and per-member reductions in spending compared to prior cost trends; (d) the results of benchmarks on accountable care organizations' and community partners' progress toward an integrated care delivery system; and (e) a summary of spending and activities related to traditionally non-reimbursed services to address health-related social needs including, but not limited to, home and community-based services, housing stabilization and support, utility assistance, non-medical transportation, physical activity, nutrition, sexual assault and domestic violence supports; provided further, that such summary shall include, to the maximum extent practicable, aggregated data on the results of preventative health care services such as health-related social needs screening, the number of referrals to human service providers to address such screening, the result of such referrals and changes in health status; provided further, that such data shall be stratified by demographic factors to support an analysis of the impact on health disparities; provided further, that where data is not available, a report on progress toward establishing necessary data systems shall be provided; provided further, that said summary shall include outcome measures for at-risk populations with chronic health conditions; provided further, that funds may be expended from this item for health care services provided to recipients in prior fiscal years; provided further, that not less than $2,000,000 shall be expended for Community Care Cooperative, a 501(c)(3) MassHealth Accountable Care Organization solely governed by Federally Qualified Health Centers to assist with the start-up of their efforts with shared services that enhance access and quality of care, administrative efficiency, reduce health disparities and promote health care cost containment; and provided further, that not later than January 16, 2023, the executive office shall conduct and submit a comparative analysis to the house and senate committees on ways and means and the joint committee on mental health, substance use and recovery, of the rate differential for inpatient psychiatric and substance use hospital per diem payments between MassHealth and its contracted health insurers, health plans, health maintenance organizations, behavioral health management firms and third-party administrators under contract to a Medicaid managed care organization or primary care clinician plan","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":5983593690,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":5983593690,"gaa":5983593690,"house1":5332060744,"houseFinal":5532060744,"override":0,"senateFinal":5530060744,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000601","lineItemName":"MassHealth Senior Care","lineItemLanguage":"For health care services provided to MassHealth members who are seniors, including those provided through the Medicare Savings Program, and for the operation of the MassHealth senior care options program under section 9D of chapter 118E of the General Laws; provided, that funds may be expended from this item for health care services provided to recipients in prior fiscal years; provided further, that notwithstanding any general or special law to the contrary, for the purposes of an individual's eligibility for the senior care options program, an individual is deemed to reach the age of 65 on the first day of the month in which their sixty-fifth birthday occurs; provided further, that no payment for special provider costs shall be made from this item without the prior written approval of the secretary of administration and finance; provided further, that funds shall be expended from this item to maintain a personal needs allowance of $72.80 per month for individuals residing in nursing and rest homes who are eligible for MassHealth, emergency aid to the elderly, the disabled and children program or supplemental security income; provided further, that notwithstanding any general or special law to the contrary, for any nursing home facility or non-acute chronic disease hospital that provides kosher food to its residents, the executive office of health and human services, in consultation with the center for health information and analysis and in recognition of the special innovative program status granted by the executive office, shall continue to make the standard payment rates established in fiscal year 2006 to reflect the high dietary costs incurred in providing kosher food; provided further, that not later than February 1, 2023, the secretary of health and human services shall submit a report to the house and senate committees on ways and means on the implementation of the Medicare Savings Program expanded program eligibility for seniors pursuant to section 25A of said chapter 118E; provided further, that said report shall include, but not be limited to: (i) the number of members who are seniors whose household incomes, as determined by the executive office, exceed 130 per cent of the federal poverty level, that are enrolled in Medicare Savings Programs during each month of the fiscal year; (ii) total enrollment in the Qualified Medicare Beneficiary program, Specified Low-Income Medicare Beneficiary Program and Qualifying Individual Program; (iii) total annual spending on Medicare premiums and cost-sharing for such members; and (iv) total annual transfers from the prescription advantage program in item 9110-1455 and Health Safety Net Trust Fund to fund the Medicare Savings Program expansion; provided further, that nursing facility rates effective October 1, 2022 under section 13D of said chapter 118E shall be developed using the costs of calendar year 2019; provided further, that MassHealth shall reimburse nursing home facilities for up to 20 medical leave-of-absence days and shall reimburse the facilities for up to 10 non-medical leave-of-absence days; provided further, that medical leave-of-absence days shall include an observation stay in a hospital in excess of 24 hours; provided further, that no nursing home shall reassign a patient's bed during a leave of absence that is eligible for reimbursement under this item; provided further, that not later than January 1, 2023, MassHealth shall submit a report to the house and senate committees on ways and means detailing, for fiscal year 2022: (a) the number of nursing facility clients on a leave of absence, delineated by the nursing facility, medical leave-of-absence days and medical leave-of-absence days that exceeded 10 days per hospital stay, nonmedical leave-of-absence days and the total number of days on leave of absence unduplicated member count; (b) licensed beds monthly capacity levels per nursing home and the monthly total number of empty beds per nursing facility, total number of all nursing home residents and total MassHealth nursing home residents; (c) the 6 separate MassHealth payment rates and the average payment amount rate per nursing facility client resident; (d) the actual number of nursing home residents for each of the 6 payment rates in clause (c); and (e) the aggregate payment amount per nursing facility by month; and provided further, that the information in such report shall be delineated by nursing facility, including grand totals where appropriate","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":3808875619,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":3808875619,"gaa":3808875619,"house1":3725368077,"houseFinal":3715210993,"override":0,"senateFinal":3750795619,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000641","lineItemName":"MassHealth Nursing Home Supplemental Rates","lineItemLanguage":"For nursing facility Medicaid rates; provided, that in fiscal year 2023, the executive office of health and human services, in consultation with the center for health information and analysis, shall establish rates that cumulatively total $342,100,000 more than the annual payment rates established under the rates in effect as of June 30, 2002; provided further, that an amount for expenses related to the collection and administration of section 63 of chapter 118E of the General Laws shall be transferred to the executive office; provided further, that the payments made under this item shall be allocated in an amount sufficient to implement section 622 of chapter 151 of the acts of 1996; provided further, that not later than July 1, 2022, pursuant to the executive office of health and human services' Administrative Bulletin 22-02 entitled 101 CMR 206.00: Standard Payments to Nursing Facilities and effective January 25, 2022, the executive office shall provide a Medicaid supplemental payment to nursing homes consistent with said bulletin and 101 CMR 206.00 to offset increased costs of providing care not accounted for in the nursing facility's prospective payment system rates during the COVID-19 pandemic; provided further, that not less than $40,000,000 shall be expended for payments consistent with the executive office of health and human services' Administrative Bulletin 22-02 entitled 101 CMR 206.00: Standard Payment to Nursing Facilities and effective January 15, 2022; provided further, that payments shall be distributed to nursing facilities based on their proportion of the total Medicaid Days reported by all nursing facility providers and used to pay for direct-care staffing costs; provided further, that not less than $56,250,000 shall be expended for the purpose of direct care staffing costs in nursing facilities and shall be distributed to nursing facilities in the form of a rate add-on solely for the purpose of permissible direct care costs as determined by MassHealth, in consultation with the Massachusetts Senior Care Association and 1199SEIU; provided further, that said rate add-on shall be based on a facility's total Medicaid days; provided further, that not less than $18,750,000 shall be distributed to nursing facilities in the form of a supplemental payment to promote quality improvement using a methodology as determined by MassHealth, in consultation with the Massachusetts Senior Care Association and 1199SEIU; provided further, that not later than February 1, 2023, the executive office shall submit a report to the house and senate committees on ways and means detailing the methodologies used to distribute funds for said rate add-on and said supplemental payment to promote quality improvement; and provided further, that not later than June 1, 2023, the executive office shall submit a report to the house and senate committees on ways and means detailing the expenditures from said rate add-on, including the number of employees receiving a wage increase and the average increase in wage, and said supplemental payment to promote quality improvement by recipient","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":510400000,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":510400000,"gaa":510400000,"house1":395400000,"houseFinal":435400000,"override":0,"senateFinal":470400000,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000700","lineItemName":"MassHealth Fee for Service Payments","lineItemLanguage":"For health care services provided to medical assistance recipients under the executive office of health and human services' health care indemnity or third-party liability plan, to medical assistance recipients not otherwise covered under the executive office's managed care or senior care plans and for MassHealth benefits provided to children, adolescents and adults under section 9 of chapter 118E of the General Laws and clauses (a) to (d), inclusive, and clause (h) of subsection (2) of section 9A of said chapter 118E and section 16C of said chapter 118E; provided, that no payments for special provider costs shall be made from this item without the prior written approval of the secretary of administration and finance; provided further, that no funds shall be expended from this item for children and adolescents under clause (c) of said subsection (2) of said section 9A of said chapter 118E whose household incomes as determined by the executive office exceed 150 per cent of the federal poverty level; provided further, that children who have aged out of the custody of the department of children and families shall be eligible for benefits through the age limit specified in MassHealth's approved state plan; provided further, that funds shall be expended from this item for members who qualify for early intervention services; provided further, that MassHealth shall expend $13,000,000 in the aggregate for acute care hospitals that have greater than 63 per cent of their gross patient service revenue from governmental payers and free care as determined by the executive office; provided further, that in fiscal year 2023, MassHealth shall maintain the same level of federally-optional chiropractic services that were in effect in fiscal year 2016 and were included in its state plan or demonstration program in effect on January 1, 2002 for members enrolled in the primary care clinician program; provided further, that in fiscal year 2023, the executive office shall not fund programs relating to case management with the intention of reducing length of stay for neonatal intensive care unit cases; provided further, that funds may be expended from this item for activities relating to customer service; provided further, that notwithstanding this item, funds may be expended from this item for the purchase of third-party insurance including, but not limited to, Medicare for any medical assistance recipient; provided further, that the executive office may reduce MassHealth premiums or copayments or offer other incentives to encourage enrollees to comply with wellness goals; provided further, that funds may be expended from this item for activities relating to disability determinations or utilization management and review, including patient screenings and evaluations, regardless of whether such activities are performed by a state agency, contractor, agent or provider; provided further, that MassHealth shall continue to expend funds for expanded oral health benefits, including endodontic and prosthodontic services, for adult members, consistent with the benefits provided beginning on January 1, 2021; provided further, that not later than March 1, 2023, the executive office shall report to the house and senate committees on ways and means on: (i) dental coverage available to MassHealth recipients as of January 1, 2023 as it compares to dental coverage available to MassHealth recipients on January 1, 2010; (ii) utilization of dental services in fiscal year 2022 and fiscal year 2023; (iii) the actual and projected costs and revenue associated with dental coverage in fiscal year 2022 and fiscal year 2023; and (iv) the estimated cost effectiveness of dental coverage as a contributor to MassHealth total cost of care; provided further, that dental services for adults shall be covered at least to the extent they were covered as of June 30, 2022; provided further, that not later than December 1, 2022, $750,000 shall be equally distributed to the teaching community health centers with family medicine residency programs in the cities of Worcester and Lawrence and in the South Boston section of the city of Boston; provided further, that the secretary of health and human services shall designate the league of community health centers to administer the funds and shall retain 5 per cent of the total funds; provided further, that the secretary shall: (a) report to the house and senate committees on ways and means on the use of the funds by teaching community health centers; and (b) audit said centers in order to confirm the use of the funds by each center for training purposes; and provided further, that funds may be expended from this item for health care services provided to recipients in prior fiscal years","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":3785206126,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":3785206126,"gaa":3785206126,"house1":3511975144,"houseFinal":3556175144,"override":0,"senateFinal":3595975144,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000875","lineItemName":"MassHealth Breast and Cervical Cancer Treatment","lineItemLanguage":"For the executive office of health and human services to expend for the provision of benefits to eligible individuals who require medical treatment for either breast or cervical cancer under section 2 of the Breast and Cervical Cancer Prevention and Treatment Act of 2000, Public Law 106-354, codified at 42 U.S.C. 1396a(a)(10)(A)(ii)(XVII) and section 10D of chapter 118E of the General Laws; provided, that the executive office shall provide these benefits to individuals whose incomes, as determined by the executive office, do not exceed 250 per cent of the federal poverty level, subject to continued federal approval; and provided further, that funds may be expended from this item for health care services provided to these recipients in prior fiscal years","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":18000000,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":18000000,"gaa":18000000,"house1":18000000,"houseFinal":18000000,"override":0,"senateFinal":18000000,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000880","lineItemName":"MassHealth Family Assistance Plan","lineItemLanguage":"For MassHealth benefits under clause (c) of subsection (2) of section 9A of chapter 118E of the General Laws and section 16C of said chapter 118E for children and adolescents whose household incomes, as determined by the executive office of health and human services, exceed 150 per cent of the federal poverty level; provided, that funds may be expended from this item for health care services provided to those children and adolescents in prior fiscal years; and provided further, that funds may be expended from this item for health care subsidies provided to eligible individuals under the last paragraph of section 9 and section 16D of said chapter 118E","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":325501115,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":325501115,"gaa":325501115,"house1":325501115,"houseFinal":325501115,"override":0,"senateFinal":325501115,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000885","lineItemName":"Small Business Employee Premium Assistance","lineItemLanguage":"For the cost of health insurance subsidies paid to employees of small businesses in the insurance reimbursement program under section 9C of chapter 118E of the General Laws; provided, that funds may be expended from this item for health care services provided to persons in prior fiscal years; provided further, that funds may be expended only for employees who are ineligible for subsidized insurance through the commonwealth health insurance connector authority and ineligible for any MassHealth program; provided further, that enrollment in this program may be capped to ensure that MassHealth expenditures shall not exceed the amount appropriated; and provided further, that funds may be expended from this item for health care services provided to individuals eligible under clause (j) of subsection (2) of section 9A of said chapter 118E","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":34042020,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":34042020,"gaa":34042020,"house1":34042020,"houseFinal":34042020,"override":0,"senateFinal":34042020,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000940","lineItemName":"MassHealth Affordable Care Act Expansion Populations","lineItemLanguage":"For providing health care services related to the Patient Protection and Affordable Care Act, Public Law 111-148; provided, that funds may be expended from this item for health care services to individuals ages 19 to 64, inclusive, whose household incomes, as determined by the executive office of health and human services, do not exceed 133 per cent of the federal poverty level and those who are eligible under clauses (b) and (d) of subsection (2) of section 9A of chapter 118E of the General Laws; and provided further, that in fiscal year 2023, MassHealth shall maintain the same level of vision services that were in effect in fiscal year 2022 for members enrolled in the CarePlus program","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":3411962041,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":3411962041,"gaa":3411962041,"house1":2855462041,"houseFinal":3233462041,"override":0,"senateFinal":3233462041,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000950","lineItemName":"Children's Behavioral Health Initiative","lineItemLanguage":"For administrative and program expenses associated with the children's behavioral health initiative to provide comprehensive, community-based behavioral health services to children suffering from severe emotional disturbances; provided, that funds may be expended from this item for health care services provided to these persons in prior fiscal years; provided further, that the secretary of health and human services shall report bianually to the house and senate committees on ways and means on the implementation of the initiative; provided further, that said reports shall include, but not be limited to: (i) the results of the scheduled plan to date, including a schedule detailing commencement of services and associated costs by service type; (ii) an analysis of compliance with the terms of the settlement agreement to date; (iii) a detailed itemization of services and service utilization by service type, geographical location and the age of the member receiving the service; (iv) data detailing the time that elapsed between a member's request for services and commencement of an initial assessment for services; (v) the time to complete the initial assessment and the time that elapsed between initial assessment for services and commencement of services; and (vi) a quarterly update of whether projected expenditures are likely to exceed the amount appropriated in this item; provided further, that any unexpended balance in this item shall revert to the General Fund on June 30, 2023; and provided further, that funds shall not be transferred from this item without notifying the house and senate committees on ways and means not less than 30 days before such a transfer","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":267782721,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":267782721,"gaa":267782721,"house1":267782721,"houseFinal":267782721,"override":0,"senateFinal":267782721,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000990","lineItemName":"Children's Medical Security Plan","lineItemLanguage":"For the executive office of health and human services to expend for the children's medical security plan to provide health services for uninsured children from birth through age 18, inclusive; provided, that the executive office shall prescreen enrollees and applicants for Medicaid eligibility; provided further, that no applicant shall be enrolled in the program until the applicant has been denied eligibility for the MassHealth program other than MassHealth Limited; provided further, that the MassHealth benefit request shall be used as a joint application to determine the eligibility for both MassHealth and the children's medical security plan; provided further, that the executive office shall maximize federal reimbursements for state expenditures made on behalf of the children; provided further, that the executive office shall expend all necessary funds from this item to ensure the provision of this program under section 10F of chapter 118E of the General Laws; provided further, that this program shall be made available only to those children who have been determined by the executive office to be ineligible for MassHealth benefits; and provided further, that funds may be expended from this item for health care services provided to those persons in prior fiscal years","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":17017088,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":17017088,"gaa":17017088,"house1":17017088,"houseFinal":17017088,"override":0,"senateFinal":17017088,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40001400","lineItemName":"MassHealth HIV Plan","lineItemLanguage":"For the provision of MassHealth benefits to persons diagnosed with human immunodeficiency virus with incomes that do not exceed 200 per cent of the federal poverty level; 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the Acquired Brain Injury Non-Residential Habilitation waiver; the Moving Forward Plan Residential Supports waiver; and the Moving Forward Plan Community Living waiver; provided, that funds may be expended from this item for administrative and program expenses associated with the operation of said waivers; and provided further, that funds may be expended from this item for health care services provided to members participating in said waivers in prior fiscal years","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":338354811,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":338354811,"gaa":338354811,"house1":338354811,"houseFinal":338354811,"override":0,"senateFinal":338354811,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40001700","lineItemName":"Health and Human Services Information Technology Costs","lineItemLanguage":"For the provision of information technology services within the executive office of health and human services","governmentArea":"Health and Human Services","governmentOrganization":null,"gaa":167727025,"appropriationType":"Budgetary Recommendation","appropriationSubType":"Direct Appropriations","budgetTracking":{"data":[{"conference":167727025,"gaa":167727025,"house1":175064525,"houseFinal":166693720,"override":0,"senateFinal":167727025,"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":"Health & Human Services","govLevelThree":null,"lineItemNumber":"40000102","lineItemName":"Human Services Transportation Chargeback","lineItemLanguage":"For the cost of transportation services for health and human services clients and the operation of the health and human services transportation office
               Intragovernmental Services Fund                             ...............100%
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               Intragovernmental Services Fund                             ...............100%
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               Intragovernmental Services Fund                             ...............100%
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