4512-0200 Bureau of Substance Addiction Services

For the bureau of substance addiction services, including a program to reimburse driver alcohol education programs for services provided for court--adjudicated, indigent clients; provided, that the department of public health shall ensure that vendors providing methadone treatment shall seek third--party reimbursement for such services; provided further, that in order to support and strengthen public access to substance use disorder services, funds shall be expended to maintain programming including, but not limited to: (i) centralized intake capacity service under section 18 of chapter 17 of the General Laws; (ii) the number and type of facilities that provide treatment; and (iii) detoxification and clinical stabilization service beds in the public system; provided further, that not less than $10,000,000 shall be expended for low--threshold housing, employing a "Housing First" model, for homeless individuals with substance use and mental health disorders at risk of HIV; provided further, that funds shall be expended to preserve and expand the programs currently funded by the Massachusetts Access to Recovery, or MA--ATR, program; provided further, that funds shall be expended to support the operations of recovery centers funded by the department, including centers that serve gateway municipalities as defined under section 3A of chapter 23A of the General Laws; provided further, that funds shall be expended for the extended release of naltrexone program under section 158 of chapter 46 of the acts of 2015; provided further, that funds shall be expended for a statewide program to improve training for the care of newborns with neonatal abstinence syndrome at hospital--based facilities that care for mothers and newborns, including the 10 level III neonatal intensive care units; provided further, that under section 236 of chapter 111 of the General Laws, the department shall enhance data--sharing capabilities and collaborate across agencies to ensure coordination of services for newborns with neonatal abstinence syndrome; provided further, that funds shall be expended to support municipalities utilizing grant funds from the Massachusetts Opioid Abuse Prevention Collaborative (MOAPC) grant program; provided further, that funds shall be expended for a voluntary training and accreditation program for owners and operators of alcohol and drug--free housing under section 18A of said chapter 17; provided further, that funds shall be expended on MassAbility through an interagency service agreement with the bureau to support workforce development; provided further, that funds shall be expended for outpatient and mobile services for deaf/hard of hearing, and deaf/hard of hearing/blind individuals with substance use disorders; provided further, that funds shall be expended for the bureau to address the addiction treatment workforce crisis through outreach and recruitment efforts at local and regional educational institutions and vocational--technical high schools; provided further, that not less than $460,000 shall be expended to the Boston Public Health Commission for an additional 30 Transitional Support Services (TSS) and Clinical Stabilization Services (CSS) beds for up to 60 days to cover shortages; provided further, that 20 of said beds shall be for women and 10 of said beds for men; provided further, that funds shall be expended for substance use disorder step--down recovery services, known as level--B beds and services, and other critical recovery services with severely reduced capacity; provided further, that said funds shall be expended in the AA object class; provided further, that funds shall be expended for jail diversion programs primarily for nonviolent offenders with opioid or opiate addiction to be procured by the department of public health; provided further, that each jail diversion program shall have not fewer than 60 beds and shall provide clinical assessment services to the respective courts, inpatient treatment for not more than 90 days and ongoing case management services for not more than 1 year; provided further, that individuals may be diverted to this or other programs by a district attorney in conjunction with the commissioner of probation if: (a) there is reason to believe that the individual being diverted suffers from an addiction to opiates or another substance use disorder; and (b) the diversion of the individual is clinically appropriate and consistent with established clinical and public safety criteria; provided further, that programs shall be established in separate counties in locations deemed suitable by the department of public health; provided further, that the department shall coordinate operations with the sheriffs, the district attorneys, the commissioner of probation and the department of correction; provided further, that funds shall be used to support the ongoing treatment needs of clients after 90 days for which there is no other payer; provided further that not less than $35,000 shall be expended to the city of Lynn for the Lynn police department's behavioral health unit; provided further, that not less than $50,000 shall be expended to Community Servings for the purposes of providing medically tailored meals to persons battling chronic illnesses and workforce training programs to those recovering from addiction; provided further, that not less than $25,000 shall be expended to the Merrimack Valley Prevention and Substance Abuse Project, Inc., for resources, community outreach and programs in the Merrimack Valley; provided further, that not less than $200,000 shall be expended to the operation of The Dimock Center's Behavioral Health continuum of care to provide comprehensive treatment for individuals suffering from substance use disorder and other behavioral health challenges, address workforce challenges and reduce barriers to care; provided further, that not less than $100,000 shall be expended to the operation of the Gavin Foundation's behavioral health continuum of substance use care to provide comprehensive treatment for individuals suffering from substance use disorder and other behavioral health challenges; provided further, that not less than $200,000 shall be expended to the Joseph Nee Collaborative Center for substance use disorder programming; provided further, that funds shall be expended for family intervention and care management services programs, a young adult treatment program and early intervention services for individuals who are dependent on or addicted to alcohol, controlled substances or both alcohol and controlled substances; provided further, that funds shall be expended for supportive case management services; provided further, that funds shall be expended to increase the number of residential rehabilitation services, with priority given to families, youth, transitional age youth and young adults; provided further, that funds shall be expended for the bureau to provide technical assistance and training to increase the number of providers and to support existing providers delivering culturally, ethnically and linguistically diverse services in communities of color; provided further, that funds shall be expended for a program to support multidisciplinary, team--based substance use services for adults with severe and persistent substance use disorder; provided further, that the program shall: (a) include a team--based approach to service delivery that tailors services to the specific needs and acuity of each individual; (b) provide substance use and social services through a person--centered approach; and (c) not limit program services to a specific physical location; provided further, that funds shall be expended to procure additional family supportive housing programs across the commonwealth; provided further, that funds shall be expended to address the addiction treatment workforce crisis through outreach and recruitment efforts and support to complete trainings and continuing education curriculum; provided further, that not less than $1,500,000 shall be expended to expand and develop the state's licensed alcohol and drug counselor workforce; provided further, that not less than $1,000,000 shall be expended for the purchase and distribution of naloxone; provided further, that not less than $125,000 shall be expended for a pilot program of public health--informed substance use disorder treatment services for individuals under supervision of the parole board, to be administered in consultation with the executive office of public safety and security; provided further, that the bureau shall contract with a community--based behavioral health provider to oversee and operationalize the pilot program; provided further, that not less than $50,000 shall be expended for The Serenity House, Inc.; provided further, that not less than $250,000 shall be expended to Boston Health Care for the Homeless Program, Inc. in the South End and Roxbury sections of the city of Boston for direct care workers providing health care treatment services for individuals and families experiencing homelessness and mental health and substance use disorders in and around the intersection of Massachusetts avenue and Melnea Cass boulevard and the surrounding impact areas; provided further, that not less than $250,000 shall be expended to the Boston Medical Center Corporation in the South End section of the city of Boston for direct care workers providing health care treatment services for those experiencing mental health and substance use disorders in and around the intersection of Massachusetts avenue and Melnea Cass boulevard and the surrounding impact areas; and provided further, that funds may be expended to implement the recommendations of the South End/Roxbury/Newmarket Working Group on Addiction and Recovery to address the public health and safety crisis at the intersection of Massachusetts avenue and Melnea Cass boulevard and the surrounding impact areas in collaboration with the city of Boston

	General Fund	...............	16.03%
	Marijuana Regulation Fund	...............	83.97%