The Department of Public Health seeks to maintain, protect, and improve the health and well-being of the citizens of the Commonwealth. The Department pursues this objective by working with communities to develop and implement public health interventions that address a variety of health problems, such as AIDS, sexually-transmitted diseases, substance abuse, premature births, and childhood lead poisoning. To promote prevention, the Department also provides a variety of health promotion and education programs. The Department also operates the Lemuel Shattuck Hospital, the Massachusetts Hospital School, Tewksbury Hospital, and Western Massachusetts Hospital. These institutions provide acute and chronic care to individuals who are unable to obtain appropriate services from private health care providers.

In Fiscal Year 2000, the Department will continue to emphasize and enhance a system of preventive and primary care in community settings. This will include continued efforts to decrease infant mortality and ensure that families lead healthy lives that will put them at reduced risk for chronic diseases such as cancer, heart disease, and diabetes. The Early Intervention program will provide comprehensive, family-centered, community-based services to over 19,000 children with developmental disabilities or delays including providing high intensity services for children with autism and those who are visually impaired. The Women, Infants, and Children (WIC) supplemental nutrition program will serve over 130,000 women and children with, or at risk of developing, nutrition-related health problems. In addition, the Department of Public Health will:

• begin providing vaccinations against the Rotavirus infection for infants under the age of one;

• implement a statewide universal hearing screening program for newborns to allow for earlier detection of hearing problems that may cause developmental delays if undetected in early childhood;

• expand prevention, awareness outreach, and intervention services to non-English speaking victims of domestic violence, and collaborate with the Department of Education to help prevent teen dating violence;

• expand services provided through the batterers treatment program;

• implement FIRSTLink, a statewide database that will provide pertinent information on newborn infants and refer high-risk infants to the appropriate community-based primary care providers for services; and

• participate in the federal Health Resources and Services Administration rebate program in order to secure additional funding for the HIV/AIDS Drug Assistance Program in order to allow more individuals to benefit from new medication therapies.

These budget recommendations provide additional funding for the following programs: $800,000 for the HIV/AIDS Drug Assistance Program (4512-0106); $2.6 million for the Early Intervention program (4513-1020); $710,000 for community-based domestic violence prevention programs, specifically for specialized services to non-English speaking victims of domestic violence (4513-1022); $1.5 million for the Newborn Hearing Screening program (4513-1023); $4 million for the Universal Immunization program (4580-1000); $524,600 for the Radiation Monitoring program (4510-0615); and $136,000 for the batterer’s treatment program (4513-1001). Additionally, these recommendations include $1.1 million to improve salaries for the Department’s lowest paid, contracted, direct care workers. In Fiscal Year 1999, this funding was appropriated as part of a reserve account in the Executive Office of Administration and Finance.

In order to promote administrative efficiency, these recommendations propose consolidation of three, single-subsidiary, administrative accounts (4510-0103, 4510-0104, and 4510-0105) within the Department’s main administrative account (4510-0100). In addition, expenditures for worker’s compensation, pension, and health insurance employee benefits will also be transferred to the consolidated administrative account (4510-0100) from the following public hospital accounts: $233,065 from the Hospital Bureau account (4590-0908); $1,283,969 from the Tewksbury Hospital account (4590-0909); $381,929 from the Massachusetts Hospital School account (4590-0910); $850,964 from the Lemuel Shattuck Hospital account (4590-0911); and $199,284 from the Western Massachusetts Hospital account (4590-0912). Additionally, $350,000 will be transferred to the batterers treatment program (4513-1001) and $570,00 to the community-based domestic violence prevention programs (4513-1022) from the Executive Office of Health and Human Services domestic violence prevention reserve (4000-0107).

Budgetary Direct Appropriations

DEPARTMENT OF PUBLIC HEALTH ADMINISTRATION
4510-0100	For the administration of the department of public health; provided, that the position of assistant commissioner shall not be subject to chapter 31 of the General Laws	16,585,891

COMMUNITY AND OTHER HEALTH CENTERS OPERATIONAL GRANTS
4510-0110	For community health center services, including smoking cessation programs	1,112,238
	General Fund 50.12% Health Protection Fund 49.88%

MANAGED CARE AT COMMUNITY HEALTH CENTERS
4510-0150	For the managed care program at community health centers known as CenterCare, established pursuant to section 24F of chapter 111 of the General Laws	3,750,893

ENVIRONMENTAL HEALTH SERVICES
4510-0600	For an environmental and community health hazards program, including control of radiation and nuclear hazards, consumer products protection, food and drugs inspection, lead poisoning prevention in accordance with chapter 482 of the acts of 1993, lead-based paint inspections in day care facilities, inspection of radiological facilities, licensing of x-ray technologists, and the administration of the division of environmental epidemiology and toxicology for the purpose of implementing certain provisions of chapter 470 of the acts of 1983, the "Right-to-Know" law, so called	3,399,456

ENVIRONMENTAL MONITORING OF SEABROOK NUCLEAR POWER PLANT
4510-0617	For environmental monitoring of the nuclear power plant in Seabrook, New Hampshire, including a continuous real-time radiological monitoring system for Massachusetts cities and towns located within the emergency planning zone of said nuclear power plant; provided, that the cost of said monitoring, including any applicable fringe benefits and indirect costs, shall be assessed to electric companies in Massachusetts which own, in whole or in part, or purchase power from, the Seabrook nuclear power plant; provided further, that for the purposes of this item, electric companies shall be defined as all persons, firms, associations, and private corporations which own or operate works or distribute electricity in the commonwealth, but shall not include municipalities or municipal light plants	87,150

HEALTH FACILITIES LICENSURE
4510-0710	For the operation of the division of health care quality; provided, that said division shall be responsible for assuring the quality of patient care provided by the commonwealth`s health care facilities and services, and for protecting the health and safety of patients who receive care and services in nursing homes, rest homes, clinical laboratories, clinics, institutions for the mentally retarded and the mentally ill, hospitals, and infirmaries, including the inspection of ambulance services	5,757,580

DETERMINATION OF NEED PROGRAM
4510-0750	For the determination of need program established pursuant to section 25C of chapter 111 of the General Laws	147,776

REGIONAL EMERGENCY MEDICAL SERVICES
4510-0790	For regional emergency medical services; provided, that the regional emergency medical services councils and C-MEDs designated as such in accordance with 105 CMR 170.101 and the C-MED communications as of January 1, 1992, shall remain the designated councils and C-MEDs	400,000
	Local Aid Fund 100%

SEXUAL ASSAULT NURSE EXAMINERS PROGRAM
4510-0810	For the sexual assault nurse examiners program	200,000

ACQUIRED IMMUNE DEFICIENCY SYNDROME PREVENTION AND TREATMENT
4512-0103	For acquired immune deficiency syndrome prevention and treatment	51,666,531
	General Fund 93.27% Health Protection Fund 6.73%

RENTAL SUBSIDIES FOR PERSONS WITH AIDS
4512-0110	For rental housing subsidies to persons with acquired immune deficiency syndrome, for the purpose of preventing the institutionalization of such persons in acute hospitals, chronic hospitals, and nursing homes	118,800

DIVISION OF SUBSTANCE ABUSE SERVICES
4512-0200	For the operation of the division of substance abuse services	43,387,630
	General Fund 83.23% Health Protection Fund 16.77%

DENTAL HEALTH SERVICES
4512-0500	For dental health services provided in residential and community settings	1,321,537

FAMILY HEALTH SERVICES
4513-1000	For the operation of the division of family health services, including a program of maternal and child health, in addition to any federal funds received for this program; provided, that not less than $750,000 shall be expended for statewide programs that provide suicide prevention outreach to gay and lesbian youth	12,560,822
	General Fund 75.18% Health Protection Fund 24.82%

TREATMENT FOR INDIGENT BATTERERS
4513-1001	For certified batterer intervention programs to assist indigent batterers and their families	908,716

NUTRITIONAL SERVICES
4513-1002	For the operation of the office of nutritional services, including the women, infants, and children`s nutrition program, in addition to funds received under the federal WIC program, so called	14,636,871
	General Fund 87.03% Health Protection Fund 12.97%

HEALTHY START - MEDICAL SERVICES FOR PREGNANT WOMEN
4513-1005	For the healthy start program to provide medical care and assistance to pregnant women and infants residing in the commonwealth, pursuant to section 24D of chapter 111 of the General Laws; provided, that pursuant to an interdepartmental service agreement with the division of medical services, the department of public health shall determine the presumptive eligibility of low-income pregnant women for services available under Title XIX of the Social Security Act and chapter 118E of the General Laws	6,555,266
	General Fund 65.34% Health Protection Fund 34.66%

EARLY INTERVENTION SERVICES
4513-1020	For early intervention programs and services; provided, that the department shall make all reasonable efforts to secure third party and Medicaid reimbursements for the services funded herein	26,816,799
	General Fund 75.18% Health Protection Fund 24.82%

DOMESTIC VIOLENCE PREVENTION PROGRAMS
4513-1022	For community-based domestic violence prevention programs; provided, that not less than $710,000 shall be made available for community-based service providers to develop and deliver specialized services to non-English speaking victims of domestic violence, including but not limited to, interpreter services; provided further, that $450,000 shall be made available for the purpose of providing teen dating violence prevention and intervention services in collaboration with the department of education through an interdepartmental service agreement; and provided further, that $120,000 shall be made available for outreach and intervention services to homosexual male victims of domestic violence	1,280,000

UNIVERSAL NEWBORN HEARING SCREENING PROGRAM
4513-1023	For the newborn hearing screening program	1,315,492

OSTEOPOROSIS EDUCATION AND PREVENTION SERVICES
4513-1111	For an osteoporosis education and prevention program	502,638
	General Fund 64.61% Health Protection Fund 35.39%

PROSTATE CANCER PREVENTION, EDUCATION, AND TREATMENT
4513-1112	For a prostate cancer prevention, education, and treatment program	1,508,689

CENTER FOR LABORATORY AND COMMUNICABLE DISEASE CONTROL SERVICES
4516-1000	For the administration of the center for laboratory and communicable disease control services, including the division of communicable venereal diseases, the division of tuberculosis control, and the state laboratory institute	11,384,624

DRUG LABORATORY EQUIPMENT
4516-1003	For the purchase of equipment for the drug laboratory at the state laboratory institute	100,000
	Drug Analysis Fund 100%

OFFICE OF HEALTH STATISTICS AND ANALYSIS
4518-0100	For the operation of the office of health statistics, a cancer registry, and an occupational lung disease registry	1,180,321
	General Fund 64.25% Health Protection Fund 35.75%

TEENAGE PREGNANCY PREVENTION TECHNICAL ASSISTANCE AND PURCHASE OF SERVICES
4530-9000	For teenage pregnancy prevention services	4,421,370

EARLY BREAST CANCER DETECTION AND RESEARCH
4570-1500	For an early breast cancer detection program, mammographies for the uninsured, breast cancer research, and a breast cancer detection public awareness program	8,741,116
	General Fund 94.19% Health Protection Fund 5.81%

UNIVERSAL IMMUNIZATION PROGRAM
4580-1000	For the universal immunization program established pursuant to clause (iii) of section 24F of chapter 111 of the General Laws	20,849,048

MEDICAL RESPITE SERVICES FOR THE HOMELESS
4580-1230	For medical respite services provided by the Boston health care for the homeless program established pursuant to clause (iv) of section 24F of chapter 111 of the General Laws	300,000

SMOKING PREVENTION AND CESSATION PROGRAMS
4590-0300	For the smoking prevention and cessation program established pursuant to chapter 254 of the acts of 1992; provided, that not less than $4,314,662 shall be allocated from this item to the executive office of public safety to administer a discretionary grant program for city and town drug awareness and resistance education programs, to be known as DARE programs, which shall include information about the health risks of cigarette smoking and shall involve the participation of local and state police officers, subject to the supervision of the department of public health; provided further, that priority shall be given to funding programs in communities with high smoking rates among women; provided further, that not less than $13,806,919 shall be allocated from this item to the department of education for grants to cities, towns, and regional school districts for comprehensive health education programs, including education on smoking prevention; provided further, that funds distributed pursuant to the preceding clause shall be deposited with the treasurer of any such city, town, or regional school district, held in a separate account, and expended without further appropriation by the school committee; and provided further, that not less than $5,000,000 shall be expended for the student awareness of fire education program, to be known as the SAFE program	55,832,663
	Health Protection Fund 100%

CHILDREN`S MEDICAL SECURITY PLAN
4590-0906	For the children`s medical security plan to provide primary and preventive health services for uninsured children from birth through age 18, pursuant to section 24G of chapter 111 of the General Laws	13,219,837
	General Fund 76.62% Children`s and Seniors` Health Care Assistance Fund 23.38%

HOSPITAL BUREAU
4590-0908	For the maintenance and operation of the hospital bureau, including the consolidated pharmacy unit, so called	4,922,042

TEWKSBURY STATE HOSPITAL
4590-0909	For the maintenance and operation of the Tewksbury state hospital, including capital repair and maintenance and motor vehicle replacement; provided, that all revenue generated by said hospital shall be credited to the General Fund	40,173,882

MASSACHUSETTS HOSPITAL SCHOOL
4590-0910	For the maintenance and operation of the Massachusetts hospital school, including capital repair and maintenance and motor vehicle replacement; provided, that all revenue generated by said school shall be credited to the General Fund	12,770,816

LEMUEL SHATTUCK HOSPITAL
4590-0911	For the maintenance and operation of the Lemuel Shattuck hospital, including capital repair and maintenance and motor vehicle replacement; provided, that all revenue generated by said hospital shall be credited to the General Fund	45,123,709

Budgetary Retained Revenues

NUCLEAR POWER REACTOR MONITORING RETAINED REVENUE
4510-0615	The department of public health is hereby authorized to expend an amount not to exceed $150,000 from assessments collected in accordance with section 5K of chapter 111 of the General Laws for services provided to monitor, survey, and inspect nuclear power reactors; provided, that the department is hereby further authorized to expend an amount not to exceed $1,282,930 from fees collected from licensing and inspecting users of radioactive material within the commonwealth under licenses presently issued by the Nuclear Regulatory Commission, for the purpose of said licensing and inspections; and provided further, that notwithstanding the provisions of any general or special law to the contrary, for the purpose of accommodating timing discrepancies between the receipt of retained revenues and related expenditures, the department 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 therefor as reported in the state accounting system	1,432,930

PRESCRIPTION DRUG REGISTRATION AND MONITORING RETAINED REVENUE
4510-0616	The department of public health is hereby authorized to expend for the purposes of a drug registration and monitoring program an amount not to exceed $559,242 from fees for controlled substance registration charged to registered practitioners, including physicians, dentists, veterinarians, and podiatrists; provided, that notwithstanding the provisions of any general or special law to the contrary, for the purpose of accommodating timing discrepancies between the receipt of retained revenues and related expenditures, the department 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 therefor as reported in the state accounting system	559,242

HEALTH FACILITIES LICENSURE RETAINED REVENUE
4510-0712	The department of public health is hereby authorized to expend for program costs of the division of health care quality an amount not to exceed $497,942 in revenues collected from the licensure of health facilities and an amount not to exceed $800,000 from revenues collected from individuals applying for emergency medical technician licensure and re-certification; provided, that notwithstanding the provisions of any general or special law to the contrary, for the purpose of accommodating timing discrepancies between the receipt of retained revenues and related expenditures, the department 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 therefor as reported in the state accounting system	1,297,942

HIV/AIDS DRUG ASSISTANCE REBATES RETAINED REVENUE
4512-0106	The department of public health is hereby authorized to expend for the HIV/AIDS drug assistance program an amount not to exceed $800,000 from revenues collected from pharmaceutical manufacturers participating in the section 340B rebate program, so called, administered by the federal Health Resources and Services Administration and Office of Drug Pricing	800,000

GAMBLERS` TREATMENT RETAINED REVENUE
4512-0225	The department of public health is hereby authorized to expend for a compulsive gamblers` treatment program an amount not to exceed $1,000,000 from unclaimed prize money held in the State Lottery Fund for more than one year from the date of the drawing when said unclaimed prize money was won, and from the proceeds of a multi-jurisdictional lottery game pursuant to subsection (e) of section 24A of chapter 10 of the General Laws; provided, that the state comptroller is hereby authorized and directed to transfer said amount from the State Lottery Fund to the General Fund	1,000,000

EARLY INTERVENTION SERVICES RETAINED REVENUE
4513-1010	The department of public health is hereby authorized to expend for early intervention services delivered to Medicaid-eligible children by developmental educators and related disciplines an amount not to exceed $3,700,050 in revenues received as federal financial participation for said services	3,700,050

MILK AND INFANT FORMULA PRICE ENHANCEMENT RETAINED REVENUE
4513-1012	The department of public health is hereby authorized to expend for the purpose of increasing the caseload of the WIC program, so called, an amount not to exceed $22,800,000 in revenues received from the federal cost-containment initiatives, including but not limited to, infant formula rebates and northeast dairy compact reimbursements	22,800,000

BLOOD LEAD TESTING RETAINED REVENUE
4516-0263	The department of public health is hereby authorized to expend an amount not to exceed $1,550,259 in revenues from various blood lead testing fees collected from insurers and individuals, for the purpose of conducting such tests; provided, that notwithstanding the provisions of any general or special law to the contrary, for the purpose of accommodating timing discrepancies between the receipt of retained revenues and related expenditures, the department 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 therefor as reported in the state accounting system	1,550,259

HEALTH STATISTICS - VITAL RECORDS RETAINED REVENUE
4518-0200	The department of public health is hereby authorized to expend for all program costs of the registry of vital records an amount not to exceed $242,500 from fees collected for amendments of vital records by the registrar of vital records and statistics, requests for vital records not issued in person at the offices of the registry of vital records, and research requests performed by registry staff at the registry of vital records; provided, that notwithstanding the provisions of any general or special law to the contrary, for the purpose of accommodating timing discrepancies between the receipt of retained revenues and related expenditures, the department 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 therefor as reported in the state accounting system	242,500

WESTERN MASSACHUSETTS HOSPITAL RETAINED REVENUE
4590-0912	The department of public health is hereby authorized to expend for the maintenance and operation of the western Massachusetts hospital, including capital repair and maintenance and motor vehicle replacement, an amount not to exceed $12,055,041 from reimbursements collected for western Massachusetts hospital services; provided, that notwithstanding the provisions of any general or special law to the contrary, said hospital shall be eligible to receive and retain full reimbursement from Medicaid; provided further, that notwithstanding the provisions of any general or special law to the contrary, said hospital shall reimburse the General Fund for a portion of employee benefit expenses, according to a schedule submitted by the commissioner of public health and approved by the secretary of administration and finance; provided further, that such reimbursement shall not exceed 10 per cent of total personnel costs for said hospital; and provided further, that notwithstanding the provisions of any general or special law to the contrary, for the purpose of accommodating timing discrepancies between the receipt of retained revenues and related expenditures, the department 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 therefor as reported in the state accounting system	12,055,041

MEDICAL SERVICES FOR HOUSE OF CORRECTION INMATES RETAINED REVENUE
4590-0913	The department of public health is hereby authorized to expend for medical services an amount not to exceed $600,000 from payments received for medical services provided at the Lemuel Shattuck hospital to inmates of county correctional facilities	600,000

Intragovernmental Service Spending

CONSOLIDATED PUBLIC HEALTH HOSPITALS INTRAGOVERNMENTAL CHARGEBACK
4590-0901	For the costs of medical services provided at public health hospitals; provided, that expenditures from this item shall be for hospital-related costs, including but not limited to, capital repair and maintenance and motor vehicle replacement; provided further, that notwithstanding the provisions of any general or special law to the contrary, for the purpose of accommodating timing discrepancies between the receipt of retained revenues and related expenditures, the department 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 therefor as reported in the state accounting system	150,000
	Intragovernmental Service Fund 100%

MEDICAL SERVICES FOR COUNTY CORRECTIONS INMATES INTRAGOVERNMENTAL CHARGEBACK
4590-0903	For the costs of medical services provided at the department of public health Lemuel Shattuck hospital to inmates of county correctional facilities; provided, that said costs shall be charged to items 0350-0500, 0350-0600, 0350-0700, 0350-0800, 0350-0900, 0350-1400, and 8910-0010 pursuant to the provisions thereof; provided further, that expenditures from this item shall be for hospital-related costs, including but not limited to, capital repair and maintenance and motor vehicle replacement; and provided further, that notwithstanding the provisions of any general or special law to the contrary, for the purpose of accommodating timing discrepancies between the receipt of retained revenues and related expenditures, the department 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 therefor as reported in the state accounting system	2,200,000
	Intragovernmental Service Fund 100%

Federal Grant Spending

PREVENTIVE HEALTH SERVICES BLOCK GRANT
4500-1000	For the purposes of a federally funded grant entitled, Preventive Health Services Block Grant	5,803,813

MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT
4500-2000	For the purposes of a federally funded grant entitled, Maternal and Child Health Services Block Grant	13,730,366

COOPERATIVE HEALTH STATISTICS SYSTEM
4502-1012	For the purposes of a federally funded grant entitled, Cooperative Health Statistics System	439,700

STATE LOAN REPAYMENT PROJECT
4510-0109	For the purposes of a federally funded grant entitled, State Loan Repayment Project	77,125

OFFICE OF RURAL HEALTH
4510-0113	For the purposes of a federally funded grant entitled, Office of Rural Health	52,000

PRIMARY CARE COOPERATIVE AGREEMENT
4510-0118	For the purposes of a federally funded grant entitled, Primary Care Cooperative Agreement	103,247

MEDICARE AND MEDICAID SURVEY AND CERTIFICATION
4510-0400	For the purposes of a federally funded grant entitled, Medicare and Medicaid Survey and Certification	5,940,698

CLINICAL LABORATORY IMPROVEMENT AMENDMENTS
4510-0500	For the purposes of a federally funded grant entitled, Clinical Laboratory Improvement Amendments	468,265

FDA INSPECTION OF FOOD ESTABLISHMENTS
4510-0619	For the purposes of a federally funded grant entitled, FDA Inspection of Food Establishments	93,400

CHILDHOOD LEAD PAINT POISONING PREVENTION
4510-0636	For the purposes of a federally funded grant entitled, Childhood Lead Paint Poisoning Prevention	1,171,295

MAMMOGRAPHY QUALITY STANDARDS ACT INSPECTIONS
4510-9014	For the purposes of a federally funded grant entitled, Mammography Quality Standards Act Inspections	235,692

ENVIRONMENTAL MONITORING PROGRAM
4510-9019	For the purposes of a federally funded grant entitled, Environmental Monitoring Program	50,644

DIABETES CONTROL PROGRAM
4510-9040	For the purposes of a federally funded grant entitled, Diabetes Control Program	750,000

DEMONSTRATION PROGRAM TO CONDUCT TOXIC WASTE SITE HEALTH IMPACT ASSESSMENTS
4510-9043	For the purposes of a federally funded grant entitled, Demonstration Program to Conduct Toxic Waste Site Health Impact Assessments	666,909

INDOOR RADON DEVELOPMENT PROGRAM
4510-9048	For the purposes of a federally funded grant entitled, Indoor Radon Development Program	147,495

SEXUALLY TRANSMITTED DISEASE CONTROL
4512-0102	For the purposes of a federally funded grant entitled, Sexually Transmitted Disease Control	927,227

VACCINATION ASSISTANCE PROJECT
4512-0179	For the purposes of a federally funded grant entitled, Vaccination Assistance Project	4,748,404

EPIDEMIOLOGY AND LAB SURVEILLANCE
4512-0180	For the purposes of a federally funded grant entitled, Epidemiology and Lab Surveillance	319,336

TREATMENT OUTCOME STUDY
4512-9030	For the purposes of a federally funded grant entitled, Treatment Outcome Study	365,636

MASSCALL: MASS COLLABORATIVE FOR ACTION
4512-9040	For the purposes of a federally funded grant entitled, Masscall: Mass Collaborative For Action	3,000,000

UNIFORM ALCOHOL AND DRUG ABUSE DATA COLLECTION
4512-9426	For the purposes of a federally funded grant entitled, Uniform Alcohol and Drug Abuse Data Collection	137,722

HIV, STD, AND TB RISK REDUCTION
4512-9429	For the purposes of a federally funded grant entitled, HIV, STD, and TB Risk Reduction	379,071

SUPPORTIVE HOUSING
4513-0110	For the purposes of a federally funded grant entitled, Supportive Housing	670,000

HOUSING OPPORTUNITIES - PEOPLE WITH AIDS
4513-0111	For the purposes of a federally funded grant entitled, Housing Opportunities - People with AIDS	758,621

NUTRITIONAL STATUS OF WOMEN, INFANTS, AND CHILDREN (WIC)
4513-9007	For the purposes of a federally funded grant entitled, Nutritional Status of Women, Infants, and Children (WIC)	57,300,724

AUGMENTATION AND EVALUATION OF ESTABLISHED HEALTH EDUCATION - RISK REDUCTION
4513-9018	For the purposes of a federally funded grant entitled, Augmentation and Evaluation of Established Health Education - Risk Reduction	8,016,741

PROGRAM FOR INFANTS AND TODDLERS WITH HANDICAPS
4513-9021	For the purposes of a federally funded grant entitled, Program for Infants and Toddlers with Handicaps	8,818,112

PREVENTION DISABILITY STATE-BASED PROJECT
4513-9022	For the purposes of a federally funded grant entitled, Prevention Disability State-Based Project	350,000

MASSCARE - COMMUNITY AIDS RESOURCE ENHANCEMENT
4513-9027	For the purposes of a federally funded grant entitled, MassCare - Community AIDS Resource Enhancement	683,889

PLANNING A COMPREHENSIVE PRIMARY CARE SYSTEM FOR ALL MASS CHILDREN AND YOUTH
4513-9030	For the purposes of a federally funded grant entitled, Planning a Comprehensive Primary Care System for All Mass Children and Youth	25,000

EMERGENCY MEDICAL SERVICES FOR CHILDREN - IMPROVEMENT AND EXPANSION
4513-9031	For the purposes of a federally funded grant entitled, Emergency Medical Services for Children - Improvement and Expansion	150,000

AIDS SURVEILLANCE AND SEROPREVALENCE PROJECT
4513-9035	For the purposes of a federally funded grant entitled, AIDS Surveillance and Seroprevalence Project	818,207

RYAN WHITE COMPREHENSIVE AIDS RESOURCES
4513-9037	For the purposes of a federally funded grant entitled, Ryan White Comprehensive AIDS Resources	7,916,831

SHELTER PLUS CARE - WORCESTER
4513-9038	For the purposes of a federally funded grant entitled, Shelter Plus Care - Worcester	159,000

MASSACHUSETTS WOMEN`S HIV ADVOCACY PROJECT
4513-9045	For the purposes of a federally funded grant entitled, Massachusetts Women`s HIV Advocacy Project	75,000

CONGENITAL ANOMALIES CENTER OF EXCELLENCE
4513-9046	For the purposes of a federally funded grant entitled, Congenital Anomalies Center of Excellence	964,019

FIRSTLINK COMMUNITY ORGANIZATION PROJECT
4513-9047	For the purposes of a federally funded grant entitled, FirstLink Community Organization Project	55,000

MASSACHUSETTS INITIATIVE FOR YOUTH WITH DISABILITY
4513-9048	For the purposes of a federally funded grant entitled, Massachusetts Initiative for Youth with Disability	189,395

FIRSTLINK DATA UTILIZATION ENHANCEMENT
4513-9049	For the purposes of a federally funded grant entitled, FirstLink Data Utilization Enhancement	50,000

MAX CARE: MAXIMIZING CHILDREN`S HEALTH AND SAFETY IN CHILD CARE
4513-9050	For the purposes of a federally funded grant entitled, Max Care: Maximizing Children`s Health and Safety in Child Care	50,000

RURAL DOMESTIC VIOLENCE AND CHILD VICTIMIZATION PROJECT
4513-9051	For the purposes of a federally funded grant entitled, Rural Domestic Violence and Child Victimization Project	244,632

DISABLED ADULTS WITH SECONDARY CONDITIONS
4513-9055	For the purposes of a federally funded grant entitled, Disabled Adults With Secondary Conditions	103,008

PREGNANCY/PEDIATRIC NUTRITION SURVEILLANCE
4513-9056	For the purposes of a federally funded grant entitled, Pregnancy/Pediatric Nutrition Surveillance	42,227

SURVEILLANCE OF HEMOPHILIA COMPLICATIONS
4513-9057	For the purposes of a federally funded grant entitled, Surveillance of Hemophilia Complications	129,528

WOMEN ABUSE TRACKING CLINICS AND HOSPITALS
4513-9058	For the purposes of a federally funded grant entitled, Women Abuse Tracking Clinics and Hospitals	274,375

CONGENITAL ANOMALIES SURVEILLANCE SYSTEM
4513-9059	For the purposes of a federally funded grant entitled, Congenital Anomalies Surveillance System	7,500

RESIDENTIAL FIRE INJURY PREVENTION - MASS INJURY INTERVENTION AND SURVEILLANCE
4513-9060	For the purposes of a federally funded grant entitled, Residential Fire Injury Prevention - Mass Injury Intervention and Surveillance	182,080

ABSTINENCE EDUCATION PROJECT
4513-9061	For the purposes of a federally funded grant entitled, Abstinence Education Project	739,012

HEALTH PROGRAM FOR REFUGEES
4515-0113	For the purposes of a federally funded grant entitled, Health Program for Refugees	167,008

TUBERCULOSIS CONTROL PROJECT
4515-0115	For the purposes of a federally funded grant entitled, Tuberculosis Control Project	2,837,921

STD/HIV PREVENTION TRAINING CENTERS
4515-0200	For the purposes of a federally funded grant entitled, STD/HIV Prevention Training Centers	355,660

STD PREVENTION/MANAGED CARE SETTINGS
4515-0201	For the purposes of a federally funded grant entitled, STD Prevention/Managed Care Settings	165,346

TRAINING NETWORK GRANT
4516-1015	For the purposes of a federally funded grant entitled, Training Network Grant	10,000

LYME DISEASE RESEARCH AND EDUCATION
4516-1018	For the purposes of a federally funded grant entitled, Lyme Disease Research and Education	169,032

STATE INJURY INTERVENTION AND SURVEILLANCE
4518-0136	For the purposes of a federally funded grant entitled, State Injury Intervention and Surveillance	258,517

NATIONAL PROGRAM OF CANCER REGISTRIES
4518-0500	For the purposes of a federally funded grant entitled, National Program of Cancer Registries	723,529

BEHAVIORAL RISK FACTOR SURVEILLANCE
4518-0510	For the purposes of a federally funded grant entitled, Behavioral Risk Factor Surveillance	90,313

YOUTH WORKER HEALTH AND SAFETY ENHANCEMENT
4518-0515	For the purposes of a federally funded grant entitled, Youth Worker Health and Safety Enhancement	167,285

STATE ASSESSMENT INITIATIVES SUPPORT BY COOPERATIVE AGREEMENTS
4518-0530	For the purposes of a federally funded grant entitled, State Assessment Initiatives Support by Cooperative Agreements	219,024

PROCUREMENT OF INFORMATION FOR THE NATIONAL DEATH INDEX
4518-1000	For the purposes of a federally funded grant entitled, Procurement of Information for the National Death Index	29,176

MASSACHUSETTS DEATH FILE - SOCIAL SECURITY ADMINISTRATION
4518-1002	For the purposes of a federally funded grant entitled, Massachusetts Death File - Social Security Administration	137,650

MASSACHUSETTS BIRTH RECORDS - SOCIAL SECURITY ADMINISTRATION
4518-1003	For the purposes of a federally funded grant entitled, Massachusetts Birth Records - Social Security Administration	183,303

SENTINEL EVENT NOTIFICATION SYSTEM FOR OCCUPATIONAL RISKS
4518-9022	For the purposes of a federally funded grant entitled, Sentinel Event Notification System for Occupational Risks	242,756

CENSUS OF FATAL OCCUPATIONAL INJURIES
4518-9023	For the purposes of a federally funded grant entitled, Census of Fatal Occupational Injuries	32,000

FATALITY SURVEILLANCE AND FIELD INVESTIGATIONS
4518-9025	For the purposes of a federally funded grant entitled, Fatality Surveillance and Field Investigations	125,466

COMPREHENSIVE BREAST AND CERVICAL CANCER EARLY DETECTION PROGRAM
4570-1503	For the purposes of a federally funded grant entitled, Comprehensive Breast and Cervical Cancer Early Detection Program	4,270,605

NATIONAL COMPREHENSIVE CANCER CONTROL
4570-1506	For the purposes of a federally funded grant entitled, National Comprehensive Cancer Control	326,204

NEWCOMER WOMEN`S HEALTH PLANNING
4570-1600	For the purposes of a federally funded grant entitled, Newcomer Women`s Health Planning	4,000

AMERICAN STOP SMOKING INTERVENTION STUDY
4590-0302	For the purposes of a federally funded grant entitled, American Stop Smoking Intervention Study	2,195,436

TOBACCO SALES RETAIL COMPLIANCE
4590-0303	For the purposes of a federally funded grant entitled, Tobacco Sales Retail Compliance	333,815

Trust and Other Spending

4510-0606

UREA FORMALDEHYDE FOAM INSULATION FOR HOMEOWNERS

69,500

4510-0622

RADIATION CONTROL TRUST

378,953

4510-0635

LEAD PAINT EDUCATION AND TRAINING

2,206,743

4510-6921

ORGAN TRANSPLANT FUND

180,000

4512-0105

MASSACHUSETTS AIDS FUND

499,000

4512-9410

SHARE REVOLVING LOAN FUND

20,000

4516-1212

VACCINE EXCISE TAX - STATE

394,936