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| Health and Human Services |
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FISCAL YEAR 2006 RESOURCE SUMMARY ($000)
| DEPARTMENT |
FY 2006
Budgetary
Recommendations |
FY 2006
Federal, Trust,
and ISF |
FY 2006
Total
Spending |
FY 2006
Budgetary
Non-Tax Revenue |
|
| Executive Office of Health and Human Services |
4,769,610 |
83,641 |
4,853,251 |
2,766,918 |
| Department of Elder Affairs |
2,182,393 |
42,219 |
2,224,612 |
946,842 |
| Division of Health Care Finance and Policy |
12,530 |
0 |
12,530 |
12,858 |
| Department of Public Health |
412,165 |
230,850 |
643,015 |
130,676 |
| Department of Mental Health |
619,852 |
22,938 |
642,790 |
107,141 |
| Office for Refugees and Immigrants |
0 |
12,216 |
12,216 |
0 |
| Children's Trust Fund |
6,953 |
555 |
7,508 |
0 |
| Department of Youth Services |
144,336 |
356 |
144,693 |
5,750 |
| Department of Transitional Assistance |
810,579 |
9,387 |
819,966 |
415,871 |
| Department of Social Services |
731,106 |
17,224 |
748,330 |
237,882 |
| Massachusetts Commission for the Blind |
26,754 |
8,577 |
35,331 |
3,280 |
| Massachusetts Rehabilitation Commission |
38,222 |
94,440 |
132,661 |
4,485 |
| Massachusetts Commission for the Deaf and Hard of Hearing |
5,548 |
555 |
6,103 |
358 |
| Soldiers' Home in Massachusetts |
23,808 |
0 |
23,808 |
11,096 |
| Soldiers' Home in Holyoke |
18,267 |
0 |
18,267 |
13,100 |
| Department of Mental Retardation |
1,122,137 |
12,890 |
1,135,028 |
423,271 |
| Department of Veterans' Services |
34,888 |
432 |
35,320 |
326 |
|
| TOTAL |
10,959,148 |
536,282 |
11,495,431 |
5,079,855 |
| | |
| Executive Office of Health and Human Services |
4,853,251,268 |
| |
| |
| Budgetary Direct Appropriations |
4,769,610,404 |
| Direct Appropriations |
|
| |
| Executive Office of Health and Human Services and Medicaid Administration |
|
| 4000-0300 |
For the operation of the executive office, 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 monitor the expenditures and completion timetables for systems development projects and enhancements undertaken by all agencies under the purview of the secretariat and shall ensure that all measures are taken to make such systems compatible with one another for enhanced interagency interaction; provided further, that the executive office shall continue to develop and implement the common client identifier; provided further, that funds appropriated herein shall be expended for the administrative, contracted services, and non-personnel systems costs related to the implementation and operation of programs authorized by sections 9A, 9B, 9C, 16B, and 16C of chapter 118E of the General Laws; provided further, that in consultation with the division of health care finance and policy, no rate increase shall be provided to existing Medicaid provider rates without taking all measures possible under Title XIX of the Social Security Act to ensure that rates of payment to providers do not exceed such rates as are necessary to meet only those costs which must be incurred by efficiently and economically operated providers in order to provide services of adequate quality; provided further, that expenditures for the purposes of each item appropriated for the purpose of programs authorized by chapter 118E of the General Laws shall be accounted for according to such purpose on the Massachusetts management accounting and reporting system not more than 10 days after such expenditures have been made by the Medicaid management information system; provided further, that no expenditures shall be made for the purpose of such programs authorized by said chapter 118E that are not federally reimbursable, except as specifically authorized herein, or unless made for cost containment efforts the purposes and amounts of which have been submitted to the house and senate committees on ways and means 30 days prior to making such expenditures; 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 no funds shall be expended for the purpose of funding 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 interpretive services currently provided shall not give rise to enforceable legal rights for any party or to an enforceable entitlement to interpretive services; provided further, that the federal financial participation received from claims filed for the costs of outreach and eligibility activities performed at certain hospitals or by community health centers which are funded in whole or in part by federally permissible in-kind services or provider donations from the hospitals or health centers, shall be credited to this item and may be expended without further appropriation in an amount specified in the agreement with each donating provider hospital or health center; provided further, that the federal financial participation received from claims filed based on in-kind administrative services related to outreach and eligibility activities performed by certain community organizations, under the so-called "covering kids initiative" and in accordance with the federal revenue criteria in 45 CFR 74.23 or any other federal regulation which provides a basis for federal financial participation, shall be credited to this item and may be expended, without further appropriation, on administrative services including those covered under an agreement with the organizations participating in the initiative; provided further, that notwithstanding the provisions of any general or special law to the contrary, the executive office shall require the commissioner of mental health to approve any prior authorization or other restriction on medication used to treat mental illness in accordance with written policies, procedures, and regulations of the department of mental health; provided further, that the secretary of the executive office of health and human services may authorize transfers among items 4000-0430, 4000-0500, 4000-0600, 4000-0620, 4000-0700, 4000-0860, 4000-0870, 4000-0875, 4000-0880, 4000-0890, 4000-0891, 4000-0895, 4000-0990, 4000-1400, and 4000-1405; provided further, that the amount transferred from any of the items stated herein shall not exceed 10 per cent of the total amount appropriated for that item; and provided further, that any such transfer shall take place no later than June 30, 2006 |
123,723,502 |
| |
| MassHealth - Auditing and Utilization Review |
|
| 4000-0301 |
For the costs of MassHealth provider and member audit and utilization review activities, including, but not limited to, eligibility verification, disability evaluations, provider financial and clinical audits, and other initiatives intended to enhance program integrity; provided, that $150,000 shall be expended for the operation of the Medicaid fraud control unit within the office of the attorney general; and provided further, that $150,000 shall be expended for MassHealth auditing within the office of the state auditor |
1,500,000 |
| |
| Office of Residential and Placement Licensure |
|
| 4000-0351 |
For the licensing of residential and group care facilities and foster and adoption placement agencies |
737,593 |
| |
| MassHealth - Enrollment Outreach Grants |
|
| 4000-0352 |
For MassHealth enrollment outreach grants to public and private non-profit groups to be administered by the executive office |
250,000 |
| |
| MassHealth - CommonHealth Plan |
|
| 4000-0430 |
For the commonhealth program to provide primary and supplemental medical care and assistance to disabled adults and children pursuant to the provisions of 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 recipients in prior fiscal years; provided further, that the executive office shall maximize federal reimbursement for state expenditures made on behalf of such adults and children; and provided further, that children shall be determined eligible for the medical care and assistance if they meet the disability standards as defined by the executive office, which standards shall be no more restrictive than the standards in effect on July 1, 1996 |
75,246,379 |
| |
| MassHealth - Managed Care Plans |
|
| 4000-0500 |
For health care services provided to medical assistance recipients under the executive office's primary care clinician, mental health, and substance abuse plan or through a managed care organization under contract with the executive office; provided, 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; and provided further, that funds may be expended from this item for health care services provided to recipients in prior fiscal years |
1,977,150,989 |
| |
| MassHealth - Indemnity and Third Party Liability Plans |
|
| 4000-0700 |
For health care services provided to medical assistance recipients under the executive office's health care indemnity, third party liability plan and medical assistance recipients who are not seniors nor otherwise covered under the executive office's managed care plans; provided, 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 may be expended from this item for health care services provided to recipients in prior fiscal years; and provided further, that notwithstanding the foregoing, 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 including, but not limited to, seniors |
1,498,059,398 |
| |
| MassHealth - Standard Coverage |
|
| 4000-0860 |
For MassHealth benefits provided to children and adults pursuant to the provisions of clauses (a), (b), (c), (d), and (h) of subsection (2) of section 9A of chapter 118E of the General Laws; provided, that no funds shall be expended from this item for children and adolescents pursuant to the provisions of said clause (c) of said subsection (2) whose family incomes, as determined by the executive office, exceed 150 per cent of the federal poverty level; and provided further, that funds may be expended from this item for health care services provided to recipients in prior fiscal years |
389,892,223 |
| |
| MassHealth - Basic Coverage |
|
| 4000-0870 |
For health care services provided to adults participating in the medical assistance program pursuant to the provisions of clause (g) of subsection (2) of section 9A 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 |
56,372,203 |
| |
| MassHealth - Breast and Cervical Cancer Treatment |
|
| 4000-0875 |
For the provision of benefits to eligible women who require medical treatment for either breast or cervical cancer in accordance with 1902(a)(10)(A)(ii)(XVIII) of the Social Security Act, and in accordance with section 10D of chapter 118E of the General Laws; provided, that the executive office shall provide said benefits to women whose income, as determined by the executive office, does not exceed 250 per cent of the federal poverty level, subject to continued federal approval; provided further, that eligibility for such benefits shall be extended solely for the duration of such cancerous condition; provided further, that prior to the provision of any benefits covered by this item, said division shall require screening for either breast or cervical cancer at the comprehensive breast and cervical cancer early detection program operated by the department of public health, in accordance with item 4570-1512; and provided further, that funds may be expended from this item for health care services provided to recipients in prior fiscal years |
5,022,572 |
| |
| MassHealth - Family Assistance Plan |
|
| 4000-0880 |
For MassHealth benefits pursuant to the provisions of clause (c) of subsection (2) of section 9A and section 16C of chapter 118E of the General Laws for children and adolescents whose family incomes as determined by the executive office exceed 150 per cent of the federal poverty level; provided, that funds may be expended from this item for health care services provided to recipients in prior fiscal years |
26,416,411 |
| |
| MassHealth - Premium Assistance and Insurance Partnership Program |
|
| 4000-0890 |
For the cost of health insurance premium subsidies paid to employees of small businesses participating in the insurance reimbursement program pursuant to the provisions of section 9C of chapter 118E of the General Laws |
35,953,008 |
| |
| MassHealth - Insurance Partnership for Employers |
|
| 4000-0891 |
For the cost of health insurance subsidies paid to employers participating in the insurance reimbursement program pursuant to the provisions of section 9C of chapter 118E of the General Laws |
6,326,879 |
| |
| Healthy Start Program |
|
| 4000-0895 |
For the healthy start program to provide medical care and assistance to pregnant women and infants residing in the commonwealth pursuant to the provisions of section 10E 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 |
15,447,686 |
| |
| Children's Medical Security Plan |
|
| 4000-0990 |
For the children's medical security plan to provide primary and preventive health services for uninsured children from birth through age 18 pursuant to the provisions of section 10F of chapter 118E of the General Laws; provided, that the executive office shall pre-screen enrollees and applicants for Medicaid eligibility; provided further, that no applicant shall be enrolled in said program until said applicant has been denied eligibility for the MassHealth program; 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; and provided further, that funds may be expended from this item for health care services provided to recipients in prior fiscal years |
20,207,603 |
| |
| MassHealth - HIV Plan |
|
| 4000-1400 |
For the purposes of providing MassHealth benefits to persons with a diagnosis of human immunodeficiency virus whose incomes, as determined by the executive office, do not exceed 200 per cent of the federal poverty level; provided, that funds may be expended from this item for health care services provided to recipients in prior fiscal years |
6,926,068 |
| |
| MassHealth - Essential Plan |
|
| 4000-1405 |
For the operation of a program of preventive and primary care for chronically unemployed persons who are not receiving unemployment insurance benefits and who are not eligible for medical assistance but who are determined by the executive office of health and human services to be long-term unemployed; provided, that such persons meet the eligibility requirements established under the MassHealth program as established in section 9A of chapter 118E of the General Laws; provided further, that the income of such persons shall not exceed 100 per cent of the federal poverty level; provided further, that said eligibility requirements shall not exclude from eligibility persons who are employed intermittently or on a non-regular basis; provided further, that the provision of care to such persons under this program may, taking into account capacity, continuity of care, and geographic considerations, be restricted to certain providers; provided further, that funds may be expended from this item for health care services provided to recipients in prior fiscal years; provided further, that the secretary of health and human services is hereby authorized to limit or close enrollment if necessary in order to ensure that expenditures from this item do not exceed the amount appropriated herein; and provided further, that no funds may be expended from this item prior to October 1, 2005 |
119,377,890 |
| |
| Medicare Part D Phased Down Contribution |
|
| 4000-1420 |
For the purposes of making payment to the federal centers for Medicare and Medicaid services in compliance with 42 USC 1396u-5 |
120,000,000 |
| |
| Retained Revenues | |
| |
| MassHealth Recoveries from Current and Prior Fiscal Years Retained Revenue |
|
| 4000-0320 |
The executive office may expend an amount not to exceed $291,000,000 from the monies received from recoveries of any current or prior year expenditures and collections from liens, estate recoveries, third party recoveries, drug rebates, accident and trauma recoveries, case mix recoveries, computer audits, insurance recoveries, provider overpayment recoveries, bankruptcy settlements, Medicaid fraud returns, data match returns, Medicare appeals, and program and utilization review audits; provided, that any revenues collected by the executive office that are not attributable to the aforementioned categories shall be deposited in the General Fund and shall be tracked separately; provided further, that no funds from this item shall be used for the purposes of item 4000-0300; provided further, that expenditures from this item shall be limited solely to payment obligations arising in the current fiscal year for the provision of medical care and assistance; provided further, that the executive office shall file quarterly with the house and senate committees on ways and means and the executive office for administration and finance, a report delineating the amount of current year rebates received from pharmaceutical companies or other current year collections; and provided further, that additional categories of recoveries and collections, including the balance of any personal needs accounts collected from nursing and other medical institutions after a recipient's death and held by the executive office for more than three years may, notwithstanding any general or special law to the contrary, be credited to this item after providing written notice to the house and senate committees on ways and means and the secretary of administration and finance |
291,000,000 |
| |
| Intragovernmental Service Spending |
31,862,083 |
| |
| Chargeback for Human Services Transportation Services |
|
| 4000-0102 |
For the cost of transportation services for health and human services clients and the operation of the health and human services transportation office |
6,869,957 |
| |
| Intragovernmental Service Fund |
100% |
| |
| |
| Chargeback for Human Services Core Administrative Functions |
|
| 4000-0103 |
The secretary of the executive office of health and human services is hereby authorized, notwithstanding the provisions of any general or special law to the contrary, to identify administrative activities and functions common to the separate agencies, departments, offices, divisions, and commissions within the executive office and to designate such functions "core administrative functions" in order to improve administrative efficiency and preserve fiscal resources; provided, that common functions that may be designated core administrative functions include, without limitation, human resources, financial management, information technology, and human services transportation; provided further, that all employees performing functions so designated may be employed by the executive office, and the executive office shall charge said agencies, departments, offices, divisions, and commissions for such services, subject to appropriation; provided further, that upon the designation of a function as a core administrative function, the employees of each agency, department, office, or commission who perform such core administrative functions may be transferred to the executive office of health and human services; provided further, that the reorganization shall not impair the civil service status of any such transferred employee who immediately before the effective date of this act either holds a permanent appointment in a position classified under chapter 31 of the General Laws or has tenure in a position by reason of section 9A of chapter 30 of the General Laws; and provided further, that nothing in this section shall be construed to impair or change an employee's status, rights, or benefits under chapter 150E of the General Laws |
24,992,126 |
| |
| Intragovernmental Service Fund |
100% |
| |
| |
| Federal Grant Spending |
44,278,781 |
| |
| Head Start Demonstration |
|
| 4000-0708 |
For the purposes of a federally funded grant entitled, Head Start Demonstration |
175,000 |
| |
| Youth Development State Collaboration |
|
| 4000-0713 |
For the purposes of a federally funded grant entitled, Youth Development State Collaboration |
84,779 |
| |
| Community Mental Health Services |
|
| 4000-9401 |
For the purposes of a federally funded grant entitled, Community Mental Health Services |
8,898,380 |
| |
| Substance Abuse Prevention and Treatment Block Grant |
|
| 4000-9402 |
For the purposes of a federally funded grant entitled, Substance Abuse Prevention and Treatment Block Grant |
35,120,622 |
| |
| Trust and Other Spending |
7,500,000 |
| |
| 4000-4000 |
Health Insurance Portability and Accountability Act Fund |
7,500,000 |
| |
|
| |
| Department of Elder Affairs |
2,224,612,424 |
| |
| |
| Budgetary Direct Appropriations |
2,182,393,276 |
| Direct Appropriations |
|
| |
| MassHealth - Senior Care Plans |
|
| 4000-0600 |
For health care services provided to MassHealth members who are seniors and not otherwise receiving services provided under the senior care options program; provided, that funds may be expended from this item for health care services provided to recipients in prior fiscal years |
1,783,969,375 |
| |
| MassHealth - Senior Care Options |
|
| 4000-0620 |
For the operation of the senior care options program pursuant to the provisions of section 9D of chapter 118E of the General Laws |
86,777,546 |
| |
| Department of Elder Affairs Administration |
|
| 9110-0100 |
For the operation of the department of elder affairs |
1,750,186 |
| |
| Elder Assisted Living Facilities Regulation |
|
| 9110-0102 |
For the regulation of assisted living facilities |
246,160 |
| |
| Prescription Advantage |
|
| 9110-1455 |
For the costs of the drug insurance program authorized by section 39 of chapter 19A of the General Laws; provided, that amounts received by the department of elder affairs' vendor as premium revenue for this program may be retained and expended by the vendor for the purposes of the program; provided further, that notwithstanding any general or special law to the contrary, unless otherwise prohibited by state or federal law, prescription drug coverage or benefits payable by the department of elder affairs, and the entities with which it has contracted for administration of the subsidized catastrophic drug insurance program pursuant to the provisions of said section 39 of said chapter 19A shall be the payer of last resort for such program for eligible persons with regard to any other third party prescription coverage or benefits available to such eligible persons; provided further, that said program is subject to appropriation; provided further, that expenditures shall not exceed the amount authorized herein in fiscal year 2006; provided further, that the department of elder affairs may take steps for the coordination of benefits with the Medicare prescription drug benefit created pursuant to the federal Medicare Prescription Drug Improvement and Modernization Act of 2003, to ensure that Massachusetts residents take advantage of said benefit; and provided further, that the department of elder affairs may provide assistance for prescription drug costs to enrollees who qualify for Medicare Part D as well as assistance for premiums, deductibles, payments, and co-payments required by the Part D or Medicare Advantage plans |
90,159,453 |
| |
| Elder Enhanced Home Care Services Program |
|
| 9110-1500 |
For the operation of the enhanced home care services program |
37,492,876 |
| |
| Supportive Senior Housing Program |
|
| 9110-1604 |
For the operation of the supportive senior housing program |
1,942,371 |
| |
| Elder Home Care Purchased Services |
|
| 9110-1630 |
For the operation of the elder home care program, including contracts with aging service access points or other qualified entities for the home care program, including home care, health aides, home health and respite services, and other services provided to the elderly; provided, that a sliding fee shall be charged to qualified elders; provided further, that the secretary of elder affairs may waive collection of sliding fees in cases of extreme financial hardship; provided further, that not more than $7,500,000 in revenues accrued from sliding fees shall be retained by the individual home care corporations without re-allocation by the department of elder affairs and shall be expended for the purposes of the home care program consistent with guidelines to be issued by the department; and provided further, that the secretary of elder affairs may transfer an amount not to exceed 3 per cent of the funds appropriated herein to item 9110-1633 for case management services and the administration of the home care program |
96,509,945 |
| |
| Elder Home Care Case Management and Administration |
|
| 9110-1633 |
For the operation of the elder home care case management program, including administrative costs and contracts with aging service access points, so called, or other qualified entities for home care case management services; provided, that the costs of administration for the home care corporations funded through items 9110-1500 and 9110-1630 shall be funded herein; and provided further, that the secretary of elder affairs may transfer an amount not to exceed 3 per cent of the funds appropriated herein to item 9110-1630 |
37,377,967 |
| |
| Elder Protective Services |
|
| 9110-1636 |
For the operation of the elder protective services program |
12,324,921 |
| |
| Congregate Housing Program |
|
| 9110-1660 |
For congregate and shared housing services for the elderly |
1,324,435 |
| |
| Residential Placement for Homeless Elders |
|
| 9110-1700 |
For residential assessment and placement programs for homeless elders |
50,000 |
| |
| State Supplemental SSI - Rest Home Payments |
|
| 9110-1800 |
For the expenses of special grants recipients residing in rest homes, pursuant to the provisions of section 7A of chapter 118A of the General Laws |
21,951,529 |
| |
| Elder Nutrition Program |
|
| 9110-1900 |
For the elder nutrition program |
4,012,014 |
| |
| Grants to Councils on Aging |
|
| 9110-9002 |
For grants to the councils on aging and for grants to or contracts with non-public entities which are consortia or associations of councils on aging |
6,504,498 |
| |
| Federal Grant Spending |
42,219,148 |
| |
| Older Americans Act - Title VII Elder Abuse Prevention |
|
| 9110-1071 |
For the purposes of a federally funded grant entitled, Older Americans Act - Title VII Elder Abuse Prevention |
152,812 |
| |
| Older Americans Act - Title VII Ombudsman |
|
| 9110-1072 |
For the purposes of a federally funded grant entitled, Older Americans Act - Title VII Ombudsman |
302,838 |
| |
| Older Americans Act - Title III Preventive Health |
|
| 9110-1073 |
For the purposes of a federally funded grant entitled, Older Americans Act - Title III Preventive Health |
626,782 |
| |
| Older Americans Act - Title III and Title VII |
|
| 9110-1074 |
For the purposes of a federally funded grant entitled, Older Americans Act - Title III and Title VII |
9,398,173 |
| |
| National Family Caregiver Support Program |
|
| 9110-1077 |
For the purposes of a federally funded grant entitled, National Family Caregiver Support Program |
5,423,720 |
| |
| Health Information Counseling and Assistance |
|
| 9110-1095 |
For the purposes of a federally funded grant entitled, Health Information Counseling and Assistance |
658,512 |
| |
| Older Americans Act - Title III Nutrition Program |
|
| 9110-1173 |
For the purposes of a federally funded grant entitled, Older Americans Act - Title III Nutrition Program |
13,420,000 |
| |
| Nutrition Services Incentive Program |
|
| 9110-1174 |
For the purposes of a federally funded grant entitled, Nutrition Services Incentive Program |
4,074,000 |
| |
| Community Service Employment Program |
|
| 9110-1178 |
For the purposes of a federally funded grant entitled, Community Service Employment Program |
1,912,311 |
| |
| State Pharmacy Assistance Program Transitional Grant |
|
| 9110-1755 |
For the purposes of a federally funded grant entitled, State Pharmacy Assistance Program Transitional Grant |
6,000,000 |
| |
| Aging and Disability Resource Center - Center for Medicaid and Medicare Services |
|
| 9110-2761 |
For the purposes of a federally funded grant entitled, Aging and Disability Resource Center - Center for Medicaid and Medicare Services |
250,000 |
| |
|
| |
| Division of Health Care Finance and Policy |
12,530,216 |
| |
| |
| Budgetary Direct Appropriations |
12,530,216 |
| Direct Appropriations |
|
| |
| Division of Health Care Finance and Policy |
|
| 4100-0060 |
For the operation of the division of health care finance and policy and the administration of the uncompensated care pool established pursuant to chapter 118G of the General Laws; provided, that notwithstanding any general or special law to the contrary, the assessment to acute hospitals authorized pursuant to section 5 of said chapter 118G for the estimated expenses of the division shall include in fiscal year 2006 the estimated expenses, including indirect costs, of the division and shall be equal to the amount appropriated in this item less amounts projected to be collected in fiscal year 2006 from: (1) filing fees; (2) fees and charges generated by the division's publication or dissemination of reports and information; and (3) federal financial participation received as reimbursement for the division's administrative costs; provided further, that the assessed amount shall not be less than 65 per cent of the division's total expenses; provided further, that the division shall promulgate regulations requiring all hospitals receiving payments from the uncompensated care pool to report utilization information to the division, including the number of inpatient admissions and outpatient visits by age category, income category, diagnostic category, and average charge per admission; and provided further, that the division, in consultation with the executive office of health and human services, shall not promulgate any increase in Medicaid provider rates without taking all measures possible under Title XIX of the Social Security Act or any successor federal statute to ensure that rates of payment to providers do not exceed such rates as are necessary to meet only those costs incurred by efficiently and economically operated providers in order to provide services of adequate quality |
12,530,216 |
| |
|
| |
| Department of Public Health |
643,015,025 |
| |
| |
| Budgetary Direct Appropriations |
412,164,672 |
| 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 |
19,537,533 |
| |
| Community Health Center Services |
|
| 4510-0110 |
For the operation of the community health center services program |
4,660,160 |
| |
| Managed Care at Community Health Centers |
|
| 4510-0150 |
For the operation of the managed care program at community health centers known as centercare, established pursuant to section 24F of chapter 111 of the General Laws |
2,654,974 |
| |
| Environmental Health Services |
|
| 4510-0600 |
For the operation of an environmental and community health hazards program, including control of radiation and nuclear hazards, consumer products protection, food and drug 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 for the administration of the bureau of environmental health assessment for the purpose of implementing certain provisions of chapter 470 of the acts of 1983 |
3,187,661 |
| |
| Division of Health Care Quality and Improvement |
|
| 4510-0710 |
For the operation of the division of health care quality and the office of patient protection |
7,684,277 |
| |
| Board of Registration in Nursing |
|
| 4510-0721 |
For the operation and administration of the board of registration in nursing |
1,536,226 |
| |
| Board of Registration in Pharmacy |
|
| 4510-0722 |
For the operation and administration of the board of registration in pharmacy |
483,887 |
| |
| Board of Registration in Medicine |
|
| 4510-0723 |
For the operation and administration of the board of registration in medicine |
2,201,300 |
| |
| Health Boards of Registration Administration |
|
| 4510-0725 |
For the operation and administration of certain health boards of registration, including dentistry, nursing home administrators, physician assistants, perfusionists, and respiratory care |
411,743 |
| |
| Regional Emergency Medical Services |
|
| 4510-0790 |
For the provision of regional emergency medical services; provided, that the regional emergency medical services councils, 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; provided further, that notwithstanding the provisions of section 27C of chapter 29 of the General Laws to the contrary, the department of public health, in conjunction with the regional emergency services councils, shall promulgate regulations to ensure that all basic, intermediate, and paramedic emergency medical technicians are certified to use and have available epinephrine for the emergency treatment of anaphylaxis; and provided further, that the department shall widely disseminate this requirement to all relevant parties |
1,246,896 |
| |
| Sexual Assault Nurse Examiner Program |
|
| 4510-0810 |
For the operation of a statewide sexual assault nurse examiner program and for the care of victims of sexual assault |
1,740,626 |
| |
| Pediatric Sexual Assault Nurse Examiner Program |
|
| 4510-0820 |
For the operation of the pediatric sexual assault nurse examiner program |
1,000,000 |
| |
| HIV/AIDS Prevention, Treatment, and Services |
|
| 4512-0103 |
For human immunodeficiency virus and acquired immune deficiency syndrome prevention, treatment, and housing subsidies for the purpose of preventing the institutionalization of persons in acute hospitals and nursing homes |
34,697,303 |
| |
| Division of Substance Abuse Services |
|
| 4512-0200 |
For the operation of the division of substance abuse services |
45,941,186 |
| |
| Dental Health Services |
|
| 4512-0500 |
For the provision of dental health services in residential and community settings |
1,556,150 |
| |
| Division of Family Health Services |
|
| 4513-1000 |
For the operation of the division of family health services; provided, that $800,000 shall be made available for specialized services to non-English speaking victims of domestic violence including but not limited to interpreter services |
8,332,196 |
| |
| WIC 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 Special Supplemental Nutrition Program for Women, Infants, and Children |
12,859,601 |
| |
| 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 |
29,840,024 |
| |
| Newborn Hearing Screening Program |
|
| 4513-1023 |
For the operation of the newborn hearing screening program |
83,060 |
| |
| Suicide Prevention and Intervention Program |
|
| 4513-1026 |
For the provision of statewide and community-based suicide prevention, intervention, post-vention, and surveillance activities and the implementation of a statewide suicide prevention plan |
250,000 |
| |
| Prostate Cancer Screening Program |
|
| 4513-1112 |
For the operation of a prostate cancer screening program |
250,000 |
| |
| Hepatitis C Prevention, Education, and Treatment |
|
| 4513-1114 |
For the operation of the hepatitis C program, including mitigation of the effects of hepatitis C |
562,876 |
| |
| Multiple Sclerosis Screening, Education, and Treatment |
|
| 4513-1115 |
For the operation of a multiple sclerosis screening, education, and treatment program |
162,368 |
| |
| State 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 |
9,637,658 |
| |
| Teenage Pregnancy Prevention Services |
|
| 4530-9000 |
For the provision of teenage pregnancy prevention services |
992,643 |
| |
| Early Breast Cancer Detection |
|
| 4570-1500 |
For the operation of an early breast cancer detection program, a mammography program for the uninsured, and a breast cancer detection public awareness program |
3,034,833 |
| |
| Universal Immunization Program |
|
| 4580-1000 |
For the operation of the universal immunization program established pursuant to clause (iii) of section 24F of chapter 111 of the General Laws |
25,052,068 |
| |
| School-Based Health Programs |
|
| 4590-0250 |
For school health services and school-based health centers in public and non-public schools |
14,019,309 |
| |
| Smoking Prevention and Cessation Programs |
|
| 4590-0300 |
For smoking prevention and cessation programs |
3,750,000 |
| |
| Public Health Hospitals |
|
| 4590-0915 |
For the operation of the Lemuel Shattuck hospital, Tewksbury state hospital, Massachusetts hospital school, and the hospital bureau, including the state office for pharmacy services; provided, that $2,000,000 shall be expended for the Tewksbury state hospital plan of corrections to remedy the deficiencies referenced in the Medicare substantial allegation survey completed October 8, 2003; and provided further, that all revenue generated by said hospitals shall be credited to the General Fund |
118,501,151 |
| |
| Retained Revenues | |
| |
| Health Facility Licensing, Inspections, and Records Fee Retained Revenue |
|
| 4510-0099 |
The department of public health is hereby authorized to expend for the administration of the department an amount not to exceed $6,000,000 from fees collected for licensing, inspections, and records; provided, that notwithstanding the provisions of any general or special law to the contrary, for the purpose of accommodating 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 |
6,000,000 |
| |
| End of Life Care Commission Retained Revenue |
|
| 4510-0106 |
The department of public health is hereby authorized to expend for the administration of the end of life care commission an amount not to exceed $75,000 from revenues associated with grant and development activities of said commission |
75,000 |
| |
| Nuclear Power Reactor Monitoring Fee Retained Revenue |
|
| 4510-0615 |
The department of public health is hereby authorized to expend an amount not to exceed $150,000 from assessments collected under section 5K of chapter 111 of the General Laws for services provided to monitor, survey, and inspect nuclear power reactors; provided, that the department may expend revenues not to exceed $1,374,195 from fees collected from licensing and inspecting users of radioactive material within the commonwealth under licenses presently issued by the Nuclear Regulatory Commission; provided further, that the revenues may be used for the costs of both programs, including the compensation of employees; and provided further, that notwithstanding the provisions of any general or special law to the contrary, for the purpose of accommodating 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 |
1,524,195 |
| |
| Prescription Drug Registration and Monitoring Fee 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 $564,251 from fees for controlled substance registration charged to registered practitioners, including physicians, dentists, veterinarians, podiatrists, and optometrists; 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 |
564,251 |
| |
| Division of Health Care Quality Health Facility Licensing Fee 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 $504,922 in revenues collected from the licensure of health facilities; provided, that the department is hereby authorized to expend for the costs of emergency medical technician licensure and re-certification an amount not to exceed $800,000 from revenues collected from individuals applying for such licensure and re-certification; and provided further, 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 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 |
1,304,922 |
| |
| Board of Registration in Medicine Fee Retained Revenue |
|
| 4510-0726 |
The board of registration in medicine, including the physician profiles program, may expend revenues not to exceed $300,000 from new revenues associated with increased license and renewal fees; provided, that this amount shall be in excess of the amount prescribed in section 1B |
300,000 |
| |
| HIV/AIDS Drug Program Manufacturer Rebates Retained Revenue |
|
| 4512-0106 |
The department of public health is hereby authorized to expend for the human immunodeficiency virus and acquired immune deficiency syndrome drug assistance program an amount not to exceed $1,900,000 from revenues received from pharmaceutical manufacturers participating in the section 340B rebate program, so called, administered by the federal Health Resources and Services Administration and Office of Pharmacy Affairs |
1,900,000 |
| |
| Compulsive Behavior Treatment Program 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 $654,942 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 shall transfer said amount from the State Lottery Fund to the General Fund |
654,942 |
| |
| Early Intervention Services Medicaid Reimbursement Retained Revenue |
|
| 4513-1010 |
The department of public health is hereby authorized to expend an amount not to exceed $2,700,050 generated from revenues received from the collection of federal financial participation for early intervention services delivered to Medicaid-eligible children by developmental educators and professionals in related disciplines; provided, that said revenue may be used to pay for current and prior-year claims |
2,700,050 |
| |
| WIC Program Manufacturer Rebates Retained Revenue |
|
| 4513-1012 |
The department of public health is hereby authorized to expend for the purpose of increasing the caseload of the Women, Infants, and Children's Nutrition Program an amount not to exceed $24,076,000 in revenues received from federal cost-containment initiatives, including, but not limited to, infant formula rebates and northeast dairy compact reimbursements; 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 |
24,076,000 |
| |
| Blood Lead Testing Fee Retained Revenue |
|
| 4516-0263 |
The department of public health is hereby authorized to expend for the purpose of conducting various blood lead tests an amount not to exceed $1,506,168 in fees collected from insurers and individuals for 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 |
1,506,168 |
| |
| State Laboratory Tuberculosis Testing Fee Retained Revenue |
|
| 4516-1022 |
The department of public health is hereby authorized to expend to supplement the costs of the state laboratory an amount not to exceed $300,000 generated by fees collected from insurers for tuberculosis tests performed at the state laboratory; 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 |
300,000 |
| |
| Registry of Vital Records and Statistics Fee Retained Revenue |
|
| 4518-0200 |
The department of public health is hereby authorized to expend for program costs of the registry of vital records an amount not to exceed $261,687 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 requested research 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 |
261,687 |
| |
| Western Massachusetts Hospital Federal Reimbursement Retained Revenue |
|
| 4590-0912 |
The department of public health is hereby authorized to expend for the operation of the western Massachusetts hospital an amount not to exceed $14,629,748 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 the Medicaid program; 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 |
14,629,748 |
| |
| Shattuck Private Medical Vendor Retained Revenue |
|
| 4590-0913 |
The department of public health is hereby authorized to expend for medical services an amount not to exceed $500,000 from payments received for such services provided by the Lemuel Shattuck hospital to inmates of county correctional facilities; 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 |
500,000 |
| |
| Intragovernmental Service Spending |
3,950,000 |
| |
| Chargeback for Consolidated Public Health Hospitals |
|
| 4590-0901 |
For the costs of medical services provided at department of public health hospitals |
150,000 |
| |
| Intragovernmental Service Fund |
100% |
| |
| |
| Chargeback for Medical Services for County Corrections Inmates |
|
| 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 8910-0000, 8910-0010, 8910-0102, 8910-0105, 8910-0107, 8910-0108, 8910-0110, 8910-0145, and 8910-0619, pursuant to the provisions thereof |
3,800,000 |
| |
| Intragovernmental Service Fund |
100% |
| |
| |
| Federal Grant Spending |
213,730,218 |
| |
| Preventive Health Services Block Grant |
|
| 4500-1000 |
For the purposes of a federally funded grant entitled, Preventive Health Services Block Grant |
2,995,528 |
| |
| Rape Prevention and Education |
|
| 4500-1050 |
For the purposes of a federally funded grant entitled, Rape Prevention and Education |
1,166,076 |
| |
| 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 |
13,662,253 |
| |
| Cooperative Health Statistics System |
|
| 4502-1012 |
For the purposes of a federally funded grant entitled, Cooperative Health Statistics System |
510,692 |
| |
| State Loan Repayment Project |
|
| 4510-0109 |
For the purposes of a federally funded grant entitled, State Loan Repayment Project |
250,000 |
| |
| Office of Rural Health |
|
| 4510-0113 |
For the purposes of a federally funded grant entitled, Office of Rural Health |
150,000 |
| |
| Primary Care Cooperative Agreement |
|
| 4510-0118 |
For the purposes of a federally funded grant entitled, Primary Care Cooperative Agreement |
112,200 |
| |
| Rural Hospital Flexibility Program |
|
| 4510-0119 |
For the purposes of a federally funded grant entitled, Rural Hospital Flexibility Program |
255,000 |
| |
| Small Rural Hospital Improvement Grant |
|
| 4510-0219 |
For the purposes of a federally funded grant entitled, Small Rural Hospital Improvement Grant |
77,440 |
| |
| Children's Oral Healthcare Access Program |
|
| 4510-0220 |
For the purposes of a federally funded grant entitled, Children's Oral Healthcare Access Program |
70,950 |
| |
| Medicare and Medicaid Survey and Certification |
|
| 4510-0400 |
For the purposes of a federally funded grant entitled, Medicare and Medicaid Survey and Certification |
7,677,137 |
| |
| Massachusetts Reporting System Evaluation |
|
| 4510-0403 |
For the purposes of a federally funded grant entitled, Massachusetts Reporting System Evaluation |
335,047 |
| |
| Bioterrorism Hospital Preparedness |
|
| 4510-0404 |
For the purposes of a federally funded grant entitled, Bioterrorism Hospital Preparedness |
11,702,059 |
| |
| Clinical Laboratory Improvement Amendments |
|
| 4510-0500 |
For the purposes of a federally funded grant entitled, Clinical Laboratory Improvement Amendments |
211,760 |
| |
| Nuclear Regulatory Commission Security Inspections |
|
| 4510-0609 |
For the purposes of a federally funded grant entitled, Nuclear Regulatory Commission Security Inspections |
7,572 |
| |
| FDA Inspection of Food Establishments |
|
| 4510-0619 |
For the purposes of a federally funded grant entitled, FDA Inspection of Food Establishments |
191,170 |
| |
| Harold Rodgers Prescription Drug Monitor |
|
| 4510-0629 |
For the purposes of a federally funded grant entitled, Harold Rodgers Prescription Drug Monitor |
111,500 |
| |
| Harold Rogers II Prescription Drug Monitoring |
|
| 4510-0633 |
For the purposes of a federally funded grant entitled, Harold Rogers II Prescription Drug Monitoring |
350,000 |
| |
| Food Safety Task Force Meeting |
|
| 4510-0634 |
For the purposes of a federally funded grant entitled, Food Safety Task Force Meeting |
3,253 |
| |
| Childhood Lead Paint Poisoning Prevention |
|
| 4510-0636 |
For the purposes of a federally funded grant entitled, Childhood Lead Paint Poisoning Prevention |
1,296,974 |
| |
| Rural Access to Emergency Devices Act |
|
| 4510-0793 |
For the purposes of a federally funded grant entitled, Rural Access to Emergency Devices Act |
119,335 |
| |
| Mammography Quality Standards Act Inspections |
|
| 4510-9014 |
For the purposes of a federally funded grant entitled, Mammography Quality Standards Act Inspections |
141,079 |
| |
| Diabetes Control Program |
|
| 4510-9040 |
For the purposes of a federally funded grant entitled, Diabetes Control Program |
859,266 |
| |
| 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 |
547,396 |
| |
| Indoor Radon Development Program |
|
| 4510-9048 |
For the purposes of a federally funded grant entitled, Indoor Radon Development Program |
228,962 |
| |
| Beaches Environmental Assessment |
|
| 4510-9053 |
For the purposes of a federally funded grant entitled, Beaches Environmental Assessment |
322,405 |
| |
| National Environmental Public Health Tracking |
|
| 4510-9056 |
For the purposes of a federally funded grant entitled, National Environmental Public Health Tracking |
778,585 |
| |
| Prevalence of Alzheimer's and Multiple Sclerosis in Hazardous Waste Communities |
|
| 4510-9062 |
For the purposes of a federally funded grant entitled, Prevalence of Alzheimer's and Multiple Sclerosis in Hazardous Waste Communities |
164,283 |
| |
| Environmental and Health Effects Tracking |
|
| 4510-9063 |
For the purposes of a federally funded grant entitled, Environmental and Health Effects Tracking |
469,019 |
| |
| Sexually Transmitted Disease Control |
|
| 4512-0102 |
For the purposes of a federally funded grant entitled, Sexually Transmitted Disease Control |
2,018,014 |
| |
| HIV Risk Behavior Surveillance |
|
| 4512-0107 |
For the purposes of a federally funded grant entitled, HIV Risk Behavior Surveillance |
188,855 |
| |
| Vaccination Assistance Project |
|
| 4512-0179&nb | |
