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Health & Human Services

Health and Human Services

 
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FISCAL YEAR 2007 RESOURCE SUMMARY ($000)
DEPARTMENT
FY 2007
Budgetary
Recommendations

FY 2007
Federal, Trust,
and ISF

FY 2007
Total
Spending

FY 2007
Budgetary
Non-Tax Revenue

Executive Office of Health and Human Services 5,460,044  83,244  5,543,288  3,041,171 
Department of Elder Affairs 2,058,856  41,282  2,100,138  911,480 
Division of Health Care Finance and Policy 12,836  288,500  301,336  14,198 
Department of Public Health 455,675  230,670  686,345  147,130 
Department of Mental Health 642,056  21,035  663,091  110,840 
Office for Refugees and Immigrants 500  12,012  12,512 
Department of Youth Services 153,379  356  153,735  5,029 
Department of Transitional Assistance 834,178  13,928  848,106  410,757 
Department of Social Services 762,439  17,782  780,221  255,778 
Massachusetts Commission for the Blind 27,845  8,791  36,636  3,450 
Massachusetts Rehabilitation Commission 41,224  98,359  139,583  3,166 
Massachusetts Commission for the Deaf and Hard of Hearing 5,483  350  5,833  148 
Soldiers' Home in Massachusetts 24,178  24,178  12,253 
Soldiers' Home in Holyoke 18,758  18,758  13,839 
Department of Mental Retardation 1,163,919  13,242  1,177,161  430,385 
Department of Veterans' Services 40,337  1,306  41,643  409 

TOTAL       11,701,706  830,857    12,532,564  5,360,033 
 
Executive Office of Health and Human Services 5,543,287,915
 
 
Budgetary Direct Appropriations 5,460,044,154
Direct Appropriations  
 
 Youth-at-Risk Matching Grants  
   4000-0112   For matching grants to boys and girls clubs for youth development programs, including the Massachusetts alliance of boys and girls clubs; provided, that the secretary of health and human services shall award the full amount of each grant to each organization upon commitment of matching funds from the organization 2,000,000
 
 Information Technology Projects  
   4000-0208   For the operational costs associated with information technology projects to enhance client services across the executive office of health and human services, including but not limited to, the virtual gateway, analytics and decision support, the enterprise invoice management system, the department of transitional assistance systems upgrade, the department of public health state lab system, and the department of youth services case management system 8,950,731
 
 Executive Office of Health and Human Services and Medicaid Administration  
   4000-0300   For the operation of the office of the secretary of health and human services, including the operation of the managed care oversight board; provided, that the executive office shall provide technical and administrative assistance to agencies under the purview of the secretariat receiving federal funds; provided further, that the executive office shall 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 said chapter 118E shall be accounted for according to such purpose on the Massachusetts management accounting and reporting system not more than ten 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 continue to recover provider overpayments made in the current and prior fiscal years through the Medicaid management information system, and that such recoveries shall be deemed current fiscal year expenditure refunds; provided further, that the executive office may collect directly from a liable third party any amounts paid to contracted providers under said chapter 118E for which the executive office later discovers another third party is liable if no other course of recoupment is possible; provided further, that 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 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, 2007 128,292,147
 
 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 500,000
 
 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 said 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 63,447,135
 
 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 funds may be expended from this item for health care services provided to recipients in prior fiscal years 2,394,886,848
 
 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; 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; and provided further, that funds may be expended from this item for activities relating to disability determinations or utilization management and review, including patient screenings and evaluations, regardless of whether such activities are performed by a state agency, contractor, agent, or provider 1,487,585,250
 
 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 407,253,047
 
 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 97,698,128
 
 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 3,951,303
 
 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 77,659,712
 
 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; provided, that funds may be expended from this item for health care services provided to recipients in prior fiscal years 35,011,915
 
 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; provided, that funds may be expended from this item for health care services provided to recipients in prior fiscal years 6,996,069
 
 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 15,969,177
 
 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; 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 subsection (d) of said section 10F of said chapter 118E, or any general or special law to the contrary, premiums for this program shall be collected according to the following eligibility categories: (1) enrollees in households earning less than 200 per cent of the federal poverty level shall not be responsible for contributing to program premium costs; (2) enrollees in households earning between 200 per cent and 300 per cent of the federal poverty level, inclusive, shall contribute not less than 20 per cent and not more than 30 per cent of the monthly premium cost according to a sliding scale established by the executive office; provided further, that additional contributions shall not be required for any enrollee after the third enrollee in such a household; (3) enrollees in households earning between 301 per cent and 400 per cent of the federal poverty level, inclusive, shall contribute not less than 85 per cent and not more than 90 per cent of the monthly premium cost according to a sliding scale established by the executive office; provided further, that additional contributions shall not be required for any enrollee after the first enrollee in such a household; and (4) enrollees in households earning more than 400 per cent of the federal poverty level shall pay not more than the full premium cost of the program 18,232,293
 
 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 12,147,887
 
 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; provided further, that notwithstanding subsection (3) of section 16D of said chapter 118E or any other general or special law to the contrary, a person who is not a citizen of the United States but who is either a qualified alien within the meaning of section 431 of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 or is otherwise permanently residing in the United States under color of law shall be eligible to receive benefits under this item if such individual meets the categorical and financial eligibility requirements pursuant to this item; and provided further, that such individual shall be either age 65 or older, or age 19 to 64 and disabled 224,462,512
 
 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 Title XIX of the Social Security Act, as amended by the Medicare Prescription Drug Improvement and Modernization Act of 2003 250,000,000
 
Retained Revenues 
 
 MassHealth Recoveries from Current and Prior Fiscal Years Retained Revenue  
   4000-0320   The executive office is hereby authorized to expend an amount not to exceed $225,000,000 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; 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 225,000,000
 
Intragovernmental Service Spending 33,430,339
 
 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 7,200,691
 
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, and information technology; provided further, that all employees performing functions so designated may be employed by the executive office; 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 26,229,648
 
Intragovernmental Service Fund 100%
 
 
Federal Grant Spending 43,213,205
 
 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 222,227
 
 Community Mental Health Services  
   4000-9401   For the purposes of a federally funded grant entitled, Community Mental Health Services 8,559,524
 
 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 34,256,454
 
Trust and Other Spending 6,600,217
 
   4000-4000   Health Insurance Portability and Accountability Act Fund 6,600,217
 

 
Department of Elder Affairs 2,100,137,878
 
 
Budgetary Direct Appropriations 2,058,856,242
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 1,680,948,536
 
 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 99,455,256
 
 Department of Elder Affairs Administration  
   9110-0100   For the operation of the department of elder affairs 2,198,882
 
 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 or enrollment fee 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 2007; 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 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 Medicare prescription drug plans and Medicare Advantage prescription drug plans, and assistance for deductibles, payments, and co-payments required by other plans which provide creditable prescription drug coverage as defined by section 104 of said Medicare Modernization Act, and which provide coverage of the cost of prescription drugs actuarially equal to or better than that provided by Medicare Part D 59,572,979
 
 Elder Enhanced Home Care Services Program  
   9110-1500   For the operation of the enhanced home care services program 42,831,919
 
 Supportive Senior Housing Program  
   9110-1604   For the operation of the supportive senior housing program 3,737,572
 
 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 103,142,340
 
 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 39,311,751
 
 Elder Protective Services  
   9110-1636   For the operation of the elder protective services program 13,828,724
 
 Congregate Housing Program  
   9110-1660   For congregate and shared housing services for the elderly 1,341,283
 
 Residential Placement for Homeless Elders  
   9110-1700   For residential assessment and placement programs for homeless elders 250,000
 
 Elder Nutrition Program  
   9110-1900   For the elder nutrition program 5,237,000
 
 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 7,000,000
 
Federal Grant Spending 41,281,636
 
 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 9,413,190
 
 National Family Caregiver Support Program  
   9110-1077   For the purposes of a federally funded grant entitled, National Family Caregiver Support Program 5,425,340
 
 Health Information Counseling and Assistance  
   9110-1095   For the purposes of a federally funded grant entitled, Health Information Counseling and Assistance 659,385
 
 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 1,901,968
 
 State Pharmacy Assistance Program Transitional Grant  
   9110-1755   For the purposes of a federally funded grant entitled, State Pharmacy Assistance Program Transitional Grant 6,048,468
 
 New England Massachusetts Aging and Disability Resource Center  
   9110-2760   For the purposes of a federally funded grant entitled, New England Massachusetts Aging and Disability Resource Center 89,285
 
 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 301,336,110
 
 
Budgetary Direct Appropriations 12,836,110
Direct Appropriations  
 
 Division of Health Care Finance and Policy  
   4100-0060   For the operation of the division of health care finance and policy; provided, that notwithstanding any general or special law to the contrary, the assessment to acute hospitals in fiscal year 2007 authorized pursuant to section 5 of said chapter 118G for the estimated expenses of the division shall include 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 2007 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; 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 12,836,110
 
Trust and Other Spending 288,500,000
 
   4100-0062   Health Care Quality Improvement Trust Fund 288,500,000
 

 
Department of Public Health 686,344,979
 
 
Budgetary Direct Appropriations 455,674,693
Direct Appropriations  
 
 Department of Public Health  
   4510-0100   For the operation of the department of public health; provided, that the position of assistant commissioner shall not be subject to chapter 31 of the General Laws 17,051,539
 
 Community Health Center Services  
   4510-0110   For the operation of the community health center services program 5,127,016
 
 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 24H 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, and 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 3,317,395
 
 Division of Health Care Quality and Improvement  
   4510-0710   For the operation of the division of health care quality and improvement and the office of patient protection 7,889,340
 
 Board of Registration in Nursing  
   4510-0721   For the operation and administration of the board of registration in nursing 1,597,113
 
 Board of Registration in Pharmacy  
   4510-0722   For the operation and administration of the board of registration in pharmacy 496,978
 
 Board of Registration in Medicine  
   4510-0723   For the operation and administration of the board of registration in medicine 2,318,414
 
 Health Boards of Registration  
   4510-0725   For the operation and administration of certain health boards of registration, including dentistry, nursing home administrators, physician assistants, perfusionists, and respiratory care 432,041
 
 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 and Pediatric SANE Programs  
   4510-0810   For the operation of a statewide sexual assault nurse examiner program and pediatric sexual assault nurse examiner program, and for the care of victims of sexual assault 3,572,111
 
 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 35,653,608
 
 Division of Substance Abuse Services  
   4512-0200   For the operation of the division of substance abuse services; provided, that not less than $4,000,000 shall be expended for treatment of persons civilly committed to a substance abuse treatment program pursuant to section 35 of chapter 123 of the General Laws 59,222,392
 
 Dental Health Services  
   4512-0500   For the provision of dental health services in residential and community settings 1,678,150
 
 Family Health Services  
   4513-1000   For the provision of family health services 5,826,356
 
 Women, Infants, and Children's 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 13,227,148
 
 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; and provided further, that nothing in this item shall give rise to or shall be construed as giving rise to enforceable legal rights to any such services or an enforceable entitlement to the services funded in this item 31,456,637
 
 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 500,000
 
 Prostate Cancer Screening Program  
   4513-1112   For the operation of a prostate cancer screening program 1,300,000
 
 Colorectal Cancer Prevention  
   4513-1113   For the operation of a colorectal cancer education and awareness program 185,000
 
 Hepatitis C Prevention, Education, and Treatment  
   4513-1114   For the operation of a 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
 
 Stroke Treatment and Ongoing Prevention Program  
   4513-1121   For the operation of a stroke treatment and ongoing prevention program 300,000
 
 Domestic Violence and Sexual Assault Prevention and Treatment  
   4513-1130   For the provision of domestic violence and sexual assault treatment and prevention programs; provided, that funds shall be expended for rape crisis services and batterer intervention programs; and provided further, that not less than $800,000 shall be expended on the refugee and immigrant safety and empowerment program 4,869,066
 
 State Laboratory and Communicable Disease Control Services  
   4516-1000   For the operation 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 11,398,527
 
 Comprehensive Prevention Curriculum  
   4530-1226   For comprehensive prevention curriculum and services related to teenage pregnancy, substance abuse, and violence, including CasaStart and LifeSkills Training 4,000,000
 
 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 3,302,368
 
 Universal Immunization Program  
   4580-1000   For the operation of the universal immunization program established pursuant to section 24I of chapter 111 of the General Laws 34,871,508
 
 School-Based Health Programs  
   4590-0250   For school health services and school-based health centers in public and non-public schools 14,031,544
 
 Smoking Prevention and Cessation Programs  
   4590-0300   For smoking prevention and cessation programs 4,252,718
 
 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 all revenue generated by said hospitals shall be credited to the General Fund 125,798,316
 
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 $100,000 from revenues associated with grant and development activities of said commission 100,000
 
 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 $551,110 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 551,110
 
 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 recertification 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 is hereby authorized to expend for the administration of the board, including the physician profiles program, an amount not to exceed $300,000 from new revenues associated with increased license and renewal fees 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 for the early intervention program an amount not to exceed $3,500,000 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 nothing in this item shall give rise to or shall be construed as giving rise to enforceable legal rights to any such services or an enforceable entitlement to the services funded in this item; and provided further, that said revenue may be used to pay for current and prior-year claims 3,500,000
 
 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 $1,486,551 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 1,486,551
 
 State Laboratory Tuberculosis Testing Fee Retained Revenue  
   4516-1022   The department of public health is hereby authorized to expend for the operation of the state laboratory an amount not to exceed $300,000 from 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 $14,829,827 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 14,829,827
 
 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 211,639,454
 
 Preventive Health Services Block Grant  
   4500-1000   For the purposes of a federally funded grant entitled, Preventive Health Services Block Grant 3,023,942
 
 Rape Prevention and Education  
   4500-1050   For the purposes of a federally funded grant entitled, Rape Prevention and Education 931,668
 
 Rape Prevention Program Planning and Evaluation Capacity Building  
   4500-1060   For the purposes of a federally funded grant entitled, Rape Prevention Program Planning and Evaluation Capacity Building 99,192
 
 State Partnership to Improve Minority Health  
   4500-1065   For the purposes of a federally funded grant entitled, State Partnership to Improve Minority Health 127,343
 
 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 13,349,356
 
 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 74,720
 
 Children's Oral Healthcare Access Program  
   4510-0220   For the purposes of a federally funded grant entitled, Children's Oral Healthcare Access Program 78,300
 
 Medicare and Medicaid Survey and Certification  
   4510-0400   For the purposes of a federally funded grant entitled, Medicare and Medicaid Survey and Certification 7,368,033
 
 Massachusetts Reporting System Evaluation  
   4510-0403   For the purposes of a federally funded grant entitled, Massachusetts Reporting System Evaluation 60,276
 
 Hospital Bioterrorism Preparedness  
   4510-0404   For the purposes of a federally funded grant entitled, Hospital Bioterrorism Preparedness 10,258,868
 
 Clinical Laboratory Improvement Amendments  
   4510-0500   For the purposes of a federally funded grant entitled, Clinical Laboratory Improvement Amendments 213,819
 
 Nuclear Regulatory Commission Security Inspections  
   4510-0609   For the purposes of a federally funded grant entitled, Nuclear Regulatory Commission Security Inspections 8,421
 
 Food and Drug Administration Inspection of Food Establishments  
   4510-0619   For the purposes of a federally funded grant entitled, Food and Drug Administration Inspection of Food Establishments 193,477
 
 Harold Rodgers Prescription Drug Monitoring  
   4510-0629   For the purposes of a federally funded grant entitled, Harold Rodgers Prescription Drug Monitoring 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 1,335,147
 
 Rural Access to Emergency Devices Act  
   4510-0793   For the purposes of a federally funded grant entitled, Rural Access to Emergency Devices Act 22,532
 
 Mammography Quality Standards Act Inspections  
   4510-9014   For the purposes of a federally funded grant entitled, Mammography Quality Standards Act Inspections 145,410
 
 Diabetes Control Program  
   4510-9040   For the purposes of a federally funded grant entitled, Diabetes Control Program 893,894
 
 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 550,614
 
 Indoor Radon Development Program  
   4510-9048   For the purposes of a federally funded grant entitled, Indoor Radon Development Program 243,400
 
 Beaches Environmental Assessment  
   4510-9053   For the purposes of a federally funded grant entitled, Beaches Environmental Assessment 345,608
 
 National Environmental Public Health Tracking  
   4510-9056   For the purposes of a federally funded grant entitled, National Environmental Public Health Tracking 614,804
 
 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 77,705
 
 Environmental and Health Effects Tracking  
   4510-9063   For the purposes of a federally funded grant entitled, Environmental and Health Effects Tracking 450,844
 
 Sexually Transmitted Disease Control  
   4512-0102   For the purposes of a federally funded grant entitled, Sexually Transmitted Disease Control 1,667,010
 
 HIV Risk Behavior Surveillance  
   4512-0107   For the purposes of a federally funded grant entitled, HIV Risk Behavior Surveillance 212,715
 
 Vaccination Assistance Project  
   4512-0179   For the purposes of a federally funded grant entitled, Vaccination Assistance Project 5,680,272
 
 Epidemiology and Lab Surveillance  
   4512-0180   For the purposes of a federally funded grant entitled, Epidemiology and Lab Surveillance 1,331,319
 
 Ecstasy and Other Club Drugs Cooperative Agreement  
   4512-9063   For the purposes of a federally funded grant entitled, Ecstasy and Other Club Drugs Cooperative Agreement 73,089
 
 Adolescent Treatment  
   4512-9064   For the purposes of a federally funded grant entitled, Adolescent Treatment 355,367
 
 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 82,226
 
 Housing Opportunities - People with AIDS  
   4513-0111   For the purposes of a federally funded grant entitled, Housing Opportunities - People with AIDS 506,901
 
 Nutritional Status of Women, Infants, and Children  
   4513-9007   For the purposes of a federally funded grant entitled, Nutritional Status of Women, Infants, and Children 72,231,674
 
 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 11,674,273
 
 Program for Infants and Toddlers with Disabilities  
   4513-9021   For the purposes of a federally funded grant entitled, Program for Infants and Toddlers with Disabilities 8,850,114
 
 Prevention of Disability State-Based Project  
   4513-9022   For the purposes of a federally funded grant entitled, Prevention of Disability State-Based Project 342,000
 
 Massachusetts Community AIDS Resource Enhancement - MassCare  
   4513-9027   For the purposes of a federally funded grant entitled, Massachusetts Community AIDS Resource Enhancement - MassCare 888,693
 
 Comprehensive Primary Care System Planning for Massachusetts Children  
   4513-9030   For the purposes of a federally funded grant entitled, Comprehensive Primary Care System Planning for Massachusetts Children 100,000
 
 AIDS Surveillance and Seroprevalence Project  
   4513-9035   For the purposes of a federally funded grant entitled, AIDS Surveillance and Seroprevalence Project 1,318,149
 
 Ryan White Comprehensive AIDS Resources  
   4513-9037   For the purposes of a federally funded grant entitled, Ryan White Comprehensive AIDS Resources 20,273,453
 
 Shelter Plus Care - Worcester  
   4513-9038   For the purposes of a federally funded grant entitled, Shelter Plus Care - Worcester 267,672
 
 Congenital Anomalies Center of Excellence  
   4513-9046   For the purposes of a federally funded grant entitled, Congenital Anomalies Center of Excellence 1,041,806
 
 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 460,309
 
 Residential Fire Injury Prevention, Intervention, and Surveillance  
   4513-9060   For the purposes of a federally funded grant entitled, Residential Fire Injury Prevention, Intervention, and Surveillance 144,760
 
 Universal Newborn Hearing Screening Enhancement Project  
   4513-9066   For the purposes of a federally funded grant entitled, Universal Newborn Hearing Screening Enhancement Project 150,000
 
 Early Hearing Detection and Intervention - Tracking and Research  
   4513-9071   For the purposes of a federally funded grant entitled, Early Hearing Detection and Intervention - Tracking and Research 170,000
 
 Early Childhood Comprehensive Systems  
   4513-9076   For the purposes of a federally funded grant entitled, Early Childhood Comprehensive Systems 140,000
 
 Emergency Medical Services for Children Partnership II  
   4513-9077   For the purposes of a federally funded grant entitled, Emergency Medical Services for Children Partnership II 102,771
 
 Asthma Planning Collaborative  
   4513-9078   For the purposes of a federally funded grant entitled, Asthma Planning Collaborative 200,000
 
 Massachusetts Youth Violence Prevention Program  
   4513-9079   For the purposes of a federally funded grant entitled, Massachusetts Youth Violence Prevention Program 98,997
 
 State Implementation Grant for Children with Special Health Care Needs  
   4513-9081   For the purposes of a federally funded grant entitled, State Implementation Grant for Children with Special Health Care Needs 300,000
 
 CAPTA Requirement to Identify and Serve Substance Exposed Newborns  
   4513-9082   For the purposes of a federally funded grant entitled, CAPTA Requirement to Identify and Serve Substance Exposed Newborns 150,000
 
 Massachusetts Youth Suicide Prevention Program  
   4513-9083   For the purposes of a federally funded grant entitled, Massachusetts Youth Suicide Prevention Program 299,841
 
 Abstinence Education Project  
   4513-9084   For the purposes of a federally funded grant entitled, Abstinence Education Project 712,241
 
 Emotion-based Messages to Promote Healthy Behaviors  
   4514-1004   For the purposes of a federally funded grant entitled, Emotion-based Messages to Promote Healthy Behaviors 15,294
 
 WIC - Management Information Systems  
   4514-1005   For the purposes of a federally funded grant entitled, WIC - Management Information Systems 60,000
 
 Tuberculosis Control Project  
   4515-0115   For the purposes of a federally funded grant entitled, Tuberculosis Control Project 1,993,585
 
 Tuberculosis Epidemiologic Studies Consortium  
   4515-0121   For the purposes of a federally funded grant entitled, Tuberculosis Epidemiologic Studies Consortium 349,828
 
 STD and HIV Prevention Training Centers  
   4515-0200   For the purposes of a federally funded grant entitled, STD and HIV Prevention Training Centers 477,305
 
 Public Health Preparedness and Response for Bioterrorism  
   4516-1021   For the purposes of a federally funded grant entitled, Public Health Preparedness and Response for Bioterrorism 22,374,570
 
 Morbidity and Risk Behavior Surveillance  
   4516-1025   For the purposes of a federally funded grant entitled, Morbidity and Risk Behavior Surveillance 299,811
 
 Enhancement of Laboratory Testing  
   4516-1100   For the purposes of a federally funded grant entitled, Enhancement of Laboratory Testing 92,000
 
 Technical Data - Massachusetts Birth and Infant Death File Linkage and Analysis  
   4518-0505   For the purposes of a federally funded grant entitled, Technical Data - Massachusetts Birth and Infant Death File Linkage and Analysis 91,767
 
 National Violent Death Reporting System  
   4518-0514   For the purposes of a federally funded grant entitled, National Violent Death Reporting System 382,132
 
 Public Health Injury Surveillance & Prevention  
   4518-0534   For the purposes of a federally funded grant entitled, Public Health Injury Surveillance and Prevention 447,830
 
 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 43,598
 
 Massachusetts Death File - Social Security Administration  
   4518-1002   For the purposes of a federally funded grant entitled, Massachusetts Death File - Social Security Administration 79,300
 
 Massachusetts Birth Records - Social Security Administration  
   4518-1003   For the purposes of a federally funded grant entitled, Massachusetts Birth Records - Social Security Administration 370,101
 
 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 157,122
 
 Census of Fatal Occupational Injuries  
   4518-9023   For the purposes of a federally funded grant entitled, Census of Fatal Occupational Injuries 42,100
 
 Fatality Surveillance and Field Investigations  
   4518-9025   For the purposes of a federally funded grant entitled, Fatality Surveillance and Field Investigations 145,748
 
 Public Health Injury Surveillance And Prevention Program  
   4518-9030   For the purposes of a federally funded grant entitled, Public Health Injury Surveillance And Prevention Program 120,000
 
 Massachusetts Cardiovascular Disease Prevention  
   4570-1509   For the purposes of a federally funded grant entitled, Massachusetts Cardiovascular Disease Prevention 1,895,011
 
 National Cancer Prevention Control  
   4570-1512   For the purposes of a federally funded grant entitled, National Cancer Prevention Control 5,711,938
 
 Chronic Disease Prevention and Health Promotion  
   4570-1515   For the purposes of a federally funded grant entitled, Chronic Disease Prevention and Health Promotion 4,454,744
 
Trust and Other Spending 15,080,832
 
   4510-0606   Urea Formaldehyde Foam Insulation for Homeowners 43,382
 
   4510-0622   Radiation Control Trust 282,344
 
   4510-0623   Surveillance of Health Outcomes and Drinking Water Quality Testing Trust 152,327
 
   4510-0625   Low Level Radioactive Waste Rebate 293,769
 
   4510-0635   Lead Paint Education and Training 1,745,792
 
   4510-0714   Civil Monetary Penalties 750,000
 
   4510-0727   Health Boards Professional Licensure Trust 3,012,195
 
   4510-0729   Board of Registration in Medicine Trust 4,689,025
 
   4510-6921   Organ Transplant Fund 150,000
 
   4512-0105   Massachusetts AIDS Fund 250,000
 
   4512-9410   Share Revolving Loan Fund 20,000
 
   4514-0100   Catastrophic Illness in Children Relief 3,376,175
 
   4514-0200   Spinal Cord Injury Trust Fund 149,000
 
   4518-9026   DPH Sharps Injuries and Blood Exposure in Home Health Care 108,937
 
   4590-9122   Western Massachusetts Hospital Trust Fund 57,886
 

 
Department of Mental Health 663,091,089
 
 
Budgetary Direct Appropriations 642,056,020
Direct Appropriations  
 
 Department of Mental Health Administration  
   5011-0100   For central and area office program support and administration of the department of mental health 39,014,072
 
 Child and Adolescent Mental Health Services  
   5042-5000   For child and adolescent mental health services, including, but not limited to, step-down services for children and adolescents experiencing long stays in acute hospital units or mental health facilities due to the lack of more appropriate placements; provided, that said step-down services are delivered to children and adolescents who have been determined to be medically ready for discharge from acute hospital units or mental health facilities into appropriate community services, including residential services; and provided further, that the commissioner of mental health may allocate funds appropriated herein to the department of social services 72,421,095
 
 Adult Mental Health and Support Services  
   5046-0000   For adult mental health services 301,760,415
 
 Statewide Homelessness Support Services  
   5046-2000   For statewide homelessness services 22,337,091
 
 Emergency Services and Acute Mental Health Care  
   5047-0001   For emergency service programs and acute inpatient and community-based mental health services 31,505,565
 
 Forensic Services Program for Mentally Ill Persons  
   5055-0000   For forensic services 6,107,903
 
 Inpatient Facilities and Community-Based Mental Health Services  
   5095-0015   For inpatient facilities and community-based mental health services; provided, that the commissioner of mental health may transfer an amount not to exceed $5,000,000 from this item to item 5046-0000 for residential and day services for clients formerly receiving care at department facilities 164,284,879
 
Retained Revenues 
 
 CHOICE Program Retained Revenue  
   5046-4000   The department of mental health is hereby authorized to expend for the routine maintenance and repair of facilities in the creative housing option in community environments, authorized by chapter 167 of the acts of 1987, an amount not to exceed $125,000 in revenues collected from occupancy fees charged to the tenants in said program 125,000
 
 Emergency Services and Acute Mental Health Care Retained Revenue  
   5047-0002   The department of mental health is hereby authorized to expend for continuing care services an amount not to exceed $4,500,000 from federal reimbursement collected for services rendered in emergency programs and acute inpatient and diversionary settings; 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 4,500,000
 
Federal Grant Spending 3,342,271
 
 Project for Assistance in Transition from Homelessness  
   5012-9121   For the purposes of a federally funded grant entitled, Project for Assistance in Transition from Homelessness 1,413,000
 
 Alternatives to Restraint and Seclusion  
   5012-9157   For the purposes of a federally funded grant entitled, Alternatives to Restraint and Seclusion 238,311
 
 State Mental Health Data Infrastructure Grant  
   5012-9158   For the purposes of a federally funded grant entitled, State Mental Health Data Infrastructure Grant 142,200
 
 Shelter Plus Care Program  
   5046-9102   For the purposes of a federally funded grant entitled, Shelter Plus Care Program 173,760
 
 Comprehensive Mental Health Services for Children and their Families  
   5047-9102   For the purposes of a federally funded grant entitled, Comprehensive Mental Health Services for Children and their Families 1,375,000
 
Trust and Other Spending 17,692,798
 
   5011-2001   Mental Health Information System Fund 4,836,341
 
   5311-9101   Solomon Mental Health Center 233,599
 
   5535-2689   Cape Cod and Islands Mental Health Center 2,279,043
 
   5540-2689   Brockton Multi-Service Center 796,168
 
   5541-2689   Dr. John C. Corrigan, Jr. Mental Health Center 3,425,905
 
   5542-2689   Research and Training Trust 130,000
 
   5543-2689   Patient Wages 31,328
 
   5651-2689   Massachusetts Mental Health Center 1,317,138
 
   5652-2689   Dr. Solomon Carter Fuller Mental Health Center 1,805,681
 
   5653-2689   Lindemann Mental Health Center 967,081
 
   5654-2689   Mary Palmer's Mental Health Center Expendable Trust 23,000
 
   5655-2690   Governor Francis P. Murphy Fund 38,000
 
   5851-2689   Quincy Mental Health Center 1,809,514
 

 
Office for Refugees and Immigrants 12,512,091
 
 
Budgetary Direct Appropriations 500,000
Direct Appropriations  
 
 Low-Income Citizenship Program  
   4003-0122   For a program to assist those legal non-citizens in becoming citizens of the United States who will be eligible for citizenship within three years; provided, that persons who would qualify for benefits under chapter 118A of the General Laws but for their status as legal non-citizens shall be accorded the highest priority for the provision of services; and provided further, that persons who currently receive state-funded benefits which could be replaced in whole or in part by federally-funded benefits if such persons become citizens, shall be accorded priority for the provision of services 500,000
 
Federal Grant Spending 12,012,091
 
 Refugee School Impact  
   4003-0803   For the purposes of a federally funded grant entitled, Refugee School Impact 230,000
 
 Refugee Targeted Assistance Grant  
   4003-0804   For the purposes of a federally funded grant entitled, Refugee Targeted Assistance Grant 1,138,709
 
 Refugee Resettlement Program  
   4003-0805   For the purposes of a federally funded grant entitled, Refugee Resettlement Program 1,518,403
 
 Refugee Cash, Medical, and Administration  
   4003-0806   For the purposes of a federally funded grant entitled, Refugee Cash, Medical, and Administration 8,992,044
 
 State Legalization Impact  
   4003-0807   For the purposes of a federally funded grant entitled, State Legalization Impact 132,935
 

 
Department of Youth Services 153,734,838
 
 
Budgetary Direct Appropriations 153,378,506
Direct Appropriations  
 
 Department of Youth Services  
   4200-0010   For the operation of the department of youth services 4,923,400
 
 Non-Residential Services for Committed Population  
   4200-0100   For supervision, counseling, and other community-based services provided by the department to committed youth in non-residential care programs; provided, that the commissioner of youth services may transfer a total amount not to exceed 7 per cent of the funds appropriated herein to items 4200-0200 and 4200-0300 23,078,206
 
 Residential Services for Detained Population  
   4200-0200   For pre-trial detention programs, including purchase of service and state-operated programs incidental to the operation of certain residential care programs; provided, that the commissioner of youth services may transfer a total amount not to exceed 7 per cent of the funds appropriated herein to items 4200-0100 and 4200-0300 19,946,058
 
 Residential Services for Committed Population  
   4200-0300   For secure facilities, including purchase of service and state-operated programs incidental to the operation of said facilities; provided, that an amount not to exceed $60,000 may be expended for reimbursements to providers for services rendered in prior fiscal years; and provided further, that the commissioner of youth services may transfer a total amount not to exceed 5 per cent of the funds appropriated herein to items 4200-0100 and 4200-0200 105,430,842
 
Federal Grant Spending 333,332
 
 Serious and Violent Offender Reentry Initiative  
   4200-1601   For the purposes of a federally funded grant entitled, Serious and Violent Offender Reentry Initiative 333,332
 
Trust and Other Spending 23,000
 
   4202-0605   Mary Devereaux Character Award Bond 3,000
 
   4235-1621   Lyman Trust Fund Purchase of Investments 20,000
 

 
Department of Transitional Assistance 848,106,380
 
 
Budgetary Direct Appropriations 834,178,314
Direct Appropriations  
 
 Department of Transitional Assistance  
   4400-1000   For the operation of the department of transitional assistance 123,756,198
 
 Domestic Violence Specialists  
   4400-1025   For domestic violence specialists at local area offices of the department of transitional assistance 666,315
 
 Homeless Management Information System  
   4400-1079   For the operation of a homeless management information system 1,000,000
 
 Employment Services Program  
   4401-1000   For employment and training services, including support services, for recipients of benefits provided under the transitional aid to families with dependent children program and the absent parents of said recipients; provided, that funds from this item may be expended on former recipients of said program for up to one year after termination of their benefits; provided further, that certain parents who have not yet reached the age of 18 years, including those who are ineligible for transitional aid to families with dependent children and who would qualify for benefits under the provisions of chapter 118 of the General Laws but for the deeming of the grandparents' income, shall be eligible to receive said services; and provided further, that funds from this item may be expended for self-sufficiency activities for recipients of benefits under chapter 117A of the General Laws 31,087,733
 
 TAFDC Grant Payments  
   4403-2000   For the operation of a program of transitional aid to families with dependent children; provided, that notwithstanding the provisions of any general or special law to the contrary, benefits under said program shall be paid only to citizens of the United States and to non-citizens for whom federal funds may be used to provide benefits; provided further, that the need standard shall be equal to the standard in effect in fiscal year 2006 unless the department determines that a reduction in the monthly payment standard should be implemented before the end of the fiscal year to keep program expenditures within the amounts appropriated herein; provided further, that the payment standard shall be equal to the need standard; provided further, that the payment standard for families who do not qualify for an exempt category of assistance under the provisions of subsection (e) of section 110 of chapter 5 of the acts of 1995 shall be 2.75 per cent below the payment standard, pursuant to the provisions of the state plan required under the Personal Responsibility and Work Opportunity Reconciliation Act of 1996; provided further, that the preceding proviso shall not be effective upon the effective date of any related revision to the welfare reform law, so-called; provided further, that the department of transitional assistance shall notify all teen parents receiving benefits from said programs of the requirements in clause (2) of subsection (i) of said section 110; provided further, that a $40 per month rent allowance shall be paid to all households incurring a rent or mortgage expense and not residing in public housing or subsidized housing; provided further, that a non-recurring children's clothing allowance in the amount of $150 shall be provided to each child eligible under these programs in September 2006; provided further, that benefits under this program shall not be available to those families in which a child has been removed from the household pursuant to a court order after a care and protection hearing on child abuse, nor to adult recipients otherwise eligible for transitional aid to families with dependent children but for the temporary removal of the dependent child or children from the home by the department of social services in accordance with said department's procedures; provided further, that notwithstanding the provisions of section 2 of chapter 118 of the General Laws or any other general or special law to the contrary, the department shall render aid to pregnant women with no other eligible dependent children only if it has been medically verified that the child is expected to be born within the month such payments are to be made or within the three-month period following such month of payment, and who, if such child had been born and was living with her in the month of payment, would be categorically and financially eligible for transitional aid to families with dependent children benefits; and provided further, that certain families that suffer a reduction in benefits due to a loss of earned income and participation in retrospective budgeting may receive a supplemental benefit to compensate them for such loss 291,732,068
 
 Lift Transportation Program  
   4403-2001   For the linking individuals and families in transition transportation program operated by the traveler's aid society of Boston 100,000
 
 Teen Structured Settings Program  
   4403-2119   For the provision of structured settings pursuant to the provisions of subsection (i) of section 110 of chapter 5 of the acts of 1995 for parents under the age of 20 who are receiving benefits under the transitional aid to families with dependent children program 6,819,544
 
 Emergency Assistance - Family Shelters and Services  
   4403-2120   For certain expenses of the emergency assistance program as herein delineated: (i) contracted family shelters, (ii) transitional housing program, (iii) intake centers, so-called, (iv) voucher shelters, so-called, (v) innovative or pilot programs developed by the department that are designed to reduce reliance on emergency shelter, and (vi) payments for transportation to shelter on behalf of homeless families when the department of transitional assistance deems necessary; provided, that families with incomes at or below 100 per cent of the federal poverty level shall be eligible for family shelter benefits; provided further, that notwithstanding any other general or special law to the contrary, the department shall immediately provide shelter for up to ten days to families who appear eligible for such shelter based on statements provided by the family and any other information in the possession of the department, but who need additional time to obtain any third-party verifications reasonably required by the department; provided further, that in promulgating, amending, or rescinding regulations with respect to eligibility or benefits under said program, the department shall take into account the amounts available to it for expenditure from this item so as not to exceed the amount appropriated herein; provided further, that the department shall promulgate regulations to prevent abuse in the emergency assistance program; provided further, that said rules and regulations shall include but not be limited to a year-to-year cross-check of recipients to determine whether a person has received similar benefits in the previous 36 months; provided further, that if a person has utilized emergency assistance benefits more than once within 36 months, the department shall place said person on a protective payment schedule for the entire period during which said person is receiving said benefits; and provided further, that benefits under this item shall be provided only to residents who are citizens of the United States or aliens lawfully admitted for permanent residence or otherwise permanently residing under color of law in the United States and shall not be provided to illegal or undocumented aliens 73,495,432
 
 State Supplement to Supplemental Security Income  
   4405-2000   For the state supplement to the supplemental security income program for the aged and disabled, including a program for emergency needs for supplemental security income recipients; provided, that funds may be expended from this item for burial expenses incurred in the prior fiscal year; provided further, that the department of transitional assistance, in collaboration with the executive office of health and human services, may fund an optional supplemental living arrangement category under the supplemental security income program that makes payments to persons living in assisted living residences certified pursuant to chapter 19D of the General Laws who meet the income and clinical eligibility criteria established by the department and the executive office; provided further, that said optional category of payments shall only be administered in conjunction with the Medicaid group adult foster care benefit; and provided further, that reimbursements to providers for services rendered in prior fiscal years may be expended from this item 210,887,077
 
 Homeless Individuals Assistance  
   4406-3000   For a program to assist homeless individuals or those in danger of becoming homeless, including assistance to organizations that provide food, shelter, housing search, and limited related services to the homeless and indigent; provided, that the department of transitional assistance may allocate funds to other agencies for the purposes of this program; and provided further, that funds from this appropriation may be expended on innovative or pilot programs that are designed to reduce reliance on emergency shelter, including transitional housing, for individuals 35,339,061
 
 Emergency Aid to the Elderly, Disabled, and Children  
   4408-1000   For the operation of a program of cash assistance to certain residents of the commonwealth pursuant to chapter 117A of the General Laws, entitled emergency aid to the elderly, disabled, and children, who are found by the department of transitional assistance to be eligible for such aid, pursuant to regulations promulgated by the department and subject to the limitations specified herein; provided, that benefits under this item shall be provided only to residents who are citizens of the United States or qualified aliens, so-called, or non-citizens otherwise permanently residing in the United States under color of law and shall not be provided to illegal or undocumented aliens; provided further, that the department shall promulgate regulations to implement the deeming of income from sponsors; provided further, that the preceding proviso shall not apply to those who reside in an institution; provided further, that the monthly payment standard for the program shall equal the monthly payment standard in effect under this program in fiscal year 2006, unless the department of transitional assistance determines that a reduction in the monthly payment standard should be implemented before the end of the fiscal year to keep program expenditures within amounts appropriated herein; provided further, that notwithstanding any such reduction in the monthly payment standard, the department may continue to provide benefits for eligible individuals in rest homes; provided further, that the department may provide benefits to persons age 65 or older who have applied for benefits under chapter 118A of the General Laws, to persons suffering from a medically determinable impairment or combination of impairments which is expected to last for a period as determined by department regulations and which substantially reduces or eliminates the individual's capacity to support himself and has been verified by a competent authority, to otherwise eligible participants in the vocational rehabilitation program of the Massachusetts rehabilitation commission, to certain persons caring for a disabled person, to dependent children who are ineligible for benefits under both chapter 118 of the General Laws and the separate program created by section 210 of chapter 43 of the acts of 1997, and to parents or other caretakers of dependent children who are ineligible under said chapter 118 and under said separate program; provided further, that a person shall not be eligible for assistance under the provisions of this item if the person is eligible to receive assistance under chapters 115 or 118 of the General Laws or who would be eligible under said chapters but for income or assets, or who is eligible to receive unemployment compensation under chapter 151A of the General Laws; provided further, that the department may institute a work requirement for adult recipients; provided further, the preceding proviso shall not apply to the elderly, those who reside in an institution, or those with a disability expected to last for six months or less; provided further, that the department shall promulgate regulations establishing exceptions for good cause for not meeting the work requirement; provided further, that no ex-offender, person over age 45 without prior work history, or person in a residential treatment facility shall be eligible for benefits under this program unless said person otherwise meets the eligibility criteria described herein and defined by regulations of the department; provided further, that any person incarcerated in a correctional institution shall not be eligible for benefits under this program; provided further, that no funds shall be expended from this item for the payment of expenses associated with any medical review team or other disability screening process or for any costs associated with verifying disability for this program; provided further, that funds may be expended from this item for self sufficiency activities for recipients; provided further, that in promulgating, amending, or rescinding regulations with respect to eligibility or benefits under this program, the department shall take into account the amount available to it for expenditure from this item so as not to exceed the amount appropriated herein; provided further, that the department may promulgate emergency regulations pursuant to chapter 30A of the General Laws to implement these eligibility or benefit changes or both; and provided further, that notwithstanding the provisions of any general or special law to the contrary, the funds made available herein shall be the only funds available for this program, and the department shall not spend funds for this program in excess of the amount made available herein 56,294,886
 
Retained Revenues 
 
 Employment Services Program Federal Food Stamp Reimbursement Retained Revenue  
   4401-1100   The department of transitional assistance is hereby authorized to expend for employment and training services provided to recipients of transitional aid to families with dependent children and to recipients of benefits under chapter 117A of the General Laws an amount not to exceed $3,000,000 from federal reimbursements for food stamp outreach and employment and training programs, and any enhanced funding or bonuses 3,000,000
 
Federal Grant Spending 13,928,066
 
 McKinney Emergency Shelter Grants Program  
   4400-0705   For the purposes of a federally funded grant entitled, McKinney Emergency Shelter Grants Program 2,534,851
 
 Department of Housing and Urban Development Continuum of Care  
   4400-0707   For the purposes of a federally funded grant entitled, Department of Housing and Urban Development Continuum of Care 6,000,000
 
 Training for Food Stamp Able-Bodied Adults without Dependents  
   4400-3066   For the purposes of a federally funded grant entitled, Training for Food Stamp Able-Bodied Adults without Dependents 949,395
 
 Food Stamp Employment and Training  
   4400-3067   For the purposes of a federally funded grant entitled, Food Stamp Employment and Training 2,118,820
 
 Full Employment Program Food Stamp Cash Out  
   4400-3069   For the purposes of a federally funded grant entitled, Full Employment Program Food Stamp Cash Out 25,000
 
 McKinney Shelter Plus Care - Continuum of Care  
   4400-9404   For the purposes of a federally funded grant entitled, McKinney Shelter Plus Care - Continuum of Care 2,300,000
 

 
Department of Social Services 780,221,358
 
 
Budgetary Direct Appropriations 762,439,450
Direct Appropriations  
 
 Department of Social Services  
   4800-0015   For the operation of the department of social services 74,563,750
 
 Foster Care Review  
   4800-0025   For foster care review services 2,821,775
 
 Sexual Abuse Intervention Network  
   4800-0036   For sexual abuse intervention network services to be administered in conjunction with the district attorneys 737,464
 
 Services for Children and Families  
   4800-0038   For stabilization, placement, reunification, and permanency services for children and families; provided, that funds may be expended from this item to provide intensive community-based services to children who would otherwise be placed in residential settings; and provided further, that the department shall maintain a system of care network 515,799,318
 
 Placement Services for Juvenile Offenders  
   4800-0151   For the provision of alternative overnight non-secure placements for status offenders and nonviolent delinquent youth up to the age of 17 in order to prevent the inappropriate use of juvenile cells in police stations for such offenders, in compliance with the federal Juvenile Justice and Delinquency Prevention Act of 1974, as amended 310,743
 
 Social Workers for Case Management  
   4800-1100   For the payroll compensation of social workers 143,124,721
 
 Support Services for People at Risk of Domestic Violence  
   4800-1400   For shelters and support services, including payroll costs, for people at risk of domestic violence; provided, that not less than $1,000,000 shall be expended for domestic violence programs in the counties of Berkshire, Franklin, Hampden and Hampshire 20,081,679
 
Retained Revenues 
 
 Roca Retained Revenue for Aging-Out Population  
   4800-0016   The department of social services is hereby authorized to expend for the transitional employment program operated by Roca, Inc. an amount not to exceed $2,000,000 from revenues generated by said program 2,000,000
 
 Child Welfare Training Institute Retained Revenue  
   4800-0091   The department of social services is hereby authorized to expend for the purpose of administering a child welfare professional development training institute an amount not to exceed $3,000,000 from federal reimbursements received under Title IV-E of the Social Security Act during fiscal year 2007; provided, that notwithstanding the provisions of any general or special law to the contrary, for the purposes 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 3,000,000
 
Federal Grant Spending 17,620,408
 
 Children's Justice Act  
   4800-0005   For the purposes of a federally funded grant entitled, Children's Justice Act 354,720
 
 Family Violence Prevention and Support Services  
   4800-0007   For the purposes of a federally funded grant entitled, Family Violence Prevention and Support Services 1,812,749
 
 Social Security Act - Title IV-E Independent Living Program  
   4800-0009   For the purposes of a federally funded grant entitled, Social Security Act - Title IV-E Independent Living Program 3,242,415
 
 Family Preservation and Support Services  
   4800-0013   For the purposes of a federally funded grant entitled, Family Preservation and Support Services 4,936,768
 
 Education and Training Voucher Program  
   4800-0085   For the purposes of a federally funded grant entitled, Education and Training Voucher Program 1,108,019
 
 Adoption Opportunities  
   4800-0086   For the purposes of a federally funded grant entitled, Adoption Opportunities 350,000
 
 Supervised Visitation  
   4800-0087   For the purposes of a federally funded grant entitled, Supervised Visitation 374,745
 
 Training of Child Welfare Agency Supervisors  
   4800-0088   For the purposes of a federally funded grant entitled, Training of Child Welfare Agency Supervisors 249,722
 
 Adoption Incentive Payments  
   4800-0089   For the purposes of a federally funded grant entitled, Adoption Incentive Payments 16,000
 
 Social Security Act - Title IV-B Child Welfare Services  
   4899-0001   For the purposes of a federally funded grant entitled, Social Security Act - Title IV-B Child Welfare Services 4,601,492
 
 Child Abuse and Neglect Prevention and Treatment  
   4899-0022   For the purposes of a federally funded grant entitled, Child Abuse and Neglect Prevention and Treatment 573,778
 
Trust and Other Spending 161,500
 
   4800-3110   Private Donations 159,500
 
   4899-8102   New Chardon Street Temporary Home 2,000
 

 
Massachusetts Commission for the Blind 36,635,809
 
 
Budgetary Direct Appropriations 27,845,253
Direct Appropriations  
 
 Massachusetts Commission for the Blind  
   4110-0001   For the operation of the Massachusetts commission for the blind; provided, that the commissioner may transfer funds among items 4110-0001, 4110-1000, 4110-1010, 4110-1020, 4110-2000, 4110-3010, and 4110-4000; and provided further, that the amount transferred from any of the items stated herein shall not exceed 5 per cent of the total amount appropriated for that item 1,132,494
 
 Community Services for the Blind  
   4110-1000   For the operation of the community services program for the blind 3,967,118
 
 State Supplement to Supplemental Security Income for the Blind  
   4110-1010   For aid to the adult blind; provided, that funds may be expended from this item for burial expenses incurred in the prior fiscal year 8,351,643
 
 Medical Assistance Eligibility Determination for the Blind  
   4110-1020   For determining eligibility for medical assistance for the blind 324,995
 
 Services for the Blind  
   4110-2000   For services to deaf-blind, deaf-blind mentally retarded, and other significantly multi-disabled blind individuals; provided, that nothing stated herein shall give rise to or shall be construed as giving rise to enforceable legal rights in any party or an enforceable entitlement to the services funded herein 9,512,267
 
 Vocational Rehabilitation for the Blind  
   4110-3010   For vocational rehabilitation services for the blind in cooperation with the federal government; provided, that no funds shall be deducted for pensions, group health and life insurance, or any other such fringe benefit or indirect costs of federally reimbursed state employees 2,661,326
 
 Ferguson Industries for the Blind  
   4110-4000   For the operation of Ferguson industries for the blind; provided, that retired workshop employees shall receive grants equal to three-fourths of the salaries of current workshop employees 1,895,410
 
Federal Grant Spending 8,720,556
 
 Vocational Rehabilitation Grant for the Blind  
   4110-3020   For the purposes of a federally funded grant entitled, Vocational Rehabilitation Grant for the Blind 153,000
 
 Basic Support Grant for the Blind  
   4110-3021   For the purposes of a federally funded grant entitled, Basic Support Grant for the Blind 7,601,991
 
 Independent Living for the Blind - Adaptive Housing  
   4110-3023   For the purposes of a federally funded grant entitled, Independent Living for the Blind - Adaptive Housing 69,695
 
 Independent Living - Services to Older Blind Americans  
   4110-3026   For the purposes of a federally funded grant entitled, Independent Living - Services to Older Blind Americans 737,346
 
 Rehabilitation Training for the Blind  
   4110-3027   For the purposes of a federally funded grant entitled, Rehabilitation Training for the Blind 29,280
 
 Supported Employment for the Blind  
   4110-3028   For the purposes of a federally funded grant entitled, Supported Employment for the Blind 129,244
 
Trust and Other Spending 70,000
 
   4110-6600   Educational Purposes Trust Fund 40,000
 
   4110-6606   Vending Facility Operators Trust Fund 30,000
 

 
Massachusetts Rehabilitation Commission 139,583,048
 
 
Budgetary Direct Appropriations 41,223,561
Direct Appropriations  
 
 Massachusetts Rehabilitation Commission  
   4120-1000   For the operation of the Massachusetts rehabilitation commission; provided, that the commissioner may transfer funds among items 4120-1000, 4120-2000, 4120-3000, 4120-4000, 4120-4001, 4120-4010, 4120-5000, and 4120-6000; provided further, that the amount transferred from any of the items stated herein shall not exceed 5 per cent of the total amount appropriated for that item; provided further, that upon the written request of the commissioner of revenue, the commission shall provide lists of individual clients to whom or on behalf of whom payments have been made for the purpose of verifying eligibility and detecting and preventing fraud, error, and abuse in the programs administered by the commission; and provided further, that the lists shall include client names and social security numbers, and payee names and other identification, if different from a client’s 579,543
 
 Vocational Rehabilitation for the Disabled  
   4120-2000   For vocational rehabilitation services provided for the disabled in cooperation with the federal government; provided, that no funds shall be deducted for pensions, group health and life insurance, or any other such fringe benefit or indirect costs of federally reimbursed state employees 7,526,911
 
 Employment Assistance for Adults with a Severe Disability  
   4120-3000   For employment assistance for severely disabled adults 8,049,970
 
 Independent Living Assistance for the Multi-Disabled  
   4120-4000   For independent living assistance for the multi-disabled 9,422,668
 
 Accessible Housing Registry for Disabled Persons  
   4120-4001   For a housing registry for the disabled 83,754
 
 Services for the Multi-Disabled  
   4120-4010   For services to clients of the commission; provided, that nothing stated herein shall be construed as giving rise to enforceable legal rights in any party or an enforceable entitlement to the services funded herein 749,145
 
 Home Care Services for the Multi-Disabled  
   4120-5000   For home care services for the multi-disabled 5,533,661
 
 Head Injury Treatment Services  
   4120-6000   For head injury treatment services 8,947,909
 
Retained Revenues 
 
 Home Care, Employment, and Independent Living Medicaid Reimbursement  
   4120-5050   The Massachusetts rehabilitation commission is hereby authorized to expend for the provision of expanded independent living and employment services an amount not to exceed $330,000 from federal reimbursements received for services provided by the commission; 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 commission 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 330,000
 
Federal Grant Spending 87,165,534
 
 Vocational Rehabilitation for the Multi-Disabled  
   4120-0020   For the purposes of a federally funded grant entitled, Vocational Rehabilitation for the Multi-Disabled 44,143,937
 
 Vocational Rehabilitation and Comprehensive Systems of Personnel Dev. Training  
   4120-0040   For the purposes of a federally funded grant entitled, Vocational Rehabilitation and Comprehensive Systems of Personnel Development Training 110,887
 
 Supported Employment Program for the Multi-Disabled  
   4120-0187   For the purposes of a federally funded grant entitled, Supported Employment Program for the Multi-Disabled 880,549
 
 Projects Providing Vocational Rehabilitation Services to the Severely Disabled  
   4120-0189   For the purposes of a federally funded grant entitled, Projects Providing Vocational Rehabilitation Services to the Severely Disabled 371,860
 
 Informed Members Planning and Assessing Choices Together  
   4120-0191   For the purposes of a federally funded grant entitled, Informed Members Planning and Assessing Choices Together 460,953
 
 Vocational Rehabilitation for the Multi-Disabled - Determination of Disability  
   4120-0511   For the purposes of a federally funded grant entitled, Vocational Rehabilitation for the Multi-Disabled - Determination of Disability 38,556,149
 
 Independent Living for the Multi-Disabled  
   4120-0760   For the purposes of a federally funded grant entitled, Independent Living for the Multi-Disabled 1,871,402
 
 Assistive Technology  
   4120-0767   For the purposes of a federally funded grant entitled, Assistive Technology 375,000
 
 Assistive Technology Act  
   4120-0768   For the purposes of a federally funded grant entitled, Assistive Technology Act 394,797
 
Trust and Other Spending 11,193,953
 
   4120-0029   Vocational Rehabilitation for the Multi-Disabled Trust Fund 3,500,000
 
   4120-0030   Workforce Coordinating Grant for the Multi-Disabled 93,953
 
   4120-6002   Head Injury Treatment Services Trust Fund 7,600,000
 

 
Massachusetts Commission for the Deaf and Hard of Hearing 5,833,392
 
 
Budgetary Direct Appropriations 5,483,049
Direct Appropriations  
 
 Massachusetts Commission for the Deaf and Hard of Hearing  
   4125-0100   For the operation of the Massachusetts commission for the deaf and hard of hearing 5,483,049
 
Intragovernmental Service Spending 200,000
 
 Chargeback for Interpreter Services  
   4125-0122   For the costs of interpreter services provided by staff of the Massachusetts commission for the deaf and hard of hearing 200,000
 
Intragovernmental Service Fund 100%
 
 
Trust and Other Spending 150,343
 
   4125-0104   Interpreter Services Revolving Fund 150,343
 

 
Soldiers' Home in Massachusetts 24,177,835
 
 
Budgetary Direct Appropriations 24,177,835
Direct Appropriations  
 
 Soldiers' Home in Massachusetts  
   4180-0100   For the operation of the soldiers' home in Massachusetts, located in the city of Chelsea, including a specialized unit for the treatment of Alzheimer's disease patients and the licensed practical nurse school of nursing; provided, that graduates from the licensed practical nurse school of nursing shall be required to work in state-operated facilities for a minimum duration of one year 23,925,335
 
Retained Revenues 
 
 License Plate Sales Retained Revenue  
   4180-1100   The soldiers' home in Massachusetts, located in the city of Chelsea, is hereby authorized to expend for facility maintenance and patient care an amount not to exceed $252,500; provided, that 60 per cent of all revenues generated pursuant to section 2 of chapter 90 of the General Laws, through the purchase of license plates with the designation VETERAN by eligible veterans of the commonwealth, upon compensating the registry of motor vehicles for the costs associated with said license plates, shall be deposited into and for the purposes of this account; 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, said soldiers' home 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 252,500
 

 
Soldiers' Home in Holyoke 18,757,521
 
 
Budgetary Direct Appropriations 18,757,521
Direct Appropriations  
 
 Soldiers' Home in Holyoke  
   4190-0100   For the operation of the soldiers' home in Holyoke; provided, that in the operation of the outpatient pharmacy, the soldiers' home shall cover the cost of drugs prescribed at said soldiers' home, excluding the required co-payment, only when the veteran has no access to other drug insurance coverage, including coverage through the program authorized by section 39 of chapter 19A of the General Laws 18,363,918
 
Retained Revenues 
 
 Pharmacy Co-Payment Fee Retained Revenue  
   4190-0102   The soldiers' home in Holyoke is hereby authorized to expend for the outpatient pharmacy program an amount not to exceed $225,000 from co-payments which it is hereby authorized to charge to users of said program; provided, that the rates of said co-payments and the procedures for the administration thereof shall annually be determined by the superintendent of said soldiers' home; 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, said soldiers' home 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 225,000
 
 License Plate Sales Retained Revenue  
   4190-1100   The soldiers' home in Holyoke is hereby authorized to expend for facility maintenance and patient care an amount not to exceed $168,603; provided, that 40 per cent of all revenues generated pursuant to section 2 of chapter 90 of the General Laws, through the purchase of license plates with the designation VETERAN by eligible veterans of the commonwealth, upon compensating the registry of motor vehicles for the costs associated with said license plates, shall be deposited into and for the purposes of this account; 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, said soldiers' home 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 168,603
 

 
Department of Mental Retardation 1,177,160,756
 
 
Budgetary Direct Appropriations 1,163,918,537
Direct Appropriations  
 
 Department of Mental Retardation  
   5911-1000   For the administration of the department of mental retardation 13,121,897
 
 Community Transportation Services for the Mentally Retarded  
   5911-2000   For transportation costs associated with the adult services program 14,063,821
 
 Community Support Services for the Mentally Retarded  
   5920-1000   For the operation of regional and area offices of the department 55,914,599
 
 Community Residential Supports for the Mentally Retarded  
   5920-2000   For vendor-operated, community-based residential adult services, including intensive individual supports; provided, that $5,000,000 shall be expended for the fiscal year 2007 cost of the settlement agreement Rolland vs. Cellucci, so-called; and provided further, that the commissioner of the department of mental retardation may transfer funds from this item to item 5920-2010, as necessary, to provide clients receiving services from the department of mental retardation with appropriate supports in the least restrictive setting possible 524,560,531
 
 Residential Rate Initiative  
   5920-2006   For the implementation of a residential rate initiative 2,000,000
 
 State-Operated Residential Supports for the Mentally Retarded  
   5920-2010   For state-operated, community-based residential services for adults, including community-based health services for adults 122,209,638
 
 Boulet Lawsuit - Residential and Interim Services for the Mentally Retarded  
   5920-2020   For the provision of services, including residential and interim services, to clients of the department, including those on the waiting list on July 14, 2000 86,361,602
 
 Community Day and Work Programs for the Mentally Retarded  
   5920-2025   For community-based day and work programs for adults with mental retardation 117,434,430
 
 Respite Family Supports for the Mentally Retarded  
   5920-3000   For respite services and intensive family supports for the mentally retarded 53,094,228
 
 Autism Division  
   5920-3010   For support services for families with autistic children through the autism division 1,200,000
 
 Services for the Mentally Retarded  
   5920-5000   For services to clients of the department of mental retardation 6,467,670
 
 State Facilities for the Mentally Retarded  
   5930-1000   For the operation of facilities for individuals with mental retardation; provided, that the department may allocate funds from this item to items 5920-2000, 5920-2010, and 5920-2025, as necessary, for residential and day services for clients formerly receiving inpatient care at inpatient care facilities for the mentally retarded to receive appropriate supports in the least restrictive setting possible 167,390,121
 
Retained Revenues 
 
 Templeton Developmental Center Farm Product Sales Retained Revenue  
   5982-1000   The department of mental retardation is hereby authorized to expend for program costs of the Templeton developmental center, including supplies, equipment, and facility maintenance, an amount not to exceed $100,000 received from the sale of milk and other farm-related products at said center; 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 100,000
 
Intragovernmental Service Spending 8,000,000
 
 Chargeback for Special Education Alternatives for Mentally Retarded Children  
   5948-0012   For the operation of a program providing alternatives to residential placements for children with mental retardation, including the costs of intensive home-based supports provided for the purposes of item 7061-0012 8,000,000
 
Intragovernmental Service Fund 100%
 
 
Federal Grant Spending 353,663
 
 Community Integrated Personal Assistant Services  
   5947-0008   For the purposes of a federally funded grant entitled, Community Integrated Personal Assistant Services 103,663
 
 Family Support 360 - Project of National Significance  
   5947-0010   For the purposes of a federally funded grant entitled, Family Support 360 - Project of National Significance 250,000
 
Trust and Other Spending 4,888,556
 
   5011-9101   Surety Money - Transportation of Mental Retardation Clients 3,209
 
   5483-9101   Walter E. Fernald State School 6,372
 
   5581-2600   School Lunch Program - Payments I 1,883
 
   5781-2600   School Lunch Program - Payments II 1,668
 
   5911-0001   Parents, Guardians, and Friends Expendable Trust 3,303
 
   5911-2001   Department of Mental Retardation Commissioner's Trust 4,863,665
 
   5920-0002   Belchertown Carousel Trust 8,456
 

 
Department of Veterans' Services 41,642,678
 
 
Budgetary Direct Appropriations 40,337,162
Direct Appropriations  
 
 Department of Veterans' Services Administration  
   1410-0010   For the operation of the department of veterans' services 1,992,187
 
 Veterans' Outreach Centers  
   1410-0012   For the operation of veterans' outreach centers 1,176,016
 
 Women Veterans' Outreach  
   1410-0015   For the operation of a women veterans' outreach program 42,282
 
 Veterans' Services Pension Recovery Revenue Maximization  
   1410-0100   For the elder affairs federal pension and benefits recovery project 98,000
 
 Assistance to Homeless Veterans  
   1410-0250   For the operation of homeless shelters and transitional housing for veterans 2,023,077
 
 New England Shelter for Homeless Veterans  
   1410-0251   For the operation of a homeless shelter and transitional housing for veterans at the new england shelter for homeless veterans 2,276,703
 
 Annuities to Qualified Disabled Veterans  
   1410-0300   For the payment of veterans' annuities pursuant to section 6B of chapter 115 of the General Laws 17,127,688
 
 Veterans' Benefits  
   1410-0400   For reimbursements to cities and towns for payments to certain veterans pursuant to section 6 of chapter 115 of the General Laws 14,412,585
 
 Agawam and Winchendon Veterans' Cemeteries  
   1410-0630   For the administration of the veterans' cemeteries in the towns of Agawam and Winchendon 888,624
 
Retained Revenues 
 
 Agawam and Winchendon Veterans' Cemeteries Fees and Grants Retained Revenue  
   1410-0018   The department of veterans' services is hereby authorized to expend for the maintenance and operation of the Agawam and Winchendon veterans' cemeteries an amount not to exceed $300,000 from revenues collected from federal reimbursements, fees, grants, gifts, or other contributions to said cemeteries 300,000
 
Federal Grant Spending 1,303,516
 
 Homeless Veterans' Reintegration, Training, and Placement - Statewide  
   1410-0254   For the purposes of a federally funded grant entitled, Homeless Veterans' Reintegration, Training, and Placement - Statewide 200,000
 
 Veterans' Workforce Investment  
   1410-0256   For the purposes of a federally funded grant entitled, Veterans' Workforce Investment 230,308
 
 Winchendon State Veterans' Cemetery  
   1410-8001   For the purposes of a federally funded grant entitled, Winchendon State Veterans' Cemetery 92,833
 
 Agawam Cemetery  
   1410-8002   For the purposes of a federally funded grant entitled, Agawam Cemetery 780,375
 
Trust and Other Spending 2,000
 
   1410-0600   War Veterans' Reimbursement Fund 2,000