Executive Office of Health and Human Services              

                             Department of Public Health                       

 =============================================================================================

                                                                       Projected   Recommended

                                                                            FY95          FY96



 Budgetary Direct Appropriations              





 DEPARTMENT OF PUBLIC HEALTH ADMINISTRATION                       

 4510-0100 For the administration of the department of public          9,270,571     9,358,129

           health pursuant to the provisions of chapters seventeen

           and one hundred and eleven of the General Laws;        

           provided, that the position of assistant commissioner  

           shall not be subject to chapter thirty-one of the      

           General Laws                                           





 COMMUNITY AND OTHER HEALTH CENTERS OPERATIONAL GRANTS            

 4510-0110 For community and other health centers operational          1,112,000     1,127,000

           grants, including grants for programs in smoking       

           cessation                                              



           Health Protection Fund . . . . . . . . . . .    80.20 

           General Fund . . . . . . . . . . . . . . . .    19.80 



 ENVIRONMENTAL HEALTH SERVICES                                    

 4510-0600 For environmental health services, including control of     2,772,328     2,800,672

           radiation and nuclear hazards, inspection of food,     

           drugs and other consumer products, lead poisoning      

           prevention, and environmental health assessment        





 ENVIRONMENTAL MONITORING OF SEABROOK NUCLEAR POWER PLANT         

 4510-0617 For environmental monitoring of the nuclear power plant        28,972        24,000

           in Seabrook, New Hampshire                             





 HEALTH FACILITIES LICENSURE                                      

 4510-0710 For the administration of the division of health care       5,813,502     5,520,577

           quality; provided, that said division shall be         

           responsible for assuring the quality of patient care   

           provided by the commonwealth's health care facilities  

           and services, for protecting the health and safety of  

           patients who receive care and services in nursing      

           homes, rest homes, clinical laboratories, clinics,     

           institutions for the mentally retarded and mentally    

           ill, hospitals, and infirmaries, and for inspection of 

           ambulance services                                     





 CERTIFICATE OF NEED PROGRAM                                      

 4510-0750 For the provision of certificates of need, pursuant to        138,858       145,412

           section twenty-five C of chapter one hundred and eleven

           of the General Laws                                    





 REGIONAL EMERGENCY MEDICAL SERVICES                              

 4510-0790 For regional emergency medical services; provided, that       395,000       400,000

           the regional emergency medical services councils and   

           the C-MED communications, so-called, designated as such

           in accordance with 105 CMR 170.101 as of January first,

           nineteen hundred and ninety-two shall remain the       

           designated councils and C-MEDs                         

.


                    Executive Office of Health and Human Services              

                             Department of Public Health                       

 =============================================================================================

                                                                       Projected   Recommended

                                                                            FY95          FY96

           Local Aid Fund . . . . . . . . . . . . . . .   100.00 



 ACQUIRED IMMUNE DEFICIENCY SYNDROME PREVENTION AND TREATMENT     

 4512-0103 For acquired immune deficiency syndrome prevention and     36,090,801    37,464,603

           treatment                                              



           General Fund . . . . . . . . . . . . . . . .    80.70 

           Health Protection Fund . . . . . . . . . . .    19.30 



 RENTAL SUBSIDIES FOR PERSONS WITH AIDS                           

 4512-0110 For a component of the acquired immune deficiency              87,852       120,000

           syndrome prevention and treatment program to provide   

           rental subsidies to persons with AIDS, so-called, for  

           the purpose of preventing institutionalization in acute

           care hospitals, chronic hospitals, and nursing homes   





 DIVISION OF SUBSTANCE ABUSE SERVICES                             

 4512-0200 For the division of substance abuse services, including    31,592,544    32,360,283

           reimbursement to driver alcohol education programs for 

           services provided for court adjudicated indigent       

           clients                                                



           General Fund . . . . . . . . . . . . . . . .    55.70 

           Health Protection Fund . . . . . . . . . . .    44.30 



 DENTAL HEALTH SERVICES                                           

 4512-0500 For the dental health services program provided in          1,407,663     1,415,163

           residential and community settings                     





 FAMILY HEALTH SERVICES                                           

 4513-1000 For the division of family health services, including      25,382,813     9,516,605

           maternal and child health services to be in addition to

           any federal funds received for this program            



           Health Protection Fund . . . . . . . . . . .    69.56 

           General Fund . . . . . . . . . . . . . . . .    30.44 



 TREATMENT FOR INDIGENT BATTERERS                                 

 4513-1001 For treatment for indigent batterers                          250,000       250,000





 NUTRITIONAL SERVICES                                             

 4513-1002 For the office of nutritional services, including the      16,422,145    19,345,796

           WIC program, so-called, to be in addition to funds     

           received under the federal nutrition program for women,

           infants, and children; provided, that not less than    

           thirty thousand dollars shall be paid from this item to

           the department of food and agriculture for a farmersí  

           market coupon program                                  



           General Fund . . . . . . . . . . . . . . . .    76.00 

           Health Protection Fund . . . . . . . . . . .    24.00 



 EARLY INTERVENTION SERVICES FOR DEVELOPMENTALLY DISABLED CHILDREN

 4513-1004 For early intervention services for developmentally                      18,235,639

           disabled children                                      



           Health Protection Fund . . . . . . . . . . .    69.56 .


                    Executive Office of Health and Human Services              

                             Department of Public Health                       

 =============================================================================================

                                                                       Projected   Recommended

                                                                            FY95          FY96

           General Fund . . . . . . . . . . . . . . . .    30.44 



 HEALTHY START - MEDICAL SERVICES FOR PREGNANT WOMEN              

 4513-1005 For medical care and assistance services administered       6,312,205     6,312,865

           by the department pursuant to section twenty-four D of 

           chapter one hundred and eleven, for pregnant women and 

           infants residing in the commonwealth who are not       

           eligible for services provided by the division of      

           medical assistance; provided, that pursuant to an      

           interagency agreement established with the division of 

           medical assistance within the executive office of      

           health and human services, the department of public    

           health shall determine the eligibility of low-income   

           pregnant women for Title XIX and women eligible for    

           service under section one A of chapter one hundred and 

           eighteen E of the General Laws                         



           Health Protection Fund . . . . . . . . . . .    80.20 

           General Fund . . . . . . . . . . . . . . . .    19.80 



 OSTEOPOROSIS EDUCATION AND PREVENTION SERVICES                   

 4513-1111 For osteoporosis education and prevention                     458,000       500,000



           Health Protection Fund . . . . . . . . . . .    80.20 

           General Fund . . . . . . . . . . . . . . . .    19.80 



 PROSTATE CANCER PREVENTION, EDUCATION, AND TREATMENT             

 4513-1112 For prostate cancer prevention, education, and                914,000       999,685

           treatment                                              





 CENTER FOR LABORATORY AND COMMUNICABLE DISEASE CONTROL SERVICES  

 4516-1000 For the center for laboratory and communicable disease      9,865,842    10,220,169

           control services, including the bureau of communicable 

           disease control services and the bureau of laboratory  

           and environmental sciences                             





 OFFICE OF HEALTH STATISTICS AND ANALYSIS                         

 4518-0100 For the office of health statistics analysis and for        1,199,213     1,202,565

           the operation of a cancer registry and occupational    

           lung disease registry                                  



           Health Protection Fund . . . . . . . . . . .    80.20 

           General Fund . . . . . . . . . . . . . . . .    19.80 



 TEENAGE PREGNANCY PREVENTION TECHNICAL ASSISTANCE AND PURCHASE OF

 SERVICES                                                         

 4530-9000 For technical assistance and purchase of services in        1,930,173     1,977,000

           support of comprehensive community plans for teenage   

           pregnancy prevention                                   





 CONSOLIDATED PUBLIC HEALTH HOSPITALS                             

 4540-0900 For the maintenance and costs of medical services          39,862,182    37,059,210

           provided at the department of public health hospitals  



.


                    Executive Office of Health and Human Services              

                             Department of Public Health                       

 =============================================================================================

                                                                       Projected   Recommended

                                                                            FY95          FY96



 EARLY BREAST CANCER DETECTION AND RESEARCH                       

 4570-1500 For an early breast cancer detection program,               5,236,784     5,513,347

           mammographies for the uninsured, breast cancer         

           research, and a breast cancer detection public         

           awareness program                                      



           General Fund . . . . . . . . . . . . . . . .    84.00 

           Health Protection Fund . . . . . . . . . . .    16.00 



 UNIVERSAL IMMUNIZATION                                           

 4580-1000 For the universal immunization program, established        10,621,744    10,660,995

           pursuant to section one hundred and forty-one of       

           chapter six hundred and fifty-three of the acts of     

           nineteen hundred and eighty-nine and sections          

           forty-five and forty-six of chapter four hundred and   

           ninety-five of the acts of nineteen hundred and        

           ninety-one; provided, that the first ten million six   

           hundred sixty thousand nine hundred and ninety-five    

           dollars of revenue deposited to the Health Care Access 

           fund shall be dedicated to the appropriation provided  

           herein                                                 



           Health Care Access Fund . . . . . . . . . . .  100.00 



 SMOKING PREVENTION AND CESSATION PROGRAMS                        

 4590-0300 For smoking prevention and cessation programs pursuant     63,653,874    64,173,699

           to chapter two hundred and fifty-four of the acts of   

           nineteen hundred and ninety-two; provided, that        

           priority be given to funding programs in communities   

           with high smoking rates among women; provided further, 

           that not less than sixteen million dollars shall be    

           paid from this item to the department of education for 

           grants to cities, towns, and regional school districts 

           for comprehensive health education programs including  

           education on smoking prevention; provided further, that

           not less than six million dollars shall be expended    

           from this item for a school health service program     

           including enhanced school and health centers; provided 

           further, that not more than five million dollars shall 

           be paid from this item to the executive office of      

           public safety to administer a discretionary grant      

           program for city and town drug awareness and resistance

           programs, to be known as D.A.R.E programs, which shall 

           include information about the health risks of cigarette

           smoking and shall include the participation of local   

           and state police officers, subject to supervision of   

           and standards established by the department of public  

           health; and provided further, that the department of   

           public health and the department of education jointly  

           establish standards and criteria for funded school     

           health service programs                                



           Health Protection Fund . . . . . . . . . . .   100.00 



 Budgetary Retained Revenues                  



.


                    Executive Office of Health and Human Services              

                             Department of Public Health                       

 =============================================================================================

                                                                       Projected   Recommended

                                                                            FY95          FY96



 AGREEMENT STATE LICENSING - RADIATION MONITORING                 

 4510-0615 For radiation monitoring; provided, that the department       324,706       716,176

           of public health may expend an amount not to exceed one

           hundred and fifty thousand dollars accrued from        

           assessments paid in accordance with section five K of  

           chapter one hundred and eleven of the General Laws, for

           services provided to monitor, survey, and inspect      

           nuclear power reactors; provided further, that the     

           department may expend revenues not to exceed five      

           hundred sixty-six thousand one hundred and seventy-six 

           dollars from fees collected from the licensing and     

           inspecting of users of radioactive material within the 

           commonwealth; and provided further, that 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 as reported in the state accounting system    





 PRESCRIPTION DRUG REGISTRATION AND MONITORING                    

 4510-0616 For drug registration and monitoring; provided, that          481,000       550,007

           the department of public health may expend an amount   

           not to exceed five hundred fifty thousand and seven    

           dollars from revenues received from a fee charged to   

           practitioners registered to prescribe controlled       

           substances; and provided further, that 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    





 CHILDHOOD LEAD INSPECTION SERVICES FOR MEDICAID ENROLLEES        

 4510-0632 For the activities of the childhood lead poisoning                          100,000

           prevention program; provided, that the department of   

           public health is authorized to retain and expend the   

           first one hundred thousand dollars of federal          

           reimbursements claimed and collected by the division of

           medical assistance for environmental investigation and 

           inspection services provided by said department to     

           children who are diagnosed with elevated blood levels  

           and who are eligible for medicaid                      





 HEALTH FACILITIES LICENSURE                                      

 4510-0712 For the division of health care quality; provided, that       307,500       629,000

           the department of public health may expend revenues    

           collected pursuant to the licensure of health          

           facilities up to a maximum of six hundred and          

           twenty-nine thousand dollars; provided, that revenues  

           collected may be used for all program costs, including 

           compensation of employees                              



.


                    Executive Office of Health and Human Services              

                             Department of Public Health                       

 =============================================================================================

                                                                       Projected   Recommended

                                                                            FY95          FY96



 GAMBLERS' TREATMENT                                              

 4512-0225 For compulsive gamblersí treatment; provided, that the        347,624       350,000

           department of public health may expend an amount not to

           exceed three hundred and fifty thousand dollars, which 

           the state comptroller is hereby authorized and directed

           to transfer to this item from unclaimed prize money    

           that has been held in the State Lottery Fund for more  

           than one year from the date of the drawing in which the

           prize was won                                          





 INFANT FORMULA PRICE ENHANCEMENT                                 

 4513-1012 For the WIC program, so-called; provided, that the         17,014,000    18,600,000

           department of public health may expend an amount not to

           exceed eighteen million six hundred thousand dollars   

           from revenues received from the infant formula price   

           enhancement system, hereby authorized, for the purpose 

           of increasing the caseload of the WIC program          





 HEALTH STATISTICS - VITAL RECORDS                                

 4518-0200 For the office of health statistics analysis; provided,       159,447       199,387

           that the department of public health may expend        

           revenues in an amount not to exceed one hundred        

           ninety-nine thousand three hundred and eighty-seven    

           dollars accrued from fees collected from the amendment 

           of vital records by the registrar of vital records and 

           statistics, including all requests for vital records   

           not issued in person at the offices of the registry and

           research performed by staff at the registry of vital   

           records                                                





 CONSOLIDATED PUBLIC HEALTH HOSPITALS                             

 4590-0900 For the costs of medical services provided at the          65,796,679    64,943,478

           department of public health hospitals; provided, that  

           the department of public health may expend an amount   

           not to exceed sixty-four million nine hundred          

           forty-three thousand four hundred and seventy-eight    

           dollars from revenues collected subject to the approval

           of the commissioner of public health; provided further,

           that such revenues may be expended for the purpose of  

           hospital-related costs, including capital expenditures 

           and motor vehicle replacement; provided further, that  

           for the purpose of accommodating discrepancies between 

           the receipt of retained revenues and related           

           expenditures, the hospitals 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; and provided further, that    

           western Massachusetts hospital shall be eligible to    

           receive both the state and federal share of            

           reimbursements from the medical assistance program of  

           the division of medical assistance                     





 Intragovernmental Service Spending           

.


                    Executive Office of Health and Human Services              

                             Department of Public Health                       

 =============================================================================================

                                                                       Projected   Recommended

                                                                            FY95          FY96



 CONSOLIDATED PUBLIC HEALTH HOSPITALS                             

 4590-0901 For the costs of medical services provided at the             150,000       150,000

           department of public health hospitals; provided, that  

           this item may be expended for the purpose of           

           hospital-related costs, including, capital expenditures

           and motor vehicle replacement; provided further, that  

           for the purpose of accommodating discrepancies between 

           the receipt of retained revenues and related           

           expenditures, the hospitals 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                                



           Intragovernmental Service Fund . . . . . . .   100.00 



 Federal Grant Spending                       





 PREVENTIVE HEALTH SERVICES BLOCK GRANT                           

 4500-1000 For the purposes of a federally funded grant entitled,      5,300,000     5,425,000

           Preventive Health Services Block Grant                 





 MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT                   

 4500-2000 For the purposes of a federally funded grant entitled,     12,801,427    12,801,427

           Maternal and Child Health Services Block Grant         





 COOPERATIVE HEALTH STATISTICS SYSTEM                             

 4502-1012 For the purposes of a federally funded grant entitled,        380,000       380,000

           Cooperative Health Statistics System                   





 STATE LOAN REPAYMENT PROJECT                                     

 4510-0109 For the purposes of a federally funded grant entitled,        180,000       180,000

           State Loan Repayment Project                           





 COMMUNITY SCHOLARSHIP                                            

 4510-0112 For the purposes of a federally funded grant entitled,         50,000        50,000

           Community Scholarship                                  





 OFFICE OF RURAL HEALTH                                           

 4510-0113 For the purposes of a federally funded grant entitled,         68,183        60,000

           Office of Rural Health                                 





 MEDICARE AND MEDICAID SURVEY AND CERTIFICATION                   

 4510-0400 For the purposes of a federally funded grant entitled,      4,400,001     4,405,725

           Medicare and Medicaid Survey and Certification         





 CLINICAL LABORATORY IMPROVEMENT AMENDMENTS                       

 4510-0500 For the purposes of a federally funded grant entitled,        565,000       565,000

           Clinical Laboratory Improvement Amendments             



.


                    Executive Office of Health and Human Services              

                             Department of Public Health                       

 =============================================================================================

                                                                       Projected   Recommended

                                                                            FY95          FY96



 STATE EMERGENCY MEDICAL SERVICES PLAN - MODIFICATION OF TRAUMA   

 CARE COMPONENT                                                   

 4510-0794 For the purposes of a federally funded grant entitled,        155,431       155,431

           State Emergency Medical Services Plan - Modification of

           Trauma Care Component                                  





 MAMMOGRAPHY QUALITY STANDARDS ACT INSPECTIONS                    

 4510-9014 For the purposes of a federally funded grant entitled,        161,627       215,510

           Mammography Quality Standards Act Inspections          





 ENVIRONMENTAL MONITORING PROGRAM                                 

 4510-9019 For the purposes of a federally funded grant entitled,         59,259        45,000

           Environmental Monitoring Program                       





 DIABETES CONTROL PROGRAM                                         

 4510-9040 For the purposes of a federally funded grant entitled,        242,914       242,914

           Diabetes Control Program                               





 DEMONSTRATION PROGRAM TO CONDUCT TOXIC WASTE SITE HEALTH IMPACT  

 ASSESSMENTS                                                      

 4510-9043 For the purposes of a federally funded grant entitled,        458,711       459,711

           Demonstration Program to Conduct Toxic Waste Site      

           Health Impact Assessments                              





 INDOOR RADON DEVELOPMENT PROGRAM                                 

 4510-9048 For the purposes of a federally funded grant entitled,        187,513       150,000

           Indoor Radon Development Program                       





 HEALTH OUTCOME STUDIES ON HUMAN EXPOSURE TO HAZARDOUS SUBSTANCES 

 - GROTON                                                         

 4510-9050                                                                38,383              





 SARA TITLE III INFORMATION MANAGEMENT PROJECT                    

 4510-9051 For the purposes of a federally funded grant entitled,         19,882        19,882

           SARA Title III Information Management Project          





 SEXUALLY TRANSMITTED DISEASE CONTROL                             

 4512-0102 For the purposes of a federally funded grant entitled,        744,818       755,124

           Sexually Transmitted Disease Control                   





 VACCINATION ASSISTANCE PROJECT                                   

 4512-0179 For the purposes of a federally funded grant entitled,      8,820,514     8,820,514

           Vaccination Assistance Project                         





 BOSTON DRUG TREATMENT IMPROVEMENT PROJECT                        

 4512-9415 For the purposes of a federally funded grant entitled,      4,252,086     4,252,086

           Boston Drug Treatment Improvement Project              



.


                    Executive Office of Health and Human Services              

                             Department of Public Health                       

 =============================================================================================

                                                                       Projected   Recommended

                                                                            FY95          FY96



 MASSACHUSETTS CRITICAL POPULATIONS                               

 4512-9425 For the purposes of a federally funded grant entitled,      1,040,318     1,061,616

           Massachusetts Critical Populations                     





 UNIFORM ALCOHOL AND DRUG ABUSE DATA COLLECTION                   

 4512-9426 For the purposes of a federally funded grant entitled,        155,160       158,884

           Uniform Alcohol and Drug Abuse Data Collection         





 STATE DEMAND AND NEEDS ASSESSMENT STUDY: ALCOHOL AND OTHER DRUGS 

 (TREATMENT)                                                      

 4512-9427 For the purposes of a federally funded grant entitled,        498,211       486,455

           State Demand and Needs Assessment Study: Alcohol and   

           Other Drugs (Treatment)                                





 STATE DEMAND AND NEEDS ASSESSMENT STUDY: ALCOHOL AND OTHER DRUGS 

 (PREVENTION)                                                     

 4512-9428 For the purposes of a federally funded grant entitled,        256,193       256,193

           State Demand and Needs Assessment Study: Alcohol and   

           Other Drugs (Prevention)                               





 HEALTHY CHOICES: SCHOOL-BASED NUTRITION AND PHYSICIAL ACTIVITY   

 PROGRAM                                                          

 4513-1018 For the purposes of a federally funded grant entitled,         34,000        34,000

           Healthy Choices: School-Based Nutrition and Physicial  

           Activity Program                                       





 NUTRITIONAL STATUS OF WOMEN, INFANTS,  AND CHILDREN (WIC)        

 4513-9007 For the purposes of a federally funded grant entitled,     53,577,293    54,618,660

           Nutritional Status of Women, Infants, and Children     

           (WIC)                                                  





 AUGMENTATION AND EVALUATION OF ESTABLISHED HEALTH EDUCATION/RISK 

 REDUCTION                                                        

 4513-9018 For the purposes of a federally funded grant entitled,      6,314,583     6,106,524

           Augmentation and Evaluation of Established Health      

           Education/Risk Reduction                               





 PROGRAM FOR INFANTS AND TODDLERS WITH HANDICAPS