The Department of Public Health seeks to maintain, protect, and improve the health and well-being of the citizens of the Commonwealth. The Department pursues this objective by addressing a variety of health problems such as AIDS, sexually-transmitted diseases, substance abuse, premature births, and childhood lead poisoning. To promote prevention, the Department also provides a variety of health promotion and education programs. The Department also operates the Lemuel Shattuck Hospital, the Massachusetts Hospital School, Tewksbury Hospital, and Western Massachusetts Hospital. These institutions provide acute and chronic care to individuals who are not provided with adequate services by the private sector.

Objectives

In Fiscal Year 1998, the Department will continue to shift decision-making to the local level, streamline procedures, and emphasize preventative care in community settings. In addition, the Department of Public Health will:

• expand substance abuse ambulatory services and short-term residential treatment slots targeted at court-involved individuals with the goal of reducing recidivism and the burden on the criminal justice system;
• continue to expand the Children's Medical Security Plan, a primary and preventative health care program, to include adolescents ages thirteen through eighteen, as authorized by the Health Care Access Improvement Act of 1996;
• increase access to the HIV Drug Assistance Program, for the uninsured and underinsured, and increase availability of a new group of drugs called Protease Inhibitors that are proving highly effective in suppressing AIDS-related symptoms;
• address an increasing census with more severe acuity at the public health hospitals, as well as minor facility infrastructure and maintenance issues;
• expand family planning services to reach an additional 9,500 low-income clients statewide and provide 16,000 additional medical and counseling visits;
• provide more effective vaccines for pertussis and polio as the result of new protocols adopted by the Universal Immunization Program; and
• expand services provided through the compulsive gamblers treatment program.

Budget Recommendations

Fiscal Year 1998 funding in most accounts is recommended at Fiscal Year 1997 spending levels. Recommended expansions include: an additional $3.3 million in the AIDS account (4512-0103); an additional $1 million in the substance abuse account (4512-0200); a $4.27 million increase in retained revenue spending for the public health hospitals (4590-0900); an additional $1.35 million for childhood immunizations (4580-1000); an additional $3.2 million for the expanded Children's Medical Security Plan (4590-0906 and 4590-0907); an additional $800,000 for family planning services (4513-1000); an increase of $157,000 for the compulsive gamblers' treatment program (4512-0225); and a $56,000 increase for the Healthy Start program (4513-1005) to help meet increasing demand for services. These recommendations also include $200,000 for the Sexual Assault Nurse Examiner (SANE) program (4510-0810), as well as $450,000 for an indigent batterers treatment program (4513-1001).

These recommendations also propose consolidation of three, single-subsidiary, administrative accounts (4510-0103, 4510-0104, and 4510-0105) within the Department's main administrative account (4510-0100).

Budgetary Direct Appropriations

DEPARTMENT OF PUBLIC HEALTH ADMINISTRATION
4510-0100	For the administration of the department; provided, that the position of assistant commissioner shall not be subject to chapter thirty-one of the General Laws	16,524,966

COMMUNITY AND OTHER HEALTH CENTERS OPERATIONAL GRANTS
4510-0110	For community health center services, including smoking cessation programs	1,100,473
	Health Protection Fund 71.10% General Fund 28.90%

MANAGED CARE AT COMMUNITY HEALTH CENTERS
4510-0150	For the managed care program at community health centers known as Center Care, established pursuant to section twenty-four F of chapter one hundred eleven of the General Laws	4,347,350
	Health Care Access Fund 100%

ENVIRONMENTAL HEALTH SERVICES
4510-0600	For environmental and community health hazard services, including control of radiation and nuclear hazards, consumer products protection, food and drug inspection, lead poisoning prevention in accordance with chapter four hundred eighty-two of the acts of nineteen hundred and ninety-three, lead-based paint inspections in day care facilities, inspection of radiological facilities, licensing of x-ray technologists, and the administration of the division of environmental epidemiology and toxicology for the purpose of implementing certain provisions of chapter four hundred seventy of the acts of nineteen hundred and eighty-three, the "Right-to-Know" law, so called	2,931,601

ENVIRONMENTAL MONITORING OF SEABROOK NUCLEAR POWER PLANT
4510-0617	For environmental monitoring of the nuclear power plant in Seabrook, New Hampshire; provided, that the costs of said item shall be assessed on electric companies in Massachusetts which own, in whole or in part, or purchase power from the Seabrook nuclear power plant, whose nuclear power plant area, as defined by section two B of chapter six hundred fifty, and as amended by section twenty-four of chapter seven hundred ninety-six of the acts of nineteen hundred and seventy-nine, includes communities located in the commonwealth; provided further, that for the purpose of said item electric companies shall be defined as all persons, firms, associations, and private corporations which own or operate works or distribute electricity in the commonwealth; and provided further, that the term electric companies shall not include municipalities or municipal light plants	71,460

HEALTH FACILITIES LICENSURE
4510-0710	For the division of health care quality; provided, that said division shall be responsible for assuring the quality of patient care provided by the commonwealth's health care facilities and services, and for protecting the health and safety of patients who receive care and services in nursing homes, rest homes, clinical laboratories, clinics, institutions for the mentally retarded and the mentally ill, hospitals, and infirmaries, and for the inspection of ambulance services	5,289,671

CERTIFICATE OF NEED PROGRAM
4510-0750	For the determination of need program established pursuant to section twenty-five C of chapter one hundred eleven of the General Laws	142,810

REGIONAL EMERGENCY MEDICAL SERVICES
4510-0790	For 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 first, nineteen hundred and ninety-two, shall remain the designated councils and C-MEDs	400,000
	Local Aid Fund 100%

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

ACQUIRED IMMUNE DEFICIENCY SYNDROME PREVENTION AND TREATMENT
4512-0103	For acquired immune deficiency syndrome prevention and treatment	47,791,488
	General Fund 84.72% Health Protection Fund 15.28%

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

DIVISION OF SUBSTANCE ABUSE SERVICES
4512-0200	For the division of substance abuse services	39,364,253
	General Fund 66.77% Health Protection Fund 33.23%

DENTAL HEALTH SERVICES
4512-0500	For dental health services provided in residential and community settings	1,312,605

FAMILY HEALTH SERVICES
4513-1000	For the division of family health services, including a program of maternal and child health in addition to any federal funds received for this program, and for an adolescent health program for at-risk youth; provided, that no provision set out herein is intended to give rise to an enforceable legal right or entitlement not otherwise provided in regulations of the department, federal law, or any other special or general laws; and provided further, that not less than seventy-nine thousand two hundred dollars shall be expended for the North Quabbin domestic violence prevention program	32,649,936
	Health Protection Fund 55.52% General Fund 44.48%

TREATMENT FOR INDIGENT BATTERERS
4513-1001	For certified batterer intervention programs to assist indigent batterers and their families; provided, that the department of public health shall, on behalf of the governor's commission on domestic violence, conduct a program evaluation to identify the capacity of said programs to comply with certification standards and effectively meet the safety needs of the victims and children of batterers; and provided further, that the department shall submit a report of the results of said evaluation to said commission no later than November first, nineteen hundred and ninety-seven	450,000

NUTRITIONAL SERVICES
4513-1002	For the office of nutritional services, including the women, infants, and children's (WIC) nutrition program, to be in addition to funds received under the federal WIC program	14,112,839
	General Fund 73.30% Health Protection Fund 26.70%

HEALTHY START - MEDICAL SERVICES FOR PREGNANT WOMEN
4513-1005	For the healthy start program to provide medical care and assistance to pregnant women and infants residing in the commonwealth, pursuant to section twenty-four D of chapter one hundred eleven of the General Laws; provided, that pursuant to an interdepartmental service agreement established with the division of medical assistance, the department of public health shall determine the presumptive eligibility of low-income pregnant women for services available under Title XIX of the federal Social Security Act and chapter one hundred eighteen E of the General Laws; and provided further, that an amount not to exceed one hundred ten thousand dollars may be expended for reimbursements to providers for services rendered in prior fiscal years	6,531,083
	Health Protection Fund 68.35% General Fund 31.65%

OSTEOPOROSIS EDUCATION AND PREVENTION SERVICES
4513-1111	For osteoporosis education and prevention	500,000
	Health Protection Fund 69.65% General Fund 30.35%

PROSTATE CANCER PREVENTION, EDUCATION, AND TREATMENT
4513-1112	For prostate cancer prevention, education, and treatment	1,000,000

CENTER FOR LABORATORY AND COMMUNICABLE DISEASE CONTROL SERVICES
4516-1000	For the administration of the center for laboratory and communicable disease control services, including the division of communicable venereal diseases, the division of tuberculosis control, and the state laboratory institute	10,602,577

OFFICE OF HEALTH STATISTICS AND ANALYSIS
4518-0100	For the office of health statistics analysis and for the operation of a cancer registry and an occupational lung disease registry	1,044,965
	Health Protection Fund 82.96% General Fund 17.04%

TEENAGE PREGNANCY PREVENTION TECHNICAL ASSISTANCE AND PURCHASE OF SERVICES
4530-9000	For teenage pregnancy prevention services	4,183,882

CONSOLIDATED PUBLIC HEALTH HOSPITALS
4540-0900	For the maintenance of, and for the costs of medical services provided at, the department of public health hospitals	35,330,660

EARLY BREAST CANCER DETECTION AND RESEARCH
4570-1500	For early breast cancer detection, mammographies for the uninsured, breast cancer research, and a breast cancer detection public awareness program	6,141,013
	General Fund 87.51% Health Protection Fund 12.49%

UNIVERSAL IMMUNIZATION
4580-1000	For the universal immunization program established pursuant to section one hundred forty-one of chapter six hundred fifty-three of the acts of nineteen hundred and eighty-nine and sections forty-five and forty-six of chapter four hundred ninety-five of the acts of nineteen hundred and ninety-one	11,952,129
	Health Care Access Fund 100%

MEDICAL RESPITE SERVICES FOR THE HOMELESS
4580-1230	For medical respite services provided by the health care for the homeless program established pursuant to section twenty-four F of chapter one hundred eleven of the General Laws	300,000
	Health Care Access Fund 100%

SMOKING PREVENTION AND CESSATION PROGRAMS
4590-0300	For smoking prevention and cessation programs established pursuant to chapter two hundred fifty-four of the acts of nineteen hundred and ninety-two; provided, that not less than four million three hundred fourteen thousand six hundred sixty-two dollars shall be allocated from this item to the executive office of public safety to administer a discretionary grant program for city and town drug awareness and resistance education programs, to be known as 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 the supervision of the department of public health; provided further, that priority shall be given to funding programs in communities with high smoking rates among women; provided further, that not less than thirteen million five hundred nineteen thousand nineteen dollars shall be allocated from this item to the department of education for grants to cities, towns, and regional school districts for comprehensive health education programs, including education on smoking prevention; provided further, that not less than five million one hundred seventy-seven thousand four hundred fifty-eight dollars shall be expended from this item for a school health service program, including enhanced school and health centers; and provided further, that the department of public health and the department of education shall jointly establish standards and criteria for said school health service programs	55,483,201
	Health Protection Fund 100%

TEWKSBURY HOSPITAL NURSING SCHOOL
4590-0902	For the Tewksbury hospital school of nursing	329,506

CHILDREN'S MEDICAL SECURITY PLAN, AGES 0-12
4590-0906	For primary and preventative health services for uninsured children from birth through age twelve pursuant to section twenty-four G of chapter one hundred eleven of the General Laws; provided, that the department is hereby authorized to transfer not more than two million dollars from this item to item 4590-0907	12,244,402
	Health Care Access Fund 100%

CHILDREN'S MEDICAL SECURITY PLAN, AGES 13-18
4590-0907	For primary and preventative health services for uninsured children from age thirteen through age eighteen pursuant to section twenty-four G of chapter one hundred eleven of the General Laws; provided, that the department is hereby authorized to transfer not more than two million dollars from this item to item 4590-0906	5,730,912
	Children's and Seniors' Health Care Assistance Fund 100%

Budgetary Retained Revenues

NUCLEAR POWER REACTOR MONITORING RETAINED REVENUE
4510-0615	The department of public health is hereby authorized to expend an amount not to exceed one hundred fifty thousand dollars from assessments collected in accordance with section five K of chapter one hundred eleven of the General Laws, for services provided to monitor, survey, and inspect nuclear power reactors; provided, that the department is hereby further authorized to expend an amount not to exceed five hundred ninety-one thousand two hundred sixteen dollars from fees collected from the licensing and inspecting of users of radioactive material within the commonwealth under licenses presently issued by the nuclear regulatory commission, for the purpose of said licensing and inspections; and provided further, that notwithstanding the provisions of any general or special law to the contrary, for the purpose of accommodating timing discrepancies between the receipt of retained revenues and related expenditures, the department may incur expenses and the comptroller may certify for payment amounts not to exceed the lower of this authorization or the most recent revenue estimate therefor as reported in the state accounting system	741,216

PRESCRIPTION DRUG REGISTRATION AND MONITORING RETAINED REVENUE
4510-0616	The department of public health is hereby authorized to expend an amount not to exceed five hundred twenty-five thousand six hundred seventy-two dollars from revenues collected from a fee charged to registered practitioners, including physicians, dentists, veterinarians, and podiatrists, for controlled substance registration, and for the purposes of a drug registration and monitoring program; 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	525,672

HEALTH FACILITIES LICENSURE RETAINED REVENUE
4510-0712	The department of public health is hereby authorized to expend an amount not to exceed four hundred seventy-three thousand five hundred dollars in revenues collected from the licensure of health facilities, for program costs of the division of health care quality	473,500

GAMBLERS' TREATMENT RETAINED REVENUE
4512-0225	The department of public health is hereby authorized to expend for a compulsive gamblers' treatment program an amount not to exceed a total of five hundred thousand dollars 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 twenty-four A of chapter ten of the General Laws; provided, that the comptroller is hereby authorized and directed to transfer said amount from the State Lottery Fund to the General Fund	500,000

INFANT FORMULA PRICE ENHANCEMENT RETAINED REVENUE
4513-1012	The department of public health is hereby authorized to expend an amount not to exceed twenty million five hundred thousand dollars from revenues received from the infant formula price enhancement system, for the purpose of increasing the caseload of the WIC program	20,500,000

HEALTH STATISTICS - VITAL RECORDS RETAINED REVENUE
4518-0200	The department of public health is hereby authorized to expend an amount not to exceed two hundred thousand dollars from fees collected for amendments of vital records by the registrar of vital records and statistics, all requests for vital records not issued in person at the offices of the registry, and research requests performed by registry staff at the registry of vital records; provided, that revenues so collected may be used for all program costs of the department; 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	200,000

CONSOLIDATED PUBLIC HEALTH HOSPITALS RETAINED REVENUE
4590-0900	The department of public health is hereby authorized to expend an amount not to exceed sixty-eight million five hundred twenty-six thousand four hundred fifty-eight dollars from reimbursements collected for hospital services, subject to the approval of the commissioner of public health; provided, that such revenues may be expended for hospital-related costs, including capital expenditures and motor vehicle replacement; provided further, that notwithstanding the provisions of any general or special law to the contrary, the western Massachusetts hospital shall be eligible to receive and retain full reimbursement from the medical assistance program of the division of medical assistance; provided further, that notwithstanding the provisions of any general or special law to the contrary, said western Massachusetts 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 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; and provided further, that reimbursements received for medical services provided at the Lemuel Shattuck hospital to inmates of county correctional facilities not managed by private health care vendors shall be credited to item 4590-0903 of section two B	68,526,458

Intragovernmental Service Spending

CONSOLIDATED PUBLIC HEALTH HOSPITALS INTRAGOVERNMENTAL CHARGEBACK
4590-0901	For the costs of medical services provided at the department of public health hospitals; provided, that expenditures may include hospital-related costs, including capital expenditures and motor vehicle replacement; and provided further, that notwithstanding the provisions of any general or special law to the contrary, for the purpose of accommodating timing discrepancies between the receipt of retained revenues and related expenditures, the 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	150,000
	Intragovernmental Service Fund 100%

MEDICAL SERVICES FOR COUNTY CORRECTIONS INMATES INTRAGOVERNMENTAL CHARGEBACK
4590-0903	For the expenses of medical services provided at the department of public health Lemuel Shattuck hospital to inmates of county correctional facilities; provided, that the expenses so incurred shall be charged to item 8910-0010 pursuant to the provisions contained therein; provided further, that not more than two million four hundred thousand dollars in expenses shall be so incurred; provided further, that the department may expend the amounts transferred to this item for purposes of hospital-related costs, including capital expenditures and motor vehicle replacement; and provided further, that notwithstanding the provision of any general or special law to the contrary, for the purpose of accommodating timing discrepancies between the receipt of retained revenues and related expenditures, the department may incur expenses and the comptroller may certify for payment amounts not to exceed the lower of this authorization or the most recent revenue estimate therefor as reported in the state accounting system	2,400,000
	Intragovernmental Service Fund 100%

Federal Grant Spending

PREVENTIVE HEALTH SERVICES BLOCK GRANT
4500-1000	For the purposes of a federally funded grant entitled, Preventive Health Services Block Grant	5,795,262

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	12,801,427

COOPERATIVE HEALTH STATISTICS SYSTEM
4502-1012	For the purposes of a federally funded grant entitled, Cooperative Health Statistics System	380,000

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	46,996

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

MEDICARE AND MEDICAID SURVEY AND CERTIFICATION
4510-0400	For the purposes of a federally funded grant entitled, Medicare and Medicaid Survey and Certification	4,797,978

CLINICAL LABORATORY IMPROVEMENT AMENDMENTS
4510-0500	For the purposes of a federally funded grant entitled, Clinical Laboratory Improvement Amendments	597,564

HEALTH ACTIVITIES RECOMMENDATION PANEL - SITE SPECIFIC HEALTH ACTIVITIES
4510-0618	For the purposes of a federally funded grant entitled, Health Activities Recommendation Panel - Site Specific Health Activities	38,842

MAMMOGRAPHY QUALITY STANDARDS ACT INSPECTIONS
4510-9014	For the purposes of a federally funded grant entitled, Mammography Quality Standards Act Inspections	215,959

ENVIRONMENTAL MONITORING PROGRAM
4510-9019	For the purposes of a federally funded grant entitled, Environmental Monitoring Program	58,699

DIABETES CONTROL PROGRAM
4510-9040	For the purposes of a federally funded grant entitled, Diabetes Control Program	356,910

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	365,969

INDOOR RADON DEVELOPMENT PROGRAM
4510-9048	For the purposes of a federally funded grant entitled, Indoor Radon Development Program	170,615

SEXUALLY TRANSMITTED DISEASE CONTROL
4512-0102	For the purposes of a federally funded grant entitled, Sexually Transmitted Disease Control	826,782

VACCINATION ASSISTANCE PROJECT
4512-0179	For the purposes of a federally funded grant entitled, Vaccination Assistance Project	9,487,374

MASSACHUSETTS CRITICAL POPULATIONS
4512-9425	For the purposes of a federally funded grant entitled, Massachusetts Critical Populations	687,317

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	103,566

STATE DEMAND AND NEEDS ASSESSMENT STUDY: ALCOHOL AND OTHER DRUGS - TREATMENT
4512-9427	For the purposes of a federally funded grant entitled, State Demand and Needs Assessment Study: Alcohol and Other Drugs - Treatment	793,457

STATE DEMAND AND NEEDS ASSESSMENT STUDY: ALCOHOL AND OTHER DRUGS - PREVENTION
4512-9428	For the purposes of a federally funded grant entitled, State Demand and Needs Assessment Study: Alcohol and Other Drugs - Prevention	150,000

HIV, STD, AND TB RISK REDUCTION
4512-9429	For the purposes of a federally funded grant entitled, HIV, STD, and TB Risk Reduction	396,336

SUPPORTIVE HOUSING
4513-0110	For the purposes of a federally funded grant entitled, Supportive Housing	667,245

HOUSING OPPORTUNITIES - PEOPLE WITH AIDS
4513-0111	For the purposes of a federally funded grant entitled, Housing Opportunities - People with AIDS	702,050

WIC PATIENT FLOW ANALYSIS
4513-9000	For the purposes of a federally funded grant entitled, WIC Patient Flow Analysis	85,000

NUTRITIONAL STATUS OF WOMEN, INFANTS, AND CHILDREN (WIC)
4513-9007	For the purposes of a federally funded grant entitled, Nutritional Status of Women, Infants, and Children (WIC)	56,325,561

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	7,513,149

PROGRAM FOR INFANTS AND TODDLERS WITH HANDICAPS
4513-9021	For the purposes of a federally funded grant entitled, Program for Infants and Toddlers with Handicaps	8,621,533

PREVENTION DISABILITY STATE-BASED PROJECT
4513-9022	For the purposes of a federally funded grant entitled, Prevention Disability State-Based Project	443,844

FAMILIES CAN - CARE AND NURTURING FOR AT-RISK FAMILIES
4513-9026	For the purposes of a federally funded grant entitled, Families CAN - Care and Nurturing for At-Risk Families	450,000

MASSCARE - COMMUNITY AIDS RESOURCE ENHANCEMENT
4513-9027	For the purposes of a federally funded grant entitled, MassCare - Community AIDS Resource Enhancement	453,031

PLANNING A COMPREHENSIVE PRIMARY CARE SYSTEM FOR ALL MASS CHILDREN AND YOUTH
4513-9030	For the purposes of a federally funded grant entitled, Planning a Comprehensive Primary Care System for All Massachusetts Children and Youth	100,000

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

AIDS SURVEILLANCE AND SEROPREVALENCE PROJECT
4513-9035	For the purposes of a federally funded grant entitled, AIDS Surveillance and Seroprevalence Project	550,903

RYAN WHITE COMPREHENSIVE AIDS RESOURCES
4513-9037	For the purposes of a federally funded grant entitled, Ryan White Comprehensive AIDS Resources	7,528,256

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

MANAGED CARE ENHANCEMENT PROJECT
4513-9041	For the purposes of a federally funded grant entitled, Managed Care Enhancement Project	310,882

EVALUATING THE IMPACT OF 1993 AIDS CASE DEFINITION
4513-9044	For the purposes of a federally funded grant entitled, Evaluating the Impact of 1993 AIDS CASE Definition	86,600

MASSACHUSETTS WOMEN'S HIV ADVOCACY PROJECT
4513-9045	For the purposes of a federally funded grant entitled, Massachusetts Women's HIV Advocacy Project	267,572

CONGENITAL ANOMALIES CENTER OF EXCELLENCE
4513-9046	For the purposes of a federally funded grant entitled, Congenital Anomalies Center of Excellence	800,000

FIRSTLINK COMMUNITY ORGANIZATION PROJECT
4513-9047	For the purposes of a federally funded grant entitled, FirstLink Community Organization Project	50,000

MASSACHUSETTS INITIATIVE FOR YOUTH WITH DISABILITY
4513-9048	For the purposes of a federally funded grant entitled, Massachusetts Initiative for Youth with Disability	28,000

FIRSTLINK DATA UTILIZATION ENHANCEMENT
4513-9049	For the purposes of a federally funded grant entitled, FirstLink Data Utilization Enhancement	90,000

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

RURAL DOMESTIC VIOLENCE AND CHILD VICTIMIZATION PROJECT
4513-9051	For the purposes of a federally funded grant entitled, Rural Domestic Violence and Child Victimization Project	139,591

WIC AND IMMUNIZATION SYSTEM LINKAGE PROJECT
4513-9101	For the purposes of a federally funded grant entitled, WIC and Immunization System Linkage Project	14,000

HEALTH PROGRAM FOR REFUGEES
4515-0113	For the purposes of a federally funded grant entitled, Health Program for Refugees	135,841

TUBERCULOSIS CONTROL PROJECT
4515-0115	For the purposes of a federally funded grant entitled, Tuberculosis Control Project	2,559,659

STD/HIV PREVENTION TRAINING CENTERS
4515-0200	For the purposes of a federally funded grant entitled, STD/HIV Prevention Training Centers	328,040

ACTIVE RABIES SURVEILLANCE PROGRAM
4516-1004	For the purposes of a federally funded grant entitled, Active Rabies Surveillance Program	6,000

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

NATIONAL PROGRAM OF CANCER REGISTRIES
4518-0500	For the purposes of a federally funded grant entitled, National Program of Cancer Registries	648,833

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	61,978

MASSACHUSETTS DEATH FILE - SOCIAL SECURITY ADMINISTRATION
4518-1002	For the purposes of a federally funded grant entitled, Massachusetts Death File - Social Security Administration	90,015

MASSACHUSETTS BIRTH RECORDS - SOCIAL SECURITY ADMINISTRATION
4518-1003	For the purposes of a federally funded grant entitled, Massachusetts Birth Records - Social Security Administration	121,000

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	258,700

CENSUS OF FATAL OCCUPATIONAL INJURIES
4518-9023	For the purposes of a federally funded grant entitled, Census of Fatal Occupational Injuries	29,580

FATALITY SURVEILLANCE AND FIELD INVESTIGATIONS
4518-9025	For the purposes of a federally funded grant entitled, Fatality Surveillance and Field Investigations	112,474

TRANSITIONAL HOUSING - SHATTUCK SHELTER
4540-8200	For the purposes of a federally funded grant entitled, Transitional Housing - Shattuck Shelter	122,000

COMPREHENSIVE BREAST AND CERVICAL CANCER EARLY DETECTION PROGRAM
4570-1503	For the purposes of a federally funded grant entitled, Comprehensive Breast and Cervical Cancer Early Detection Program	3,800,000

PROSTATE CANCER EARLY DETECTION DEMONSTRATION PROJECT
4570-1504	For the purposes of a federally funded grant entitled, Prostate Cancer Early Detection Demonstration Project	121,184

SKIN CANCER PRIMARY PREVENTION AND EDUCATION
4570-1505	For the purposes of a federally funded grant entitled, Skin Cancer Primary Prevention and Education	100,000

NEWCOMER WOMENS' HEALTH PLANNING
4570-1600	For the purposes of a federally funded grant entitled, Newcomer Womens' Health Planning	2,500

Trust and Other Spending

4510-0117

MASS STATE LOAN REPAYMENT UMASS MEDICAL CENTER MATCH

250,000

4510-0606

UREA FORMALDEHYDE FOAM INSULATION FOR HOMEOWNERS

240,491

4510-0635

LEAD PAINT EDUCATION AND TRAINING

1,503,151

4510-6921

ORGAN TRANSPLANT FUND

180,000

4512-0105

MASSACHUSETTS AIDS FUND

557,400

4512-9410

SHARE REVOLVING LOAN FUND

20,000

4516-1212

VACCINE EXCISE TAX - STATE

637,700