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

Objectives

In Fiscal Year 1999, the Department will continue to emphasize preventive care in community settings. The Early Intervention program will provide comprehensive, family-centered, community-based services to over 19,000 children with developmental disabilities or delays. The Women, Infants, and Children (WIC) supplemental nutrition program will serve over 130,000 women and children, with, or at risk of developing, nutrition-related health problems. In addition, the Department of Public Health will:

• provide informational sessions to over 5,780 individuals at high risk of contracting HIV, or who are HIV positive;
• increase outreach to identify HIV/AIDS-infected clients who may benefit from new medications, and work with HIV/AIDS Drug Assistance Program providers and clients regarding the appropriate use of new medications, so that more patients will safely use and benefit from the new medication therapies;
• provide supportive housing to 25 additional homeless HIV/AIDS clients with multiple medical complications;
• expand domestic violence prevention, awareness outreach, and intervention services to non-English speaking victims of domestic violence, and to homosexual male victims of domestic violence;
• establish four regional pilot projects to assist children who witness domestic violence;
• expand services provided through the batterers treatment program;
• provide more effective vaccines for Hepatitis B and Varicella recommended by the federal Center for Disease Control; and
• address a variety of needs at the DPH hospitals including hiring additional staff to improve the quality of care provided to the increasing number of patients with severe medical complications, replacing obsolete medical equipment, and undertaking minor facility repairs to ensure a safe environment for patients and staff.

Budget Recommendations

The Fiscal Year 1999 funding in most accounts is recommended at Fiscal Year 1998 spending levels. The budget recommendation provides expansion for the following programs: $1.1 million for the WIC program (4513-1012) to offset price increases for infant formula in addition to an increase of $1.2 million to offset price increases for milk; an additional $2 million for AIDS prevention and treatment; an additional $1.02 million for domestic violence prevention programs (4513-1022); an additional $3.17 million for the Universal Immunization program (4580-1000); an increase of $350,000 for the batterer's treatment program (4513-1001); and an additional $3.75 million for the state hospitals (4590-0900). Funding for the Early Intervention program will be transferred from the Family Health services account (4513-1000) to a new account (4513-1020), and increased by $326,500 in the Early Intervention retained revenue account (4513-1010). Additionally, these recommendations include $704,667 to improve salaries for the Department's lowest paid, contracted, direct care workers. In Fiscal Year 1998, this funding was appropriated as part of a reserve account in the Executive Office for Administration and Finance.

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). In an effort to further consolidate the medical insurance programs provided by the Commonwealth, enhance administrative efficiency, and reduce program costs through volume purchasing, the Children's Medical Security Plan (4590-0906 and 4590-0907) will be transferred to the Division of Medical Assistance.

Budgetary Direct Appropriations

DEPARTMENT OF PUBLIC HEALTH ADMINISTRATION
4510-0100	For the administration of the department of public health; provided, that the position of assistant commissioner shall not be subject to chapter 31 of the General Laws	16,822,612

COMMUNITY AND OTHER HEALTH CENTERS OPERATIONAL GRANTS
4510-0110	For community health center services, including smoking cessation programs	1,105,264
	General Fund 50.12% Health Protection Fund 49.88%

MANAGED CARE AT COMMUNITY HEALTH CENTERS
4510-0150	For the managed care program at community health centers known as CenterCare, established pursuant to section 24H of chapter 111 of the General Laws	4,347,350

ENVIRONMENTAL HEALTH SERVICES
4510-0600	For environmental and community health hazards services, including control of radiation and nuclear hazards, consumer products protection, food and drugs inspection, lead poisoning prevention in accordance with chapter 482 of the acts of 1993, lead-based paint inspections in day care facilities, inspection of radiological facilities, licensing of x-ray technologists, and the administration of the division of environmental epidemiology and toxicology for the purpose of implementing certain provisions of chapter 470 of the acts of 1983, the "Right-to-Know" law, so called	3,399,750

ENVIRONMENTAL MONITORING OF SEABROOK NUCLEAR POWER PLANT
4510-0617	For environmental monitoring of the nuclear power plant in Seabrook, New Hampshire; provided, that the cost of said monitoring, including any applicable fringe benefits and indirect costs, shall be assessed upon electric companies in Massachusetts which own, in whole or in part, or purchase power from, the Seabrook nuclear power plant; provided further, that for the purposes of this item the term electric companies shall mean all persons, firms, associations, and private corporations which own or operate works or a distributing plant for the manufacture and sale or distribution and sale of electricity within the commonwealth; and provided further, that the term electric companies shall not include municipalities or municipal light plants	87,150

HEALTH FACILITIES LICENSURE
4510-0710	For the operation of the division of health care quality; provided, that said division shall be responsible for assuring the quality of patient care provided by the commonwealth`s health care facilities and services, and for protecting the health and safety of patients who receive care and services in nursing homes, rest homes, clinical laboratories, clinics, institutions for the mentally retarded and the mentally ill, hospitals, and infirmaries, including the inspection of ambulance services	5,358,539

DETERMINATION OF NEED PROGRAM
4510-0750	For the determination of need program established pursuant to section 25C of chapter 111 of the General Laws	141,910

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

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

ACQUIRED IMMUNE DEFICIENCY SYNDROME PREVENTION AND TREATMENT
4512-0103	For acquired immune deficiency syndrome prevention and treatment	51,845,443
	General Fund 93.27% Health Protection Fund 6.73%

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

DIVISION OF SUBSTANCE ABUSE SERVICES
4512-0200	For the operation of the division of substance abuse services	42,045,915
	General Fund 83.23% Health Protection Fund 16.77%

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

FAMILY HEALTH SERVICES
4513-1000	For the operation of the division of family health services, including a program of maternal and child health in addition to any federal funds received for this program; provided, that not less than $79,200 shall be expended for the North Quabbin domestic violence prevention program; and provided further, that not less than $1,250,000 shall be expended for statewide programs that provide suicide prevention outreach to gay and lesbian youth	12,901,439
	General Fund 75.18% Health Protection Fund 24.82%

TREATMENT FOR INDIGENT BATTERERS
4513-1001	For certified batterer intervention programs to assist indigent batterers and their families	650,000

NUTRITIONAL SERVICES
4513-1002	For the operation of 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	14,338,023
	General Fund 87.03% Health Protection Fund 12.97%

HEALTHY START - MEDICAL SERVICES FOR PREGNANT WOMEN
4513-1005	For the healthy start program to provide medical care and assistance to pregnant women and infants residing in the commonwealth, pursuant to section 24D of chapter 111 of the General Laws; provided, that pursuant to an interdepartmental service agreement with the division of medical assistance, the department of public health shall determine the presumptive eligibility of low-income pregnant women for services available under Title XIX and chapter 118E of the General Laws	6,574,554
	General Fund 65.34% Health Protection Fund 34.66%

EARLY INTERVENTION SERVICES
4513-1020	For early intervention programs and services; provided, that the department shall make all reasonable efforts to secure third party and Medicaid reimbursements for the early intervention services funded herein	21,070,841
	General Fund 75.18% Health Protection Fund 24.82%

DOMESTIC VIOLENCE PREVENTION PROGRAMS
4513-1022	For domestic violence prevention, outreach, and intervention; provided, that $450,000 shall be made available for culturally and linguistically appropriate outreach services to non-English speaking victims of domestic violence; provided further, that $450,000 shall be made available for four regional pilot projects to assist children who witness domestic violence; and provided further, that $120,000 shall be made available for outreach and intervention services to homosexual male victims of domestic violence	1,020,000

OSTEOPOROSIS EDUCATION AND PREVENTION SERVICES
4513-1111	For an osteoporosis education and prevention program	500,000
	General Fund 64.61% Health Protection Fund 35.39%

PROSTATE CANCER PREVENTION, EDUCATION, AND TREATMENT
4513-1112	For prostate cancer prevention, education, and treatment	1,500,772

CENTER FOR 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	10,914,235
	General Fund 93.30% Drug Analysis Fund 6.70%

OFFICE OF HEALTH STATISTICS AND ANALYSIS
4518-0100	For the operation of the office of health statistics, a cancer registry, and an occupational lung disease registry	1,129,291
	General Fund 64.25% Health Protection Fund 35.75%

TEENAGE PREGNANCY PREVENTION TECHNICAL ASSISTANCE AND PURCHASE OF SERVICES
4530-9000	For teenage pregnancy prevention services	4,381,536

CONSOLIDATED PUBLIC HEALTH HOSPITALS
4540-0900	For the operation of the department of public health hospitals	32,213,562

EARLY BREAST CANCER DETECTION AND RESEARCH
4570-1500	For an early breast cancer detection program, mammographies for the uninsured, breast cancer research, and a breast cancer detection public awareness program	8,211,325
	General Fund 94.19% Health Protection Fund 5.81%

UNIVERSAL IMMUNIZATION PROGRAM
4580-1000	For the universal immunization program established pursuant to section 24I of chapter 111 of the General Laws	15,345,055

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 24J of chapter 111 of the General Laws	300,000

SMOKING PREVENTION AND CESSATION PROGRAMS
4590-0300	For the smoking prevention and cessation program established pursuant to chapter 254 of the acts of 1992; provided, that not less than $4,314,662 shall be allocated from this item to the executive office of public safety to administer a discretionary grant program for city and town drug awareness and resistance education programs, to be known as DARE programs, which shall include information about the health risks of cigarette smoking and shall involve the participation of local and state police officers, subject to the supervision of the department of public health; provided further, that priority shall be given to funding programs in communities with high smoking rates among women; provided further, that not less than $13,806,919 shall be allocated from this item to the department of education for grants to cities, towns, and regional school districts for comprehensive health education programs, including education on smoking prevention; provided further, that funds distributed pursuant to the preceding clause shall be deposited with the treasurer of any such city, town, or regional school district, held in a separate account, and expended without further appropriation by the school committee; provided further, that not less than $5,177,595 shall be made available from this item for a school health service program, including enhanced school and health centers; provided further, that the department of public health and the department of education shall jointly establish standards and criteria for said school health service program; and provided further, that not less than $1,078,666 shall be expended for the student awareness of fire education (SAFE) program	55,873,160
	Health Protection 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 $150,000 from assessments collected in accordance with section 5K of chapter 111 of the General Laws for services provided to monitor, survey, and inspect nuclear power reactors; provided, that the department is hereby further authorized to expend revenues not to exceed $605,018 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	755,018

PRESCRIPTION DRUG REGISTRATION AND MONITORING RETAINED REVENUE
4510-0616	The department of public health is hereby authorized to expend an amount not to exceed $529,242 from revenues collected from a fee charged to registered practitioners, including physicians, dentists, veterinarians, and podiatrists, for controlled substance registration, 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	529,242

HEALTH FACILITIES LICENSURE RETAINED REVENUE
4510-0712	The department of public health is hereby authorized to expend an amount not to exceed $1,322,384 in revenues collected from the licensure of health facilities, for program costs of the division of health care quality; provided, that the department is hereby authorized to collect revenues of not less than $175,000 from the licensure of mammography facilities	1,322,384

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

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

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

BLOOD LEAD TESTING RETAINED REVENUE
4516-0263	The department of public health is hereby authorized to expend an amount not to exceed $1,480,800 in revenues from various blood lead testing fees collected from insurers and individuals, for the purpose of conducting such tests; provided, that notwithstanding the provisions of any general or special law to the contrary, for the purpose of accommodating timing discrepancies between the receipt of retained revenues and related expenditures, the department may incur expenses and the comptroller may certify for payment amounts not to exceed the lower of this authorization or the most recent revenue estimate therefor as reported in the state accounting system	1,480,800

HEALTH STATISTICS - VITAL RECORDS RETAINED REVENUE
4518-0200	The department of public health is hereby authorized to expend for all program costs of the department an amount not to exceed $285,001 from fees collected for amendments of vital records by the registrar of vital records and statistics, requests for vital records not issued in person at the offices of the registry of vital records, and research requests performed by registry staff at the registry of vital records; provided, that notwithstanding the provisions of any general or special law to the contrary, for the purpose of accommodating timing discrepancies between the receipt of retained revenues and related expenditures, the department may incur expenses and the comptroller may certify for payment amounts not to exceed the lower of this authorization or the most recent revenue estimate therefor as reported in the state accounting system	285,001

CONSOLIDATED PUBLIC HEALTH HOSPITALS RETAINED REVENUE
4590-0900	The department of public health is hereby authorized to expend an amount not to exceed $77,088,204 from reimbursements collected for hospital services; provided, that such revenues may be expended for hospital-related costs, including but not limited to capital repair and maintenance and motor vehicle replacement; provided further, that notwithstanding the provisions of any general or special law to the contrary, 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 shall be credited to item 4590-0903	77,088,204

Intragovernmental Service Spending

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

MEDICAL SERVICES FOR COUNTY CORRECTIONS INMATES INTRAGOVERNMENTAL CHARGEBACK
4590-0903	For the costs of medical services provided at the department of public health Lemuel Shattuck hospital to inmates in the custody of sheriffs; provided, that the expenses so incurred shall be charged to items 0350-0900, 0350-1400, and 8910-0010 pursuant to the provisions thereof; provided further, that expenditures from this item shall be for hospital-related costs, including but not limited to capital repair and maintenance and motor vehicle replacement; and provided further, that notwithstanding the provisions of any general or special law to the contrary, for the purpose of accommodating timing discrepancies between the receipt of retained revenues and related expenditures, the department may incur expenses and the comptroller may certify for payment an amount 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	5,529,452

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	12,786,427

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

STATE LOAN REPAYMENT PROJECT
4510-0109	For the purposes of a federally funded grant entitled, State Loan Repayment Project	106,784

OFFICE OF RURAL HEALTH
4510-0113	For the purposes of a federally funded grant entitled, Office of Rural Health	50,000

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

MEDICARE AND MEDICAID SURVEY AND CERTIFICATION
4510-0400	For the purposes of a federally funded grant entitled, Medicare and Medicaid Survey and Certification	5,012,229

CLINICAL LABORATORY IMPROVEMENT AMENDMENTS
4510-0500	For the purposes of a federally funded grant entitled, Clinical Laboratory Improvement Amendments	480,815

FDA INSPECTION OF FOOD ESTABLISHMENTS
4510-0619	For the purposes of a federally funded grant entitled, FDA Inspection of Food Establishments	83,276

CHILDHOOD LEAD PAINT POISONING PREVENTION
4510-0636	For the purposes of a federally funded grant entitled, Childhood Lead Paint Poisoning Prevention	1,392,009

MAMMOGRAPHY QUALITY STANDARDS ACT INSPECTIONS
4510-9014	For the purposes of a federally funded grant entitled, Mammography Quality Standards Act Inspections	225,927

ENVIRONMENTAL MONITORING PROGRAM
4510-9019	For the purposes of a federally funded grant entitled, Environmental Monitoring Program	41,980

DIABETES CONTROL PROGRAM
4510-9040	For the purposes of a federally funded grant entitled, Diabetes Control Program	269,731

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	738,886

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

SEXUALLY TRANSMITTED DISEASE CONTROL
4512-0102	For the purposes of a federally funded grant entitled, Sexually Transmitted Disease Control	945,765

VACCINATION ASSISTANCE PROJECT
4512-0179	For the purposes of a federally funded grant entitled, Vaccination Assistance Project	6,487,723

EPIDEMIOLOGY AND LAB SURVEILLANCE
4512-0180	For the purposes of a federally funded grant entitled, Epidemiology and Lab Surveillance	251,069

TREATMENT OUTCOME STUDY
4512-9030	For the purposes of a federally funded grant entitled, Treatment Outcome Study	296,013

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

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	355,037

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	125,000

HIV, STD, AND TB RISK REDUCTION
4512-9429	For the purposes of a federally funded grant entitled, HIV, STD, and TB Risk Reduction	495,000

SUPPORTIVE HOUSING
4513-0110	For the purposes of a federally funded grant entitled, Supportive Housing	715,825

HOUSING OPPORTUNITIES - PEOPLE WITH AIDS
4513-0111	For the purposes of a federally funded grant entitled, Housing Opportunities - People with AIDS	993,621

NUTRITIONAL STATUS OF WOMEN, INFANTS, AND CHILDREN (WIC)
4513-9007	For the purposes of a federally funded grant entitled, Nutritional Status of Women, Infants, and Children (WIC)	56,540,687

AUGMENTATION AND EVALUATION OF ESTABLISHED HEALTH EDUCATION - RISK REDUCTION
4513-9018	For the purposes of a federally funded grant entitled, Augmentation and Evaluation of Established Health Education - Risk Reduction	8,170,616

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	350,000

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

PLANNING A COMPREHENSIVE PRIMARY CARE SYSTEM FOR ALL MASS CHILDREN AND YOUTH
4513-9030	For the purposes of a federally funded grant entitled, Planning a Comprehensive Primary Care System for All 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	855,223

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	46,829

MASSACHUSETTS WOMEN`S HIV ADVOCACY PROJECT
4513-9045	For the purposes of a federally funded grant entitled, Massachusetts Women`s HIV Advocacy Project	317,938

CONGENITAL ANOMALIES CENTER OF EXCELLENCE
4513-9046	For the purposes of a federally funded grant entitled, Congenital Anomalies Center of Excellence	950,000

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	189,395

FIRSTLINK DATA UTILIZATION ENHANCEMENT
4513-9049	For the purposes of a federally funded grant entitled, FirstLink Data Utilization Enhancement	141,524

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	50,000

DISABLED ADULTS WITH SECONDARY CONDITIONS
4513-9055	For the purposes of a federally funded grant entitled, Disabled Adults With Secondary Conditions	161,136

PREGNANCY/PEDIATRIC NUTRITION SURVEILLANCE
4513-9056	For the purposes of a federally funded grant entitled, Pregnancy/Pediatric Nutrition Surveillance	86,156

SURVEILLANCE OF HEMOPHILIA COMPLICATIONS
4513-9057	For the purposes of a federally funded grant entitled, Surveillance of Hemophilia Complications	172,769

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

CONGENITAL ANOMALIES SURVEILLANCE SYSTEM
4513-9059	For the purposes of a federally funded grant entitled, Congenital Anomalies Surveillance System	50,000

RESIDENTIAL FIRE INJURY PREVENTION - MASS INJURY INTERVENTION AND SURVEILLANCE
4513-9060	For the purposes of a federally funded grant entitled, Residential Fire Injury Prevention - Mass Injury Intervention and Surveillance	184,688

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

HIV PREVENTION EVALUATION
4513-9070	For the purposes of a federally funded grant entitled, HIV Prevention Evaluation	99,837

WIC AND IMMUNIZATION SYSTEM LINKAGE PROJECT
4513-9101	For the purposes of a federally funded grant entitled, WIC and Immunization System Linkage Project	88,050

HEALTH PROGRAM FOR REFUGEES
4515-0113	For the purposes of a federally funded grant entitled, Health Program for Refugees	169,331

TUBERCULOSIS CONTROL PROJECT
4515-0115	For the purposes of a federally funded grant entitled, Tuberculosis Control Project	2,372,180

STD/HIV PREVENTION TRAINING CENTERS
4515-0200	For the purposes of a federally funded grant entitled, STD/HIV Prevention Training Centers	425,211

STD PREVENTION/MANAGED CARE SETTINGS
4515-0201	For the purposes of a federally funded grant entitled, STD Prevention/Managed Care Settings	124,519

NATIONAL PROGRAM OF CANCER REGISTRIES
4518-0500	For the purposes of a federally funded grant entitled, National Program of Cancer Registries	396,111

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

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

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

MASSACHUSETTS DEATH FILE - SOCIAL SECURITY ADMINISTRATION
4518-1002	For the purposes of a federally funded grant entitled, Massachusetts Death File - Social Security Administration	133,776

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

SENTINEL EVENT NOTIFICATION SYSTEM FOR OCCUPATIONAL RISKS
4518-9022	For the purposes of a federally funded grant entitled, Sentinel Event Notification System for Occupational Risks	203,686

CENSUS OF FATAL OCCUPATIONAL INJURIES
4518-9023	For the purposes of a federally funded grant entitled, Census of Fatal Occupational Injuries	27,000

FATALITY SURVEILLANCE AND FIELD INVESTIGATIONS
4518-9025	For the purposes of a federally funded grant entitled, Fatality Surveillance and Field Investigations	95,000

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	4,365,056

PROSTATE CANCER EARLY DETECTION DEMONSTRATION PROJECT
4570-1504	For the purposes of a federally funded grant entitled, Prostate Cancer Early Detection Demonstration Project	20,290

SKIN CANCER PRIMARY PREVENTION AND EDUCATION
4570-1505	For the purposes of a federally funded grant entitled, Skin Cancer Primary Prevention and Education	25,306

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

AMERICAN STOP SMOKING INTERVENTION STUDY
4590-0302	For the purposes of a federally funded grant entitled, American Stop Smoking Intervention Study	2,038,721

Trust and Other Spending

4510-0117

MASS STATE LOAN REPAYMENT UMASS MEDICAL CENTER MATCH

87,880

4510-0606

UREA FORMALDEHYDE FOAM INSULATION FOR HOMEOWNERS

13,450

4510-0622

RADIATION CONTROL TRUST

450,000

4510-0635

LEAD PAINT EDUCATION AND TRAINING

1,668,592

4510-6921

ORGAN TRANSPLANT FUND

180,000

4512-0105

MASSACHUSETTS AIDS FUND

427,530

4512-9410

SHARE REVOLVING LOAN FUND

20,000

4513-1014

WIC ESCROW

1,000

4516-1212

VACCINE EXCISE TAX - STATE

586,414