This is not the official budget document.

Budget Summary FY2018

50950015 - Inpatient Facilities and Community Based Mental Health
Data Current as of:  7/20/2017





Account Description FY2017
Spending
FY2018
GAA
5095-0015 Inpatient Facilities and Community Based Mental Health
For the operation of hospital facilities and community-based mental health services; provided, that in order to comply with the decision in Olmstead v. L.C. ex rel. Zimring, 527 U.S. 581 (1999) and to enhance care for clients served by the department, the department shall discharge clients residing in the inpatient facilities to residential services in the community when the following criteria are met: (i) the client is deemed clinically suited for a more integrated setting; (ii) the community residential service capacity and resources available are sufficient to provide each client with an equal or improved level of service; and (iii) the cost to the commonwealth of serving the client in the community is less than or equal to the cost of serving the client in inpatient care; provided further, that any client transferred to another inpatient facility as the result of a facility closure shall receive a level of care that is equal to or greater than the care that had been received at the closed facility; provided further, that the department may allocate funds of not more than $5,000,000 from this item to item 5046-0000, as necessary, under allocation plans submitted to the house and senate committees on ways and means 30 days before any transfer for residential and day services for clients formerly receiving inpatient care at the centers and facilities; provided further, that the department shall maintain not less than 671 inpatient beds in its system in fiscal year 2018; provided further, that of these 671 beds, 45 beds shall be continuing care inpatient beds on the campus of Taunton State Hospital; provided further, that within the existing appropriation, the department may operate more beds at Taunton State Hospital; provided further, that the department shall operate not fewer than 260 adult continuing care inpatient beds at Worcester Recovery Center and Hospital; provided further, that the department shall not take action in fiscal year 2018 to reduce the number of state-operated continuing care inpatient beds or other state-operated programs at the Taunton State Hospital campus or relocate administrative hospital services associated with the operation of the hospital off-campus; provided further, that the department shall not enter into new vendor-operated lease agreements for expansion of existing vendor-operated programs; provided further, that the department shall not enter into new interagency agreements or expansion of existing interagency agreements, programs or facilities until the department, in conjunction with the division of capital asset management and maintenance, develops a comprehensive long-term use master plan for the campus on or after March 2, 2018, with appropriate community input that is consistent with maintaining publicly-provided mental health services currently delivered on-campus at Taunton State Hospital; provided further, that the plan shall include maintaining existing affiliations with institutions of higher education and possible future relationships with those institutions and others to maintain the sustainability of Taunton State Hospital; provided further, that the plan shall be consistent with maintaining the campus of Taunton State Hospital as a publicly-run mental health facility and shall not prohibit the inclusion of behavioral health programs or publicly-run pilot programs to meet the needs of servicing individuals with mental health, behavioral health and those dual-diagnosed on the campus as part of the comprehensive master plan; and provided further, that the master plan shall be submitted to the executive office for administration and finance, the executive office of health and human services, the senate and house chairs of the joint committee on mental health and substance abuse and the chairs of the house and senate committees on ways and means
206,023,880 205,623,406