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Health and Human Services - Detail

Fiscal Year 2009 Resource Summary ($000)
SECRETARIAT	FY 2009 Budgetary Recommendations	FY 2009 Federal, Trust, and ISF	FY 2009 Total Spending	FY 2009 Budgetary Non-Tax Revenue
Office of the Secretary of Health and Human Services	6,186,065	1,628,953	7,815,018	4,318,846
Department of Elder Affairs	2,740,440	34,033	2,774,473	1,398,341
Office of Health Services	1,283,512	805,498	2,089,010	285,109
Office of Children, Youth, and Family Services	1,879,503	43,188	1,922,691	643,848
Office of Disabilities and Community Services	1,400,574	116,615	1,517,189	470,657
Department of Veterans' Services	50,460	669	51,130	315
TOTAL	13,540,554	2,628,956	16,169,510	7,117,116

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Pie Chart: Health and Human Services=47%, Elder Affairs=20%, Health Services=9%, Children, Youth, and Family Services=14%, Disabilities and Community Services=10%, Secretariats that are Less than 5% of Total=0%

Historical Budget Levels ($000)
Secretariat	FY2006 GAA	FY2007 GAA	FY2008 GAA	FY2008 Projected Spending	FY2009 House 2
Executive Office of Health and Human Services	5,040,960	5,749,034	5,889,274	5,918,585	6,186,065
Department of Elder Affairs	2,265,780	2,100,816	2,635,036	2,632,440	2,740,440
Office of Health Services	1,069,381	1,132,639	1,230,069	1,246,074	1,283,512
Office of Children, Youth, and Family Services	1,736,504	1,776,925	1,806,740	1,843,944	1,879,503
Office of Disabilities and Community Services	1,238,038	1,293,194	1,353,078	1,369,145	1,400,574
Department of Veterans' Services	34,926	42,008	43,793	46,170	50,460
TOTAL	11,385,589	12,094,616	12,957,991	13,056,359	13,540,554

Note: GAA is General Appropriation Act.
Projected spending includes funds carried forward from FY2007, collective bargaining adjustments, year to date supplemental budgets, and recognized deficiencies. It does not include anticipated reversions.

Historical Spending Categories ($000)
SPENDING CATEGORY	FY2005 Expended	FY2006 Expended	FY2007 Expended	FY2008 Projected Spending	FY2009 House 2
Wages & Salaries	3,629,443	3,838,756	4,092,332	4,330,251	4,549,499
Employee Benefits	993,157	1,114,725	1,182,179	1,001,523	1,027,288
Operating Expenses	873,828	1,396,846	1,217,032	1,075,913	1,119,270
Public Assistance	9,739,520	10,779,003	11,663,047	12,668,481	13,099,486
Aid to Cities & Towns	5,132,468	5,350,815	6,055,275	6,212,429	6,315,691
Debt Service	1,782,044	1,832,219	2,008,220	2,016,361	2,053,477
TOTAL	22,150,461	24,312,364	26,218,086	27,304,958	28,164,711

FY2009 Spending Category Chart:Wages & Salaries=16%, Employee Benefits=4%, Operating Expenses=4%, Public Assistance=47%, Aid to Cities & Towns=22%, Debt Service=7%

Historical Employment Levels
Secretariat	June FY2005	June FY2006	June FY2007	Jan. FY2008	Projected FY2009
Executive Office of Health and Human Services	1,149	1,190	1,205	1,235	1,252
Department of Elder Affairs	32	34	44	45	49
Office of Health Services	6,225	6,168	6,181	6,224	6,380
Office of Children, Youth, and Family Services	5,600	5,721	5,859	5,979	6,071
Office of Disabilities and Community Services	7,910	7,897	7,784	7,810	7,837
Department of Veterans' Services	42	45	43	45	46
TOTAL	20,957	21,055	21,117	21,338	21,635

Figures represent full-time equivalents (FTEs) paid from budgeted funds, and excludes those paid from chargebacks, capital, federal grants and trust funds. FY2009 FTE figures are planned and may not represent actual hires.

Office of the Secretary of Health and Human Services

Fiscal Year 2009 Resource Summary ($000)
DEPARTMENT	FY 2009 Budgetary Recommendations	FY 2009 Federal, Trust, and ISF	FY 2009 Total Spending	FY 2009 Budgetary Non-Tax Revenue
Office of the Secretary of Health and Human Services	6,186,065	1,628,953	7,815,018	4,318,846

account	description	amount
OFFICE OF THE SECRETARY OF HEALTH AND HUMAN SERVICES		7,815,017,979
Budgetary Direct Appropriations		6,186,064,833
Direct Appropriations
4000-0050	Personal Care Attendant Council	728,073
4000-0117	Human Services Purchase of Service Reform Initiative	23,000,000
4000-0265	Primary Care Workforce	1,700,000
4000-0300	Executive Office of Health and Human Services and Medicaid Administration	145,635,110
4000-0301	MassHealth Auditing and Utilization Reviews	2,225,904
4000-0352	MassHealth Enrollment Outreach Grants	3,500,000
4000-0355	Health Care Quality and Cost Council	1,888,616
4000-0430	MassHealth CommonHealth Plan	111,900,000
4000-0500	MassHealth Managed Care	3,117,519,323
4000-0622	Health Disparities Initiative	1,000,000
4000-0650	Community First Initiative	45,800,000
4000-0700	MassHealth Indemnity	1,525,376,319
4000-0870	MassHealth Basic Coverage	122,700,000
4000-0875	MassHealth Breast and Cervical Cancer Treatment	5,500,000
4000-0880	MassHealth Family Assistance Plan	211,100,000
4000-0890	MassHealth Premium Assistance and Insurance Partnership Program	40,300,000
4000-0891	MassHealth Insurance Partnership for Employers	5,200,000
4000-0895	Healthy Start Program	19,400,000
4000-0990	Children's Medical Security Plan	16,500,000
4000-1400	MassHealth HIV Plan	16,591,488
4000-1405	MassHealth Essential	304,600,000
4000-1420	Medicare Part D Phased Down Contribution	238,900,000

account	description	amount
Retained Revenues
4000-0320	MassHealth Recoveries from Current and Prior Fiscal Years Retained Revenue	225,000,000

account	description	amount
Intragovernmental Service Spending		35,100,876
4000-0102	Chargeback for Human Services Transportation	7,475,343
4000-0103	Chargeback for Human Services Administration	27,625,533

account	description	amount
Federal Grant Spending		9,020,611
4000-0713	Youth Development State Collaboration	120,000
4000-7570	Medicaid Transformation Grant	814,370
4000-9401	Community Mental Health Services	8,086,241

account	description	amount
Trust and Other Spending		1,584,831,659
4000-0330	Connector Administration Expendable Trust	5,200,000
4000-1068	Medical Assistance Trust Fund	251,000,000
4000-3005	Essential Community Provider Payments Trust	28,000,000
4000-4000	Health Insurance Portability and Accountability Act Fund	8,070,203
4000-5819	Commonwealth Care Trust Fund	1,292,561,456

Historical Budget Levels ($000)
Account		FY2006 GAA	FY2007 GAA	FY2008 GAA	FY2008 Projected Spending	FY2009 House 2
4000-0050	Personal Care Attendant Council	0	0	0	805	728
4000-0112	Youth-at-Risk Matching Grants	3,610	5,698	5,705	5,705	0
4000-0117	Human Services Purchase of Service Reform Initiative	0	0	0	0	23,000
4000-0265	Primary Care Workforce	0	0	1,700	1,700	1,700
4000-0300	Executive Office of Health and Human Services and Medicaid Administration	126,159	137,095	142,273	142,875	145,635
4000-0301	MassHealth Auditing and Utilization Reviews	0	0	2,200	2,200	2,226
4000-0320	MassHealth Recoveries from Current and Prior Fiscal Years Retained Revenue	291,000	225,000	225,000	225,000	225,000
4000-0351	Office of Residential and Placement Licensure	738	0	0	0	0
4000-0352	MassHealth Enrollment Outreach Grants	500	500	3,500	3,500	3,500
4000-0355	Health Care Quality and Cost Council	0	0	1,000	1,000	1,889
4000-0430	MassHealth CommonHealth Plan	84,697	68,169	101,582	101,582	111,900
4000-0500	MassHealth Managed Care	2,102,006	2,520,228	2,884,675	2,884,675	3,117,519
4000-0622	Health Disparities Initiative	0	0	0	0	1,000
4000-0650	Community First Initiative	0	0	0	0	45,800
4000-0700	MassHealth Indemnity	1,586,991	1,538,638	1,683,747	1,711,652	1,525,376
4000-0860	MassHealth Standard Coverage	391,510	407,253	0	0	0
4000-0870	MassHealth Basic Coverage	61,326	98,207	117,206	117,206	122,700
4000-0875	MassHealth Breast and Cervical Cancer Treatment	5,170	3,951	5,422	5,422	5,500
4000-0880	MassHealth Family Assistance Plan	27,510	100,096	137,979	137,979	211,100
4000-0890	MassHealth Premium Assistance and Insurance Partnership Program	36,747	45,012	36,090	36,090	40,300
4000-0891	MassHealth Insurance Partnership for Employers	7,433	6,996	5,490	5,490	5,200
4000-0895	Healthy Start Program	15,992	15,969	18,135	18,135	19,400
4000-0990	Children's Medical Security Plan	21,078	18,232	15,223	15,223	16,500
4000-1400	MassHealth HIV Plan	7,589	13,048	16,591	16,591	16,591
4000-1401	MassHealth - Inpatient Outlier Payments	18,750	0	0	0	0
4000-1405	MassHealth Essential	132,154	306,041	251,838	251,838	304,600
4000-1420	Medicare Part D Phased Down Contribution	120,000	238,900	233,916	233,916	238,900
TOTAL		5,040,960	5,749,034	5,889,274	5,918,585	6,186,065

Historical Employment Levels
Account	Description	June FY2005	June FY2006	June FY2007	Jan. FY2008	Projected FY2009
4000-0050	Personal Care Attendant Council	0	0	0	2	3
4000-0102	Chargeback for Human Services Transportation	6	12	11	13	15
4000-0103	Chargeback for Human Services Administration	362	377	378	383	394
4000-0140	Betsy Lehman Center	0	0	2	0	0
4000-0300	Executive Office of Health and Human Services and Medicaid Administration	782	792	810	835	833
4000-0301	MassHealth Auditing and Utilization Reviews	0	0	5	0	1
4000-0351	Office of Residential and Placement Licensure	0	9	0	0	0
4000-0355	Health Care Quality and Cost Council	0	0	0	2	6
TOTAL		1,149	1,190	1,205	1,235	1,252

Department of Elder Affairs

Fiscal Year 2009 Resource Summary ($000)
DEPARTMENT	FY 2009 Budgetary Recommendations	FY 2009 Federal, Trust, and ISF	FY 2009 Total Spending	FY 2009 Budgetary Non-Tax Revenue
Department of Elder Affairs	2,740,440	34,033	2,774,473	1,398,341

account	description	amount
DEPARTMENT OF ELDER AFFAIRS		2,774,473,308
Budgetary Direct Appropriations		2,740,440,349
4000-0600	MassHealth Senior Care	2,158,355,058
4000-0640	MassHealth Nursing Home Supplemental Rates	288,500,000
9110-0100	Department of Elder Affairs Administration	3,809,356
9110-1455	Prescription Advantage	57,599,774
9110-1500	Elder Enhanced Home Care Services Program	48,024,305
9110-1604	Supportive Senior Housing Program	4,202,915
9110-1630	Elder Home Care Purchased Services	106,715,568
9110-1633	Elder Home Care Case Management and Administration	40,368,041
9110-1636	Elder Protective Services	15,146,087
9110-1640	Geriatric Mental Health Services Program	225,000
9110-1650	Family Caregivers Program	253,406
9110-1660	Congregate Housing Program	2,639,031
9110-1700	Residential Placement for Homeless Elders	350,000
9110-1900	Elder Nutrition Program	6,364,740
9110-9002	Grants to Councils on Aging	7,887,068

account	description	amount
Federal Grant Spending		34,032,959
9110-1074	Older Americans Act - Title III and Title VII	9,122,198
9110-1077	National Family Caregiver Support Program	3,673,479
9110-1095	Health Information Counseling and Assistance	676,386
9110-1150	Empowering Older People	300,000
9110-1173	Older Americans Act - Title III Nutrition Program	13,936,717
9110-1174	Nutrition Services Incentive Program	4,056,178
9110-1178	Community Service Employment Program	1,881,501
9110-1179	Performance Outcome Measures Project	30,000
9110-2760	New England Massachusetts Aging and Disability Resource Center	350,000
9110-2761	Aging and Disability Resource Center - Center for Medicaid and Medicare Services	6,500

Historical Budget Levels ($000)
Account		FY2006 GAA	FY2007 GAA	FY2008 GAA	FY2008 Projected Spending	FY2009 House 2
4000-0600	MassHealth Senior Care	1,890,926	1,726,309	2,053,754	2,053,754	2,158,355
4000-0620	MassHealth Senior Care Options	67,999	83,873	0	0	0
4000-0625	MassHealth Home Health Worker Recruitment	0	4,000	0	0	0
4000-0640	MassHealth Nursing Home Supplemental Rates	0	0	288,500	288,500	288,500
9110-0100	Department of Elder Affairs Administration	1,821	2,490	2,916	3,619	3,809
9110-0102	FOR THE REGULATION OF ASSISTED LIVING	247	0	0	0	0
9110-1455	Prescription Advantage	92,249	63,573	60,504	57,206	57,600
9110-1500	Elder Enhanced Home Care Services Program	42,015	43,332	47,411	47,411	48,024
9110-1604	Supportive Senior Housing Program	1,942	3,738	4,189	4,189	4,203
9110-1630	Elder Home Care Purchased Services	98,585	102,995	105,225	105,225	106,716
9110-1633	Elder Home Care Case Management and Administration	38,628	39,312	39,869	39,869	40,368
9110-1635	Homemaker Wage Add-On	3,900	1,000	0	0	0
9110-1636	Elder Protective Services	13,657	13,962	15,009	15,009	15,146
9110-1640	Geriatric Mental Health Services Program	0	350	225	225	225
9110-1650	Family Caregivers Program	0	500	250	250	253
9110-1660	Congregate Housing Program	1,324	1,991	2,623	2,623	2,639
9110-1700	Residential Placement for Homeless Elders	250	250	350	350	350
9110-1900	Elder Nutrition Program	5,237	5,592	6,325	6,325	6,365
9110-9002	Grants to Councils on Aging	7,000	7,550	7,885	7,885	7,887
TOTAL		2,265,780	2,100,816	2,635,036	2,632,440	2,740,440

Historical Employment Levels
Account	Description	June FY2005	June FY2006	June FY2007	Jan. FY2008	Projected FY2009
9110-0100	Department of Elder Affairs Administration	19	19	27	30	30
9110-0102	FOR THE REGULATION OF ASSISTED LIVING	5	3	1	0	0
9110-1455	Prescription Advantage	8	12	13	12	13
9110-1630	Elder Home Care Purchased Services	0	0	1	1	1
9110-1636	Elder Protective Services	0	0	1	1	4
9110-1900	Elder Nutrition Program	0	0	1	1	1
TOTAL		32	34	44	45	49

Office of Health Services

Fiscal Year 2009 Resource Summary ($000)
DEPARTMENT	FY 2009 Budgetary Recommendations	FY 2009 Federal, Trust, and ISF	FY 2009 Total Spending	FY 2009 Budgetary Non-Tax Revenue
Division of Health Care Finance and Policy	17,013	452,996	470,009	20,124
Department of Public Health	580,152	322,228	902,380	149,128
Department of Mental Health	686,347	30,273	716,621	115,857
TOTAL	1,283,512	805,498	2,089,010	285,109

Pie Chart: Public Health=45%, Mental Health=54%, Departments that are Less than 5% of Total=1%

Historical Budget Levels ($000)
Department	FY2006 GAA	FY2007 GAA	FY2008 GAA	FY2008 Projected Spending	FY2009 House 2
Division of Health Care Finance and Policy	12,530	12,836	13,979	14,516	17,013
Department of Public Health	430,759	473,427	548,684	557,486	580,152
Department of Mental Health	626,092	646,376	667,407	674,072	686,347
TOTAL	1,069,381	1,132,639	1,230,069	1,246,074	1,283,512

Historical Spending Categories ($000)
SPENDING CATEGORY	FY2005 Expended	FY2006 Expended	FY2007 Expended	FY2008 Projected Spending	FY2009 House 2
Wages & Salaries	323,261	336,378	364,776	384,776	393,377
Employee Benefits	13,597	14,340	14,892	15,136	14,783
Operating Expenses	97,276	117,869	131,979	146,498	150,863
Public Assistance	561,806	604,296	657,617	681,013	698,889
Aid to Cities & Towns	12,035	12,449	16,238	18,650	25,600
TOTAL	1,007,975	1,085,331	1,185,502	1,246,074	1,283,512

FY2009 Spending Category Chart:Wages & Salaries=31%, Employee Benefits=1%, Operating Expenses=12%, Public Assistance=54%, Aid to Cities & Towns=2%

Historical Employment Levels
Department	June FY2005	June FY2006	June FY2007	Jan. FY2008	Projected FY2009
Division of Health Care Finance and Policy	95	99	95	93	106
Department of Public Health	2,304	2,314	2,352	2,410	2,478
Department of Mental Health	3,826	3,756	3,733	3,721	3,796
TOTAL	6,225	6,168	6,181	6,224	6,380

Division of Health Care Finance and Policy

account	description	amount
DIVISION OF HEALTH CARE FINANCE AND POLICY		470,009,451
Budgetary Direct Appropriations		17,013,069
4100-0060	Division of Health Care Finance and Policy	17,013,069

account	description	amount
Trust and Other Spending		452,996,382
4100-0090	Health Safety Net Trust Fund - Community Health Centers	35,300,000
4100-0091	Health Safety Net Trust Fund - Hospital	411,696,382
4100-0092	Health Safety Net and Demonstration Projects	6,000,000

Historical Budget Levels ($000)
Account		FY2006 GAA	FY2007 GAA	FY2008 GAA	FY2008 Projected Spending	FY2009 House 2
4100-0060	Division of Health Care Finance and Policy	12,530	12,836	13,979	14,516	17,013
TOTAL		12,530	12,836	13,979	14,516	17,013

Historical Employment Levels
Account	Description	June FY2005	June FY2006	June FY2007	Jan. FY2008	Projected FY2009
4100-0060	Division of Health Care Finance and Policy	95	99	95	93	106
TOTAL		95	99	95	93	106

Department of Public Health

account	description	amount
DEPARTMENT OF PUBLIC HEALTH		902,379,819
Budgetary Direct Appropriations		580,151,827
Direct Appropriations
4510-0100	Department of Public Health	22,228,418
4510-0110	Community Health Center Services	7,307,772
4510-0600	Environmental Health Services	4,217,201
4510-0710	Division of Health Care Quality and Improvement	10,210,940
4510-0720	Certified Nurse's Aide Scholarships Fund	250,000
4510-0721	Board of Registration in Nursing	1,734,347
4510-0722	Board of Registration in Pharmacy	541,311
4510-0723	Board of Registration in Medicine and Acupuncture	2,670,027
4510-0725	Health Boards of Registration	472,097
4510-0790	Regional Emergency Medical Services	1,246,896
4510-0810	Sexual Assault Nurse Examiner and Pediatric SANE Programs	3,610,111
4512-0103	HIV/AIDS Prevention, Treatment and Services	37,166,608
4512-0200	Division of Substance Abuse Services	79,550,008
4512-0201	Substance Abuse Step-Down Recovery Services	5,000,000
4512-0500	Dental Health Services	2,619,545
4513-1000	Family Health Services	7,265,638
4513-1002	Women, Infants, and Children's Nutritional Services	13,565,887
4513-1020	Early Intervention Services	42,936,049
4513-1023	Newborn Hearing Screening Program	84,076
4513-1024	Shaken Baby Syndrome Prevention Program	350,000
4513-1026	Suicide Prevention and Intervention Program	3,753,239
4513-1111	Health Promotion and Disease Prevention	14,198,632
4513-1130	Domestic Violence and Sexual Assault Prevention and Treatment	4,617,251
4516-1000	State Laboratory and Communicable Disease Control Services	17,286,245
4530-9000	Teenage Pregnancy Prevention Services	4,055,586
4570-1502	Infection Prevention Program	1,003,352
4580-1000	Universal Immunization Program	51,601,508
4590-0250	School-Based Health Programs	16,782,134
4590-0300	Smoking Prevention and Cessation Programs	12,751,218
4590-0915	Public Health Hospitals	145,047,591
4590-1503	Pediatric Palliative Care	800,818
4590-1506	Violence Prevention Grants	8,950,000

account	description	amount
Retained Revenues
4510-0106	End of Life Care Commission Retained Revenue	50,000
4510-0615	Nuclear Power Reactor Monitoring Fee Retained Revenue	1,524,195
4510-0616	Prescription Drug Registration and Monitoring Fee Retained Revenue	601,110
4510-0726	Board of Registration in Medicine Fee Retained Revenue	300,000
4512-0106	HIV/AIDS Drug Program Manufacturer Rebates Retained Revenue	1,500,000
4512-0225	Compulsive Behavior Treatment Program Retained Revenue	1,000,000
4513-1010	Early Intervention Services Medicaid Reimbursement Retained Revenue	5,500,000
4513-1012	WIC Program Manufacturer Rebates Retained Revenue	24,600,000
4590-0912	Western Massachusetts Hospital Federal Reimbursement Retained Revenue	16,542,017
4590-0913	Shattuck Private Medical Vendor Retained Revenue	500,000
4590-0917	Shattuck Hospital Department of Correction Inmate Retained Revenue	4,160,000

account	description	amount
Intragovernmental Service Spending		49,736,520
4510-0108	Chargeback for State Office Pharmacy Services	45,786,520
4590-0901	Chargeback for Consolidated Public Health Hospitals	150,000
4590-0903	Chargeback for Medical Services for County Corrections Inmates	3,800,000

account	description	amount
Federal Grant Spending		255,752,687
4500-1000	Preventive Health Services Block Grant	3,170,463
4500-1050	Rape Prevention and Education	989,383
4500-1060	Rape Prevention Program Planning and Evaluation Capacity Building	16,532
4500-1065	State Partnership to Improve Minority Health	154,867
4500-2000	Maternal and Child Health Services Block Grant	12,097,344
4502-1012	Cooperative Health Statistics System	614,398
4510-0109	State Loan Repayment Project	250,000
4510-0113	Office of Rural Health	148,500
4510-0118	Primary Care Cooperative Agreement	108,954
4510-0119	Rural Hospital Flexibility Program	291,464
4510-0219	Small Rural Hospital Improvement Grant	89,450
4510-0221	Targeted Oral Health Services	160,000
4510-0400	Medicare and Medicaid Survey and Certification	7,637,790
4510-0404	Bioterrorism Hospital Preparedness	8,482,091
4510-0500	Clinical Laboratory Improvement Amendments	312,536
4510-0609	Nuclear Regulatory Commission Security Inspections	5,000
4510-0619	Food and Drug Administration Inspection of Food Establishments	322,736
4510-0627	Prescription Drug Monitoring	275,000
4510-0628	Developing and Enhancing Prescription Drug	400,000
4510-0630	Enabling Electronic Prescribing and Enhancement	451,710
4510-0636	Childhood Lead Paint Poisoning Prevention	1,145,179
4510-9014	Mammography Quality Standards Act Inspections	152,854
4510-9040	Diabetes Control Program	1,070,134
4510-9043	Demonstration Program to Conduct Toxic Waste Site Health Impact Assessments	448,648
4510-9048	Indoor Radon Development Program	154,700
4510-9053	Beaches Environmental Assessment	251,749
4510-9056	National Environmental Public Health Tracking	949,213
4512-0102	Sexually Transmitted Disease Control	1,588,813
4512-0179	Vaccination Assistance Project	5,821,257
4512-0180	Epidemiology and Lab Surveillance	1,491,209
4512-9064	Adolescent Treatment	365,780
4512-9065	State Outcomes Measurement and Management System	75,000
4512-9066	State Epidemiological Outcomes Workshop	100,000
4512-9067	Screening and Brief Intervention	2,826,914
4512-9068	Collaborative for Action, Leadership and Learning	2,093,000
4512-9069	Substance Abuse Prevention and Treatment - Block Grant	35,754,518
4512-9070	Promoting Safe and Stable Families	500,000
4512-9071	Office of Juvenile Justice and Delinquency Prevention Substance Abuse Prevention	700,000
4512-9426	Uniform Alcohol and Drug Abuse Data Collection	73,198
4513-0111	Housing Opportunities - People with AIDS	166,000
4513-1123	Adult Viral Hepatitis Prevention Coordinator	105,925
4513-9007	Nutritional Status of Women, Infants, and Children	83,076,934
4513-9018	Augmentation and Evaluation of Established Health Education - Risk Reduction	11,092,885
4513-9020	Expanded and Integrated HIV Testing	690,000
4513-9021	Program for Infants and Toddlers with Handicaps	8,214,170
4513-9022	Prevention Disability State-Based Project	267,423
4513-9027	MassCare - Community AIDS Resource Enhancement	888,693
4513-9030	Comprehensive Primary Care System Planning for Massachusetts Children	94,644
4513-9035	AIDS Surveillance and Seroprevalence Project	1,502,762
4513-9037	Ryan White Comprehensive AIDS Resources	20,393,618
4513-9038	Shelter Plus Care - Worcester	288,504
4513-9046	Congenital Anomalies Center of Excellence	697,633
4513-9051	Rural Domestic Violence and Child Victimization Project	450,000
4513-9060	Residential Fire Injury Prevention, Intervention and Surveillance	161,929
4513-9066	Universal Newborn Hearing Screening - Enhancement Project	150,000
4513-9071	Early Hearing Detection and Intervention - Tracking and Research	170,000
4513-9076	Early Childhood Comprehensive Systems	140,000
4513-9077	Emergency Medical Services for Children Partnership II	115,000
4513-9078	Asthma Planning Collaborative	335,000
4513-9080	Massachusetts Perinatal Connection Project	210,000
4513-9081	Children with Special Health Care Needs	40,000
4513-9082	CAPTA Requirement to Identify and Serve Substance Exposed Newborns	250,000
4513-9083	Mass Youth Suicide Prevention Program	455,704
4513-9085	Massachusetts Pregnancy Risk	198,026
4513-9086	Oral Health Workforce Activities Support Grant	131,834
4514-1005	Women, Infants, and Children - Management Information Systems	200,000
4514-1006	Getting to the Heart of the Matter	94,990
4515-0115	Tuberculosis Control Project	1,641,161
4515-0121	Tuberculosis Epidemiologic Studies Consortium	366,019
4515-0200	STD/HIV Prevention Training Centers	356,641
4515-0204	Strengthening Surveillance for Infectious Disease	175,000
4515-0205	HIV Training through Prevention Training Centers	99,999
4516-1021	Public Health Preparedness and Response for Bioterrorism	17,273,541
4516-1025	Morbidity and Risk Behavior Surveillance	378,620
4518-0505	Technical Data - Massachusetts Birth/Infant Death File Linkage and Analysis	24,885
4518-0514	National Violent Death Reporting System	321,368
4518-0534	Public Health Injury Surveillance and Prevention	742,877
4518-1000	Procurement of Information for the National Death Index	33,500
4518-1002	Massachusetts Death File - Social Security Administration	83,000
4518-1003	Massachusetts Birth Records - Social Security Administration	281,351
4518-1004	Promoting Integration State Health	199,897
4518-9023	Census of Fatal Occupational Injuries	44,200
4518-9030	Public Health Injury Surveillance and Prevention Program	159,660
4570-1509	Massachusetts Cardiovascular Disease Prevention	1,144,341
4570-1512	National Cancer Prevention Control	5,341,046
4570-1515	Chronic Disease Prevention and Health Promotion	4,363,523
4570-1516	Paul Coverdell Acute Stroke Registry	600,000

account	description	amount
Trust and Other Spending		16,738,785
4510-0606	Urea Formaldehyde Foam Insulation for Homeowners	96,121
4510-0622	Radiation Control Trust	348,714
4510-0623	Surveillance of Health Outcomes and Drinking Water Quality Testing Trust	34,800
4510-0625	Low Level Radioactive Waste Rebate	290,500
4510-0635	Lead Paint Education and Training	2,394,342
4510-0714	Civil Monetary Penalties	350,000
4510-0727	Health Boards Professional Licensure Trust	4,046,450
4510-0729	Board of Registration in Medicine Trust	5,939,416
4510-2059	Mass Hospital School Telecommunications	9,178
4510-2082	Lemuel Shattuck Hospital Telecommunications Trust	6,000
4510-6921	Organ Transplant Fund	125,000
4512-0105	Massachusetts AIDS Fund	165,000
4512-9410	Share Revolving Loan Fund	20,000
4514-0100	Catastrophic Illness in Children Relief	2,633,264
4514-0200	Spinal Cord Injury Trust Fund	280,000

Historical Budget Levels ($000)
Account		FY2006 GAA	FY2007 GAA	FY2008 GAA	FY2008 Projected Spending	FY2009 House 2
4510-0099	Health Facility Licensing, Inspections and Records Fee Retained Revenue	6,000	6,000	6,000	6,000	0
4510-0100	Department of Public Health	19,538	17,052	17,091	17,230	22,228
4510-0106	End of Life Care Commission Retained Revenue	100	100	100	100	50
4510-0110	Community Health Center Services	5,110	5,608	7,289	7,289	7,308
4510-0150	CenterCare Program at Community Health Centers	2,655	2,655	0	0	0
4510-0600	Environmental Health Services	3,453	3,509	3,997	4,078	4,217
4510-0615	Nuclear Power Reactor Monitoring Fee Retained Revenue	1,524	1,524	1,524	1,524	1,524
4510-0616	Prescription Drug Registration and Monitoring Fee Retained Revenue	551	551	601	601	601
4510-0710	Division of Health Care Quality and Improvement	7,684	7,994	8,402	8,562	10,211
4510-0712	Division of Health Care Quality Health Facility Licensing Fee Retained Revenue	1,305	1,305	1,305	1,305	0
4510-0720	Certified Nurse's Aide Scholarships Fund	250	250	250	250	250
4510-0721	Board of Registration in Nursing	1,536	1,562	1,651	1,701	1,734
4510-0722	Board of Registration in Pharmacy	484	493	513	533	541
4510-0723	Board of Registration in Medicine and Acupuncture	2,183	2,318	2,545	2,627	2,670
4510-0725	Health Boards of Registration	409	428	446	464	472
4510-0726	Board of Registration in Medicine Fee Retained Revenue	300	300	300	300	300
4510-0790	Regional Emergency Medical Services	1,247	1,247	1,247	1,247	1,247
4510-0810	Sexual Assault Nurse Examiner and Pediatric SANE Programs	1,741	3,610	3,610	3,814	3,610
4510-0820	Pediatric Sexual Assault Nurse Examiner Program	1,000	0	0	0	0
4512-0103	HIV/AIDS Prevention, Treatment and Services	35,554	36,389	36,941	36,941	37,167
4512-0106	HIV/AIDS Drug Program Manufacturer Rebates Retained Revenue	1,900	1,900	1,900	1,900	1,500
4512-0200	Division of Substance Abuse Services	47,599	61,647	77,811	75,311	79,550
4512-0201	Substance Abuse Step-Down Recovery Services	0	5,000	5,000	5,000	5,000
4512-0225	Compulsive Behavior Treatment Program Retained Revenue	655	1,000	1,000	1,000	1,000
4512-0500	Dental Health Services	1,678	1,868	2,618	2,870	2,620
4513-1000	Family Health Services	9,240	5,365	7,207	7,365	7,266
4513-1002	Women, Infants, and Children's Nutritional Services	12,860	13,060	13,327	13,327	13,566
4513-1010	Early Intervention Services Medicaid Reimbursement Retained Revenue	3,500	3,500	4,500	5,500	5,500
4513-1012	WIC Program Manufacturer Rebates Retained Revenue	24,076	24,076	22,000	23,300	24,600
4513-1020	Early Intervention Services	30,840	32,957	38,237	40,237	42,936
4513-1021	Early Intervention Staff Rate Increase	0	1,418	0	0	0
4513-1023	Newborn Hearing Screening Program	83	83	83	83	84
4513-1024	Shaken Baby Syndrome Prevention Program	0	0	350	350	350<