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Health and Human Services - Detail

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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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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

 

 
 
 

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 For the personal care attendant quality home care workforce council established under section 29 of chapter 118G of the General Laws	728,073
4000-0117	Human Services Purchase of Service Reform Initiative For a reserve to adjust the wages, compensation or salary and associated employee-related costs to personnel earning less than $25,000 in annual compensation who are employed by private human service providers that deliver human and social services under contracts with departments within the executive office of health and human services, the executive office of elder affairs and the department of early education and care and to take initial steps toward implementing reform of purchase of service reimbursement mechanisms	23,000,000
4000-0265	Primary Care Workforce For a primary care workforce development and loan forgiveness grant program at community health centers and community hospitals, for the purpose of enhancing recruitment and retention of primary care physicians and other clinicians at community health centers and community hospitals throughout the commonwealth; provided, that the grant shall be administered by the Massachusetts League of Community Health Centers in consultation with the secretary of health and human services and relevant member agencies; provided further, that the funds shall be matched by other public and private funds; and provided further, that the League shall work with the secretary and the agencies to maximize all sources of public and private funds	1,700,000
4000-0300	Executive Office of Health and Human Services and Medicaid Administration For the operation of the office of the secretary of health and human services, including the operation of the managed care oversight board and the office of the child advocate established under Executive Order 494; provided, that the executive office shall provide technical and administrative assistance to agencies under the purview of the secretariat receiving federal funds; provided further, that the executive office shall monitor the expenditures and completion timetables for systems development projects and enhancements undertaken by all agencies under the purview of the secretariat and shall ensure that all measures are taken to make these systems compatible with one another for enhanced interagency interaction; provided further, that the executive office shall continue to develop and implement the common client identifier; provided further, that funds appropriated in this item shall be expended for the administrative, contracted services and non-personnel systems costs related to the implementation and operation of programs authorized by sections 9A, 9B, 9C and 16C of chapter 118E of the General Laws; provided further, that in consultation with the division of health care finance and policy, no rate increase shall be provided to existing Medicaid provider rates without taking all measures possible under Title XIX of the Social Security Act to ensure that rates of payment to providers do not exceed the rates that are necessary to meet only those costs which must be incurred by efficiently and economically operated providers in order to provide services of adequate quality; provided further, that expenditures for the purposes of each item appropriated for programs authorized by chapter 118E shall be accounted for according to the purpose on the Massachusetts management accounting and reporting system not more than 10 days after the expenditures have been made by the Medicaid management information system; provided further, that no expenditures shall be made that are not federally reimbursable, including those related to Titles XIX or XXI of the Social Security Act or the MassHealth demonstration waiver approved under section 1115(a) of the act or the Community First section 1115 demonstration waiver, whether made by the executive office or another commonwealth entity, except as explicitly authorized in this item, or unless made for cost containment efforts the purposes and amounts of which have been submitted to the executive office for administration and finance and the house and senate committees on ways and means 30 days prior to making these expenditures; provided further, that the executive office may continue to recover provider overpayments made in the current and prior fiscal years through the Medicaid management information system, and that these recoveries shall be considered current fiscal year expenditure refunds; provided further, that the executive office may collect directly from a liable third party any amounts paid to contracted providers under chapter 118E for which the executive office later discovers another third party is liable if no other course of recoupment is possible; provided further, that no funds shall be expended for the purpose of funding interpretive services directly or indirectly related to a settlement or resolution agreement with the office of civil rights or any other office, group or entity; provided further, that interpretive services currently provided shall not give rise to enforceable legal rights for any party or to an enforceable entitlement to interpretive services; provided further, that the federal financial participation received from claims filed based on in-kind administrative services related to outreach and eligibility activities performed by certain community organizations, under the "covering kids initiative", and in accordance with the federal revenue criteria in 45 CFR 74.23 or any other federal regulation which provides a basis for federal financial participation, shall be credited to this item and may be expended, without further appropriation, on administrative services including those covered under an agreement with the organizations participating in the initiative; and provided further, that notwithstanding any general or special law to the contrary, the executive office shall require the commissioner of mental health to approve any prior authorization or other restriction on medication used to treat mental illness in accordance with written policies, procedures and regulations of the department of mental health	145,635,110
4000-0301	MassHealth Auditing and Utilization Reviews For the costs of MassHealth provider and member audit and utilization review activities, including, but not limited to, eligibility verification, disability evaluations, provider financial and clinical audits, and other initiatives intended to enhance program integrity	2,225,904
4000-0352	MassHealth Enrollment Outreach Grants For MassHealth enrollment outreach grants to public and private non-profit groups to encourage and stimulate enrollment in publicly subsidized health care programs and to strengthen connections between new enrollees and primary care providers to be administered by the executive office in consultation with the health care reform outreach and education unit; provided, that funds shall be awarded as grants to community and consumer-focused public and non-profit groups to provide enrollment assistance, education, outreach and coverage maintenance activities directly to consumers eligible for publicly administered and subsidized options	3,500,000
4000-0355	Health Care Quality and Cost Council For the operation of a health care quality and cost council to promote high-quality, cost-effective patient-centered care	1,888,616
4000-0430	MassHealth CommonHealth Plan For the commonhealth program to provide primary and supplemental medical care and assistance to disabled adults and children under sections 9A, 16 and 16A of chapter 118E of the General Laws; provided, that funds may be expended from this item for health care services provided to recipients in prior fiscal years; provided further, that the executive office shall maximize federal reimbursement for state expenditures made on behalf of these adults and children; and provided further, that children shall be determined eligible for this medical care and assistance if they meet the disability standards as defined by the executive office, which standards shall be no more restrictive than the standards in effect on July 1, 1996	111,900,000
4000-0500	MassHealth Managed Care For health care services provided to medical assistance recipients under the executive office's primary care clinician, mental health and substance abuse plan, or through a managed care organization under contract with the executive office, and for MassHealth benefits provided to children, adolescents and adults under clauses (a), (b), (c), (d) and (h) of subsection (2) of section 9A and section 16C of chapter 118E of the General Laws; provided, that funds may be expended from this item for health care services provided to recipients in prior fiscal years	3,117,519,323
4000-0622	Health Disparities Initiative For the operation of the office of health equity	1,000,000
4000-0650	Community First Initiative For community-based services for elderly and disabled individuals under 65 provided under the Community First section 1115 demonstration waiver or for costs necessary to prepare for or implement the waiver	45,800,000
4000-0700	MassHealth Indemnity For health care services provided to medical assistance recipients under the executive office's health care indemnity, third party liability plan and medical assistance recipients who are neither seniors nor otherwise covered under the executive office's managed care plans, and for MassHealth benefits provided to children, adolescents and adults under clauses (a), (b), (c), (d), and (h) of subsection (2) of section 9A and section 16C of chapter 118E of the General Laws; provided, that no payment for special provider costs shall be made from this item without the prior written approval of the secretary of administration and finance; provided further, that funds may be expended from this item for health care services provided to recipients in prior fiscal years; provided further, that notwithstanding the foregoing, funds may be expended from this item for the purchase of third party insurance including, but not limited to, Medicare for any medical assistance recipient including, but not limited to, seniors; and provided further, that funds may be expended from this item for activities relating to disability determinations or utilization management and review, including patient screenings and evaluations, regardless of whether these activities are performed by a state agency, contractor, agent or provider	1,525,376,319
4000-0870	MassHealth Basic Coverage For health care services provided to adults participating in the medical assistance program under clause (g) of subsection (2) of section 9A of chapter 118E of the General Laws; provided, that funds may be expended from this item for health care services provided to recipients in prior fiscal years	122,700,000
4000-0875	MassHealth Breast and Cervical Cancer Treatment For the provision of benefits to eligible women who require medical treatment for either breast or cervical cancer under 1902(a)(10)(A)(ii)(XVIII) of the Social Security Act, and under section 10D of chapter 118E of the General Laws; provided, that the executive office shall provide benefits to women whose income, as determined by the executive office, does not exceed 250 per cent of the federal poverty level, subject to continued federal approval; provided further, that eligibility for these benefits shall be extended solely for the duration of the cancerous condition; provided further, that prior to the provision of any benefits covered by this item, the division shall require screening for either breast or cervical cancer at the comprehensive breast and cervical cancer early detection program operated by the department of public health, in accordance with item 4570-1512; and provided further, that funds may be expended from this item for health care services provided to recipients in prior fiscal years	5,500,000
4000-0880	MassHealth Family Assistance Plan For MassHealth benefits under clause (c) of subsection (2) of section 9A and section 16C of chapter 118E of the General Laws for children and adolescents whose family income as determined by the executive office exceeds 150 per cent of the federal poverty level; provided, that funds may be expended from this item for health care services provided to recipients in prior fiscal years	211,100,000
4000-0890	MassHealth Premium Assistance and Insurance Partnership Program For the cost of health insurance premium subsidies paid to employees of small businesses participating in the insurance reimbursement program under section 9C of chapter 118E of the General Laws; provided, that funds may be expended from this item for health care services provided to recipients in prior fiscal years	40,300,000
4000-0891	MassHealth Insurance Partnership for Employers For the cost of health insurance subsidies paid to employers participating in the insurance reimbursement program under section 9C of chapter 118E of the General Laws; provided, that funds may be expended from this item for health care services provided to recipients in prior fiscal years	5,200,000
4000-0895	Healthy Start Program For the healthy start program to provide medical care and assistance to pregnant women and infants residing in the commonwealth under section 10E of chapter 118E of the General Laws; provided, that funds may be expended from this item for health care services provided to recipients in prior fiscal years	19,400,000
4000-0990	Children's Medical Security Plan For the children's medical security plan to provide primary and preventive health services for uninsured children from birth through age 18 under section 10F of chapter 118E of the General Laws; provided, that the executive office shall pre-screen enrollees and applicants for Medicaid eligibility; provided further, that no applicant shall be enrolled in the program until the applicant has been denied eligibility for the MassHealth program; provided further, that the MassHealth benefit request shall be used as a joint application to determine the eligibility for both MassHealth and the children's medical security plan; and provided further, that funds may be expended from this item for health care services provided to recipients in prior fiscal years	16,500,000
4000-1400	MassHealth HIV Plan For the purposes of providing MassHealth benefits to persons with a diagnosis of human immunodeficiency virus whose incomes, as determined by the executive office, do not exceed 200 per cent of the federal poverty level; provided, that funds may be expended from this item for health care services provided to recipients in prior fiscal years	16,591,488
4000-1405	MassHealth Essential For the operation of the essential program under section 9A of chapter 118E of the General Laws	304,600,000
4000-1420	Medicare Part D Phased Down Contribution For the purposes of making payment to the federal Centers for Medicare and Medicaid Services in compliance with Title XIX of the Social Security Act, as amended by the Medicare Prescription Drug Improvement and Modernization Act of 2003	238,900,000

account	description	amount
Retained Revenues
4000-0320	MassHealth Recoveries from Current and Prior Fiscal Years Retained Revenue The executive office may expend an amount not to exceed $225,000,000 from recoveries of any current or prior year expenditures and collections from liens, estate recoveries, third party recoveries, drug rebates, accident and trauma recoveries, case mix recoveries, computer audits, insurance recoveries, provider overpayment recoveries, bankruptcy settlements, Medicaid fraud returns, data match returns, Medicare appeals, and program and utilization review audits; provided, that any revenues collected by the executive office that are not attributable to the aforementioned categories shall be deposited in the General Fund and shall be tracked separately; provided further, that no funds from this item shall be used for the purposes of item 4000-0300; provided further, that expenditures from this item shall be limited solely to payment obligations arising in the current fiscal year for the provision of medical care and assistance; and provided further, that additional categories of recoveries and collections, including the balance of any personal needs accounts collected from nursing and other medical institutions after a recipient's death and held by the executive office for more than 3 years may, notwithstanding any general or special law to the contrary, be credited to this item	225,000,000

account	description	amount
Intragovernmental Service Spending		35,100,876
4000-0102	Chargeback for Human Services Transportation For the cost of transportation services for health and human services clients and the operation of the health and human services transportation office                 Intragovernmental Service Fund ............... 100%	7,475,343
4000-0103	Chargeback for Human Services Administration For the costs of core administrative functions performed within the executive office of health and human services; provided, that the secretary of health and human services may, notwithstanding any general or special law to the contrary, identify administrative activities and functions common to the separate agencies, departments, offices, divisions and commissions within the executive office and designate them "core administrative functions" in order to improve administrative efficiency and preserve fiscal resources; provided further, that common functions that may be designated core administrative functions include, without limitation, human resources, financial management, information technology, and leasing and facility management; provided further, that all employees performing functions so designated may be employed by the executive office and the executive office shall charge the agencies, departments, offices, divisions and commissions for these services; provided further, that upon the designation of a function as a core administrative function, the employees of each agency, department, office or commission who perform these core administrative functions may be transferred to the executive office of health and human services; provided further, that the reorganization shall not impair the civil service status of any transferred employee who immediately before the effective date of this act either holds a permanent appointment in a position classified under chapter 31 of the General Laws or has tenure in a position by reason of section 9A of chapter 30 of the General Laws; and provided further, that nothing in this section shall be construed to impair or change an employee's status, rights, or benefits under chapter 150E of the General Laws                 Intragovernmental Service Fund ............... 100%	27,625,533

account	description	amount
Federal Grant Spending		9,020,611
4000-0713	Youth Development State Collaboration For the purposes of a federally funded grant entitled, Youth Development State Collaboration	120,000
4000-7570	Medicaid Transformation Grant For the purposes of a federally funded grant entitled, Medicaid Transformation Grant	814,370
4000-9401	Community Mental Health Services For the purposes of a federally funded grant entitled, 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

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.
 
No budgetary historical spending data available.  
 

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

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.
 

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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 For health care services provided to MassHealth members who are seniors, and for the operation of the senior care options program under section 9D of chapter 118E of the General Laws; provided, that funds may be expended from this item for health care services provided to recipients in prior fiscal years	2,158,355,058
4000-0640	MassHealth Nursing Home Supplemental Rates For nursing facility Medicaid rates; provided, that the division of health care finance and policy shall establish rates effective July 1, 2008 through June 30, 2009, that cumulatively total $288,500,000 more than the annual payment rates established by the division under the rates in effect as of June 30, 2002; provided further, that $287,950,000 shall be expended for the purposes of Medicaid per diem rate payments to nursing homes participating in the MassHealth program for services provided to MassHealth members during fiscal year 2009; provided further, that as a condition for funding, the division shall require that each nursing home document to the division that its allotted share of at least $50,000,000 of the funds are spent only on direct care staff by increasing the wages, hours and benefits of direct care staff, increasing the facility's staff-to-patient ratio or by demonstrably improving the facility's recruitment and retention of nursing staff to provide quality care, which shall include expenditure of funds for nursing facilities which document actual nursing spending that is higher than the median nursing cost per management minute in the base year used to calculate Medicaid nursing facility rates; provided further, that a facility's direct care staff shall include any and all nursing personnel including registered nurses, licensed practical nurses and certified nurses' aides hired by the facility from any temporary nursing agency or nursing pool registered with the department of public health; provided further, that the division shall credit wage increases that are over and above any previously collectively bargained for wage increases; provided further, that in monitoring compliance under this item, the division's regulations shall adjust any spending compliance test to reflect any Medicaid nursing facility payment reductions, including, but not limited to, rate reductions imposed on or after October 1, 2002; provided further, that the expenditure of these funds shall be subject to audit by the division in consultation with the department of public health and the executive office of health and human services; provided further, that $300,000 shall be expended for the purposes of an audit of funds distributed under this item; provided further, that the division of health care finance and policy, in consultation with the department of public health and with the assistance of the executive office of health and human services, shall establish penalties sufficient to deter noncompliance to be imposed against any facility that expends any or all monies in violation of the provisions set forth in this item, including, but not limited to recoupment, assessment of fines or interest; and provided further, that $250,000 shall be expended for expenses at the division of health care finance and policy related to the implementation and administration of section 25 of chapter 118G of the General Laws	288,500,000
9110-0100	Department of Elder Affairs Administration For the operation of the department of elder affairs	3,809,356
9110-1455	Prescription Advantage For the costs of the drug insurance program authorized by section 39 of chapter 19A of the General Laws; provided, that amounts received by the department of elder affairs' vendor as premium or enrollment fee revenue for this program may be retained and expended by the vendor for the purposes of the program; and provided further, that notwithstanding any general or special law to the contrary, unless otherwise prohibited by state or federal law, prescription drug coverage or benefits payable by the department of elder affairs, and the entities with which it has contracted for administration of the subsidized catastrophic drug insurance program under section 39 shall be the payer of last resort for this program for eligible persons with regard to any other third party prescription coverage or benefits available to these eligible persons	57,599,774
9110-1500	Elder Enhanced Home Care Services Program For the operation of the enhanced home care services program	48,024,305
9110-1604	Supportive Senior Housing Program For the operation of the supportive senior housing program, including congregate and shared housing services for the elderly	4,202,915
9110-1630	Elder Home Care Purchased Services For the operation of elder home care programs to provide services to the elderly, including case management and administration; provided, that a sliding fee shall be charged to qualified elders; provided further, that the secretary of elder affairs may waive collection of sliding fees in cases of extreme financial hardship; and provided further, that not more than $8,000,000 in total sliding fee revenues shall be retained by the individual home care corporations without re-allocation by the department and shall be expended for the purposes of the home care programs consistent with guidelines issued by the department	106,715,568
9110-1633	Elder Home Care Case Management and Administration For the operation of the elder home care case management program, including administrative costs and contracts with aging service access points or other qualified entities for home care case management services; provided, that the costs of administration for the home care corporations funded through items 9110-1500 and 9110-1630 shall be funded in this item; and provided further, that the secretary of elder affairs may transfer an amount not to exceed 3 per cent of the funds appropriated in this item to item 9110-1630	40,368,041
9110-1636	Elder Protective Services For the operation of the elder protective services program	15,146,087
9110-1640	Geriatric Mental Health Services Program For the operation of the geriatric mental health services program	225,000
9110-1650	Family Caregivers Program For the operation of the family caregivers program	253,406
9110-1660	Congregate Housing Program For congregate and shared housing services for the elderly	2,639,031
9110-1700	Residential Placement for Homeless Elders For residential assessment and placement programs for homeless elders	350,000
9110-1900	Elder Nutrition Program For the elder nutrition program	6,364,740
9110-9002	Grants to Councils on Aging For grants to the councils on aging and for grants to or contracts with non-public entities which are consortia or associations of 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 For the purposes of a federally funded grant entitled, Older Americans Act - Title III and Title VII	9,122,198
9110-1077	National Family Caregiver Support Program For the purposes of a federally funded grant entitled, National Family Caregiver Support Program	3,673,479
9110-1095	Health Information Counseling and Assistance For the purposes of a federally funded grant entitled, Health Information Counseling and Assistance	676,386
9110-1150	Empowering Older People For the purposes of a federally funded grant entitled, Empowering Older People	300,000
9110-1173	Older Americans Act - Title III Nutrition Program For the purposes of a federally funded grant entitled, Older Americans Act - Title III Nutrition Program	13,936,717
9110-1174	Nutrition Services Incentive Program For the purposes of a federally funded grant entitled, Nutrition Services Incentive Program	4,056,178
9110-1178	Community Service Employment Program For the purposes of a federally funded grant entitled, Community Service Employment Program	1,881,501
9110-1179	Performance Outcome Measures Project For the purposes of a federally funded grant entitled, Performance Outcome Measures Project	30,000
9110-2760	New England Massachusetts Aging and Disability Resource Center For the purposes of a federally funded grant entitled, New England Massachusetts Aging and Disability Resource Center	350,000
9110-2761	Aging and Disability Resource Center - Center for Medicaid and Medicare Services For the purposes of a federally funded grant entitled, 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

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.
 
No budgetary historical spending data available.  
 

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

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 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

 

 

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

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	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

 

 
 
 

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

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.

---

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 For the operation of the 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

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.
 
No budgetary historical spending data available.  
 

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

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.
 

---

 

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 For the operation of the department of public health; provided, that the position of assistant commissioner shall not be subject to chapter 31 of the General Laws	22,228,418
4510-0110	Community Health Center Services For the operation of the community health center services program, including funds for a statewide program of technical assistance to community health centers to be provided by a state primary care association qualified under section 330(f) of the United States Public Health Service Act, 42 U.S.C. section 254c(f); provided, that funds should be expended for the purpose of a provider loan repayment program at community health centers	7,307,772
4510-0600	Environmental Health Services For the operation of an environmental and community health hazards program, including control of radiation and nuclear hazards, consumer products protection, food and drug inspection, lead poisoning prevention under sections 189A to 199B of chapter 111 of the General Laws, lead-based paint inspections in day care facilities, inspection of radiological facilities, and licensing of x-ray technologists, and for the administration of the bureau of environmental health assessment for the purpose of implementing certain provisions of chapter 111F of the General Laws	4,217,201
4510-0710	Division of Health Care Quality and Improvement For the operation of the division of health care quality and improvement and the office of patient protection	10,210,940
4510-0720	Certified Nurse's Aide Scholarships Fund For a scholarship program for certified nurses' aide and direct care worker training	250,000
4510-0721	Board of Registration in Nursing For the operation and administration of the board of registration in nursing	1,734,347
4510-0722	Board of Registration in Pharmacy For the operation and administration of the board of registration in pharmacy	541,311
4510-0723	Board of Registration in Medicine and Acupuncture For the operation and administration of the board of registration in medicine	2,670,027
4510-0725	Health Boards of Registration For the operation and administration of certain health boards of registration, including dentistry, nursing home administrators, physician assistants, perfusionists, genetic counselors and respiratory care	472,097
4510-0790	Regional Emergency Medical Services For regional emergency medical services; provided, that no funds shall be expended in the AA subsidiary for any personnel-related costs; and provided further, that the regional emergency medical services councils, designated under 105 CMR 170.101, and the C-MED medical emergency communications centers that were in existence on January 1, 1992, shall remain the designated councils and C-MED communications centers	1,246,896
4510-0810	Sexual Assault Nurse Examiner and Pediatric SANE Programs For the operation of a statewide sexual assault nurse examiner program and pediatric sexual assault nurse examiner program, and for the care of victims of sexual assault	3,610,111
4512-0103	HIV/AIDS Prevention, Treatment and Services For human immunodeficiency virus and acquired immune deficiency syndrome prevention, treatment and housing subsidies for the purpose of preventing the institutionalization of persons in acute hospitals and nursing homes	37,166,608
4512-0200	Division of Substance Abuse Services For the operation of the division of substance abuse services	79,550,008
4512-0201	Substance Abuse Step-Down Recovery Services For substance abuse step-down recovery services, otherwise known as level B beds and services, and other critical recovery services with severely reduced capacity	5,000,000
4512-0500	Dental Health Services For the provision of dental health services in residential and community settings	2,619,545
4513-1000	Family Health Services For the provision of family health services	7,265,638
4513-1002	Women, Infants, and Children's Nutritional Services For the operation of the office of nutritional services, including the Women, Infants, and Children's Nutrition Program, in addition to funds received under the Special Supplemental Nutrition Program for Women, Infants, and Children	13,565,887
4513-1020	Early Intervention Services For early intervention programs and services; provided, that the department shall make all reasonable efforts to secure third party and Medicaid reimbursements for the services funded in this item; and provided further, that nothing in this item shall give rise to or shall be construed as giving rise to enforceable legal rights to any such services or an enforceable entitlement to the services funded in this item	42,936,049
4513-1023	Newborn Hearing Screening Program For the operation of the newborn hearing screening program	84,076
4513-1024	Shaken Baby Syndrome Prevention Program For the operation of a comprehensive, statewide shaken baby syndrome prevention program including community-based, hospital-based and statewide activities; provided, that services funded through this line item shall include, but not be limited to, education, training, intervention, support, surveillance and evaluation	350,000
4513-1026	Suicide Prevention and Intervention Program For the provision of statewide and community-based suicide prevention, intervention, aftermath response and surveillance activities, and the implementation of a statewide suicide prevention plan	3,753,239
4513-1111	Health Promotion and Disease Prevention For the promotion of health and disease prevention including, but not limited to, breast cancer prevention, diabetes screening and outreach, ovarian cancer screening, stroke treatment and ongoing prevention, hepatitis C, multiple sclerosis screening, education and research, renal disease program, Lyme disease prevention and research, colorectal cancer prevention, prostate cancer screening, osteoporosis education, maintenance of the ALS Registry created under section 25A of chapter 111 of the General Laws and maintenance of the statewide lupus database	14,198,632
4513-1130	Domestic Violence and Sexual Assault Prevention and Treatment For domestic violence and sexual assault treatment and prevention programs	4,617,251
4516-1000	State Laboratory and Communicable Disease Control Services 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	17,286,245
4530-9000	Teenage Pregnancy Prevention Services For teenage pregnancy prevention services	4,055,586
4570-1502	Infection Prevention Program For the purposes of implementing a proactive statewide infection prevention and control program as stated in chapter 58 of the acts of 2006; provided, that notwithstanding any general or special law to the contrary, the department of public health shall, through its division of health care quality, develop a proactive statewide infection prevention and control program in licensed health care facilities following protocols of the Centers for Disease Control for the purposes of implementation and adherence to infection control practices that are the keys to preventing the transmission of infectious diseases, including respiratory diseases spread by droplet or airborne routes; provided further, that recommended infection control practices shall include, but not be limited to, hand hygiene, standard precautions and transmission-based precautions, including contact, droplet and airborne, and respiratory hygiene; and provided further, that the infection prevention and control program shall include mandatory education in the recommended infection control practices for licensed health care personnel and employees of licensed health care facilities and penalties for individual and institutional noncompliance with Centers for Disease Control protocols	1,003,352
4580-1000	Universal Immunization Program For the operation of the universal immunization program established in section 24I of chapter 111 of the General Laws	51,601,508
4590-0250	School-Based Health Programs For school health services and school-based health centers in public and non-public schools	16,782,134
4590-0300	Smoking Prevention and Cessation Programs For smoking prevention and cessation programs	12,751,218
4590-0915	Public Health Hospitals For the operation of the Lemuel Shattuck hospital, Tewksbury state hospital, the Massachusetts hospital school, and the hospital bureau, including the state office for pharmacy services; provided, that all revenue generated by those hospitals shall be credited to the General Fund	145,047,591
4590-1503	Pediatric Palliative Care For pediatric palliative care services	800,818
4590-1506	Violence Prevention Grants For a program to be administered by the department of public health to support the establishment of a comprehensive youth violence prevention program; provided, that the department shall work with the executive office of public safety and the executive office of labor and workforce development to determine grant funding; provided further, that the commissioner of public health shall distribute grant funds through a competitive grant program that gives preference to applications that: (1) serve communities that have been identified by the department as being high risk communities for youth violence; (2) demonstrate multi-disciplinary collaboration, including youth serving community organizations, state agencies, local law enforcement, medical and public health professionals, and faith-based organizations; (3) utilize a youth development framework that includes addressing out-of-school time activities, mentoring, leadership training, employment readiness training, conflict resolution, education support, family support services and financial literacy; (4) provide positive programming during, but not limited to, the hours of 2 pm and 10 pm; and (5) demonstrate the ability to work with the department staff to conduct comprehensive evaluations of program development and implementation activities; provided further, that no contracts shall be awarded to law enforcement agencies; provided further, that the department of public health shall report to the executive office for administration and finance and the house and senate committees on ways and means detailing the contract amount awarded to each recipient and a description of each contract; provided further, that each recipient shall provide the department of public health with a comprehensive list of best practices that have been instituted as a result of these contracts; and provided further, that $1,700,000 be used to fund youth-at-risk matching grants	8,950,000

account	description	amount
Retained Revenues
4510-0106	End of Life Care Commission Retained Revenue The department of public health may expend for the administration of the end of life care commission an amount not to exceed $50,000 from revenues associated with grant and development activities of the commission	50,000
4510-0615	Nuclear Power Reactor Monitoring Fee Retained Revenue The department of public health may expend an amount not to exceed $75,000 from assessments collected under section 5K of chapter 111 of the General Laws for services provided to monitor, survey, and inspect nuclear power reactors; provided, that the department may expend revenues not to exceed $1,524,195 from fees collected from licensing and inspecting users of radioactive material within the commonwealth under licenses presently issued by the Nuclear Regulatory Commission; provided further, that the revenues may be used for the costs of both programs, including the compensation of employees; and provided further, that notwithstanding any general or special law to the contrary, for the purpose of accommodating discrepancies between the receipt of retained revenues and related expenditures, the department may incur expenses and the comptroller may certify for payment amounts not to exceed the lower of this authorization or the most recent revenue estimate therefor as reported in the state accounting system	1,524,195
4510-0616	Prescription Drug Registration and Monitoring Fee Retained Revenue The department of public health may expend for the purposes of a drug registration and monitoring program an amount not to exceed $601,110 from fees for controlled substance registration charged to registered practitioners, including physicians, dentists, veterinarians, podiatrists, and optometrists; provided, that notwithstanding 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	601,110
4510-0726	Board of Registration in Medicine Fee Retained Revenue The board of registration in medicine may expend for the administration of the board, including the physician profiles program, an amount not to exceed $300,000 from new revenues associated with increased license and renewal fees	300,000
4512-0106	HIV/AIDS Drug Program Manufacturer Rebates Retained Revenue The department of public health may expend for the human immunodeficiency virus and acquired immune deficiency syndrome drug assistance program an amount not to exceed $1,500,000 from revenues received from pharmaceutical manufacturers participating in the section 340B rebate program of the Public Health Service Act, administered by the federal Health Resources and Services Administration and Office of Pharmacy Affairs	1,500,000
4512-0225	Compulsive Behavior Treatment Program Retained Revenue The department of public health may expend not more than $1,000,000 for a compulsive gamblers' treatment program from unclaimed prize money held in the State Lottery Fund for more than 1 year from the date of the drawing when the unclaimed prize money was won, and from the proceeds of a multi-jurisdictional lottery game under subsection (e) of section 24A of chapter 10 of the General Laws; provided, that the state comptroller shall transfer the amount to the General Fund; and provided further, that notwithstanding 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	1,000,000
4513-1010	Early Intervention Services Medicaid Reimbursement Retained Revenue The department of public health may expend for the early intervention program an amount not to exceed $5,500,000 generated from revenues received from the collection of federal financial participation for early intervention services delivered to Medicaid-eligible children by developmental educators and professionals in related disciplines; provided, that nothing in this item shall give rise to or shall be construed as giving rise to enforceable legal rights to any such services or an enforceable entitlement to the services funded in this item; and provided further, that revenues may be used to pay for current and prior-year claims	5,500,000
4513-1012	WIC Program Manufacturer Rebates Retained Revenue The department of public health may expend for the purpose of increasing the caseload of the Women, Infants, and Children's Nutrition Program an amount not to exceed $24,600,000 in revenues received from federal cost-containment initiatives, including, but not limited to, infant formula rebates; provided, that notwithstanding 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	24,600,000
4590-0912	Western Massachusetts Hospital Federal Reimbursement Retained Revenue The department of public health may expend for the operation of the western Massachusetts hospital an amount not to exceed $16,542,017 from reimbursements collected for western Massachusetts hospital services; provided, that notwithstanding any general or special law to the contrary, the hospital shall be eligible to receive and retain full reimbursement from the Medicaid program; provided further, that notwithstanding any general or special law to the contrary, the 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 this reimbursement shall not exceed 10 per cent of total personnel costs for the hospital; and provided further, that notwithstanding 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	16,542,017
4590-0913	Shattuck Private Medical Vendor Retained Revenue The department of public health may expend for medical services an amount not to exceed $500,000 from payments received for those services provided by the Lemuel Shattuck hospital to inmates of county correctional facilities; provided, that notwithstanding 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	500,000
4590-0917	Shattuck Hospital Department of Correction Inmate Retained Revenue The department of public health may expend an amount not to exceed $4,160,000 from payments received from the vendor managing health services for state correctional facilities for inmate health care services provided by the Lemuel Shattuck hospital; provided, that the payments may include capitation payments, fee for service payments, advance payments and other compensation arrangements established by contract or interagency service agreements between the vendor and the hospital; and provided further, that notwithstanding 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	4,160,000

account	description	amount
Intragovernmental Service Spending		49,736,520
4510-0108	Chargeback for State Office Pharmacy Services For the costs of pharmaceutical drugs and services provided by the state office for pharmacy services                 Intragovernmental Service Fund ............... 100%	45,786,520
4590-0901	Chargeback for Consolidated Public Health Hospitals For the costs of medical services provided at department of public health hospitals                 Intragovernmental Service Fund ............... 100%	150,000
4590-0903	Chargeback for Medical Services for County Corrections Inmates For the costs of medical services provided at the department of public health Lemuel Shattuck hospital to inmates of county correctional facilities; provided, that those costs shall be charged to items 8910-0000, 8910-0010, 8910-0102, 8910-0105, 8910-0107, 8910-0108, 8910-0110, 8910-0145 and 8910-0619                 Intragovernmental Service Fund ............... 100%	3,800,000

account	description	amount
Federal Grant Spending		255,752,687
4500-1000	Preventive Health Services Block Grant For the purposes of a federally funded grant entitled, Preventive Health Services Block Grant	3,170,463
4500-1050	Rape Prevention and Education For the purposes of a federally funded grant entitled, Rape Prevention and Education	989,383
4500-1060	Rape Prevention Program Planning and Evaluation Capacity Building For the purposes of a federally funded grant entitled, Rape Prevention Program Planning and Evaluation Capacity Building	16,532
4500-1065	State Partnership to Improve Minority Health For the purposes of a federally funded grant entitled, State Partnership to Improve Minority Health	154,867
4500-2000	Maternal and Child Health Services Block Grant For the purposes of a federally funded grant entitled, Maternal and Child Health Services Block Grant	12,097,344
4502-1012	Cooperative Health Statistics System For the purposes of a federally funded grant entitled, Cooperative Health Statistics System	614,398
4510-0109	State Loan Repayment Project For the purposes of a federally funded grant entitled, State Loan Repayment Project	250,000
4510-0113	Office of Rural Health For the purposes of a federally funded grant entitled, Office of Rural Health	148,500
4510-0118	Primary Care Cooperative Agreement For the purposes of a federally funded grant entitled, Primary Care Cooperative Agreement	108,954
4510-0119	Rural Hospital Flexibility Program For the purposes of a federally funded grant entitled, Rural Hospital Flexibility Program	291,464
4510-0219	Small Rural Hospital Improvement Grant For the purposes of a federally funded grant entitled, Small Rural Hospital Improvement Grant	89,450
4510-0221	Targeted Oral Health Services For the purposes of a federally funded grant entitled, Targeted Oral Health Services	160,000
4510-0400	Medicare and Medicaid Survey and Certification For the purposes of a federally funded grant entitled, Medicare and Medicaid Survey and Certification	7,637,790
4510-0404	Bioterrorism Hospital Preparedness For the purposes of a federally funded grant entitled, Bioterrorism Hospital Preparedness	8,482,091
4510-0500	Clinical Laboratory Improvement Amendments For the purposes of a federally funded grant entitled, Clinical Laboratory Improvement Amendments	312,536
4510-0609	Nuclear Regulatory Commission Security Inspections For the purposes of a federally funded grant entitled, Nuclear Regulatory Commission Security Inspections	5,000
4510-0619	Food and Drug Administration Inspection of Food Establishments For the purposes of a federally funded grant entitled, Food and Drug Administration Inspection of Food Establishments	322,736
4510-0627	Prescription Drug Monitoring For the purposes of a federally funded grant entitled, Prescription Drug Monitoring	275,000
4510-0628	Developing and Enhancing Prescription Drug For the purposes of a federally funded grant entitled, Developing and Enhancing Prescription Drug	400,000
4510-0630	Enabling Electronic Prescribing and Enhancement For the purposes of a federally funded grant entitled, Enabling Electronic Prescribing and Enhancement	451,710
4510-0636	Childhood Lead Paint Poisoning Prevention For the purposes of a federally funded grant entitled, Childhood Lead Paint Poisoning Prevention	1,145,179
4510-9014	Mammography Quality Standards Act Inspections For the purposes of a federally funded grant entitled, Mammography Quality Standards Act Inspections	152,854
4510-9040	Diabetes Control Program For the purposes of a federally funded grant entitled, Diabetes Control Program	1,070,134
4510-9043	Demonstration Program to Conduct Toxic Waste Site Health Impact Assessments For the purposes of a federally funded grant entitled, Demonstration Program to Conduct Toxic Waste Site Health Impact Assessments	448,648
4510-9048	Indoor Radon Development Program For the purposes of a federally funded grant entitled, Indoor Radon Development Program	154,700
4510-9053	Beaches Environmental Assessment For the purposes of a federally funded grant entitled, Beaches Environmental Assessment	251,749
4510-9056	National Environmental Public Health Tracking For the purposes of a federally funded grant entitled, National Environmental Public Health Tracking	949,213
4512-0102	Sexually Transmitted Disease Control For the purposes of a federally funded grant entitled, Sexually Transmitted Disease Control	1,588,813
4512-0179	Vaccination Assistance Project For the purposes of a federally funded grant entitled, Vaccination Assistance Project	5,821,257
4512-0180	Epidemiology and Lab Surveillance For the purposes of a federally funded grant entitled, Epidemiology and Lab Surveillance	1,491,209
4512-9064	Adolescent Treatment For the purposes of a federally funded grant entitled, Adolescent Treatment	365,780
4512-9065	State Outcomes Measurement and Management System For the purposes of a federally funded grant entitled, State Outcomes Measurement and Management System	75,000
4512-9066	State Epidemiological Outcomes Workshop For the purposes of a federally funded grant entitled, State Epidemiological Outcomes Workshop	100,000
4512-9067	Screening and Brief Intervention For the purposes of a federally funded grant entitled, Screening and Brief Intervention	2,826,914
4512-9068	Collaborative for Action, Leadership and Learning For the purposes of a federally funded grant entitled, Collaborative for Action, Leadership and Learning	2,093,000
4512-9069	Substance Abuse Prevention and Treatment - Block Grant For the purposes of a federally funded grant entitled, Substance Abuse Prevention and Treatment - Block Grant	35,754,518
4512-9070	Promoting Safe and Stable Families For the purposes of a federally funded grant entitled, Promoting Safe and Stable Families	500,000
4512-9071	Office of Juvenile Justice and Delinquency Prevention Substance Abuse Prevention For the purposes of a federally funded grant entitled, Office of Juvenile Justice and Delinquency Prevention Substance Abuse Prevention	700,000
4512-9426	Uniform Alcohol and Drug Abuse Data Collection For the purposes of a federally funded grant entitled, Uniform Alcohol and Drug Abuse Data Collection	73,198
4513-0111	Housing Opportunities - People with AIDS For the purposes of a federally funded grant entitled, Housing Opportunities - People with AIDS	166,000
4513-1123	Adult Viral Hepatitis Prevention Coordinator For the purposes of a federally funded grant entitled, Adult Viral Hepatitis Prevention Coordinator	105,925
4513-9007	Nutritional Status of Women, Infants, and Children For the purposes of a federally funded grant entitled, Nutritional Status of Women, Infants, and Children	83,076,934
4513-9018	Augmentation and Evaluation of Established Health Education - Risk Reduction For the purposes of a federally funded grant entitled, Augmentation and Evaluation of Established Health Education - Risk Reduction	11,092,885
4513-9020	Expanded and Integrated HIV Testing For the purposes of a federally funded grant entitled, Expanded and Integrated HIV Testing	690,000
4513-9021	Program for Infants and Toddlers with Handicaps For the purposes of a federally funded grant entitled, Program for Infants and Toddlers with Handicaps	8,214,170
4513-9022	Prevention Disability State-Based Project For the purposes of a federally funded grant entitled, Prevention Disability State-Based Project	267,423
4513-9027	MassCare - Community AIDS Resource Enhancement For the purposes of a federally funded grant entitled, MassCare - Community AIDS Resource Enhancement	888,693
4513-9030	Comprehensive Primary Care System Planning for Massachusetts Children For the purposes of a federally funded grant entitled, Comprehensive Primary Care System Planning for Massachusetts Children	94,644
4513-9035	AIDS Surveillance and Seroprevalence Project For the purposes of a federally funded grant entitled, AIDS Surveillance and Seroprevalence Project	1,502,762
4513-9037	Ryan White Comprehensive AIDS Resources For the purposes of a federally funded grant entitled, Ryan White Comprehensive AIDS Resources	20,393,618
4513-9038	Shelter Plus Care - Worcester For the purposes of a federally funded grant entitled, Shelter Plus Care - Worcester	288,504
4513-9046	Congenital Anomalies Center of Excellence For the purposes of a federally funded grant entitled, Congenital Anomalies Center of Excellence	697,633
4513-9051	Rural Domestic Violence and Child Victimization Project For the purposes of a federally funded grant entitled, Rural Domestic Violence and Child Victimization Project	450,000
4513-9060	Residential Fire Injury Prevention, Intervention and Surveillance For the purposes of a federally funded grant entitled, Residential Fire Injury Prevention, Intervention and Surveillance	161,929
4513-9066	Universal Newborn Hearing Screening - Enhancement Project For the purposes of a federally funded grant entitled, Universal Newborn Hearing Screening - Enhancement Project	150,000
4513-9071	Early Hearing Detection and Intervention - Tracking and Research For the purposes of a federally funded grant entitled, Early Hearing Detection and Intervention - Tracking and Research	170,000
4513-9076	Early Childhood Comprehensive Systems For the purposes of a federally funded grant entitled, Early Childhood Comprehensive Systems	140,000
4513-9077	Emergency Medical Services for Children Partnership II For the purposes of a federally funded grant entitled, Emergency Medical Services for Children Partnership II	115,000
4513-9078	Asthma Planning Collaborative For the purposes of a federally funded grant entitled, Asthma Planning Collaborative	335,000
4513-9080	Massachusetts Perinatal Connection Project For the purposes of a federally funded grant entitled, Massachusetts Perinatal Connection Project	210,000
4513-9081	Children with Special Health Care Needs For the purposes of a federally funded grant entitled, Children with Special Health Care Needs	40,000
4513-9082	CAPTA Requirement to Identify and Serve Substance Exposed Newborns For the purposes of a federally funded grant entitled, CAPTA Requirement to Identify and Serve Substance Exposed Newborns	250,000
4513-9083	Mass Youth Suicide Prevention Program For the purposes of a federally funded grant entitled, Mass Youth Suicide Prevention Program	455,704
4513-9085	Massachusetts Pregnancy Risk For the purposes of a federally funded grant entitled, Massachusetts Pregnancy Risk	198,026
4513-9086	Oral Health Workforce Activities Support Grant For the purposes of a federally funded grant entitled, Oral Health Workforce Activities Support Grant	131,834
4514-1005	Women, Infants, and Children - Management Information Systems For the purposes of a federally funded grant entitled, Women, Infants, and Children - Management Information Systems	200,000
4514-1006	Getting to the Heart of the Matter For the purposes of a federally funded grant entitled, Getting to the Heart of the Matter	94,990
4515-0115	Tuberculosis Control Project For the purposes of a federally funded grant entitled, Tuberculosis Control Project	1,641,161
4515-0121	Tuberculosis Epidemiologic Studies Consortium For the purposes of a federally funded grant entitled, Tuberculosis Epidemiologic Studies Consortium	366,019
4515-0200	STD/HIV Prevention Training Centers For the purposes of a federally funded grant entitled, STD/HIV Prevention Training Centers	356,641
4515-0204	Strengthening Surveillance for Infectious Disease For the purposes of a federally funded grant entitled, Strengthening Surveillance for Infectious Disease	175,000
4515-0205	HIV Training through Prevention Training Centers For the purposes of a federally funded grant entitled, HIV Training through Prevention Training Centers	99,999
4516-1021	Public Health Preparedness and Response for Bioterrorism For the purposes of a federally funded grant entitled, Public Health Preparedness and Response for Bioterrorism	17,273,541
4516-1025	Morbidity and Risk Behavior Surveillance For the purposes of a federally funded grant entitled, Morbidity and Risk Behavior Surveillance	378,620
4518-0505	Technical Data - Massachusetts Birth/Infant Death File Linkage and Analysis For the purposes of a federally funded grant entitled, Technical Data - Massachusetts Birth/Infant Death File Linkage and Analysis	24,885
4518-0514	National Violent Death Reporting System For the purposes of a federally funded grant entitled, National Violent Death Reporting System	321,368
4518-0534	Public Health Injury Surveillance and Prevention For the purposes of a federally funded grant entitled, Public Health Injury Surveillance and Prevention	742,877
4518-1000	Procurement of Information for the National Death Index For the purposes of a federally funded grant entitled, Procurement of Information for the National Death Index	33,500
4518-1002	Massachusetts Death File - Social Security Administration For the purposes of a federally funded grant entitled, Massachusetts Death File - Social Security Administration	83,000
4518-1003	Massachusetts Birth Records - Social Security Administration For the purposes of a federally funded grant entitled, Massachusetts Birth Records - Social Security Administration	281,351
4518-1004	Promoting Integration State Health For the purposes of a federally funded grant entitled, Promoting Integration State Health	199,897
4518-9023	Census of Fatal Occupational Injuries For the purposes of a federally funded grant entitled, Census of Fatal Occupational Injuries	44,200
4518-9030	Public Health Injury Surveillance and Prevention Program For the purposes of a federally funded grant entitled, Public Health Injury Surveillance and Prevention Program	159,660
4570-1509	Massachusetts Cardiovascular Disease Prevention For the purposes of a federally funded grant entitled, Massachusetts Cardiovascular Disease Prevention	1,144,341
4570-1512	National Cancer Prevention Control For the purposes of a federally funded grant entitled, National Cancer Prevention Control	5,341,046
4570-1515	Chronic Disease Prevention and Health Promotion For the purposes of a federally funded grant entitled, Chronic Disease Prevention and Health Promotion	4,363,523
4570-1516	Paul Coverdell Acute Stroke Registry For the purposes of a federally funded grant entitled, 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
4513-1026	Suicide Prevention and Intervention Program	500	500	3,750	3,750	3,753
4513-1111	Health Promotion and Disease Prevention	0	0	14,169	14,169	14,199
4513-1112	Prostate Cancer Screening Program	1,300	1,300	0	0	0
4513-1113	Colorectal Cancer Prevention	185	250	0	0	0
4513-1114	Hepatitis C Prevention, Education and Treatment	563	663	0	0	0
4513-1115	Multiple Sclerosis Screening, Education and Treatment	162	162	0	0	0
4513-1121	Stroke Treatment and Ongoing Prevention Program	300	300	0	0	0
4513-1130	Domestic Violence and Sexual Assault Prevention and Treatment	0	3,735	3,867	3,867	4,617
4516-0263	Blood Lead Testing Fee Retained Revenue	1,487	1,487	1,487	1,487	0
4516-1000	State Laboratory and Communicable Disease Control Services	10,278	12,278	15,050	15,223	17,286
4516-1022	State Laboratory Tuberculosis Testing Fee Retained Revenue	300	300	300	300	0
4518-0200	Registry of Vital Records and Statistics Fee Retained Revenue	262	262	400	400	0
4530-9000	Teenage Pregnancy Prevention Services	2,000	2,022	4,031	4,031	4,056
4570-1500	Early Breast Cancer Detection	3,392	3,363	0	0	0
4570-1502	Infection Prevention Program	0	0	1,000	1,185	1,003
4580-1000	Universal Immunization Program	29,072	36,772	48,772	48,772	51,602
4590-0250	School-Based Health Programs	14,718	16,731	16,748	16,748	16,782
4590-0300	Smoking Prevention and Cessation Programs	4,250	4,250	12,750	12,750	12,751
4590-0912	Western Massachusetts Hospital Federal Reimbursement Retained Revenue	14,630	14,830	16,007	16,245	16,542
4590-0913	Shattuck Private Medical Vendor Retained Revenue	500	500	500	500	500
4590-0914	Direct Care Staff Recruitment	1,600	0	0	1,306	0
4590-0915	Public Health Hospitals	120,205	128,956	135,206	139,143	145,048
4590-0917	Shattuck Hospital Department of Correction Inmate Retained Revenue	0	0	4,000	4,000	4,160
4590-1503	Pediatric Palliative Care	0	0	800	800	801
4590-1506	Violence Prevention Grants	0	0	2,000	2,000	8,950
TOTAL		430,759	473,427	548,684	557,486	580,152

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.
 
No budgetary historical spending data available.  
 

Historical Employment Levels

Account	Description	June FY2005	June FY2006	June FY2007	Jan. FY2008	Projected FY2009
4510-0100	Department of Public Health	206	204	209	213	218
4510-0600	Environmental Health Services	49	51	48	57	63
4510-0615	Nuclear Power Reactor Monitoring Fee Retained Revenue	16	17	17	16	17
4510-0616	Prescription Drug Registration and Monitoring Fee Retained Revenue	6	6	6	6	6
4510-0710	Division of Health Care Quality and Improvement	117	105	105	102	116
4510-0712	Division of Health Care Quality Health Facility Licensing Fee Retained Revenue	10	13	12	13	0
4510-0721	Board of Registration in Nursing	29	33	31	30	34
4510-0722	Board of Registration in Pharmacy	8	11	11	13	13
4510-0723	Board of Registration in Medicine and Acupuncture	56	62	63	75	76
4510-0725	Health Boards of Registration	10	10	11	12	12
4510-0810	Sexual Assault Nurse Examiner and Pediatric SANE Programs	0	9	13	14	13
4510-0820	Pediatric Sexual Assault Nurse Examiner Program	0	5	0	0	0
4512-0103	HIV/AIDS Prevention, Treatment and Services	2	0	0	0	0
4513-1111	Health Promotion and Disease Prevention	0	0	0	7	13
4516-0263	Blood Lead Testing Fee Retained Revenue	16	17	18	18	0
4516-1000	State Laboratory and Communicable Disease Control Services	134	113	133	147	172
4516-1022	State Laboratory Tuberculosis Testing Fee Retained Revenue	0	1	1	1	0
4570-1502	Infection Prevention Program	0	0	0	1	4
4590-0912	Western Massachusetts Hospital Federal Reimbursement Retained Revenue	198	194	195	195	202
4590-0915	Public Health Hospitals	1,446	1,463	1,478	1,492	1,504
4590-0917	Shattuck Hospital Department of Correction Inmate Retained Revenue	0	0	0	0	14
TOTAL		2,304	2,314	2,352	2,410	2,478

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.
 

---

 

Department of Mental Health

account	description	amount
DEPARTMENT OF MENTAL HEALTH		716,620,740
Budgetary Direct Appropriations		686,347,445
Direct Appropriations
5011-0100	Department of Mental Health Administration For central and area office program support and administration of the department of mental health	38,878,014
5042-5000	Child and Adolescent Mental Health Services For child and adolescent services, including the costs of psychiatric and related services provided to children and adolescents determined to be medically ready for discharge from acute hospital units or mental health facilities and who are experiencing unnecessary delays in being discharged due to the lack of more appropriate settings; provided, that for the purpose of funding these services, the commissioner of mental health may allocate funds from the amount appropriated in this item to other departments within the executive office of health and human services	75,979,039
5046-0000	Adult Mental Health and Support Services For adult mental health and support services	322,464,095
5046-2000	Statewide Homelessness Support Services For homelessness services	22,557,499
5047-0001	Emergency Services and Acute Mental Health Care For emergency service programs and mental health and support services; provided, that the department shall continue an interagency service agreement with the executive office of health and human services for the purchase of services and for other services that the agreement may provide	36,248,223
5055-0000	Forensic Services Program for Mentally Ill Persons For forensic services	8,195,984
5095-0015	Inpatient Facilities and Community-Based Mental Health Services For inpatient facilities and community-based mental health services	181,899,591

account	description	amount
Retained Revenues
5046-4000	CHOICE Program Retained Revenue The department of mental health may expend for the routine maintenance and repair of facilities in the creative housing option in community environments, the CHOICE program, authorized by chapter 167 of the acts of 1987, an amount not to exceed $125,000 in revenues collected from occupancy fees charged to the tenants of the program	125,000

account	description	amount
Federal Grant Spending		2,955,902
5012-9121	Project for Assistance in Transition from Homelessness For the purposes of a federally funded grant entitled, Project for Assistance in Transition from Homelessness	1,300,248
5012-9159	State Mental Health Data Infrastructure Grant For the purposes of a federally funded grant entitled, State Mental Health Data Infrastructure Grant	106,650
5046-9102	Shelter Plus Care Program For the purposes of a federally funded grant entitled, Shelter Plus Care Program	173,760
5047-9102	Comprehensive Mental Health Services for Children and their Families For the purposes of a federally funded grant entitled, Comprehensive Mental Health Services for Children and their Families	1,375,244

account	description	amount
Trust and Other Spending		27,317,393
5011-2001	Mental Health Information System Fund	5,740,508
5311-9101	Solomon Mental Health Center	797,526
5535-2689	Cape Cod and Islands Mental Health and Mental Retardation Center	2,945,724
5540-2689	Brockton Multi-Service Center	2,317,620
5541-2689	Dr. John C. Corrigan, Jr. Mental Health Center	5,227,992
5542-2689	Research and Training Trust	15,000
5651-2689	Massachusetts Mental Health Center	1,167,130
5652-2689	Dr. Solomon Carter Fuller Mental Health Center	4,073,508
5653-2689	Lindemann Mental Health Center	2,106,322
5654-2689	Mary Palmer's Mental Health Center Expendable Trust	23,000
5655-2690	Governor Francis P. Murphy Fund	83,000
5851-2689	Quincy Mental Health Center	2,820,063

 

Historical Budget Levels ($000)

Account		FY2006       GAA	FY2007       GAA	FY2008       GAA	FY2008 Projected Spending	FY2009    House 2
5011-0100	Department of Mental Health Administration	37,144	39,014	40,142	40,745	38,878
5042-5000	Child and Adolescent Mental Health Services	71,420	72,540	73,531	73,842	75,979
5046-0000	Adult Mental Health and Support Services	293,277	304,933	315,563	317,783	322,464
5046-2000	Statewide Homelessness Support Services	22,211	22,337	22,385	22,385	22,557
5046-4000	CHOICE Program Retained Revenue	125	125	125	125	125
5047-0001	Emergency Services and Acute Mental Health Care	31,482	31,506	36,159	36,201	36,248
5047-0002	Emergency Services and Acute Mental Health Care Retained Revenue	4,500	5,287	0	0	0
5055-0000	Forensic Services Program for Mentally Ill Persons	6,051	6,608	8,019	8,111	8,196
5095-0015	Inpatient Facilities and Community-Based Mental Health Services	159,882	164,026	171,484	174,880	181,900
TOTAL		626,092	646,376	667,407	674,072	686,347

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.
 
No budgetary historical spending data available.  
 

Historical Employment Levels

Account	Description	June FY2005	June FY2006	June FY2007	Jan. FY2008	Projected FY2009
5011-0100	Department of Mental Health Administration	354	361	364	356	367
5042-5000	Child and Adolescent Mental Health Services	111	112	111	112	116
5046-0000	Adult Mental Health and Support Services	1,042	1,039	1,034	1,032	1,051
5047-0001	Emergency Services and Acute Mental Health Care	7	7	7	17	18
5047-0002	Emergency Services and Acute Mental Health Care Retained Revenue	9	10	9	0	0
5055-0000	Forensic Services Program for Mentally Ill Persons	34	32	34	34	35
5095-0015	Inpatient Facilities and Community-Based Mental Health Services	2,269	2,194	2,174	2,170	2,210
TOTAL		3,826	3,756	3,733	3,721	3,796

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 Children, Youth, and Family 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 for Refugees and Immigrants	1,250	10,091	11,342	0
Department of Youth Services	163,017	0	163,017	5,688
Department of Transitional Assistance	877,264	16,025	893,289	407,319
Department of Social Services	837,971	17,072	855,043	230,840
TOTAL	1,879,503	43,188	1,922,691	643,848

 

 

Historical Budget Levels ($000)

Department	FY2006       GAA	FY2007       GAA	FY2008       GAA	FY2008 Projected Spending	FY2009    House 2
Office for Refugees and Immigrants	0	500	500	500	1,250
Department of Youth Services	144,671	157,543	160,354	161,352	163,017
Department of Transitional Assistance	847,641	849,393	845,792	863,695	877,264
Department of Social Services	744,192	769,488	800,095	818,398	837,971
TOTAL	1,736,504	1,776,925	1,806,740	1,843,944	1,879,503

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	307,999	322,851	323,812	346,997	352,720
Employee Benefits	12,864	13,673	14,840	11,851	12,137
Operating Expenses	52,705	61,866	72,728	78,478	79,734
Public Assistance	1,272,419	1,293,156	1,346,541	1,399,349	1,427,617
Aid to Cities & Towns	2,642	3,886	6,465	7,270	7,295
TOTAL	1,648,629	1,695,432	1,764,385	1,843,944	1,879,503

 

 
 
 

Historical Employment Levels

Department	June FY2005	June FY2006	June FY2007	Jan. FY2008	Projected FY2009
Department of Youth Services	845	841	878	892	896
Department of Transitional Assistance	1,511	1,555	1,583	1,628	1,631
Department of Social Services	3,244	3,326	3,398	3,459	3,544
TOTAL	5,600	5,721	5,859	5,979	6,071

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 for Refugees and Immigrants

account	description	amount
OFFICE FOR REFUGEES AND IMMIGRANTS		11,341,704
Budgetary Direct Appropriations		1,250,358
4003-0122	Low-Income Citizenship Program For a Citizenship for New Americans Program to assist legal permanent residents of the commonwealth who will be eligible for citizenship within 3 years in becoming citizens of the United States; provided, that persons who would qualify for benefits under chapter 118A of the General Laws but for their status as legal non-citizens shall be given highest priority for services; and provided further, that persons who currently receive state-funded benefits which could be replaced in whole or in part by federally-funded benefits if these persons become citizens, shall be given priority for services	1,250,358

account	description	amount
Federal Grant Spending		9,997,827
4003-0801	Targeted Assistance Program For the purposes of a federally funded grant entitled, Targeted Assistance Program	335,000
4003-0803	Refugee School Impact For the purposes of a federally funded grant entitled, Refugee School Impact	287,500
4003-0804	Refugee Targeted Assistance Grant For the purposes of a federally funded grant entitled, Refugee Targeted Assistance Grant	749,350
4003-0805	Refugee Resettlement Program For the purposes of a federally funded grant entitled, Refugee Resettlement Program	1,423,481
4003-0806	Refugee Cash, Medical and Administration For the purposes of a federally funded grant entitled, Refugee Cash, Medical and Administration	6,908,978
4003-0809	Reach Program For the purposes of a federally funded grant entitled, Reach Program	200,000
4003-0810	Refugee Agricultural Partnership For the purposes of a federally funded grant entitled, Refugee Agricultural Partnership	93,518

account	description	amount
Trust and Other Spending		93,519
4003-2044	Institute for Social and Economic Development Contract	93,519

 

Historical Budget Levels ($000)

Account		FY2006       GAA	FY2007       GAA	FY2008       GAA	FY2008 Projected Spending	FY2009    House 2
4003-0122	Low-Income Citizenship Program	0	500	500	500	1,250
TOTAL		0	500	500	500	1,250

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.
 
No budgetary historical spending data available.  
 
No budgetary historical employment levels data available.  

---

 

Department of Youth Services

account	description	amount
DEPARTMENT OF YOUTH SERVICES		163,017,046
Budgetary Direct Appropriations
4200-0010	Department of Youth Services Administration For the operation of the department of youth services	5,749,405
4200-0100	Non-Residential Services for Committed Population For supervision, counseling, and other community-based services provided by the department to committed youth in non-residential care programs	22,828,627
4200-0200	Residential Services for Detained Population For pre-trial detention programs, including purchase of service and state-operated programs incidental to the operation of certain residential care programs	25,647,572
4200-0300	Residential Services for Committed Population For secure facilities, including purchase of service, state-operated programs and expenses incidental to the operation of committed facilities	105,491,442
4200-0500	Department of Youth Services Teacher Salaries For the department of youth services' education system; provided, that not less than $2,550,000 shall be expended to address the salaries of teachers	3,300,000

 

Historical Budget Levels ($000)

Account		FY2006       GAA	FY2007       GAA	FY2008       GAA	FY2008 Projected Spending	FY2009    House 2
4200-0010	Department of Youth Services Administration	4,792	5,456	5,547	5,592	5,749
4200-0100	Non-Residential Services for Committed Population	21,039	23,442	22,427	22,743	22,829
4200-0200	Residential Services for Detained Population	19,642	19,923	24,730	24,874	25,648
4200-0300	Residential Services for Committed Population	99,199	105,423	104,350	104,843	105,491
4200-0500	Department of Youth Services Teacher Salaries	0	3,300	3,300	3,300	3,300
TOTAL		144,671	157,543	160,354	161,352	163,017

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.
 
No budgetary historical spending data available.  
 

Historical Employment Levels

Account	Description	June FY2005	June FY2006	June FY2007	Jan. FY2008	Projected FY2009
4200-0010	Department of Youth Services Administration	37	35	42	43	44
4200-0100	Non-Residential Services for Committed Population	196	200	218	215	220
4200-0200	Residential Services for Detained Population	209	199	198	208	210
4200-0300	Residential Services for Committed Population	403	406	419	427	421
TOTAL		845	841	878	892	896

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.
 

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Department of Transitional Assistance

account	description	amount
DEPARTMENT OF TRANSITIONAL ASSISTANCE		893,289,138
Budgetary Direct Appropriations		877,264,138
Direct Appropriations
4400-1000	Department of Transitional Assistance For the central administration of the department of transitional assistance	68,136,719
4400-1001	Food Stamp Participation Rate Programs For programs to increase the commonwealth's participation rate in food stamps and other federal nutrition programs; provided, that not less than $1,500,000 shall be expended for a grant with Project Bread-The Walk for Hunger, Inc.	2,963,471
4400-1025	Domestic Violence Specialists For domestic violence specialists at local area offices	735,950
4400-1100	Caseworker Salaries and Benefits For the payroll compensation of caseworkers	58,850,868
4401-1000	Employment Services Program For employment and training services, including support services, for recipients of benefits provided under the transitional aid to families with dependent children program and the absent parents of those recipients; provided, that funds from this item may be expended on former recipients of the program for up to 1 year after termination of their benefits; and provided further, that certain parents who have not yet reached the age of 18 years, including those who are ineligible for transitional aid to families with dependent children and who would qualify for benefits under chapter 118 of the General Laws but for the deeming of the grandparents' income, shall be eligible to receive services	27,234,085
4403-2000	TAFDC Grant Payments For the operation of a program of transitional aid to families with dependent children; provided, that notwithstanding any general or special law to the contrary, benefits under the program shall be paid only to citizens of the United States and to non-citizens for whom federal funds may be used to provide benefits; provided further, that the need standard shall be equal to the standard in effect in fiscal year 2008 unless the department determines that a reduction in the monthly payment standard should be implemented before the end of the fiscal year to keep program expenditures within the amounts appropriated in this item; provided further, that the payment standard shall be equal to the need standard; provided further, that the payment standard for families who do not qualify for an exempt category of assistance under subsection (e) of section 110 of chapter 5 of the acts of 1995 shall be 2.75 per cent below the payment standard, under the state plan required under the Personal Responsibility and Work Opportunity Reconciliation Act of 1996; provided further, that the department of transitional assistance shall notify all teen parents receiving benefits from the programs of the requirements in clause (2) of subsection (i) of section 110; provided further, that a $40 per month rent allowance shall be paid to all households incurring a rent or mortgage expense and not residing in public housing or subsidized housing; provided further, that a non-recurring children's clothing allowance in the amount of $150 shall be provided to each child eligible under these programs in September 2008; provided further, that the children's clothing allowance shall be included in the standard of need for the month of September 2008; provided further, that benefits under this program shall not be available to those families in which a child has been removed from the household under a court order after a care and protection hearing on child abuse, nor to adult recipients otherwise eligible for transitional aid to families with dependent children but for the temporary removal of the dependent child or children from the home by the department of social services in accordance with that department's procedures; provided further, that notwithstanding section 2 of chapter 118 of the General Laws or any other general or special law to the contrary, the department shall render aid to pregnant women with no other eligible dependent children only if it has been medically verified that the child is expected to be born within the month these payments are to be made or within the 3 month period following the month of payment, and who, if the child had been born and was living with her in the month of payment, would be categorically and financially eligible for transitional aid to families with dependent children benefits; provided further, that certain families that suffer a reduction in benefits due to a loss of earned income and participation in retrospective budgeting may receive a supplemental benefit to compensate them for this loss; provided further, that the department shall review and revise its disability standards to reflect current medical and vocational criteria; provided further, that the department may provide state-funded transitional benefits alternative payments to those recipients ineligible for these payments through the federal food stamp program because assistance under this item was paid by a solely state-funded program; and provided further, that the department may reimburse the United States Department of Agriculture for such transitional benefit alternative payments made in fiscal year 2009	291,442,465
4403-2007	Supplemental Nutritional Program For the department of transitional assistance to develop and implement a nutritional benefit program for low-income workers; provided, that benefits shall be provided only to those for whom receiving these benefits will improve the work participation rate under the federal program of temporary assistance for needy families	1,200,000
4403-2119	Teen Structured Settings Program For the provision of structured settings provided in subsection (i) of section 110 of chapter 5 of the acts of 1995 for parents under the age of 20 who are receiving benefits under the transitional aid to families with dependent children program	6,938,579
4403-2120	Emergency Assistance - Family Shelters and Services For certain expenses of the emergency assistance program as follows: (i) contracted family shelters; (ii) transitional housing programs; (iii) programs to reduce homelessness in Barnstable, Dukes and Nantucket counties; (iv) residential education centers for single mothers with children; (v) intake centers; and (vi) voucher shelters; provided, that eligibility shall be limited to families with income at or below 130 per cent of the federal poverty level; provided, however, that any family whose income exceeds 130 per cent of the federal poverty level while the family is receiving assistance funded by this item shall not become ineligible for assistance due to exceeding the income limit for a period of 6 months from the date that the 130 per cent level was exceeded; provided further, that the department shall establish reasonable requirements for these families to escrow some or all of the portion of their income which exceeds 130 per cent of the federal poverty level; provided further, that any escrowed funds shall be exempt from otherwise applicable asset limits; provided further, that the family shall be allowed to withdraw the amount placed in escrow upon transition to permanent housing or losing eligibility for shelter services; provided further, that benefits under this item shall be provided only to residents who are citizens of the United States or aliens lawfully admitted for permanent residence or otherwise permanently residing under color of law in the United States; provided further, that the department shall take all steps necessary to enforce regulations to prevent abuse in the emergency assistance program; provided further, that no emergency assistance expenditures shall be paid from this item unless explicitly authorized; provided further, that eligible households shall be placed in shelters as close as possible to their home community unless a household requests otherwise; provided further, that if the closest available placement is not within 20 miles of the household's home community, the household shall be transferred to an appropriate shelter within 20 miles of its home community at the earliest possible date unless the household requests otherwise; provided further, that eligibility for shelter by an otherwise eligible family shall not be impaired by prior receipt of any non-shelter benefit; provided further, that the department shall make every effort to ensure that children receiving services from this item shall continue attending school in the community in which they lived prior to receiving services funded from this item; provided further, that notwithstanding any other general or special law to the contrary, the department shall immediately provide shelter for up to 30 days to families who appear to be eligible for shelter based on statements provided by the family and any other information in the possession of the department but who need additional time to obtain any third-party verifications reasonably required by the department; provided further, that shelter benefits received under the preceding proviso shall not render a family ineligible under any regulation providing that a family who previously received shelter is ineligible for shelter benefits for a period of 12 months; provided further, that families receiving shelter benefits who are found not to be eligible for continuing shelter benefits shall be eligible for aid pending a timely appeal under section 16 of chapter 18 of the General Laws; provided further, that the department shall not impose unreasonable requirements for third-party verification and shall accept verifications from the family whenever reasonable; provided further, that in adopting, amending or rescinding regulations with respect to eligibility or benefits under this program, the department shall take into account the amounts available to it for expenditure in this item so as not to exceed the amount appropriated in this item; and provided further, that the department shall report quarterly to the house and senate committees on ways and means on the emergency assistance family shelter program; and provided further, that the report shall contain the same data required in this item in chapter 139 of the acts of 2006	86,277,382
4405-2000	State Supplement to Supplemental Security Income For the state supplement to the supplemental security income program for the aged and disabled, including a program for emergency needs for supplemental security income recipients; provided, that funds may be expended from this item for burial expenses incurred in the prior fiscal year; provided further, that the department of transitional assistance, in collaboration with the executive office of health and human services, may fund an optional supplemental living arrangement category under the supplemental security income program that makes payments to persons living in assisted living residences certified under chapter 19D of the General Laws who meet the income and clinical eligibility criteria established by the department and the executive office; provided further, that the optional category of payments shall only be administered in conjunction with the Medicaid group adult foster care benefit; and provided further, that reimbursements to providers for services rendered in prior fiscal years may be expended from this item	219,862,107
4406-3000	Homeless Individuals Assistance For a program to assist homeless individuals or those in danger of becoming homeless, including assistance to organizations that provide food, shelter, housing search, and limited related services to the homeless and indigent; provided, that the department of transitional assistance may allocate funds to other agencies for the purposes of this program; and provided further, that funds from this appropriation may be expended on innovative or pilot programs that are designed to reduce reliance on emergency shelter, including transitional housing, for individuals	36,306,684
4406-3010	Home and Healthy for Good For a grant to the Home and Healthy for Good pilot program	1,200,000
4408-1000	Emergency Aid to the Elderly, Disabled and Children For a program of cash assistance to certain residents of the commonwealth, entitled emergency aid to the elderly, disabled and children found by the department to be eligible for this aid under chapter 117A of the General Laws and regulations adopted by the department and subject to the limitations of appropriation for this purpose; provided, that benefits under this item shall only be provided to residents who are citizens of the United States or qualified aliens or non-citizens otherwise permanently residing in the United States under color of law and shall not be provided to illegal or undocumented aliens; provided further, that any such individual shall not be subject to sponsor income deeming or related restrictions; provided further, that the payment standard shall equal the payment standard in effect under the general relief program in fiscal year 1991; provided further, that the department may provide benefits to persons age 65 or older who have applied for benefits under chapter 118A of the General Laws, to persons suffering from a medically determinable impairment or combination of impairments which is expected to last for a period as determined by department regulations and which substantially reduces or eliminates the individual's capacity to support himself and which has been verified by a competent authority, to certain persons caring for a disabled person, to otherwise eligible participants in the vocational rehabilitation program of the Massachusetts rehabilitation commission and to dependent children who are ineligible for benefits under both chapter 118 of the General Laws and the separate program created by section 210 of chapter 43 of the acts of 1997 and parents or other caretakers of dependent children who are ineligible under chapter 118 and under the separate program; provided further, that the department shall review and revise its disability standards to reflect current medical and vocational criteria; provided further, that no ex-offender, person over age 45 without a prior work history or person in a residential treatment facility shall be eligible for benefits under this program unless the person otherwise meets the eligibility criteria described in this item and defined by regulations of the department; provided further, that no person incarcerated in a correctional institution shall be eligible for benefits under the program; provided further, that no funds shall be expended from this item for the payment of expenses associated with any medical review team, other disability screening process or costs associated with verifying disability for this program; provided further, that the department shall adopt emergency regulations under chapter 30A of the General Laws to implement the changes to this program required by this item promptly and within the appropriation; provided further, that in initially implementing the program for this fiscal year, the department shall include all eligibility categories permitted in this item at the payment standard in effect for the former general relief program in fiscal year 1991; provided further, that in adopting, amending or rescinding its regulations with respect to eligibility or benefits, including the payment standard, medical benefits and any other benefits under this program, the department shall take into account the amounts available to it for expenditure by this item so as not to exceed the amount appropriated in this item; provided further, that the department may adopt emergency regulations under chapter 30A of the General Laws to implement these eligibility or benefit changes or both; provided further, that nothing in this item shall be construed as creating any right accruing to recipients of the former general relief program; provided further, that reimbursements collected from the Social Security Administration on behalf of former clients of the emergency aid to the elderly, disabled and children program or unprocessed payments from the program that are returned to the department shall be credited to the General Fund; and provided further, that notwithstanding any general or special law to the contrary, the funds made available in this item shall be the only funds available for the program, and the department shall not spend funds for the program in excess of the amount made available in this item	69,115,828

account	description	amount
Retained Revenues
4401-1100	Employment Services Program Federal Food Stamp Reimbursement Retained Revenue For the department of transitional assistance; provided, that the department may expend not more than $7,000,000 from federal bonuses and from reimbursements received from the United States Department of Agriculture for food stamp employment and training programs as provided in section 2A of chapter 18 of the General Laws	7,000,000

account	description	amount
Federal Grant Spending		16,025,000
4400-0705	McKinney Emergency Shelter Grants Program For the purposes of a federally funded grant entitled, McKinney Emergency Shelter Grants Program	2,900,000
4400-0707	Continuum of Care For the purposes of a federally funded grant entitled, Continuum of Care	6,000,000
4400-3066	Training for Food Stamp Able-Bodied Adult Without Dependents For the purposes of a federally funded grant entitled, Able-Bodied Adult Without Dependents	1,600,000
4400-3067	Food Stamp Employment and Training For the purposes of a federally funded grant entitled, Food Stamp Employment and Training	2,100,000
4400-3069	Full Employment Food Stamp Cash Out For the purposes of a federally funded grant entitled, Full Employment Food Stamp Cash Out	25,000
4400-9404	McKinney Shelter Plus Care - Continuum of Care For the purposes of a federally funded grant entitled, McKinney Shelter Plus Care - Continuum of Care	3,400,000

 

Historical Budget Levels ($000)

Account		FY2006       GAA	FY2007       GAA	FY2008       GAA	FY2008 Projected Spending	FY2009    House 2
4400-1000	Department of Transitional Assistance	65,200	66,221	68,058	68,062	68,137
4400-1001	Food Stamp Participation Rate Programs	0	3,520	2,631	3,349	2,963
4400-1025	Domestic Violence Specialists	621	666	692	709	736
4400-1079	Homeless Management Information System	0	1,000	0	0	0
4400-1100	Caseworker Salaries and Benefits	53,682	56,693	56,693	58,917	58,851
4401-1000	Employment Services Program	21,048	27,088	27,162	27,162	27,234
4401-1100	Employment Services Program Federal Food Stamp Reimbursement Retained Revenue	3,000	5,000	7,000	10,500	7,000
4403-2000	TAFDC Grant Payments	312,869	296,555	274,470	282,963	291,442
4403-2001	Lift Transportation Program	150	150	0	0	0
4403-2007	Supplemental Nutritional Program	0	0	0	1,200	1,200
4403-2119	Teen Structured Settings Program	6,774	6,820	6,876	6,876	6,939
4403-2120	Emergency Assistance - Family Shelters and Services	73,600	73,650	83,122	86,027	86,277
4405-2000	State Supplement to Supplemental Security Income	205,568	210,287	212,028	212,028	219,862
4406-3000	Homeless Individuals Assistance	35,050	35,239	35,940	35,940	36,307
4406-3010	Home and Healthy for Good	0	600	1,200	1,200	1,200
4408-1000	Emergency Aid to the Elderly, Disabled and Children	70,079	65,904	69,920	68,762	69,116
TOTAL		847,641	849,393	845,792	863,695	877,264

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.
 
No budgetary historical spending data available.  
 

Historical Employment Levels

Account	Description	June FY2005	June FY2006	June FY2007	Jan. FY2008	Projected FY2009
4400-1000	Department of Transitional Assistance	489	493	491	498	499
4400-1001	Food Stamp Participation Rate Programs	0	0	8	9	10
4400-1025	Domestic Violence Specialists	12	12	11	12	12
4400-1100	Caseworker Salaries and Benefits	989	1,024	1,049	1,083	1,086
4403-2119	Teen Structured Settings Program	2	2	2	2	2
4403-2120	Emergency Assistance - Family Shelters and Services	20	24	22	24	22
TOTAL		1,511	1,555	1,583	1,628	1,631

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.
 

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Department of Social Services

account	description	amount
DEPARTMENT OF SOCIAL SERVICES		855,042,720
Budgetary Direct Appropriations		837,971,012
Direct Appropriations
4800-0015	Department of Social Services Administration For central and area office administration for the department of social services; provided, that the associated expenses of employees whose AA object class costs are paid from item 4800-1100 shall be paid from this item	80,500,661
4800-0025	Foster Care Review For foster care review services	2,976,282
4800-0030	DSS Regional Administration For local and regional administration and coordination of services provided by lead agencies and regional resource centers; provided, that flex services provided by these agencies shall be funded from this item	21,020,794
4800-0036	Sexual Abuse Intervention Network For a sexual abuse intervention network program to be administered in conjunction with the district attorneys	740,076
4800-0038	Services for Children and Families For stabilization, placement, reunification, and permanency services for children and families; provided, that funds may be expended from this item to provide intensive community-based services to children who would otherwise be placed in residential settings; and provided further, that the department shall maintain a system of care network	314,080,086
4800-0041	Group Care Services For group care services; provided, that funds may be expended from this item to provide intensive community-based services to children who would otherwise be placed in residential settings; provided further, that the department shall form area review teams that shall evaluate the feasibility of maintaining the child in the community in this manner wherever possible before recommending placement in a residential setting	229,635,423
4800-0151	Placement Services for Juvenile Offenders For the provision of alternative overnight non-secure placements for status offenders and nonviolent delinquent youth up to the age of 17 in order to prevent the inappropriate use of juvenile cells in police stations for these offenders, in compliance with the federal Juvenile Justice and Delinquency Prevention Act of 1974, as amended	319,171
4800-1100	Social Workers for Case Management For the payroll compensation of social workers	161,108,483
4800-1400	Support Services for People at Risk of Domestic Violence For shelters and support services, including payroll costs, for people at risk of domestic violence, and for services to the homeless women and children served at the New Chardon Street Temporary Home	22,590,036

account	description	amount
Retained Revenues
4800-0016	Roca Retained Revenue for Cities and Towns The department of social services may expend for the operation of the transitional employment program an amount not to exceed $2,000,000 from revenues collected for services provided by the participants; provided, that notwithstanding any general or special law to the contrary, the department may enter into a contract with Roca, Inc., to manage the transitional employment program and to provide services to participants from the aging-out population, parolees, probationers, youth service releasees, or other community residents considered to have employment needs	2,000,000
4800-0091	Child Welfare Training Institute Retained Revenue The department of social services may expend for the purpose of administering a child welfare professional development training institute an amount not to exceed $3,000,000 from federal reimbursements received under Title IV-E of the Social Security Act; provided, that notwithstanding any general or special law to the contrary, for the purposes 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	3,000,000

account	description	amount
Federal Grant Spending		16,766,099
4800-0005	Children's Justice Act For the purposes of a federally funded grant entitled, Children's Justice Act	360,785
4800-0007	Family Violence Prevention and Support Services For the purposes of a federally funded grant entitled, Family Violence Prevention and Support Services	1,788,225
4800-0009	Title IV-E Independent Living Program For the purposes of a federally funded grant entitled, Title IV-E Independent Living Program	3,185,238
4800-0013	Family Preservation and Support Services For the purposes of a federally funded grant entitled, Family Preservation and Support Services	5,063,546
4800-0085	Education and Training Voucher Program For the purposes of a federally funded grant entitled, Education and Training Voucher Program	1,095,236
4800-0086	Adoption Opportunities For the purposes of a federally funded grant entitled, Adoption Opportunities	350,000
4800-0088	Training of Child Welfare Agency Supervisors For the purposes of a federally funded grant entitled, Training of Child Welfare Agency Supervisors	249,722
4800-0089	Adoption Incentive Payments For the purposes of a federally funded grant entitled, Adoption Incentive Payments	56,051
4899-0001	Title IV-B Child Welfare Services For the purposes of a federally funded grant entitled, Title IV-B Child Welfare Services	4,094,353
4899-0022	Child Abuse and Neglect Prevention and Treatment For the purposes of a federally funded grant entitled, Child Abuse and Neglect Prevention and Treatment	522,943

account	description	amount
Trust and Other Spending		305,609
4800-3110	Private Donations	257,898
4899-8102	New Chardon Street Temporary Home	37,711
4899-8103	Scholarship Trust Fund	10,000

 

Historical Budget Levels ($000)

Account		FY2006       GAA	FY2007       GAA	FY2008       GAA	FY2008 Projected Spending	FY2009    House 2
4800-0015	Department of Social Services Administration	69,605	75,564	78,031	78,890	80,501
4800-0016	Roca Retained Revenue for Cities and Towns	2,000	2,000	2,000	2,000	2,000
4800-0025	Foster Care Review	2,689	2,822	2,866	2,973	2,976
4800-0030	DSS Regional Administration	0	0	20,931	20,931	21,021
4800-0036	Sexual Abuse Intervention Network	736	737	739	739	740
4800-0038	Services for Children and Families	272,742	281,278	293,663	302,702	314,080
4800-0041	Group Care Services	235,945	235,963	228,237	228,237	229,635
4800-0091	Child Welfare Training Institute Retained Revenue	3,000	3,000	3,000	3,000	3,000
4800-0151	Placement Services for Juvenile Offenders	311	311	319	319	319
4800-1100	Social Workers for Case Management	136,297	143,125	147,289	155,552	161,108
4800-1400	Support Services for People at Risk of Domestic Violence	20,867	21,689	23,020	23,052	22,590
4800-2025	Family Networks System of Care Reserve	0	3,000	0	0	0
TOTAL		744,192	769,488	800,095	818,398	837,971

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.
 
No budgetary historical spending data available.  
 

Historical Employment Levels

Account	Description	June FY2005	June FY2006	June FY2007	Jan. FY2008	Projected FY2009
4800-0015	Department of Social Services Administration	561	584	597	611	654
4800-0025	Foster Care Review	41	43	43	43	44
4800-0036	Sexual Abuse Intervention Network	5	4	6	7	0
4800-0038	Services for Children and Families	6	8	8	8	8
4800-0091	Child Welfare Training Institute Retained Revenue	3	6	8	8	0
4800-1100	Social Workers for Case Management	2,606	2,659	2,714	2,760	2,814
4800-1400	Support Services for People at Risk of Domestic Violence	23	21	23	22	24
TOTAL		3,244	3,326	3,398	3,459	3,544

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.
 

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Office of Disabilities and Community 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
Massachusetts Commission for the Blind	29,880	8,016	37,896	3,188
Massachusetts Rehabilitation Commission	49,390	95,588	144,978	3,134
Massachusetts Commission for the Deaf and Hard of Hearing	5,814	400	6,214	176
Soldiers' Home in Massachusetts	27,269	0	27,269	11,557
Soldiers' Home in Holyoke	20,870	0	20,870	13,453
Department of Mental Retardation	1,267,350	12,611	1,279,961	439,149
TOTAL	1,400,574	116,615	1,517,189	470,657

 

 

Historical Budget Levels ($000)

Department	FY2006       GAA	FY2007       GAA	FY2008       GAA	FY2008 Projected Spending	FY2009    House 2
Massachusetts Commission for the Blind	27,043	28,497	29,186	29,338	29,880
Massachusetts Rehabilitation Commission	39,356	42,710	45,266	48,261	49,390
Massachusetts Commission for the Deaf and Hard of Hearing	5,548	5,726	5,682	5,743	5,814
Soldiers' Home in Massachusetts	23,853	24,742	26,343	26,819	27,269
Soldiers' Home in Holyoke	18,359	18,982	20,185	20,570	20,870
Department of Mental Retardation	1,123,879	1,172,536	1,226,416	1,238,413	1,267,350
TOTAL	1,238,038	1,293,194	1,353,078	1,369,145	1,400,574

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	318,543	332,670	349,631	357,940	359,379
Employee Benefits	12,648	13,118	13,818	14,463	14,667
Operating Expenses	71,368	78,463	86,529	90,161	91,596
Public Assistance	771,286	820,497	863,154	906,580	934,932
Aid to Cities & Towns	565	11	0	0	0
TOTAL	1,174,410	1,244,759	1,313,132	1,369,145	1,400,574

 

 
 
 

Historical Employment Levels

Department	June FY2005	June FY2006	June FY2007	Jan. FY2008	Projected FY2009
Massachusetts Commission for the Blind	95	94	93	92	99
Massachusetts Rehabilitation Commission	55	56	59	60	64
Massachusetts Commission for the Deaf and Hard of Hearing	53	52	55	54	56
Soldiers' Home in Massachusetts	400	396	398	407	406
Soldiers' Home in Holyoke	322	322	323	320	323
Department of Mental Retardation	6,984	6,976	6,857	6,876	6,888
TOTAL	7,910	7,897	7,784	7,810	7,837

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.

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Massachusetts Commission for the Blind

account	description	amount
MASSACHUSETTS COMMISSION FOR THE BLIND		37,895,908
Budgetary Direct Appropriations		29,879,908
4110-0001	Massachusetts Commission for the Blind Administration For the operation of the Massachusetts commission for the blind	1,106,700
4110-1000	Community Services for the Blind For the community services program; provided, that the Massachusetts commission for the blind shall work in collaboration with the Massachusetts commission for the deaf and hard of hearing to provide assistance and services to the deaf-blind community through the deaf-blind community access network	4,482,374
4110-1010	State Supplement to Supplemental Security Income for the Blind For aid to the adult blind; provided, that funds may be expended from this item for burial expenses incurred in the prior fiscal year	8,351,643
4110-1020	Medical Assistance Eligibility Determination for the Blind For eligibility determination for the medical assistance program for the blind	350,086
4110-2000	Turning 22 Program For services to deaf-blind, deaf-blind mentally retarded and other significantly multi-disabled blind individuals; provided, that nothing stated in this item shall give rise to or shall be construed as giving rise to enforceable legal rights in any party or an enforceable entitlement to the services funded by this item	10,433,633
4110-2001	Turning 22 - New Clients For services to clients of the department who turn 22 years of age during state fiscal year 2009; provided, that the amount spent from this item shall not annualize to more than $425,000 in fiscal year 2010; provided further, that the commission shall work in conjunction with the department of mental retardation to secure the maximum amount of federal reimbursements available for the care of clients turning 22; and provided further, that the commission shall work in conjunction with the department of mental retardation to secure similar rates for contracted residential services	225,000
4110-3010	Vocational Rehabilitation for the Blind For vocational rehabilitation services for the blind in cooperation with the federal government; provided, that no funds shall be deducted for pensions, group health and life insurance, or any other fringe benefit or indirect costs of federally reimbursed state employees	3,000,091
4110-4000	Ferguson Industries for the Blind For the administration of the Ferguson Industries for the Blind; provided, that retired workshop employees shall receive grants equal to 3/4 of the salaries of current workshop employees; and provided further, that any funds received for goods and services purchased by private and public sector entities at Ferguson Industries shall be remitted to the General Fund	1,930,381

account	description	amount
Federal Grant Spending		7,940,000
4110-3020	Vocational Rehabilitation Grant for the Blind For the purposes of a federally funded grant entitled, Vocational Rehabilitation Grant for the Blind	155,000
4110-3021	Basic Support Grant for the Blind For the purposes of a federally funded grant entitled, Basic Support Grant for the Blind	6,850,000
4110-3023	Independent Living for the Blind - Adaptive Housing For the purposes of a federally funded grant entitled, Independent Living for the Blind - Adaptive Housing	70,000
4110-3026	Independent Living - Services to Older Blind Americans For the purposes of a federally funded grant entitled, Independent Living - Services to Older Blind Americans	775,000
4110-3027	Rehabilitation Training for the Blind For the purposes of a federally funded grant entitled, Rehabilitation Training for the Blind	30,000
4110-3028	Supported Employment for the Blind For the purposes of a federally funded grant entitled, Supported Employment for the Blind	60,000

account	description	amount
Trust and Other Spending		76,000
4110-6600	Educational Purposes Trust Fund	40,000
4110-6604	M.E. McLaughlin fund-payments	5,000
4110-6606	Vending Facility Operators Trust Fund	31,000

 

Historical Budget Levels ($000)

Account		FY2006       GAA	FY2007       GAA	FY2008       GAA	FY2008 Projected Spending	FY2009    House 2
4110-0001	Massachusetts Commission for the Blind Administration	1,099	1,122	1,122	1,123	1,107
4110-1000	Community Services for the Blind	3,787	4,367	4,367	4,471	4,482
4110-1010	State Supplement to Supplemental Security Income for the Blind	8,352	8,352	8,352	8,352	8,352
4110-1020	Medical Assistance Eligibility Determination for the Blind	316	325	329	342	350
4110-2000	Turning 22 Program	8,648	9,241	9,909	9,930	10,434
4110-2001	Turning 22 - New Clients	295	330	175	175	225
4110-3010	Vocational Rehabilitation for the Blind	2,661	2,865	3,030	3,030	3,000
4110-4000	Ferguson Industries for the Blind	1,885	1,895	1,902	1,914	1,930
TOTAL		27,043	28,497	29,186	29,338	29,880

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.
 
No budgetary historical spending data available.  
 

Historical Employment Levels

Account	Description	June FY2005	June FY2006	June FY2007	Jan. FY2008	Projected FY2009
4110-0001	Massachusetts Commission for the Blind Administration	6	6	6	6	6
4110-1000	Community Services for the Blind	40	40	41	39	44
4110-1020	Medical Assistance Eligibility Determination for the Blind	6	6	5	6	6
4110-2000	Turning 22 Program	8	8	8	8	8
4110-4000	Ferguson Industries for the Blind	35	34	34	34	36
TOTAL		95	94	93	92	99

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.
 

---

 

Massachusetts Rehabilitation Commission

account	description	amount
MASSACHUSETTS REHABILITATION COMMISSION		144,978,315
Budgetary Direct Appropriations		49,390,191
4120-1000	Massachusetts Rehabilitation Commission Administration For the operation of the Massachusetts rehabilitation commission; provided, that upon the written request of the commissioner of revenue, the commission shall provide lists of individual clients to whom or on behalf of whom payments have been made for the purpose of verifying eligibility and detecting and preventing fraud, error and abuse in the programs administered by the commission; and provided further, that the lists shall include client names and social security numbers, and payee names and other identification, if different from a client's	666,768
4120-2000	Vocational Rehabilitation for the Disabled For vocational rehabilitation services operated in cooperation with the federal government; provided, that no funds from the federal vocational rehabilitation grant or state appropriation shall be deducted for pensions, group health and life insurance and any other indirect cost of federally-reimbursed state employees	10,782,471
4120-3000	Employment Assistance for Adults with a Severe Disability For employment assistance for severely disabled adults	8,362,927
4120-4000	Independent Living Assistance for the Multi-Disabled For independent living assistance for the multi-disabled	12,075,937
4120-4001	Accessible Housing Registry for Disabled Persons For a housing registry for the disabled	88,889
4120-4010	Turning 22 Program For services to clients of the department who turn 22 years of age during fiscal year 2009	786,894
4120-5000	Home Care Services for the Multi-Disabled For home care services for the multi-disabled	5,866,899
4120-6000	Head Injury Treatment Services For head injury treatment services	10,759,406

account	description	amount
Federal Grant Spending		82,635,298
4120-0020	Vocational Rehabilitation Program Federal Funds For the purposes of a federally funded grant entitled, Vocational Rehabilitation Program Federal Funds	39,500,000
4120-0040	Vocational Rehabilitation Comprehensive Systems Personnel Development Training For the purposes of a federally funded grant entitled, Vocational Rehabilitation Comprehensive Systems Personnel Development Training	110,887
4120-0187	Supported Employment Program Federal Funds For the purposes of a federally funded grant entitled, Supported Employment Program Federal Funds	411,989
4120-0191	Informed Members Planning and Assessing Choices Together For the purposes of a federally funded grant entitled, Informed Members Planning and Assessing Choices Together	140,406
4120-0511	Disability Determination Services For the purposes of a federally funded grant entitled, Disability Determination Services	39,500,000
4120-0603	Innovation Strategies For Transition Youth With Disabilities For the purposes of a federally funded grant entitled, Innovation Strategies For Transition Youth With Disabilities	572,648
4120-0608	TBI Implementation Grant For the purposes of a federally funded grant entitled, TBI Implementation Grant	102,518
4120-0760	Independent Living Federal Funds For the purposes of a federally funded grant entitled, Independent Living Federal Funds	1,655,300
4120-0768	Assistive Technology Act For the purposes of a federally funded grant entitled, Assistive Technology Act	641,550

account	description	amount
Trust and Other Spending		12,952,826
4120-0029	Vocational Rehabilitation for the Multi-Disabled Trust Fund	3,500,000
4120-0030	Workforce Coordinating Grant Trust Account	47,450
4120-6002	Head Injury Treatment Services Trust Fund	9,405,376

 

Historical Budget Levels ($000)

Account		FY2006       GAA	FY2007       GAA	FY2008       GAA	FY2008 Projected Spending	FY2009    House 2
4120-1000	Massachusetts Rehabilitation Commission Administration	571	580	586	657	667
4120-2000	Vocational Rehabilitation for the Disabled	7,477	7,327	8,048	10,941	10,782
4120-3000	Employment Assistance for Adults with a Severe Disability	7,960	8,463	8,382	8,471	8,363
4120-4000	Independent Living Assistance for the Multi-Disabled	8,041	10,597	11,401	11,517	12,076
4120-4001	Accessible Housing Registry for Disabled Persons	84	84	89	89	89
4120-4010	Turning 22 Program	713	749	764	764	787
4120-5000	Home Care Services for the Multi-Disabled	4,417	5,533	5,978	5,779	5,867
4120-5050	Home Care, Employment and Independent Living Medicaid Reimbursement	2,000	330	0	0	0
4120-6000	Head Injury Treatment Services	8,093	9,046	10,018	10,041	10,759
TOTAL		39,356	42,710	45,266	48,261	49,390

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.
 
No budgetary historical spending data available.  
 

Historical Employment Levels

Account	Description	June FY2005	June FY2006	June FY2007	Jan. FY2008	Projected FY2009
4120-1000	Massachusetts Rehabilitation Commission Administration	3	3	3	3	4
4120-3000	Employment Assistance for Adults with a Severe Disability	10	10	10	11	11
4120-4000	Independent Living Assistance for the Multi-Disabled	11	13	13	13	16
4120-5000	Home Care Services for the Multi-Disabled	16	15	17	18	18
4120-5050	Home Care, Employment and Independent Living Medicaid Reimbursement	1	1	2	0	0
4120-6000	Head Injury Treatment Services	15	15	15	15	15
TOTAL		55	56	59	60	64

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.
 

---

 

Massachusetts Commission for the Deaf and Hard of Hearing

account	description	amount
MASSACHUSETTS COMMISSION FOR THE DEAF AND HARD OF HEARING		6,213,948
Budgetary Direct Appropriations		5,813,948
Direct Appropriations
4125-0100	Massachusetts Commission for the Deaf and Hard of Hearing For the operation of the Massachusetts commission for the deaf and hard of hearing	5,801,828
4125-0102	Interpreters for State House Events For the costs associated with the provision of interpreter services for the deaf and hard of hearing at State House public hearings and events	12,120

account	description	amount
Intragovernmental Service Spending		200,000
4125-0122	Chargeback for Interpreter Services For the costs of interpreter services provided by staff of the Massachusetts commission for the deaf and hard of hearing                 Intragovernmental Service Fund ............... 100%	200,000

account	description	amount
Trust and Other Spending		200,000
4125-0104	Interpreter Services Revolving Fund	200,000

 

Historical Budget Levels ($000)

Account		FY2006       GAA	FY2007       GAA	FY2008       GAA	FY2008 Projected Spending	FY2009    House 2
4125-0100	Massachusetts Commission for the Deaf and Hard of Hearing	5,373	5,539	5,670	5,731	5,802
4125-0101	Interpreter Services Fee Retained Revenue	175	175	0	0	0
4125-0102	Interpreters for State House Events	0	12	12	12	12
TOTAL		5,548	5,726	5,682	5,743	5,814

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.
 
No budgetary historical spending data available.  
 

Historical Employment Levels

Account	Description	June FY2005	June FY2006	June FY2007	Jan. FY2008	Projected FY2009
4125-0100	Massachusetts Commission for the Deaf and Hard of Hearing	53	52	55	54	56
TOTAL		53	52	55	54	56

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.
 

---

 

Soldiers' Home in Massachusetts

account	description	amount
SOLDIERS' HOME IN MASSACHUSETTS		27,269,248
Budgetary Direct Appropriations
Direct Appropriations
4180-0100	Soldiers' Home in Massachusetts For the operation of the soldiers' home in Massachusetts, located in the city of Chelsea, including a specialized unit for the treatment of Alzheimer's disease patients and the soldier's home school of practical nursing; provided, that graduates from the school of nursing shall be required to work in state-operated facilities for at least 1 year	26,968,587

account	description	amount
Retained Revenues
4180-1100	License Plate Sales Retained Revenue The soldiers' home in Massachusetts, located in the city of Chelsea, may expend for facility maintenance and patient care an amount not to exceed $300,661; provided, that 60 per cent of all revenues generated under section 2 of chapter 90 of the General Laws through the purchase of license plates with the designation VETERAN by eligible veterans of the commonwealth, after compensating the registry of motor vehicles for the costs associated with the license plates, shall be deposited into and for the purposes of this account; and provided further, that notwithstanding 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 soldiers' home 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, prior appropriation continued	300,661

 

Historical Budget Levels ($000)

Account		FY2006       GAA	FY2007       GAA	FY2008       GAA	FY2008 Projected Spending	FY2009    House 2
4180-0100	Soldiers' Home in Massachusetts	23,601	24,417	26,043	26,480	26,969
4180-0200	Chelsea Telephone and Television Retained Revenue	0	25	0	0	0
4180-1100	License Plate Sales Retained Revenue	253	301	301	339	301
TOTAL		23,853	24,742	26,343	26,819	27,269

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.
 
No budgetary historical spending data available.  
 

Historical Employment Levels

Account	Description	June FY2005	June FY2006	June FY2007	Jan. FY2008	Projected FY2009
4180-0100	Soldiers' Home in Massachusetts	400	396	398	407	406
TOTAL		400	396	398	407	406

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.
 

---

 

Soldiers' Home in Holyoke

account	description	amount
SOLDIERS' HOME IN HOLYOKE		20,869,964
Budgetary Direct Appropriations
Direct Appropriations
4190-0100	Soldiers' Home in Holyoke For the operation of the soldiers' home in Holyoke; provided, that in the operation of the outpatient pharmacy, the soldiers' home shall cover the cost of drugs prescribed at the soldiers' home, excluding the required co-payment, only when the veteran has no access to other drug insurance coverage, including coverage through the program authorized by section 39 of chapter 19A of the General Laws	20,493,717

account	description	amount
Retained Revenues
4190-0102	Pharmacy Co-Payment Fee Retained Revenue The soldiers' home in Holyoke may expend for the outpatient pharmacy program an amount not to exceed $150,805 from co-payments which it may charge to users of the program; provided, that the rates of the co-payments and the procedures for their administration shall be determined annually by the soldiers' home superintendent; and provided further, that notwithstanding 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 soldiers' home 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	150,805
4190-0200	Holyoke Telephone and Television Retained Revenue The soldiers' home in Holyoke may expend for the provision of television and telephone services to residents an amount not to exceed $25,000 from fees collected from veterans in its care	25,000
4190-1100	License Plate Sales Retained Revenue The soldiers' home in Holyoke may expend for facility maintenance and patient care an amount not to exceed $200,442; provided, that 40 per cent of all revenues generated under section 2 of chapter 90 of the General Laws through the purchase of license plates with the designation VETERAN by eligible veterans of the commonwealth, after compensating the registry of motor vehicles for the costs associated with the license plates, shall be deposited into and for the purposes of this account; and provided further, that notwithstanding 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 soldiers' home 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, prior appropriation continued	200,442

 

Historical Budget Levels ($000)

Account		FY2006       GAA	FY2007       GAA	FY2008       GAA	FY2008 Projected Spending	FY2009    House 2
4190-0100	Soldiers' Home in Holyoke	17,965	18,532	19,734	20,108	20,494
4190-0102	Pharmacy Co-Payment Fee Retained Revenue	225	225	225	151	151
4190-0200	Holyoke Telephone and Television Retained Revenue	0	25	25	25	25
4190-1100	License Plate Sales Retained Revenue	169	200	200	286	200
TOTAL		18,359	18,982	20,185	20,570	20,870

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.
 
No budgetary historical spending data available.  
 

Historical Employment Levels

Account	Description	June FY2005	June FY2006	June FY2007	Jan. FY2008	Projected FY2009
4190-0100	Soldiers' Home in Holyoke	322	322	323	320	323
TOTAL		322	322	323	320	323

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.
 

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Department of Mental Retardation

account	description	amount
DEPARTMENT OF MENTAL RETARDATION		1,279,961,256
Budgetary Direct Appropriations		1,267,350,402
Direct Appropriations
5911-1003	Department of Mental Retardation Administration and Operations For the administration and operations of the department of mental retardation	74,522,766
5911-2000	Community Transportation Services for the Mentally Retarded For transportation costs associated with the adult services program	14,137,324
5920-2000	Community Residential Supports for the Mentally Retarded For vendor-operated, community-based residential adult services; provided, that the commissioner of the department of mental retardation may transfer funds from this item to item 5920-2010, as necessary, to provide clients receiving services from the department of mental retardation with appropriate supports in the least restrictive setting possible	568,961,352
5920-2006	Residential Rate Increases For the implementation of a residential rate initiative	2,000,000
5920-2010	State-Operated Residential Supports for the Mentally Retarded For state-operated, community-based residential services for adults, including community-based health services for adults	137,630,099
5920-2020	Boulet Lawsuit - Residential and Interim Services for the Mentally Retarded For the provision of services, including residential and interim services, to clients of the department, including those on the waiting list on July 14, 2000	88,340,110
5920-2025	Community Day and Work Programs for the Mentally Retarded For community-based day and work programs for adults with mental retardation	128,959,457
5920-3000	Respite Family Supports for the Mentally Retarded For respite services and intensive family supports for the mentally retarded	55,044,228
5920-3010	Autism Division For support services for families with autistic children through the autism division	3,287,118
5920-5000	Turning 22 Services for the Mentally Retarded For services to clients of the department who turn 22 years of age during state fiscal year 2009	6,100,000
5930-1000	State Facilities for the Mentally Retarded For the operation of facilities for individuals with mental retardation	188,217,948

account	description	amount
Retained Revenues
5982-1000	Templeton Developmental Center Farm Product Sales Retained Revenue The department of mental retardation may expend for program costs of the Templeton developmental center, including supplies, equipment, and facility maintenance, an amount not to exceed $150,000 received from the sale of milk and other farm-related products at the center; provided, that notwithstanding 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

account	description	amount
Intragovernmental Service Spending		8,000,000
5948-0012	Chargeback for Special Education Alternatives for Mentally Retarded Children For the operation of a program providing alternatives to residential placements for children with mental retardation, including the costs of intensive home-based supports provided for the purposes of item 7061-0012                 Intragovernmental Service Fund ............... 100%	8,000,000

account	description	amount
Federal Grant Spending		394,000
5947-0010	Family Support 360 - Project of National Significance For the purposes of a federally funded grant entitled, Family Support 360 - Project of National Significance	230,000
5947-0011	Real Choice Systems Change Grant Program For the purposes of a federally funded grant entitled, Real Choice Systems Change Grant Program	164,000

account	description	amount
Trust and Other Spending		4,216,854
5011-9101	Surety Money - Transportation of Mental Retardation Clients	1,604
5483-9101	Walter E. Fernald State School	10,594
5911-0001	Templeton Parents Guardians Friends Expendable Trust	12,556
5911-2001	Department of Mental Retardation Commissioner's Trust	4,167,100
5920-0002	Belchertown Carousel Trust	25,000

 

Historical Budget Levels ($000)

Account		FY2006       GAA	FY2007       GAA	FY2008       GAA	FY2008 Projected Spending	FY2009    House 2
5911-1000	Department of Mental Retardation Central Administration	12,799	13,324	0	0	0
5911-1003	Department of Mental Retardation Administration and Operations	0	0	72,093	77,162	74,523
5911-2000	Community Transportation Services for the Mentally Retarded	13,892	14,052	14,137	14,137	14,137
5920-1000	Regional Administration	53,491	55,915	0	0	0
5920-2000	Community Residential Supports for the Mentally Retarded	500,174	524,742	547,808	547,717	568,961
5920-2006	Residential Rate Increases	0	2,000	2,000	2,000	2,000
5920-2010	State-Operated Residential Supports for the Mentally Retarded	119,557	121,999	130,965	135,180	137,630
5920-2020	Boulet Lawsuit - Residential and Interim Services for the Mentally Retarded	85,614	86,362	87,813	87,871	88,340
5920-2025	Community Day and Work Programs for the Mentally Retarded	113,309	117,434	122,670	122,670	128,959
5920-3000	Respite Family Supports for the Mentally Retarded	51,290	53,094	55,044	55,044	55,044
5920-3010	Autism Division	1,200	3,000	3,278	3,278	3,287
5920-5000	Turning 22 Services for the Mentally Retarded	6,468	8,500	7,700	7,700	6,100
5930-1000	State Facilities for the Mentally Retarded	165,986	172,013	182,759	185,505	188,218
5982-1000	Templeton Developmental Center Farm Product Sales Retained Revenue	100	100	150	150	150
TOTAL		1,123,879	1,172,536	1,226,416	1,238,413	1,267,350

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.
 
No budgetary historical spending data available.  
 

Historical Employment Levels

Account	Description	June FY2005	June FY2006	June FY2007	Jan. FY2008	Projected FY2009
5911-1000	Department of Mental Retardation Central Administration	35	38	57	0	0
5911-1003	Department of Mental Retardation Administration and Operations	0	0	0	925	914
5911-2000	Community Transportation Services for the Mentally Retarded	3	0	0	0	0
5920-1000	Regional Administration	860	869	858	0	0
5920-2000	Community Residential Supports for the Mentally Retarded	1	3	2	3	3
5920-2010	State-Operated Residential Supports for the Mentally Retarded	2,876	2,852	2,825	2,827	2,797
5920-2020	Boulet Lawsuit - Residential and Interim Services for the Mentally Retarded	16	78	60	91	95
5920-3010	Autism Division	0	0	0	1	5
5930-1000	State Facilities for the Mentally Retarded	3,193	3,136	3,053	3,029	3,074
TOTAL		6,984	6,976	6,857	6,876	6,888

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.
 

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Department of Veterans' 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
Department of Veterans' Services	50,460	669	51,130	315

account	description	amount
DEPARTMENT OF VETERANS' SERVICES		51,129,627
Budgetary Direct Appropriations		50,460,128
Direct Appropriations
1410-0010	Department of Veterans' Services Administration For the operation of the department of veterans' services	2,386,227
1410-0012	Veterans' Outreach Centers For the operation of veterans' outreach centers	1,956,083
1410-0015	Women Veterans' Outreach For the operation of a women veterans' outreach program	50,000
1410-0100	Veterans' Services Pension Recovery Revenue Maximization For the operation of the elder veterans' federal pension and benefits recovery program	98,000
1410-0250	Assistance to Homeless Veterans For the operation of homeless shelters and transitional housing for veterans	3,047,686
1410-0251	New England Shelter for Homeless Veterans For the operation of a homeless shelter and transitional housing for veterans at the New England Shelter for Homeless Veterans	2,278,466
1410-0300	Annuities to Qualified Disabled Veterans For the payment of veterans' annuities under section 6B of chapter 115 of the General Laws	18,524,424
1410-0400	Veterans' Benefits For reimbursements to cities and towns for payments to certain veterans under section 6 of chapter 115 of the General Laws; provided, that funds may be expended from this item for payment of fuel allowance benefits provided to recipients	20,904,223
1410-0630	Agawam and Winchendon Veterans' Cemeteries For the administration of the veterans' cemeteries in the towns of Agawam and Winchendon	915,019

account	description	amount
Retained Revenues
1410-0018	Agawam and Winchendon Veterans' Cemeteries Fees and Grants Retained Revenue The department of veterans' services may expend for the maintenance and operation of the Agawam and Winchendon veterans' cemeteries an amount not to exceed $300,000 from revenues collected from federal reimbursements, fees, grants, gifts or other contributions to the cemeteries	300,000

account	description	amount
Federal Grant Spending		634,499
1410-0254	Homeless Veterans' Reintegration, Training, and Placement For the purposes of a federally funded grant entitled, Homeless Veterans' Reintegration, Training, and Placement	300,000
1410-0256	Veterans' Workforce Investment For the purposes of a federally funded grant entitled, Veterans' Workforce Investment	300,000
1410-8002	Agawam Cemetery For the purposes of a federally funded grant entitled, Agawam Cemetery	34,499

account	description	amount
Trust and Other Spending		35,000
1410-0011	Women Veterans' Network	15,000
1410-0600	War Veterans' Reimbursement Fund	2,000
1410-2526	Agent Training	18,000

 

Historical Budget Levels ($000)

Account		FY2006       GAA	FY2007       GAA	FY2008       GAA	FY2008 Projected Spending	FY2009    House 2
1410-0010	Department of Veterans' Services Administration	1,909	2,012	2,157	2,218	2,386
1410-0012	Veterans' Outreach Centers	1,294	1,663	1,943	1,943	1,956
1410-0015	Women Veterans' Outreach	42	42	42	42	50
1410-0018	Agawam and Winchendon Veterans' Cemeteries Fees and Grants Retained Revenue	300	300	300	268	300
1410-0100	Veterans' Services Pension Recovery Revenue Maximization	98	98	98	98	98
1410-0250	Assistance to Homeless Veterans	2,013	2,572	2,827	2,827	3,048
1410-0251	New England Shelter for Homeless Veterans	2,258	3,177	2,277	2,457	2,278
1410-0300	Annuities to Qualified Disabled Veterans	12,339	16,860	18,104	17,316	18,524
1410-0400	Veterans' Benefits	13,805	14,413	15,165	18,107	20,904
1410-0630	Agawam and Winchendon Veterans' Cemeteries	866	872	879	894	915
TOTAL		34,926	42,008	43,793	46,170	50,460

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.
 
No budgetary historical spending data available.  
 

Historical Employment Levels

Account	Description	June FY2005	June FY2006	June FY2007	Jan. FY2008	Projected FY2009
1410-0010	Department of Veterans' Services Administration	25	28	28	30	31
1410-0630	Agawam and Winchendon Veterans' Cemeteries	17	17	15	15	15
TOTAL		42	45	43	45	46

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.
 

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