Health and Human Services

Health and Human Services - Detail

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

View line item language

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

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

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

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

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

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

Office of the Secretary of Health and Human Services

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

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

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

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

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

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

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

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

Department of Elder Affairs

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

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

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

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

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

Office of Health Services

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

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

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

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

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

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

Division of Health Care Finance and Policy

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

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

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

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

Department of Public Health

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

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

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

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

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

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

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

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	38,878,014
5042-5000	Child and Adolescent Mental Health Services	75,979,039
5046-0000	Adult Mental Health and Support Services	322,464,095
5046-2000	Statewide Homelessness Support Services	22,557,499
5047-0001	Emergency Services and Acute Mental Health Care	36,248,223
5055-0000	Forensic Services Program for Mentally Ill Persons	8,195,984
5095-0015	Inpatient Facilities and Community-Based Mental Health Services	181,899,591

account	description	amount
Retained Revenues
5046-4000	CHOICE Program Retained Revenue	125,000

account	description	amount
Federal Grant Spending		2,955,902
5012-9121	Project for Assistance in Transition from Homelessness	1,300,248
5012-9159	State Mental Health Data Infrastructure Grant	106,650
5046-9102	Shelter Plus Care Program	173,760
5047-9102	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

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

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

Pie Chart: Youth Services=9%, Transitional Assistance=46%, Social Services=45%, Departments that are Less than 5% of Total=0%

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

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

FY2009 Spending Category Chart:Wages & Salaries=19%, Employee Benefits=1%, Operating Expenses=4%, Public Assistance=76%, Aid to Cities & Towns=0%

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

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	1,250,358

account	description	amount
Federal Grant Spending		9,997,827
4003-0801	Targeted Assistance Program	335,000
4003-0803	Refugee School Impact	287,500
4003-0804	Refugee Targeted Assistance Grant	749,350
4003-0805	Refugee Resettlement Program	1,423,481
4003-0806	Refugee Cash, Medical and Administration	6,908,978
4003-0809	Reach Program	200,000
4003-0810	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

Department of Youth Services

account	description	amount
DEPARTMENT OF YOUTH SERVICES		163,017,046
Budgetary Direct Appropriations
4200-0010	Department of Youth Services Administration	5,749,405
4200-0100	Non-Residential Services for Committed Population	22,828,627
4200-0200	Residential Services for Detained Population	25,647,572
4200-0300	Residential Services for Committed Population	105,491,442
4200-0500	Department of Youth Services Teacher Salaries	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

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

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	68,136,719
4400-1001	Food Stamp Participation Rate Programs	2,963,471
4400-1025	Domestic Violence Specialists	735,950
4400-1100	Caseworker Salaries and Benefits	58,850,868
4401-1000	Employment Services Program	27,234,085
4403-2000	TAFDC Grant Payments	291,442,465
4403-2007	Supplemental Nutritional Program	1,200,000
4403-2119	Teen Structured Settings Program	6,938,579
4403-2120	Emergency Assistance - Family Shelters and Services	86,277,382
4405-2000	State Supplement to Supplemental Security Income	219,862,107
4406-3000	Homeless Individuals Assistance	36,306,684
4406-3010	Home and Healthy for Good	1,200,000
4408-1000	Emergency Aid to the Elderly, Disabled and Children	69,115,828

account	description	amount
Retained Revenues
4401-1100	Employment Services Program Federal Food Stamp Reimbursement Retained Revenue	7,000,000

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

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

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	80,500,661
4800-0025	Foster Care Review	2,976,282
4800-0030	DSS Regional Administration	21,020,794
4800-0036	Sexual Abuse Intervention Network	740,076
4800-0038	Services for Children and Families	314,080,086
4800-0041	Group Care Services	229,635,423
4800-0151	Placement Services for Juvenile Offenders	319,171
4800-1100	Social Workers for Case Management	161,108,483
4800-1400	Support Services for People at Risk of Domestic Violence	22,590,036

account	description	amount
Retained Revenues
4800-0016	Roca Retained Revenue for Cities and Towns	2,000,000
4800-0091	Child Welfare Training Institute Retained Revenue	3,000,000

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

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

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

Pie Chart: Mental Retardation=90%, Departments that are Less than 5% of Total=10%

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

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

FY2009 Spending Category Chart:Wages & Salaries=26%, Employee Benefits=1%, Operating Expenses=7%, Public Assistance=66%

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

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	1,106,700
4110-1000	Community Services for the Blind	4,482,374
4110-1010	State Supplement to Supplemental Security Income for the Blind	8,351,643
4110-1020	Medical Assistance Eligibility Determination for the Blind	350,086
4110-2000	Turning 22 Program	10,433,633
4110-2001	Turning 22 - New Clients	225,000
4110-3010	Vocational Rehabilitation for the Blind	3,000,091
4110-4000	Ferguson Industries for the Blind	1,930,381

account	description	amount
Federal Grant Spending		7,940,000
4110-3020	Vocational Rehabilitation Grant for the Blind	155,000
4110-3021	Basic Support Grant for the Blind	6,850,000
4110-3023	Independent Living for the Blind - Adaptive Housing	70,000
4110-3026	Independent Living - Services to Older Blind Americans	775,000
4110-3027	Rehabilitation Training for the Blind	30,000
4110-3028	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

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

Massachusetts Rehabilitation Commission

account	description	amount
MASSACHUSETTS REHABILITATION COMMISSION		144,978,315
Budgetary Direct Appropriations		49,390,191
4120-1000	Massachusetts Rehabilitation Commission Administration	666,768
4120-2000	Vocational Rehabilitation for the Disabled	10,782,471
4120-3000	Employment Assistance for Adults with a Severe Disability	8,362,927
4120-4000	Independent Living Assistance for the Multi-Disabled	12,075,937
4120-4001	Accessible Housing Registry for Disabled Persons	88,889
4120-4010	Turning 22 Program	786,894
4120-5000	Home Care Services for the Multi-Disabled	5,866,899
4120-6000	Head Injury Treatment Services	10,759,406

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

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

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	5,801,828
4125-0102	Interpreters for State House Events	12,120

account	description	amount
Intragovernmental Service Spending		200,000
4125-0122	Chargeback for Interpreter Services	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

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

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	26,968,587

account	description	amount
Retained Revenues
4180-1100	License Plate Sales Retained Revenue	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

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

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	20,493,717

account	description	amount
Retained Revenues
4190-0102	Pharmacy Co-Payment Fee Retained Revenue	150,805
4190-0200	Holyoke Telephone and Television Retained Revenue	25,000
4190-1100	License Plate Sales Retained Revenue	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

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

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	74,522,766
5911-2000	Community Transportation Services for the Mentally Retarded	14,137,324
5920-2000	Community Residential Supports for the Mentally Retarded	568,961,352
5920-2006	Residential Rate Increases	2,000,000
5920-2010	State-Operated Residential Supports for the Mentally Retarded	137,630,099
5920-2020	Boulet Lawsuit - Residential and Interim Services for the Mentally Retarded	88,340,110
5920-2025	Community Day and Work Programs for the Mentally Retarded	128,959,457
5920-3000	Respite Family Supports for the Mentally Retarded	55,044,228
5920-3010	Autism Division	3,287,118
5920-5000	Turning 22 Services for the Mentally Retarded	6,100,000
5930-1000	State Facilities for the Mentally Retarded	188,217,948

account	description	amount
Retained Revenues
5982-1000	Templeton Developmental Center Farm Product Sales Retained Revenue	150,000

account	description	amount
Intragovernmental Service Spending		8,000,000
5948-0012	Chargeback for Special Education Alternatives for Mentally Retarded Children	8,000,000

account	description	amount
Federal Grant Spending		394,000
5947-0010	Family Support 360 - Project of National Significance	230,000
5947-0011	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

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

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	2,386,227
1410-0012	Veterans' Outreach Centers	1,956,083
1410-0015	Women Veterans' Outreach	50,000
1410-0100	Veterans' Services Pension Recovery Revenue Maximization	98,000
1410-0250	Assistance to Homeless Veterans	3,047,686
1410-0251	New England Shelter for Homeless Veterans	2,278,466
1410-0300	Annuities to Qualified Disabled Veterans	18,524,424
1410-0400	Veterans' Benefits	20,904,223
1410-0630	Agawam and Winchendon Veterans' Cemeteries	915,019

account	description	amount
Retained Revenues
1410-0018	Agawam and Winchendon Veterans' Cemeteries Fees and Grants Retained Revenue	300,000

account	description	amount
Federal Grant Spending		634,499
1410-0254	Homeless Veterans' Reintegration, Training, and Placement	300,000
1410-0256	Veterans' Workforce Investment	300,000
1410-8002	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

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