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

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

 

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



 
 
 
Historical Employment Levels
Secretariat
June
FY2005

June
FY2006

June
FY2007

Jan.
FY2008

Projected
FY2009
Executive Office of Health and Human Services 1,149 1,190 1,205 1,235 1,252
Department of Elder Affairs 32 34 44 45 49
Office of Health Services 6,225 6,168 6,181 6,224 6,380
Office of Children, Youth, and Family Services 5,600 5,721 5,859 5,979 6,071
Office of Disabilities and Community Services 7,910 7,897 7,784 7,810 7,837
Department of Veterans' Services 42 45 43 45 46
TOTAL 20,957 21,055 21,117 21,338 21,635
Figures represent full-time equivalents (FTEs) paid from budgeted funds, and excludes those paid from chargebacks, capital, federal grants and trust funds. FY2009 FTE figures are planned and may not represent actual hires.

Office of the Secretary of Health and Human Services


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


account description amount
OFFICE OF THE SECRETARY OF HEALTH AND HUMAN SERVICES 7,815,017,979
Budgetary Direct Appropriations 6,186,064,833
Direct Appropriations
4000-0050 Personal Care Attendant Council
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.
 

 

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
 

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
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

 

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
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
 

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
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

 

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
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.
 

 

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.
 

 

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.
 

 

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
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

 

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
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 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.
 

 

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.
 

 

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.