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Floor Number: 501 Clerk Number: 410
ENHANCED
FINANCIAL SUPPORT FOR THE
STATE OFFICE OF MINORITY AND WOMEN BUSINESS ASSISTANCE
Ms. Wilkerson of Boston moves to amend the bill in Section 2, in item 7007-1500 by striking the figure $642,670 and inserting in place thereof the following figure: -- "1,142,670"
Floor Number: 502 Clerk Number: 541
RELATIVE TO EMERGENCY TELECOMMUNICATIONS PROGRAM FUNDING
Mr. Shannon moves that the bill be amended
in Section 14 by inserting in Chapter 6A Section 18H (a) as referenced in said
Section in the first sentence after the word "by" the following words:-
"wireline local exchange";
and further amended in the second sentence
by inserting after the phrase "incurred by the" the following words:-
"wireline local exchange";
and further amended in the third sentence
by inserting after the word "grade" the following words:- "wireline
local";
and further amended in the fourth sentence after the word "all"
the following words:- "wireline local exchange";
and further amended
in Chapter 6A Section 18H (b) as referenced in said amendment by inserting in
the first sentence after the word "each" the following words:- "wireline
local exchange".
Floor Number: 503 Clerk Number: 548
STATE AND COUNTY FAIRS
Mr. Creedon and Mr. Pacheco moves to amend the bill, Senate 2400, by inserting
a new section at the end of the bill
SECTION_____. Chapter 128C of the General
Laws is hereby amended by striking out the language in Section 2(2)(b) in its
entirety and inserting in place thereof the following language:
(b) on any
day of the calendar year/ unlimited running horse racing from and after 6:00 p.m.,
plua the entire racing cards from any 4 running horse racing meetings from any
state in the Pacific and Mountain time zones; and simulcasts of the Suffolk county
running horse racing meeting licensee's live races during its racing season and
4 so-called companion cards; and 5 interstate running horse simulcasts prior to
3; 30 p.m. on any day during the dark season of the Suffolk county running horse
racing meeting; and
And move that the bill be further amended by adding at
the end thereof the following new section:-
SECTION ____. Chapter 128C of
the General Laws is hereby amended by striking out the first and second paragraphs
of Section 2A in their entirety and inserting in place thereof the following language;
Notwithstanding section 2, the running horse racing meeting licensee in Plymouth
county, which is conducting running horse racing meetings in connection with a
state or county fair, may, with the permission of the commission, and following
a demonstration by the licensee of its ability to complete not less than 50 percent
of the live racing performances approved by the commission, simulcast: unlimited
interstate thoroughbred horse races; but, if the commission determines that a
licensee cannot conduct 50 per cent of live racing performances due to weather
conditions, race track conditions/ strikes, work stoppages, sickness or quarantine
not within the control of the licensee, the commission may permit the licensee
to continue simulcasting on that day despite the stoppage of the performances
for said reasons. The total number of days of simulcast at the state or county
fair, which is licensed for live running horse racing meetings, shall not exceed
the licensee's racing season. The licensee in Plymouth county shall simulcast
its live racing performances to the greyhound racing meeting licensee located
in Bristol county, the greyhound racing meeting licensee located in Suffolk county,
the running horse racing meeting licensee located in Suffolk county, and the harness
horse racing meeting licensee located in Norfolk county and receive a fee therefor
of 11 per cent; the simulcast shall not be considered a live in-state racing performance
£01- purposes o£ the sixth paragraph of section 2.
Notwithstanding
section 2, a running horse racing meeting licensee, excluding the licensees in
Plymouth county and Berkshire county, which is conducting running horse racing
meetings in connection with a state or county fair, may, with the permission of
the commission, and following a demonstration by said licensee of its ability
to complete no less than 50 per cent: of the live races performances approved
by the commission, simulcast unlimited thoroughbred horse races and the intrastate
live races of the racing meeting licensees in the commonwealth on any day if such
simulcast is conducted in connection with a state or county fair/ for wagering
purposes or otherwise, from pari-mutuel wagering facilities located within the
commonwealth except in Berkshire county; but, if the commission determines that
a licensee cannot conduct 50 per cent of live racing performances due to weather
conditions, race track conditions, strikes, work stoppages, sickness or quarantine
not within the control of the licensee, the commission may permit the licensee
to continue simulcasting on that day despite the stoppage of the performances
for said reasons. The total number of days of simulcast at the state or county
fair, which is licensed by the commission for live running horse racing meetings,
shall not exceed the total number of days of the licensee's racing season. The
licensee shall simulcast its live racing performances to the greyhound facing
meeting licensee located in Bristol county/ the greyhound racing meeting licensee
located in Suffolk county, the running horse racing meeting licensee located in
Suffolk county, and the harness horse racing meeting licensee located in Norfolk
county and receive a fee therefor of 11 per cent/ provided/ however-/ that said
simulcast shall not be considered a live-in state racing performance for purposes
of the sixth paragraph of section 2.
And move that the bill be further amended
by adding at the end thereof the following new section:-
SECTION_____ . Chapter
128C of the General Laws is hereby amended by striking out the third paragraph
of Section 2A in its entirety.
Floor Number: 504 Clerk Number: 198
WIB EXECUTIVE BOARD MEMBERSHIP
Mr. Hart of Boston moves to amend the bill by inserting, after Section _______, the following new Section: -
"SECTION____.
Section 571 of Chapter 26 of the Acts of 2003 is amended in section 7 (d) (i)
by adding in after the words "…can be classified as employees"
the following
"one of whom shall be the President of the Massachusetts
AFL-CIO or their designee"
and by adding after the words "…shall
be classified as employers" the following
"one of whom shall be
the chair of a local workforce investment board"
Floor Number: 505 Clerk Number: 267
AN AMENDMENT TO PREVENT ABUSE OF THE DISABLED
Mr. Tarr, moves to amend the
bill (Senate bill 2400) by adding, at the end thereof, the following new section:
-
SECTION__. Notwithstanding any general or special law to the contrary, there
is hereby established a commission to study investigations of abuse of the disabled.
The commission shall be comprised of six members, provided that three members
shall be members of the House of Representatives appointed by the Speaker of the
House of Representatives and three members shall be members of the Senate appointed
by the President of the Senate. The commission shall study cases of abuse of the
disabled, including but not limited to the following: clients of the Department
of Mental Retardation, Department of Mental Health, Massachusetts Rehabilitation
Commission, Massachusetts Commission for the Deaf and Hard of Hearing, Massachusetts
Commission for the Blind, and other departments serving the disabled citizens
of the commonwealth. The commission shall report its recommendations, if any,
to the clerks of the House of Representatives and Senate no later than November
15, 2003.
Floor Number: 506 Clerk Number: 248
THE COMMONWEALTH RESEARCH CENTER AT THE MASSACHUSETTS MENTAL HEALTH CENTER
Ms. Creem moves to amend the bill (S.2400), in section 2 by inserting at the end of item 5046-0000 the following:- "provided further that not less than $1,000,000 shall be provided for the Commonwealth Research Center of the Massachusetts Mental Health Center."
Floor Number: 507 Clerk Number: 367
WORCESTER STATE HOSPITAL
Mrs. Chandler, Mr. Glodis and Mr.
Moore move to amend the bill, in section 2, in item 5095-0015, in line 14, by
inserting after the words "at the closed facility" the following wording:-
"; provided further, that the department, in consultation with Administration
and Finance and DCAM, shall submit a report to the joint committee on human services
and the house and senate committees on ways and means no later than December 1,
2004 on the proposal to build a new inpatient facility, so-called; provided further,
that the report shall include, but not be limited to, projected costs, including
the use of state, federal and capital funding sources, project start and completion
dates, number of beds by care type, number of clients expected to be transferred
to the new facility, from what facility and when, and projected closure dates
of Worcester State Hospital and Westborough State Hospital; provided further,
that any client transferred to another inpatient facility as the result of a facility
closure shall receive a level of care that is equal to or better than the care
that had been received at the closed facility; provided further, that no action
to reduce the client population of the Worcester or Westborough facilities for
the sole purpose of closing the hospitals shall be undertaken, and no steps shall
be taken to close either of the institutions through attrition, layoffs or any
other means until a study of the hospital building plan is completed and the General
Court shall have approved the closure of Worcester State Hospital and Westborough
State Hospital".
Mrs. Chandler moves to further amend the bill by inserting after Section , the following new Section:-
SECTION
___: (a) There shall be a special commission to investigate and study the feasibility
of constructing a new inpatient facility in central Massachusetts for clients
of department of mental health and other persons with mental illness who require
hospitalization or continuing care in a hospital setting. The study shall include,
but not be limited to design features of any such facility, costs of construction,
financing strategies, timeline for development and construction, administration
of any such facility, and the sitting of any such facility. The commission shall
consist of fifteen members as follows: five members of the house, one member appointed
by minority leader, four appointed by the speaker of the house, three members
of the senate, one appointed by the minority leader, two appointed by the president
of the senate; the secretary of administration and finance or his designee; the
commissioner of the department of mental health, or her designee; the commissioner
of the department of capital asset management and maintenance, or his designee;
a representative from American Federation of State County and Municipal employees;
a representative from Mass Nurses Association; a representative of the service
Employees International Union Local 509; and 2 representatives from the national
alliance for the mentally ill of Massachusetts, a representative from the Massachusetts
Association for Mental Health, Inc. and a mental health consumer. The commission
shall report to the general court the results of its study together with recommendations
and drafts of legislation by filing the same with the clerks of the Senate and
the House of Representatives on or before April 1, 2005.
(b) No action shall
be taken to reduce the client populations of Worcester State Hospital or Westborough
State Hospital for the sole purpose of closing either or both hospitals, and no
steps shall be taken to close either institution through attrition, layoffs or
other means until the report of the special commission established in subsection
(a) of this section has been filed and the General Court shall have approved the
closure of Worcester State Hospital or Westborough State Hospital, or both facilities.
Floor Number: 508 Clerk Number: 659
RELATIVE TO THE FERNALD LAND RE-USE COMMITTEE
Ms. Fargo and Mr. Tolman move to amend the bill, in section 2, in line item 5911-1000, by adding at the end thereof the following: - "provided further, that $99,000 be expended for the hiring of a consultant by the majority vote of the Fernald Re-Use Committee established in Section 678 of the acts of 2003 for the purposes of asset assessment and re-use development proposal."
Floor Number: 509 Clerk Number: 509
SEX OFFENDER HOUSING
Mr. Brown, Ms. Sprague, Mr. Hedlund, Mr. Tarr and Ms. Fargo move to amend the bill, in section 2, in item 5920-2000, by inserting, after the words "the settlement", the following wording:- "provided, that the department shall not fund any group home or dwelling of any kind that houses one or more level two or three sex offenders, if said home or dwelling is located within 800 yards of a residence with a child under 16 years of age."
Floor Number: 510 Clerk Number: 616
SPECIAL OLYMPICS
Ms. Resor moves to amend the bill (S. 2400) in section 2, in item 5920 - 2000 by inserting in line 7, after the words "cost of the settlement", the following:- ", provided, that not less than $100,000 shall be allocated for Special Olympics for the purpose of unified sports."
Floor Number: 511 Clerk Number: 649
ADVOCACY RESOURCE CENTER
Mr.
Montigny moves that the bill be amended in section 2, in item 5920-2000 by inserting
after the word "settlement" the following:-
;"provided further,
that not less than $50,000 shall be expended for the Advocacy Resource Center
in New Bedford to provide critical family support services in the area of community-based
resident education for special needs children;"
Floor Number: 512 Clerk Number: 702
REGARDING THE DEPARTMENT OF MENTAL RETARDATION
Mr. Magnani of Framingham and Mr. Brown of Wrentham move to amend the bill, in section 2, in item 5920-2000, by inserting, at the end thereof, the following:- "provided further, that not less than $275,000 of additional funding be provided to Advocates, Inc. for residential services provided under contract #26604660343".
Floor Number: 513 Clerk Number: 768
NORWEL FRIENSHIP HOME
Mr. Hedlund moves to amend the bill,
in section 2, in item 5920-3000, by adding at the end thereof the following :-
"; and provided further that not more than $50,000 be expended for the
Friendship Home project in Norwell.".
Floor Number: 514 Clerk Number: 660
OPERATION OF FACILITIES FOR THE MENTALLY RETARDED
Ms. Fargo and Mr. Brown move to amend the bill, in section 2, in line item 5930-1000, by striking out the figure "$160,220,259" and inserting in place thereof the following figure : - "$164,494,003".
Floor Number: 515 Clerk Number: 661
PROTECTING THE RESIDENTS OF ICF/MR FACILITIES
Ms.
Fargo and Mr. Brown move to amend the bill, in section 2, by striking out item
5930-1000, and inserting in place thereof the following item : -
"5930-1000
For the operation of facilities for the mentally retarded, including the maintenance
and operation of the Glavin Regional Center; provided, that in order to comply
with the provisions of the Olmstead decision and to enhance care within available
resources to clients served by the department, the department shall take steps
to consolidate or close intermittent care facilities for the mentally retarded,
called ICF/MRs, managed by the department and shall endeavor within available
resources to discharge clients residing in the ICF/MRs to residential services
in the community when the following criteria are met: 1) the client is deemed
clinically suited for a more integrated setting, 2) community residential service
capacity and resources available are sufficient to provide each client with an
equal or improved level of service , 3) the cost to the commonwealth of serving
the client in the community is less than or equal to the cost of serving the client
in ICF/MRs, so-called, and, 4) that no resident of an intermittent care facility
for the mentally retarded (ICFMR) shall be transferred to another facility out
of their current residence until and unless the Commissioner of the Department
of Mental Retardation certifies that the individual to be transferred will receive
equal or better services to meet their needs in the new location, and 5) that
all Individual Support Plan (ISP) recommended services for the individual's current
needs as identified in the Individual Support Plan are available at the new location;
provided further, that the department shall report to the joint committee on human
services and the house and senate committees on ways and means on the progress
of this initiative, including both past actions and proposed future actions; provided
further, that the report shall include progress on the plan for the closure of
the Fernald the Developmental Center; provided further, that the report shall
include: number of clients transferred from facility care into the community,
the community supports provided to clients discharged from facility care into
the community and the current facility bed capacity relative to the number of
clients in ICF/MRs, so-called, managed by the department; provided further, the
report shall also include steps being taken to help minimize increases in travel
distances for family members visiting clients at ICF/MRs, so-called, resulting
from the transfer of clients from one ICF/MR, so-called, to another; provided
further, that the department shall submit the report no later than February 15,
2005; provided further, that the Fernald Developmental Center shall not be closed
prior to October 2005 to ensure adequate community, client, and family member
input into the closure planning process; provided further, that the department
of mental retardation shall submit a plan regarding the closure of the Fernald
State School by January 1, 2005 to the house and senate committees on ways and
means; provided further, that said plan shall detail the transition of clients
from said school to appropriate settings; provided further, that the plan shall
include consideration for the transition of employees of said school into community
setting with their clients in order to ensure continuity of service wherever possible;
provided further, that said plan shall be subject to the approval of the house
and senate committees on ways and means; provided further, that the department
may allocate funds from this item to items 5920-2000, 5920-2010, and 5920-2025,
as necessary, pursuant to allocation plans submitted to the house and senate committees
on ways and means 30 days prior to any such transfer, for residential and day
services for clients formerly receiving inpatient care at ICF/MRs; and provided
further, that the department shall maximize federal reimbursement, whenever possible
under federal regulation, for the direct and indirect costs of services provided
by the employees funded in this item……………………$164,494,003"
Floor Number: 516 Clerk Number: 493
FERNALD ADVISORY COUNCIL II
Ms. Fargo moves to amend the bill by striking
out Section 267, and inserting in place thereof the following new Section: -
"SECTION 267. There is hereby established a Fernald Developmental Center
Land Reuse Committee. The committee shall include the mayor of the city of Waltham,
who shall serve as chair of said committee, the ward councilor from the city of
Waltham representing the ward in which the campus is located, who shall serve
as vice-chair of said committee, the planning director of the city of Waltham,
the commissioner of the Massachusetts department of mental retardation, a mentally
retarded consumer who is a resident of Fernald, and who shall be appointed by
the commissioner of mental retardation, the commissioner of the department of
capital asset management and maintenance, 7 citizens of Waltham to be appointed
by the mayor of the city of Waltham, of whom four shall be the citizens appointed
to said committee during fiscal year 2004, the state representative from the ninth
Middlesex house district, the state representative from the tenth Middlesex house
district, and the senator from the third Middlesex senate district. The committee
shall be responsible for representing the interests of the town in all negotiations
with the division of capital asset maintenance and management and the department
of mental retardation about the reuse and future development of the developmental
center property. The committee shall, with the assistance of the division, develop
a Comprehensive Reuse Consensus Plan for Fernald Developmental Center State Property,
which shall provide a detailed description, by parcel, of how the property is
to be developed upon closure of the Fernald campus. The plan shall include a description
of any potential environmental degradation of the property, along with a proposal
for environmental remediation, and a proposed cost for the cleanup, including,
but not limited to, any building demolition required on the site. The goals of
the plan may include, but shall not be limited to, preservation of open space,
creation of affordable housing, development of new business, the creation of recreational
opportunities, the development of new community residences for the mentally retarded
consumers of Fernald Center, and any other applicable community priorities. The
plan may also provide for parcels of land, and specific facilities, to remain
under the control of the department of mental retardation. In its deliberations,
the re-use committee shall incorporate smart growth policies to the extent possible,
and will be mindful of the rights of current Fernald residents, and their need
for adequate and appropriate housing, clinical services, and appropriate staffing
provided by DMR. The committee will examine and consider models for the provision
of these services on a section of the Fernald property. The process the committee
shall follow will be determined by a majority vote of its members and shall include
a public hearing at the beginning of the process to solicit comments, ideas and
re-use proposals. The committee shall develop a framework with guidelines and
parameters as to the re-use of the property. The committee may appoint subcommittees
to review particular subjects within the framework of the study, and may assign
a subcommittee to produce a detailed reuse proposal, provided, that at least two-thirds
of the members of said subcommittee shall be Waltham residents or officials. Said
subcommittee shall present the re-use proposal to the committee which shall invite
the public to comment at a public hearing. The committee may amend and revise
said plan in order to reach a consensus on one concept. Upon approval by the reuse
committee, the plan shall be presented to the Waltham city council for approval,
and, if endorsed by majority vote of the council, filed with the division of capital
asset management and maintenance. The plan shall also be submitted to the chairs
of the house and senate committees on ways and means, and to the house and senate
chairs of the joint committee on state administration, along with copies of authorizing
legislation, if any, necessary to effectuate the provisions of the reuse plan.
If the reuse plan provides for the conveyance of land from the state to the city
of Waltham, the legislation shall provide that the price paid for such parcel
be for the full and fair market value of the property determined by independent
appraisal, for the uses described in the plan, including, but not limited to,
any restrictions or and requirements imposed by the plan. Said legislation shall
ensure that proceeds from any sale are first applied to repay the commonwealth
for the cost of any bonds issued for environmental remediation, consulting services,
or other closure costs. Said legislation shall also provide that any remaining
proceeds be provided to the department of mental retardation for capital improvements
at Fernald, at other intermediate care facilities for the mentally retarded (ICF/MRs),
or at community residential settings operated by the state. The reuse committee
shall meet as necessary to complete said reuse plan, as determined by a majority
vote of the committee.
Floor Number: 517 Clerk Number: 14
DMR WAGE DISPARITY STUDY
Ms. Tucker moves to amend the bill by inserting, after Section____, the following new
Section:-
"Section____.
Notwithstanding any general or special law to the contrary, their shall be established
a special commission to determine the wage disparity between community direct
support workers and comparable employees in the commonwealth's state operated
programs for the mentally retarded.
(a) On or before December 31, 2004 the
executive office of administration and the department of mental retardation, working
with representatives from the Association of Developmental Disabilities Providers,
shall report to the Senate Committee on Ways and Means, the House Committee on
Ways and Means, the Joint Committee on Human Services and Elderly Affairs, and
the Joint Committee on Public Service their determination of:
(i) The monetary
calculation of the average difference in wages, compensation, salary, and benefits,
including but not limited to health insurance and inclusion in the state retirement
system, between community direct service workers and direct support workers or
other comparable employees in the commonwealth's state operated programs for mental
retardation. This result of this calculation shall be called the disparity amount.
(ii) The amount of annual increase in the rate of reimbursement to community providers
necessary to reduce and eliminate the disparity amount.
(b) On or before December
31, 2004, The Commissioner of the Department of Mental Retardation, working with
representatives from the Association of Developmental Disabilities Providers,
shall report to the Joint Committee on Human Services and Elderly Affairs recommendations
to establish workforce training and development standards to be met by community
providers in accordance with increases in reimbursement provided in this section."
Floor Number: 518 Clerk Number: 482
WRENTHAM DEVELOPMENT CENTER LEASE
Mr.
Brown moves to amend the bill by inserting, after Section _____, the following
new Section:-
"SECTION ____. Notwithstanding any general or special law
to the contrary, the department of mental retardation may lease 2 acres of land
located on the grounds of the Wrentham Developmental Center to Tia's Rescue Haven
for the purpose of constructing and maintaining a regional animal shelter."
Floor Number: 519 Clerk Number: 233
AMYOTROPHIC LATERAL SCLEROSIS REGISTRY
Ms. Walsh moves to amend the bill, in section 2, in item 4510-0100, by striking out the words "and provided further, that funds may be expended for the Massachusetts Violence Prevention Task Force, formerly funded through an interagency service agreement from the department of education ……$18,302,427" and inserting in place thereof the following words: - "provided further, that $150,000 shall be expended for the ALS registry created by section 26 of chapter 140 of the acts of 2003; and provided further, that funds may be expended for the Massachusetts Violence Prevention Task Force, formerly funded through an interagency service agreement from the department of education ……$18,452,427."
Floor Number: 520 Clerk Number: 132
RELATIVE TO COMMUNITY HEALTH CENTERS
Ms. Fargo moves to amend the bill,
in section 2, in line item 4510-0110, by inserting at the end thereof the following:
-
"provided further, that not less than $500,000 shall be expended to
the Waltham Community Health Center."
Floor Number: 521 Clerk Number: 213
STATEWIDE LUPUS DATABASE
Mr. Hart of Boston move to further amend the bill in section 2 in item 4510-0600 in line 17 by inserting after the word "airport" the following: - "provided further, that not less than $81,000 shall be expended for the maintenance of a statewide lupus database;"
Floor Number: 522 Clerk Number: 257
AN AMENDMENT RELATIVE TO FUNDING AN ALS REGISTRY
Mr.
Tarr, Mr. Tisei, Mr. Knapik, Ms. Sprague, Mr. Hedlund, and Mr. Brown move to amend
the bill (Senate bill 2400) by adding, in Section 2, item 4510-0600 at the end
thereof the following: -
"Provided further, that $75,000 shall be expended
for the ALS registry created by section 26 of chapter 140 of the acts of 2003."
Floor Number: 523 Clerk Number: 308
BARNES/SOUTHAMPTON AQUIFERS STUDY
Mr. Knapik of Westfield moves to amend the bill, in section 2, in line item 4510-0600, by inserting after the words "Franklin county" the following:- "provided, that $150,000 shall be expended for the purpose of studying the public health impacts of TCE, benzene and other contaminants found in the Barnes and Southampton aquifers located within the towns of Southampton and Easthampton and the cities of Holyoke and Westfield."
Floor Number: 524 Clerk Number: 363
EMERGENCY MEDICAL SERVICES
Mr. Knapik and Mr. Barrios move to amend the bill, in section 2, in item 4510-0712, by striking out the words, "provided, that the department may expend an amount not to exceed $800,000 from revenues collected from individuals applying for emergency medical technician licensure and recertification", and inserting in place thereof the following:- "provided, that the department may expend an amount not to exceed $1,100,000 from revenues collected from individuals applying for emergency medical technician licensure and recertification".
Floor Number: 525 Clerk Number: 400
HIV DRUG ASSISTANCE PROGRAM
Mr. Moore, Mr. Montigny, Mr. O'Leary, Ms Wilkerson, Mr Tisei and Mr. Barrios move to amend the bill in Section 2, in item 4512-0103, by striking out the figures "$31,494,099" and inserting in place thereof the following:- "$35,494,099".
Floor Number: 526 Clerk Number: 447
EOHHS HDAP
Mr. Lees moves that the bill be amended
in section 2, in item 4512-0103 by striking out the figures "31,494,099"
and inserting in place thereof the figures "34,994,099"; and
moves
to further amend said section 2 in item 4512-0106 by striking out the figures
"1,200,000" and inserting in place thereof the figures "1,900,000".
Floor Number: 527 Clerk Number: 401
HIV AIDS DRUG ASSISTANCE REBATES RETAINED REVENUE
Mr. Moore, Mr. Montigny, Mr. O'Leary, Ms Wilkerson, Mr Tisei and Mr. Barrios move to amend the bill, in section 2, in line item 4512-0106, by striking out, in line 1, the words "$1,200,000" and inserting in place thereof the words"$1,900,000"; and by striking out, in said item, the figures "$1,200,000" and inserting in place thereof the figures "$1,900,000".
Floor Number: 528 Clerk Number: 183
LOUIS D BROWN PEACE INSTITUTE
Mr. Hart of Boston move to further amend the bill in section 2 in item 4512-0200, in line 8 and inserting after the word "groups" the following item: - "provided further, that not less $50,000 shall be expended for the Louis D. Brown Peace Institute for homicide victims' family support services and anti-violence advocacy programs."
Floor Number: 529 Clerk Number: 324
ORANGE RECOVERY HOUSE
Mr.
Brewer moves to amend the bill, in section 2, in item 4512-0200, by adding at
the end thereof the following:-
"provided further, that not less than
$90,000 shall be expended for Franklin Medical Center for programming at the Orange
Recovery House"
Floor Number: 530 Clerk Number: 422
TARGETED SUBSTANCE ABUSE SERVICES
Ms. Wilkerson, Mr. Barrios and Mr. Joyce move to amend the bill in section 2, in item 4512-0200, by striking the words "provided further, that funds shall be expended for Latinas y Ninos; provided further, that no funds appropriated herein shall be expended for Latinas y Ninos until the organization provides evidence that funds shall not be used to support non-Massachusetts residents;" and inserting in place thereof the following: --
"provided further, that not less than $99.925 be expended for Latinas Y Ninos to provide a full-time child advocate parent educator specialist to attend to the needs of Latino women in recovery with a focus on pregnant women, new parents, and mothers recently reunified with their children;"
Floor Number: 531 Clerk Number: 450
EOHHS HDAP 2
Mr. Lees moves that the bill be amended in section 2, in item 4512-0200 by striking out the figures "36,227,349" and inserting in place thereof the figures "47,191,543".
Floor Number: 532 Clerk Number: 492
ALCOHOLISM RECOVERY HOUSE
Mr.
Barrios moves to amend the bill (S. 2400), in line-item 4512-0200, by adding at
the end thereof the following:-
"Provided further that an additional
$458,000 shall be expended for a contract with Bay Cove Human Services, Inc. for
the purpose of establishing an independent licensed halfway house in Charlestown,
in collaboration with the Charlestown Recovery House, Inc. for persons in recovery
from alcoholism and chemical dependency."
Floor Number: 533 Clerk Number: 630
PROJECT COPE
Mr. McGee moves that the bill be amended in section 2, in item 4512-0200, by adding at the end thereof the following: -
"provided further, that no less than $60,000 shall be provided to Project COPE, Inc. in Lynn for the prevention and education of the problems associated with OxyContin and Heroine use."
Floor Number: 534 Clerk Number: 73
TAUNTON ORAL HEALTH CLINIC
Mr.
Pacheco of Taunton moves to amend the bill in Section 2, in line item 4512-0500,
in line 4 by inserting after the word "disabled;" the following
words:-
"provided that not less than $122,000 shall be expended for the
Taunton Oral Health clinic in the City of Taunton,"
Floor Number: 535 Clerk Number: 745
MOBILE DENTAL PROGRAM
Mr.
Pacheco of Taunton moves to amend the bill in Section 2, in item 4512-0500, in
line 4, by adding after the word " disabled" the following:-
";provided
further not less than $15,000 shall be expended for the Department of Youth Services
Mobile Dental program for disadvantaged adolescents without access to dental health
services, for basic supplies, equipment and administration of said program."
Floor Number: 536 Clerk Number: 769
HINGHAM DISTICT COURT IMMERSION PROGRAM
Mr. Hedlund moves
to amend the bill, in section 2, in item 4512-2000, by adding at the end thereof
the following :-
"; and provided further that not less than $54,000
shall be expended for the Hingham district court for a total immersion program".
Floor Number: 537 Clerk Number: 22
DEPARTMENT OF PUBLIC HEALTH
Ms. Menard moves that the bill be amended in section 2, in line item 4513-1000 by
Striking out the figure $6,760,000 and inserting in place thereof the following figure:-"$7,475,000".
Floor Number: 538 Clerk Number: 782
CANCER AWARENESS PROGRAM
Mr. McGee moves that the bill be amended in section 2, by inserting after item 4513-1112 the following item:
"4513-1113. For the Colorectal Cancer Awareness Program………………$185,000"
Floor Number: 539 Clerk Number: 35
STATE LABORATORY INSTITUTE
Mr. Moore moves to amend the bill, in section 2, in line item 4516-1000, by striking the figure $9,701,774 and inserting in place the following:- $10,299,975
Floor Number: 540 Clerk Number: 221
TEENAGE PREGNANCY PREVENTION
Mr. Nuciforo moves to amend the bill, in section 2, in line item 4530-9000, by inserting after the words "the town of Orange;", the following:- "provided further, that not less than $150,000 shall be expended for the Berkshire Coalition to Prevent Teenage Pregnancy; provided further, that not less than $250,000 shall be expended for the abstinence based teen pregnancy prevention programs located in the cities of Pittsfield and North Adams;"
Floor Number: 541 Clerk Number: 584
OFFICE OF HEALTH SERVICES
Mr. Creedon moves to amend the bill, Senate 2400, in item 4530-9000, by inserting at the end of the section the following: "and provided further, that not less than $200,000 shall be expended to the teen pregnancy program for the city of Brockton".
Mr. Creedon moves to further amend the bill, Senate 2400, in item 4530-9000, by striking the figure "990,000" and inserting in place thereof the figure "1,199,000".
Floor Number: 542 Clerk Number: 36
ESSENTIAL SCHOOL HEALTH SERVICES AND SCHOOL-BASED HEALTH CENTERS
Mr.
Moore moves to amend the bill, in section 2, item 4590-0250 by striking the words
"that not less than $12,000,000 shall be expended for school nurses and school
based health centers" and inserting the in place the following:- For school
health services and school-based health centers in public and non-public schools;……provided
further that not less than $16,5000,000 shall be expended for school nurses and
provided further that not less than $4,5000,000 shall be expended for school-based
health centers………………………$21,000,000
Floor Number: 543 Clerk Number: 419
TARGETED HEALTH SERVICES
Ms. Wilkerson moves to amend
the bill in Section 2, in item 4590-0250 by inserting after the words "department
of education" the following: -
""provided further, that
99,000 shall be expended to the H.E.L.P. Program so-called for black males health;"
Floor Number: 544 Clerk Number: 140
AN AMENDMENT INCREASING TOBACCO CONTROL PROGRAM FUNDING
Mr. Moore and Ms. Walsh move to amend the bill by striking out item 4590-0300 and inserting in place thereof the following line item:
4590-0300 For youth smoking prevention and tobacco control programs, including enforcement of illegal sales to children laws by local boards of health and coordinated treatment resources, including the Tobacco Free Helpline and QuitWorks; provided that no funds shall be expended in the AA subsidiary, so-called, for any personnel-related costs, and provided further that, notwithstanding the provisions of Ch. 29D of the general laws or the provisions of any other general or special law to the contrary, funds may be expended from the Health Care Security Trust for the purposes of this item…………………………………………………………..$8,000,000
Health Care Security Trust…………………………………………….100%
Floor Number: 545 Clerk Number: 37
LINE ITEM 4590-0301 SCHOOL HEALTH RETAINED REVENUE ACCOUNT
Mr. Moore moves to
amend the bill, in section 2, by inserting the following:-
4590-0301 The department of public health may expend an amount not to exceed an amount generated by federal reimbursements as outlined in Section XXX (see my request to set a minimum contingency fee under MGL, section 72, chapter 44) of this act; provided, that the revenue shall be directed toward additional resources for school nurses and school-based health centers.
Floor Number: 546 Clerk Number: 332
S.A.F.E.
Mr.
Brewer, Ms. Resor, Mr. Lees and Mr. Tarr move to amend the bill, in section 2,
by inserting after item 4590-0300 the following item:-
"4590-0302 For
a discretionary grant program for city and town student awareness of fire education
programs, to be known as S.A.F.E programs………………………
$1,000,000"
Floor Number: 547 Clerk Number: 579
PREVENTIVE MEDICINE CONTRIBUTION REQUIREMENT
Mr. Creedon moves to amend the bill, Senate 2400,by striking section 341 in its entirety.
Floor Number: 548 Clerk Number: 7
RADIATION CONTROL TRUST ACCOUNT
Mr. O'Leary moves to amend the bill by inserting,
after Section 362, the following new Section:-
"SECTION___. Paragraph
G of section 5K of chapter 111 of the Massachusetts General Laws, as amended by
section 1 of chapter 425 of the Acts of 2002, is hereby amended by striking out
the last sentence and inserting in place thereof the following:-
"The
Department may make a collection based on this assessment directly from the electric
companies and deposit the monies directly into the Radiation Control Trust Account."
Floor Number: 549 Clerk Number: 43
ADDRESSING THE NURSING
FACULTY SHORTAGE IN PUBLIC INSTITUTES OF HIGHER EDUCATION
Explanatory Note:
BACKGROUND
The Nursing Shortage
In Massachusetts,
according to a recent study by the Massachusetts Hospital Association, the state
is experiencing an 8.5 percent vacancy rate for RN positions in acute care facilities.
In long term care, the vacancy rate is 17 percent. The overall shortage is projected
to reach 29 percent by 2020. In hard numbers, there are estimated to be about
7000 nurse vacancies in the state at the present time. New nurses are needed to
replace retiring nurses and to meet increasing demand for healthcare services,
created by the aging population and increased life expectancy. The Massachusetts
Department of Employment and Training (DET) projects an expansion of 12,000 new
nursing positions by 2010. These figures mirror nationwide projections reported
recently by the Health Resources and Services Administration of the U.S. Department
of Health and Human Services. National shortage figures for 2000 show a vacancy
rate of 6 percent. By 2020, the shortage is expected to grow to 29 percent.
The Nursing Faculty Shortage
In Massachusetts, nursing education programs
at all levels, including BSN, ADN and LPN, are currently unable to expand their
capacities. Most are full and have substantial waiting lists of qualified applicants.
Nursing program administrators report that a shortage of qualified faculty is
or will soon become the key factor in programs' ability to maintain or expand
capacity and enroll more qualified applicants. Vacancy projections for 2003-2004,
based on a survey conducted by the Board of Registration in Nursing, predict a
16% vacancy rate for faculty at the Associate Degree level and 4% Baccalaureate
and Higher degree levels. Actual figures are projected to be higher in light of
the Early Retirement Incentive Program available to faculty at publicly funded
schools. While these vacancy rates indicate a problem, the real issue is that
the pipeline for future faculty is extremely limited. Data gathered by the Massachusetts
Colleagues in Caring Collaborative in 2002 indicate that only 10% of nurses in
the state have a Master's degree in nursing and 35.9% have their bachelor degree
in nursing. Meanwhile, 78.2% of registered nurses in Massachusetts do not plan
to seek additional nursing education within the near future. These figures indicate
that without direct intervention, the faculty vacancy rates will only get worse.
In order to meet the need for additional nurses throughout the industry, we need
to expand the nursing education system. Unfortunately, in light of the faculty
shortage issues, we may be unable to maintain the system at its present capacity.
The causes of the faculty shortage are complex. As with
the nursing shortage
in general, the faculty ranks within nursing education
programs are aging and
faculty are beginning to retire in large numbers, with
an extra push from the Early Retirement Incentive Program. Other contributing
factors include historic downsizing of nurse education programs in response to
enrollment fluctuations, lower salary levels compared to clinical roles, the challenges
of working in an academic environment, the length of time it takes to obtain graduate
degrees, the lack of graduate programs with educator tracks, and the fiscal crisis
in Massachusetts.
Strategies to address will require
efforts of all stakeholders including RN programs,
graduate schools of nursing,
healthcare employers, nurses, state and federal policy-makers, third party payers,
and the public. Although the nursing faculty shortage impacts all stakeholders,
the three key players are the schools of nursing, healthcare employers and individual
nurses who may be interested in becoming faculty.
Nursing
and the Healthcare Economy
As an economic sector, health care is the state's
second largest employer, accounting for over 400,000 jobs, or 14% of employment.
That number is projected to continue to climb. Registered nurses account for more
than eighteen percent (18.25%) of all health care workers with the majority working
within acute care facilities. "When taken in total, the health system network,
along with research and the growing biotech industry, provides a strong platform
for economic growth in Massachusetts. This broad industry must be increasingly
seen as the economic foundation for the Commonwealth's future." (From Why
Care: Massachusetts Health Care: On the Brink, published by the Massachusetts
Hospital Association, 2003.)
Current efforts:
Current
efforts to address the shortage consist primarily of partnerships between schools
of nursing and the local healthcare employers which eventually employ many of
their graduates. Typically, the school, which needs clinical instructors for their
current students, will appeal to the employer to identify and release, at least
part time, qualified nurses who are willing to work as instructors for nursing
students. The return on investment for the employer is maintaining a somewhat
stable supply of newly graduated nurses. Unfortunately, since most healthcare
employers are operating under major fiscal restraints, these partnerships are
most often short-term-perhaps one or two years. Some employers, however, have
begun to expand these partnerships to include loaning MSN prepared-nurses to work
as full time faculty while continuing to support them financially.
Floor Number: 550 Clerk Number: 47
AN AMENDMENT RELATIVE TO CHAPTER 6A
Mr. Moore moves to amend the bill by
adding at the end thereof the following new Section:- SECTION________.
Section
16 of chapter 6A of the general laws, as appearing in the 2002 official edition,
as amended by section 15 of chapter 26 of the Acts of 2003, is hereby amended
by inserting in subsection (m) of the fourth paragraph thereof the following after
the word "except" the following:- "the commissioner of public health,
and except"