Department of Public Health

Department of Public Health.

State Appropriations

4510-0100

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; provided further, that the department is hereby authorized to transfer up to 3 per cent of the funds appropriated herein to items 4510-0103, 4510-0104, and 4510-0105 in section 2 of this act; provided further, that no such transfer shall occur before May 1, 1998; provided further, that 30 days before any such transfer is made, said department shall file with the house and senate committees on ways and means a schedule of the amounts to be transferred and the reasons therefor; and provided further, that any such transfers from this item shall not cause a deficiency in this item

......................................................$$7,779,294

4510-0103

For the payment of charges assessed to the department for the payment of workers compensation, unemployment insurance, medicare taxes, health security plan, and the group insurance commission extended leave chargeback, so-called, as classified by the comptroller; provided, that all funds appropriated herein shall be scheduled in the DD subsidiary, so-called; provided further, that no funds from any other item of state appropriation available to the department shall be used for said payments; provided further, that the department is hereby authorized to transfer up to 3 per cent of the funds appropriated herein to items 4510-0104 and 4510-0105 in section 2; provided further, that no such transfer shall occur before May 1, 1998; provided further, that 30 days before any such transfer is made, said department shall file with the house and senate committees on ways and means a schedule of the amounts to be transferred and the reasons therefor; and provided further, that any such transfers shall not cause a deficiency in this item

......................................................$4,228,816

4510-0104

For the administrative expenses and chargebacks of the department made pursuant to the EE subsidiary, so-called, as classified by the comptroller; provided, that all funds appropriated herein shall be scheduled in the EE subsidiary, so-called; provided further, that no funds from any other item of state appropriation available to the department shall be used for said expenses and chargebacks; provided further, that the public health hospitals funded in items 4540-0900 and 4590-0900, the center for laboratory and communicable disease control and the state laboratory funded in item 4516-1000, the nuclear safety assessment program funded in item 4510-0615, the drug registration and monitoring program funded in item 4510-0616, and the universal immunization program funded in item 4580-1000 shall not be subject to the provisions stated herein; provided further, that the department is hereby authorized to transfer up to 3 per cent of the funds appropriated herein to items 4510-0103 and 4510-0105 in section 2; provided further, that no such transfer shall occur before May 1, 1998; provided further, that 30 days before any such transfer is made, said department shall file with the house and senate committees on ways and means a schedule of the amounts to be transferred and the reasons therefor; and provided further, that any such transfers shall not cause a deficiency in this item

......................................................$1,402,584

4510-0105

For the space and energy payments made by the department pursuant to the GG subsidiary, so-called, as classified by the comptroller; provided, that all funds appropriated herein shall be scheduled in the GG subsidiary, so-called; provided further, that no funds from any other item of state appropriation available to the department shall be used for said payments; provided further, that the public health hospitals funded in items 4540-0900 and 4590-0900, the center for laboratory and communicable disease control and the state laboratory funded in item 4516-1000, and the universal immunization program funded in item 4580-1000 shall not be subject to the provisions stated herein; provided further, that the department is hereby authorized to transfer up to 3 per cent of the funds appropriated herein to items 4510-0103 and 4510-0104 in section 2; provided further, that no such transfer shall occur before May 1, 1998; provided further, that 30 days before any such transfer is made, said department shall file with the house and senate committees on ways and means a schedule of the amounts to be transferred and the reasons therefor; and provided further, that any such transfers shall not cause a deficiency in this item

......................................................$3,089,193

4510-0110

For community health center services, including smoking cessation programs

......................................................$1,100,473

General Fund .................. 50.12%

Health Protection Fund .................. 49.88%

4510-0150

For the managed care program at community health centers known as CenterCare established pursuant to section 24F of chapter 111 of the General Laws; provided, that the monthly number of clients enrolled in said program shall not exceed the average monthly enrollment in said program for fiscal year 1997; provided further, that the department may assist professional and nonprofit agencies dedicated to the advancement of the scope and nature of services delivered in communities and community health centers and to pursue available federal technical assistance funding; and provided further, that $220,350 shall be expended on a statewide program of technical assistance to community health centers to be provided by a state primary care association qualified under section 330(f)(1) of the United States Public Health Service Act at 42 USC 254c

......................................................$4,347,350

Health Care Access Fund .................. 100.0%

4510-0600

For an environmental and community health hazards program, including control of radiation and nuclear hazards, consumer products protection, food and drugs, lead poisoning prevention in accordance with chapter 482 of the acts of 1993, lead-based paint inspections in day care facilities, inspection of radiological facilities, licensing of x-ray technologists, and the administration of the division of environmental epidemiology and toxicology for the purpose of implementing certain provisions of chapter 470 of the acts of 1983, the "Right-to-Know" law, so-called; provided, that the expenditures from this item for the fair packaging and labeling survey program shall be contingent upon the prior approval of the proper federal authorities for reimbursement of 100 per cent of the amounts so expended; provided further, that $50,000 shall be obligated for a contract to provide an environmental risk assessment of the incidence of cancer in the town of Natick, including the costs of a public health nurse or epidemiologists; provided further, that the department may expend not more than $150,000 to conduct a brain tumor/cancer, leukemia, non-Hodgkin lymphoma, lung and bronchus, liver and inflammatory bowel disease and Hodgkin disease in the town of Rockland; provided further, that not less than $114,000 shall be expended on the implementation of a program to manage the disposal of low-level radioactive waste in accordance with sections 7, 8, 11, 13 and 16 of chapter 111H of the General Laws; provided further, that no funds appropriated herein shall be expanded for the purpose of siting or locating a low-level radioactive waste facility in the commonwealth; and provided further, that up to $100,000 shall be expended for the study of the spread and control of Lyme disease

......................................................$3,187,144

4510-0615

The department of public health is hereby authorized to expend an amount not to exceed $150,000 from assessments collected in accordance with section 5K of chapter 111 of the General Laws for services provided to monitor, survey and inspect nuclear power reactors; provided, that the department is hereby further authorized to expend revenues not to exceed $591,216 from fees collected from the licensing and inspecting of users of radioactive material within the commonwealth under licenses presently issued by the nuclear regulatory commission; and provided further, that revenues collected may be used for all program costs, including the compensation of employees

......................................................$741,216

4510-0616

For a drug registration and monitoring program; provided, that the department of public health may expend an amount not to exceed $518,393 from revenues collected from a fee charged to registered practitioners, including physicians, dentists, veterinarians and podiatrists, for controlled substance registration; provided further, that funds may be expended from this item for the costs of personnel; and provided further, that 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 as reported in the state accounting system

......................................................$518,393

4510-0617

For environmental monitoring of the nuclear power plant in Seabrook, New Hampshire; provided, that the radiation control program shall evaluate, implement and conduct a program of environmental radiological monitoring of nuclear power plants; provided further, that said program shall include a continuous real-time environmental radiological monitoring system for Massachusetts cities and towns located within the emergency planning zone of said nuclear power plant in Seabrook, New Hampshire; provided further, that should said department contract with a private contractor for services to provide said monitoring, then notwithstanding the provisions of any general or special law to the contrary, the provisions of section 29A of chapter 29 of the General Laws shall be applicable; provided further, that the inspector general shall conduct a review of said contract to ensure that the provisions of chapter 12A of the General Laws have been complied with; provided further, that said contract shall be subject to review by the senate and house committees on post audit and oversight; provided further, that the cost of said item may be assessed on electric companies in Massachusetts which own, in whole or in part, or purchase power from the Seabrook nuclear power plant, whose nuclear power plant area, as defined by section 2B of chapter 650, and as amended by section 24 of chapter 796 of the acts of 1979, includes communities located in the commonwealth; provided further, that for the purposes of said item electric companies shall be defined as all persons, firms, associations and private corporations which own or operate works or distribute electricity in the commonwealth; provided further, that the term electric companies shall not include municipalities or municipal light plants; and provided further, that the department of public health shall make quarterly payments to any private research and education foundation providing these services under contract to the department

......................................................$87,150

4510-0710

For the operation of the division of health care quality; provided, that said division shall be responsible for assuring the quality of patient care provided by the commonwealth's health care facilities and services, and for protecting the health and safety of patients who receive care and services in nursing homes, rest homes, clinical laboratories, clinics, institutions for the mentally retarded and the mentally ill, hospitals and infirmaries, including the inspection of ambulance services

......................................................$5,289,671

4510-0712

The department is hereby authorized to expend an amount not to exceed $473,500 in revenues collected from the licensure of health facilities; provided, that the department is hereby authorized to collect revenues of not less than $175,000 from the licensure of mammography facilities; and provided further, that revenues collected may be used for all program costs, including the compensation of employees

......................................................$473,500

4510-0750

For the determination of need program established pursuant to section 25C of chapter 111 of the General Laws

......................................................$135,820

4510-0790

For regional emergency medical services; provided, that the regional emergency medical services councils designated as such in accordance with 105 CMR 170.101 and the C-MED communications as of January 1, 1992 shall remain the designated councils and C-MEDs; and provided further, that not less than $68,000 shall be made available for region I, not less than $88,000 shall be made available for region II, not less than $88,000 shall be made available for region III, not less than $88,000 shall be made available for region IV, and not less than $68,000 shall be made available for region V

......................................................$400,000

Local Aid Fund .................. 100.0%

4510-0810

For a statewide sexual assault nurse examiner program, SANE, for the care of victims of sexual assault who are 16 years of age and older; provided, that the program shall operate under specific protocols and by an on-call system of said nurse examiners established by the department

......................................................$200,000

4512-0103

For acquired immune deficiency syndrome prevention and treatment; provided, that not less than $300,000 shall be expended for the operation of a pilot program to be administered by the Springfield Department of Health for a comprehensive drug treatment for the prevention of AIDS

......................................................$49,618,634

General Fund .................. 93.27%

Health Protection Fund .................. 6.73%

4512-0110

For rental housing subsidies for the purposes of preventing institutionalization in acute hospitals, chronic hospitals, and nursing homes; provided, that the department may contract for the administration of said program; provided further, that the costs of said administrative contract shall not be expended from this item; provided further, that rents payable by tenants shall be not less than 30 per cent of total household income if heat and cooking fuel are provided by the landlord and shall be not less than 25 per cent of total household income if heat and cooking fuel are not provided; provided further, that no funds shall be expended for subsidies for housing units in excess of the number of units funded on June 30, 1991; and provided further, that the department shall not enter into any new housing contracts or expend funds for such new contracts in fiscal year 1998 that would fund units in excess of the number of units funded on June 30, 1997

......................................................$118,800

4512-0200

For the administration of the division of substance abuse services, including a program to reimburse driver alcohol education programs for services provided for court adjudicated indigent clients; provided, that not less than $9,843,259 shall be expended for detoxification services, including not less than $2,000,000 for detoxification beds targeted to homeless individuals; provided further, that not less than $500,000 shall be expended for AIDS education for clients served by said program; provided further, that not less than $615,000 shall be expended for the Celeste House; provided further, that not less than $66,000 shall be expended for the "CASPAR" emergency service center, so-called in Cambridge; provided further, that not less than $650,350 shall be expended for a contract with Sobriety Treatment, Education and Prevention, Inc., doing business as STEP, Inc.; provided further, that not less than $350,000 shall be allocated to provide three pilot child care programs, one family day care system model and two on-site traveling models for the children of parents in ambulatory drug and alcohol treatment; provided further, that not less than $500,000 shall be expended for the treatment and detoxification of intravenous drug users who test positive for HIV, so-called; provided further, that not less than $200,000 shall be expended for a residential program to provide alcohol and drug treatment services to Hispanic women in the commonwealth; provided further, that not less than $250,000 shall be expended for a system of case management and central intake for substance abuse treatment services in the city of Boston; provided further, that not less than $80,000 shall be expended for substance abuse consultant services for the department of social services; provided further, that the commissioner of the department of public health is hereby authorized and directed to enter into an interagency service agreement with the department of social services to provide said consulting services; provided further, that $240,000 shall be expended for additional detoxification services; provided further that $400,000 shall be expended for an acute treatment program for detoxification and stabilization services for civilly committed women; provided further, that $75,000 shall be expended for a study, in consultations with the corrections commissioner, probation commissioner, the office of community corrections and the McCormick Institute on alternatives to incarcerations for substance abusing women committed to the state corrections department or county houses of correction; provided further, that not less than $60,000 shall be allocated for Bay Colony Health Services, Inc.; provided further, that not less than $2,000,000 shall be allocated to expand the purchase of long-term residential treatment beds operated by agencies contracting with the department of public health as of January 1, 1996; provided further, that not less than $2,000,000 shall be expended for the purchase of outpatient treatment services to high risk populations in agencies contracted with the department of public health as of January 1, 1996; provided further, that not less than $72,000 of said allocation shall be expended for the Tynan Community Center Adolescent Wellness program in the city of Boston; provided further, that no less than $58,420 shall be expended for a contract with Gavin House to provide a pilot total immersion program in conjunction with the probation department of the South Boston division of the district court department of the trial court; provided further, that not less than $50,000 shall be expended for the Hingham district court for a pilot total immersion program; provided further, that not less than $50,000 shall be expended for the establishment of a training program for a statewide total immersion program; provided further, that Gavin House shall be contracted to provide immersion programs stated herein; provided further, that said study shall identify and quantify the demand for such alternative services and programs, the options available to meeting for meeting such demand and the annualized cost therefor; provided further, that said study shall be submitted to the house and senate committees on ways and means and the joint committee on criminal justice no later than February 1, 1998; provided further, that the department shall add through the competitive process two additional so-called half-way houses to the residential programs funded in order to expand the supply of available beds; provided further, that not less than $70,000 shall be expended for a department of public health certified New Bedford batterer intervention program; provided further, that not less than $60,000 shall be expended for the McLaughlin House in Charlestown; provided further, that not less than $200,000 shall be allocated from this item to Beacon Substance Abuse Programs for programs including but not limited to alcohol, drug and tobacco prevention; provided further, that the department of public health shall conduct a study to produce an inventory of all caseloads and expenditures for substance abuse and rehabilitation programs; provided further, that not less than $500,000 shall be expended for drug treatment and associated services to Children in Need of Services or CHINS, so-called; provided further, that the department shall file with the house and senate committees on ways and means no later than September 1, 1997 a list of substance abuse treatment facilities providing services for CHINS cases, so-called; provided further, that $180,000 shall be expended for the establishment of a pilot adolescent residential facility for substance abuse and rehabilitation services in the South Boston section of the city of Boston; and provided further, that the department shall study and file a report with the house and senate committees on ways and means on the impact of all specified expenditures within the substance abuse account no later than January 1, 1999

......................................................$41,861,532

General Fund .................. 83.23%

Health Protection Fund .................. 16.77%

4512-0225

The department is hereby authorized to expend for a compulsive gamblers treatment program an amount not to exceed $1,000,000 from unclaimed prize money held in the State Lottery Fund for more than one year from the date of the drawing when said unclaimed prize money was won; provided, that the state comptroller is hereby authorized and directed to transfer said amount to the General Fund

......................................................$1,000,000

4512-0500

For dental health services

......................................................$1,312,605

4513-1000

For the operation of the division of family health services, including a program of maternal and child health in addition to any federal funds received for this program; provided, that not less than $250,000 shall be expended for community-based prenatal outreach and education programs targeted to those communities with severe infant mortality issues; provided further, that not less than $19,584,887 shall be expended for early intervention services; provided further, that the department shall report quarterly to the house and senate committees on ways and means the total number of units of service purchased and the total expenditures for said units of service paid by the department, the division of medical assistance, and by private payers for early intervention services for each of the following units: home visit, center-based individual, child focused group, parent focused group, screening, and assessment; provided further, that the department shall fund not less than 39 full time equivalent employees for the early intervention program; provided further, that the department shall make all reasonable efforts to secure third party and medicaid reimbursements for the early intervention services funded herein; provided further, that nothing herein shall give rise to enforceable legal rights to any such services or an enforceable entitlement to the early intervention services funded herein; provided further, that nothing stated herein shall be construed as giving rise to such enforceable legal rights or such enforceable entitlement; provided further, that not less than $107,000 be expended for the Our Babies/Our Future program; provided further, that $200,000 shall be expended for the "Women Enjoying Longer Lives" program; provided further, that not less than $100,000 be expended for the purposes of section 51 of chapter 111 of the General Laws and section 10 of chapter 218 of the acts of 1995; provided further, that said department shall file a report with the joint committee on health care no later than December 31, 1997 for the purpose of establishing a mechanism for the collection of data concerning the implementation of and hospital compliance with chapter 218 of the acts of1995; provided further, that not less than $35,000 be expended for the Framingham teen parenting program; provided further, that an amount not to exceed $500,000 may be expended for reimbursements to providers for early intervention services rendered in the prior fiscal year resulting from a denial of third party reimbursement claims; provided further, that not less than $1,946,000 shall be expended for rape prevention and victim services; provided further, that not less than $4,263,000 shall be expended for family planning services provided by agencies certified as comprehensive family planning agencies; provided further, that not less than $75,000 shall be expended for a program for the promotion of preventive medicine through physical fitness and sports activities in the commonwealth to be administered by the governor's committee on physical fitness and sports; provided further, that not less than $1,290,063 shall be expended for school and community-based teen health programs; provided further, that not less than $200,000 shall be provided to the Northeastern university conflict resolution program; provided further, that not less than $79,200 shall be expended for the North Quabbin domestic violence prevention program; provided further, that not less than $100,000 shall 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/or mothers recently reunified with children; provided further, that $35,000 be allocated from this item to the Men Overcoming Violence (MOVE) program; and provided further that not less than $750,000 shall be expended for state-wide programs that provide suicide prevention outreach to gay and lesbian youth

......................................................$32,425,439

General Fund .................. 75.18%

Health Protection Fund .................. 24.82%

4513-1001

For certified batterer intervention programs to assist indigent batterers and their families; provided, that referred batterers are required to perform a minimum of 40 hours of community service; provided further, that the department shall, on behalf of the governor's commission on domestic violence, conduct a program evaluation to identify the capacity of said programs to comply with certification standards and to effectively meet the safety needs of the victims and children of batterers; and provided further, that said department shall submit a report of the results of said evaluation to said commission no later than November 1, 1997

......................................................$300,000

4513-1002

For women, infants, and children's, WIC, nutrition services in addition to funds received under the federal nutrition program; provided, that all new WIC cases, in excess of fiscal year 1991 caseload levels, shall be served in accordance with priority categories one through seven, as defined by the state WIC program; provided further, that within 30 days of the effective date of this act, the department shall report to the house and senate committees on ways and means the total number of cases which can be supported with funds from this item without incurring a deficiency; provided further, that the department shall report quarterly to the house and senate committees on ways and means the total number of clients served per month and the total food voucher expenditures per month for the WIC program; and provided further, that not less than $602,000 shall be obligated for failure to thrive programs

......................................................$14,110,801

General Fund .................. 87.03%

Health Protection Fund .................. 12.97%

4513-1005

For the healthy start program to provide medical care and assistance to pregnant women and infants residing in the commonwealth pursuant to section 24D of chapter 111 of the General Laws; provided, that pursuant to an interagency agreement established with the division of medical assistance, the department of public health shall determine the presumptive eligibility of low-income pregnant women for services available under Title XIX and chapter 118E of the General Laws

......................................................$6,526,113

General Fund .................. 65.34%

Health Protection Fund .................. 34.66%

4513-1010

The department of public health is hereby authorized to expend an amount not to exceed $1,500,000 generated from revenues received from the collection of federal financial participation for early intervention services delivered to medicaid-eligible children by developmental educators and related disciplines; provided, that nothing herein shall give rise to enforceable legal rights to any such services or an enforceable entitlement to the early intervention services funded herein; provided further, that nothing stated herein shall be construed as giving rise to such enforceable legal rights or such enforceable entitlement; and provided further, that said revenue may be used to pay for current and prior year claims

......................................................$1,500,000

4513-1012

The department of public health may expend an amount not to exceed $20,500,000 from revenues received from the infant formula price enhancement system, for the purpose of increasing the caseload of the WIC program

......................................................$20,500,000

4513-1111

For an osteoporosis education and prevention program; provided, that the program shall include, but not be limited to: (1) development or identification of educational material to promote public awareness of the cause of osteoporosis, options for prevention, the value of early detection, and possible treatments, including their benefits and risks, to be made available to consumers, particularly targeted to high risk groups; (2) development or identification of professional education programs for health care providers; and (3) development and maintenance of a list of current providers of specialized services for prevention and treatment of osteoporosis

......................................................$500,000

General Fund .................. 64.61%

Health Protection Fund .................. 35.39%

4513-1112

For a prostate cancer prevention, education, and treatment program

......................................................$1,500,000

4516-1000

For the administration of the center for laboratory and communicable disease control, including the division of communicable venereal diseases, the division of tuberculosis control, and the state laboratory institute; provided, that the department shall give priority to services to analyze samples used in prosecution of controlled substances offenses; provided further, that not less than $263,244 shall be expended for the maintenance of the statewide rabies control program coordinated by the department of public health providing assistance to cities, towns, and the public, and for the interagency collaboration through the rabies advisory committee, the 24-hour epidemiological and clinical consultation for rabies exposures, the rapid laboratory diagnostic services, and for the continuation of the raccoon rabies vaccine field trial on Cape Cod operated through a contract with Tufts University School of Veterinary Medicine in collaboration with the federal Centers for Disease Control and Prevention; provided further, that funds shall be expended for an eastern encephalitis testing program and for tuberculosis testing and treatment services; and provided further, that no funds appropriated herein shall be expended for administrative, space or energy expenses of the department not directly related to personnel or programs funded herein

......................................................$10,494,271

4518-0100

For the health statistics program and for the operation of a cancer registry and occupational lung disease registry

......................................................$1,044,485

General Fund .................. 64.25%

Health Protection Fund .................. 35.75%

4518-0200

The department is hereby authorized to expend an amount not to exceed $200,000 generated by fees collected from the following services: amendments of vital records by the registrar of vital records and statistics, all requests for vital records not issued in person at the offices of the registry, and research requests performed by registry staff at the registry of vital records; provided, that revenues so collected may be used for all program costs, including the compensation of employees; and provided further, that 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 as reported in the state accounting system

......................................................$200,000

4530-9000

For teenage pregnancy prevention services; provided, that applications for such funds shall be administered through the department upon receipt and approval of coordinated community service plans to be evaluated in accordance with guidelines issued by the department; provided further, that portions of said grants may be used for state agency purchases of designated services identified by said community service plans; provided further, that not less than $175,000 shall be expended for the FIRSTSteps program in Berkshire County; and provided further, that $100,000 shall be expended for teen pregnancy prevention services and associated costs in the town of Orange

......................................................$4,358,882

4540-0900

For the maintenance of and for certain improvements to the department of public health hospitals; provided, that the department shall not enter into a tax exempt lease purchase agreement for the purchase for a computerized billing system which requires the amortization of expenditures; provided further, that Tewksbury state hospital shall not be used to house county, state or other prisoners; provided further, that the department shall take no action to reduce or realign the client population and services at the Tewksbury state hospital unless such action results in alternative service delivery in an appropriate and cost-effective method of care; provided further, that staffing configurations at said hospital shall be consistent with said client population and service realignment; provided further, that not less than $25,000 shall be expended for an adult day service program; provided further, that no funds appropriated herein shall be expended for administrative, space or energy expenses of the department not directly related to personnel or programs funded herein; and provided further, that not less than $15,000 shall be paid for chaplain services at Tewksbury state hospital

......................................................$30,006,325

4570-1500

For an early breast cancer detection program, mammographies for the uninsured, breast cancer research, and a breast cancer detection public awareness program; provided, that not less than $1,500,000 shall be expended for the purposes of a scientific research grant program to investigate potential environmental factors that contribute to breast cancer in "areas of unique opportunity"; provided further, that not less than $2,250,000 shall be expended for a breast cancer research grant program to support innovative research by investigators who are in the formative stages of their careers; provided further, that the department shall name one of the said research grants the "Suzanne Sheats Breast Cancer Research Fellowship"; provided further, that said research grants shall be awarded to investigators, post-doctoral fellows and assistant professors who are within ten years after completion of their highest degree or within ten years after completion of clinical training; provided further, that members of any selection review committee for the breast cancer research grant program shall be subject to chapter 268A and shall not participate in the review or recommendation of an application filed by an organization with which they are affiliated; provided further, that such members may participate in the review and recommendations of applications filed by organizations with which they are not affiliated; provided further, that $250,000 shall be expended for research grants for experienced researchers, subject to the receipt of matching funds from public or private sources; and provided further, that $1,000,000 shall be expended for the purposes of an early breast cancer detection and education program for uninsured women in identified high-risk communities with increased rates of breast cancer, in order to provide outreach, access, screening and training for early detection and treatment

......................................................$8,200,269

General Fund .................. 94.19%

Health Protection Fund .................. 5.81%

4580-1000

For the universal immunization program established pursuant to section 141 of chapter 653 of the acts of 1989 and sections 45 and 46 of chapter 495 of the acts of 1991; provided that an amount not to exceed $375,000 shall be made available for the provision of hepatitis B vaccine and vaccination series for the state, county, and municipal employees at risk of occupational exposure to infection; provided, that no funds appropriated herein shall be expended for administrative or energy expenses of the department not directly related to personnel or programs funded herein; and provided further, that space rental expenditures from this item in fiscal year 1998 shall not exceed the cost of said expenditures in fiscal year 1996

......................................................$12,146,840

Health Care Access Fund .................. 100.0%

4580-1230

For medical respite services provided by the health care for the homeless program established pursuant to clause (iv) of section 24F of chapter 111 of the General Laws

......................................................$300,000

Health Care Access Fund .................. 100.0%

4590-0300

For the smoking prevention and cessation program established pursuant to chapter 254 of the acts of 1992; provided, that not less than $4,314,662 shall be allocated from this item to the executive office of public safety to administer a discretionary grant program for city and town drug awareness and resistance education programs, to be known as D.A.R.E. programs, which shall include information about the health risks of cigarette smoking and shall include the participation of local and state police officers, subject to the supervision of the department of public health; provided further, that the salary of the statewide D.A.R.E. coordinator shall be paid from said allocations; provided further, that priority shall be given to funding programs in communities with high smoking rates among women; provided further, that not less than $12,081 of said $4,314,662 shall be expended for the "Here's Looking at You 2,000" and "Pals for Wellness" drug education programs, so-called, in the town of Cohasset; provided further, that not less than $13,806,919 shall be allocated from this item to the department of education for grants to cities, towns and regional school districts for comprehensive health education programs, including education on smoking prevention; provided further, that any funds distributed under this item shall be deposited with the treasurer of any such city, town or regional school district, held in a separate account and expended without further appropriation by the school committee; provided further, that not less than $5,177,595 shall be expended from this item for a school health service program, including enhanced school and health centers; provided further, that programs funded in this item shall include an educational component and campaign on smokeless tobacco; provided further, that the department of public health and the department of education shall jointly establish standards and criteria for said school health service programs; provided further, that not less than $1,147,700 shall be expended for tobacco control coalitions; provided further, that not less than $215,733 shall be expended for a discretionary grant program available to nonprofit organizations operating satellite programs which provide outreach services to teenagers involving substance abuse prevention, health programs and community service in the context of recreation and youth development; provided further, that not less than $1,078,666 shall be expended for the student awareness of fire education program (S.A.F.E.); provided further, that said amount shall be allocated to the executive office of public safety to administer a discretionary grant program for city and town student awareness of fire education programs, which shall include information about the fire risks caused by smoking; provided further, that no funds shall be expended from this item for an interagency service agreement with the department of revenue; provided further, that no funds appropriated herein shall be expended for administrative, space leasing or energy expenses of the department; provided further, that $200,000 shall be allocated from this item to the Berkshire County Area Health Education Center, Inc. for programs including but not limited to alcohol, drug and tobacco prevention; and provided further, that said $200,000 shall be in addition to any amount previously made available for this purpose

......................................................$55,821,775

Health Protection Fund .................. 100.0%

4590-0350

For the development of a plan delineating the implementation of the recommendations submitted by the special commission relative to the provision of school health services in the commonwealth established pursuant to section 585 of chapter 151 of the acts of 1996; provided, that said plan shall include, but not be limited to, a projection of costs and funding sources associated with said implementation, the identification of mechanisms to promote the development of collaborative partnerships between school districts, health care providers, and health care insurers, and the identification of criteria necessary to insure that school health services are targeted to high priority sites, and provided further that, said plan shall be submitted to the house and senate committees on ways and means no later than April 1, 1998

......................................................$125,000

4590-0900

The department is hereby authorized to expend an amount not to exceed $73,261,805 from reimbursements collected for hospital services, subject to the approval of the commissioner of public health; provided, that such revenues may be expended for the purpose of hospital related costs, including personnel, capital expenditures, and motor vehicle replacement; provided further, that all revenues expended shall be pursuant to schedules submitted to the secretary of administration and finance and the house and senate committees on ways and means; provided further, that notwithstanding the provisions of any general or special law to the contrary, the western Massachusetts hospital shall be eligible to receive and retain full reimbursement from the medical assistance program of the division of medical assistance; provided further, that notwithstanding the provisions of any general or special law to the contrary, said western Massachusetts 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 such reimbursement shall not exceed 10 per cent of total personnel costs for said hospital; provided further, that the department shall take no action to reduce or align the client population and services at the Tewksbury state hospital unless such action results in alternative service delivery in an appropriate and cost effective method of care; provided further, that said staffing configurations at said hospital shall be consistent with said client population and service realignment; provided further, that funds may be expended from this item for the costs of personnel; provided further, that 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 as reported in the state accounting system; provided further, that no funds appropriated herein shall be expended for administrative, space or energy expenses of the department not directly related to personnel or programs funded herein; and provided further, that reimbursements received for medical services provided at the Lemuel Shattuck hospital to inmates of county correctional facilities not managed by private health care vendors shall be credited to item 4590-0903 of section 2B

......................................................$73,261,805

4590-0902

For the Tewksbury hospital school of nursing; provided, that said school shall merge with an area public institution of higher learning no later than July 1, 1998

......................................................$329,506

4590-0906

For the children's medical security plan to provide primary and preventive health services for uninsured children from birth through age 12; provided, that the department is hereby authorized to transfer not more than $2,000,000 from this item to item 4590-0907; provided further, that the department shall pre-screen enrollees and applicants for medicaid eligibility; provided further, that no funds shall be expended from this item for expenses incurred in the prior fiscal year; provided further, that the department shall maximize federal reimbursement for state expenditure made on behalf of said children; provided further, that the department shall close enrollment or promulgate regulations that adjust eligibility, benefits and other requirements to limit expenditures to the amount appropriated herein; and provided further, that the department shall negotiate with the vendor of said program to ensure that rates paid for the administration of the program do not exceed such rates as are necessary to meet only those costs which must be incurred for an economically and efficiently operated program; provided further, that the department shall develop a marketing plan for program outreach; and provided further, that said plan shall be submitted to the house and senate committees on ways and means no later than October 1, 1997

......................................................$12,244,402

Health Care Access Fund .................. 100.0%

4590-0907

For the children's medical security plan to provide primary and preventive health services for uninsured children from age 13 through age 18 pursuant to section 24G of chapter 111 of the General Laws; provided, that the department shall prescreen enrollees and applicants for medicaid eligibility; provided further, that the department shall maximize federal reimbursement for state expenditures made on behalf of said children; provided further, that the department shall negotiate with the vendor of said program to ensure that rates paid for the administration of the program do not exceed such rates as are necessary to meet only those costs which must be incurred for an economically and efficiently operated program; and provided further, that the department is hereby authorized to transfer not more than $2,000,000 from this item to item 4590-0906

......................................................$5,730,912

Children's and Senior's Healthcare Assistance Fund .................. 100.0%

Federal Appropriations

4500-1000

For the purposes of a federally funded grant entitled, Preventive Health Services Block Grant; provided, that not less than $450,000 shall be obligated to the emergency medical services regions; and provided further, that not less than $585,000 be obligated for rape prevention and victim services

......................................................$5,795,262

4500-2000

For the purposes of a federally funded grant entitled, Maternal and Child Health Services Block Grant; provided that the department shall review and assess the process by which it allocates resources under the appropriation; provided further that the said process shall involve the use of a needs assessment that clearly considers the magnitude, severity, and degree of risk for identified health problems within individual communities; and provided further, that a specific focus will be taken to support programs serving communities and neighborhoods with high poverty rates

......................................................$12,801,427

4502-1012

For the purposes of a federally funded grant entitled, Cooperative Health Statistics System

......................................................$380,000

4510-0109

For the purposes of a federally funded grant entitled, State Loan Repayment Project

......................................................$250,000

4510-0113

For the purposes of a federally funded grant entitled, Massachusetts Office of Rural Health

......................................................$47,000

4510-0118

For the purposes of a federally funded grant entitled, Primary Care Cooperative Agreement

......................................................$103,247

4510-0400

For the purposes of a federally funded grant entitled, Medicare and Medicaid Survey and Certification

......................................................$4,797,978

4510-0500

For the purposes of a federally funded grant entitled, Clinical Laboratory Improvement Amendments

......................................................$597,564

4510-0618

For the purposes of a federally funded grant entitled, HARP

......................................................$38,842

4510-9014

For the purposes of a federally funded grant entitled, Mammography Quality Standards Act Inspections

......................................................$215,959

4510-9019

For the purposes of a federally funded grant entitled, Environmental Monitoring Program

......................................................$75,000

4510-9040

For the purposes of a federally funded grant entitled, Diabetes Control Program

......................................................$356,910

4510-9043

For the purposes of a federally funded grant entitled, Demonstration Program to Conduct Toxic Waste Site Impact Health Assessments

......................................................$365,969

4510-9048

For the purposes of a federally funded grant entitled, Indoor Radon Development Program

......................................................$170,615

4512-0102

For the purposes of a federally funded grant entitled, Sexually Transmitted Disease Control

......................................................$826,782

4512-0179

For the purposes of a federally funded grant entitled, Vaccination Assistance Project

......................................................$9,487,374

4512-9415

For the purposes of a federally funded grant entitled, Boston Drug Treatment Improvement Project

......................................................$651,966

4512-9425

For the purposes of a federally funded grant entitled, Massachusetts Critical Populations

......................................................$687,317

4512-9426

For the purposes of a federally funded grant entitled, Uniform Alcohol and Drug Abuse Data Collection

......................................................$103,566

4512-9427

For the purposes of a federally funded grant entitled, State Demand and Needs Assessment Studies/Alcohol and Other Drugs (Treatment)

......................................................$793,457

4512-9428

For the purposes of a federally funded grant entitled, State Demand and Needs Assessment Studies/Alcohol and Other Drugs (Prevention)

......................................................$150,000

4512-9429

For the purpose of a federally funded grant entitled, HIV/STD/TB Risk Reduction

......................................................$396,336

4513-0110

For the purpose of a federally funded grant entitled, Supportive Housing

......................................................$715,825

4513-0111

For the purpose of a federally funded grant entitled, Housing Opportunities-People with AIDS

......................................................$702,050

4513-9000

For the purposes of a federally funded grant entitled, WIC Patient Flow Analysis

......................................................$85,000

4513-9007

For the purposes of a federally funded grant entitled, Nutritional Status of Women, Infants and Children (WIC); provided, that the department shall report quarterly to the secretary of administration and finance, the joint committee on federal financial assistance, and the house and senate committees on ways and means on all expenditures from this item and the state nutrition program for women, infants and children, including the numbers of participants in each program

......................................................$56,325,561

4513-9018

For the purposes of a federally funded grant entitled, Augmentation and Evaluation of Established Health Education/Risk Reduction Program

......................................................$7,513,149

4513-9021

For the purposes of a federally funded grant entitled, Program for Infants and Toddlers with Handicaps

......................................................$8,492,708

4513-9022

For the purposes of a federally funded grant entitled, Prevention Disability State Based Project

......................................................$443,844

4519-9101

For the purposes of a federally funded grant entitled, WIC/Immunization Linkage Project

......................................................$14,000

4513-9026

For the purposes of a federally funded grant entitled, Families C.A.N. - Care and Nurturance for At-Risk Families

......................................................$450,000

4513-9027

For the purposes of a federally funded grant entitled, Massachusetts Care - Community AIDS Resource Enhancement

......................................................$418,031

4513-9030

For the purposes of a federally funded grant entitled, Planning a Comprehensive Primary Care System for All Massachusetts Children and Youth

......................................................$100,000

4513-9031

For the purposes of a federally funded grant entitled, EMS for children

......................................................$150,000

4513-9035

For the purposes of a federally funded grant entitled, AIDS Surveillance

......................................................$550,903

4513-9037

For the purposes of a federally funded grant entitled, Ryan White Comprehensive AIDS Resources

......................................................$4,836,051

4513-9038

For the purposes of a federally funded grant entitled, Shelter Plus Care - Worcester

......................................................$159,000

4513-9041

For the purposes of a federally funded grant entitled, Managed Care Enhancement Project

......................................................$310,882

4513-9044

For the purposes of a federally funded grant entitled, Evaluating Impact of 1993 AIDS CASE Definition

......................................................$348,503

4513-9045

For the purposes of a federally funded grant entitled, MA Women's HIV Advocacy Project

......................................................$267,572

4513-9046

For the purposes of a federally funded grant entitled, Congenital Anomalies Center for excellence

......................................................$800,000

4513-9047

For the purposes of a federally funded grant entitled, Firstlink Community Organization Project

......................................................$50,000

4513-9048

For the purposes of a federally funded grant entitled, Mass. Initiative for the Youth with Disabilities

......................................................$28,000

4513-9049

For the purposes of a federally funded grant entitled, Firstlink Data Utilization Enhancement

......................................................$90,000

4513-9050

For the purposes of a federally funded grant entitled, MAXCARE: Maximizing Children's Health and Safety in Child Care

......................................................$50,000

4513-9051

For the purposes of a federally funded grant entitled, Rural Domestic Violence and Children Victimization Project

......................................................$139,591

4515-0113

For the purposes of a federally funded grant entitled, Health Program for Refugees

......................................................$135,841

4515-0115

For the purposes of a federally funded grant entitled, Tuberculosis Control Project (317)

......................................................$2,559,659

4516-1004

For the purposes of a federally funded grant entitled, Active Rabies Surveillance Program

......................................................$62,300

4516-1015

For the purposes of a federally funded grant entitled, Training Network Grant

......................................................$10,000

4518-0500

For the purposes of a federally funded grant entitled, National Program of Cancer Registries

......................................................$643,833

4518-1000

For the purposes of a federally funded grant entitled, Procurement of Information for the National Death Index (NDI)

......................................................$29,176

4518-1002

For the purposes of a federally funded grant entitled, Social Security Administration - Massachusetts Death File

......................................................$48,479

4518-1003

For the purposes of a federally funded grant entitled, Massachusetts Birth Records for Social Security Administration

......................................................$137,535

4518-9022

For the purposes of a federally funded grant entitled, Sentinel Event Notification System for Occupational Risks

......................................................$180,000

4518-9023

For the purposes of a federally funded grant entitled, Census of Fatal Occupational Injuries

......................................................$27,000

4518-9025

For the purposes of a federally funded grant entitled, Fatality Surveillance and Field Investigations at the State Level

......................................................$95,000

4540-8200

For the purposes of a federally funded grant entitled, Transitional Housing/Shattuck Shelter

......................................................$122,000

4570-1503

For the purposes of a federal grant entitled, Comprehensive Breast and Cervical Early Detection Program

......................................................$3,800,000

4570-1504

For the purposes of a federal grant entitled, Prostate Cancer Early Detection Demonstration Project

......................................................$121,184

4570-1505

For the purposes of a federal grant entitled, Skin Cancer Primary Prevention and Education

......................................................$100,000

4570-1600

For the purposes of a federal grant entitled, Newcomer Women's Health Planning

......................................................$2,500