https://malegislature.gov/Budget/FY2022/FinalBudget I recommend that you slowly search for the following words individually or collectively: disability intellectual developmental The 2022 Massachusetts budget probably allocates more money for vegetables than prisoners or education. We are talking many BILLIONS for the vegetables. This stuff comes from an older buget when the term mental retard was OK. 0411-1010 Governor's commission on mental retardation 0411-1100 Governor's commission on mental retardation 5911-1000 Mental Retardation: administration 5911-1003 Mental Retardation: administration and operations 5911-1102 Mental Retardation: facility repairs 5911-1210 Mental Retardation: certifying direct care employees 5911-2000 Mental Retardation: transportation costs, adult services 5911-9999 Mental Retardation: workers compensation, unemployment insurance 5920-1000 Mental Retardation: regional and area offices 5920-2000 Mental Retardation: residential adult services 5920-2006 Mental Retardation: residential rate initiative 5920-2010 Mental Retardation: residential health adult services 5920-2020 Mental Retardation: settlement agreement 5920-2025 Mental Retardation: adult work programs 5920-3000 Mental Retardation: intensive family support 5920-3010 Mental Retardation: autistic children 5920-4050 Mental Retardation: unserved/underserved client 5920-5000 Mental Retardation: services to clients at 22 5920-6000 Mental Retardation: older unserved 5920-8000 Mental Retardation: child/adolescent services 5930-1000 Mental Retardation: facilities for the mentally retarded 5982-1000 Mental Retardation: Templeton Developmental Center 5948-0012 Department of Mental Retardation: alternative placements 5947-0005 Mental Retardation: Family Support Model Demonstration 5947-0006 Mental Retardation: Family Support 5947-0007 Mental Retardation: Bridges to Community 5947-0008 Mental Retardation: Personal Assistant Services 5947-0009 Mental Retardation: Family Support 5947-0010 Mental Retardation: Family Support grant Department of Developmental Services. 5911-1003........ For the administration and operation of the department of developmental services; provided, that the department shall not charge user fees for transportation or community day services; provided further, that the commissioner of developmental services may transfer funds between items 5920-2025, 5920-2000 and 5911-2000; provided further, that the commissioner shall notify the house and senate committees on ways and means not less than 15 days in advance of any such transfer; provided further, that regional employment collaboratives shall be funded at not less than the amount funded in fiscal year 2021; provided further, that not less than $175,000 shall be expended for the Massachusetts Down Syndrome Congress, Inc.; provided further, that not less than $50,000 shall be expended for the Community Access to the Arts, Inc. in the town of Great Barrington; provided further, that not less than $100,000 shall be expended for WORK Incorporated to develop a program to improve workforce development and employment opportunities for individuals with disabilities; and provided further, that not less than $50,000 shall be expended for the Center for Autism and Neurodevelopmental Disorders at the University of Massachusetts memorial medical center and the University of Massachusetts medical school based on the patient-centered medical home concept $81,618,289 5911-2000........ For transportation costs associated with community-based day and work programs; provided, that the department of developmental services shall provide transportation which shall be prioritized by need; provider further, that not later than 60 days after the end of each quarter, the department shall report to the house and senate committees on ways and means and joint committee on children, families and persons with disabilities on: (i) the number of trips provided to individual homes; and (ii) the number of trips provided into the community during the day or program that were not to or from a center-based program; and provided further, that funds shall be expended by the department for the new day and work service components developed through item 5920-2025 and to support increased service utilization resulting from higher levels of vaccination for the 2019 novel coronavirus and improvement in the public health emergency...... $27,095,451 5920-2000 For vendor-operated, community-based residential adult services, including intensive individual supports; provided, that annualized funding shall be expended for turning 22 clients who began receiving services in fiscal year 2020 under item 5920-5000 of section 2 of chapter 154 of the acts of 2018; provided, that not later than March 1, 2022, the department shall submit a report to the house and senate committees on ways and means detailing the use of shared-living services in the commonwealth, which shall include, but not be limited to, the: (i) number of clients living in shared-living placements, broken down by age and location; (ii) average cost of shared-living services; (iii) number of clients living in a shared-living placement with individuals they knew prior to the arrangement; (iv) department's oversight of the application and placement process; (v) safeguards in place for clients receiving these services; and (vi) potential for growth of the program; provided further, that the commissioner of developmental services may transfer funds from this item to item 5920-2010, as necessary, under an allocation plan which shall detail, by object class, the distribution of the funds to be transferred and which shall be filed with the house and senate committees on ways and means not less than 30 days before any such transfer; and provided further, that not more than $5,000,000 shall be transferred from this item in fiscal year 2022................................ $1,408,349,244 5920-2003........ For supportive technology and remote services for individuals served by the department of developmental services......................................................... ...................... $500,000 5920-2010........ For state-operated, community-based residential services for adults, including community-based health services; provided, that not less than $100,000 shall be expended for Caring Health center to offset the cost of parking which is required as a direct result of parking limitations in downtown Springfield and to provide healthcare $240,637,466 5920-2025........ For community-based day and work programs and associated transportation costs for adults; provided, that the department of developmental services shall provide transportation which shall be prioritized by need; provided further, that the department shall support individuals with disabilities who transitioned from employment services offered at sheltered workshops to community-based employment as part of the commonwealth's employment first initiative; provided further, that any public-private partnerships with employers and nonprofits shall encourage the highest level of independence among individuals with disabilities and shall provide options to maximize community involvement and participation; provided further, that not later than December 31, 2021, the department shall issue a report to the house and senate committees on ways and means and the joint committee on children, families and persons with disabilities detailing: (i) the number of eligible individuals employed in community-based employment in fiscal year 2021 and the number estimated for fiscal year 2022; (ii) the number and types of community-based employment partners; (iii) the outcomes measured; and (iv) recommendations for expansion; and provided further, that funds shall be expended by the department to support recovery and increased service utilization following the 2019 novel coronavirus pandemic, including: (a) service system redesign to provide new service components or modalities including, but not limited to, remote and virtual supports and in-home or community-based services; (b) development of a new service model capable of providing individualized services to constituents otherwise unable to engage in traditional day services; and (c) supplemental funding for community-based provider agencies to support adaptations and pandemic recovery efforts including, but not limited to, technology supports and recruiting, hiring and training staff for new roles; and provided further, that up to $15,000,000 of additional funds provided in fiscal year 2022 shall be expended by the department to (1) re-design the service system to respond to the new needs created by the COVID-19 pandemic, requiring new day services components or modalities, including but not limited to: remote and virtual supports, and in-home or in-community services, (2) provide "bridge" funding for community-based provider agencies to re-design their current service model, including but not limited to: recruiting and hiring new staff, training staff for new roles, and providing technology supports for staff during the transition, (3) develop a new, more fluid service model based on the real-time, individual needs of constituents otherwise unable to engage in traditional day services, and (4) plan for increased service need that may occur during the fiscal year in response to increased vaccinations and any improvement in the public health emergency ............................................. $219,962,246 5920-3000........ For respite services and intensive family supports........................................ $84,853,898 5920-3010........ For contracted support services for families of children with autism through the autism division at the department of developmental services; provided, that the department shall expend not less than $5,500,000 to provide services under the children's autism spectrum disorder waiver under section 1915(iii) of the Social Security Act, 42 U.S.C. 1396n(iii); provided further, that the waiver shall include children with autism spectrum disorder ages 0 to 8, inclusive, including children with autism spectrum disorder ages 0 to 3, inclusive, who are receiving services through the department of public health's early intervention program; provided further, that the department shall take all steps necessary to ensure that the waiver program is fully enrolled and that eligible children with autism immediately begin to receive services under said waiver; provided further, that the department shall immediately file any waiver amendment necessary with the federal Centers for Medicare and Medicaid Services to comply with the requirements of this item; provided further, that not later than January 14, 2022, the department shall report to the house and senate committees on ways and means, the joint committee on education and the joint committee on children, families and persons with disabilities on the: (i) number of contracted support services provided for families with children with autism under this item; (ii) the costs associated with such services; (iii) the services provided by the children's autism spectrum disorder waiver, with information regarding the number of children enrolled in the waiver and receiving services; (iv) linguistic and cultural diversity, age, gender and geographic representation of the applicants and the children enrolled in the program; (v) department plans to continue to assess the demand for waiver services; (vi) any executive office of health and human services plans to expand the waiver for children on the autism spectrum of all ages in the future; and (vii) other information determined relevant by the department; and provided further, that the department shall submit copies of amended waivers to the house and senate committees on ways and means, the joint committee on education and the joint committee on children, families and persons with disabilities upon submission of the amendment.................... $7,433,900 5920-3020 For the implementation of chapter 226 of the acts of 2014, including services and supports for individuals with a developmental disability attributable to autism spectrum disorder, Smith-Magenis syndrome or Prader-Willi syndrome; provided, that the department shall submit quarterly reports to the house and senate committees on ways and means detailing: (i) the number of individuals eligible for services; (ii) the number of eligible individuals served; (iii) the type of services provided; (iv) the cost per service; and (v) the cost per individual; and provided further, that not less than $300,000 shall be expended for the commission on autism established under said chapter 226.. $36,607,970 5920-3025........ For funding to support initiatives to address the needs of individuals with developmental disabilities who are aging including, but not limited to, individuals with Down syndrome and Alzheimer's disease, through the identification of best practices for services for affected individuals, including: (i) medical care coordination models that address conditions common to individuals with developmental disabilities who are aging; (ii) training for direct care and other staff in the identification of dementia or other age-related conditions; and (iii) the collection of data regarding the effectiveness of the initiatives included in this item; provided, that not later than April 1, 2022, the department of developmental services shall report to the executive office for administration and finance and the house and senate committees on ways and means on the status of these initiatives including, but not limited to: (a) the number of participants served by each initiative; (b) the participant outcomes, including impacts on the physical and cognitive health of participants; (c) the cost of each initiative and the cost per participant; (d) the implementation plans for these initiatives in fiscal years 2023 and 2024; and (e) recommendations for enhancing the care of individuals with developmental disabilities who are aging............................................................ ..................................... $100,000 5920-5000........ For services to clients of the department who turn 22 years of age during fiscal year 2021 and 2022; provided, that not later than January 7, 2022, the department shall report to the house and senate committees on ways and means on the use of any funds encumbered or expended from this item including, but not limited to, the number of clients served in each region and the types of services purchased in each region..... $79,948,997 5930-1000 For the operation of facilities for individuals with intellectual disabilities; provided, that in order to comply with the decision in Olmstead v. L.C. ex rel. Zimring, 527 U.S. 581 (1999) and to enhance care for clients, the department of developmental services shall discharge clients residing in intermittent care facilities for individuals with intellectual disabilities, or an ICF/IID, to residential services in the community if: (i) the client is deemed clinically suited for a more integrated setting; (ii) community residential service capacity and resources available are sufficient to provide each client with an equal or improved level of service; and (iii) 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 an ICF/IID; provided further, that any client transferred to another ICF/IID as the result of a facility closure shall receive a level of care that is equal to or greater than the level of care that had been provided at the closed ICF/IID; provided further, that the department may allocate funds from this item to items 5920-2000, 5920-2010 and 5920-2025, as necessary, under allocation plans which shall be submitted to the house and senate committees on ways and means not less than 30 days before any transfer for residential and day services for clients formerly receiving inpatient care at an ICF/IID; and provided further, that not later than December 15, 2021, the department shall report to the house and senate committees on ways and means, on: (a) all efforts to comply with the decision in Olmstead v. L.C. ex rel. Zimring, 527 U.S. 581 (1999); (b) the enhancement of care within available resources to clients served by the department; and (c) the steps taken to consolidate or close an ICF/IID.......................................................... ........ $103,743,275 1107-2501 For the operation of the disabled persons protection commission including, but not limited to, the costs of maintaining a computerized registry system of persons who have been substantiated for registrable abuse of a person with an intellectual or developmental disability; provided, that the commission shall facilitate compliance by the department of mental health and the department of developmental services with uniform investigative standards; provided further, that not later than the last day of each quarter, the commission shall report to the house and senate committees on ways and means on the number of claims of abuse by caretakers made by employees or contracted service employees of the department of developmental services, the department of mental health and the Massachusetts rehabilitation commission; provided further, that the report shall include the number of: (i) substantiated claims; (ii) unsubstantiated claims; and (iii) false claims reported as a result of intentional and malicious action; provided further, that not later than March 1, 2022, the commission shall issue a brief update to its fiscal year 2021 report detailing staffing changes and planned staffing changes from fiscal year 2018 through fiscal year 2022, and analyzing the effect of those changes on operational efficiency and caseload reduction; provided further, that the commission shall detail a two-year hiring plan based on the appropriation provided in this item, and identify any remaining staffing needs within the agency necessary to reduce or eliminate backlogs with an estimate of the cost of those needs; provided further, that said update shall be provided to the house and senate committees on ways and means and to the joint committee on children, families and persons with disabilities; and provided further, that all persons who call the commission's 24-hour hotline shall be provided with the opportunity to elect that the call not be recorded, prior appropriation continued $7,896,740 4000-0430 For the CommonHealth program to provide primary and supplemental medical care and assistance to disabled adults and children under sections 9A, 16 and 16A of chapter 118E of the General Laws; provided, that funds may be expended from this item for health care services provided to the recipients in prior fiscal years; provided further, that the executive office of health and human services shall maximize federal reimbursement for state expenditures made on behalf of those adults and children; provided further, that children shall be determined eligible for medical care and assistance if they meet the disability standards as defined by the executive office, which standards shall be no more restrictive than those in effect on July 1, 1996; and provided further, that the executive office shall process a CommonHealth application within 45 days of receipt of a completed application or within 90 days if a determination of disability is required......... $191,450,151 4000-0700........ For health care services provided to medical assistance recipients under the executive office of health and human services' health care indemnity or thirdparty liability plan, to medical assistance recipients not otherwise covered under the executive office's managed care or senior care plans and for MassHealth benefits provided to children, adolescents and adults under section 9 of chapter 118E of the General Laws and clauses (a) to (d), inclusive and clause (h) of subsection (2) of section 9A of said chapter 118E and section 16C of said chapter 118E; provided, that no payments for special provider costs shall be made from this item without the prior written approval of the secretary of administration and finance; provided further, that no funds shall be expended from this item for children and adolescents under clause (c) of said subsection (2) of said section 9A of said chapter 118E whose household incomes as determined by the executive office exceed 150 per cent of the federal poverty level; provided further, that children who have aged out of the custody of the department of children and families shall be eligible for benefits through the age limit specified in MassHealth's approved state plan; provided further, that funds shall be expended from this item for members who qualify for early intervention services; provided further, that MassHealth shall expend $13,000,000 in the aggregate for acute care hospitals that have greater than 63 percent of their gross patient service revenue from governmental payers and free care as determined by the executive office; provided further, that in fiscal year 2022 MassHealth shall maintain the same level of federally-optional chiropractic services that were in effect in fiscal year 2016 that were included in its state plan or demonstration program in effect on January 1, 2002 for members enrolled in the primary care clinician program; provided further, that the executive office shall not, in fiscal year 2022, fund programs relating to case management with the intention of reducing length of stay for neonatal intensive care unit cases; provided further, that funds may be expended from this item for activities relating to customer service; provided further, that notwithstanding this item, funds may be expended from this item for the purchase of third-party insurance including, but not limited to, Medicare for any medical assistance recipient; provided further, that the executive office may reduce MassHealth premiums or copayments or offer other incentives to encourage enrollees to comply with wellness goals; provided further, that funds may be expended from this item for activities relating to disability determinations or utilization management and review, including patient screenings and evaluations, regardless of whether such activities are performed by a state agency, contractor, agent or provider; provided further, that MassHealth shall continue to expend funds for expanded oral health benefits, including endodontic and prosthodontic services, for adult members, consistent with the benefits provided beginning on January 1, 2021; provided further, that not later than March 1, 2022, the executive office shall report to the house and senate committees on ways and means on: (i) dental coverage available to MassHealth recipients as of January 1, 2022 as it compares to dental coverage available to MassHealth recipients on January 1, 2010; (ii) utilization of dental services in fiscal year 2021 and fiscal year 2022; (iii) the actual and projected costs and revenue associated with dental coverage in fiscal year 2021 and fiscal year 2022; and (iv) the estimated cost effectiveness of dental coverage as a contributor to MassHealth total cost of care; provided further, that dental services for adults shall be covered at least to the extent they were covered as of June 30, 2021; provided further, that not later than December 1, 2021, $750,000 shall be equally distributed to the teaching community health centers with family medicine residency programs in the cities of Worcester and Lawrence and in the South Boston section of the city of Boston; provided further, that the secretary of health and human services shall designate an agency to administer the funds and shall retain 5 percent of the total funds; provided further, that the secretary shall: (a) report to the house and senate committees on ways and means on the use of the funds by teaching community health centers; and (b) audit said centers in order to confirm the use of the funds by each center for training purposes; provided further, that funds may be expended from this item for health care services provided to recipients in prior fiscal years; and provided further, that not less than $100,000 shall be expended to Harbor Health Services, Inc.'s Ellen Jones Community Dental Center in the South Dennis section in the town of Dennis for the operation and equipping of a dental clinic serving the mid and lower Cape Cod area........................................................... $3,135,853,542 |
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