Budget Amendment ID: FY2020-S3-412

EHS 412

EMAC Repeal

Messrs. Tarr, Moore, Tran, deMacedo, Humason, Fattman, O'Connor and Finegold moved that the proposed new text be amended by inserting after section _ the following sections:-

SECTION _.(a)  Section 8A of chapter 23H of the General Laws, as appearing in the 2016 Official Edition, is hereby amended by striking after the word “system”, in line 2, the following words:- , the contribution established under section 189A of chapter 149.

(b)  Subsection (a) of section 189 of chapter 149 of the General Laws, as appearing in the 2016 Official Edition, is hereby amended by striking out the figure “.51” and inserting in place thereof the following figure:- .34.

(c)  Paragraph 2 of subsection (d) of said section 189 of said chapter 149 is hereby further amended by striking out the figure “.18” and inserting in place thereof the following figure:- .12.

(d)  Paragraph 3 of said subsection (d) of section 189 of said chapter 149 is hereby further amended by striking out the figure “.36” and inserting in place thereof the following figure:- .24.

(e).  Said chapter 149 is hereby further amended by striking section 189A, in its entirety.

(f) The director of unemployment assistance shall return all contributions paid by each employer in calendar year 2019 pursuant to section 189A of chapter 149 within 90 days of the passage of this act.

(g)  This section shall take effect as of January 1, 2019.


Budget Amendment ID: FY2020-S3-413

EHS 413

Pharmaceutical Gag Clauses

Messrs. Tarr, deMacedo, Humason, Fattman, O'Connor and Montigny moved that the proposed new text be amended by inserting after section _ the following section:-

SECTION XX. (a) Notwithstanding any general or special law to the contrary, no contract for pharmacy services between a health insurance carrier or pharmacy benefits manager and a pharmacy or pharmacist shall contain a provision prohibiting or penalizing a pharmacist’s disclosure to an insured individual purchasing a covered prescription medication of information regarding (i) the cost of the prescription medication to the individual, and (ii) the availability of any equivalent medication or alternative methods of purchasing the prescription medication, including, but not limited to, paying a cash price, which may be less expensive than the cost of the prescription medication to the individual.

(b) No health insurance carrier or pharmacy benefits manager shall require an individual to make a payment at the point of sale for a covered prescription medication in an amount greater than the amount an individual would pay for the prescription medication if the individual purchased the prescription medication without using a health insurance plan.


Budget Amendment ID: FY2020-S3-414

EHS 414

MassHealth Telemedicine Coverage

Messrs. Tarr, deMacedo, Humason, Fattman, Timilty, Moore and O'Connor moved that the proposed new text be amended in section 2, in item 4000-0300, in line 2, by inserting after the word “board;” the following: “; provided further, the executive office of health and human services shall provide coverage in the fee-for-service program and all managed care contracts, including contracts with behavioral health management firms and third party administrators under contract to a Medicaid managed care organization, for telehealth to deliver behavioral health services at community health centers, community mental health centers, outpatient substance use disorder providers, and hospital outpatient departments”.


Budget Amendment ID: FY2020-S3-415

EHS 415

CANDO

Mr. Moore, Ms. Chandler and Mr. O'Connor moved that the proposed new text be amended in section 2, in item 5911-1003, by adding the following words:- "; 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"; and by striking out the figure "$74,696,951" and inserting in place thereof the following figure:- "$74,746,951".


Budget Amendment ID: FY2020-S3-417

EHS 417

Regional Emergency Medical Services

Messrs. Tarr and O'Connor moved that the proposed new text be amended in section 2, in item 4510-0790, by adding the following words:-";provided further that the department of public health in conjunction with the executive office of public safety and security shall conduct a study to assess the feasibility of placing regional emergency medical services under the authority of the executive office of public safety and security"; and by striking out the figure "$807,000" and inserting in place thereof the following figure:-"$985,000".


Budget Amendment ID: FY2020-S3-418

EHS 418

Heidrea for Heroes

Messrs. deMacedo and O'Connor moved that the proposed new text be amended in section 2, in item 1410-0012, by adding the following words:- "; provided further, that not less than $150,000 shall be expended for Heidrea for Heroes to provide support for veterans in Southeastern Massachusetts"; and by striking out the figure "$5,334,262" and inserting in place thereof the following figure:- "$3,484,262".


Budget Amendment ID: FY2020-S3-419

EHS 419

Pharmacy Benefit Manager Accreditation

Messrs. Tarr, deMacedo, Humason and O'Connor moved that the proposed new text be amended by inserting after section ___the following section:-

"SECTION _. Section 226 of Chapter 175 of the General Laws is hereby amended by adding the following after subsection (p) thereof:-

(q) The commissioner shall promulgate regulations for the licensing of pharmacy benefit managers providing services in the Commonwealth, which shall consist of, but not be limited to, provisions which:

1. Require a minimum standard of qualification or accreditation

2. Minimize actual or potential conflicts of interest

3. Provide for regular audits of the operations and activities of entities licensed hereunder

4. Provide a mechanism for the submission of, hearing, and disposition of claims of unfair practices by such licenses


Budget Amendment ID: FY2020-S3-420-R1

Redraft EHS 420

Joseph 'Dodo' Nee Collaborative Regional Substance Abuse Services

Messrs. Collins and O'Connor moved that the proposed new text be amended in section 2, in item 4512-0205, by adding the following words:- "; provided, that not less than $155,000 shall be expended for the Joseph Nee Collaborative Center for substance abuse programming”; and

in said section 2, in said item 4512-0205, by striking out the figure "$100,000" and inserting in place thereof the following figure:- "$255,000".


Budget Amendment ID: FY2020-S3-420

EHS 420

Joseph 'Dodo' Nee Collaborative Regional Substance Abuse Services

Messrs. Collins and O'Connor moved that the proposed new text be amended in section 2, in item 4512-0200, by inserting at the end thereof the following:- ";provided further, that not less than $155,000 shall be expended for the Joseph Nee Collaborative Center for substance abuse programming” and in said item by striking the number "$150,185,718" and inserting in place thereof the following number:- "$150,340,718".


Budget Amendment ID: FY2020-S3-421

EHS 421

Total Immersion Recovery Programs

Messrs. Collins, Timilty, O'Connor and Montigny moved that the proposed new text be amended in section 2, in item 4512-0205, by inserting at the end thereof the following: "; provided further, that not less than $250,000 shall be expended for a contract with Gavin Foundation Inc. to provide a Total Immersion Program in conjunction with the Probation Departments of the South Boston division of district courts and other district courts, provided further that the Gavin Foundation shall be contracted to provide Total Immersion Programs stated herein"; and in said item by striking out the figures "$100,000" and inserting in place thereof the following figures:-"$350,000".


Budget Amendment ID: FY2020-S3-422

EHS 422

School-Based Programming

Mr. Collins, Ms. Jehlen and Mr. O'Connor moved that the proposed new text be amended in section 2, in item 4512-0205, by adding at the end thereof the following text:- ";provided further, that not less than $75,000 shall be expended for The Improbable Players, Inc., to provide school-based programs on substance use prevention" and in said item by striking the figure "$100,000" and inserting in place thereof the following figure:-"$175,000".


Budget Amendment ID: FY2020-S3-423

EHS 423

Home Health Nursing Workforce Program

Messrs. Collins, Eldridge, Moore, deMacedo and O'Connor moved that the proposed new text be amended in section 2, by adding the following item:

7003-xxxx For Home Care Alliance of Massachusetts for a home health workforce development and innovation program for the recruitment and training of home health nurses to provide high-quality home health care for elders and medically complex children……………….$350,000.


Budget Amendment ID: FY2020-S3-424-R1

Redraft EHS 424

Haverhill Public Schools Vaping Sensors

Ms. DiZoglio moved that the proposed new text be amended in section 2, in item 7010-1192, by adding the following words:- “; provided further, that not less than $50,000 shall be expended for vaping sensors and other related support technology for safe, drug-free bathrooms in Haverhill public schools”; and

in said section 2, in said item 7010-1192, by striking out the figure “$100,000” and inserting in place thereof the following figure:- “$150,000”.


Budget Amendment ID: FY2020-S3-424

EHS 424

Haverhill Public Schools Vaping Sensors

Ms. DiZoglio moved that the proposed new text be amended in section 2, in item 7010-0005, by adding the following words:- “; provided further, that not less than $50,000 shall be expended toward vaping sensors and other related support technology for safe, drug-free bathrooms in Haverhill Public Schools”; and by striking out the figure “$12,297,752” and inserting in place thereof the following figure:- “$12,347,752”.


Budget Amendment ID: FY2020-S3-425

EHS 425

Mitch’s Place

Ms. DiZoglio moved that the proposed new text be amended in section 2, in item 7004-0102, by adding the following words: “provided further, that not less than $50,000 shall be expended as enhanced funding for Mitch’s Place shelter, a program of Emmaus, Inc. of Haverhill”; and by striking out the figure “$48,355,000” and inserting in place thereof the following figure:- “$48,405,000”.


Budget Amendment ID: FY2020-S3-426

EHS 426

Haverhill Inner City Boxing

Ms. DiZoglio moved that the proposed new text be amended in section 2, in item 4800-0038, by adding the following words:- "provided further, that not less than $25,000 shall be expended for Haverhill Inner City Boxing in the City of Haverhill”; and by striking out the figure “$307,989,474” and inserting in place thereof the following figure:- “$308,014,474”.


Budget Amendment ID: FY2020-S3-427

EHS 427

Pettengill House

Ms. DiZoglio moved that the proposed new text be amended in section 2, in item 7008-1116, by adding the following words:- "provided further, that not less than $25,000 shall be expended for the Pettengill House, Inc. in the Town of Salisbury and City of Amesbury"; and by striking out the figure “$585,000” and inserting in place thereof the following figure:- “$610,000”.


Budget Amendment ID: FY2020-S3-428

EHS 428

Merrimack Valley Prevention and Substance Abuse Project

Ms. DiZoglio moved that the proposed new text be amended in section 2, in item 4512-0200, by adding the following: “provided further that not less than $20,000 shall be expended for the Merrimack Valley Prevention and Substance Abuse Project toward resources, community outreach and programs in Methuen, Lawrence, Haverhill and North Andover” ”; and by striking out the figure “$150,185,718” and inserting in place thereof the following figure:- “$150,205,718”.


Budget Amendment ID: FY2020-S3-428-R1

Redraft EHS 428

Merrimack Valley Prevention and Substance Abuse Project

Ms. DiZoglio moved that the proposed new text be amended in section 2, in item 4512-0205, by adding the following words:- “; provided further, that not less than $20,000 shall be expended for the Merrimack Valley Prevention and Substance Abuse Project, Inc. for resources, community outreach and programs in the city of Methuen, the city of Lawrence, the city of Haverhill and the town of North Andover”; and

in said section 2, in said item 4512-0205, by striking out the figure “$100,000” and inserting in place thereof the following figure:- “$120,000”.


Budget Amendment ID: FY2020-S3-429

EHS 429

Debbie’s Treasure Chest

Ms. DiZoglio moved that the proposed new text be amended in section 2, in item 4800-0038, by adding the following words:- "provided further, that not less than $15,000 shall be expended for Debbie’s Treasure Chest toward resources, community outreach and programs for disadvantaged and at-risk families in the Merrimack Valley”; and by striking out the figure “$307,989,474” and inserting in place thereof the following figure:- “$308,004,474”.


Budget Amendment ID: FY2020-S3-431

EHS 431

Skilled Nursing Facilities MassHealth Reimbursement

Ms. DiZoglio, Messrs. Tran, Moore, Pacheco, Eldridge, Feeney, Welch, Brady, O'Connor and Finegold moved that the proposed new text be amended in section 2, in item 4000-0641, by striking out the figure “$15,000,000” and inserting in place thereof the following figure:- “$35,000,000”; and by striking out the figure “$380,400,000” and inserting in place thereof the following figure:- “400,400,000”.


Budget Amendment ID: FY2020-S3-432

EHS 432

Healthcare Without Walls

Messrs. Collins, Timilty and O'Connor moved that the proposed new text be amended in section 2, in item 4000-0300, by adding the following: “provided further, that not less than $100,000 shall be expended for Health Care Without Walls, Inc. to provide health care services for homeless women” and in said item by striking out the figures “$107,816,936” and inserting in place thereof the figures “$107, 916,936”.


Budget Amendment ID: FY2020-S3-433

EHS 433

Addiction Treatment

Mr. DiDomenico moved that the proposed new text be amended in section 2, in item 4512-0205, by adding the following:- “provided further, that $75,000 shall be expended for the Cambridge Health Alliance for increased access to office-based opioid treatment services in the city of Everett; provided further, that not less than $25,000 shall be expended for the Charlestown Coalition”; and in said item by striking the figure “$100,000” and inserting in place thereof the following figures “$200,000”.


Budget Amendment ID: FY2020-S3-434

EHS 434

SNAP Gap Pilot

Messrs. DiDomenico and Eldridge, Ms. Comerford, Messrs. Welch and Moore, Ms. Jehlen, Ms. DiZoglio, Messrs. Crighton and Tarr, Ms. Gobi, Ms. Rausch, Messrs. Collins, Finegold, Brady, Kennedy, Timilty, Cyr, Lesser, O'Connor and Feeney moved that the proposed new text be amended in section 2, in item 4000-0300, by adding the following words:- “; provided further, that $2,000,000 shall be provided to the the executive office to establish a pilot to allow low-income applicants and recipients of MassHealth and Medicare Savings Program the option to initiate an application for federally-funded supplemental nutrition assistance benefits at the same time as their application or renewal for MassHealth or Medicare Savings Program; provided further, the executive office shall ensure that eligibility information and verifications provided by the applicant or recipient that are relevant to said nutrition program is transferred from MassHealth to the Department of Transitional Assistance for use in their determination of eligibility; provided further, the executive office shall provide a report no later than October 1, 2019 to the executive office of administration and finance and the house and senate committees for ways and means on the additional costs and federal reimbursement opportunities involved in a common application portal for all MassHealth and Medicare Savings Program applicants and recipients with gross incomes under 200%  of the federal poverty level”; and by striking out the figure "$107,816,936" and inserting in place thereof the following figure:- "$109,816,936".


Budget Amendment ID: FY2020-S3-434-R1

Redraft EHS 434

SNAP Gap Pilot

Messrs. DiDomenico and Eldridge, Ms. Comerford, Messrs. Welch and Moore, Ms. Jehlen, Ms. DiZoglio, Messrs. Crighton and Tarr, Ms. Gobi, Ms. Rausch, Messrs. Collins, Finegold, Brady, Kennedy, Timilty, Cyr, Lesser, O'Connor and Feeney, Ms. Lovely and Mr. Tran moved that the proposed new text be amended in section 2, in item 4000-0300, by adding the following words:- “; provided further, that not less than $1,000,000 shall be provided to the executive office to establish a pilot to allow low-income applicants and recipients of MassHealth and the Medicare Savings Program to initiate an application for federally-funded supplemental nutrition assistance benefits at the same time as their application or renewal for MassHealth or the Medicare Savings Program; provided further, that the executive office shall ensure that relevant eligibility information and verifications provided by the applicant or recipient are transferred from MassHealth to the department of transitional assistance to determine eligibility; provided further, that not later than October 1, 2019, the executive office shall submit a report to the executive office for administration and finance and the house and senate committees on ways and means outlining the additional costs and federal reimbursement opportunities involved in a common application portal for all MassHealth and Medicare Savings Program applicants and recipients with gross incomes under 200 per cent of the federal poverty level”; and

by striking out the figure "$107,816,936" and inserting in place thereof the following figure:- "$108,816,936".


Budget Amendment ID: FY2020-S3-435

EHS 435

Workforce Development and Patient Safety

Ms. DiZoglio, Messrs. O'Connor, Eldridge, Brady, Tarr and Feeney moved that the proposed new text be amended by inserting after Section XX the following section:                                              

SECTION XX. Chapter 111 of the General Laws is hereby amended by inserting after Section 231 the following section:-

Section 231A. To ensure a stable, diverse workforce of nurses for citizens of the Commonwealth wherever they may be receiving health services, ensure safe patient care, and avoid complications and preventable hospital readmissions, the department shall commission, in consultation with the health policy commission, at least three independent studies designed to determine: (1) the makeup of the current licensed nursing workforce, including, but not limited to: its diversity, skill mix, specialization, classification, work hours, education and student debt burden; (2) estimated licensed nurses required to meet the health care needs for the citizens of the commonwealth from now through the year 2050, with attention to graduation rates, nurse recruitment and retention, turnover, attrition by leaving the profession and attrition by retirement; (3) workplace injuries and quality of work life; (4) data on the current direct care staffing plan for all units for all shifts in each acute care hospital and the actual staffing of all units for all shifts in each acute care hospital; (5) best practice for maximum nurse-to-patient limits for direct care licensed nurses in acute care hospitals for each type of unit, taking into account the ability to adjust such limits based on the acuity of the patients cared for, and excluding the limits established under section 231 of chapter 111 of the General Laws; and (6) the cost and timing to establish maximum limits, including implementation costs, cost savings associated with such limits and the impact on patient outcomes. The studies’ design and implementation shall include a review of current best available research, data on current hospital practices including staffing plans for each unit and be done in consultation with core stakeholders, including, but not limited to, the Massachusetts Nurses Association (MNA), Massachusetts Health and Hospital Association (MHA), and the respective professional associations of the various specialty areas of nursing for each unit, excluding the limits established under section 231 of chapter 111 of the General Laws, to develop research specific to Massachusetts. Such research studies shall include longitudinal design analysis over a minimum of ten years to determine patterns among nurse-sensitive outcomes, reviewing not less than 5 of the nurse sensitive outcomes that are the most empirically associated with nurse staffing by specialty in all Massachusetts acute care hospitals.

The studies shall be completed no later than January 1, 2022 and released to the public no later than 12 months from the commencement of each study. The department shall subsequently develop a plan and timeframe to implement the best practice limits as well as other recommendations established in the study including patient and public awareness and enforcement mechanisms, including, but not limited to, the ability to assess fines for non-compliance.


Budget Amendment ID: FY2020-S3-436

EHS 436

Foster Care Support

Ms. DiZoglio, Messrs. Moore, O'Connor, Humason, Feeney, Finegold and Welch moved that the proposed new text be amended in section 2, in item 4800-0038, by adding after the words flex services the following, "provided further that not less than $6,400,000 shall be used to increase the daily rate of support for children in foster care and further, that funds shall be expended to increase access to behavioral health consultation and coaching for foster parents to support placement stability" and by striking the figure "$307,989,474" and inserting in place thereof the figure "$315,989,474." 


Budget Amendment ID: FY2020-S3-437

EHS 437

Drug Story Theater of the South Shore

Messrs. deMacedo and O'Connor moved that the proposed new text be amended in section 2, in item 4512-0205, by adding the following words:- "; provided further, that not less than $50,000 shall be expended for the Drug Story Theater, Inc.’s program for substance use prevention, treatment and education"; and by striking out the figure "$100,000" and inserting in place thereof the following figure:- "$150,000".


Budget Amendment ID: FY2020-S3-437-R1

Redraft EHS 437

Drug Story Theater of the South Shore

Messrs. deMacedo and O'Connor moved that the proposed new text be amended in section 2, in item 4512-0205, by adding the following words:- "; provided further, that not less than $25,000 shall be expended for the Drug Story Theater, Inc.’s program for substance use prevention, treatment and education"; and

in said section 2, in said item 4512-0205, by striking out the figure "$100,000" and inserting in place thereof the following figure:- "$125,000".


Budget Amendment ID: FY2020-S3-439-R1

Redraft EHS 439

DPH Youth At Risk Grants

Ms. Comerford, Messrs. Eldridge, Collins and O'Connor moved that the proposed new text be amended in section 2, in item 4590-1507, by striking out, in line 11, the figure “$900,000” and inserting in place thereof the following figure:- “$1,400,000”; and

in said section 2, in said item 4590-1507, by striking out the figure “$4,600,000” and inserting in place thereof the figure:- “$5,100,000”.


Budget Amendment ID: FY2020-S3-439

EHS 439

DPH Youth At Risk Grants

Ms. Comerford, Messrs. Eldridge, Collins and O'Connor moved that the proposed new text be amended in section 2, in item 4590-1507, by striking out, in line __, the words "not less than $900,000 for competitively procured grants to youth-at-risk programs" and inserting in place thereof the following words:- "not less than $1,900,000 for competitively procured grants to youth-at-risk programs"; and by striking out the figure "4,600,000" and inserting in place thereof the figure:- "5,600,000".


Budget Amendment ID: FY2020-S3-440

EHS 440

DPH Youth Violence Prevention

Ms. Comerford, Messrs. Eldridge, Collins and O'Connor and Ms. Chang-Diaz moved that the proposed new text be amended in section 2, in item 4590-1506, by striking out the figure "$2,008,484" and inserting in place thereof the following figure:- "$2,500,000".


Budget Amendment ID: FY2020-S3-441

EHS 441

Group Peer Support for Foster Parents

Ms. Comerford and Mr. O'Connor moved that the proposed new text be amended in section 2, in item 4800-0038, by adding the following words:- "; provided further that not less than $150,000 shall be expended for Group Peer Support, Inc. for a pilot program to utilize evidence-based support group models to assist in the support and education of foster parents”; and by striking out the figure "$307,989,474" and inserting in place thereof the figure:- “$308,139,474”.


Budget Amendment ID: FY2020-S3-445

EHS 445

Pappas Rehabilitation Hospital for Children

Messrs. Timilty and O'Connor moved that the proposed new text be amended in section 2, in item 4590-0915, by inserting after "public health hospital", the following:- ",provided further, that the Pappas Rehabilitation Hospital for Children shall maintain not less than 120 beds for clients in its impatient setting to the extent feasible  within the appropriation; and provided further, that not less than $300,000 in retained revenue to be expended for the Pappas Rehabilitation Hospital for Children Summer Program".


Budget Amendment ID: FY2020-S3-446

EHS 446

FOCUS: Foster Futures Pilot of Western Mass

Ms. Comerford, Messrs. Welch and Lesser and Ms. Gobi moved that the proposed new text be amended in section 2, in item 4800-0038, by adding the following words:- "; provided further, that not less than $50,000 shall be expended for Friends of Children to operate the FOCUS: Foster Futures Pilot in the counties of Hampshire, Franklin, Hampden and Berkshire to serve young people who have aged out of the foster care system"; and by striking out the figure "$307,989,474" and inserting in place thereof the following figure:- "$308,039,474".


Budget Amendment ID: FY2020-S3-447

EHS 447

Children’s Advocacy Center of Franklin County and North Quabbin

Ms. Comerford, Ms. Gobi, Messrs. Hinds and Lesser moved that the proposed new text be amended in section 2, in item 4800-0038, by adding the following words:- "; provided further, that not less than $60,000 shall be expended for the Children’s Advocacy Center of Franklin County and North Quabbin”; and by striking out the figure “$307,989,474” and inserting in place thereof the following figure:- “$308,049,474”.


Budget Amendment ID: FY2020-S3-448

EHS 448

Marblehead Council on Aging Industrial Kitchen Project

Mr. Crighton moved that the proposed new text be amended in section 2, in item 9110-9002, by adding the following words:- “; provided further, that not less than $100,000 shall be expended for renovations needed for the Marblehead Council on Aging’s kitchen in the town of Marblehead”; and by striking out the figure "$16,740,125" and inserting in place thereof the following figure :- "$16,840,125".


Budget Amendment ID: FY2020-S3-449

EHS 449

Lynnfield Substance Abuse Prevention Coordinator

Messrs. Crighton and O'Connor moved that the proposed new text be amended in section 2, in item 4512-0205, by adding the following words:- “; provided further, that not less than $50,000 shall be expended for the town of Lynnfield to hire a coordinator for a new substance abuse committee”; and by striking out the figure "$100,000" and inserting in place thereof the following figure:- "$150,000".


Budget Amendment ID: FY2020-S3-450

EHS 450

Fragile Beginnings & Project NESST

Messrs. Barrett, Feeney and Moore, Ms. DiZoglio, Messrs. Eldridge, Welch, Brady, Collins, Crighton, deMacedo and O'Connor moved that the proposed new text be amended in section 2, in item 4800-0038, by adding the following words:- "; provided further, that not less than $150,000 shall be expended for the Fragile Beginnings program; provided further, that not less than $250,000 shall be expended for Project Newborns Exposed to Substances: Support and Therapy”; and by striking out the figure “$307,989,474” and inserting in the place thereof the following figure: "$308,389,474".


Budget Amendment ID: FY2020-S3-451

EHS 451

Talking Information Center

Messrs. deMacedo and O'Connor moved that the proposed new text be amended in section 2, in item 4110-1000, by adding the following words:- "; provided further, that not less than $350,000 shall be expended for the Talking Information Center to provide human voiced broadcasts of local news, articles, and items of interest to visually impaired and otherwise disabled listeners"; and by striking out the figure "$6,074,905" and inserting in place thereof the following figure:- "$6,424,905".


Budget Amendment ID: FY2020-S3-452

EHS 452

Citizenship for New Americans Program (CNAP)

Mr. Tarr moved that the proposed new text be amended in section 2, in item 4003-0122, by striking out the figures, “$600,000”, and inserting in place thereof the figures, “$700,000”.


Budget Amendment ID: FY2020-S3-452-R2

2nd Redraft EHS 452

Citizenship for New Americans Program (CNAP)

Mr. Tarr, Ms. Gobi, Messrs. Eldridge, Crighton, deMacedo, Moore, Tran, Humason, Fattman, Brady and O'Connor and Ms. Chang-Diaz moved that the proposed new text be amended in section 2, in item 4003-0122, by striking out the figures “$600,000” and inserting in place thereof the figures “$700,000.”


Budget Amendment ID: FY2020-S3-452-R1

Redraft EHS 452

Citizenship for New Americans Program (CNAP)

Mr. Tarr, Ms. Gobi, Messrs. Eldridge, Crighton, deMacedo, Moore, Tran, Humason, Fattman, Brady and O'Connor and Ms. Chang-Diaz moved that the proposed new text be amended in section 2, in item 4003-0122, by striking out the figures “$600,000” and inserting in place thereof the figures “$1,000,000.”


Budget Amendment ID: FY2020-S3-453

EHS 453

Increased Bed Capacity

Messrs. Tarr, deMacedo, Humason, Fattman and O'Connor moved that the proposed new text be amended by inserting after section___, the  following section:-

“SECTION _. Notwithstanding any general or special law to the contrary, the department of public health shall prepare a report examining overall substance abuse bed capacity across the full continuum of care from both detox and post-detox treatment as well as a plan to ensure access to both short and long term care and all needed case management and medication assisted treatment (MAT) supports.

The department of public health shall submit the report and plan to the clerks of the house and senate and the joint committee on public health no later than December 31, 2019.”


Budget Amendment ID: FY2020-S3-454

EHS 454

Infant Care Necessities

Messrs. Tarr, Humason, Fattman and O'Connor moved that the proposed new text be amended by inserting after section _ the following section:-

Section _. Notwithstanding any general or special law to the contrary the Department of Public Health shall make a request for approval from the United States Department of Agriculture for the expenditure of benefits on diapers for children and infants under the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC).


Budget Amendment ID: FY2020-S3-455

EHS 455

Grace Veterans Program

Mr. deMacedo moved that the proposed new text be amended in section 2, in item 1410-0012, by adding the following words:- "; provided further, that not less than $75,000 shall be expended for Cape & Islands Veterans Outreach Center for the operation of the Grace Veterans Programs"; and by striking out the figure "$5,334,262" and inserting in place thereof the following figure:- "$5,409,262".


Budget Amendment ID: FY2020-S3-456

EHS 456

Pembroke Council on Aging Handicap Access

Mr. deMacedo moved that the proposed new text be amended in section 2, in item 9110-9002, by adding the following words:- "; provided further, that not less than $30,000 shall be expended for the Pembroke Council on Aging to make accessibility improvements"; and by striking out the figure "$16,740,125" and inserting in place thereof the following figure:- "$16,770,125".


Budget Amendment ID: FY2020-S3-457

EHS 457

Ensuring Equity in MassHealth Asset Recovery for Individuals with Long Term Care Insurance

Ms. Chandler, Messrs. Tarr and O'Connor and Ms. Lovely moved that the proposed new text be amended by inserting after section ____ the following section:-

"SECTION ___. Section 33 of chapter 118E of the General Laws, as appearing in the 2016 Official Edition, is hereby amended by inserting after the word “purchased” in line 7, the following words:- “or at any time thereafter.” "


Budget Amendment ID: FY2020-S3-459

EHS 459

Service Dogs for Veterans

Ms. Chandler, Ms. Gobi, Messrs. Tran, Timilty and O'Connor moved that the proposed new text be amended in section 2, in item 1410-0010, by adding the following words:- "; provided further, that not less than $85,000 shall be expended for the NEADS Service Dogs for Veterans program to train service dogs for veterans”; and by striking out the figure "$3,952,840" and inserting in place thereof the following figure:- "4,037,840".


Budget Amendment ID: FY2020-S3-460

EHS 460

Substance Abuse Treatment for Victims of Commercial Sexual Exploitation

Ms. Chandler and Mr. O'Connor moved that the proposed new text be amended in section 2, in item 4512-0205, by adding the following words:- "; provided further, not less than $250,000 shall be expended on substance abuse treatment for victims of commercial sexual exploitation"; and by striking out the figure "100,000" and inserting in place thereof the following figure:- "350,000".


Budget Amendment ID: FY2020-S3-460-R1

Redraft EHS 460

Substance Abuse Treatment for Victims of Commercial Sexual Exploitation

Ms. Chandler, Mr. O'Connor and Ms. Lovely moved that the proposed new text be amended in section 2, in item 4512-0205, by adding the following words:- "; provided, not less than $50,000 shall be expended for substance abuse treatment for victims of commercial sexual exploitation"; and

in said section 2, in said item 4512-0205, by striking out the figure "$100,000" and inserting in place thereof the following figure:- "$150,000".


Budget Amendment ID: FY2020-S3-461

EHS 461

Town of Swampscott Veteran's Outreach Center

Mr. Crighton moved that the proposed new text be amended in section 2, in item 1410-0012, by adding the following words:- "provided further, that $100,000 shall be expended for the Town of Swampscott for the creation of a veterans outreach center"; and by striking out the figure "$5,334,262" and inserting in place thereof the following figure:- "$5,434,262".


Budget Amendment ID: FY2020-S3-462-R1

Redraft EHS 462

Amendment Relative to Expanding the Outreach for MS Navigator Services

Messrs. Crighton, Eldridge and Welch, Ms. DiZoglio, Messrs. Moore, O'Connor and Feeney moved that the proposed new text be amended in section 2, in item 4513-1111, by adding the following:- “; provided further, that the Greater New England Chapter of the National Multiple Sclerosis Society shall receive not less than an additional $50,000 more than the amount received in fiscal year 2019 to expand its outreach efforts”; and

in said section 2, in said item 4513-1111, by striking out the figure “$3,577,580” and inserting in place thereof the following figure:- “$3,627,580”.


Budget Amendment ID: FY2020-S3-462

EHS 462

Amendment Relative to Expanding the Outreach for MS Navigator Services

Messrs. Crighton, Eldridge and Welch, Ms. DiZoglio, Messrs. Moore, O'Connor and Feeney moved that the proposed new text be amended in section 2, in item 4513-1111, by adding the following words:- “; provided further, that the Greater New England Chapter of the National Multiple Sclerosis Society shall receive no less than an additional $50,000 to the amount received in fiscal year 2019 to expand its outreach efforts”; and by striking the figure “$3,577,580” and inserting in place thereof the following figure:- “$3,627,580”.


Budget Amendment ID: FY2020-S3-463

EHS 463

Forsyth Institute’s Center for Children’s Oral Health

Messrs. Crighton and Timilty, Ms. Chandler and Mr. O'Connor moved that the proposed new text be amended in section 2, in item 4512-0500, by adding the following words:- "provided further, that not less than $375,000 shall be expended for the Forsyth Institute’s Center for Children’s Oral Health to expand its ForsythKids programming focused on children and adolescents and to explore the emerging association between oral health status and academic performance”; and by striking out the figure “$1,732,069” and inserting in place thereof the figure “$2,107,069”.


Budget Amendment ID: FY2020-S3-465

EHS 465

National Guard Armory

Messrs. Brady and O'Connor moved that the proposed new text be amended in section 2, in item 8700-0001, by inserting after the word "services", the following:- "provided that no less than $250,000 be expended for armory maintenance;"  and in said item by striking out the figures "$10,911,181" and inserting in place thereof the figures "$11,161,181".

 


Budget Amendment ID: FY2020-S3-466-R1

Redraft EHS 466

Waltham Partnership for Youth

Mr. Barrett moved that the proposed new text be amended in section 2, in item 4590-1507, by adding the following words:- “; provided further, that not less than $50,000 shall be expended for the Waltham Partnership for Youth, Inc. in the city of Waltham”; and

in said section 2, in said item 4590-1507, by striking out the figure “$4,600,000” and inserting in place thereof the following figure:- “$4,650,000”.


Budget Amendment ID: FY2020-S3-466

EHS 466

Waltham Partnership for Youth

Mr. Barrett moved that the proposed new text be amended in section 2, in item 4512-0205, by adding the following words:- “; provided, that not less than $50,000 shall be expended for the Waltham Partnership for Youth in the city of Waltham”; and by striking out the figure “$100,000” and inserting in place thereof the following figure:- “$150,000”.


Budget Amendment ID: FY2020-S3-467

EHS 467

Hampshire County Children's Advocacy Center

Ms. Comerford, Ms. Gobi, Messrs. Hinds and Lesser moved that the proposed new text be amended in section 2, in item 4800-0038, by adding the following words:- "; provided further, that not less than $50,000 shall be expended for the Hampshire County Children’s Advocacy Center"; and by striking out the figure "$307,989,474" and inserting in place thereof the following figure:- "308,039,474".


Budget Amendment ID: FY2020-S3-468

EHS 468

DPH Airplane Noise Impact Study

Messrs. Timilty, Feeney and O'Connor and Ms. Lovely moved that the proposed new text be amended by adding after section X the following new section:-

"SECTION XXX. Section 1. The Commissioner of the Department of Public Health of the Commonwealth of Massachusetts shall commission a study of the health and noise impacts of airplane flights on affected resident communities that are represent on the Massachusetts Port Authority Community Advisory Committee.

(a). Said study would establish a deadline of 180 days which would require the Commissioner of the Department of Public Health to conduct the study to determine the health and noise impacts of airplane flights on residents of the communities represented on the Massachusetts Port Authority Community Advisory Committee exposed to conditions related to noise and air pollution levels emanating from airplane flights directed to and from Logan International Airport.

(b). The study shall include, but is not limited to:

(1)Examining the health impacts of airplane flights on residents comprising the Massachusetts Port Authority Community Advisory Committee, including asthma exacerbation, sleep disturbance, stress, and elevated blood pressure;

(2)Considering in particular the health impacts on residents comprising the Massachusetts Port Authority Community Advisory Committee living partly or wholly within the vicinity underneath the flight paths most frequently used by aircraft flying, including landing or during takeoff, at an altitude of 10,000 feet; and

(c). Not later than 60 days after the Department of Public Health receives the study previously described, the Department of Public Health shall submit to the senate committee ways and means committee and the joint committee on public health."


Budget Amendment ID: FY2020-S3-469

EHS 469

International Institute of New England, Inc

Ms. Creem moved that the proposed new text be amended in section 2, in item 5046-0000, by adding the following words:-  "; provided further, that not less than $250,000 shall be expended for the International Institute of New England, Inc. for culturally and linguistically appropriate mental health services for immigrants and refugees".


Budget Amendment ID: FY2020-S3-469-R1

Redraft EHS 469

International Institute of New England, Inc

Ms. Creem and Mr. O'Connor moved that the proposed new text be amended in section 2, in item 5046-0000, by adding the following words:-  "; provided further, that not less than $250,000 shall be expended for the International Institute of New England, Inc. for culturally and linguistically appropriate mental health services for immigrants and refugees"; and

in said section 2, in said item 5046-0000, by striking out the figure “$489,380,275” and inserting in place thereof the following figure:- “$489,630,275”.


Budget Amendment ID: FY2020-S3-470

EHS 470

Easton Housing Authority

Mr. Timilty moved that the proposed new text be amended in section 2, in item 7004-0099, by adding the following: "and provided further, that not less than $75,000 shall be expended on the Easton Housing Authority for improvements to the community rooms and outdoor recreation spaces at Elise Circle and Parker Terrace"; and by striking out the figure "$7,118,021" and inserting in place thereof the following figure:- "$7,193,021".


Budget Amendment ID: FY2020-S3-471

EHS 471

Pembroke Community Center

Mr. deMacedo moved that the proposed new text be amended in section 2, in item 4590-1507, by adding the following words:- "; provided further, that not less than $50,000 shall be expended for the Town of Pembroke for the establishment of a community center"; and by striking out the figure "$4,600,000" and inserting in place thereof the following figure:- "$4,650,000".


Budget Amendment ID: FY2020-S3-472

EHS 472

Canine Companions for Independence

Mr. Timilty moved that the proposed new text be amended in section 2, in item 1410-0012, by adding the following words:- "provided further, that $155,000 shall be expended for Canine Companions for Independence"; and by striking out the figure "$5,334,262" and inserting in place thereof the following figure:- "$5,489,262".


Budget Amendment ID: FY2020-S3-473

EHS 473

Children’s Autism Medicaid Waiver

Messrs. Barrett, Eldridge, Welch and Moore, Ms. DiZoglio, Messrs. Brady, Collins, Montigny, Humason, deMacedo, O'Connor and Tran, Ms. Lovely and Mr. Cyr moved that the proposed new text be amended in section 2, in item 5920-3010, by striking out the figure “$5,000,000" and inserting in place thereof the following figure:- “$5,500,000”;

and in said item by adding at the end thereof, the following words:- “provided further, that 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 number of contracted support services provided for families with autistic children under this item and the costs associated with such services not later than January 10, 2020; provided further, that such report shall include, but not be limited to, 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, linguistic and cultural diversity, age, gender and geographic representation of the applicants and the children enrolled in the program and department plans to continue to assess the demand for waiver services, 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 any 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.”;

and in said item by striking out the figure "$6,929,216" and inserting in place thereof the following figure:- "$7,429,216".


Budget Amendment ID: FY2020-S3-474-R1

Redraft EHS 474

Department of Mental Health

Messrs. Pacheco and O'Connor moved that the proposed new text be amended in section 2, in item 5095-0015, by striking out, in lines 23 to 25, inclusive, the words " provided further, that of the 671 beds, not less than 45 beds shall be continuing care inpatient beds on the campus of Taunton state hospital;" and

in said section 2, in said item 5095-0015, by adding the following words:- "provided further, that of said 671 beds, not less than 50 beds shall be continuing care inpatient beds on the campus of Taunton State Hospital; provided further, that within the existing appropriation, the department may operate more beds at Taunton State Hospital; provided further, that the department shall operate not less than 260 adult continuing care inpatient beds at Worcester Recovery Center and Hospital; provided further, that the department shall not take action in fiscal year 2020 to reduce the number of state-operated continuing care inpatient beds or other state-operated programs at the Taunton state hospital campus or relocate administrative hospital services associated with the operation of the hospital off-campus; provided further, that the department shall not enter into new vendor-operated lease agreements or expand existing vendor-operated programs; provided further, that the department shall not enter into new interagency agreements or expand existing interagency agreements, programs or facilities until the department, in conjunction with the division of capital asset management and maintenance, develops a comprehensive long-term use master plan for the campus not later than March 2, 2020 with appropriate community input that is consistent with maintaining publicly-provided mental health services currently delivered on-campus at Taunton state hospital; provided further, that the plan shall include maintenance of existing affiliations with institutions of higher education and possible future relationships with those institutions and others to maintain the sustainability of Taunton state hospital; provided further, that the plan shall be consistent with maintenance of the Taunton state hospital campus as a publicly-run mental health facility and shall not prohibit the inclusion of behavioral health programs or publicly-run pilot programs to meet the needs of individuals with mental health diagnoses, behavioral health diagnoses and those dual-diagnosed on the campus as part of the comprehensive master plan; provided further, that the master plan shall be submitted to the executive office for administration and finance, the executive office of health and human services, the joint committee on mental health and substance abuse and the house and senate committees on ways and means; provided further, that the department may authorize, on the campus of Taunton state hospital, a behavioral health emergency department relief pilot program to accept medically-stable individuals with high acuity behavioral health and dual diagnoses from emergency departments in the Southeast region; provided further, that medically-stable patients presenting in an emergency department with a high acuity behavioral health condition or who have a dual diagnosis shall be transferred to the pilot program if another appropriate setting cannot be located within 4 hours of admission to the emergency department; provided further, that the pilot program shall care for patients either for 14 days following admission or until an appropriate placement is found that meets the patient’s needs, whichever is sooner; provided further, that the pilot program may be operated by the department and staffed by department registered nurses, psychiatrists and other staff as needed; provided further, that within the first 6 months following the authorization of the program by the department, in consultation with the department of public health, the National Alliance on Mental Illness, the Massachusetts Nurses Association and the Emergency Nurses Association shall establish a staffing plan and program protocols; provided further that for the purposes of the pilot program, Taunton state hospital may accept patients classified under section 12 of chapter 123 of the General Laws; provided further, that the pilot program may be authorized to operate for a period of up to 2 years, with a report to be filed by the department with the joint committee on mental health, substance use and recovery within 6 months of the projected conclusion date of the program; provided further, that any report shall evaluate the success of the program in decreasing emergency department overcrowding in the southeast region and the quality of care provided in the program; and provided further, that the report may be drafted by an independent entity, utilizing data from the department and the local hospitals in the southeast region;"


Budget Amendment ID: FY2020-S3-474

EHS 474

Department of Mental Health

Mr. Pacheco moved that the proposed new text be amended in section 2, in item 5095-0015, by striking out, in lines 23 to 25, inclusive, the words " provided further, that of the 671 beds,not less than 45 beds shall be continuing care inpatient beds on the campus of Taunton state hospital;" and

in said section 2, in said item 5095-0015, by adding the following words:- "provided further, that of said 671 beds, not less than 45 beds shall be continuing care inpatient beds on the campus of Taunton State Hospital; provided further, that within the existing appropriation, the department may operate more beds at Taunton State Hospital; provided further, that the department shall operate not less than 260 adult continuing care inpatient beds at Worcester Recovery Center and Hospital; provided further, that the department shall not take action in fiscal year 2020 to reduce the number of state-operated continuing care inpatient beds or other state-operated programs at the Taunton state hospital campus or relocate administrative hospital services associated with the operation of the hospital off-campus; provided further, that the department shall not enter into new vendor-operated lease agreements or expand existing vendor-operated programs; provided further, that the department shall not enter into new interagency agreements or expand existing interagency agreements, programs or facilities until the department, in conjunction with the division of capital asset management and maintenance, develops a comprehensive long-term use master plan for the campus not later than March 2, 2020 with appropriate community input that is consistent with maintaining publicly-provided mental health services currently delivered on-campus at Taunton state hospital; provided further, that the plan shall include maintenance of existing affiliations with institutions of higher education and possible future relationships with those institutions and others to maintain the sustainability of Taunton state hospital; provided further, that the plan shall be consistent with maintenance of the Taunton state hospital campus as a publicly-run mental health facility and shall not prohibit the inclusion of behavioral health programs or publicly-run pilot programs to meet the needs of individuals with mental health diagnoses, behavioral health diagnoses and those dual-diagnosed on the campus as part of the comprehensive master plan; provided further, that the master plan shall be submitted to the executive office for administration and finance, the executive office of health and human services, the joint committee on mental health and substance abuse and the house and senate committees on ways and means; provided further, that the department may authorize, on the campus of Taunton state hospital, a behavioral health emergency department relief pilot program to accept medically-stable individuals with high acuity behavioral health and dual diagnoses from emergency departments in the Southeast region; provided further, that medically-stable patients presenting in an emergency department with a high acuity behavioral health condition or who have a dual diagnosis shall be transferred to the pilot program if another appropriate setting cannot be located within 4 hours of admission to the emergency department; provided further, that the pilot program shall care for patients either for 14 days following admission or until an appropriate placement is found that meets the patient’s needs, whichever is sooner; provided further, that the pilot program may be operated by the department and staffed by department registered nurses, psychiatrists and other staff as needed; provided further, that within the first 6 months following the authorization of the program by the department, in consultation with the department of public health, the National Alliance on Mental Illness, the Massachusetts Nurses Association and the Emergency Nurses Association shall establish a staffing plan and program protocols; provided further that for the purposes of the pilot program, Taunton state hospital may accept patients classified under section 12 of chapter 123 of the General Laws; provided further, that the pilot program may be authorized to operate for a period of up to 2 years, with a report to be filed by the department with the joint committee on mental health, substance use and recovery within 6 months of the projected conclusion date of the program; provided further, that any report shall evaluate the success of the program in decreasing emergency department overcrowding in the southeast region and the quality of care provided in the program; and provided further, that the report may be drafted by an independent entity, utilizing data from the department and the local hospitals in the southeast region;"


Budget Amendment ID: FY2020-S3-474-R2

2nd Redraft EHS 474

Department of Mental Health

Messrs. Pacheco and O'Connor moved that the proposed new text be amended in section 2, in item 5095-0015, by striking out, in lines 24 and 25, the words "45 beds shall be continuing care inpatient beds on the campus of Taunton state hospital" and inserting in place thereof the following words:- “50 beds shall be continuing care inpatient beds on the campus of Taunton state hospital; provided further, that if the average number of continuing care inpatient beds operated at Taunton state hospital is less than 50 continuing care inpatient beds in any month, the department shall submit a report within 15 days after the end of that month to the house and senate committees on ways and means and the joint committee on mental health, substance use and recovery on the circumstances causing the reduced bed count; provided further, that notwithstanding the previous proviso, Taunton state hospital shall not operate less than 45 continuing care inpatient beds at any time; provided further, that within the existing appropriation, the department may operate more beds at Taunton state hospital; provided further, that the department shall operate not less than 260 adult continuing care inpatient beds at Worcester Recovery Center and Hospital; provided further, that the department shall not take action in fiscal year 2020 to reduce the number of state-operated continuing care inpatient beds or other state-operated programs at the Taunton state hospital campus or relocate administrative hospital services associated with the operation of the hospital off campus; provided further, that the department shall not enter into new vendor-operated lease agreements or expand existing vendor-operated programs; provided further, that the department shall not enter into new interagency agreements or expand existing interagency agreements, programs or facilities until the department, in conjunction with the division of capital asset management and maintenance, develops a comprehensive long-term use master plan for the campus not later than March 2, 2020 with appropriate community input that is consistent with maintaining the publicly-provided mental health services that are currently delivered on-campus at Taunton state hospital; provided further, that the plan shall include maintenance of existing affiliations with institutions of higher education and possible future relationships with those institutions and others to maintain the sustainability of Taunton state hospital; provided further, that the plan shall be consistent with maintenance of the Taunton state hospital campus as a publicly-run mental health facility and shall not prohibit the inclusion of behavioral health programs or publicly-run pilot programs to meet the needs of individuals with mental health diagnoses, behavioral health diagnoses and those dual-diagnosed on the campus as part of the comprehensive master plan; provided further, that the master plan shall be submitted to the executive office for administration and finance, the executive office of health and human services, the joint committee on mental health and substance use and recovery and the house and senate committees on ways and means; provided further, that the department may authorize on the campus of Taunton state hospital, a behavioral health emergency department relief pilot program to accept medically-stable individuals with high acuity behavioral health and dual diagnoses from emergency departments in the southeast region; provided further, that medically-stable patients presenting in an emergency department with a high acuity behavioral health condition or who have a dual diagnosis shall be transferred to the pilot program if another appropriate setting cannot be located within 4 hours of admission to the emergency department; provided further, that the pilot program shall care for patients either for 14 days following admission or until an appropriate placement is found that meets the patient’s needs, whichever is sooner; provided further, that the pilot program may be operated by the department and staffed by department registered nurses, psychiatrists and other staff as needed; provided further, that within the first 6 months following the authorization of the program by the department, in consultation with the department of public health, the National Alliance on Mental Illness, the Massachusetts Nurses Association and the Emergency Nurses Association shall establish a staffing plan and program protocols; provided further, that for the purposes of the pilot program, Taunton state hospital may accept patients classified under section 12 of chapter 123 of the General Laws; provided further, that the pilot program may be authorized to operate for up to 2 years, with a report to be filed by the department with the joint committee on mental health, substance use and recovery within 6 months after the conclusion date of the program; provided further, that the report shall evaluate the success of the program in decreasing emergency department overcrowding in the southeast region and the quality of care provided in the program; and provided further, that the report may be drafted by an independent entity, utilizing data from the department and the local hospitals in the southeast region;”.


Budget Amendment ID: FY2020-S3-475

EHS 475

YMCA Youth-at-Risk Matching Grants

Ms. Lovely, Ms. DiZoglio, Messrs. Eldridge, O'Connor, Feeney and Tran moved that the proposed new text be amended in section 2, in item 4590-1507, by striking in line XX the figure “$1,400,000” and inserting in place thereof:- “$1,800,000”.


Budget Amendment ID: FY2020-S3-475-R1

Redraft EHS 475

YMCA Youth-at-Risk Matching Grants

Ms. Lovely, Ms. DiZoglio, Messrs. Eldridge, O'Connor, Feeney and Tran moved that the proposed new text be amended in section 2, in item 4590-1507, by striking out, in line 8, the figure “$1,400,000” and inserting in place thereof the following figure:- “$1,800,000”; and

in said section 2, in said item 4590-1507, by striking out the figure “$4,600,000” and inserting in place thereof the figure:- “$5,000,000”.


Budget Amendment ID: FY2020-S3-476

EHS 476

the NAN Project

Ms. Lovely, Ms. DiZoglio, Messrs. Moore, Crighton, Eldridge, Finegold, O'Connor and Feeney moved that the proposed new text be amended in section 2, in item 5042-5000, by inserting at the end thereof the following: “; provided further, that not less than $250,000 shall be expended for The NAN Project to provide mental health awareness and suicide prevention programming in schools and communities; and in said item by striking out the figures “$93,575,702” and inserting in place thereof the figures “$93,825,702”.


Budget Amendment ID: FY2020-S3-476-R1

Redraft EHS 476

the NAN Project

Ms. Lovely, Ms. DiZoglio, Messrs. Moore, Crighton, Eldridge, Finegold, O'Connor, Feeney and Cyr moved that the proposed new text be amended in section 2, in item 5042-5000, by adding the following words:- “; provided further, that not less than $100,000 shall be expended for the NAN Project to provide mental health awareness and suicide prevention programming in schools and communities”; and

in said section 2, in said item 5042-5000, by striking out the figure “$93,575,702” and inserting in place thereof the figure:- “$93,675,702”.


Budget Amendment ID: FY2020-S3-477

EHS 477

Project RIGHT

Mr. Collins moved that the proposed new text be amended in section 2, in item 4512-0205, by adding the following text:- "provided further, that not less than $200,000 shall be expended for Project RIGHT’s substance use and trauma prevention initiative in the Grove Hall area of Boston" and in said item by striking the figure "$100,000" and inserting in place thereof the following figure:- "$300,000".


Budget Amendment ID: FY2020-S3-478

EHS 478

Randolph THRIVE

Mr. Timilty moved that the proposed new text be amended in section 2, in item 7004-0099, by adding the following words:- “;provided further, that not less than $30,000 shall be allocated to the Town of Randolph for Randolph THRIVE"; and by striking out the figure "$7,118,021" and inserting in place thereof the following figure:- "$7,148,021".


Budget Amendment ID: FY2020-S3-479-R1

Redraft EHS 479

Recovery Center Support

Mr. Tran moved that the proposed new text be amended in section 2, in item 4512-0205, by adding the following words:- "; provided further, that not less than $20,000 shall be expended to Restoration Recovery Center, Inc. for the continuation and expansion of  services to persons with substance use disorders in the city of Fitchburg"; and

in said section 2, in said item 4512-0205, by striking the figure "$100,000" and inserting in place thereof the following figure:- "$120,000".


Budget Amendment ID: FY2020-S3-479

EHS 479

Recovery Center Support

Mr. Tran moved that the proposed new text be amended in section 2, in item 4512-0200, by adding the following words:- "; provided further, that not less than $20,000 shall be expended to Restoration Recovery Center, Inc. in the City of Fitchburg for the continuation and expansion of their services to persons with substance use disorder"; and by striking the figure "$150,185,718" and inserting in place thereof the following figure:- "$150,205,718"


Budget Amendment ID: FY2020-S3-480

EHS 480

Service Dogs for Veterans

Messrs. Tran and O'Connor moved that the proposed new text be amended in section 2, in item 1410-0010, by adding the following words:- "; provided, that not less than $85,000 shall be expended for the NEADS Service Dogs for Veterans program"; and by striking out the figure "$3,952,840" and inserting in the place thereof the following figure:- "$4,037,840".


Budget Amendment ID: FY2020-S3-481

EHS 481

Fitchburg Public Library ACM removal

Mr. Tran moved that the proposed new text be amended in section 2, in item 1599-0026, by adding the following words:- "; provided further, that not less than $150,000 shall be expended for ACM removal for the Fitchburg Public Library"; and by striking out the figure "$4,750,000" and inserting in the place thereof the following figure:- "$4,900,000".


Budget Amendment ID: FY2020-S3-482

EHS 482

Leominster Community Casework Pilot Program

Mr. Tran moved that the proposed new text be amended in section 2, in item 4512-0203, by adding the following words:- "; provided further, that not less than $75,000 shall be expended for the city of Leominster for the Community Casework Pilot Program"; and by striking out the figure "$1,440,450" and inserting in the place thereof the following figure:- "$1,515,450".


Budget Amendment ID: FY2020-S3-483

EHS 483

Family Support & Respite

Messrs. Tran, deMacedo, O'Connor and Welch moved that the proposed new text be amended in section 2, in item 5920-3000, by striking out the figure "$66,592,263" and inserting in place thereof the following figure:- "$70,092,263".


Budget Amendment ID: FY2020-S3-484

EHS 484

Councils on Aging

Messrs. Tran, Fattman, Collins, Timilty, Tarr, Welch and O'Connor moved that the proposed new text be amended in section 2, in item 9110-9002, by striking out the figure "$16,740,125" and inserting in place thereof the following figure:- "$17,225,000".


Budget Amendment ID: FY2020-S3-485

EHS 485

Healthy Relationships

Mr. Tran moved that the proposed new text be amended in section 2, in item 4513-1131, by striking out item 4513-1131 and inserting in place thereof the following item: “4513-1131 For a domestic violence and sexual assault prevention program focused on teens in high-risk communities; provided, that the programming shall be aimed at promoting healthy relationships and addressing teen dating violence; provided further, that the department shall partner with domestic violence and sexual assault service providers, other community-based organizations or school-based organizations to develop evidence-based and outcomes-focused prevention strategies; provided further, that the program shall prioritize funding for schools and communities in which the majority of students are eligible for free or reduced lunch; provided further, that at least 1 program shall occur in a municipality with a population of 25,000 or less; and provided further, that funds may be expended for a competitive grant program…$1,000,000”


Budget Amendment ID: FY2020-S3-486

EHS 486

YMCAs and Boys & Girls Clubs Funding

Messrs. Tran and O'Connor moved that the proposed new text be amended in section 2, in item 4590-1507, by striking out the figure "$1,400,000" and inserting in place thereof the following figure:- "$1,800,000"; and moves further that the proposed new text be further amended in section 2, in item 4590-1507, by striking out the figure "$1,700,000" and inserting in place thereof the following figure:- "$2,200,000"; and by striking out the figure "$4,600,000" and inserting in place thereof the following figure:- "$5,500,000"


Budget Amendment ID: FY2020-S3-487

EHS 487

Substance Abuse Coalitions

Messrs. Timilty, Feeney, Brady, Keenan and O'Connor moved that the proposed new text be amended in section 2, in item 4512-0200, by adding the following words:- ";provided further, that not less than $315,000 shall be expended in equal amounts for the following substance abuse coalitions and community partnerships:  Avon Coalition for Every Student; Braintree Community Partnership  on Substance Abuse; Canton Alliance Against Substance Abuse; EB Hope, Inc. in the town of East Bridgewater; Easton Wings of Hope; Milton Substance Abuse Prevention Coalition; Randolph Substance Abuse Prevention Coalition; Sharon Substance Prevention and Resource Commission; and Organizing Against Substances in Stoughton”; and by striking out the figure "$150,185,718" and inserting in place thereof the following figure:- "$150,500,718".


Budget Amendment ID: FY2020-S3-487-R1

Redraft EHS 487

Substance Abuse Coalitions

Messrs. Timilty, Feeney, Brady, Keenan and O'Connor moved that the proposed new text be amended in section 2, in item 4512-0205, by adding the following words:- "; provided, that not less than $270,000 shall be expended in equal amounts for the following substance abuse coalitions and community partnerships: (i) Avon Coalition for Every Student; (ii) Braintree Community Partnership  on Substance Abuse; (iii) Canton Alliance Against Substance Abuse; (iv) EB Hope, Inc. in the town of East Bridgewater; (v) Easton Wings of Hope; (vi) Milton Substance Abuse Prevention Coalition; (vii) Randolph Substance Abuse Prevention Coalition; (viii) Sharon Substance Prevention and Resource Commission; and (ix) Organizing Against Substances in Stoughton”; and

in said section 2, in said item 4512-0205, by striking out the figure "$100,000" and inserting in place thereof the following figure:- "$370,000".


Budget Amendment ID: FY2020-S3-488

EHS 488

School-Based Health Alliance

Ms. Lovely, Messrs. Cyr and Crighton moved that the proposed new text be amended in section 2, in item 4590-0250, by inserting at the end thereof the following:- “and provided further, that not less than $125,000 shall be expended to the Massachusetts School-Based Health Alliance;” and in said item by striking out the figures “$13,203,583” and inserting in place thereof the figures:- “$13,328,583”.


Budget Amendment ID: FY2020-S3-490

EHS 490

Notice Requirement

Messrs. Tarr and Fattman moved that the proposed new text be amended in section 2, in item 4120-1000, by inserting after the word "days" the following:-"or as soon as practicable"


Budget Amendment ID: FY2020-S3-491

EHS 491

Assistive Technology and Independent Living Skills

Ms. Creem, Mr. Barrett, Ms. DiZoglio, Messrs. deMacedo, Eldridge, O'Connor and Tarr moved that the proposed new text be amended in section 2, in item 4110-1000, by adding the following words:- "; provided further, that $250,000 be expended for specialized assistive technology training and intensive facility-based independent living skills instruction”; and by striking out the figure "$6,074,905" and inserting in place thereof the following figure:- "$6,324,905"


Budget Amendment ID: FY2020-S3-491-R1

Redraft EHS 491

Assistive Technology and Independent Living Skills

Ms. Creem, Mr. Barrett, Ms. DiZoglio, Messrs. deMacedo, Eldridge, O'Connor and Tarr moved that the proposed new text be amended in section 2, in item 4110-1000, by adding the following words:- "; provided further, that not less than $250,000 shall be expended for specialized assistive technology training and intensive facility-based independent living skills instruction”; and

in said section 2, in said item 4110-1000, by striking out the figure "$6,074,905" and inserting in place thereof the following figure:- "$6,324,905".


Budget Amendment ID: FY2020-S3-492

EHS 492

Elder Supportive Housing

Mr. Crighton, Ms. Jehlen, Messrs. Moore, Feeney, Fattman, Brady, Collins and O'Connor moved that the proposed new text be amended in section 2, in item 9110-1604, by adding the following words:- “ and to establish no less than 10 new sites”; and by striking out the figure "$5,910,888" and inserting in place thereof the following figure "$7,350,888".


Budget Amendment ID: FY2020-S3-493

EHS 493

Health Care Without Walls

Ms. Lovely and Mr. O'Connor moved that the proposed new text be amended in section 2, in item 4510-0110, by inserting at the end thereof the following:- “; provided further that not less than $300,000 shall be expended for Health Care Without Walls for the care of homeless women” and in said item by striking out the figures "$513,673" and inserting in place thereof the figures "$813,673".


Budget Amendment ID: FY2020-S3-494

EHS 494

Silent Spring Institute Drinking Water Research

Ms. Creem, Mr. Humason and Ms. Lovely moved that the proposed new text be amended in section 2, in item 4510-0600, by adding the following words:- "; provided, that not less than $25,000 shall be expended for Silent Spring Institute Inc.’s Drinking Water Research Program" and by striking out the figure "$4,144,530" and inserting in place thereof the following figure:-  "$4,169,530".


Budget Amendment ID: FY2020-S3-495

EHS 495

Autism Insurance Resource Center

Ms. Lovely, Messrs. Feeney and Eldridge, Ms. DiZoglio, Ms. Chandler and Mr. O'Connor moved that the proposed new text be amended in section 2, in item 4000-0300, by inserting at the end thereof the following:- “; provided further, that not less than $108,445 shall be expended for continued operation of the Autism Insurance Resource Center at the University of Massachusetts Medical School’s Eunice Kennedy Shriver Center to provide information, technical assistance and support to families of individuals with autism, including individuals enrolled in MassHealth” and in said item by striking out the figures "$107,816,936" and inserting in place thereof the figures "$107,925,381".


Budget Amendment ID: FY2020-S3-496

EHS 496

Federally Qualified Health Center

Mr. Collins moved that the proposed new text be amended in section 2, in item 4512-0200, by inserting at the end thereof the following text: “; provided further that not less than $175,000 shall be expended for the continuation of a comprehensive substance abuse and narcotic use reduction program at a federally qualified community health center located in South Boston”; and in said item by striking out the figures "$150,185,718" and inserting in place thereof the figures "$150,360,718".


Budget Amendment ID: FY2020-S3-497-R1

Redraft EHS 497

Perinatal Mental Health Best Practices and Evaluation

Ms. Lovely, Messrs. O'Connor and Feeney moved that the proposed new text be amended in section 2, in item 4510-0112, by striking out the words “and Fall River” and inserting in place thereof the following words:- “, Fall River and Salem”.


Budget Amendment ID: FY2020-S3-497

EHS 497

Perinatal Mental Health Best Practices and Evaluation

Ms. Lovely, Messrs. O'Connor and Feeney moved that the proposed new text be amended in section 2, in item 4510-0112, by striking the words “the Jamaica Plain section of the city of Boston” and inserting in place thereof the following:- “Salem; provided further, that not less than $150,000 shall be expended for the department of public health to provide technical assistance to health care providers on the implementation of the United States Preventive Services Task Force Perinatal Depression Preventive Intervention recommendations, program oversight to postpartum depression pilot programs, expertise on parental mental health, maternal morbidity, and maternal mortality to the department, and general education and support to community stakeholders; provided further, that the department of public health, in consultation with other state agencies and hospital systems, shall produce a report to define a set of measures to track the annual perinatal mental health outcomes for all deliveries in the Commonwealth and to outline a process for the collection and reporting of said measures; provided further that said measures shall include, but not be limited to, the rate of screening for postpartum depression, the identification of perinatal mental health diagnoses, and the incidence of postpartum psychosis; provided further that said report shall include, but not be limited, to the cost, timing, and feasibility thereof; provided further that the department shall report to the to the house and senate committees on ways and means, the joint committee on mental health, substance use and recovery, and the Ellen Story Commission on Postpartum Depression no later than March 1, 2021; provided further that not less than $150,000 shall be expended for the production of said report" and in said item by striking the figures “$250,000” and inserting in place thereof the figures “$550,000”


Budget Amendment ID: FY2020-S3-498-R1

Redraft EHS 498

North Star Community Services, Inc. Kitchen Renovations

Mr. Tran moved that the proposed new text be amended in section 2, in item 7004-0107, by adding the following words:- "; provided further, that not less than $50,000 shall be expended to North Star Family Services, Inc. in the city of Leominster for kitchen renovations"; and

in said section 2, in said item 7004-0107, by striking out the figure "$200,000" and inserting in place thereof the following figure:- "$250,000".


Budget Amendment ID: FY2020-S3-498

EHS 498

North Star Community Services, Inc. Kitchen Renovations

Mr. Tran moved that the proposed new text be amended in section 2, in item 7004-0101, by adding the following words:- "; provided further that not less than $50,000 shall be expended to North Star Community Services, Inc., formerly known as Montachusett Interfaith Hospitality Network, in the City of Leominster for kitchen renovations"; and by striking the figure "$177,931,886" and by inserting in place thereof the following figure:- "$177,981,886"


Budget Amendment ID: FY2020-S3-499

EHS 499

Access to Nature

Messrs. Collins and O'Connor moved that the proposed new text be amended in section 2, in item 4000-0300, by adding the following: "; provided further that not less than $50,000 shall be expended for the consortium divided equally among HERO Nurturing Center, Inc., and Boston Food Forest Coalition, Inc., to expand mental health resources in urban communities with limited access to green space, as green space is proven intervention for reducing mental illness and supporting trauma recovery." and in said item by striking the figure "$107,816,936" and inserting in place thereof the following figure:- "$107,866,936"


Budget Amendment ID: FY2020-S3-500

EHS 500

ESL Immersion

Mr. Collins moved that the proposed new text be amended in section 2, in item 4800-0038, by adding at the end thereof the following text:- ";"provided further, that no less than $25,000 shall be allocated for South Boston En Accion for implementation of leadership development training: ESOL, STEM and basic computer skills instruction; English Spanish immersion training and Spanish-English immersion training" and in said item by striking out the figures "$307,989,474" and inserting in place thereof "$308,014,474".


Budget Amendment ID: FY2020-S3-501

EHS 501

Carter Post

Mr. Collins moved that the proposed new text be amended in section 2, in item 1410-0010, by adding the following text:- ";provided that not less than $100,000 shall be expended for maintenance repairs and facility upgrades at the William E. Carter American Legion Post in the Mattapan section of the City of Boston”; and by striking out the figures “$3,952,840” and inserting in place thereof the figures “$4,052,840.”


Budget Amendment ID: FY2020-S3-502

EHS 502

Laboure Center

Mr. Collins moved that the proposed new text be amended in section 2, in item 4800-0038, by adding the following:- ";provided further that not less than $75,000 shall be expended for the Laboure Center and its recovery connections program" and in said item by striking out the figures "$307,989,474" and inserting in place thereof "$308,064,474".


Budget Amendment ID: FY2020-S3-503

EHS 503

Children's Advocacy Centers

Mr. Collins moved that the proposed new text be amended in section 2, in item 4800-0038, in line 17, by inserting after “flex services” the following:- “; provided further, that funds may be expended on programs that received funding in fiscal year 2013; and provided further, an amount not less than fiscal year 2013 shall be expended on children’s advocacy centers”


Budget Amendment ID: FY2020-S3-503-R1

Redraft EHS 503

Children's Advocacy Centers

Mr. Collins moved that the proposed new text be amended in section 2, in item 4800-0038, by adding at the end thereof the following text:- “; provided further, that funds may be expended on programs that received funding in fiscal year 2013; and provided further, an amount not less than fiscal year 2013 shall be expended on children’s advocacy centers; and provided further, that not less than $200,000 shall be expended for the Children’s Advocacy Center of Suffolk County, Inc." and in said item by striking out the figures "$307,989,474" and inserting in place thereof the following figures: "$308,189,474".


Budget Amendment ID: FY2020-S3-504

EHS 504

South Boston Neighborhood House

Mr. Collins moved that the proposed new text be amended in section 2, in item 9110-9002, by adding the following text:- ";provided further that not less than $25,000 shall be expended for the operation of the South Boston Neighborhood House and its Senior Programs”; and in said item by striking out the figures"$16,740,125" and inserting in place thereof the figures "$16,765,125".


Budget Amendment ID: FY2020-S3-505-R1

Redraft EHS 505

Julies Family Learning

Mr. Collins moved that the proposed new text be amended in section 2, in item 4800-0038, by adding the following words:- "; provided further, that not less than $25,000 shall be expended for Julie's Family Learning Program, Inc. for programming and services to help women break the cycle of poverty"; and

in said section 2, in said item 4800-0038, by striking the figure "$307,989,474" and inserting in place thereof the following figure:- "$308,014,474".


Budget Amendment ID: FY2020-S3-505

EHS 505

Julies Family Learning

Mr. Collins moved that the proposed new text be amended in section 2, in item 4800-0038, by adding the following text:- ";provided further, that $75,000 shall be expended for Julie's Family Learning Center for programming and services to help women break the cycle of poverty" and in said item by striking the figures "$307,989,474" and inserting in place thereof the following figures "$308,064,474".


Budget Amendment ID: FY2020-S3-506-R1

Redraft EHS 506

Ella J. Baker House

Mr. Collins moved that the proposed new text be amended in section 2, in item 4800-0038, by adding the following words:- "; provided further, that not less than $25,000 shall be expended for capital needs, programming and operations at the Ella J. Baker House in the Dorchester section of the city of Boston"; and

in said section 2, in said item 4800-0038, by striking the figure "$307,989,474" and inserting in place thereof the following figure:- "$308,014,474".


Budget Amendment ID: FY2020-S3-506

EHS 506

Ella J. Baker House

Mr. Collins moved that the proposed new text be amended in section 2, in item 4800-0038, by adding the following text:- ";provided further, that not less than $75,000 shall be expended for capital needs, programming and operations at the Ella J. Baker house in the Dorchester section of the city of Boston" and in said item by striking the figure "$307,989,474" and inserting in place thereof the following figure:- "$308,064,474"


Budget Amendment ID: FY2020-S3-507

EHS 507

South Boston Youth Ambassadors, Leadership Initiative

Mr. Collins moved that the proposed new text be amended in section 2, in item 4510-0110, by adding the following text:- "; provided further, that not less than $100,000 shall be expended for the operation of the South Boston Community Health Center, Inc. and its youth ambassador program and South Boston leadership initiative" and in said item by striking the figure "$513,673" and inserting in place thereof the following figures:- "$613,673".


Budget Amendment ID: FY2020-S3-508

EHS 508

Betsy Lehman Center

Ms. Creem and Mr. Welch moved that the proposed new text be amended in section 2, in item 4100-0060, by striking out, in line 5, the figure “$1,563,617” and inserting in place thereof the following figure: - “$1,943,617”.


Budget Amendment ID: FY2020-S3-510

EHS 510

Ensuring Ambulance Service Access to Naloxone

Messrs. Timilty, Cyr and O'Connor moved that the proposed new text be amended by inserting after section XX the following section:-

SECTION XX. Chapter 29 of the General Laws is hereby amended by striking out section 2RRRR, as most recently amended by section 1 of chapter 277 of the acts of 2018, and inserting in place thereof the following section:-

Section 2RRRR. (a) There shall be a Municipal Naloxone Bulk Purchase Trust Fund. The fund shall be administered and expended by the commissioner of public health or a designee for the municipal naloxone bulk purchase program. Municipalities, ambulance services licensed pursuant to chapter 111C and non-profit organizations that contract with the department of public health's bureau of substance addiction services may join the program to purchase naloxone for municipal first responder agencies and such ambulance services and non-profit organizations. A sheriff of a house of correction that contracts with the department of public health may also participate in the program; provided, however, that such participation shall be pursuant to terms that the department may establish for such contract. The state office of pharmacy services shall assist with the purchasing and distribution of naloxone on behalf of the program. For the purpose of accommodating timing discrepancies between the receipt of retained revenues and related expenditures, the department may incur expenses and the comptroller may certify for payment amounts not to exceed the lower of this authorization or the most recent revenue estimate as reported in the state accounting system. The department of public health shall provide technical assistance to participating municipalities, ambulance services, non-profit organizations and sheriffs to ensure that program participants complete all training and registration requirements.

(b) The fund shall consist of: (i) payments made by program participants for the purchase of naloxone; (ii) revenue from appropriations or other monies authorized by the general court and specifically designated to be credited to the fund; and (iii) funds from public or private sources including, but not limited to, gifts, grants, donations, rebates and settlements received by the commonwealth that are specifically designated to be credited to the fund. Funds received under clauses (ii) or (iii) shall be apportioned in a manner determined by the department and shall be applied to provide price reductions for municipalities purchasing naloxone through the program, in addition to any discounts procured by the fund through bulk purchasing. Amounts credited to the fund shall not be subject to further appropriation and monies remaining in the fund at the end of a fiscal year shall not revert to the General Fund. The commissioner shall report annually not later than October 1 to the house and senate committees on ways and means on the fund's activity. The report shall include, but not be limited to, revenue received by the fund, revenue and expenditure projections for the forthcoming fiscal year and details of all expenditures from the fund, participants in the program, the amount of naloxone purchased by each participant and the discount procured through bulk purchasing.


Budget Amendment ID: FY2020-S3-511

EHS 511

Assistive Technology Services

Messrs. Timilty and Moore, Ms. DiZoglio, Messrs. Feeney, Eldridge, Brady, Collins, Welch, O'Connor and Tran moved that the proposed new text be amended in section 2, in item 4120-4000, by adding the following words:- “provided that not less than $1,920,000 shall be expended for assistive technology services”; and by striking out the figure "$10,360,568" and inserting in place thereof the following figure:- "$10,802,249".


Budget Amendment ID: FY2020-S3-512-R1

Redraft EHS 512

Veteran Homestead Inc

Mr. Timilty moved that the proposed new text be amended in section 2, in item 1410-0250, by adding the following words:- "; provided further, that not less than $250,000 shall be obligated for contracts with the Veteran Homestead, Inc. in the cities of Leominster, Gardner and Fitchburg"; and

in said section 2, in said item 1410-0250, by striking out the figure "$3,232,655" and inserting in place thereof the following figure:- "$3,482,655".


Budget Amendment ID: FY2020-S3-512

EHS 512

Veteran Homestead Inc

Mr. Timilty moved that the proposed new text be amended in section 2, in item 1410-0250, by adding the following words:- "provided further that not less than $750,000 shall be obligated for contracts with the Veteran Homestead Inc. located in Leominster, Veteran Homestead Inc. located in Gardner and Veteran Homestead Inc. located in Fitchburg"; and by striking out the figure "$3,232,655" and inserting in place thereof the following figure:- "$3,982,655".


Budget Amendment ID: FY2020-S3-513-R1

Redraft EHS 513

Veterans Business Owners

Messrs. Brady and O'Connor moved that the proposed new text be amended in section 2, in item 1410-0012, by adding the following words:- "; provided further, that not less than $50,000 shall be expended for the Veteran Business Owners Association to implement programs to assist veterans to develop and manage their own businesses"; and

in said section 2, in said item 1410-0012, by striking out the figure "$5,334,262" and inserting in place thereof the following figure:- "$5,384,262".


Budget Amendment ID: FY2020-S3-513

EHS 513

Veterans Business Owners

Messrs. Brady and O'Connor moved that the proposed new text be amended in section 2, in item 1410-0012, by adding the following words:- " provided further, that $50,000 shall be expended for the Veterans Business Owners Association to implement programs to assist veterans to develop and manage  their on businesses"; and by striking out the figure "$5,334,262 " and inserting in place thereof the following figure:- "$5,384,262".


Budget Amendment ID: FY2020-S3-514

EHS 514

The Champion Plan

Messrs. Brady and O'Connor moved that the proposed new text be amended in section 2, in item 4512-0205, by adding the following words:- “; provided further, that not less than $50,000 shall be expended for the Champion Plan, Inc. within the city of Brockton”, and by striking out the figure "$100,000" and inserting in place thereof the following figure:-"150,000".


Budget Amendment ID: FY2020-S3-515

EHS 515

Plympton Council on aging

Mr. Brady moved that the proposed new text be amended in section 2, in item 9110-9002, by adding the following word:- "; provided further, that not less than $95,000 shall be expended for the installation of a lift-type elevator and to complete construction in the Plympton Council on aging in the town of Plympton "; and by striking out the figure "$16,740,125" and inserting in place thereof the following figure:-"$16,835,125".


Budget Amendment ID: FY2020-S3-516

EHS 516

Self Esteem Boston

Mr. Rush, Ms. DiZoglio, Messrs. Boncore, Crighton, Collins and O'Connor moved that the proposed new text be amended in section 2, in item 4512-0205, by inserting the following:- “provided further, that not less than $150,000 shall be expended for Self Esteem Boston’s direct service and provider training programs," and in said item by striking out the figures “$100,000” and inserting in place thereof the following figure:- “250,000”.


Budget Amendment ID: FY2020-S3-517

EHS 517

Prostate Cancer

Messrs. Rush, Moore, Eldridge and Brady, Ms. DiZoglio, Messrs. deMacedo, Finegold, Welch, Crighton, Tran, Timilty and Feeney, Ms. Gobi, Messrs. Collins, Cyr, Tarr and O'Connor moved that the proposed new text be amended in section 2, in item 4590-0925, by striking out item 4590-0925 and inserting in place thereof the following item:- "For the costs of a prostate cancer awareness, education and research program focusing on men with African-American, Hispanic or Latino heritage, family history of the disease and other men at high risk; provided, that the department of public health shall oversee and manage said program and shall grant not less than 85 per cent of funds from this item to a non-profit AdMeTech foundation-led Prostate Cancer Action Council that shall leverage existing partnerships with other state-funded non-profit research organizations and current and past federally, state and privately funded prostate cancer programs aimed at saving lives, improving quality of life and reducing health care costs..................$800,000”.


Budget Amendment ID: FY2020-S3-518

EHS 518

Cape Cod Food Insecurity

Mr. deMacedo moved that the proposed new text be amended in section 2, in item 4400-1001, by adding the following words:- "; provided further, that not less than $300,000 shall be expended for Cape Cod Healthcare to administer a fish-based nutrition program for food insecure populations on Cape Cod"; and by striking out the figure "$10,027,882" and inserting in place thereof the following figure:- "$10,327,882".


Budget Amendment ID: FY2020-S3-519

EHS 519

Italian Home for Children

Messrs. Rush and Feeney, Ms. DiZoglio, Messrs. Brady, Crighton, Collins and Timilty moved that the proposed new text be amended in section 2, in item 4800-0038, by adding the following; ";provided further, that not less than $250,000 shall be expended for the Italian Home for Children’s permanency placement services” and in said item by striking out the figures “$307,739,474” and inserting in place thereof the following figure:-“$307,989,474”.


Budget Amendment ID: FY2020-S3-520

EHS 520

Perinatal Mental Health Awareness

Ms. Lovely, Messrs. O'Connor and Feeney moved that the proposed new text be amended in section 2, by inserting after line item 4590-0925 the following line item :- 4590-XXXX  "For the costs of a two-pronged perinatal mental health awareness and education campaign to a) provide resources with the goal of increasing engagement and empowerment for marginalized new mothers and fathers and b) provide unexamined bias training and capacity building to medical providers and allied health care professionals; provided that funds shall be expended to conduct participatory action research prior to carrying out said campaign ....$400,000.


Budget Amendment ID: FY2020-S3-521

EHS 521

Protecting Safety Net Hospitals’ 340B Savings

Ms. Chandler, Mr. Moore, Ms. Gobi, Messrs. Welch and Crighton, Ms. Comerford, Mr. Lesser, Ms. Chang-Diaz, Messrs. Boncore, Collins, Timilty, Humason, O'Connor and Feeney moved that the proposed new text be amended in section 39, by inserting in the new section 12A of chapter 118E, after subsection (a), the following new subsection:-

"In pursuing rebates from manufacturers for prescription drugs pursuant to this section or any other authority, the executive office shall not restrict or limit in any way the ability of hospitals that qualify for 340B pricing from manufacturers under section 340B of the Public Health Service Act, 42 U.S.C. section 256b from accessing those discounts in their purchase of prescription drugs to the full extent allowed by federal law."


Budget Amendment ID: FY2020-S3-521-R1

Redraft EHS 521

Protecting Safety Net Hospitals’ 340B Savings

Ms. Chandler, Mr. Moore, Ms. Gobi, Messrs. Welch and Crighton, Ms. Comerford, Mr. Lesser, Ms. Chang-Diaz, Messrs. Boncore, Collins, Timilty, Humason, O'Connor and Feeney and Ms. Lovely moved that the proposed new text be amended by inserting after Section 39 the following section:-

SECTION 39A. Said chapter 118E is hereby further amended by inserting after section 13K the following section:-

Section 13L.The secretary shall not restrict or limit an eligible hospital’s access to the discounted purchase of prescription drugs to the full extent permitted under section 340B of the Public Health Service Act, as codified under 42 U.S.C. 256b unless the secretary provides the following not less than 270 days before the proposed effective date of the limitation or restriction: (i) notice to eligible hospitals of the proposed restriction or limitation; and (ii) a report with the joint committee on health care financing and the senate and house committees on ways and means detailing: (A) the proposed restriction or limitation; (B) the anticipated aggregate savings to the commonwealth: (C) the estimated fiscal impact of the restriction or limitation on each affected hospital; and (D) the manner in which the secretary plans to mitigate the fiscal impact, which may include measures to maintain savings already achieved by providers under said 42 U.S.C. 256b.”.


Budget Amendment ID: FY2020-S3-522

EHS 522

Perinatal-Neonatal Quality Improvement Network of Massachusetts

Ms. Lovely, Messrs. O'Connor and Feeney moved that the proposed new text be amended in section 2, in item 4510-0710, by inserting at the end thereof the following: "; provided further that not less than $500,000 shall be expended for the Perinatal-Neonatal Quality Improvement Network of Massachusetts to support quality improvement initiatives to improve maternal and child health outcomes and achieve health equity” and in said item by striking out the figures "$12,929,869" and inserting in place thereof the figures "$12,930,369".


Budget Amendment ID: FY2020-S3-524

EHS 524

MassHealth Impact Analysis

Mr. Finegold moved that the proposed new text be amended in section 2, in item 4000-0700, by inserting after the words “primary care clinician (PCC) program”, in line ___, the following words:- "; provided that the Executive Office of Health and Human Services shall, as part of the process of developing, modifying or changing any type of MassHealth payment methodology, or determining a new formula for any program related to MassHealth, provide a hospital specific impact analysis of the proposed change, six months in advance, to those not for profit disproportionate share hospitals deemed eligible for the Delivery System Transformation Initiatives authorized by Section 35WW of Chapter 10 of the General Laws".


Budget Amendment ID: FY2020-S3-525

EHS 525

Andover Youth Services

Mr. Finegold moved that the proposed new text be amended in section 2, in item 4590-1507, by adding the following words:- "; provided further, that $100,000 shall be expended for Andover Youth Services in the town of Andover for youth mental health, employment, and mentoring programs"; and by striking out the figure "$4,600,000" and inserting in place thereof the following figure:- "4,700,000".


Budget Amendment ID: FY2020-S3-526

EHS 526

North Shore Community Health Center

Ms. Lovely and Mr. Tarr moved that the proposed new text be amended in section 2, in item 4510-0110, by inserting at the end thereof the following:- “provided further, that no less than $175,000 be allocated to North Shore Community Health Center to provide essential programs and vital care to patients” and in said item by striking out the figures "$513,673" and inserting in place thereof the figures "$688,673".


Budget Amendment ID: FY2020-S3-526-R1

Redraft EHS 526

North Shore Community Health Center

Ms. Lovely and Mr. Tarr moved that the proposed new text be amended in section 2, in item 4510-0110, by adding the following words:- “; provided further, that not less than $100,000 shall be allocated to North Shore Community Health Center to provide essential programs and vital care to patients”; and

in said section 2, in said item 4510-0110, by striking out the figure "$513,673" and inserting in place thereof the figure:- "$613,673".


Budget Amendment ID: FY2020-S3-527

EHS 527

Delamano

Mr. Finegold moved that the proposed new text be amended in section 2, in item 4513-1130, by adding the following words:- “; provided further, that $50,000 shall be expended for community outreach on domestic violence and sexual assault prevention and survivor services by Delamano, Inc. in Lawrence”; and by striking out the figure "$37,835,747" and inserting in place thereof the following figure:- "$37,885,747".


Budget Amendment ID: FY2020-S3-528

EHS 528

Tewksbury Hospital Beds

Mr. Finegold moved that the proposed new text be amended in section 2, in item 4590-0915, by adding at the end the following words:- "; provided further, that Tewksbury Hospital shall maintain the same number of beds in Fiscal Year 2020 as was maintained in Fiscal Year 2019".


Budget Amendment ID: FY2020-S3-529

EHS 529

Dracut Senior Center

Mr. Finegold moved that the proposed new text be amended in section 2, in item 9110-9002, by adding the following words:- "; provided further, that $100,000 shall be expended for repairs and upgrades to the roof of the Dracut Council on Aging Center in the Town of Dracut"; and by striking out the figure "$16,740,125" and inserting in place thereof the following figure:- "$16,840,125".


Budget Amendment ID: FY2020-S3-530

EHS 530

Public Health Hospitals

Messrs. Collins, Finegold, Kennedy, Boncore and Timilty moved that the proposed new text be amended in section 2, in item 4590-0915, by striking out the figure, “$163,123,368” and inserting in place thereof the following figure:- “$164,323,368”


Budget Amendment ID: FY2020-S3-531

EHS 531

Suicide Prevention Programming

Messrs. Finegold, Lesser, O'Connor and Montigny, Ms. DiZoglio and Ms. Lovely moved that the proposed new text be amended in section 2, in item 4513-1026, by striking out the figure "$4,469,372" and inserting in place thereof the figure:- "$4,819,372".


Budget Amendment ID: FY2020-S3-533

EHS 533

MassHealth Complex Care Reimbursement

Messrs. Finegold, Crighton, Moore, Collins and Welch moved that the proposed new text be amended in section 2, in item 4000-0300, by inserting after the word “board”, in line 3, the following words:- “; provided further, the executive office shall reimburse acute hospitals using an outlier payment methodology that includes a marginal cost factor of not less than 75 percent for both inpatient and outpatient reimbursement rates”.


Budget Amendment ID: FY2020-S3-534

EHS 534

Lyme Disease PrEP

Messrs. Tran, deMacedo, Tarr, Fattman and O'Connor moved that the proposed new text be amended in section 2, in item 4516-1000, by adding the following words:- “; provided further, that the Department of Public Health shall expend not more than $863,200 for the development of a Lyme Disease antibody by the MassBiologics division of the University of Massachusetts Medical School; and provided further, that the department of public health shall enter into a reimbursement agreement with the University of Massachusetts Medical School by which the department will be entitled to reimbursement for appropriations in this line item in the event that revenues from sale or distribution of the antibody exceed the total expenditures of the department of public health and the University of Massachusetts”; and by striking out the figure “$12,889,984” and inserting in place thereof the figure:- “$13,753,184”


Budget Amendment ID: FY2020-S3-535

EHS 535

Relative to Certified  Medication Technicians

Messrs. Tarr, Moore, deMacedo, Humason, Eldridge, Fattman and Tran moved that the proposed new text be amended that the proposed new text be amended by inserting after section __ the following new sections__:

 

"SECTION XX

SECTION 1. Chapter 111, as appearing in the Massachusetts General Laws 2016 Edition, is hereby amended by inserting, after section 72BB the following new section:-

 

Section 72CC. (a) As used in this section the following words shall have the following meaning:- A certified medication aide means a staff member, who meets the eligibility requirements, has successfully completed the required training and competency testing developed by the Department of Public Health, and is considered competent to administer medications to residents in long-term care facilities.

(b) The Department shall create a program for the administration of medications in long-term care facilities by certified medication aides in consultation with all necessary and relevant appropriate agencies, and licensing boards.

(c) The Department shall develop and approve training curricula, competency evaluation procedures, standards for qualifications of applicants for certification and monitoring and oversight requirements for participating long-term care facilities.

(d) The Department shall establish regulations that include: (1) provisions for continuing education requirements for certified medication aides; (2) requirements for re-certification of certified medication aides on a biennial basis; and (3) fees for the issuance of certification to certified medication aides.

 

(e) The Department may promulgate rules and regulations to carry out the provisions of this section.

 

The provisions of this bill are not mandatory upon any long-term care facility or long-term care employee. A long-term care facility may not, as a condition of employment, require any of its employees to become certified medication aides.


Budget Amendment ID: FY2020-S3-536

EHS 536

Polish Legion of American Veterans Post 55

Ms. Lovely moved that the proposed new text be amended in section 2, in item 1410-0010, by inserting at the end thereof the following:- “provided further, that not less than $100,000 shall be expended for the installation of an elevator or lift for the Polish Legion of American Veterans Post 55 in the city of Salem” and by striking out the figures “$3,952,840” and inserting in place thereof the figures “$4,052,840”.


Budget Amendment ID: FY2020-S3-537-R1

Redraft EHS 537

Recovery Works

Messrs. Crighton and O'Connor moved that the proposed new text be amended in section 2, in item 4512-0205, by adding the following words:- "; provided, that not less than $200,000 shall be expended for the recovery works program within the West End clinic of the Massachusetts General Hospital to provide education and outreach to employers to reduce stigma and increase understanding and awareness around issues related to the employment of persons with substance use disorder and to provide support to those persons as they seek to return to the workforce"; and

in said section 2, in said item 4512-0205, by striking out the figure "$100,000" and inserting in place thereof the following figure:- "$300,000".


Budget Amendment ID: FY2020-S3-537

EHS 537

Recovery Works

Messrs. Crighton and O'Connor moved that the proposed new text be amended in section 2, in item 4512-0200, by adding the following words:- "; and provided further that $250,000 shall be expended for the Recovery Works program within the West End Clinic of the Massachusetts General Hospital, to provide education and outreach to employers to reduce stigma and increase understanding and awareness around issues related to the employment of persons with substance use disorder and to provide support to those persons as they seek to return to the workforce"; and by striking out the figure "$150,185,718" and inserting in place thereof the following figure:- "$150,435,718".


Budget Amendment ID: FY2020-S3-538

EHS 538

TIMBO Training

Mr. Collins moved that the proposed new text be amended in section 2, in item 4513-1130, by adding the following text:- ";provided further that not less than $25,000 shall be expended to the Timbo Collective for TIMBO training at the St. Mary's Center in the Dorchester section of the city of Boston" and in said item by striking the figure "$14,442,500" and inserting in place thereof the figure:- "$14,467,500"


Budget Amendment ID: FY2020-S3-540

EHS 540

Alzheimer’s disease public awareness and education

Ms. Jehlen, Messrs. Barrett and Tarr, Ms. DiZoglio, Messrs. Timilty, Eldridge, Moore and O'Connor moved that the proposed new text be amended in section 2, in item 4513-1111, by adding the following words:- "; provided further, that not less than $150,000 shall be expended for a grant to a statewide Alzheimer's disease advocacy and education organization for a public awareness and education campaign as recommended by the Centers for Disease Control and Prevention; and by  striking out the figure "3,577,580" and inserting in place thereof the following figure:-"3,727,580".


Budget Amendment ID: FY2020-S3-541

EHS 541

Home Care Aide Training Grant Program

Ms. Jehlen, Mr. Moore, Ms. DiZoglio, Messrs. O'Connor and Feeney moved that the proposed new text be amended in section 2, by adding the following line item:

XXXX-XXXX For a grant program administered by the Secretary of Elder Affairs focused on advanced skill training for the home care aide workforce that serves consumers of the elder home care program administered by the Department of Elder Affairs………..$1,000,000.


Budget Amendment ID: FY2020-S3-542

EHS 542

Rest Home Rates

Ms. Gobi, Ms. Jehlen, Messrs. Tran and Moore, Ms. DiZoglio, Mr. Barrett, Ms. Comerford, Messrs. Feeney, Eldridge, Timilty, O'Connor and Finegold moved that the proposed new text be amended in section 2, in item 4405-2000, by adding the following words:- "; provided further, that rates for residential care facilities and rest homes effective July 1, 2019, established under section 13D of chapter 118G of the General Laws, shall cumulatively total not less than $2,800,000 more than rates effective January 1, 2019"; and by striking out the figure "$213,015,853" and inserting in place thereof the following figure:- "215,815,853";

 

and further in item 4408-1000, by adding the following words: - “; provided further, that rates for residential care facilities and rest homes effective July 1, 2019, established under section 13D of chapter 118G of the General Laws, shall cumulatively total not less than $1,200,000 more than rates effective January 1, 2019;

and by striking the figure “$75,129,458” and inserting in place thereof the figure:- “$76,329,458”.


Budget Amendment ID: FY2020-S3-542-R1

Redraft EHS 542

Rest Home Rates

Ms. Gobi, Ms. Jehlen, Messrs. Tran and Moore, Ms. DiZoglio, Mr. Barrett, Ms. Comerford, Messrs. Feeney, Eldridge, Timilty, O'Connor and Finegold and Ms. Lovely moved that the proposed new text be amended in section 68, by striking out, in line 11, the figure “5” and inserting in place thereof the following figure:- “6”;

and in said section 68, by inserting after the word “whom”, in line 14, the following words:- “shall be a representative of Massachusetts Association of Residential Care Homes, Inc., 1 of whom”.


Budget Amendment ID: FY2020-S3-543

EHS 543

Athol School Based Health Center

Ms. Gobi moved that the proposed new text be amended in section 2, in item 4590-0250, by adding the following words:- “; provided further, that not less than $100,000 shall be expended to the Athol Community Elementary School (ACES) School Based Health Center".


Budget Amendment ID: FY2020-S3-545

EHS 545

Senior FarmShare Program

Ms. Gobi, Messrs. Welch, Lesser and Humason and Ms. Comerford moved that the proposed new text be amended in section 2, in item 9110-1900, by adding the following words:- "provided, that not less than the amount appropriated in item 9110-1900 of section 2 of chapter 38 of the acts of 2013 shall be expended for the senior farm share program".


Budget Amendment ID: FY2020-S3-546

EHS 546

Financial Literacy for Refugees and Immigrants

Messrs. Keenan, Eldridge and O'Connor moved that the proposed new text be amended in section 2, in item 4003-0122, by adding the following words:- "; provided further, that not less than $50,000 shall be expended for the Financial Literacy for Newcomers program"; and by striking out the figure "$600,000" and inserting in place thereof the following figure:- "$650,000".


Budget Amendment ID: FY2020-S3-547

EHS 547

Eastern Massachusetts Goal Setting & Relapse Prevention

Messrs. Keenan and Timilty moved that the proposed new text be amended in section 2, in item 4512-0200, by adding the following words:- “; provided further, that not less than $95,000 shall be expended for the Eastern Massachusetts Goal Setting and Relapse Prevention program in collaboration with the Juvenile Court Department office situated in Dedham"; and by striking out the figure "$150,185,718" and inserting in place thereof the following figure:- "$150,280,718".


Budget Amendment ID: FY2020-S3-548

EHS 548

Strengthening Prescription Drug Safety and Drug Stewardship

Messrs. Keenan, Tarr and O'Connor moved that the proposed new text be amended by inserting at the end therof the following new sections:-

SECTION XX. Section 55 of Chapter 52 of the Acts of 2016, as amended by Chapter 351 of the Acts of 2016, is hereby repealed.

SECTION XX. Section 77 of Chapter 52 of the Acts of 2016 is hereby repealed.


Budget Amendment ID: FY2020-S3-549

EHS 549

Allowing Increased Data in Opiate Overdose Reports

Messrs. Keenan, Tarr and O'Connor moved that the proposed new text be amended by inserting at the end thereof the following new sections:-

SECTION XX. The first sentence of the second paragraph of section 1 of chapter 55 of the Acts of 2015 is hereby amended by inserting after the word “protection” the following words:- “, the department of revenue”.

SECTION XX. The first sentence of the second paragraph of section 1 of chapter 55 of the Acts of 2015 is hereby amended by inserting after the words “information database” the following words:- “; income data”.


Budget Amendment ID: FY2020-S3-550

EHS 550

Disproportionate Share Hospital “DSH” Amendment

Messrs. Welch and Humason moved that the proposed new text be amended in section 2, in item 4000-0700, by striking out the figure “$13,000,000” and inserting the following: “$20,000,000”, and by inserting after the words "as determined by the executive office" the following: "provided further, the executive office shall provide a supplemental payment of at least $10,000,000 for inpatient and outpatient behavioral and mental health services provided by disproportionate share hospitals subject to all required federal approvals and the availability of federal financial participation and shall be prioritized for services provided to children and adolescents”; and by striking out the figure “$2,874,688,065” and inserting in place thereof the following figure:- “$2,881,688,065”.


Budget Amendment ID: FY2020-S3-550-R1

Redraft EHS 550

Disproportionate Share Hospital “DSH” Amendment

Messrs. Welch and Humason, Ms. DiZoglio, Messrs. Lesser and Collins and Ms. Gobi moved that the proposed new text be amended in section 2, in item 4000-0700, by striking out the figure “$13,000,000” and inserting the following: “$20,000,000”, and by inserting after the words "as determined by the executive office" the following: "provided further, the executive office shall provide a supplemental payment of at least $10,000,000 for inpatient and outpatient behavioral and mental health services provided by disproportionate share hospitals subject to all required federal approvals and the availability of federal financial participation and shall be prioritized for services provided to children and adolescents”; and by striking out the figure “$2,874,688,065” and inserting in place thereof the following figure:- “$2,891,688,065”.


Budget Amendment ID: FY2020-S3-551

EHS 551

Substance Use Services Amendment

Messrs. Welch and Lesser moved that the proposed new text be amended in section 2, in item 4512-0205, by inserting at the end thereof the following:- "provided further, not less than $100,000 shall be expended for Mercy Medical Center in the City of Springfield for grant to prevent and treat addiction to opioids and other addiction” ; and by striking out the figure “$100,000” and inserting in place thereof the following figure:- “$200,000”.


Budget Amendment ID: FY2020-S3-552

EHS 552

FIT Body & Soul Diabetes Prevention

Mr. Welch moved that the proposed new text be amended in section 2, in item 7008-0900, by adding the following words:- “; provided further, that not less than $25,000 shall be expended for the FIT Body and Soul diabetes prevention program in the city of Springfield"; and by striking out the figure “$163,176” and inserting in place thereof the following figure:- “$213,176”.


Budget Amendment ID: FY2020-S3-552-R1

Redraft EHS 552

FIT Body & Soul Diabetes Prevention

Mr. Welch moved that the proposed new text be amended in section 2, in item 4513-1111, by adding the following words:- “; provided further, that not less than $25,000 shall be expended for the FIT Body and Soul diabetes prevention program in the city of Springfield"; and

in said section 2, in said item 4513-1111, by striking out the figure “$3,577,580” and inserting in place thereof the following figure:- “$3,602,580”.


Budget Amendment ID: FY2020-S3-553

EHS 553

Manet Community Health Center Care Integration Initiative

Messrs. Keenan and O'Connor moved that the proposed new text be amended in section 2, in item 4510-0110, by adding the following words:- “; provided further, that not less than $350,000 shall be made available to the Manet Community Health Center for the purpose of studying and implementing the development of a Care Integration Initiative to expand access to urgent care and behavioral health care within the Manet Community Health Center system”; and by striking out the figure "$513,673" and inserting in place thereof the following figure:- "$863,673".


Budget Amendment ID: FY2020-S3-554

EHS 554

Martin Luther King Jr. Family Services, Inc

Messrs. Welch and Lesser moved that the proposed new text be amended in section 2, in item 4000-0005, by adding the following: “provided further, that not less than $75,000 shall be expended to the Martin Luther King, Jr. Family Services, Inc. to provide comprehensive youth development and violence prevention services to at-risk youth.” and in said item by striking out "$8,145,000" and inserting in place thereof the following figure:- "$8,220,000".


Budget Amendment ID: FY2020-S3-554-R1

Redraft EHS 554

Martin Luther King Jr. Family Services, Inc

Messrs. Welch and Lesser moved that the proposed new text be amended in section 2, in item 4000-0005, by adding the following words:- “; provided further, that not less than $25,000 shall be expended to the Martin Luther King, Jr. Family Services, Inc. to provide comprehensive youth development and violence prevention services to at-risk youth”; and

in said section 2, in said item 4000-0005, by striking out the figure "$8,145,000" and inserting in place thereof the following figure:- "$8,170,000".


Budget Amendment ID: FY2020-S3-555

EHS 555

Home Care - Responsible Employer Wage Pass-Through

Mr. Welch, Ms. DiZoglio, Messrs. Moore, Brady, O'Connor, Montigny and Feeney moved that the proposed new text be amended in section 2, by inserting after line item 9110-1633 the following new line item:

 

"9110-1635  For adjustments to rates and capitations for home and community based services provided through line items 9110-1630, 9110-1633, 9110-0600, and 4000-0601; provided further that $6,000,000 shall be provided for an adjustment to approved program rates issued under line items 9110-1630 and 9110-0600 to provide a rate add-on for wages, compensation and /or salary related costs for personnel providing home maker and personal care homemaker services; provided further that $1,000,000 shall be issued under line item 9110-0600 to increase capitation rates paid to contracted aging service access points; provided further that $3,000,000 shall be utilized for adjusting rates for home health aide services funded through line item 4000-0601 for the purpose of providing Title XIX services; provided further that the Executive Office of Elder Affairs, in consultation with the Executive Office of Health and Human Services and the Division of Purchased Services, shall issue new regulations and procedures to implement this section; provided further that such additional regulations and procedures shall mandate full compliance reporting from and a Department audit of the home care agencies receiving these rate add-on funds and that audit shall include a full accounting of the uses of these funds, itemizing spending of the rate add-on funds for hourly rate increases, other categories of worker compensation and other categories of related eligible costs; provided further that such regulations shall require annual reporting of hourly wage rates and shall limit eligibility for the rate increases provided in this section to home care agencies that meet responsible employer standards established by the Department that shall at a minimum require full compliance with all applicable state regulations, including any licensing and financial reporting regulations and shall require that each eligible home care agency pays each of their workers an hourly wage that is at least fifty cents per hour higher than the statewide minimum wage; provided further that, no later than six months after the effective date of this act, the Executive Office of Elder Affairs shall report to the house and senate committees on ways and means an analysis of the impact on the wages for the workforce at the home care agencies receiving said rate adjustments.…… $10,000,000"


Budget Amendment ID: FY2020-S3-556

EHS 556

Home Care - DPH Licensure

Mr. Welch, Ms. DiZoglio, Ms. Comerford, Messrs. Moore, Humason, Feeney and Finegold moved that the proposed new text be amended in section 2, by inserting after line item 9110-1633 the following new line item 9110-1635:

SECTION XXXX An Act to Improve Massachusetts Home Care

SECTION 1. Chapter 111 of the General Laws is hereby amended by adding after Section 57D, the following new section:

Section 57E

(a)  The department shall, after a public hearing and in consultation with the Executive Office of Elder Affairs, promulgate rules and regulations for the licensing and conduct of a home care aid agency, which shall be substantially similar to those rules and regulations promulgated for home health agencies and home care agencies serving MassHealth consumers including but not limited 130 CMR 403 and 130 CMR 405.

No home care aide agency shall operate in the Commonwealth without satisfying the conditions of licensure established by this section.  For the purpose of this section “home care aide agency” shall mean any business, non-profit or other entity seeking to contract to provide homemaker, personal care homemaker, or home health services in the Commonwealth, whether or not such entity is currently providing such services.

(b) Additionally, any process for obtaining a license established by the department shall require an application to be filed by a home care aide agency with the Department of Public Health in which the applicant shall specify:

1) the types of home care or home health services offered by the applicant;

2) the expected service area, including municipality and county names; and

3) the structure and operations of an ongoing quality assurance program that complies with all applicable federal and state quality of care standards;

4) a written assurance that it will fully comply with all cost reporting and minimum average employee compensation standards established by state law; and

5) any other requirements as determined by the department.

(c) Any license application submitted by a home care aide agency shall be accompanied by a comprehensive annual cost report.  The Department of Public Health in consultation with Executive Office of Elder Affairs, shall determine the contents of such a cost report, provided that the cost report shall at a minimum include a full accounting of annual costs for supplies, labor, and administrative expenses.

(d)  The department may establish an application fee in an amount as necessary to administer this licensure program.


Budget Amendment ID: FY2020-S3-558

EHS 558

Abington Senior Center Roof Repairs

Mr. Keenan moved that the proposed new text be amended in section 2, in item 9110-9002, by adding the following words:- “; provided further that not less than $125,000 shall be expended for roof repairs and replacement at the Council on Aging located in the town of Abington"; and by striking out the figure "$16,740,125" and inserting in place thereof the following figure:- "$16,865,125".


Budget Amendment ID: FY2020-S3-558-R1

Redraft EHS 558

Abington Senior Center Roof Repairs

Mr. Keenan moved that the proposed new text be amended in section 2, in item 9110-9002, by adding the following words:- “; provided further, that not less than $85,000 shall be expended for roof repairs and replacement at the council on aging in the town of Abington"; and in said section 2, in said item 9110-9002, by striking out the figure "$16,740,125" and inserting in place thereof the following figure:- "$16,825,125".


Budget Amendment ID: FY2020-S3-559

EHS 559

Gold Star Annuity

Messrs. Keenan, Tarr, O'Connor and Montigny moved that the proposed new text be amended by inserting at the end thereof the following new section:-

SECTION X. Section 6B of Chapter 115 of the General Laws, as appearing in the 2016 edition, is hereby amended by in lines 19, 28 and 35 by striking out the figures “$2,000” and inserting in place thereof the following figures “$2,500”.


Budget Amendment ID: FY2020-S3-560

EHS 560

Ensuring the Sustainability of the Adult Foster Care Program

Mr. Keenan, Ms. Jehlen, Messrs. Brady and Humason, Ms. Gobi, Messrs. O'Connor, Feeney and Moore moved that the proposed new text be amended in section 2, in item 4000-0601, by adding the following words:- “; provided further, that MassHealth shall meet with key stakeholder groups, no later than October 1, to identify costs associated with operating accredited adult foster care programs and shall, no later than January 1, 2020, provide to the House and Senate Committees on Ways and Means a report on the funding necessary to implement reimbursement rates for adult foster care services that recognize the provision of quality services and the costs associated with operating accredited organizations”


Budget Amendment ID: FY2020-S3-562

EHS 562

Transport to Detox Voucher Program

Messrs. Tarr, deMacedo, Humason, Fattman and O'Connor moved that the proposed new text be amended in section 2, in item 4512-0205, by adding the following words:-";provided further, that $1,000,000 shall be expended for the creation of the  transportation to detox voucher pilot program to remove transportation barrier to and increase utilization of available detoxification beds in Massachusetts, said program would be geared to increasing on-demand access to all who agree to seek detoxification and receive subsequent treatment and recovery"; and by striking out the figure "$100,000" and inserting in place thereof the following figure:-"$1,100,000" 


Budget Amendment ID: FY2020-S3-563-R1

Redraft EHS 563

Worcester East Middle School Health Center

Mr. Moore moved that the proposed new text be amended in section 2, in item 4590-0250, by adding the following words:- "; provided further, that funds may be expended for supporting the school-based health center at Worcester East middle school in the city of Worcester".


Budget Amendment ID: FY2020-S3-563

EHS 563

Worcester East Middle School Health Center

Mr. Moore moved that the proposed new text be amended in section 2, in item 4590-0250, by adding the following words:- "; provided further, that funding shall be expended for the purposes of supporting the school-based health center at Worcester East Middle School in the city of Worcester".


Budget Amendment ID: FY2020-S3-565

EHS 565

Fetal opioid drug exposure

Messrs. Tarr, deMacedo, Fattman and O'Connor moved that the proposed new text be amended by inserting after section _ the following:-

"SECTION XX. Notwithstanding any general or special law to the contrary the commissioner of the department of developmental services shall include fetal opiod drug exposure and addiction under the definition of Closely Related Developmental Conditions as defined under 115 CMR 2 and 115 CMR 6.06(1).

The commissioner of the department of development services shall at their discretion include additional diagnosis as part of the definition of closely related developmental condition.


Budget Amendment ID: FY2020-S3-566

EHS 566

Pre-Hospital Services

Messrs. Tarr, deMacedo and Humason moved that the proposed new text be amended by inserting after section _ the following:-

SectionXX. Notwithstanding any general or special law to the contrary, the secretary of health and human services, in consultation with the commissioner of public health shall conduct an audit and analysis of state regulations and support for prehospital and emergency medical services in the commonwealth, including but not limited to the adequacy of resources for, and sustainability of emergency medical service councils, the central medical emergency direction (CMED) system, and the training, oversight, and support of emergency medical technicians and paramedics in the commonwealth.

Said analysis shall include the convening of at least 1 public hearing, and the solicitation of input from all relevant stakeholders involved in the provision of emergency medical services, including but not limited to hospitals, police and fire departments, emergency medical response personal, public and private ambulance providers and hospitals.

The results of said audit and analysis together with any legislative recommendations, shall be filed with the clerks of the house and senate not later than December 31, 2019.

 


Budget Amendment ID: FY2020-S3-567

EHS 567

Project Bread II

Ms. DiZoglio, Mr. Eldridge, Ms. Gobi, Messrs. Crighton, Tarr, O'Connor and Moore moved that the proposed new text be amended in section 2, in item 4400-1001, by striking the words: “that funds shall be expended for a grant to Project Bread” and inserting in place thereof the following words:- “that not less than $350,000 shall be expended for a grant to Project Bread”; and

In said section 2, in said item 4400-1001, by striking out the figure “$6,162,023” and inserting in place thereof the following figure:- “$6,262,023”


Budget Amendment ID: FY2020-S3-569

EHS 569

Detox Transportation Pilot Program

Ms. DiZoglio, Messrs. Kennedy, Tarr, Finegold and O'Connor moved that the proposed new text be amended in section 2, in item 4512-0200, by adding the following words:- “provided that not less than $300,000 shall be expended to the Bureau of substance Addiction Services to commence a pilot program in the Merrimack Valley to provide transportation services to detoxification or rehabilitation facilities”; and by striking out the figure “$150,185,718”and inserting in place thereof the following figure:- “$150,485,718”.


Budget Amendment ID: FY2020-S3-569-R1

Redraft EHS 569

Detox Transportation Pilot Program

Ms. DiZoglio, Messrs. Kennedy, Tarr, Finegold and O'Connor moved that the proposed new text be amended in section 2, in item 4512-0200, by adding the following words:- “provided that not less than $150,000 shall be expended to the Bureau of substance Addiction Services to commence a pilot program in the Merrimack Valley to provide transportation services to detoxification or rehabilitation facilities”; and

by striking out the figure “$150,185,718”and inserting in place thereof the following figure:- “$150,335,718”.


Budget Amendment ID: FY2020-S3-569-R2

2nd Redraft EHS 569

Detox Transportation Pilot Program

Ms. DiZoglio, Messrs. Kennedy, Tarr, Finegold and O'Connor moved that the proposed new text be amended in section 2, in item 4512-0205, by adding the following words:- “; provided, that not less than $150,000 shall be expended for a pilot program in the Merrimack Valley to provide transportation services to detoxification and rehabilitation facilities”; and

in said section 2, in said item 4512-0205, by striking out the figure “$100,000”and inserting in place thereof the following figure:- “$250,000”.


Budget Amendment ID: FY2020-S3-569-R3

3rd Redraft EHS 569

Detox Transportation Pilot Program

Ms. DiZoglio, Messrs. Kennedy, Tarr, Finegold and O'Connor moved that the proposed new text be amended in section 2, in item 4512-0205, by adding the following words:- “; provided, that not less than $150,000 shall be expended for a pilot program in the Merrimack Valley to provide transportation services to detoxification and rehabilitation facilities in coordination with the Merrimack Valley Project”; and

in said section 2, in said item 4512-0205, by striking out the figure “$100,000”and inserting in place thereof the following figure:- “$250,000”.


Budget Amendment ID: FY2020-S3-570

EHS 570

Call 2 Talk Program

Messrs. Eldridge and O'Connor moved that the proposed new text be amended in section 2, in item 4513-1026, by striking out the words “not less than $150,000” and inserting in place thereof the following:- “not less than $200,000” and by striking out the figure “$4,469,372” and inserting in place thereof the following figure:- “$4,519,372.”


Budget Amendment ID: FY2020-S3-571

EHS 571

Clarifying the Definition of Provider Training

Messrs. Eldridge and Feeney moved that the proposed new text be amended in section 2, in item 9110-1630, by inserting after the words “provider training” the following words: - “; including, but not limited to, home care and home health providers, councils on aging, skilled nursing facilities and adult day health programs”.  


Budget Amendment ID: FY2020-S3-572

EHS 572

Greater Lawrence Family Health Center

Ms. DiZoglio, Messrs. Finegold, Eldridge and Tarr moved that the proposed new text be amended in section 2, in item 4510-0110, by adding at the end the following: “provided further, that not less than $250,000 shall be expended to the Greater Lawrence Family Health Center, Inc. for programs to increase access to health care for the medically underserved in the city of Haverhill; provided further, that such programs shall include the development of a full-service community health center in the city of Haverhill with collaborative, graduate degree-level programs to train advanced practice nurses by Regis College; provided further, that the expenditure of such funds shall be contingent on the Greater Lawrence Family Health Center, Inc. providing a matching amount of not less than $250,000 in private funding”; and by striking out the figure “$513,673” and inserting in place thereof the following figure:- “$763,673”.


Budget Amendment ID: FY2020-S3-573

EHS 573

Fidelity House CRC

Ms. DiZoglio and Mr. Finegold moved that the proposed new text be amended in section 2, in item 1410-0010, by adding the following: "; provided further, that not less than $100,000 shall be expended to Fidelity House CRC for employment services for veterans with disabilities"; and in said item by striking out the figures "$3,952,840" and inserting in place thereof the figures "$4,052,840".


Budget Amendment ID: FY2020-S3-574

EHS 574

Harm Reduction through Syringe Access

Messrs. Cyr, Moore and Keenan moved that the proposed new text be amended in section 2, in item 4512-0103, by striking out the figure “$30,755,808” and inserting in place thereof the following figure:- “$32,255,808”.


Budget Amendment ID: FY2020-S3-574-R1

Redraft EHS 574

Harm Reduction through Syringe Access

Messrs. Cyr, Moore and Keenan moved that the proposed new text be amended in section 2, by inserting after item XXXX-XXXX the following item:-

“XXXX-XXXX  For the department of public health to coordinate a comprehensive statewide strategy, in partnership with municipalities, public health harm reduction organizations and  other stakeholders, to promote existing commonwealth harm reduction efforts, to foster a culture of harm reduction and to promote community-based harm reduction services as recommended by the harm reduction commission established in section 100 of chapter 208 of the acts of 2018; provided further, that not less $1,500,000 shall be made available to increase the availability of sterile and safe injection equipment and syringe disposal services; provided further, that not less than $150,000 shall be expended for a pilot program to provide access to fentanyl testing strips or other drug checking equipment; provided further, that not less than $300,000 shall be expended to increase the availability of nasal naloxone rescue kits prior to discharge from an acute care hospital emergency department or satellite emergency facility after treatment for an opioid overdose; provided further, that not later than September 1, 2019, the division of insurance and the office of Medicaid shall convene and consult with a group of carriers and providers regarding how to fund, by July 1, 2020, the cost of distribution of nasal naloxone rescue kits prior to discharge from an acute care hospital emergency department or satellite emergency facility after treatment for an opioid overdose; and provided further, that money shall be expended to promote pilot programming to advance the creation of new supportive places for treatment and related observation that offer medical monitoring, nasal naloxone rescue kit distribution, counseling and connection to primary care, behavioral health and addiction treatment services. . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,000,000

Substance Use Disorder Prevention and Treatment Fund ………………………  100%”.


Budget Amendment ID: FY2020-S3-576

EHS 576

Massachusetts Alliance of Boys and Girls Clubs

Messrs. Lesser, Humason, Eldridge and Moore, Ms. DiZoglio, Mr. Welch, Ms. Gobi, Messrs. Crighton, Kennedy, Feeney, Fattman, O'Connor, Collins, Boncore, Montigny, Timilty, Finegold, deMacedo and Tran moved that the proposed new text be amended in section 2, in item 4590-1507, by striking out the following:- "and provided further, that the department shall award not less than $1,700,000 to the Massachusetts Alliance of Boys and Girls Clubs, Inc., which shall be distributed equally between its member organizations" and inserting in place thereof the following:- "and provided further, that the department shall award not less than $2,200,000 to the Massachusetts Alliance of Boys and Girls Clubs”; and by striking out the figure “$4,600,000” and inserting in place thereof the following figure: - "$5,100,000".


Budget Amendment ID: FY2020-S3-576-R1

Redraft EHS 576

Massachusetts Alliance of Boys and Girls Clubs

Messrs. Lesser, Humason, Eldridge and Moore, Ms. DiZoglio, Mr. Welch, Ms. Gobi, Messrs. Crighton, Kennedy, Feeney, Fattman, O'Connor, Collins, Boncore, Montigny, Timilty, Finegold, deMacedo and Tran moved that the proposed new text be amended in section 2, in item 4590-1507, by striking out, in line 16, the figure " $1,700,000" and inserting in place thereof the following figure:-"$2,200,000”; and

in said section 2, in said item 4590-1507, by striking out the figure “$4,600,000” and inserting in place thereof the following figure:- "$5,100,000".


Budget Amendment ID: FY2020-S3-577

EHS 577

Naturally Occurring Retirement Communities

Ms. Creem moved that the proposed new text be amended in section 2, in item 9110-1660, by striking out the figure “$642,000” and inserting in place thereof the figure “$856,000”; and in said item by striking out the figures "$2,049,458" and inserting in place thereof the figures "2,263,458".


Budget Amendment ID: FY2020-S3-578

EHS 578

Mental Health for Older Adults

Mr. Cyr, Ms. Jehlen, Messrs. Eldridge and Welch, Ms. DiZoglio, Messrs. Feeney, O'Connor and Moore, Ms. Rausch, Messrs. Timilty, Keenan, Collins, Montigny, Tran, deMacedo and Brady, Ms. Gobi and Ms. Lovely moved that the proposed new text be amended in section 2, in item 9110-1640, by striking out the figure “$500,000" and inserting in place thereof the following figure:- "$800,000".


Budget Amendment ID: FY2020-S3-579

EHS 579

Hampden Senior Center Feasibility Study

Mr. Lesser moved that the proposed new text be amended in section 2, in item 9110-0100, by adding the following words:- "; provided further, that $25,000 shall be expended to the town of Hampden for a feasibility study to determine the costs and needs associated with the renovation or replacement of the existing senior center"; and by striking out the figure "$2,208,000" and inserting in place thereof the following figure:- "$2,233,000".


Budget Amendment ID: FY2020-S3-579-R1

Redraft EHS 579

Hampden Senior Center Feasibility Study

Mr. Lesser moved that the proposed new text be amended in section 2, in item 9110-9002, by adding the following words:- "; provided further, that not less than $15,000 shall be expended to the town of Hampden for a feasibility study to determine the costs and needs associated with the renovation or replacement of the existing senior center"; and

in said section 2, in said item 9110-9002, by striking out the figure "$16,740,125" and inserting in place thereof the following figure:- "$16,755,125".


Budget Amendment ID: FY2020-S3-580

EHS 580

Hinton State Laboratory

Messrs. Cyr, Moore, Eldridge, Keenan, Fattman, Crighton and Montigny moved that the proposed new text be amended in section 2, in item 4516-1000, by striking out the figure "$12,889,984" and inserting in place thereof the following figure:- "$14,959,985”.


Budget Amendment ID: FY2020-S3-582

EHS 582

Alice's House

Mr. O'Connor moved that the proposed new text be amended in section 2, in item 4513-1111, by adding the following words:- “; provided further, that $30,000 shall be expended to Alice’s House, a 501(c)3 organization in Humarock, to support mental and emotional wellness services”; and by striking out the figure “$3,577,580” and inserting in place thereof the following figure:- “$3,607,580”.


Budget Amendment ID: FY2020-S3-583

EHS 583

Massachusetts Commission for the Deaf and Hard of Hearing

Ms. Chang-Diaz, Messrs. Moore, Barrett and Eldridge, Ms. DiZoglio, Messrs. Humason, O'Connor, Crighton, Collins and Welch, Ms. Gobi and Ms. Jehlen moved that the proposed new text be amended in section 2, in item 4125-0100, by striking the figure "$6,133,951" and inserting in place thereof the following figure:- "$6,458,951".


Budget Amendment ID: FY2020-S3-584

EHS 584

Grandparents Raising Grandchildren Opioid Study

Messrs. Cyr, Feeney, Collins, Timilty, Welch, Moore and O'Connor and Ms. Lovely moved that the proposed new text be amended in section 2, by inserting after item 4590-2001 the following item:

“4590-2010  For the department of elder affairs, which shall contract with the University of Massachusetts medical school to conduct a study on opioid use in the commonwealth specifically related to the impact opioid use has had and may continue to have on grandparents and other relatives raising related children; provided, that the study shall investigate and report on, among other topics: (i) the number of individuals in the commonwealth raising related children of relatives; (ii) the number of individuals in the commonwealth raising grandchildren because 1 or both parents are addicted to an opioid drug; (iii) resources available to provide services to both the grandparent or other relative and to the children; and (iv) whether such services are coordinated in a manner that is beneficial to the grandparents and other relatives…………..$50,000”


Budget Amendment ID: FY2020-S3-585

EHS 585

Randolph Intergenerational Community Center

Mr. Timilty moved that the proposed new text be amended in section 2, in item 4590-1507, by adding the following words:- "provided further, that not less than $30,000 shall be expended to the Town of Randolph for the Randolph Intergenerational Community Center"; and by striking out the figure "$4,600,000" and inserting in place thereof the following figure:- "$4,630,000".


Budget Amendment ID: FY2020-S3-586

EHS 586

Veterans Mediation

Ms. Comerford and Ms. Gobi moved that the proposed new text be amended in section 2, in item 1410-0012, by adding the following words:- "; provider further, that not less than $100,000 shall be expended for the Veterans Mediation program to be administered by Quabbin Mediation, Inc"; and by striking out the figure "$5,334,262" and inserting in place thereof the following figure:- "$5,434,262".


Budget Amendment ID: FY2020-S3-587

EHS 587

Firefighter health and wellness

Mr. Lesser, Ms. DiZoglio, Messrs. Feeney, Eldridge, O'Connor, Brady, Crighton, Hinds, Humason, Tarr, deMacedo, Moore, Finegold and Timilty moved that the proposed new text be amended in section 2, in item 8324-0000, by adding the following words:- “; provided further, that not less than $250,000 shall be allocated for a municipal grant program administered by the fire marshal for firefighter cancer screenings including advance blood testing and, or imaging”; and by striking out the figure “$27,386,212” and inserting in place thereof the following figure:- “$27,636,212”.


Budget Amendment ID: FY2020-S3-588

EHS 588

Western Region Technical Rescue Team

Messrs. Lesser and Humason moved that the proposed new text be amended in section 2, in item 8324-0000, by adding the following words:- "; provided further, that $30,000 shall be expended to the Western Massachusetts Fire Chiefs Association to support the training and administration costs of public safety officials in their capacity as members of the Western Region Technical Rescue Team"; and by striking out the figure "$27,386,212" and inserting in place thereof the following figure:- "$27,416,212".


Budget Amendment ID: FY2020-S3-589

EHS 589

Substance Use Disorder Treatment Support for Providers

Messrs. Crighton, Welch and O'Connor moved that the proposed new text be amended in section 2, in item 4000-0300, in line 3, by inserting after the words, “board;” the following words:- “; provided further, that the executive office shall expend no less than $500,000 to expand the Massachusetts Consultation Service for Treatment of Addiction and Pain to provide case management and care navigation support to assist healthcare facilities, individual practitioners and other healthcare providers, including, but not limited to, nurse case managers, social workers, and recovery coaches in identifying community-based providers to refer patients for treatment of substance use disorder;”; and by striking out the figure "$107,816,936" and inserting in place thereof the following figure:- "$108,316,936".


Budget Amendment ID: FY2020-S3-589-R1

Redraft EHS 589

Substance Use Disorder Treatment Support for Providers

Messrs. Crighton, Welch and O'Connor and Ms. Gobi moved that the proposed new text be amended in section 2, in item 4000-0300, by inserting the following words:- “provided further, that not less than $250,000 shall be expended to expand the Massachusetts Consultation Service for Treatment of Addiction and Pain to provide case management and care navigation support to assist healthcare facilities, individual practitioners and other healthcare providers including, but not limited to, nurse case managers, social workers and recovery coaches in identifying community-based providers to refer patients for treatment of substance use disorder”; and

in said section 2, in said item 4000-0300, by striking out the figure "$107,816,936" and inserting in place thereof the following figure:- "$108,066,936".


Budget Amendment ID: FY2020-S3-590

EHS 590

Autism Services

Mr. Collins, Ms. DiZoglio, Messrs. Moore, Brady, O'Connor and Finegold moved that the proposed new text be amended in section 2, in item 5920-3020, by striking out the figure: $24,952,968 and inserting in place thereof the following figure: “$30,752,968”.


Budget Amendment ID: FY2020-S3-591-R1

Redraft EHS 591

Children's Advocacy Centers

Messrs. Cyr, Moore, Montigny and O'Connor moved that the proposed new text be amended in section 2, in item 4800-0038, by adding the following words:- “; provided further, that not less than the amount appropriated in this item for each children’s advocacy center in fiscal year 2019 shall be expended again in fiscal year 2020”.


Budget Amendment ID: FY2020-S3-591

EHS 591

Children's Advocacy Centers

Messrs. Cyr, Moore, Montigny and O'Connor moved that the proposed new text be amended in section 2, in item 4800-0038, by adding the following words:- “; provided further, that not less than the amount appropriated in this item for each children’s advocacy center in fiscal year 2018 shall be expended again in fiscal year 2020”.


Budget Amendment ID: FY2020-S3-592

EHS 592

Nursing Homes

Mr. Cyr, Ms. DiZoglio, Messrs. Tran, Moore, Eldridge, deMacedo and Feeney, Ms. Gobi, Mr. Tarr and Ms. Lovely moved that the proposed new text be amended in section 2, in item 4000-0641, by striking the words “to fund targeted investments in: (i) nursing home quality; (ii) care for complex patient populations; (iii) critical access facilities; (iv) occupancy; (v) geography; and (vi) other investments based on demonstrated regional need” and inserting in place thereof the following:- to fund targeted investments in nursing facilities, provided that a facility shall qualify for an equal per diem payment amount if it meets any one of the following criteria:  (i) has an overall Centers for Medicare and Medicaid Nursing Home Compare 5-Star rating of three or more Stars as of July 1, 2019; or (ii) is a critical access facility as defined as a facility with a Medicaid occupancy of 75% or greater inclusive of Medicaid fee for service, Medicaid Senior Care Organization and Medicaid managed care days; or (iii) provides care for complex patient populations, defined as a facility having an average management minute questionnaire score of 225 minutes or higher; or (iv) is located in a geographically isolated community.


Budget Amendment ID: FY2020-S3-595

EHS 595

Division of Insurance Waiver

Messrs. Moore and Boncore moved that the proposed new text be amended by inserting after section ___ the following section:-

"SECTION XX. Subsection (a) of section 11 of Chapter 176J of the General Laws, as appearing in the 2016 Official Edition, is hereby amended by inserting at the end thereof the following:-

The commissioner may also exempt carriers from complying with this section based on (i) whether the majority of a carrier’s chapter 176J membership is enrolled in a single rate region; or (ii) whether the majority of the carrier’s chapter 176J membership is enrolled in subsidized coverage offered under chapter 176Q through which such members receive state or federal subsidies; or (iii) whether the carrier receives 80 per cent or more of its income from government programs, including subsidized coverage offered under chapter 176Q through which such members receive state or federal subsidies."


Budget Amendment ID: FY2020-S3-596

EHS 596

Magical Moon Farm

Mr. O'Connor moved that the proposed new text be amended in section 2, in item 4513-1111, by adding the following words:- “; provided further, that $25,000 shall be expended to The Magical Moon Foundation, Inc., in the town of Marshfield to support services that empower children and families faced with cancer diagnoses”; and by striking out the figure “$3,577,580” and inserting in place thereof the following figure:- “$3,602,580”.


Budget Amendment ID: FY2020-S3-596.1

Further EHS 596.1

Respite Services

Mr. Humason moved that the amendment be amended in section 2, in item 4513-1111, by inserting after the word 'diagnosis' the following text:- "; provided further that not less than $50,000 shall be expended for the Harmony House in Chicopee”; and by striking out the figure “$3,577,580” and inserting in place thereof the following figure:- “$3,627,580”.


Budget Amendment ID: FY2020-S3-597

EHS 597

Talking Radio for Visually Impaired in Pioneer Valley

Messrs. Welch, Lesser and Humason moved that the proposed new text be amended in section 2, in item 4110-1000, by adding following :-

"provided further, that not less than $75,000 shall be expended to Valley Eye Radio, Inc for radio reading services for people with visual impairments in Pioneer Valley."

and in said item, by striking out the figure “$6,074,905” and inserting in place thereof the following figure:- “$6,074,905”.


Budget Amendment ID: FY2020-S3-597-R1

Redraft EHS 597

Talking Radio for Visually Impaired in Pioneer Valley

Messrs. Welch, Lesser, Humason and O'Connor, Ms. Gobi, Ms. Comerford and Mr. Hinds moved that the proposed new text be amended in section 2, in item 4110-1000, by adding the following:- "; provided further, that not less than $75,000 shall be expended to Valley Eye Radio, Inc for radio reading services for people with visual impairments in Pioneer Valley."

and in said item, by striking out the figure “$6,074,905” and inserting in place thereof the following figure:- “$6,149,905”.


Budget Amendment ID: FY2020-S3-598-R1

Redraft EHS 598

Central City Boxing and Barbell Youth at Risk Program

Mr. Welch moved that the proposed new text be amended in section 2, in item 4000-0005, by adding the following words:- “; provided further, that not less than $10,000 shall be expended for Central City Boxing and Barbell, Inc.’s Youth Development Program in the city of Springfield"; and

in said section 2, in said item 4000-0005, by striking out the figure “$8,145,000” and inserting in place thereof the following figure:- “$8,155,000”.


Budget Amendment ID: FY2020-S3-598

EHS 598

Central City Boxing and Barbell Youth at Risk Program

Mr. Welch moved that the proposed new text be amended in section 2, in item 4000-0005, by adding the following words:- “; provided, that not less than $25,000 shall be expended for Central City Boxing and Barbell Youth at Risk Program in Springfield"; and in said item, by striking out the figure “$8,145,000” and inserting in place thereof the following figure:- “$8,170,000”.


Budget Amendment ID: FY2020-S3-599

EHS 599

South End Community Center

Mr. Welch moved that the proposed new text be amended in section 2, in item 4000-0005, by adding the following:- “; provided, that not less than $75,000 shall be expended for the South End Community Center's Youth Corp program in Springfield"; and in said item, striking out the figures “$8,145,000 ” and inserting in place thereof the following figure:- “$8,220,000”.


Budget Amendment ID: FY2020-S3-600

EHS 600

AWAKE Violence Prevention Program

Messrs. Welch and Lesser moved that the proposed new text be amended in section 2, in item 4000-0005, by adding the following:- "provided further, that not less than $50,000 shall be expended for Springfield Partners, Inc. for the AWAKE program in the city of Springfield to provide comprehensive youth development and violence prevention services to at risk youth." and in said item by striking out the figures  "$8,145,000" and insert in place thereof the following figure:- "$8,195,000".


Budget Amendment ID: FY2020-S3-601

EHS 601

DDS Transportation

Mr. Welch, Ms. DiZoglio, Messrs. Brady, Montigny, deMacedo, Humason and Fattman, Ms. Lovely, Messrs. Moore, Cyr and Tran and Ms. Chang-Diaz moved that the proposed new text be amended in section 2, in item 5911-2000, by striking out the figures “$28,745,011” and inserting in place thereof the figures “$29,495,011”.


Budget Amendment ID: FY2020-S3-603

EHS 603

Western Massachusetts Academic Medical Center

Mr. Lesser moved that the proposed new text be amended in section 2, in item 7003-1206, by adding the following words:- "; provided further, that $250,000 shall be expended to the Western Massachusetts Academic Medical Center for partnerships with local community Health Centers for the purpose of developing new training programs in Hampden County"; and by striking out the figure "$1,400,000" and inserting in place thereof the following figure:- "$1,650,000".


Budget Amendment ID: FY2020-S3-604

EHS 604

EmpowerHER

Mr. O'Connor moved that the proposed new text be amended in section 2, in item 4800-0038, by adding the following words:- “; provided further, that $20,000 shall be expended to EmpowerHER, a 501(c)3 organization in the Town of Norwell, to support services that address the struggles of girls whose mothers have died”; and by striking out the figure “$307,989,474” and inserting in place thereof the following figure:- “$308,009,474”.


Budget Amendment ID: FY2020-S3-605

EHS 605

Coop's Troop

Mr. O'Connor moved that the proposed new text be amended in section 2, in item 4513-1111, “; provided further, that $13,000 shall be expended to Coop’s Troop, a 501(c)3 organization based in the Town of Weymouth, to support scientific research, education, and charitable purposes that support the social, economic and medical needs and development of children with life limiting diseases and special needs”; and by striking out the figure “$3,577,580” and inserting in place thereof the following figure:- “$3,590,580”.


Budget Amendment ID: FY2020-S3-606

EHS 606

Behavioral Health Telemedicine

Mr. Hinds, Ms. Rausch, Messrs. Crighton, Keenan, Moore, Collins, Timilty, O'Connor and Feeney moved that the proposed new text be amended in section 2, in item 4000-0300, by inserting at the end thereof the following:- "provided further, that the executive office of health and human services shall provide coverage in the fee-for-service program and all managed care contracts, including contracts with behavioral health management firms and third party administrators under contract to a Medicaid managed care organization, for telehealth to deliver behavioral health services at community health centers, community mental health centers, outpatient substance use disorder providers, and hospital outpatient departments".


Budget Amendment ID: FY2020-S3-607

EHS 607

Northern Berkshire Community Coalition

Mr. Hinds moved that the proposed new text be amended in section 2, in item 4590-0250, by inserting at the end thereof the following:- "; provided further, that not less than $50,000 be expended for the Northern Berkshire Community Coalition in the city of North Adams"; and in said item, by striking out the figures "$13,203,583" and inserting in place thereof the figures "$13,253,583".


Budget Amendment ID: FY2020-S3-609

EHS 609

Safe and Successful Youth Initiative

Messrs. Hinds, Humason and Moore, Ms. DiZoglio, Messrs. Montigny, Lesser, Collins, Welch, O'Connor, Crighton and Feeney moved that the proposed new text be amended in section 2, in item 4000-0005, by striking out the figures "$8,145,000" and inserting in place thereof the figures "$10,000,000".


Budget Amendment ID: FY2020-S3-610

EHS 610

Big Sister Association

Messrs. Collins and O'Connor moved that the proposed new text be amended in section 2, in item 4590-1507, by adding at the end thereof the following:- ";provided further, that not less than $200,000 shall be expended for the Big Sister Association of Greater Boston" and in said item by striking the figures "$4,600,000" and inserting in place thereof the following figure:-"$4,800,000" 


Budget Amendment ID: FY2020-S3-611

EHS 611

Naloxone Bulk Purchase for Cape Cod

Mr. Cyr moved that the proposed new text be amended in section 2, in item 4512-0204, by adding the following words:- “; provided further, that not less than $20,000 shall be provided for the county of Barnstable for the purchase of Naloxone through the municipal naloxone bulk purchase program”; and by striking out the figure “$1,020,000” and inserting in place thereof the following figure:- “$1,040,000”.


Budget Amendment ID: FY2020-S3-612

EHS 612

Protecting the Health Safety Net

Messrs. Finegold and Welch and Ms. Gobi moved that the proposed new text be amended in section 2, in item 4000-0601, by striking out, in line 40, the words “and Health Safety Net Trust Fund”; and

in SECTION 55, by striking out, in line 3, the words “not more than a total of $7,500,000” and inserting in place thereof the following word:- “funds”; and in the same section by striking out, in line 4, the words “and the Health Safety Net Trust Fund”; and in the same section by striking out, in line 9, the words “those programs” and inserting in place thereof the following words:- “the program”; and

in SECTION 61, by striking out, in line 2, the words “not more than”.


Budget Amendment ID: FY2020-S3-613

EHS 613

Food Access and Affordability

Mr. Cyr moved that the proposed new text be amended in section 2, in item 4400-1001, by adding the following words:- “; provided further, that not less than $50,000 shall be expended for a local food access and affordability program, including the expansion of a coalition of farmers markets throughout the counties of Barnstable and Dukes County to promote federal supplemental nutrition assistance program benefits, federal special supplemental nutrition program for women, infants, and children benefits, senior benefits and veteran benefits at farmers’ markets, the creation of site-specific programs targeted to schools, libraries and community centers, the expansion of the capacity of farmers’ and farmers markets’ to accept federal supplemental nutrition assistance program benefits, federal special supplemental nutrition program for women, infants, and children benefits, senior benefits and veteran food benefits and the extension of education and outreach campaigns through community partners including nutritionists and food pantries”; and by striking out the figure “$10,027,882” and inserting in place thereof the following figure:- “$10,077,882”.


Budget Amendment ID: FY2020-S3-614

EHS 614

Financing the Municipal Naloxone Bulk Purchasing Trust Fund

Messrs. Lesser, Humason, Eldridge and Cyr moved that the proposed new text be amended in section 2, by inserting after item 4590-0925 the following item:-

“4590-0930 For the administration of the Municipal Naloxone Bulk Purchase program pursuant to section 2RRRR of chapter 29 of the General Laws; provided further that $500,000 shall be expended to provide further price reductions for municipalities purchasing naloxone through the municipal naloxone bulk purchase program…….………………………………………$500,000".


Budget Amendment ID: FY2020-S3-614-R1

Redraft EHS 614

Financing the Municipal Naloxone Bulk Purchasing Trust Fund

Messrs. Lesser, Humason, Eldridge and Cyr moved that the proposed new text be amended in section 2, by inserting after item 4590-0925 the following item:-

“4590-0930 For price reductions for municipalities purchasing naloxone through the municipal naloxone bulk purchase program…….…………$500,000

Substance Use Disorder Prevention and Treatment Fund ………………………  100%”.


Budget Amendment ID: FY2020-S3-617

EHS 617

Joanna's Place

Mr. O'Connor moved that the proposed new text be amended in section 2, in item 4800-0038, by adding the following words:- “; provided further, that $10,000 shall be expended to Joanna’s Place, a 501(c)3 organization in the Town of Weymouth, to support services that promote resilience in children who have experienced stressful or traumatizing life events”; and by striking out the figure “$307,989,474” and inserting in place thereof the following figure:- “$307,999,474”.


Budget Amendment ID: FY2020-S3-619

EHS 619

Recovery Programs

Mr. Pacheco moved that the proposed new text be amended in section 2, in item 4512-0200, by inserting after the words: “5 new recovery centers that are not currently funded by the department;” the following new text:- “provided further that of these 5 new recovery centers there shall be 1 publicly-run recovery center to be located on the grounds of Taunton State Hospital;”.


Budget Amendment ID: FY2020-S3-619-R1

Redraft EHS 619

Recovery Programs

Mr. Pacheco moved that the proposed new text be amended in section 2, in item 4512-0200, by inserting after the words:- “5 new recovery centers that are not currently funded by the department;” the following new text:- “provided further that of these 5 new recovery centers there shall be 1 publicly-run recovery center to be located on the grounds of Taunton State Hospital through an interagency agreement between the department of public health and the department of mental health;”


Budget Amendment ID: FY2020-S3-620

EHS 620

Prohibiting the Use of Cash Assistance for Recreational Marijuana

Messrs. Fattman, Tarr and O'Connor moved that the proposed new text be amended by inserting after section _ the following sections:-

SECTION XX. Subsection (b) of section 5I of chapter 18 of the General Laws hereby amended by inserting after the word “court”, in line 43, as appearing in the 2016 Official Edition, the following words:- “; or marijuana or marijuana products not prescribed under the law for medicinal purposes”.

SECTION XX. Subsection (a) of section 5J of chapter 18 of the General Laws is hereby amended by inserting after the word “ships”, in line 14, as appearing in the 2016 Official Edition, the following words:- “; or at establishments or businesses that sell marijuana or marijuana products not prescribed under the law for medicinal purposes”.


Budget Amendment ID: FY2020-S3-621

EHS 621

Veterans Creditable Service

Messrs. Rush and O'Connor moved that the proposed new text be amended by inserting after section 80 the following section:- 

"SECTION XX.  Section 3 of chapter 71 of the acts of 1996 is hereby amended by striking out the second paragraph, as amended by section 45 of chapter 88 of the acts of 1997, and inserting in place thereof the following paragraph:-

Members in service of a retirement system eligible for said creditable service under this act shall make application for said creditable service not earlier than the date of becoming eligible and not later than 180 days prior to the date of retirement, or for currently eligible members, within 180 days of the acceptance of this act by the local legislative body."

 


Budget Amendment ID: FY2020-S3-623

EHS 623

Veterans Access to Medical Marijuana

Mr. Rush, Ms. Jehlen, Messrs. Fattman and Feeney, Ms. Gobi, Messrs. O'Connor and Eldridge moved that the proposed new text be amended by inserting after section 80 of the following section:-

Section XX: section 1 of chapter 94I is hereby amended by striking out the definition of “qualifying patient” and inserting the following definition: “qualifying patient”, a person who has been diagnosed by a registered healthcare professional as having a debilitating medical condition, or a veteran receiving their health care at a Veterans Administration facility who wishes to purchase medical use marijuana and who provides to the commission their Veterans Administration award letter indicating their existing disability instead of visiting a registered healthcare professional and receiving a diagnosis".


Budget Amendment ID: FY2020-S3-624

EHS 624

Pedi-SANE at Child Advocacy Centers

Mr. Cyr moved that the proposed new text be amended in section 2, in item 4510-0810, by striking out the figure "$4,994,520" and inserting in place thereof the following figure:- "$5,844,520".


Budget Amendment ID: FY2020-S3-625

EHS 625

Opioid Treatment

Mr. Humason moved that the proposed new text be amended in section 2, in item 4512-0200, by inserting at the end thereof the following:- "and provided further that not less than $100,000 shall be expended to Baystate Noble Hospital in Westfield for a grant program to prevent and treat opioid addiction and related substance abuse”.


Budget Amendment ID: FY2020-S3-626-R1

Redraft EHS 626

Roll of Honor

Mr. Humason moved that the proposed new text be amended in section 2, in item 1410-1616, by inserting at the end thereof the following:- "; provided further, that not less than $40,000 shall be distributed equally between the municipalities of Russell, Southampton, Montgomery and Westfield for the maintenance and repair of war memorials”.


Budget Amendment ID: FY2020-S3-626

EHS 626

Roll of Honor

Mr. Humason moved that the proposed new text be amended in section 2, in item 1410-1616, by inserting at the end thereof the following:- "provided further, that not less than $10,000 shall be expended for the war memorials in the town of Russell" ”


Budget Amendment ID: FY2020-S3-627

EHS 627

TAFDC Adult SSI

Mr. Fattman moved that the proposed new text be amended by inserting after section _ the following section:-

SECTION XX. Section 3 of chapter 118, as amended by section 17 of chapter 158 of the acts of 2014, is hereby amended by adding the following paragraph:- “The department shall treat adult supplemental security income as countable income for purposes of determining eligibility and benefit levels for transitional aid to families with dependent children.


Budget Amendment ID: FY2020-S3-628

EHS 628

Wheelchair Rates

Messrs. O'Connor, deMacedo, Tarr and Fattman moved that the proposed new text be amended by inserting, after section __, the following new section:-

“SECTION __. Notwithstanding any law, regulation or act to the contrary, for any wheel chair van transport vehicle, the amount paid by MassHealth per trip shall be no less than any amount paid by the Massachusetts Bay Transit Authority for equivalent wheel chair van services provided by The RIDE; and provided further, MassHealth is directed to establish rates for wheel chair van transport providers that ensure that the amounts paid comply with this provision.”


Budget Amendment ID: FY2020-S3-630

EHS 630

Brookline Alzheimer's Respite Program

Ms. Creem moved that the proposed new text be amended in section 2, in item 9110-9002, by adding the following words:-  “; provided further, that no less than $20,000 shall be expended for the operation of the Alzheimer's Caregivers Respite Program at the Brookline Senior Center”; and by deleting the figures “$16,740,125" and inserting in place thereof the figures “$16,760,125"


Budget Amendment ID: FY2020-S3-631

EHS 631

Emergency Flexibility

Messrs. Humason and Welch moved that the proposed new text be amended in section 2, in item 4200-0300, by striking out the words “provided further, that the commissioner shall notify the house and senate committees on ways and means not later than 90 days in advance of any closure of a facility or program.”


Budget Amendment ID: FY2020-S3-632-R1

Redraft EHS 632

Shelter for the Chronically Homeless

Mr. Cyr moved that the proposed new text be amended in section 2, in item 7004-0107, by adding the following words:- “; provided, that not less than $45,000 shall be expended for the community impact unit of the police department of the city known as the town of Barnstable for a designated emergency site that shall provide shelter, address basic human needs and provide protective oversight and assistance for the high-risk chronically-homeless population on Cape Cod”; and

in said section 2, in said item 7004-0107, by striking out the figure “$200,000” and inserting in place thereof the following figure:- “$245,000”.


Budget Amendment ID: FY2020-S3-632

EHS 632

Shelter for the Chronically Homeless

Mr. Cyr moved that the proposed new text be amended in section 2, in item 5046-0000, by adding the following:- “; provided further, that not less than $45,000 shall be expended for the community impact unit of the police department of the city of Barnstable for a designated emergency site that shall provide shelter, address basic human needs and provide protective oversight and assistance for the high-risk chronically homeless on Cape Cod”; and by striking out the figure “$489,380,275” and inserting in place thereof the following figure:- “$489,425,275”.


Budget Amendment ID: FY2020-S3-633

EHS 633

Macular Degeneration

Ms. Creem moved that the proposed new text be amended in section 2, in item 4513-1111, by adding the following words:-  “; provided that $100,000 shall be expended for macular degeneration research into prevention and treatment at The Schepens Eye Research Institute, Inc”; and in said item, by striking out the figures “$..$3,577,580” and inserting in place thereof the figures “$..$3,677,580”


Budget Amendment ID: FY2020-S3-634

EHS 634

Healthy Lives Program

Ms. Creem and Mr. Collins moved that the proposed new text be amended in section 2, in item 4000-0300, and by adding the following words:- “; provided further, that not less than $250,000 shall be expended for the Brookline Community Mental Health Center, Inc. to expand the healthy lives program”.


Budget Amendment ID: FY2020-S3-634-R1

Redraft EHS 634

Healthy Lives Program

Ms. Creem and Mr. Collins moved that the proposed new text be amended in section 2, in item 4000-0300, by adding the following words:- “; provided further, that not less than $250,000 shall be expended for the Brookline Community Mental Health Center, Inc. to expand the healthy lives program”; and

in said section 2, in said item 4000-0300, by striking out the figure “$107,816,936” and inserting in place thereof the following figure:- “$108,066,936”.


Budget Amendment ID: FY2020-S3-635

EHS 635

Community Health Centers

Messrs. Cyr and Welch, Ms. Comerford, Ms. DiZoglio, Messrs. Collins, Hinds, Timilty, Finegold, Brady, O'Connor, Tran, Feeney and Keenan moved that the proposed new text be amended in section 2, in item 4510-0110, by adding the following: “provided further, that not less than $1,000,000 shall be expended to support access to culturally-appropriate and accessible behavioral health and dental services at community health centers, which shall be administered by the Department of Public Health in consultation with a state primary care association as aforementioned; and by striking out the figure “$513,673” and inserting in place thereof the following figure:- “$1,513,673”.


Budget Amendment ID: FY2020-S3-636

EHS 636

Suicide Prevention

Messrs. Cyr, Eldridge, Moore, O'Connor and Montigny and Ms. DiZoglio moved that the proposed new text be amended in section 2, in item 4513-1026, by striking out the figure "$4,469,372" and inserting in place thereof the following figure:- "$4,819,372".


Budget Amendment ID: FY2020-S3-637

EHS 637

Pharmaceutical Copay Assistance

Messrs. Fattman, deMacedo, Tarr and O'Connor moved that the proposed new text be amended by inserting after section _ the following section:-

SECTION XX. Section 226 of chapter 139 of the acts of 2012, as most recently amended by section 1 of chapter 363 of the acts of 2018, is hereby amended by striking out the words “January 1, 2020” and inserting in place thereof the following words: - "July 1, 2020”.


Budget Amendment ID: FY2020-S3-638

EHS 638

Baby Boxes

Messrs. O'Connor, deMacedo, Tarr, Fattman, Hinds and Humason moved that the proposed new text be amended by inserting after section XX the following sections:-

“SECTION XX. Section 1 of Chapter 111 as so appearing in the 2016 Official Edition of the General Laws is hereby amended by adding the following definition:-

“Baby box, boxes lined with a firm mattress and a fitted sheet such that it can serve as a safe sleep place for a newborn, and shall contain newborn infant care essentials aimed at promoting safe sleeping practices, as well as items to encourage safe and healthy habits for families transitioning to parenting.”

SECTION XX. Said Chapter 111 is further amended by adding the following new section:-

“Section 110D. Newborn Health and Safe Sleep Pilot Program.

(a) There shall be established in the department, by the commissioner, a newborn health and safe sleep pilot program designed to reduce infant mortality rates in the Commonwealth. The commissioner shall provide baby boxes or other products aimed at encouraging safe sleep practices in accordance with subsection (b) of this Section. The distribution of baby boxes or other products may vary by region, at the discretion of the commissioner, to meet the needs of the relevant community.

(b) The department shall require that any parent or guardian who wishes to obtain a baby box or other products aimed at encouraging safe sleep practices must first complete an online parent education syllabus to ensure proper use of the baby box as well as to educate on the accepted rules of safe sleep for infants. The department shall create an online portal on the department’s website containing a parent education syllabus. For the purposes of this section, a parent education syllabus shall be developed by the department and shall include, but not be limited to, risks associated with certain sleep conditions and safe sleep practices designed to reduce infant mortality rates. The department shall design and implement a sufficient certification process to ensure that a parent or guardian has completed the parent education syllabus prior to receiving a baby box.

(c) The department shall be responsible for monitoring the quality, appropriateness and effectiveness of the program and shall issue a report with their findings and recommendations to the Chairmen of the Joint Committee on Public Health and the Joint Committee on Children, Families and Persons with Disabilities within one year of the effective date of this section.”


Budget Amendment ID: FY2020-S3-639

EHS 639

Millville Senior Center

Mr. Fattman moved that the proposed new text be amended in section 2, in item 9110-9002, by adding the following words:- “; provided further, that not less than $25,000 shall be expended for programs and services at the Millville Senior Center in the town of Millville”; and

In said section 2, in said item 9110-9002, by striking out the figure “$16,740,125” and inserting in place thereof the following figure:- “$16,765,125”.


Budget Amendment ID: FY2020-S3-640

EHS 640

Office of Health Equity

Ms. Comerford, Messrs. Collins, Eldridge, Feeney and Cyr moved that the proposed new text be amended in section 2, by inserting after item 4000-0007 the following item:-

"4000-0009 For the office of health equity established in section 16AA of chapter 6A of the General Laws; provided, that the office may enter into service agreements with the department of public health to fulfill the obligations of the office; and provided further, that the office shall submit a report to the house and senate committees on ways and means not later than December 12, 2019 on the development of the office of health equity within the executive office of health and human services and the implementation of programming as set forth in said section 16AA, including personnel costs and an organizational structure plan ............................ $100,000"

 


Budget Amendment ID: FY2020-S3-642

EHS 642

DDS Community Day and Employment Services

Messrs. Keenan, Moore, Brady and O'Connor, Ms. Chang-Diaz and Mr. Welch moved that the proposed new text be amended in section 2, in item 5920-2025, by striking out the figure "$232,813,699" and inserting in place thereof the following figure:- "$239,513,699".


Budget Amendment ID: FY2020-S3-643

EHS 643

Caring Health Center of Springfield

Messrs. Welch and Lesser moved that the proposed new text be amended in section 2, in item 4000-0300, by adding at the end thereof the following:-

"; provided further, that not less than $100,000 be expended to Caring Health Center to offset the barriers to quality community healthcare for those who in need in the Pioneer Valley”,

and in said item striking out the figures of "$107,816,936" and replacing them with "$107,916,936".


Budget Amendment ID: FY2020-S3-644

EHS 644

Chelmsford’s age-friendly initiative

Mr. Barrett moved that the proposed new text be amended in section 2, in item 9110-9002, by adding the following words:- "; provided further, that not less than $48,000 shall be expended for Chelmsford’s age-friendly initiative at the Chelmsford senior center"; and by striking out the figure "$16,740,125" and inserting in place thereof the following figure:- "$16,788,125"


Budget Amendment ID: FY2020-S3-644-R1

Redraft EHS 644

Chelmsford’s age-friendly initiative

Mr. Barrett moved that the proposed new text be amended in section 2, in item 9110-9002, by adding the following words:- "; provided further, that not less than $40,000 shall be expended for the town of Chelmsford’s age-friendly initiative at the Chelmsford senior center"; and

in said section 2, in said item 9110-9002, by striking out the figure "$16,740,125" and inserting in place thereof the following figure:- "$16,780,125".


Budget Amendment ID: FY2020-S3-646

EHS 646

Baystate Pediatric Amendment

Mr. Welch moved that the proposed new text be amended in section 2, in item 4000-0300, by inserting at the end thereof the following:- “; provided further, that in calculating rates of payment for any Freestanding Pediatric Acute Hospitals, and Pediatric Specialty Units with 33 licensed level 3 NICU beds and 22 continuing care nursery (CCN) level 2 beds within an acute hospital that has at least 107 pediatricbeds, including 7 pediatric ICU beds and 55 NICU/CCN beds will be paid an amount equal to 95% of the Hospital’s/Pediatric Specialty Unit’s or NICU expenses for inpatient services"


Budget Amendment ID: FY2020-S3-648

EHS 648

Baystate Regional Equity

Messrs. Welch and Humason moved that the proposed new text be amended in section 2, in item 4000-0700, by adding at the end thereof the following:- "; provided further, that not less than $1,000,000 shall be made available to increase efficiencies and align system-wide goals within a regional hospital system located in Western Massachusetts to improve the overall sustainability of the system and to create a comprehensive approach to system-wide needs and a transition into the structure of the new 1115 Medicaid Waiver."


Budget Amendment ID: FY2020-S3-649

EHS 649

Skilled Nursing Program

Mr. Pacheco moved that the proposed new text be amended in section 2, by inserting after line item 4000-1700 the following item:

"xxxx-xxxx  For the Continuous Skilled Nursing Program within MassHealth for provider agency reimbursement rates under the MassHealth Continuous Skilled Nursing Program for Medically Complex Children and Adults requiring specialized care in all settings………….…$8,000,000"

 


Budget Amendment ID: FY2020-S3-651

EHS 651

Childhood Lead Poisoning Prevention

Messrs. Cyr and O'Connor moved that the proposed new text be amended by adding the following sections:-

SECTION X. Section 189A of chapter 111 of the General Laws, as appearing in the 2016 Official Edition, is hereby amended by inserting after the definition of “Advisory committee” the following definition:-

“Blood lead level of concern”, a concentration of lead in whole venous blood in a child under 6 years of age that is less than the concentration of lead in whole venous blood that meets the amount defined as lead poisoning in regulation by the department.

SECTION X. Said section 189A of said chapter 111, as so appearing, is hereby amended by inserting after the definition of “Director” the following definition:-

“Lead poisoning”, a medical condition present in a child under 6 years of age in which the child has a concentration of lead in whole venous blood at a concentration level defined by the department through regulation; provided, however, that the concentration of lead in whole venous blood shall not be greater than 5 micrograms per deciliter.

SECTION X. Section 191 of said chapter 111, as so appearing, is hereby amended by striking out, in line 9, the words “the terms ‘lead poisoning’ and ‘previously reported’” and inserting in place thereof the following words:- the term “previously reported”.

SECTION X. Said section 191 of said chapter 111, as so appearing, is hereby further amended by adding the following paragraph:-

The department shall perform public health surveillance and outreach to identify children with a blood lead level of concern. A child reported to have a blood lead level of concern shall be offered appropriate case management services in accordance with standards set forth by the American Academy of Pediatrics, or another qualified standard as determined by the department.

SECTION X. Section 193 of said chapter 111, as so appearing, is amended by striking out, in lines 44 and 45, the words “, as defined by regulation by the director,”.

SECTION X. Section 197C of said chapter 111, as so appearing, is hereby amended by striking out, in lines 3 to 5, inclusive, the words “in excess of the level considered dangerous to the child’s immediate health as determined by the department” and inserting in place thereof the following words:- that constitutes lead poisoning.

SECTION X. Said section 197C of said chapter 111, as so appearing, is hereby further amended by striking out, in lines 22 to 24, inclusive, the words “in excess of the level considered dangerous to the child’s immediate health as determined by the department” and inserting in place thereof the following words:- that constitutes lead poisoning.

SECTION X. Section 199 of said chapter 111, as so appearing, is hereby amended by striking out, in line 5, the words “at which the department defines” and inserting in place thereof the following words:- that constitutes.

SECTION X. Section 6 of chapter 62 of the General Laws, as so appearing, is hereby amended by striking out, in line 75, the words “one thousand five hundred dollars” and inserting in place thereof the following figure: - $3,000.

SECTION X. Said section 6 of said chapter 62, as so appearing, is hereby amended by striking out, in line 86, the words “five hundred dollars” and inserting in place thereof the following figure: - $1,000.

SECTION X. Section 5 of chapter 151B of the General Laws, as appearing in the 2014 Official Edition, is hereby amended by striking out, in line 211, the figure “$10,000” and inserting in place thereof the following dollar figure: - $20,000

SECTION X. Said section 5 of said chapter 151B, as so appearing, is hereby further amended by striking out, in line 213, the figure “$25,000” and inserting in place thereof the following figure: - $35,000

SECTION X. Said section 5 of said chapter 151B, as so appearing, is hereby further amended by striking out, in line 217, the figure “$50,000” and inserting in place thereof the following figure: - $60,000

SECTION X. Notwithstanding any general or special law to the contrary, the department of public health shall create a report providing an analysis of fees established under section 22 of chapter 482 of the acts of 1993, including projected revenues from said fees, a comparison of actual revenues with those necessary to provide all children with the legally mandated services to prevent elevated blood lead levels, and a comparison of how peer states with comparable housing stock finance childhood lead poisoning prevention programs.The department shall deliver to report to the joint committee on public health, the joint committee on revenue, the house committee on ways and means, and the senate committee on ways and means no later than November 1, 2019,


Budget Amendment ID: FY2020-S3-651-R1

Redraft EHS 651

Childhood Lead Poisoning Prevention

Messrs. Cyr, O'Connor and Tarr moved that the proposed new text be amended by inserting after section 75 the following section:-

“SECTION 75A. Notwithstanding any general or special law to the contrary, the department of public health shall conduct an analysis of: (i) fees established under section 22 of chapter 482 of the acts of 1993, including projected revenues from the fees; (ii) a comparison of actual revenues with the amount of revenue necessary to provide all eligible children with the legally-mandated services and to conduct activities to prevent elevated blood lead levels; and (iii) a comparison of how states with comparable housing stock finance childhood lead poisoning prevention programs. The department shall file its findings with the clerks of the senate and house of representatives, the joint committee on public health, the joint committee on revenue and the senate and house committees on ways and means not later than November 1, 2019.”


Budget Amendment ID: FY2020-S3-652-R1

Redraft EHS 652

Hoarding Task Force

Mr. Boncore moved that the proposed new text be amended in section 2, in item 5046-0000, by adding the following words:- "; provided further, that not less than $20,000 shall be provided to the town of Winthrop for a hoarding task force"; and

in said section 2, in said item 5046-0000, by striking out the figure “$489,380,275” and inserting in place thereof the following figure:- “$489,400,275”.


Budget Amendment ID: FY2020-S3-652

EHS 652

Hoarding Task Force

Mr. Boncore moved that the proposed new text be amended in section 2, in item 5046-0000, by inserting at the end thereof the following:- "; provided further, that not less than $20,000 shall be provided to the Town of Winthrop for a Hoarding Task Force."


Budget Amendment ID: FY2020-S3-653-R1

Redraft EHS 653

Suicide Prevention

Mr. Boncore moved that the proposed new text be amended in section 2, in item 4513-1026, by adding the following:- "; provided further, not less than $76,000 shall be provided for the town of Winthrop for suicide prevention services”; and

in said section 2, in said item 4513-1026, by striking out the figure “$4,469,372” and inserting in place thereof the following figure:- “$4,545,372”.


Budget Amendment ID: FY2020-S3-653

EHS 653

Suicide Prevention

Mr. Boncore moved that the proposed new text be amended in section 2, in item 4513-1026, by inserting at the end thereof the following:- "; provided further, not less than $76,000 shall be provided for the Town of Winthrop for suicide prevention services"


Budget Amendment ID: FY2020-S3-655

EHS 655

Grants to Councils on Aging

Ms. Rausch, Ms. Jehlen, Messrs. Brady, Moore and Welch, Ms. DiZoglio, Messrs. Finegold, Feeney, O'Connor and Eldridge, Ms. Comerford, Messrs. Kennedy, Lesser, Timilty, Keenan and Hinds, Ms. Gobi, Messrs. Collins, Montigny, deMacedo and Tran, Ms. Lovely, Messrs. Humason and Tarr moved that the proposed new text be amended in section 2, in item 9110-9002, by striking out the figure "$16,740,125" and inserting in place thereof the figure:- "$17,225,000".


Budget Amendment ID: FY2020-S3-656

EHS 656

Healthy Relationships Grant Program

Ms. Rausch, Messrs. Eldridge and Barrett, Ms. DiZoglio, Messrs. Welch, Feeney, Moore, Montigny, Humason and O'Connor, Ms. Lovely, Messrs. Cyr, Tran, Collins and Tarr moved that the proposed new text be amended in section 2, in item 4513-1131, by striking out the text and inserting in place thereof the following:  “For a domestic violence and sexual assault prevention program focused on teens in high-risk communities; provided, that the programming shall be aimed at promoting healthy relationships and addressing teen dating violence; provided further, that the department shall partner with domestic violence and sexual assault service providers, other community-based organizations or school-based organizations to develop evidence-based and outcomes-focused prevention strategies; provided further, that the program shall prioritize funding for schools and communities in which the majority of students are eligible for free or reduced lunch; provided further, that at least one program shall occur in a municipality with a population of 25,000 or less; and provided further, that funds may be expended for a competitive grant program”; and in said item by striking out the figure “$150,000” and inserting in place thereof the figure:- “$1,000,000”.


Budget Amendment ID: FY2020-S3-658

EHS 658

Study on reducing health care cost

Messrs. Tarr, deMacedo and Fattman moved that the proposed new text be amended by inserting after section _the following:-

"SECTION XX. Notwithstanding any general or special law to the contrary the center for health information analysis in conjunction with the health policy commission shall conduct a study on the feasibility of transitioning non-disabled adults age 21 through 64 with income above 100 per cent of the federal poverty level, excluding pregnant women, individuals with HIV-AIDS and individuals with breast or cervical cancer, from masshealth to becoming eligible for subsidized insurance through the commonwealth health insurance connector only.

Said study along with any recommendations shall be submitted to the clerks of house and senate, and the joint committee on health care financing no later than 90 days after the passage of this act"


Budget Amendment ID: FY2020-S3-659-R1

Redraft EHS 659

Bet Tzedek Client Assistance

Ms. Creem moved that the proposed new text be amended in section 2, in item 4800-0038, by adding the following words:- "; provided further, that not less than $30,000 shall be expended for the Bet Tzedek client assistance legal program through Jewish Family and Children's Service, Inc."; and

in said section 2, in said item 4800-0038, by striking out the figure "$307,989,474" and inserting in place thereof the figure:- "$308,019,474".


Budget Amendment ID: FY2020-S3-659

EHS 659

Bet Tzedek Client Assistance

Ms. Creem moved that the proposed new text be amended in section 2, in item 4400-1001, by adding the following words:- "; provided further, that $30,000 shall be expended for the Bet Tzedek client assistance legal program through Jewish Family and Children's Services"; and by striking out the figure "$10,027,882" and inserting in place thereof the figure:- "$10,057,882" 


Budget Amendment ID: FY2020-S3-660

EHS 660

Treating Opioids

Messrs. Humason and Lesser moved that the proposed new text be amended in section 2, in item 4512-0205, by inserting at the end thereof the following:- "provided further, not less than $100,000 shall be expended for Providence Behavioral Health Hospital in the City of Holyoke for a grant to prevent and treat addiction to opioids  and other addictions”   


Budget Amendment ID: FY2020-S3-661

EHS 661

Dukes County Substance Abuse Program

Mr. Cyr moved that the proposed new text be amended in section 2, in item 4512-0205, by adding the following: "; provided further, that not less than $40,000 shall be expended for a substance use and detox program in the county of Dukes county administered through Martha's Vineyard Community Services, Inc., which may include services at Dukes County House of Corrections"; and by striking out the figure "$425,000" and inserting in place thereof the following figure:- "$465,000".


Budget Amendment ID: FY2020-S3-662

EHS 662

DCF Legislative Reporting Reform

Ms. Chang-Diaz and Mr. O'Connor moved that the proposed new text be amended in section 2, in item 4800-0015, by striking out the text starting from the words “provided further, that on December 27, 2019 and March 31, 2020;” through the words “their effectiveness;” and

by inserting after section _ the following sections:-

“SECTION XX. Section 6A of chapter 18B of the General Laws, as appearing in the 2016 Official Edition, is hereby amended by striking out the final paragraph.

SECTION XX. Section 7 of said chapter 18B of the General Laws, as so appearing, is hereby amended by striking out paragraph (e).

SECTION XX. Section 20 of said chapter 18B of the General Laws, as so appearing, is hereby amended by striking out the second sentence.

SECTION XX. Section 23 of chapter 18B of the General Laws, as appearing in section 8 of chapter 321 of the acts of 2008, is hereby amended by striking out the final sentence.

SECTION XX. Section 23 of chapter 18B of the General Laws, as appearing in section 45 of chapter 176 of the acts of 2008, is hereby repealed.

SECTION XX. Section 24 of chapter 18B of the General Laws, as appearing in the 2016 Official Edition, is hereby repealed.

SECTION XX. Section 25 of chapter 18B of the General Laws, as so appearing, is hereby repealed.

SECTION XX. Chapter 18B of the General Laws as so appearing, is hereby amended by inserting after section 25 the following section: -

Section 26. (a) For the purposes of this section, the following terms shall have the following meanings unless the context clearly requires otherwise: -

“Annual report”. A recurring legislatively-mandated report produced by the department of children and families that presents departmental information from a fiscal year, including analysis, data, and narratives, and comparative departmental information from prior fiscal years. An annual report is produced following the end of its subject fiscal year, to be presented to recipients and made available to the public electronically, in accordance with state public records law no later than October 31.

“Legislatively-mandated report”. A report required of the department of children and families by the general court.

“Quarterly profile”. A recurring legislatively-mandated report produced by the department of children and families that presents departmental data from a specific fiscal quarter statewide, by regional office, and by area office. A quarterly profile is made available to the public electronically, in accordance with state public records law no later than 75 days following the end of the subject fiscal quarter.

(b)(1) The department shall issue an annual report that provides an overview of the agency’s performance throughout the previous fiscal year. The commissioner or a designee of the commissioner shall present the annual report, with an invitation to discuss its contents, to the governor, the child advocate, the clerks of the house of representatives and senate, the chairs of the house and senate committees on ways and means, and the chairs of the joint committee on children, families and persons with disabilities.

(2) The report shall include, at a minimum, information on: (i) counts, including but not limited to: (A) case counts; (B) consumer counts; (C) reports filed pursuant to section 51A of chapter 119; (D) placement metrics; (E) infants brought into the department’s care pursuant to section 39½ of chapter 119; and (F) siblings in placement; (ii) processes and outcomes, including but not limited to: (A) safety outcomes; (B) permanency outcomes; (C) rates of adoptions by race and ethnicity; and (D) well-being outcomes, including the rates and timeliness of the delivery of medical services and high school graduation rates; and (iii) operations, including but not limited to: (A) staffing trends; (B) caseloads; (C) the department’s budget, including funding levels; (D) service costs; (E) medical services and advancements in providing medical services to the children and young adults in the department’s care; (F) amounts expended to foster care, adoptive, and guardianship families, to provide assistance, including financial assistance, to provide for the care of children; and (G) an analysis and evaluation of the foster care review system and any recommendations for its improvement.

(c)(1) For every fiscal quarter, the department shall issue a quarterly profile that reports, at a minimum: (i) consumer counts; (ii) counts of reports filed pursuant to section 51A of chapter 119, including counts of reports received, screened-in, and screened-out in the fiscal year; (iii) department case counts, including counts of clinical and adoption cases in the fiscal year; (iv) consumer demographic information, including race and primary language; (v) counts of children and youth in-placement; and (vi) counts of children and youth not in-placement.

(2) The commissioner or a designee of the commissioner shall notify the chairs of the house and senate committees on ways and means and chairs of the joint committee on children, families and persons with disabilities when data from a quarterly profile of a fiscal year significantly departs from trends reported in previous quarterly profiles.

(d) The commissioner or a designee of the commissioner shall notify the chairs of the joint committee on children, families and persons with disabilities when draft regulations are made available by the department for public comment. Within 30 days following promulgation of regulations and within 30 days of the effective date of adopted or revised departmental policies relative to services provided to children and families, the department shall provide the chairs of the joint committee on children, families and persons with disabilities with copies of promulgated regulations and departmental policies.

(e) If the department is unable to submit information requested under a legislatively-mandated report by the report’s deadline, the commissioner or the commissioner’s legal counsel shall, in writing, notify the report’s recipients and provide explanation for the delay.

(f)(i) The department, in consultation with the legislature and other governmental and nongovernmental partners, shall establish by March 31, 2021 and update by March 31 every year thereafter, a plan for the three full fiscal years that follow that sets numerical targets for its performance in each of those years in each of its regions in the areas of safety, permanence, and well-being; (ii) The plan shall include a discussion of how the department’s progress in achieving those numerical targets will be measured during the years that the plan covers. The plan may include different targets for different regions; (iii) Beginning in fiscal year 2022, no later than December 31 of each year, the department shall measure its performance in meeting the targets established in the plan for the state as a whole and for each of its regions, consistent with the methodology described in the plan; (iv) The department shall publish and prominently maintain on its website the current plan, the targets for previous years, and the department’s performance in meeting those targets; (v) If in any given fiscal year the department views its appropriations as insufficient to enable it to develop the plan described in subsection (i) or to measure its performance as described in subsection (iii), it shall notify the chairs of the house and senate committees on ways and means, the chairs of the joint committee on children, families, and persons with disabilities, the chief counsel of the committee for public counsel services, the executive director of the legal services organization that is participating in the data work group referenced in Section 2 below , and the executive director of Children’s League of Massachusetts, Inc. no later than September 1 of that fiscal year.

(g) A data work group shall convene every two years to make recommendations for improvements to the department’s legislatively mandated reports.  This work group shall be comprised of the following persons or their designees: the child advocate who shall serve as co-chair; the commissioner of children and families who shall serve as co-chair; the chairs of the house and senate committees on ways and means, the chairs of the joint committee on children, families and persons with disabilities; the executive director of a Massachusetts legal services program, the chief counsel of the committee for public counsel services; the executive director of Children’s League of Massachusetts, Inc.; 1 person with expertise in child welfare data and outcome measurement to be chosen by the child advocate; and 1 person with expertise in the department of children and families’ information technology, data collection and reporting systems to be chosen by the commissioner of children and families. The task force shall consult with other individuals with relevant expertise, including academics, researchers, and service providers, as needed.

This workgroup shall file its recommendations, together with drafts of legislation necessary to carry its recommendations into effect, with the clerks of the senate and house of representatives and the clerks shall forward the report to the chairs of the house and senate committees on ways and means and the chairs of the joint committee on children, families and persons with disabilities within 4 months of the date on which it convenes. Subsection (g) of this section shall take effect on February 1, 2022.

SECTION XX. Section 23 of chapter 119 of the General Laws, as appearing in the 2016 Official Edition, is hereby amended by striking out the last sentence in subsection (f).

SECTION XX. Said section 23 of said chapter 119, as so appearing, is hereby further amended by striking out the second paragraph in subsection (h).

SECTION XX. Section 39½ of chapter 119 of the General Laws, as so appearing, is hereby amended by striking out the final paragraph.

SECTION XX. Section 51D of said chapter 119 of the General Laws, as so appearing, is hereby amended by striking out the final paragraph.

SECTION XX. Section 5E of chapter 210 of the General Laws, as so appearing, is hereby repealed.

SECTION XX. Chapter 47 of the acts of 2017 is hereby amended by striking out section 128 and inserting in place thereof the following section: -

Section 128. There shall be a task force on child welfare data reporting. The task force shall develop basic data measures, progress measures and key outcome measures to inform the legislature and the public about the status and demographics of the caseload of the department of children and families, the department’s progress in achieving child welfare goals, including safety, permanency, and well-being.

The task force shall develop criteria for measuring outcomes for children and families in the key child welfare domains of safety, permanency, and well-being for children including, but not limited to, the outcomes relative to: (i) protecting children from abuse and neglect; (ii) safely maintaining children in their own homes whenever possible and appropriate; (iii) achieving stability and permanency for children in their living situations; (iv) preserving the continuity of family relationships; and (v) enhancing the capacity of families to provide for the needs of children (vi) ensuring that children receive appropriate services to meet their educational needs (vii) ensuring that children receive the services necessary to meet their physical and mental health needs (viii) achieving permanency and opportunity for young adults.

The task force shall make recommendations to: (i) ensure that department of children and families’ legislatively-mandated reports include data measures that are clearly defined and provided with adequate context to convey the meaning of reported data and the department’s understanding of the meaning of trends that may appear in data; (ii) eliminate legislatively-mandated reports that are no longer necessary; (iii) revise existing legislatively-mandated reports; and (iv) ensure that legislatively-mandated reports are timely-submitted and made available electronically in accordance with state public records law.

The task force shall also make recommendations relative to: (i) the continued development of the department’s annual report and quarterly profile under section 26 of chapter 18B of the General Laws; (ii) the resources required of the department to develop and produce legislatively-mandated reports; (iii) priorities for the department’s public reporting as it relates to addressing: (A) questions underlying legislative reporting requirements previously mandated of the department, including but not limited to requirements relative to foster care review, residential care, post-18 services, educational and placement stability, and kinship guardianship subsidies; (B) questions the department is currently unable to address with existing departmental data, including but not limited to families with multiple siblings in the department’s care; (C) questions concerning the department’s delivery of services, including but not limited to support and stabilization, and the effectiveness of such services; and (D) questions concerning the department’s outcomes, and the development of accurate benchmarks to measure those outcomes; and (E) racial disproportionality at decision points in the DCF process by area office. The task force shall be comprised of the following persons or their designees: the child advocate who shall serve as co-chair; the commissioner of children and families who shall serve as co-chair; the chairs of the house and senate committees on ways and means, the chairs of the joint committee on children, families and persons with disabilities; the executive director of a Massachusetts legal services program, the chief counsel of the committee for public counsel services; the executive director of Children’s League of Massachusetts, Inc.; 1 person with expertise in child welfare data and outcome measurement to be chosen by the child advocate; and 1 person with expertise in the department of children and families’ information technology, data collection and reporting systems to be chosen by the commissioner of children and families. The task force shall consult with other individuals with relevant expertise, including academics, researchers, and service providers, as needed.  Because other issues, including but not limited to substance use disorders, domestic violence, mental health, and homelessness, directly affect the child welfare caseload or outcomes but the data on these issues is not managed by the Department of Children and Families, the task force shall consult with the secretariats of the agencies which address these issues to determine how best to review and report on data these agencies may have that is relevant to child welfare outcomes affected by these issues.

The task force shall meet not less than quarterly. Annually, on or before January 31, the task force shall file its recommendations, together with drafts of legislation necessary to carry its recommendations into effect, with the clerks of the senate and house of representatives and the clerks shall forward the report to the chairs of the house and senate committees on ways and means and the chairs of the joint committee on children, families and persons with disabilities.

SECTION XA. The department shall annually submit a special report on services provided to young adults over the age of 18 to the child advocate, the clerks of the house of representatives and senate, the chairs of the house and senate committees on ways and means, and the chairs of the joint committee on children, families and persons with disabilities no later than October 31. The report shall summarize the process through which a young adult may continue to receive services from the department upon reaching the legal adult age of 18. The report shall also provide, but not be limited to: (a) departmental counts from the previous fiscal year, including counts of: (i) young adults who have elected to sustain a connection with the department; (ii) young adults who have elected to not remain with the department and have transitioned out of the child welfare system, including young adults who had previously elected to sustain a connection with the department, if such counts are available; and (iii) payments made in state funds to young adults; and (b) descriptions of services provided to young adults by the department in the previous fiscal year, including those funded or partially funded using federal funds. The department may satisfy the reporting requirements of this section by providing the requested information in an annual report filed under section 26 of chapter 18B of the General Laws.

SECTION XB. The department shall annually file a special report on its fair hearing processes and cases with the child advocate, the clerks of the house of representatives and senate, the chairs of the house and senate committees on ways and means, and the chairs of the joint committee on children, families and persons with disabilities, and be made available to the public electronically in accordance with G.L. c. 66 § 19 (the state public records law) no later than August 31. The report shall include but not be limited to information on the fair hearing requests open at any time during  the previous fiscal year and, using non-identifying information, provide for each hearing request: (i) the subject matter of the appeal; (ii) the outcomes of cases resolved prior to a fair hearing decision; (iii) the number of days between the hearing request and the first day of the hearing; (iv) the number of days between the close of the evidence and the hearing officer’s decision; (v) the number of days of continuance granted at the appellant’s request; (vi) the number of days of continuance granted at the request of the department of children and families or the hearing officer’s request, specifying which party made the request; and (vii) whether the department’s decision that was the subject of the appeal was affirmed or reversed. The department shall maintain and make available to the public, during regular business hours, a record of its fair hearings, with identifying information removed, including for each hearing request: the date of the request, the date of the hearing decision, and the decision rendered by the hearing officer and the final decision rendered upon the commissioner’s review. This report shall provide for the fair hearing requests which are pending for more than 180 days at any time during the fiscal year except for those requests which are stayed at the request of the district attorney, the number of those cases, how many of those cases have been heard but not decided and how many have been decided by the hearing officer but not yet issued as a final agency decision. If there are more than 225 fair hearing requests open for more than 180 days at the close of any month of the first six months of the fiscal year, then an additional report of these requests shall be provided no later than February 28. The department shall make redacted copies of fair hearing decisions available within 30 days of a written request.

SECTION Y. Sections XA and XB are hereby repealed.

SECTION Z. Section Y shall take effect on December 31, 2022."


SENATE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 2228

Text of amendment (Senator Chang-Diaz) to the Senate Bill making appropriations for the fiscal year 2020 for the maintenance of the departments, boards, commissions, institutions and certain activities of the commonwealth, for interest, sinking fund and serial bond requirements and for certain permanent improvements (Senate, No. 3).

 

The Commonwealth of Massachusetts

 

_______________

In the One Hundred and Ninety-First General Court
(2019-2020)

_______________

 

by striking out, in lines 39 to 69, inclusive, the words:- “; provided further, that on December 27, 2019 and March 31, 2020, the department shall report to the house and senate committees on ways and means and the joint committee on children, families and persons with disabilities on: (i) the fair hearing requests filed in fiscal year 2020, stating with nonidentifying information for each hearing request: (a) the subject matter of the appeal; (b) the number of days between the hearing request and the first day of the hearing; (c) the number of days between the first day of the hearing and the hearing officer’s decision; (d) the number of days between the hearing officer’s decision and the agency’s final decision; (e) the number of days of continuance granted at the appellant’s request; (f) the number of days of continuance granted at the request of the department of children and families or the hearing officer’s request, specifying which party made the request; and (g) whether the department’s decision that was the subject of the appeal was affirmed or reversed; and (ii) the fair hearing requests filed before fiscal year 2020, which have been pending for more than 180 days, stating: (1) the number of those cases; (2) how many of those cases have been heard but not yet decided; and (3) how many of those cases have been decided but not yet issued as a final agency decision; provided further, that the department shall maintain and make available to the public, during regular business hours, a record of its hearings, with identifying information removed, including for each hearing request the date of the request, the date of the hearing decision, the decision rendered by the hearing officer and the final decision rendered upon the commissioner’s review; provided further, that the department shall make redacted copies of its hearing decisions available within 30 days of a written request; provided further, that the department shall not make available any information in violation of federal privacy regulations”; and

in said section 2, in said item 4800-0015, by striking out, in lines 136 to 146, inclusive, the words “; provided further, that not later than November 1, 2019, the department shall submit a report to the house and senate committees on ways and means and the joint committee on children, families and persons with disabilities that details any changes to rules, regulations or guidelines established by the department in the previous fiscal year to carry out its duties under chapter 119 of the General Laws including, but not limited to: (aa) criteria used to determine whether a child has been abused or neglected; (bb) guidelines for removal of a child from the home; and (cc) standards to determine what reasonable efforts are being made to keep a child in the home”; and

by inserting after section 8 the following 5 sections:-

“SECTION 8A. Section 6A of chapter 18B of the General Laws, as so appearing, is hereby amended by striking out the last paragraph.

SECTION 8B. Section 20 of said chapter 18B, as so appearing, is hereby amended by striking out the second sentence.

SECTION 8C. Said chapter 18B is hereby further amended by adding the following 3 sections:-

Section 26. (a)(1) Annually, not later than October 31, the department shall issue a report that provides an overview of the department’s performance during the previous fiscal year. The commissioner or a designee shall file the report with the governor, the child advocate, the clerks of the senate and house of representatives, the chairs of the house and senate committees on ways and means and the joint committee on children, families and persons with disabilities. The commissioner shall provide the recipients of the report with an opportunity to discuss its contents with the commissioner or a designee. The report shall be made publicly available on the department’s website in accordance with section 19 of chapter 66.

(2) The report shall include, but not be limited to, narratives, information, data and analysis on: (i) case counts; (ii) consumer counts; (iii) the number of reports filed pursuant to section 51A of chapter 119; (iv) placement metrics; (v) the number of infants brought into the department’s care pursuant to section 39½ of chapter 119; (vi) the number of siblings in placement; (vii) safety processes and outcomes; (viii) permanency processes and outcomes; (ix) the rates of adoptions by race and ethnicity; (x) well-being outcomes, including the rates and timeliness of the delivery of medical services and high school graduation rates; (xi) staffing trends; (xii) caseloads; (xiii) the department’s budget, including funding levels; (xiv) service costs; (xv) medical services and advancements in providing medical services to children and young adults in the department’s care; (xvi) amounts expended to foster care and to adoptive and guardianship families to provide assistance, including financial assistance, to provide for the care of children; and (xvii) the foster care review system and any recommendations for its improvement. The report shall also include comparative departmental information from prior fiscal years.

(b)(1) Quarterly, not later than 75 days after the end of each fiscal quarter, the department shall issue a quarterly profile on its website in accordance with section 19 of chapter 66 that shall include, but not be limited to, departmental, regional office and area office data on: (i) consumer counts; (ii) the number of reports filed pursuant to section 51A of chapter 119, including counts of reports received, screened-in and screened-out in the quarter; (iii) department case counts, including counts of clinical and adoption cases in the quarter; (iv) consumer demographic information, including race and primary language; (v) counts of children and youth in-placement; and (vi) counts of children and youth not in-placement.

(2) The commissioner or the commissioner’s designee shall notify the house and senate committees on ways and means and the joint committee on children, families and persons with disabilities when data from a profile issued pursuant to paragraph (1) significantly departs from trends reported in previous profiles.

(c) The commissioner or the commissioner’s designees shall notify the joint committee on children, families and persons with disabilities when draft regulations are made available by the department for public comment. Not more than 30 days after the promulgation of regulations or the effective date of adopted or revised departmental policies relative to services provided to children and families, the department shall provide the joint committee on children, families and persons with disabilities with copies of the regulations or departmental policies.

(d) If the department is unable to submit the report under subsection (a) or issue the profile under subsection (b) by the respective deadlines, the commissioner or the commissioner’s legal counsel shall notify the governor, the child advocate, the clerks of the senate and house of representatives, the house and senate committees on ways and means and the joint committee on children, families and persons with disabilities in writing and provide an explanation for the delay.

(e)(1) The department, in consultation with the general court and other governmental and nongovernmental partners, shall establish a 3-year plan that shall include numerical targets for the department’s performance in each year and in each of its regions in the areas of safety, permanence and well-being. The plan shall include a description of how the department will measure its progress toward meeting the numerical targets. The plan may include different targets for different regions. The plan shall be updated annually not later than March 31.

(2) Annually, not later than December 31, the department shall measure its performance in meeting the targets set forth by the plan established pursuant to paragraph (1) for the commonwealth as a whole and for each of its regions, consistent with the methodology described in the plan.

(3) The department shall publish and prominently maintain on its website the current plan, the targets for previous years and the department’s performance in meeting those targets.

(4) If in a fiscal year the department is unable to develop or update the plan described in paragraph (1) or to measure its performance as required by paragraph (2), the department shall notify the house and senate committees on ways and means, the joint committee on children, families and persons with disabilities, the child advocate, the chief counsel of the committee for public counsel services, the executive director of the Massachusetts Law Reform Institute and the executive director of the Children’s League of Massachusetts, Inc. not later than September 1 of that fiscal year.

Section 27. Annually, not later than October 31, the department of children and families shall submit a special report on services provided to young adults over the age of 18 to the child advocate, the clerks of the senate and house of representatives, the house and senate committees on ways and means and the joint committee on children, families and persons with disabilities. The report shall summarize the process by which a young adult may continue to receive services from the department upon reaching the legal adult age of 18. The report shall also include, but not be limited to: (i) the number of young adults who have elected to sustain a connection with the department in the previous fiscal year; (ii) the number young adults who have elected not to remain with the department and have transitioned out of the child welfare system in the previous fiscal year, including young adults who had previously elected to sustain a connection with the department, if such numbers are available; (iii) the total payments made from commonwealth funds to young adults in the previous fiscal year; and (iv) a description of services provided to young adults by the department in the previous fiscal year, including those funded wholly or in  part by federal funds. The department may satisfy the reporting requirements of this section by providing the requested information in an annual report filed under section 26.

Section 28. Annually, not later than August 31, the department of children and families shall file a special report on its fair hearing processes and cases with the child advocate, the clerks of the senate and house of representatives, the house and senate committees on ways and means and the joint committee on children, families and persons with disabilities. The report shall be made available to the public electronically in accordance with section 19 of chapter 66 of the General Laws. The report shall include, but not be limited to, information in a form that shall not include personally-identifiable information on the fair hearing requests open at any time during the previous fiscal year and, for each hearing request, shall provide: (i) the subject matter of the appeal; (ii) the outcomes of cases resolved prior to a fair hearing decision; (iii) the number of days between the hearing request and the first day of the hearing; (iv) the number of days between the close of the evidence and the hearing officer’s decision; (v) the number of days of continuance granted at the appellant’s request; (vi) the number of days of continuance granted at the request of the department of children and families or the hearing officer’s request, specifying which party made the request; and (vii) whether the department’s decision that was the subject of the appeal was affirmed or reversed. The department shall maintain and make available to the public, during regular business hours, a record of its fair hearings in a form that shall not include personally-identifiable information and shall include, for each hearing request: (i) the date of the request; (ii) the date of the hearing decision; (iii) the decision rendered by the hearing officer; and (iv) the final decision rendered upon the commissioner’s review. The report shall provide for the fair hearing requests that are pending for more than 180 days at any time during the fiscal year, except for those requests which have been stayed at the request of the district attorney, the number of those cases, how many of those cases have been heard but not decided and how many have been decided by the hearing officer but not yet issued a final agency decision. If there are more than 225 fair hearing requests open for more than 180 days at the close of any month of the first 6 months of a fiscal year, then an additional report of these requests shall be provided not later than February 28. The department shall make redacted copies of fair hearing decisions available within 30 days after a written request.

SECTION 8D. Paragraph (4) of subsection (e) of section 26 of said chapter 18B, as appearing in section 8C, is hereby amended by inserting after the word “services” the following words:- ", the executive director of the legal services organization that is participating in the data work group under subsection (f)."

SECTION 8E. Said section 26 of said chapter 18B of the General Laws, as so appearing, is hereby further amended by adding the following subsection:-

(f) A data work group shall convene every 2 years to make recommendations for improvements to the report and profile required under subsections (a) and (b). The work group shall consist of the following persons or their designees: the child advocate, who shall serve as co-chair; the commissioner, who shall serve as co-chair; the chairs of the house and senate committees on ways and means; the chairs of the joint committee on children, families and persons with disabilities; the chief counsel of the committee for public counsel services; the executive director of Children’s League of Massachusetts, Inc.; the executive director of a legal services program to be appointed by the governor; 1 person with expertise in child welfare data and outcome measurement to be appointed by the child advocate; and 1 person with expertise in the department’s information technology, data collection and reporting systems to be appointed by the commissioner of children and families. The work group shall consult with other individuals with relevant expertise, including academics, researchers and service providers, as needed.

Not later than December 31 in every even-numbered year, the data work group shall report its recommendations, together with drafts of any legislation necessary to carry its recommendations into effect, by filing the same with the clerks of the senate and house of representatives, the senate and house committees on ways and means and the joint committee on children, families and persons with disabilities.”; and

by inserting after section 41 the following 2 sections:-

“SECTION 41A. Subsection (f) of section 23 of chapter 119 of the General Laws, as appearing in the 2016 Official Edition, is hereby amended by striking out the last sentence.

SECTION 41B Subsection (h) of said section 23 of said chapter 119, as so appearing, is hereby further amended by striking out the second paragraph.”; and

by inserting after section 51 the following section:-

“SECTION 51A. Chapter 47 of the acts of 2017 is hereby amended by striking out section 128 and inserting in place thereof the following section:-

Section 128. There shall be a task force on child welfare data reporting. The task force shall develop basic data measures, progress measures and key outcome measures to inform the general court and the public on the status and demographics of the caseload of the department of children and families and the department’s progress in achieving child welfare goals, including safety, permanency and well-being.

The task force shall develop criteria for measuring outcomes for children and families in the key child welfare domains of safety, permanency and well-being including, but not limited to, outcomes relative to: (i) protecting children from abuse and neglect; (ii) safely maintaining children in their own homes whenever possible and appropriate; (iii) achieving stability and permanency for children in their living situations; (iv) preserving the continuity of family relationships; (v) enhancing the capacity of families to provide for the needs of children; (vi) ensuring that children receive appropriate services to meet their educational needs; (vii) ensuring that children receive the services necessary to meet their physical and mental health needs; and (viii) achieving permanency and opportunity for young adults.

The task force shall make recommendations to: (i) ensure that the department of children and families’ reports and profiles under section 26 of chapter 18B of the General Laws include data measures that are clearly defined and provided with adequate context to convey the meaning of reported data and the department’s understanding of the meaning of trends that may appear in that data; (ii) eliminate reports that are no longer necessary; (iii) revise existing reports; and (iv) ensure that reports are timely submitted and made available electronically in accordance with public records laws.

The task force shall also make recommendations relative to: (i) the continued development of the reports and profiles under section 26 of chapter 18B of the General Laws; (ii) the resources required of the department to develop and produce those reports and profiles; (iii) priorities for the department’s public reporting requirements as they relate to addressing: (a) questions underlying legislative reporting requirements relative to foster care review, residential care, services for young adults over the age of 18, educational and placement stability, kinship guardianship subsidies and any other reporting requirements not included in the reports and profiles under said section 26 of said chapter 18B; (b) questions that the department is currently unable to address with existing departmental data including, but not limited to, families with multiple siblings in the department’s care; (c) questions concerning the department’s delivery of services including, but not limited to, support and stabilization and the effectiveness of such services; (d) questions concerning the department’s outcomes and the development of accurate benchmarks to measure those outcomes; and (e) racial disproportionality at decision points in the departmental process by area office.

The task force shall be comprised of the following persons or their designees: the child advocate, who shall serve as co-chair; the commissioner of children and families, who shall serve as co-chair; the chairs of the house and senate committees on ways and means; the chairs of the joint committee on children, families and persons with disabilities; the chief counsel of the committee for public counsel services; the executive director of the Children’s League of Massachusetts, Inc.; the executive director of a legal services program to be appointed by the governor; 1 person with expertise in child welfare data and outcome measurement to be appointed by the child advocate; 1 person who is a current or recently former caseworker for the department of children and families to be appointed by SEIU 509; and 1 person with expertise in the department of children and families’ information technology, data collection and reporting systems to be appointed by the commissioner of children and families. The task force shall consult with other individuals with relevant expertise, including academics, researchers and service providers, as needed. The task force shall consult with the secretaries of agencies that address issues that directly affect the child welfare caseload or outcomes including, but not limited to, substance use disorders, domestic violence, mental health and homelessness to determine how best to review and report on agency data relevant to child welfare outcomes.

The task force shall meet at least quarterly. Annually, not later than January 31, the task force shall submit its recommendations, together with drafts of any legislation necessary to carry its recommendations into effect, by filing the same with the clerks of the senate and house of representatives, the house and senate committees on ways and means and the joint committee on children, families and persons with disabilities.”; and

by inserting after section 77 the following 2 sections:-

“SECTION 77A. Sections 8D and 8E shall take effect on February 1, 2022.

SECTION 77B. Subsection (e) of section 26 of chapter 18B shall take effect January 1, 2022.”.


Budget Amendment ID: FY2020-S3-663

EHS 663

Long-Term Care Facility Closures

Messrs. Pacheco and O'Connor moved that the proposed new text be amended in section 2, in item 4000-0641, by inserting in line 14, after the words "demonstrated regional need;" the following words:- provided further, that no governmentally operated Long-Term Care Facility currently proposed to be closed pursuant to 105 CMR 153 may close until it considers the targeted investments provided by this line item;"


Budget Amendment ID: FY2020-S3-664

EHS 664

Franklin County Hospital Opioid Treatment Bridge Clinic

Ms. Comerford and Ms. Gobi moved that the proposed new text be amended in section 2, in item 4512-0200, by adding the following words:- "; provided further, that not less than $100,000 shall be expended for a community hospital in Franklin county affiliated with a western Massachusetts academic medical center to provide opioid addiction screenings, treatment and mental health education to Franklin county residents via a bridge clinic in the hospital;" and by striking out the figure "$150,185,718" and inserting in place thereof the following figure:- "$150,285,718".


Budget Amendment ID: FY2020-S3-665

EHS 665

Needham Center at the Heights

Ms. Rausch moved that the proposed new text be amended in section 2, in item 9110-9002, by inserting after the words "town of Medway", the following words:- "; provided further, that not less than $100,000 shall be expended for a grant to the town of Needham for security and accessibility improvements at the Center at the Heights;" and in said item by striking out the figure "$16,740,125" and inserting in place thereof the figure "$16,840,125".


Budget Amendment ID: FY2020-S3-667

EHS 667

Immigrants' Assistance Center

Messrs. Montigny and O'Connor moved that the proposed new text be amended in section 2, in item 4003-0122, by adding at the end thereof the following:- “provided further, that not less than $75,000 shall be expended for Immigrants Assistance Center, Inc. to provide citizenship and workforce readiness programming in New Bedford”.


Budget Amendment ID: FY2020-S3-667-R1

Redraft EHS 667

Immigrants' Assistance Center

Messrs. Montigny and O'Connor moved that the proposed new text be amended in section 2, in item 4003-0122, by adding the following words:- “provided further, that not less than $75,000 shall be expended for Immigrants Assistance Center, Inc. to provide citizenship and workforce readiness programming in the city of New Bedford”; and

in said section 2, in said item 4003-0122, by striking out the figure “$600,000” and inserting in place thereof the following figure:- “$675,000”.


Budget Amendment ID: FY2020-S3-668-R1

Redraft EHS 668

Greater New Bedford Community Health Center

Mr. Montigny moved that the proposed new text be amended in section 2, in item 4512-0205, by adding the following words:- “; provided further, that not less than $175,000 shall be expended for Office-Based Addiction/Opioid Treatment, a program at the Greater New Bedford Community Health Center”; and

in said section 2, in said item 4512-0205, by striking out the figure “$100,000” and inserting in place thereof the following figure:- “$275,000”.


Budget Amendment ID: FY2020-S3-668

EHS 668

Greater New Bedford Community Health Center

Mr. Montigny moved that the proposed new text be amended in section 2, in item 4512-0200, by adding at the end thereof the following:- “provided further, that not less than $175,000 shall be expended for Office-Based Addiction/Opioid Treatment, a program of the Greater New Bedford Community Health Center”.


Budget Amendment ID: FY2020-S3-669

EHS 669

New Bedford Women's Center

Messrs. Montigny and O'Connor moved that the proposed new text be amended in section 2, in item 4513-1130, by adding at the end thereof the following:-  “provided further, that not less than $100,000 shall be expended as a grant for The Women’s Center in New Bedford to provide school-based domestic violence and sexual assault prevention, education, and counseling programs for adolescents and young adults in New Bedford; provided further, that unexpended funds up to $100,000 appropriated for The Women’s Center in New Bedford in fiscal year 2019 shall not revert but shall be made available for the purposes of this item for fiscal year 2020.”


Budget Amendment ID: FY2020-S3-670-R1

Redraft EHS 670

Access to Emergency Services on Nantucket

Mr. Cyr moved that the proposed new text be amended in section 2, in item 4510-0100, by adding the following words:- “; provided further, that not less than $40,000 shall be expended to the Nantucket Cottage Hospital for off-island medical transportation, including the transportation of patients with behavioral health conditions”; and

in said section 2, in said item 4510-0100, by striking out the figure “$19,529,141” and inserting in place thereof the figure:- “$19,569,141”.


Budget Amendment ID: FY2020-S3-670

EHS 670

Access to Emergency Services on Nantucket

Mr. Cyr moved that the proposed new text be amended in section 2, in item 4510-0790, by adding the following:- “; provided further, that not less than $40,000 shall be expended to the Nantucket Cottage Hospital for off island medical transportation including the transportation of patients with behavioral health conditions”; and by striking out the figure “$807,000” and inserting in place thereof the figure:- “$847,000”.


Budget Amendment ID: FY2020-S3-670-R2

2nd Redraft EHS 670

Access to Emergency Services on Nantucket

Mr. Cyr moved that the proposed new text be amended in section 2, in item 4000-0300, by adding the following words:- “; provided further, that not less than $40,000 shall be expended to the Nantucket Cottage Hospital for off-island medical transportation, including the transportation of patients with behavioral health conditions”; and

in said section 2, in said item 4000-0300, by striking out the figure “$107,816,936” and inserting in place thereof the figure:- “$107,856,936”.


Budget Amendment ID: FY2020-S3-672

EHS 672

Nursing Home Direct Care Workers

Messrs. Montigny, Timilty, O'Connor and Moore moved that the proposed new text be amended in section 2, in item 4000-0641, by striking the seventh sentence and inserting in place thereof the following three sentences:-

“provided further, that not later than March 1, 2020, MassHealth shall provide to the house and senate committee on ways and means an interim report and not later than July 31, 2020 a final report, on the impact of wages for direct care workers at the nursing homes receiving the funds;  provided further, that MassHealth shall recoup the entire amount of any unspent or impermissibly spent direct care add-on funds from a facility by July 31, 2020, plus a penalty of 25% of said unspent or impermissibly spent amount; provided further, that funds shall not be expended for a facility that failed to report fiscal year 2019 direct care add-on data to MassHealth by December 31, 2019”


Budget Amendment ID: FY2020-S3-672-R1

Redraft EHS 672

Nursing Home Direct Care Workers

Messrs. Montigny, Timilty, O'Connor and Moore moved that the proposed new text be amended in section 2, in item 4000-0641, by striking out, in lines 22 to 26, inclusive, the words “; provided further, that not later than June 15, 2020, MassHealth shall provide to the house and senate committee on ways and means an interim report and not later than December 31, 2020 a final report, on the impact of wages for direct care workers at the nursing homes receiving the funds” and inserting in place thereof the following words:- “; provided further, that not later than May 1, 2020, MassHealth shall provide to the house and senate committees on ways and means an interim report and not later than December 31, 2020 a final report, on the impact of wages for direct care workers at the nursing homes receiving the funds; provided further, that nursing facilities receiving direct care add-on funds shall comply with MassHealth reporting and spending regulations under 101 CMR 206.00; provided further, that failure to comply with said regulations after adequate notice by the department shall result in the recoupment of the entire amount of any unspent or impermissibly spent direct care add-on funds from a facility in addition to a penalty of 25 per cent of the unspent or impermissibly spent amount”.


Budget Amendment ID: FY2020-S3-673

EHS 673

Preventing Resident Abuse & Death in Nursing Homes

Mr. Montigny moved that the proposed new text be amended by inserting after section __ the following new section:-

"SECTION __. Section 73 of chapter 111 of the General Laws, as appearing in the 2016 Official Edition, is hereby amended by striking out, in line 14, the word “fifty” and inserting in place thereof the following figure:- $20,965."


Budget Amendment ID: FY2020-S3-675

EHS 675

Preventing Death & Disability from Stroke

Messrs. Montigny, Crighton, Moore, Timilty, Humason and O'Connor and Ms. Gobi moved that the proposed new text be amended by adding the following __ sections:-

“SECTION __.  Chapter 111 of the General Laws, as so appearing, is hereby amended by inserting after section 51K the following 3 sections:-

Section 51L. The department shall designate a hospital as an acute stroke ready hospital, a primary stroke center or a comprehensive stroke center  if: (i) the hospital has applied to the department for a designation; and (ii) the hospital has been certified by The Joint Commission, the American Heart Association or any other department-approved, nationally-recognized certifying body as an acute stroke ready hospital, primary stroke center or comprehensive stroke center.

Section 51M. The department and regional EMS councils as defined in section 1 of chapter 111C shall establish prehospital care protocols related to the assessment, treatment, transport and rerouting of stroke patients by licensed emergency medical services providers to acute stroke ready hospitals, primary stroke centers and comprehensive stroke centers. The protocols shall include plans for the triage and transport of suspected stroke patients including, but not limited to, those patients who may have an emergent large vessel occlusion, to an appropriate facility within a specified timeframe of onset of symptoms. The protocols shall also include any additional criteria necessary to determine the level of care that is the most appropriate for suspected stroke patients. The protocols shall be based on nationally-recognized guidelines for the transport of acute stroke patients. The protocols shall also consider the capability of an emergency receiving facility to improve outcomes for those patients suspected, based on clinical severity, of having an emergent large vessel occlusion. Each regional EMS council shall establish a prehospital point of entry plan for stroke-related patients for their own respective region.

The department shall: (i) make available the list of designated stroke centers, including the identification of hospitals with continuous neurointerventional coverage, to the medical director of each licensed emergency medical services provider; (ii) maintain a copy of the list in the office designated within the department to oversee emergency medical services; and (iii) post a list of all designated stroke centers and the level of care to the department website. The department shall update the list of designated stroke centers at least annually.

Section 51N. The department shall establish and maintain a data oversight process to improve the quality of care for stroke patients. The process shall include a  stroke registry database that compiles information and statistics on stroke care that align with nationally-recognized stroke measures.

A hospital designated by the department as an acute stroke ready hospital, a primary stroke center or a comprehensive stroke center shall utilize a nationally-recognized data platform to collect the stroke data set that shall be required by the department. The data elements shall be collected through the data registry platform and transmitted to the department for inclusion in the stroke registry.

The department shall convene a group of experts including, but not limited to, a representative from the American Stroke Association, a representative from The Massachusetts Neurologic Association, Inc., a representative from Society of Neurointerventional Surgery, a representative from Massachusetts Council of Community Hospitals, Inc., a representative from Massachusetts College of Emergency Physicians, Inc. and a representative of a regional EMS council, with input from key stroke stakeholders and professional societies, to form a stroke advisory taskforce that shall assist with data oversight, program management and advice regarding the stroke system of care. The task force shall meet not less than quarterly to review data and provide advice. ”; and

by inserting after section __ the following section:-

“SECTION __. Notwithstanding any general or special law to the contrary, until hospitals have been designated pursuant to section 51L of chapter 111 of the General Laws, the department of public health shall designate primary stroke service hospitals as acute stroke ready hospitals capable of providing care previously designated in regulations as primary stroke service care.

At the time that the department begins the designation of 3 tiers of stroke facilities pursuant to said section 51L of said chapter 111, hospitals may maintain primary stroke service designation utilizing the existing processes and criteria for a 6-month period. At the time that the department begins the designation process, primary stroke service hospitals shall be recognized as acute stroke ready hospitals. After the department has begun the designation process, all primary stroke service hospitals shall be considered acute stroke ready hospitals, regardless of additional capacity, until they receive a higher designation of primary stroke center or comprehensive stroke center.” and

by inserting after section __ the following 3 sections:-

“SECTION __. The department shall designate hospitals pursuant to section 51L of chapter 111 of the General Laws not later than 180 days after the effective date of this act.

SECTION __. The department shall establish protocols pursuant to section 51M of chapter 111 of the General Laws not later than 90 days after the effective date of this act.

SECTION __. The department shall establish the data oversight process pursuant to section 51N of chapter 111 of the General Laws not later than 180 days after the effective date of this act.”.


Budget Amendment ID: FY2020-S3-675-R1

Redraft EHS 675

Preventing Death & Disability from Stroke

Messrs. Montigny, Crighton, Moore, Timilty, Humason and O'Connor and Ms. Gobi moved that the proposed new text be amended by inserting after section 36 the following section:-

“SECTION 36A. Said chapter 111 is hereby further amended by inserting after section 51K the following section:-

Section 51L. (a) The department and regional emergency medical services councils shall annually review and update, if appropriate, their pre-hospital care protocols and point-of-entry plans to ensure stroke patients are transported to the most appropriate facility in accordance with this section.

(b) The department shall make available the list of designated stroke facilities on its website and to the medical director of each licensed emergency medical services provider. The department shall maintain the list in the office designated within the department to oversee emergency medical services and update the list not less than annually.

(c) The department shall convene a group of experts including, but not limited to, a representative from the American Stroke Association, a representative from The Massachusetts Neurologic Association, Inc., a representative from the Society of Neurointerventional Surgery, a representative from Massachusetts College of Emergency Physicians, Inc. and a representative of a regional EMS council, as defined in section 1 of chapter 111C, with input from key stroke stakeholders and professional societies, to form a stroke advisory taskforce that shall assist with data oversight, program management and advice regarding the stroke system of care. The task force shall meet not less than biannually to review data and provide advice.”; and

by inserting after section 75 the following section:-

“SECTION 75A. Notwithstanding any general or special law to the contrary and not later than 180 days after the effective date of this act, the department of public health shall promulgate regulations that create: (i) a statewide standard pre-hospital care protocol related to the assessment, treatment and transport of stroke patients by emergency medical services providers to a hospital designated by the department to care for stroke patients; provided, however, that the protocol shall be based on national evidence-based guidelines for transport of stroke patients, consider crossing state lines and include plans for the triage and transport of suspected stroke patients, including, but not limited to, those who may have an emergent large vessel occlusion, to an appropriate facility within a specified timeframe following the onset of symptoms and additional criteria to determine which level of care is the most appropriate destination; (ii) statewide criteria for designating hospitals in a tiered system, featuring advanced designations in addition to primary stroke services, to treat stroke patients based on patient acuity; provided, however, that the tiers shall be based on criteria from at least 1 nationally-recognized program and shall not permit self-designation; provided further, that in developing such criteria, the department shall consider: (a) designation models and criteria developed by the Joint Commission, DNV GL Healthcare or another national certifying body recognized by the federal Centers for Medicare and Medicaid Services; (b) designation models and criteria adopted by other states and the differences in geography and health care resources of such other states; (c) the clinical and operational capability of a facility to provide stroke services, including emergency and ancillary stroke services; (d) limiting the routing of stroke patients to thrombectomy-capable facilities whenever a comprehensive stroke center is within a recommended timeframe to maximize technical competency and patient outcomes; and (e) procedures to suspend or revoke a facility’s designation if the department determines the facility is not in compliance with designation requirements and procedures to notify emergency medical services providers of any such suspension or revocation; and (iii) recommended national evidence-based quality and utilization metrics for stroke care for use by the center for health information and analysis pursuant to section 14 of chapter 12C of the General Laws; provided, however, that the department shall consider measures in current use in national quality improvement programs including, but not limited to, the federal Centers for Medicare and Medicaid Services, the National Quality Forum, the Paul Coverdell National Acute Stroke Program or other nationally-recognized data platforms.”.


Budget Amendment ID: FY2020-S3-676

EHS 676

Sherborn/Holliston Sustainability Coordinator

Ms. Rausch moved that the proposed new text be amended in section 2, in item 2200-0100, by adding the following words:- “; and provided further, that not less than $80,000 shall be expended to the Town of Sherborn to create the position of Sustainability Coordinator who shall serve the Towns of Sherborn and Holliston”; and in said item by striking out the figure "$31,630,245” and inserting in place thereof the figure:- “$31,710,245”.


Budget Amendment ID: FY2020-S3-676-R1

Redraft EHS 676

Sherborn/Holliston Sustainability Coordinator

Ms. Rausch moved that the proposed new text be amended in section 2, in item 2200-0100, by adding the following words:- “; provided further, that not less than $50,000 shall be expended to the town of Sherborn to create the position of sustainability coordinator to serve the towns of Sherborn and Holliston”; and

in said section 2, in said item 2200-0100, by striking out the figure "$31,630,245” and inserting in place thereof the following figure:- “$31,680,245”.


Budget Amendment ID: FY2020-S3-679

EHS 679

EOHHS IT Services

Mr. Keenan, Ms. Rausch and Mr. O'Connor moved that the proposed new text be amended in section 2, in item 4000-1700, by striking out the figure “$113,046,374” and inserting in place thereof the following figure:- “$119,858,356”.


Budget Amendment ID: FY2020-S3-680

EHS 680

Nursing Home Facility Patient Protections

Messrs. Pacheco and O'Connor moved that the proposed new text be amended in section 2, in item 4000-0641, by inserting the following words:- "; and provided further that if a long-term care facility closes, patients shall not be moved to another facility that is greater than 25 miles away"


Budget Amendment ID: FY2020-S3-681

EHS 681

Children’s Savings Accounts

Mr. DiDomenico moved that the proposed new text be amended in section 50, by inserting, in line 6,  after the word “resources” in proposed subsection (b) of section 110 of chapter 5 of the acts of 1995, as most recently amended in section 53 of chapter 154 of the acts of 2018, the following words:-

“; and provided further, that the value and balance of any account designated in a child’s name intended to pay for higher education such as a children’s savings account or other long-term asset-building account established for a child and annually grown over the course of his or her lifetime shall be excluded from the family’s countable resources”


Budget Amendment ID: FY2020-S3-682

EHS 682

Dedicate Portion of Tobacco Tax Revenues to Tobacco and Nicotine Prevention and Cessation

Ms. Comerford, Messrs. Keenan, Feeney, Eldridge, Crighton, Tarr, Moore, deMacedo, O'Connor and Cyr moved that the proposed new text be amended in section 2, in item 4590-0300, by striking out the figure “$4,117,730” and inserting in place thereof the following words:- “$8,000,000

General Fund………………………………………………………………..50%

Tobacco and Nicotine Addiction Prevention and Cessation Fund……….50%”;

and in section 29, by inserting after the words “chapter 29”, in line 163, the following words:-

“; provided, that one-third of all revenue received from the excise shall be credited to the Tobacco and Nicotine Addiction Prevention and Cessation Fund established under section 2DDDDD of chapter 29”;

and  by adding the following new section:-

“SECTION____. Chapter 29 of the General Laws is hereby amended by adding the following new section:-

Section 2DDDDD: There shall be established upon the books of the commonwealth a separate fund to be known as the Tobacco and Nicotine Addiction Prevention and Cessation Fund. The fund shall be credited with one third of all excise tax revenue collected from the sale of electronic nicotine delivery systems as defined under section 7E of chapter 64C. Amounts credited to the fund shall be expended, subject to appropriation, to support tobacco and nicotine addiction prevention and cessation programs. Monies deposited into the fund that are unexpended at the end of the fiscal year shall not revert to the General Fund and shall be available for expenditure in the subsequent fiscal year."


Budget Amendment ID: FY2020-S3-683

EHS 683

Nursing Home Sustainability Task Force

Messrs. Tarr, Tran, Moore, deMacedo, Humason, Eldridge, Fattman, O'Connor, Feeney and Finegold moved that the proposed new text be amended by inserting in SECTION 68 after the word "section" in line 35 the following:-"(ix) consideration of the possible need to create a particularized licensure and regulatory system for skilled nursing facilities that serve those with substance use disorder, in whole or in part"


Budget Amendment ID: FY2020-S3-684

EHS 684

South Middlesex Council opioid response program

Ms. Creem moved that the proposed new text be amended in section 2, in item 4512-0205, by inserting the following words:-  “; provided further, that not less than $100,00 shall be expended on the South Middlesex Council’s opioid crisis response program” : and by


Budget Amendment ID: FY2020-S3-684-R2

2nd Redraft EHS 684

South Middlesex Council opioid response program

Ms. Creem moved that the proposed new text be amended in section 2, in item 4512-0205, by adding the following words:- “; provided, that not less than $100,000 shall be expended on the South Middlesex Council Inc.’s opioid crisis response program”; and

in said section 2, in said item 4512-0205, by striking out the figure "$100,000" and inserting in place thereof the following figure:- "$200,000".


Budget Amendment ID: FY2020-S3-684-R1

Redraft EHS 684

South Middlesex Council opioid response program

Ms. Creem moved that the proposed new text be amended in section 2, in item 4512-0205, by inserting the following words:- “; provided further, that not less than $100,00 shall be expended on the South Middlesex Council’s opioid crisis response program”; and by striking out the figure "$100,000" and inserting in place thereof the following figure:- "$200,000".


Budget Amendment ID: FY2020-S3-685

EHS 685

Caregivers

Messrs. Tarr, deMacedo, Fattman and O'Connor moved that the proposed new text be amended by inserting after section _ the following:-

"SECTION XX .Notwithstanding any general or special law to the contrary, the Secretary of Health and Human Services in conjunction with the Secretary of Elder Affairs shall file an application to seek a waiver with the Center for Medicaid and Medicare Services (CMS) to amend the Commonwealth of Massachusetts’ 1915(c) elderly waiver, and that any program of home and community based services in which family members are permitted to serve as paid caregivers, funded pursuant to Section 9 of Chapter 118E shall include spouses within the definition of a family member."