Consolidated Amendment "E" to H4200
Housing, Mental Health and Disability Services
Fiscal Note: $4,450,000
Amendments from Housing: 4, 50, 52, 60, 62, 66, 103, 155, 205, 234, 245, 302, 329, 359, 374, 432, 442, 446, 455, 459, 461, 463, 534, 543, 551, 578, 584, 595, 620, 623, 642, 649, 651, 660, 686, 754, 817, 866, 924, 936, 943, 1018, 1042, 1044, 1079, 1100, 1102, 1112, 1149, 1182, 1197, 1203, 1210, 1214, 1270, 1284, 1299 and 1304
Amendments from Mental Health and Developmental Disabilities: 68, 116, 285, 456, 469, 489, 495, 509, 515, 558, 597, 640, 644, 690, 798, 807, 811, 825, 873, 881, 910, 939, 989, 1013, 1045, 1048, 1056, 1094, 1129, 1134, 1155, 1179, 1186, 1233, 1236, 1241, 1280 and 1292
Mr. Dempsey of Haverhill and others move to amend H.4200 in section 2, in item 1107-2501, by striking out the figure “$2,943,391” and inserting in place thereof the following figure:- $3,043,391 ;
And further move to amend said section 2, by inserting after item 4000-0005 the following item:-
4000-0007 For housing and supportive services for unaccompanied youth pursuant to section 16X of chapter 6A of the General Laws; provided further, that the total amount appropriated and re-appropriated under this line item shall include unexpended funds appropriated for this item in fiscal year 2016, which shall not revert, but shall be made available for purposes of this line item for fiscal year 2017……$1,000,000
And further amend said section 2, in item 4510-0710, by inserting after the word “intellectual” the following:- or developmental;
And further amend said section 2, in item 5042-5000, by inserting after the words “Massachusetts Child Psychiatry Access Project” the following “; provided further, that the Department shall expend no less than $50,000 for The Children’s Room located in the Town of Arlington”;
And further amend said item by striking out the figures “$88,030,618” and inserting in place thereof the figures:- $88,080,618;
And further amend said section 2, in item 5046-0000, by inserting after the words “not later than February 1, 2017” the following words:- provided further, that not less than $100,000 shall be expended for the Interface referral services of William James College, Inc. formerly known as Massachusetts School of Professional Psychology, in Plymouth county; provided further, that not less than $150,000 shall be expended for the International Institute of New England for culturally and linguistically appropriate mental health services for immigrants and refugees; provided further, that not less than $200,000 shall be expended on a Department of Mental Health and the Executive office of Elder Affairs elder mental health interagency service agreement for adult home and community-based behavioral health services to adults over the age of 60;
And further amend said item by striking out the figures “$382,654,252” and inserting in place thereof the figures:- $383,104,252;
And further amend said section 2, in item 5920-3000, by inserting after the words “intensive family supports” the following:- provided, that the Department shall expend not less than $100,000 to provide respite services and intensive family supports for individuals over 40 years of age; and provided further that the Department shall submit a report to the house and senate chairs of the joint committee on ways and means and the house and senate chairs of the joint committee on elder affairs on respite services and intensive family supports for individuals over the age of 40 years of age no later than December 31, 2016 and shall include, but not limited to, the following (a) the current number of individuals over 40 years of age who are eligible for respite services and intensive family supports; (b) the number of individuals over 40 years of age who are currently receiving respite services and intensive family supports; and (c) the amount of respite services and intensive family supports that each individual over 40 years of age receives;
And further amend said item by striking out the figures “$62,739,395” and inserting in place thereof the figures: - $62,839,395;
And further amend said section 2, in item 5930-1000, by inserting after the word “intellectual” the following:- or developmental; and in said item by striking out, in each instance, the phrase “ICFs/IID” and inserting in place thereof the following:- ICFs/PWD;
And further amend said section 2, in item 5948-0012, by inserting after the word “intellectual” the following:- or developmental;
And further amend said section 2, in item 7004-0099, by inserting after the words “security requirements;” the following:- provided further, that not less than $50,000 be expended for the operation of a computer technology center at the Commonwealth Housing Development in Brighton; provided further, that not less than $250,000 shall be expended annually for provision of emergency services that provide domestic violence intervention, workforce development, housing assistance, operation of food vouchers, winter coats for kids and holiday dinners operated by Community Action Programs Inter-City, Incorporated for the communities specified in item 7004-0099 of section 2 of chapter 68 of the acts of 2011; provided further, that the Coalition for a Better Acre shall receive not less than $75,000 for the refurbishment of the Smith-Baker Center of Lowell; provided further, that not less than $50,000 shall be expended on the Methuen Arlington Neighborhood Inc; provided further, that $100,000 shall be expended for the Homeless Prevention Council of Lower Cape Cod; provided further, that no less than $40,000 shall be expended for the South Worcester Neighborhood Improvement Corporation; provided further, that not less than $75,000 shall be expended to World is Our Classroom, Inc. serving the towns of Holyoke, Westfield, Chicopee and Greenfield; provided further, that not less than $50,000 shall be expended for the Pleasant Street Neighborhood Network Center in Worcester;
And further amend said item by striking out the figure “$6,737,921” and inserting in place thereof the following figure:- $7,427,921
And further amend said section 2, in item 7004-0101, by inserting after the word “regions” the following; provided further, that $100,000 shall be made available to the Housing Assistance Corporation Cape Cod for the purpose of finding, developing, and designing a new site for the NOAH shelter currently located in Hyannis; provided further, that funds shall be expended for technical assistance by Homes for Families; provided further, that no less than $75,000 shall be expended for Horizons for Homeless Children;
And further amend said item by striking out the figure “$155,123,948” and inserting in place thereof the following figure:- $155,298,948
And further amend said section 2, in item 7004-0102, by inserting after the word “system;” the following:- provided further, that not less than $200,000 shall be expended for Craig’s Doors, A Home Association, Inc. in the town of Amherst; provided further, that no less than $60,000 shall be expended for the basic needs programs for the Friendly House in Worcester; provided further, that not less than $125,000 shall be expended for the United Way of Pioneer Valley on behalf of the Western Massachusetts Network to End Homelessness to facilitate regional coordination and implement Western Massachusetts Opening Doors: An Action Framework to Prevent and End Homelessness;
And to further amend said section 2, in item 7004-0102, by striking the figure “$43,985,000” and inserting in the place thereof the following figure:- $44,870,000
And to further amend said section 2, in item 7004-0104, by striking the figure “$1,800,000” and inserting in the place thereof the following figure:- $2,300,000
And to further amend said section 2, in item 7004-9030, by striking the figure “$4,600,000” and inserting in the place thereof the following figure:- $5,100,000
And move to further amend the bill by inserting after section 5 the following section:-
SECTION 5C. Chapter 19 of the General Laws is hereby amended by hereby amended by inserting after section 16 the following section:-
Section 16A. (a) Subject to appropriation, the department shall operate a statewide program to provide remote mental health consultations, available for a minimum of 5 days a week, to pediatricians, family physicians, nurse practitioners and primary care practices for persons under the age of 19 who exhibit a possible mental health or substance use disorder and to health care providers of women who are presenting with signs of post- partum depression.
(b) Expenditures on this program by the department that are related to services provided on behalf of commercially insured clients shall be assessed by the commissioner on surcharge payors as defined in section 64 of chapter 118E.
And move to further amend the bill by inserting after section 6 the following section:-
SECTION 6F: Section 8J of chapter 40 of the General Laws, as so appearing, is hereby amended by striking out, in line 24, the word “nine” and inserting in place thereof the following figure:- 13.
And moves to further amend the bill by inserting after section 39 the following sections:-
SECTION 39A. There is hereby established a special commission on behavioral health promotion and upstream prevention to investigate evidence-based practices, programs and systems to prevent behavioral health disorders and promote behavioral health across the commonwealth. The commission shall: (1) consider recommendations from state and federal reports, guides and action plans to promote behavioral health; (2) identify sustainable, cost-beneficial and evidence-based privately or publicly funded programs or practices, implemented inside or outside of the commonwealth, which are designed to promote behavioral health, prevent disorders, and support early detection and intervention of behavioral health disorders; (3) assess approaches to improve the commonwealth’s system of behavioral health promotion and prevention, including, but not limited to: (i) programs and practices that could be implemented over the next decade to promote behavioral health, (ii) the creation of a single state behavioral health agency, and (iii) ways to increase collaboration at the state and local levels between community coalitions and public health, mental health, healthcare, education, social services and public safety organizations; (4) assess innovative approaches for funding promotion and prevention programs; (5) recommend strategies, including legislative action, to shift healthcare spending over the long term from acute and inpatient behavioral health care to promotion and upstream prevention, without diminishing treatment or recovery services for those in need; (6) recommend evidence-based, primary and secondary-level programs or practices that are community, family or school-based, including whole school approaches, that reduce risk factors and increase protective factors for behavioral health disorders and foster social and emotional health; and (7) recommend measurable statewide behavioral health goals consistent with the goals identified in clauses (1) to (6), inclusive, for preventing behavioral health disorders over the next decade.
The commission shall consist of 24 members or their designees: 2 members of the house of representatives, 1 of whom shall be appointed by the speaker of the house and shall serve as co-chair, and 1 of whom shall be appointed by the minority leader of the house of representatives; 2 members of the senate, 1 of whom shall be appointed by the senate president and shall serve as co-chair, and 1 of whom shall be appointed by the minority leader of the senate; the chief justice of Massachusetts trial court; the commissioner of mental health; the commissioner of public health; the commissioner of elementary and secondary education; the commissioner of the division of insurance; the secretary of public safety and security; the executive director of the health policy commission; the executive director of the center for health information and analysis; the executive director of the Massachusetts community health information profile; the executive director of the mental health legal advisors committee; the executive director of the Massachusetts public health association; the executive director of the Massachusetts organization for addiction recovery; the president of the Massachusetts association for behavioral health; the president of the Massachusetts chapter of the national association for social workers; and 6 members who shall be appointed by the governor, 1 of whom shall be a representative from the health insurance industry, 1 of whom shall be an expert in mental and behavioral health promotion, 1 of whom shall be an expert in school-based public health, 1 of whom shall be an expert in community-based public health, 1 of whom shall be an expert in planning and environmental health, and 1 of whom shall be a representative from the social and emotional learning alliance for Massachusetts.
The commission may hold public meetings and fact-finding hearings as it considers necessary; provided, however, that the commission shall conduct at least 3 public hearings to receive testimony from members of the public. The commission shall file the report of its investigation and study with the clerks for the house of representatives and the senate, no later than 24 months after the date of the first meeting of the commission; provided, however, that the commission may, at the discretion of the chairs, make a draft report available to the public for comment before filing the final version.
SECTION 39B. There is hereby established a special commission on nutrition for homeless families. The commission shall investigate and study the need for and methods to provide nutritious and medically safe meals to homeless families temporarily housed in hotels and motels in all counties of the commonwealth. The commission shall consist the following members or their designees: the undersecretary of housing and community development; the commissioner of transitional assistance; the commissioner of children and families; the commissioner of mental health; the commissioner of public health; the commissioner of elementary and secondary education; and 1 representative from each of the following organizations: a regional food bank, an organization serving homeless families, a civil legal aid organization, Community Servings, Project Bread, and Food for Free; and three members, from different geographic regions, from hospitals providing services to medically complex children. The commission shall report its findings, including any proposed legislation, to the clerks of the house of representatives and senate who shall forward the same to the joint committee on housing and the joint committee on children, families, and persons with disabilities no later than July 1, 2017.