Health and Human Services Amendments

Budget Amendment ID: FY2019-S4-398

EHS 398

Silent Spring Institute

Ms. Creem, Mr. Barrett and Ms. Gobi moved that the proposed new text be amended in section 2, in item 4510-0600, by inserting the following new language at the end thereof:- “; provided, that not less than $25,000 shall be expended to the Silent Spring Institute, Inc.”; and by striking the figures “$3,755,666“ and inserting in place thereof the figures “$3,780,666“

Budget Amendment ID: FY2019-S4-399

EHS 399

Heidrea for Heroes

Mr. deMacedo moved that the proposed new text be amended in section 2, in item 1410-0010, by inserting at the end the following:- “; provided further, that not less than $150,000 be allocated for Heidrea for Heroes" and in said item 1410-0100 by striking out the figures "3,557,840" and inserting in place thereof the figures "3,707,840".

Budget Amendment ID: FY2019-S4-400

EHS 400

Brookline Alzheimer's Caregivers Respite Program

Ms. Creem moved that the proposed new text be amended in section 2, in item 9110-9002, by adding at the end thereof the following:- “; provided further, that no less than $15,000 shall be allocated for the operation of the Brookline Senior Center Alzheimer's Caregiver Respite Program”; and by deleting the figures “$15,700,000" and inserting in place thereof the figures “$15,715,000"

Budget Amendment ID: FY2019-S4-400-R1

Redraft EHS 400

Brookline Alzheimer's Caregivers 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 not less than $15,000 shall be expended for the operation of the Alzheimer's Caregivers Respite Program at the Brookline Senior Center; provided further, that not less than $100,000 shall be expended to the city of Newton to conduct a feasibility study on the renovation, expansion and new construction of the Newton Senior Center”; and

in said section 2, in said item 9110-9002, by striking out the figure “$15,700,000" and inserting in place thereof the following figure:- “$15,815,000”.

Budget Amendment ID: FY2019-S4-401

EHS 401

Macular Degeneration

Ms. Creem moved that the proposed new text be amended in section 2, in item 4513-1111, by adding at the end thereof the following:- “; 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 “$3,434,369” and inserting in place thereof the figures “$3,534,369”

Budget Amendment ID: FY2019-S4-403

EHS 403

Children's Advocacy Center

Mr. DiDomenico moved that the proposed new text be amended in section 2, in item 4800-0038, by adding the following:-

“and provided further, that not less than $150,000 shall be expended for the Children's Advocacy Center of Suffolk County, Inc”.

and in said item by striking the following figures “$297,006,167” and inserting in place thereof the following figures “$297,156,167”.

Budget Amendment ID: FY2019-S4-404

EHS 404

Plymouth Recovery Center

Messrs. deMacedo and O'Connor moved that the proposed new text be amended in section 2, in item 4512-0200, by striking the following phrase:- "provided further, that not less than $3,500,000 shall be expended to open 5 new recovery centers", and inserting in place thereof the following words:- "provided further, that not less than $3,500,000 shall be expended for funding 5 recovery centers not currently funded by the department of public health".

Budget Amendment ID: FY2019-S4-408

EHS 408

Grace Veterans Program

Messrs. deMacedo and Cyr moved that the proposed new text be amended in section 2, in item 1410-0012, by adding the following:- "; provided that not less than $50,000 shall be expended to the Cape & Islands Veterans Outreach Center for the purpose of the Grace Veterans Program based in cognitive processing therapy with a holistic and wellness approach"; and in said item by striking out the figures "$4,556,641" and inserting in place thereof the figures "$4,606,641”.

Budget Amendment ID: FY2019-S4-409

EHS 409

Healthy Relationships Grant Program

Messrs. Ross, Eldridge, Barrett, Moore and O'Connor and Ms. L'Italien moved that the proposed new text be amended in section 2, by inserting after 4513-1130 the following item:-

“4513-1131 For a competitive grant program in public schools from grades 5 through 12 that will promote healthy relationships and address teen dating violence; provided, that the department of elementary and secondary education shall develop a 3 year grant program for 10 schools on anti-teen dating violence programming for implementation for the school year beginning in 2018; provided further, that the grant program shall be for schools in which the majority of students are eligible for free or reduced lunch; and provided further, that at least 1 grantee shall be a school located in a municipality with a population of 25,000 or less……………………………………………………………………………………….$150,000”

Budget Amendment ID: FY2019-S4-410

EHS 410

Marshfield Veterans Home

Mr. O'Connor moved that the proposed new text be amended in section 2, in item 1410-0010, by inserting at the end the following:-

“; provided further that $100,000 shall be expended to the town of Marshfield to support design, planning, and construction costs for a new veterans home;”

Budget Amendment ID: FY2019-S4-410-R1

Redraft EHS 410

Marshfield Veterans Home

Mr. 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 $100,000 shall be expended to the town of Marshfield to support design, planning and construction costs for a new veterans home”; and

in said section 2, in said item 1410-0010, by striking out the figure “$3,557,840” and inserting in place thereof the following figure:- “$3,657,840”.

Budget Amendment ID: FY2019-S4-411-R1

Redraft EHS 411

Lynnfield Substance Abuse Coordinator

Mr. Crighton 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

in said section 2, in said item 4512-0205, by striking out the figure “$425,000” and inserting in place thereof the following figure:- “$475,000”.

Budget Amendment ID: FY2019-S4-411

EHS 411

Lynnfield Substance Abuse Coordinator

Mr. Crighton moved that the proposed new text be amended in section 2, in item 4510-0100, by adding at the end thereof the following words:- "; provided further, that $50,000 shall be expended for the Town of Lynnfield to hire a coordinator for a new Substance Abuse Committee"; and in said item 4510-0100, by striking out the figure "$17,650,781" and inserting in place thereof the figure:- "$17,700,781"

Budget Amendment ID: FY2019-S4-412

EHS 412

Pancreatic Cancer Study Commission

Messrs. Tarr, deMacedo, Ross, Rodrigues, Tran, Montigny, Cyr, Fattman, Moore, Humason, Welch, Barrett and Timilty, Ms. L'Italien, Messrs. O'Connor and Feeney moved that the proposed new text be amended by inserting after section __ the following new section:

"SECTION_.Section 78 of chapter 119 of the acts of 2015 is hereby amended by inserting at the end thereof the following:-"The executive office of health and human services shall provide staff support to the commission. The commission shall report the results of its investigation along with any recommendations to the clerks of the house and senate"

Budget Amendment ID: FY2019-S4-413

EHS 413

Veterans Oral History Project

Mr. Ross moved that the proposed new text be amended in section 2, in item 1410-0012, by adding at the end thereof the following:- “provided further, that not less than $30,000 shall be expended for the Veterans Oral History project at the Morse Institute Library in Natick;” and in said item, by striking the figures “$4,556,641” and inserting in place thereof the figures “$4,586,641”

Budget Amendment ID: FY2019-S4-414

EHS 414

Mental Health Advocacy Program for Kids

Messrs. Crighton and Feeney, Ms. Friedman, Messrs. Brownsberger, Eldridge, Lewis, Boncore, Barrett and Cyr, Ms. L'Italien, Messrs. Moore and O'Connor moved that the proposed new text be amended in section 2, in item 4800-0200, by striking the figure “$50,000” and inserting in place thereof the following figure:- “$200,000”; and

In said section 2, in said item 4800-0200 by striking out the figure “$15,050,000” and inserting in place thereof the following figure:- “$15,200,000”

Budget Amendment ID: FY2019-S4-415

EHS 415

Italian Home for Children

Messrs. Rush, Lewis, Boncore, Ross, Crighton, Barrett, Eldridge, Timilty, Cyr and Collins moved that the proposed new text be amended in section 2, in item 4800-0038, by adding the following "; and provided further, that not less than $200,000 shall be expended for the Italian Home for Children's autism navigation services;"; and in said item by striking the figures "$297,006,167" and inserting in place thereof the figures:- "$297,206,167"

Budget Amendment ID: FY2019-S4-417

EHS 417

Acton Food Pantry

Mr. Eldridge moved that the proposed new text be amended in section 2, in item 2511-0105, by inserting after the words "food banks" the following:-

“; provided, further that not less than $30,000 be expended for Acton Community Supper and Food Pantry, Inc. in the town of Acton”;

and in said item by striking out the figure “$16,500,000” and inserting in place thereof the following figure:- “$16,530,000”.

Budget Amendment ID: FY2019-S4-418

EHS 418

Devens Loaves & Fishes

Mr. Eldridge and Ms. L'Italien moved that the proposed new text be amended in section 2, in item 2511-0105, by inserting after the words "food banks" the following:-

“provided, further that not less than $120,000 be expended for Loaves and Fishes Food Pantry, Inc. in Devens”;

and in said item by striking out the figure “$16,500,000” and inserting in place thereof the following figure:- “$16,620,000”.

Budget Amendment ID: FY2019-S4-419

EHS 419

Radio Reading Services for the Visually Impaired

Messrs. deMacedo, Tarr, Humason 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 no 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 throughout Massachusetts”.

Budget Amendment ID: FY2019-S4-419-R1

Redraft EHS 419

Radio Reading Services for the Visually Impaired

Messrs. deMacedo, Tarr, Humason 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

in said section 2, in said item 4110-1000, by striking out the figure “$6,071,907” and inserting in place thereof the following figure:- “$6,421,907”.

Budget Amendment ID: FY2019-S4-420

EHS 420

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:- “; provided further, that no less than $50,000 shall be expended for the Drug Story Theater of the South Shore’s program for substance use prevention, treatment and education”; and

in said item, by striking out the figure “$425,000” and inserting in place thereof the following figure:- “$475,000”.

Budget Amendment ID: FY2019-S4-421

EHS 421

Project Bread

Mr. Keenan, Ms. Friedman, Messrs. Eldridge, Moore, Welch and Timilty, Ms. L'Italien, Mr. O'Connor, Ms. Gobi and Mr. Cyr 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: FY2019-S4-422

EHS 422

Prescription Drug Coupons

Messrs. deMacedo, Tarr, Moore and O'Connor moved that the proposed new text be amended by adding the following section:- "SECTION XX: Section 226 of chapter 139 of the acts of 2012 is hereby amended by striking out the figure “2019”, and inserting in place thereof the following figure:- "2021".

Budget Amendment ID: FY2019-S4-423

EHS 423

Millis Senior Transportation

Mr. Ross moved that the proposed new text be amended in section 2, in item 9110-9002, by adding at the end thereof the following:- “provided further, that not less than $50,000 shall be expended to the town of Millis for the purchase of a vehicle to provide transportation for seniors in the community;” and in said item, by striking the figures “$15,700,000” and inserting in place thereof the figures “$15,750,000”

Budget Amendment ID: FY2019-S4-424

EHS 424

Quincy Department of Elder Affairs

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 $25,000 shall be granted to the city of Quincy’s Department of Elder Affairs"; and in said section 2, in said item 9110-9002, by striking out the figure “$15,700,000” and inserting in place thereof the following figure:- “$15,725,000”.

Budget Amendment ID: FY2019-S4-425

EHS 425

Prostate Cancer

Messrs. Rush, Boncore, deMacedo, Rodrigues, Lewis, Cyr, Brady, Feeney, Brownsberger and Crighton, Ms. L'Italien, Messrs. Hinds and Moore, Ms. Creem, Mr. DiDomenico, Ms. Gobi, Messrs. Welch, Tarr, Tran, Barrett, Timilty, Eldridge, Pacheco, Collins, Humason, O'Connor and Ross moved that the proposed new text be amended in section 2, in item 4590-0925, by striking out the figures “$550,000” and inserting in place thereof the figures:-“$800,000”.

Budget Amendment ID: FY2019-S4-425-R1

Redraft EHS 425

Prostate Cancer

Budget Amendment ID: FY2019-S4-426

EHS 426

Authorization of MassHealth Spending

Messrs. Rush and DiDomenico, Ms. L'Italien and Mr. O'Connor moved that the proposed new text be amended in section 2, in item 4000-0700, by striking out the figures “$2,628,178,033” and inserting in place thereof the figures:- “$2,632,178,033”

Budget Amendment ID: FY2019-S4-427

EHS 427

Recreational Opportunities for Individuals with Disabilities

Messrs. Ross and O'Connor moved that the proposed new text be amended in section 2, in item 5920-2025, by adding at the end thereof the following:- “provided further, that not less than $75,000 shall be expended to the town of Natick to support Camp Arrowhead to provide recreational programs for individuals with disabilities;” and in said item, by striking the figures “$209,629,791” and inserting in place thereof the figures “$209,704,791”

Budget Amendment ID: FY2019-S4-428

EHS 428

Self Esteem Boston

Messrs. Rush, Boncore, Crighton, Keenan 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 “$425,000” and inserting in place thereof the figures:- “$575,000”.

Budget Amendment ID: FY2019-S4-429

EHS 429

Healthy Lives Program

Ms. Creem 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 to expand the Healthy Lives program”

Budget Amendment ID: FY2019-S4-430

EHS 430

Cardiac Monitor for Millis ALS Service

Mr. Ross 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 $28,000 shall be expended to the Town of Millis for the purchase of a cardiac monitor for the town’s new ALS service;” and in said item, by striking the figures “$103,379,599” and inserting in place thereof the figures “$103,407,599”

Budget Amendment ID: FY2019-S4-431

EHS 431

HomeBase

Messrs. Rush, Brady, Timilty, Hinds, deMacedo and Eldridge, Ms. Gobi, Messrs. Welch, DiDomenico, Collins, Montigny and O'Connor moved that the proposed new text be amended in section 2, in item 1410-0012, by adding at the end thereof the following "provided further, that not less than $650,000 shall be expended to Home Base, for education and training in veterans' mental and behavioral health issues, including suicide prevention and substance misuse and treatment; and in said item, by striking out the figures “$4,556,641” and inserting in place thereof the figures:- “$5,206,641”

Budget Amendment ID: FY2019-S4-432

EHS 432

USS Hudner

Messrs. Rush, Rodrigues, Timilty, Tarr and O'Connor 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 provided to the Commissioning Committee for expenses associated with the September 2018 Commissioning of the USS Thomas Hudner" and in said item by striking out the figures “$3,557,840” and inserting in place thereof the figures:- “$3,657,840”

Budget Amendment ID: FY2019-S4-433

EHS 433

Developmental Center Mitigation

Mr. Ross moved that the proposed new text be amended in section 2, in item 5911-1003, by adding at the end thereof the following:- “provided further, that not less than $100,000 shall be allocated as mitigation amongst the cities and towns hosting a developmental center, referred to as a “state school” under Chapter 19B of the General Laws;” and in said item, by striking the figures “$68,888,505” and inserting in place thereof the figures “$68,988,505”

Budget Amendment ID: FY2019-S4-434

EHS 434

MCPAP for Moms Expansion for Substance Use

Mr. Keenan, Ms. Friedman, Messrs. Moore, Welch and Brownsberger, Ms. L'Italien, Ms. Gobi, Messrs. O'Connor and Cyr moved that the proposed new text be amended in section 2, in item 5042-5000, by striking the words “$3,700,000 for the Massachusetts Child Psychiatry Access Project, or MCPAP; provided further, that not less than $500,000 of that sum shall be expended for MCPAP for Moms statewide to address mental health concerns in pregnant and postpartum women” and inserting in place thereof the following words:- “$3,875,000 for the Massachusetts Child Psychiatry Access Project, or MCPAP; provided further, that not less than $675,000 of that sum shall be expended for MCPAP for Moms statewide to address mental health concerns in pregnant and postpartum women and to expand support for pregnant and postpartum women by adding substance use disorder-specific education, training, consultation and care coordination to the project’s existing capacity”; and

In said section 2, in said item 5042-5000, by striking out the figure “$92,196,539” and inserting in place thereof the following figure:- “$92,371,539”

Budget Amendment ID: FY2019-S4-435

EHS 435

DDS Transportation Services

Messrs. Keenan, Lewis, Barrett, Brady and Ross, Ms. L'Italien, Messrs. Moore, Eldridge, Welch, Collins, Montigny, O'Connor and Cyr moved that the proposed new text be amended in section 2, in item 5911-2000, by striking out the figure “$23,824,627” and inserting in place thereof the following figure:- “$26,443,000”.

Budget Amendment ID: FY2019-S4-435-R1

Redraft EHS 435

DDS Transportation Services

Budget Amendment ID: FY2019-S4-436

EHS 436

Suicide Prevention Services

Mr. deMacedo, Ms. Friedman, Messrs. Tarr, Cyr, Humason, Eldridge, Montigny, O'Connor, Ross, Feeney, Barrett, Fattman and Moore moved that the proposed new text be amended in section 2, in item 4513-1026, by striking the figure "$4,110,788" and inserting in place thereof the figure "4,460,788".

Budget Amendment ID: FY2019-S4-438

EHS 438

Franklin Veterans War Memorial

Mr. Ross moved that the proposed new text be amended in section 2, in item 1410-1616, by adding at the end thereof the following:- “provided further, that not less than $50,000 shall be expended for the construction of a Veterans’ Memorial Parkway in the city known as the town of Franklin;” and in said item, by striking out the figures “$95,000” and inserting in place thereof the figures “$145,000”

Budget Amendment ID: FY2019-S4-439

EHS 439

MassHealth Drug Pricing

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

Notwithstanding any general or special law to the contrary:

(a)The executive office of health and human services may determine, subject to required federal approvals, the extent to which to include within MassHealth’s covered services federally-optional coverage of prescribed drugs.

(b)MassHealth may not exclude any drugs from coverage pursuant to subsection (a) unless the following conditions are met:

(1)The MassHealth Drug Utilization Review Board includes at least one member representative or advocate and at least one health economist; and

(2)MassHealth has established an exceptions process pursuant to which MassHealth may cover otherwise excluded drugs in unique circumstances.

(c)Subject to the requirements of subsection (b), MassHealth may only exclude a drug from coverage pursuant to subsection (a) if all of the following conditions have been met:

(1)the drug’s manufacturer has refused to agree with the executive office on a cost-effective price or a cost-effective value-based payment arrangement for the drug pursuant to Section 12A of chapter 118E of the general laws;

(2)the drug has been excluded from coverage in one or more of the group insurance commission’s benefits plans or by a national pharmacy benefits manager responsible for more than 10,000,000 lives;

(3)the drug’s exclusion is not based on the race, color, national origin, age, disability, religion, creed, sexual orientation, or sex (including gender identity and gender stereotyping) of the member population benefitting from the drug;

(4)the MassHealth Drug Utilization Review Board has been consulted on the decision to exclude the drug;

(5)if the drug is an anti-psychotic or other behavioral health drug, the department of mental health has approved the drug’s exclusion; and

(6)MassHealth has provided an opportunity for public comment on the exclusion of the drug.

(d)Nothing in this section shall eliminate or reduce a MassHealth member’s right to appeal a coverage decision through the MassHealth Board of Hearings.

Budget Amendment ID: FY2019-S4-440

EHS 440

North Attleboro Council on Aging

Mr. Ross moved that the proposed new text be amended in section 2, in item 9110-9002, by adding at the end the following:- “provided further, that not less than $300,000 shall be expended for the conversion of the Allen Avenue School in North Attleboro into a center for the North Attleboro Council on Aging;” and in said item, by striking the figures “$15,700,000” and inserting in place thereof the figures “$16,000,000”

Budget Amendment ID: FY2019-S4-441

EHS 441

Department of Mental Health

Messrs. Pacheco, Eldridge and O'Connor moved that the proposed new text be amended in section 2, in item 5095-0015, by striking out the 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; and provided further, that the department shall operate not less than 260 adult continuing care inpatient beds at Worcester Recovery Center and Hospital"; and

Budget Amendment ID: FY2019-S4-441-R1

Redraft EHS 441

Department of Mental Health

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; and 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 2019 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 for expansion of existing vendor-operated programs; provided further, that the department shall not enter into new interagency agreements or expansion of 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 on or after March 2, 2019 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 maintaining 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 maintaining the campus of Taunton State Hospital 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 servicing individuals with mental health, behavioral health and those dual-diagnosed on the campus as part of the comprehensive master plan; and 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, there shall be, on the campus of Taunton state hospital, a Behavioral Health Emergency Department Relief Pilot Program to accept medically stable, high acuity behavioral health and dual diagnosis patients 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 should be transferred to this pilot program if another appropriate setting cannot be located within four hours of admission to the emergency department; provided further, that patients admitted to the pilot program will be cared for until an appropriate placement is found that meets the patients’ needs, which shall be no more than fourteen days following admission to the pilot program; provided further, that the program shall be operated by the department and staffed by the department registered nurses, psychiatrists and other staff as needed to provide appropriate care, with program protocols and a staffing plan to be developed during the first six months following passage of this legislation by a committee including the department, the department of public health, the national alliance on mental illness, the Massachusetts Nurses Association and the emergency nurses association; provided further that for the purposes of this pilot program, Taunton state hospital shall be allowed to accept patients classified under Section 12 of Chapter 123 of the General Laws; provided further, that the pilot program shall operate for a period of two years, with a report to be filed by the department with the Joint Committee on Mental Health during year two of the program, to evaluate the success of the program in decreasing emergency department overcrowding in the Southeast Region, and the quality of care provided in the program, provided further that the report shall be drafted by an independent entity, utilizing data from the department and the local hospitals in the Southeast Region.”

Budget Amendment ID: FY2019-S4-441-R2

2nd Redraft EHS 441

Department of Mental Health

Budget Amendment ID: FY2019-S4-441-R3

3rd Redraft EHS 441

Department of Mental Health

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; and 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 2019 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 for expansion of existing vendor-operated programs; provided further, that the department shall not enter into new interagency agreements or expansion of 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 on or after March 2, 2019 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 maintaining 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 maintaining the campus of Taunton State Hospital 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 servicing individuals with mental health, behavioral health and those dual-diagnosed on the campus as part of the comprehensive master plan; and 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, the department may develop and implement, on the campus of Taunton state hospital, a Behavioral Health Emergency Department Relief Pilot Program to accept medically stable, high acuity behavioral health and dual diagnosis patients 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 should be transferred to this pilot program if another appropriate setting cannot be located within four hours of admission to the emergency department; provided further, that patients admitted to the pilot program will be cared for until an appropriate placement is found that meets the patients’ needs, which shall be no more than fourteen days following admission to the pilot program; provided further, that the program shall be operated by the department and staffed by the department registered nurses, psychiatrists and other staff as needed to provide appropriate care, with program protocols and a staffing plan to be developed during the first six months following passage of this legislation by a committee including the department, the department of public health, the national alliance on mental illness, the Massachusetts Nurses Association and the emergency nurses association; provided further that for the purposes of this pilot program, Taunton state hospital shall be allowed to accept patients classified under Section 12 of Chapter 123 of the General Laws; provided further, that the pilot program shall operate for a period of two years, with a report to be filed by the department with the Joint Committee on Mental Health during year two of the program, to evaluate the success of the program in decreasing emergency department overcrowding in the Southeast Region, and the quality of care provided in the program, provided further that the report shall be drafted by an independent entity, utilizing data from the department and the local hospitals in the Southeast Region.”

Budget Amendment ID: FY2019-S4-441-R4

4th Redraft EHS 441

Department of Mental Health

Messrs. Pacheco, Eldridge 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 29, inclusive, the words “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; and provided further, that the department shall operate not less than 260 adult continuing care inpatient beds at Worcester Recovery Center and Hospital" and

in said section 2, in said item 5095-0015, by adding the following words:- “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; and 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 2019 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, 2019 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; 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: FY2019-S4-442-R1

Redraft EHS 442

Essential Health Services

Messrs. Pacheco, Brady and Eldridge, Ms. Gobi, Messrs. Feeney and Timilty and Ms. L'Italien moved that the proposed new text be amended by inserting before section 4 the following section:-

“SECTION A. Section 13 of chapter 6D of the General Laws, as appearing in the 2016 Official Edition, is hereby amended by inserting after the word “organizations”, in lines 8 and 9, the following words:- ; the closure of an essential health service under section 51G of chapter 111 that did not receive approval from the department of public health.”; and

by inserting after section 54 the following section:-

“SECTION 54A. Notwithstanding any general or special law to the contrary, an essential health service subject to a market impact review under section 13 of chapter 6D of the General Laws shall remain open until the conclusion of the review.”; and

by inserting after section 61 the following section:-

“SECTION 61A. Sections A4 and 54A shall take effect January 1, 2018.”.

Budget Amendment ID: FY2019-S4-442

EHS 442

Essential Health Services

Messrs. Pacheco, Brady and Eldridge, Ms. Gobi, Messrs. Feeney and Timilty and Ms. L'Italien moved that the proposed new text be amended by inserting after section __ the following section:-

"SECTION __. Section 51G of chapter 111 of the general laws is hereby amended by adding the following subsection:-

(7) Any medical health facility or hospital that provided obstetric and gynecological services or maternity services as of January 1, 2017 which phases out or discontinues these services shall have their license suspended until these services are resumed. This subsection shall apply if there is no alternative medical health facility or hospital within a 10-mile radius of the medical health facility or hospital in question and the obstetric and gynecological services or maternity services have been designated as essential services by the department."

Budget Amendment ID: FY2019-S4-443

EHS 443

Substance Use Prevention, Education, and Screening Trust Fund

Messrs. O'Connor, Tarr, Humason, Moore, Timilty and Ross and Ms. L'Italien moved that the proposed new text be amended in section 2, by inserting after item 1450-1200 the following item:-

“1595-0025 For the support of the Substance Use Prevention, Education, and Screening Trust Fund, established pursuant to section 35EEE of chapter 10 of the General Laws………….$5,000,000”;

and further moves to amend the bill by inserting after section 4 the following section:-

“SECTION 4A. Chapter 10 of the General Laws is hereby amended by inserting after section 35DDD the following section:-

Section 35EEE. There shall be established and set up on the books of the commonwealth a Substance Use Prevention, Education, and Screening Trust Fund for the purpose of supporting school-based programs that educate children and young persons on addiction, substance misuse and other risky behaviors, and that identify and support children and young persons at risk of alcohol or substance misuse. The fund shall be administered by the secretary of education, in consultation with the secretary of health and human services, who shall use the fund to provide grants (i) to public elementary, middle and secondary schools and to public colleges and universities to support the expansion of educational and intervention programs meeting the purposes of the fund; and (ii) to the department of public health to support schools in implementing evidence based substance use prevention programs, early detection protocols and policies, risk assessment tools, or counseling in the school setting. Grants from the fund may be made to schools for the purposes specified in subsection (f) of section 1P of chapter 69 where consistent with the purposes of the fund. The secretary of education may use the fund for necessary and reasonable administrative and personnel costs related to administering the grants. Such expenditures may not exceed, in one fiscal year, 5 per cent of the total amount deposited into the fund during that fiscal year.

The fund shall consist of revenue from appropriations or other money authorized by the general court and specifically designated to be credited to the fund, and revenue from private sources including, but not limited to, grants, gifts and donations received by the commonwealth that are specifically designated to be credited to the fund. Amounts credited to the fund shall not be subject to further appropriation and any money remaining in the fund at the end of a fiscal year shall not revert to the General Fund and shall be available for expenditure in subsequent fiscal years.”

Budget Amendment ID: FY2019-S4-444

EHS 444

Handicap Accessible Transport Van for Seniors

Messrs. Ross and Rush moved that the proposed new text be amended in section 2, in item 9110-9002, by adding at the end thereof the following:- “provided further, that not less than $90,000 shall be provided for the town of Needham for senior transportation;” and in said item, by striking the figures “$15,700,000” and inserting in place thereof the figures “$15,790,000”

Budget Amendment ID: FY2019-S4-445

EHS 445

Suicide Prevention Training

Messrs. Feeney and Lewis moved that the proposed new text be amended in section 2, in item 4513-1026, by inserting after “Call 2 Talk program” the following:

“provided further that not less than $30,000 shall be provided for the Town of Medfield for public awareness and education on suicide prevention" and in said item by striking out the figures “$4,110,788” and inserting in place thereof the figures “$4,140,788”.

Budget Amendment ID: FY2019-S4-445-R1

Redraft EHS 445

Suicide Prevention Training

Messrs. Feeney and Lewis moved that the proposed new text be amended in section 2, in item 4513-1026, by adding the following words:- “; provided further, that not less than $30,000 shall be expended for a public awareness and education on suicide prevention campaign in the town of Medfield;” and

in said section 2, in said item 4513-1026, by striking out the figure “$4,110,788” and inserting in place thereof the following figure:- “$4,140,788”.

Budget Amendment ID: FY2019-S4-446

EHS 446

International Institute of New England

Ms. Creem, Mr. deMacedo, Ms. Friedman, Messrs. Eldridge, DiDomenico and O'Connor and Ms. L'Italien 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 on the International Institute of New England for culturally and linguistically appropriate mental health services for immigrants and refugees who have experienced torture and trauma”

Budget Amendment ID: FY2019-S4-447

EHS 447

Rest Home Rates

Messrs. Brownsberger, Barrett, Ross and Tran, Ms. L'Italien, Mr. Moore, Ms. Jehlen, Messrs. Eldridge, Welch, Cyr and Tarr, Ms. Gobi, Messrs. O'Connor and Fattman moved that the proposed new text be amended in section 2, in item 4405-2000, by adding at the end thereof the following words:- “;and provided further that rates for residential care facilities/Rest Homes effective July 1, 2018, established under section 13D of chapter 118E of the General Laws, shall cumulatively total not less than $1,750,000 more than rates effective October 1, 2017”; and

In said section 2, in said item by striking the figure “220,466,788”and inserting in place thereof the figure:- “222,216,788”

And further in item 4408-1000, by adding at the end thereof the following words: - “; and provided further that rates for residential care facilities/Rest Homes effective July 1, 2018, established under section 13D of chapter 118E of the General Laws, shall cumulatively total not less than $750,000 more than rates effective October 1, 2017”; and

In said section 2, in said item by striking the figure “74,872,788”and inserting in place thereof the figure:- “75,622,788”

Budget Amendment ID: FY2019-S4-448-R1

Redraft EHS 448

Manet Community Health Center Behavioral Health and Substance Abuse Program

Messrs. Keenan, Timilty 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 $100,000 shall be expended to Manet Community Health Center, Incorporated for the further development of in-house, integrated behavioral health programs at health center locations in Quincy, Hull and Taunton; provided further, that the programs shall provide assessment, counseling and treatment for conditions and disorders relating to mental health, substance abuse and both mental health and substance abuse”; and

in said section 2, in said item 4510-0110, by striking out the figure “$503,653” and inserting in place thereof the following figure:- “$603,653”.

Budget Amendment ID: FY2019-S4-448

EHS 448

Manet Community Health Center Behavioral Health and Substance Abuse Program

Messrs. Keenan, Timilty 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 $100,000 shall be expended for the further development of an in-house, integrated Behavioral Health Program in Manet’s Quincy, Hull and Taunton health center locations to provide assessment, counseling and treatment for individuals struggling with and managing mental health and/or substance abuse conditions and disorder”; and

In said section 2, in said item 4510-0110, by striking out the figure “$503,653” and inserting in place thereof the following figure:- “$603,653”.

Budget Amendment ID: FY2019-S4-449-R1

Redraft EHS 449

The Center for Teen Empowerment

Ms. Jehlen, Mr. Rush, Ms. Friedman, Messrs. Collins, Brownsberger, O'Connor and Boncore 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 $150,000 shall be expended to the Center for Teen Empowerment, Inc.”; and

in said section 2, in said item 4590-1507, by striking out the figure “$500,000” and inserting in place thereof the following figure:- “$650,000”.

Budget Amendment ID: FY2019-S4-449

EHS 449

The Center for Teen Empowerment

Ms. Jehlen, Mr. Rush, Ms. Friedman, Messrs. Collins, Brownsberger, O'Connor and Boncore moved that the proposed new text be amended in section 2, in item 4590-1507, by adding the following words:-

"and provided further, that the department of public health shall award not less than $150,000 to the Center for Teen Empowerment, Inc."; and

in said section 2, in said item 4590-1507, by striking out the figure "$500,000" and inserting in place thereof the following figure:-

"$650,000".

Budget Amendment ID: FY2019-S4-450-R1

Redraft EHS 450

Improbable Players Inc

Ms. Jehlen 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, that not less than $54,000 shall be expended for Improbable Players, Inc., to provide school-based programs on substance use prevention”; and

in said section 2, in said item 4512-0205, by striking out the figure “$425,000” and inserting in place thereof the following figure:- “$479,000”.

Budget Amendment ID: FY2019-S4-450

EHS 450

Improbable Players Inc

Ms. Jehlen and Mr. 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 $54,000 shall be expended for Improbable Players, Inc. to provide school-based programs on substance use prevention”; and

in said section 2, in said item 4512-0200, by striking out the figure "$141,783,457" and inserting in place thereof the following figure:-

"$141,837,457".

Budget Amendment ID: FY2019-S4-451-R1

Redraft EHS 451

Hepatitis C Testing

Messrs. Montigny, Eldridge, Cyr, Moore, Rodrigues, Brady, Timilty, O'Connor and Fattman and Ms. Jehlen moved that the proposed new text be amended in section 2, by inserting after section 19 the following section:-

“SECTION 19A. Section 4M½ of said chapter 111 is hereby amended by adding the following subsection:-

(c) The department shall promulgate regulations on additional populations that shall be offered a hepatitis C screening test or a hepatitis C diagnostic test due to an evidence-based finding that the population poses an increased risk of hepatitis C unless the provider believes that: (i) the person is being treated for a life threatening emergency; (ii) the person has previously been offered or has received a hepatitis screening test; or (iii) the person lacks capacity to consent to a hepatitis C screening test. The department shall review the regulations every 5 years and update its recommendations according to most recent available data.”; and

by inserting after section 57 the following section:-

“SECTION 57A. The department of public health shall promulgate the initial regulations required under subsection (c) of section 4M½ of chapter 111 of the General Laws not later than October 1, 2018.”

Budget Amendment ID: FY2019-S4-451

EHS 451

Hepatitis C Testing

Messrs. Montigny, Eldridge, Cyr, Moore, Rodrigues, Brady, Timilty, O'Connor and Fattman and Ms. Jehlen moved that the proposed new text be amended in section 2, by inserting the following new section:-

SECTION XX. Section 4M1/2 of Chapter 111 is hereby amended by striking in line 11 "born between the years of 1945 and 1965" and inserting in place thereof the following words:- 18 years of age or older

Budget Amendment ID: FY2019-S4-452

EHS 452

Elder Behavioral Health

"; provided further that the Department of Mental Health and the Executive Office of Elder Affairs shall execute an elder behavioral health interagency service agreement to provide not less than $500,000 for adult and community based behavioral health services to adults over the age of 60”; and

In said section 2, in said item 5046-0000, by striking out the figure “486,920,614” and inserting in place thereof the figure “487,420,614”.

Budget Amendment ID: FY2019-S4-452-R1

Redraft EHS 452

Elder Behavioral Health

Ms. Jehlen, Messrs. Feeney, Ross, Rodrigues, Brady, Eldridge, Montigny, Brownsberger and Lesser, Ms. Friedman, Messrs. Barrett, Cyr and Hinds, Ms. L'Italien, Messrs. Lewis and Moore, Ms. Gobi, Messrs. Tarr, Tran and Welch, Ms. O'Connor Ives, Messrs. Collins, O'Connor and DiDomenico 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 $500,000 shall be expended for an elder behavioral health interagency service agreement between the department of mental health and the executive office of elder affairs for adult and community based behavioral health services for adults over the age of 60”; and

in said section 2, in said item 5046-0000, by striking out the figure “486,920,614” and inserting in place thereof the following figure:- “487,420,614”.

Budget Amendment ID: FY2019-S4-453

EHS 453

Removing the homelessness penalty for emergency aid to the elderly, disabled, and children participants

Ms. Jehlen, Messrs. Cyr and Eldridge, Ms. Friedman, Messrs. Barrett, Moore and Lewis, Ms. L'Italien, Messrs. Welch, Collins, Montigny, Boncore and O'Connor moved that the proposed new text be amended in section 2, in item 4408-1000, by adding the following words:-

“provided further, that any person experiencing homelessness, who (a) has no established place of abode, or lives in a temporary emergency shelter, and (b) is otherwise eligible under the provisions of this item and said chapter 117A shall receive the same payment rate as recipients who incur shelter costs including, but not limited to, rent or a mortgage; provided further, that the department shall promulgate or revise any such rules and regulations necessary to implement this provision"; and

In said section 2, in said item 4408-1000, by striking out the figure “$74,872,788” and inserting in place thereof the following figure:-

“$76, 272,788”.

Budget Amendment ID: FY2019-S4-454

EHS 454

Opioid Treatment

Messrs. DiDomenico and O'Connor 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”.

and in said item by striking the following figures “$425,000” and inserting in place thereof the following figures “$500,000”.

Budget Amendment ID: FY2019-S4-455

EHS 455

Charlestown Substance Abuse Coalition

Mr. DiDomenico moved that the proposed new text be amended in section 2, in item 4512-0200, by adding the following:-

“provided further, that $25,000 shall be expended for the Charlestown Substance Abuse Coalition”.

and in said item by striking the following figures “$141,783,457” and inserting in place thereof the following figures “$141,808,457”.

Budget Amendment ID: FY2019-S4-455-R1

Redraft EHS 455

Charlestown Substance Abuse Coalition

Mr. DiDomenico 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 Charlestown Coalition”; and

in said section 2, in said item 4512-0205, by striking out the figure “$425,000” and inserting in place thereof the following figure:- “$450,000”.

Budget Amendment ID: FY2019-S4-456

EHS 456

Nursing Home Direct Care Workers

Messrs. Montigny, Eldridge and Moore, Ms. L'Italien, Mr. Tarr, Ms. Gobi and Mr. O'Connor moved that the proposed new text be amended in section 2, in item 4000-0641, by striking the third through sixth sentences and inserting in place thereof the following eight sentences:-

“provided further, that not less than $38,300,000 shall be expended for a rate add-on for wages, shift differentials, bonuses, benefits and related employee costs paid to direct care staff of nursing homes; provided further, that MassHealth regulations for this rate add-on shall prioritize spending on hourly wage increases, shift differentials, or bonuses paid to certified nurse aides and housekeeping, laundry, dietary and activities staff; provided further, that said regulations shall ensure that any facility providing hourly wage increases, shift differentials, or bonuses to registered nurses and licensed practical nurses shall also provide a proportional benefit to certified nurse aides and housekeeping, laundry, dietary and activities staff; provided further, that MassHealth shall adopt all regulations and procedures to carry out this item; provided further, that MassHealth shall provide to the house and senate committee on ways and means an interim report not later than January 30, 2019 and a final report not later than July 31, 2019 on the impact of wages for direct care workers at the nursing home receiving said 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, 2019, 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 2017 direct care add-on data to MassHealth by January 30, 2018; provided further, that funds shall not be expended for a facility that failed to report fiscal year 2018 direct care add-on data to MassHealth by July 31, 2018 ”

Budget Amendment ID: FY2019-S4-456-R2

2nd Redraft EHS 456

Nursing Home Direct Care Workers

Messrs. Montigny, Eldridge and Moore, Ms. L'Italien, Mr. Tarr, Ms. Gobi, Messrs. O'Connor and DiDomenico moved that the proposed new text be amended in section 2, in item 4000-0641, by striking the third through sixth sentences and inserting in place thereof the following eight sentences:-

“provided further, that not less than $38,300,000 shall be expended for a rate add-on for wages, shift differentials, bonuses, benefits and related employee costs paid to direct care staff of nursing homes; provided further, that MassHealth regulations for this rate add-on shall prioritize spending on hourly wage increases, shift differentials, or bonuses paid to certified nurse aides and housekeeping, laundry, dietary and activities staff; provided further, that said regulations shall ensure that any facility providing hourly wage increases, shift differentials, or bonuses to registered nurses and licensed practical nurses shall also provide a proportional benefit to certified nurse aides and housekeeping, laundry, dietary and activities staff; provided further, that MassHealth shall adopt all regulations and procedures to carry out this item; provided further, that MassHealth shall provide to the house and senate committee on ways and means an interim report not later than June 15, 2019 and a final report not later than December 31, 2019 on the impact of wages for direct care workers at the nursing home receiving said 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 December 31, 2019, 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 2017 direct care add-on data to MassHealth by January 30, 2018; provided further, that funds shall not be expended for a facility that failed to report fiscal year 2018 direct care add-on data to MassHealth by July 31, 2018 ”; and

in said section 2, in said item 4000-0641, by striking out the figure “$352,600,000” and inserting in place thereof the following figure:- “$355,400,000”.

Budget Amendment ID: FY2019-S4-456-R1

Redraft EHS 456

Nursing Home Direct Care Workers

“provided further, that not less than $38,300,000 shall be expended for a rate add-on for wages, shift differentials, bonuses, benefits and related employee costs paid to direct care staff of nursing homes; provided further, that MassHealth regulations for this rate add-on shall prioritize spending on hourly wage increases, shift differentials, or bonuses paid to certified nurse aides and housekeeping, laundry, dietary and activities staff; provided further, that said regulations shall ensure that any facility providing hourly wage increases, shift differentials, or bonuses to registered nurses and licensed practical nurses shall also provide a proportional benefit to certified nurse aides and housekeeping, laundry, dietary and activities staff; provided further, that MassHealth shall adopt all regulations and procedures to carry out this item; provided further, that MassHealth shall provide to the house and senate committee on ways and means an interim report not later than June 15, 2019 and a final report not later than December 31, 2019 on the impact of wages for direct care workers at the nursing home receiving said 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 December 31, 2019, 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 2017 direct care add-on data to MassHealth by January 30, 2018; provided further, that funds shall not be expended for a facility that failed to report fiscal year 2018 direct care add-on data to MassHealth by July 31, 2018 ”

Budget Amendment ID: FY2019-S4-457

EHS 457

Katie Brown Domestic Violence Prevention Program

Mr. Rodrigues moved that the proposed new text be amended in section 2, in item 4513-1130, by inserting after the word “programs” the following: “provided further, that not less than $75,000 be allocated for the Katie Brown Educational Program for a pilot instructional initiative, the Train the Trainer program, to train educators and increase the number of Southeastern Massachusetts students who acquire invaluable knowledge about the prevention of relationship violence”; and in said item by striking out the figures “$37,111,883” and inserting in place thereof the figures “$37,186,883

”.

Budget Amendment ID: FY2019-S4-457-R1

Redraft EHS 457

Katie Brown Domestic Violence Prevention Program

Mr. Rodrigues moved that the proposed new text be amended in section 2, in item 4513-1130, by adding the following words:- “; provided further, that not less than $75,000 shall be expended to the Katie Brown Educational Program in the city of Fall River for the Train the Trainer program, a pilot instructional initiative which seeks to train educators and inform students in southeastern Massachusetts about preventing relationship violence”; and

in said section 2, in said item 4513-1130, by striking out the figure “$37,111,883” and inserting in place thereof the following figure:- “$37,186,883”.

Budget Amendment ID: FY2019-S4-458

EHS 458

Elder Protective Services

Ms. Jehlen, Messrs. Barrett, Lewis, Eldridge, Rush, Cyr and Hinds, Ms. L'Italien, Messrs. Crighton, Moore, Feeney, Tarr and Welch, Ms. O'Connor Ives, Mr. Collins, Ms. Gobi, Messrs. Montigny, O'Connor, Lesser and DiDomenico moved that the proposed new text be amended in section 2, in item 9110-1636, by adding the following words:-

"; provided further, that not less than $2,600,000 shall be added to established rates for screening, investigation, and ongoing services provided by designated protective services agencies"; and

in said section 2, in said item 9110-1636, by striking out the figure "$31,611,680" and inserting in place thereof the following figure:-

"$34,211,680".

Budget Amendment ID: FY2019-S4-459

EHS 459

Swansea COA HVAC

Mr. Rodrigues moved that the proposed new text be amended in section 2, in item 9110-9002, by inserting at the end thereof the following: "provided further, that not less than $50,000 shall be expended to the town of Swansea for design plans to implement a new heating, ventilation, and air conditioning (HVAC) system at its Council on Aging Community Center"; and in said item by striking out the figures "$15,700,000" and inserting in place thereof the figures "$15,750,000”

Budget Amendment ID: FY2019-S4-460

EHS 460

Study of wage disparity

Messrs. DiDomenico, Lewis, Barrett, Eldridge and Hinds, Ms. L'Italien, Messrs. Moore and Feeney, Ms. Gobi, Messrs. O'Connor and Cyr moved that the proposed new text be amended by inserting after section __ the following new section:-

"SECTION __. On or before March 1, 2019, the Executive Office of Health and Human Services, the Executive Office of Administration and Finance, the Executive Office of Elder Affairs, the Department of Housing and Community Development and the Department of Early Education and Care – working with representatives from the Massachusetts Council of Human Service Providers, Inc. – shall report to the Senate Committee on Ways and Means, the House Committee on Ways and Means, the Joint Committee on Children, Families and Persons with Disabilities, the Joint Committee on Elder Affairs, the Joint Committee on Health Care Financing, the Joint Committee on Mental Health and Substance Abuse, the Joint Committee on Public Health and the Joint Committee on State Administration and Regulatory Oversight their determination of:

(a) The disparity amount between the salaries of human services workers employed by human service providers and state employees holding similar job titles and/or state employees who provide similar services to clients;

(b) The amount of annual increases in the rate of reimbursement to human service providers necessary to reduce and eliminate the disparity amount by July 1, 2023.

On or before March 1, 2019, the Executive Office of Health and Human Services, the Executive Office of Administration and Finance, the Executive Office of Elder Affairs, the Department of Housing and Community Development and the Department of Early Education and Care – working with representatives from the Massachusetts Council of Human Service Providers, Inc. – shall report to the Senate Committee on Ways and Means and the House Committee on Ways and Means recommendations to strengthen recruitment and retention of human services workers employed by human services providers that have contracts with the state."

Budget Amendment ID: FY2019-S4-461-R1

Redraft EHS 461

East Boston Neighborhood Health Center

Mr. Boncore 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 $100,000 shall be expended for a federally-qualified community health center with a 24-hours-a-day, 7-days-a-week emergency department licensed as a satellite unit under 105 CMR 130".

Budget Amendment ID: FY2019-S4-461-R2

2nd Redraft EHS 461

East Boston Neighborhood Health Center

Mr. Boncore 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 $100,000 shall be expended for a federally-qualified community health center with a 24-hour-a-day, 7-day-a-week emergency department licensed as a satellite unit under 105 CMR 130”.

Budget Amendment ID: FY2019-S4-461

EHS 461

East Boston Neighborhood Health Center

Mr. Boncore 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 $500,000 shall be expended for a federally-qualified community health center with a 24-hours-a-day, 7-days-a-week emergency department licensed as a satellite unit under 105 CMR 130".

Budget Amendment ID: FY2019-S4-462

EHS 462

Community Residential Services

Messrs. Collins, Brady and Hinds, Ms. L'Italien, Messrs. Moore, Eldridge, Welch, Barrett, Cyr and O'Connor moved that the proposed new text be amended in section 2, in item 5920-2000, by striking out the following: “provided further, that the commissioner of developmental services may transfer funds from this item to item 5920-2010, as necessary, under an allocation plan which shall detail, by object class, the distribution of the funds to be transferred and which shall be filed with the house and senate committees on ways and means not less than 30 days before any such transfer; and provided further, that not more than $5,000,000 shall be transferred from this item in fiscal year 2019”; and in said item by striking out the figures “$1,192,178,088” and inserting in place thereof the figures “$1,210,331,170”.

Budget Amendment ID: FY2019-S4-463

EHS 463

Project RIGHT Substance Abuse Prevention

Messrs. Collins and O'Connor 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 $250,000 shall be expended for Project RIGHT’s substance abuse/trauma prevention initiative in the Grove Hall area of Boston"; and in said item by striking out the figures “$141,783,457” and inserting in place thereof the figures “$142,033,457”.

Budget Amendment ID: FY2019-S4-464

EHS 464

Big Brothers Big Sisters

Messrs. DiDomenico, Crighton and O'Connor moved that the proposed new text be amended in section 2, in item 4590-1507, by inserting after the word “programs” the following:-

"provided further that not less than $200,000 shall be expended for the Big Brothers Big Sisters of Massachusetts Bay Mentor 2.0 program”.

and in said item by striking out the figures “$500,000” and inserting in place thereof the figures “$700,000”.

Budget Amendment ID: FY2019-S4-465

EHS 465

Louis D. Brown Institute for Peace

Messrs. Collins, Rush, Cyr, Welch and Brownsberger, Ms. Gobi, Messrs. Moore and O'Connor moved that the proposed new text be amended in section 2, by adding the following item XXXX-XXXX: For the provision of statewide support services for survivors of

homicide victims, including outreach services, burial assistance, grief counseling and other support services; provided, that funds shall be expended as grants in the aggregate amount of $200,000 to the Louis D. Brown Peace Institute Corporation, a community-based support organization dedicated to serving families and communities impacted by violence; and provided further, that The Louis D. Brown Peace Institute shall establish and administer a process to distribute a total of $100,000 to the

Massachusetts Survivors of Homicide Victims Network organizations throughout the commonwealth in the form of grants...$200,000

Budget Amendment ID: FY2019-S4-465-R1

Redraft EHS 465

Louis D. Brown Institute for Peace

Messrs. Collins, Rush, Cyr, Welch and Brownsberger, Ms. Gobi, Messrs. Moore and O'Connor moved that the proposed new text be amended in section 2, by inserting after item 4513-1027 the following item:-

“4513-1098 For the provision of statewide support services for the survivors of homicide victims, including outreach services, burial assistance, grief counseling and other support services; provided, that funds shall be expended as grants in the aggregate amount not less than $200,000 to the Louis D. Brown Peace Institute Corporation, a community-based support organization dedicated to serving families and communities impacted by violence; and provided further, that the Louis D. Brown Peace Institute shall establish and administer a process to distribute not more than $100,000 to the Massachusetts Survivors of Homicide Victims Network organizations throughout the commonwealth in the form of grants...$200,000”.

Budget Amendment ID: FY2019-S4-466

EHS 466

Children's Advocacy Center of Suffolk County

Mr. Collins moved that the proposed new text be amended in section 2, in item 4800-0038, by adding the following: "and provided further, that not less than $150,000 shall be expended for the Children's Advocacy Center of Suffolk County, Inc.”; and in said item by striking out the figures "$297,006,167" and inserting in place thereof the following figures: "$297,156,167"

Budget Amendment ID: FY2019-S4-467

EHS 467

South Boston Substance Abuse Treatment

Mr. Collins 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 $155,000 shall be expended to the South Boston Collaborative for substance abuse programming”; and in said item by striking out the figures "$141,783,457" and inserting in place thereof the figures "$141,938,457"

Budget Amendment ID: FY2019-S4-467-R1

Redraft EHS 467

South Boston Substance Abuse Treatment

Mr. Collins 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 $155,000 shall be expended to the South Boston Collaborative Center, Inc., for substance abuse programming”; and

in said section 2, in said item 4512-0205, by striking out the figure “$425,000” and inserting in place thereof the following figure:- “$580,000”.

Budget Amendment ID: FY2019-S4-468

EHS 468

Teen Pregnancy Prevention Program

Messrs. Collins, Lewis, Crighton, Cyr, Moore and Timilty, Ms. Friedman, Messrs. Brownsberger and O'Connor and Ms. L'Italien moved that the proposed new text be amended in section 2, in item 4530-9000, by striking out the figure "$2,494,872" and inserting in place thereof the figure "3,000,000"

Budget Amendment ID: FY2019-S4-470

EHS 470

The Dimock Center

Messrs. Collins, Rush, Eldridge, Cyr, Boncore and O'Connor 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 $200,000 shall be expended for the operation of The Dimock Center’s Behavioral Health continuum of substance use care to provide comprehensive treatment for individuals suffering from substance use disorder and other behavioral health challenges.” and in said Item striking the figure "$141,783,457" and inserting in its place the new figure "141, 983,457"

Budget Amendment ID: FY2019-S4-471-R1

Redraft EHS 471

Mattapan Integrative Care Partnership Program

Mr. Collins 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 $25,000 shall be expended for the Mattapan Integrative Care Partnership Pilot program among the Mattapan Community Health Center, Mattahunt Community Center, Mattahunt Elementary School and the Wheelock College Social Work Department”; and

in said section 2, in said item 4510-0110, by striking out the figure “$503,653” and inserting in place thereof the following figure-:- “$528,653”.

Budget Amendment ID: FY2019-S4-471

EHS 471

Mattapan Integrative Care Partnership Program

Mr. Collins moved that the proposed new text be amended in section 2, in item 4510-0110, by adding the following: “provided, that not less than $50,000 shall be expended for the Mattapan Integrative Care Partnership Pilot program among the Mattapan Community Health Center, Mattahunt Community Center, Mattahunt Elementary School, and the Wheelock College Social Work Department for a behavioral health practice at the Mattapan Community Health Center and support a full time licensed social worker to bring mental health care to the community’s youth and to improve the coordination of care” and in said item by striking out the figures "$503,653" and inserting in place thereof the following figures-: "553,653"

Budget Amendment ID: FY2019-S4-472

EHS 472

Harbor Health Services

Messrs. Collins and O'Connor moved that the proposed new text be amended in section 2, in item 4512-0200, by adding the following: "provided further that no less than $250,000 shall be expended to Harbor Health Services for a grant program to prevent and treat addiction to opioid and related substances." ; and in said item by striking out the figures "$141,783,457" and inserting in place thereof the figures "$142,033,457"

Budget Amendment ID: FY2019-S4-473

EHS 473

Adult Foster Care

Messrs. Keenan, Barrett, Tran, Montigny and Hinds, Ms. L'Italien, Messrs. Ross, Moore, Eldridge, Welch, Timilty, Brownsberger, Tarr, O'Connor, Feeney and Cyr moved that the proposed new text be amended in section 2, in item 4000-0601, by adding the following words:-“; provided further, that notwithstanding any general or special law to the contrary the executive office of health and human services shall establish payment rates for the adult foster care program that are, in the aggregate, not less than $2,000,000 more than was paid for such programs in fiscal year 2018;” and

In said section 2, in said item 4000-0601, by striking out the figure “$3,583,516,725” and inserting in place thereof the following figure:- “3,585,516,725”.

Budget Amendment ID: FY2019-S4-474

EHS 474

DTA Caseworkers

Mr. Moore, Ms. Gobi, Messrs. O'Connor and Cyr moved that the proposed new text be amended in section 2, in item 4400-1100, by striking the figure "$72,831,971" and inserting in place thereof the following figure:- "$74,831,971".

Budget Amendment ID: FY2019-S4-475-R1

Redraft EHS 475

Edward Kennedy Community Health Center

Messrs. Moore and O'Connor moved that the proposed new text be amended in section 2, in item 4000-0014, by striking out the figure “$100,000” and inserting in place thereof the following figure:- “$200,000”.

Budget Amendment ID: FY2019-S4-475

EHS 475

Edward Kennedy Community Health Center

Budget Amendment ID: FY2019-S4-476

EHS 476

Pharmacy Outreach Program

Messrs. Moore and O'Connor moved that the proposed new text be amended in section 2, in item 9110-1455, by striking out the word “funds” and inserting in place thereof the following words:-

“not less than $600,000”.

Budget Amendment ID: FY2019-S4-477

EHS 477

Medicaid Managed Care Organizations

Mr. Moore moved that the proposed new text be amended by inserting after section _____ the following 2 sections:-

"SECTION ____. Section 13E½ of Chapter 118E of the General Laws, as appearing in the 2014 official edition, is hereby amended by inserting the following clause at the end of the first paragraph:

“provided further, that acute care hospital reimbursement from managed care organizations that contract with the executive office shall for health services provided to beneficiaries under this chapter be subject to negotiation between those hospitals and managed care organizations and shall not be limited or determined through contracts between the executive office and managed care organizations.”

SECTION ____. Subsection (b) of Section 13F of Chapter 118E of the General Laws, as so appearing, is hereby amended by inserting at the end of the first paragraph the following new sentence:

“Provided further, the executive office shall not, in its contracts with hospitals or through any other rule or regulation, require hospitals to accept fee-for-service rates established by the office of Medicaid for non-emergency services provided to beneficiaries enrolled in managed care organizations.”

Budget Amendment ID: FY2019-S4-478-R1

Redraft EHS 478

St. Francis House Substance Use Treatment

Messrs. Boncore, Feeney, Eldridge, Brownsberger and O'Connor moved that the proposed new text be amended in section 2, in item 4512-0200, 4512-0205, by adding the following words:- “; provided further, that not less than $100,000 shall be expended for planning, initial staffing and startup costs at Saint Francis House in the city of Boston for its substance use disorder outpatient clinic”.

Budget Amendment ID: FY2019-S4-478-R2

2nd Redraft EHS 478

St. Francis House Substance Use Treatment

Messrs. Boncore, Feeney, Eldridge, Brownsberger 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 $100,000 shall be expended for planning, initial staffing and startup costs at Saint Francis House in the city of Boston for its substance use disorder outpatient clinic”.

Budget Amendment ID: FY2019-S4-478

EHS 478

St. Francis House Substance Use Treatment

Messrs. Boncore, Feeney, Eldridge, Brownsberger 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 $100,000 shall be expended for planning, initial staffing and startup costs at St. Francis House in Boston for their substance abuse disorder outpatient clinic”.

Budget Amendment ID: FY2019-S4-479

EHS 479

Nursing and Allied Health Workforce Development Initiative

Messrs. Moore, deMacedo and Tarr, Ms. Gobi, Mr. O'Connor and Ms. O'Connor Ives moved that the proposed new text be amended in section 2, by inserting after item 4000-0014 the following item:

“XXXX-XXXX For the nursing and allied health workforce development initiative, to develop and support strategies that increase the number of public higher education faculty members and students who participate in programs that support careers in fields related to nursing and allied health; provided, that the amount appropriated in this item shall be transferred to the Massachusetts Nursing and Allied Health Workforce Development Trust Fund established in section 33 of chapter 305 of the acts of 2008; and provided further, that funds shall be transferred to the fund according to an allotment schedule adopted by the executive office of administration and finance ..............$350,000”';

and further by inserting after section _____ the following section:-

“SECTION _____. Chapter 305 of the acts of 2008 is hereby amended by striking out section 33 and inserting in place thereof the following section:-

“Section 33. (a) Notwithstanding any general or special law to the contrary, there shall be established and set up on the books of the commonwealth a separate fund to be known as the Massachusetts Nursing and Allied Health Workforce Development Trust Fund to which shall be credited any appropriations, bond proceeds or other monies authorized by the general court and specifically designated to be credited thereto, and additional funds, including federal grants or loans or private donations made available to the secretary of health and human services for this purpose. The executive office of health and human services shall hold the fund in an account separate and apart from other funds or accounts. Amounts credited to the fund shall be expended by the secretary of health and human services to carry out subsection (b). Any balance in the fund at the close of a fiscal year shall be available for expenditure in subsequent fiscal years and shall not revert to the General Fund.

(b) The fund shall be used to develop and support short-term and long-term strategies to increase the number of public higher education faculty members and students who participate in programs that support careers in fields related to nursing and allied health. The secretary of health and human services may expend such funds as necessary for the administration of the Massachusetts Nursing and Allied Health Workforce Development Initiative. In furtherance of these public purposes, the secretary of health and human services shall expend funds in the Massachusetts Nursing and Allied Health Workforce Development Trust Fund for activities that are calculated to increase the number and diversity of nursing and allied health faculty and students and improve the nursing and allied health educational offerings available in public higher education institutions. Grants and other disbursements and activities may involve, without limitation, organizations that provide health care services, state and community colleges, higher education institutions, business and industry partnerships, regional alliances, workforce investment boards, organizations granted tax-exempt status under section 501(c)(3) of the Internal Revenue Code, and other community groups which support and promote the nursing profession and the health of people living in the commonwealth of Massachusetts. Grants and other disbursements and activities may support, without limitation: (i) the goal of rapidly increasing the number of nurses and allied health workers; (ii) enhancing the role of the system of public and private higher education, as institutions and in partnerships with other stakeholders, in meeting the short-term and long-term workforce challenges in the nursing and allied health professions; (iii) the development and use of innovative curricula, courses, programs and modes of delivering education in nursing and allied health professions for faculty and students in these fields; (iv) activities with the growing network of stakeholders in the nursing and allied health professions to create, implement, share and make broadly and publicly available best practices and innovative programs relative to instruction, development of partnerships and expanding and maintaining faculty and student involvement in careers in these fields; and (v) strengthening the institutional capacity to develop and implement long-term programs and policies to effectively respond to these challenges.”

Budget Amendment ID: FY2019-S4-480

EHS 480

Improving Data Sharing

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

“SECTION XX. Notwithstanding any general or special law to the contrary, the executive office of health and human services, in consultation with the Massachusetts eHealth Institute, shall work with the executive office of elder affairs, the department of revenue, and other state agencies, to improve the accuracy and integrity of data and to maximize information sharing, to the extent permissible under relevant privacy law, between the senior information management system and the Medicaid management information system operated by the executive office of elder affairs, other agencies within state government, electronic health records systems operated by health care providers, and member information systems operated by managed care organizations.”

Budget Amendment ID: FY2019-S4-481

EHS 481

Community Servings

Messrs. 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 $200,000 shall be expended for Community Servings for the purposes of providing medically tailored meals to persons battling chronic illnesses, workforce training programs to those recovering from addiction and opportunities for expanded services and locations"; and

in said section 2, in said item 4513-1111, by striking out the figure "$3,434,369" and inserting in place thereof the following figure:- "$3,634,369".

Budget Amendment ID: FY2019-S4-482

EHS 482

Center for Autism and Neurodevelopmental Disorders

Messrs. Moore and O'Connor and Ms. L'Italien 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

in said section 2, in said item 5911-1003, by striking out the figure "$68,888,505" and inserting in place thereof the following figure:- "$68,938,505".

Budget Amendment ID: FY2019-S4-484

EHS 484

Health Connector Coverage for Non-Disabled Adults

Messrs. Tarr, Humason 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, subject to federal approval under the commonwealth's waiver pursuant to section 1115 of the federal Social Security Act, 42 U.S.C 1315, 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, shall be determined eligible for and enrolled in subsidized insurance through the commonwealth health insurance connector only. At least 30 days before implementing eligibility changes under this section, the secretary of health and human services shall file a report with the house and senate committees on ways and means detailing the proposed changes and the anticipated fiscal impact of those changes."

Budget Amendment ID: FY2019-S4-485

EHS 485

All-Payer Claims Database Technical Change

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

"SECTION_:Section 12 of chapter 12C of the General Laws, as appearing in the 2016 Official Edition, is hereby amended by striking out, in lines 11 and 12, the words "the operation of the database or its functions," and inserting in place thereof the following words:- control of the database."

Budget Amendment ID: FY2019-S4-486

EHS 486

Transparent Health Care Data

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

"SECTION 1. Subsection (a) of section 12 of chapter 12C of the General Laws, as so appearing, is hereby amended by striking out the second paragraph and inserting in place thereof the following paragraph:--

The center shall, to the extent feasible, make data in the payer and provider claims database available to payers and providers in real-time; provided, however, that all data-sharing complies with applicable state and federal privacy laws.

SECTION 2.. Subsection (b) of said section 12 is hereby amended is hereby amended by striking out the fourth sentence.

SECTION 3. Section 20 of said chapter 12C is hereby amended by striking out subsection (b) and inserting in place thereof the following section:--

(b) The website shall provide updated information on a regular basis, but no more than 90 days after data required to post such information has been reported to the center, and additional comparative quality, price and cost information shall be published as determined by the center. To the extent possible, the website shall include: (1) comparative price and cost information for the most common referral or prescribed services, as determined by the center, categorized by payer and listed by facility, provider, and provider organization or other groupings, as determined by the center; (2) comparative quality information from the standard quality measure set and verified by the center, available by facility, provider, provider organization or any other provider grouping, as determined by the center, for each such service or category of service for which comparative price and cost information is provided; (3) general information related to each service or category of service for which comparative information is provided; (4) comparative quality information from the standard quality measure set and verified by the center, available by facility, provider, provider organization or other groupings, as determined by the center, that is not service-specific, including information related to patient safety and satisfaction; (5) data concerning healthcare-associated infections and serious reportable events reported under section 51H of chapter 111; (6) definitions of common health insurance and medical terms, including, but not limited to, those determined under sections 2715(g) (2) and (3) of the Public Health Service Act, so that consumers may compare health coverage and understand the terms of their coverage; (7) a list of health care provider types, including but not limited to primary care physicians, nurse practitioners and physician assistants, and what types of services they are authorized to perform in the commonwealth under applicable state and federal scope of practice laws; (8) factors consumers should consider when choosing an insurance product or provider group, including, but not limited to, provider network, premium, cost-sharing, covered services, and tiering; (9) patient decision aids, which are interactive, written or audio-visual tools that provide a balanced presentation of the condition and treatment or screening options, benefits and harms, with attention to the patient’s preferences and values, and which may facilitate conversations between patients and their health care providers about preference-sensitive conditions or diseases such as chronic back pain, early stage of breast and prostate cancers, hip osteoarthritis, and cataracts; provided, however, that decision aids shall be made available on, but not be limited to, long-term care and supports and palliative care; (10) a list of provider services that are physically and programmatically accessible for people with disabilities; and (11) descriptions of standard quality measures, as determined by the statewide quality advisory committee and verified by the center.

(12)comparative price and cost information for the most common referral or prescribed services, as determined by the center, compared to the price and cost information of other states.

SECTION 4. Paragraph (1) of subsection (a) of section 4 of Chapter 176J of the General Laws, as amended by section 8 of chapter 3 of the acts of 2013, is hereby amended by inserting after the fifth sentence the following two sentences:--

Upon the request of an eligible small business, a carrier shall provide that group with the claims data for every health benefit plan that it provides to the eligible small business so that the eligible small business can use such data to help control its health care costs."

Budget Amendment ID: FY2019-S4-487

EHS 487

Empowering Patients and Entrepreneurs with Real Transparency on Cost

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

"SECTION _. Section 10 of said chapter 12C, as so appearing, is hereby amended by striking out subsection (e) and inserting in place thereof the following:- (e) The center shall under the procedures established by Medicare release at least annually all hospital data including payment and utilization information for services that may be provided in connection with at least the 100 most common inpatient stays. The center may release claims data on at least the 10 most expensive kinds of inpatient stays on average by payer. The center shall release claims data on the 100 most common outpatient procedures. The center may release claims data on the 10 most expensive kinds of outpatient procedures. The center shall release physician, practitioner, and other supplier utilization and payment data that consists of information on services and procedures provided to patients by physicians and other healthcare professionals. The data shall show at least allowed amounts and submitted charges, for those services and procedures by provider. It should allow for comparisons by physician, specialty, location, types of medical services and procedures delivered, payment and submitted charges. Claims for providers that have provided less than five of a certain procedures or service to patients may be excluded by the center. The center shall release claims data on the 100 most commonly prescribed drugs, and the 10 most expensive rugs on average by payer. The center may release any other related claims data the center already collects as part of the categories listed above.

The center shall not be required to build a consumer tool to sort the date, but at a minimum must make it available to the public on their website on an annual basis in a raw but usable form. The center may also incorporate any of the released data listed above into their consumer health information website as established in section 20 of chapter 12C."

Budget Amendment ID: FY2019-S4-488

EHS 488

Prescription Drug Coupon

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

"SECTION_.Section 226 of chapter 139 of the acts of 2012 is hereby amended by

427 striking out the figure “2019”, inserted by section 129 of chapter 133 of the acts of 2016,

428 and inserting in place thereof the following figure:- 2021.

Budget Amendment ID: FY2019-S4-489-R1

Redraft EHS 489

Healthy Incentives Program

Ms. Gobi, Messrs. Tran, Cyr, Rodrigues, Lesser and Lewis, Ms. Friedman, Messrs. Eldridge, Humason, Crighton, Barrett, Hinds, Fattman and Moore, Ms. Jehlen, Mr. Welch, Ms. O'Connor Ives, Messrs. Pacheco, Collins, Montigny, DiDomenico and O'Connor, Ms. L'Italien and Mr. Rush moved that the proposed new text be amended in section 2, in item 4400-1001, by striking out the figure "$3,000,000" and inserting in place thereof the following figure:- "$4,000,000"; 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:- "$7,162,023".

Budget Amendment ID: FY2019-S4-489

EHS 489

Healthy Incentives Program

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:- "$9,362,023".

Budget Amendment ID: FY2019-S4-490

EHS 490

Baystate Wing Hospital

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 no less than $150,000 shall be expended to Wing Hospital for a grant program to prevent and treat addiction to opioid and related substances.”

Budget Amendment ID: FY2019-S4-492

EHS 492

Health Information and Analysis Oversight Council

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

SECTION__. Section 2A of Chapter 12C of the General Laws is hereby amended by inserting after the words “cybersecurity” the following: “and 2 members who shall be a representative of surcharge payers as defined in section 1 of Chapter 12C of the general laws; 1 of whom shall represent acute care hospitals”

And further moves to amend said section, by inserting after the words “health care economist”, the following: “and 1 member who shall represent a major health insurer”

And moves to further amend said section, by striking the following: “Members of the council shall not be employed by, a consultant to, a member of the board of directors of, affiliated with, have a financial stake in or otherwise be a representative of: (i) an acute hospital; (ii) an ambulatory surgical center; or (iii) a surcharge payor” and inserting in place thereof the following: “Members of the council shall not hold full-time or part-time employment in state government”

And further moves to amend said section, by inserting after clause (6) of subsection (c), the following new clause:- (7) undertake a process to evaluate and recommend alternative methodologies to fund the agency’s operating expenses.”

Budget Amendment ID: FY2019-S4-493

EHS 493

Health Purchasing Cooperatives

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

SECTION_. Section 12 of Chapter 176J of the General Laws is hereby amended in line 35 by striking the number "6" and inserting in place thereof the following:- "8"

SECTION_. Said section 12 of chapter 176J of the General Laws is hereby amended in line 39 by striking the number "85,000" and inserting in place thereof the following:-"100,000"

SECTION_. Section 13(b) of chapter 176J of the General Laws is hereby amended by striking subsection (v) in its entirety.

Budget Amendment ID: FY2019-S4-494

EHS 494

Increased Bed Capacity

Messrs. Tarr, Feeney and O'Connor and Ms. L'Italien moved that the proposed new text be amended by inserting, after section___, the following new 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, 2018.”

Budget Amendment ID: FY2019-S4-495

EHS 495

MassHealth Cost Containment Council

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

Section__. MassHealth Cost Containment Council

Notwithstanding any general or special law to the contrary, there shall be established, for a period of not more than 12 months following the passage of this act, the MassHealth Cost Containment Council, the purpose of which shall be to examine the current system of providing health care insurance coverage and benefits to those qualify for such converages and benefits pursuant to existing state and federal statutes and regulations due to income or other circumstance through Medicaid and other similar programs.

The council shall be chaired by the secretary of health and human services or a designee, and shall consist of 18 members: the House and Senate chairs and the ranking minority members of the Joint Committee on Health Care Financing or their designees, the secretary of administration and finance or a designee, a representative of the Health Policy Commission appointed by the governor, a representative of the Center for Health Information Analysis appointed by the governor, the dean of the University of Massachusetts School of Medicine or a designee, the assistant secretary of the MassHealth program, an expert in state and federal health care law appointed by the Attorney General, a representative of MassHealth consumers appointed by the Speak of the House, a representative of MassHealth consumers appointed by the Senate President, 3 members representing health care providers in the Commonwealth appointed by the governor, a representative of the Massachusetts Law Reform Institute appointed by the Attorney General, and 3 members with expertise in health care financing from institutions of higher learning in the Commonwealth appointed by the Governor.

The commission shall examine the current system in the Commonwealth of providing for health care coverage and benefits for low income residents and analyze its cost-effectiveness and efficiency in delivering quality care and outcomes, and seek to identify any and all strategies, methods and techniques to reduce and contain the costs of such coverage and benefits consistent with federal law; provided, however, that the commission shall consider waivers from the provisions of federal law and regulation where appropriate.

In conducting its operations the Commission shall hold not less than 3 public hearings in diverse geographic locations across the Commonwealth, and shall also accept testimony by electronic and posted mail.

The commission shall report its findings, together with any legislative recommendations, not later than October 31, 2018, to the clerks of the House and the Senate, and in an appropriate manner electronically on the internet.

Budget Amendment ID: FY2019-S4-496

EHS 496

Moratorium on Mandated Benefits

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

"SECTION_. Notwithstanding any general or special law to the contrary, there is a 5 year moratorium on the addition of any new mandatory health care benefits, except as otherwise required by federal law"

Budget Amendment ID: FY2019-S4-497

EHS 497

Naloxone Expiration Exchange

Messrs. Tarr, Keenan, Montigny and O'Connor and Ms. L'Italien moved that the proposed new text be amended by inserting after section__, the following new section:-

“SECTION __. Notwithstanding any special or general law to the contrary, to minimize the disposal of expired opioid antagonist and to ensure the availability and use of unexpired opioid antagonist a municipality or non-municipal public agency which is duly registered with the Massachusetts Controlled Substances Registry may convey or exchange Naloxone, or other opioid antagonist approved by the department of public health, with another duly registered entity for the purpose of ensuring the availability of unexpired Naloxone or other approved opioid antagonist; provided, further, that such exchange shall be recorded in a memorandum between such registered entities in a manner prescribed by the department; provided, that such written documentation shall include: (a) the names and addresses of the registered entities participating in the exchange, (b) itemizations of the substances transferred including substance name, weight or volume of substance, and number of units, (c) the name, title, and signature of each qualified, licensed practitioner designated by the registered municipality or agency as medical director for purposes of 105 CMR 700.003(D) certifying the chain of custody of the exchange and compliance with department procedures, (d) the date of exchange, and (e) instructions to transmit the document in a timely manner to the department of public health."

Budget Amendment ID: FY2019-S4-498

EHS 498

Senior Financial Literacy

Messrs. Tarr, Crighton, Moore, Eldridge, Welch and Barrett, Ms. L'Italien, Ms. Gobi, Messrs. O'Connor and Cyr moved that the proposed new text be amended by adding after section ___ the following new section:

“SECTION _. Notwithstanding any general or special law to the contrary, there shall be a special commission established to study and develop a statewide financial literacy program on personal financial management to be offered to senior citizens in the Commonwealth. The commission shall be overseen by the Office of Elder Affairs and the Office of Health and Human Services in conjunction with the Office of the State Treasurer. The focus of the commission will be to provide a universal program for the purpose of teaching senior citizens how to best manage their personal finances, maintain their financial independence, and avoid financial exploitation. The course shall include materials on the use of computers and smart phones relative to personal financial management and shall assist participating senior citizens in the program on how to best utilize technology to aid to their personal financial management.

The commission shall consist of the house and senate chairs of the joint committee on elder affairs, who shall be the co-chairs; the house and senate chairs of the joint committee on education or their designees; the speaker of the house of representatives or a designee; the president of the senate or a designee; the house minority leader or a designee; the senate minority leader or a designee; the state treasurer or a designee; the secretary of the executive office of elder affairs or a designee; the secretary of health and human services or a designee; 2 representatives of the Council on Aging; and 2 residents of the Commonwealth who are 65 years or older.

The commission shall submit its finalized proposal for the senior financial literacy program, along with any recommendations, to the house and senate committees on ways and means, the joint committee on elder affairs, the joint committee on education and the clerks of the house of representatives and the senate by February 1, 2019.”

Budget Amendment ID: FY2019-S4-499

EHS 499

C-10 Research and Education Foundation, Inc

Mr. Tarr moved that the proposed new text be amended in section 2, in item 4510-0615, by inserting at the end thereof the following:-“provided further, that not less than $50,000 shall be expended to C-10 Research & Education Foundation, Inc. for radiological monitoring equipment of the six Massachusetts communities within the plume exposure emergency planning zone of Seabrook nuclear power plant".

Moves to further amend said section 2 in said item 4510-0615 by striking the figure "$1,772,312" and inserting in place thereof the following:-" $1,822,312.00"

Budget Amendment ID: FY2019-S4-500

EHS 500

Transparency with the Health Connector Board

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

“SECTION __. Chapter 176Q, as so appearing, is hereby amended by inserting after section 18 the following two new sections:-

176Q:19 Health Connector Transparency

Section 19. The connector shall be subject to the open meeting law as established under G.L.c. 30A, §§18-25 and subject to public records request as established under G.L.c. 66. A public record for purposes of this section shall include but not be limited to board votes, meeting minutes, financial records, contract, and staff salaries. This information shall also be made publicly available on the website of the connector to the maximum extent feasible while ensuring privacy protection

176Q:20 Return on Investment

Section 20. The secretary of administration and finance shall on an annual basis review and evaluate the return on investments made by the connector. Said review and evaluation along with any recommendations shall be filed with the clerks of the house and senate, the house and senate committee on ways, and joint committee on health care financing no later than December 31 annually.”

Budget Amendment ID: FY2019-S4-501

EHS 501

Transportation Voucher for Substance Abuse Treatment

Messrs. Tarr, Humason, Keenan, Feeney and O'Connor and Ms. L'Italien moved that the proposed new text be amended in section 2, in item 4512-0200, by inserting the following:-

"provided that not less than $100,000 shall be expended for a transportation voucher account pilot program to provide clients who have been determined by an emergency service program to be eligible for substance abuse treatment services from an ESP site or off site at the client’s residence, drop-in center or emergency department;" and in said item by striking the figure “141,783,457” and inserting in place thereof the following figure “141,883,457”.

Budget Amendment ID: FY2019-S4-502

EHS 502

Crossroads

Mr. O'Connor moved that the proposed new text be amended in section 2, in item 4590-1507, by inserting at the end the following:-

“provided further, that not less than $25,000 shall be allocated for Crossroads for Kids Inc. of the city of Boston and the town of Duxbury for their summer and year-round out-of-school program serving at-risk youth;”

Budget Amendment ID: FY2019-S4-503

EHS 503

Magical Moon Farm

Mr. O'Connor moved that the proposed new text be amended in section 2, in item 4513-1111, by inserting at the end the following:-

“; and provided further that $25,000 shall be expended to The Magical Moon Foundation in Marshfield to support services that empower children and families faced with cancer diagnoses”

Budget Amendment ID: FY2019-S4-503-R2

2nd Redraft EHS 503

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 not less than $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

in said section 2, in said item 4513-1111, by striking out the figure “$3,434,369” and inserting in place thereof the following figure:- “$3,459,369”; and

in said section 2, in item 4590-1507, by adding the following words:- “; provided further, that not less than $25,000 shall be expended for Crossroads for Kids, Inc., of the city of Boston and the town of Duxbury for their summer and year-round out-of-school program serving at-risk youth”; and

in said section 2, in said item 4590-1507, by striking out the figure “$500,000” and inserting in place thereof the following figure:- “$525,000”.

Budget Amendment ID: FY2019-S4-503-R1

Redraft EHS 503

Magical Moon Farm

Mr. O'Connor moved that the proposed new text be amended in section 2, in item 4513-1111, by inserting at the end the following:-

“; and provided further, that not less than $25,000 shall be expended to The Magical Moon Foundation in Marshfield to support services that empower children and families faced with cancer diagnoses”

Mr. O’Connor further moves that the proposed new text be amended in section 2, in item 4590-1507, by inserting at the end the following:-

“; provided further, that not less than $25,000 shall be expended for Crossroads for Kids Inc. of the city of Boston and the town of Duxbury for their summer and year-round out-of-school program serving at-risk youth;”

Budget Amendment ID: FY2019-S4-504-R1

Redraft EHS 504

Scituate Community Christmas

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 $10,000 shall be expended to Scituate Community Christmas, Inc., to serve individuals, families and children living in the town of Scituate”; and

in said section 2, in said item 4800-0038, by striking out the figure “$297,006,167” and inserting in place thereof the following figure:- “$297,016,167”.

Budget Amendment ID: FY2019-S4-504

EHS 504

Scituate Community Christmas

Mr. O'Connor moved that the proposed new text be amended in section 2, in item 4800-0038, by inserting at the end the following:-

"; and provided further that not less than $10,000 shall be expended to Scituate Community Christmas, Inc., a 503(c)(3) organization serving individuals, families, and children living in the town of Scituate" and in said item by striking the figures "$297,006,167" and inserting thereof the figures "$297,016,167"

Budget Amendment ID: FY2019-S4-505

EHS 505

Interface Referral Services

Mr. O'Connor moved that the proposed new text be amended in section 2, in item 5046-0000, by inserting at the end the following:-

"; and provided further, that not less than $100,000 shall be expended for the interface referral services of William James College, Inc. in Plymouth county" and in said item by striking the figures "$486,920,614" and inserting thereof the figures "$487,020,614"

Budget Amendment ID: FY2019-S4-506

EHS 506

Lyme Disease Public Health Campaign

Messrs. O'Connor, Crighton, Tarr, Cyr, Humason, Ross, Eldridge and Moore and Ms. L'Italien moved that the proposed new text be amended in section 2, in item 4516-1000, by inserting at the end the following:-

“provided further, that not less than $50,000 shall be expended for a statewide tickborne disease prevention campaign to educate the public and medical providers on best practices in prevention, diagnosis and treatment;”

Budget Amendment ID: FY2019-S4-507

EHS 507

Baby Box Pilot Program

Messrs. O'Connor, Cyr, Tarr, Humason, Timilty and Ross moved that the proposed new text be amended in section 2E, by inserting the following new 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 YY. 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.”

SECTION ZZ. This act shall take effect upon its passage.

Budget Amendment ID: FY2019-S4-508

EHS 508

Group Home Caretaker Registry

Messrs. O'Connor, Tarr, Humason and Ross moved that the proposed new text be amended in section 2E, by inserting the following new sections:-

"SECTION XX. Chapter 19 of the General Laws, as so appears, is amended by inserting the following new chapter

19E. Disability Abuse Registry

Section 1. Definitions

The following words as used in this chapter shall have the following meanings:

"Abuse" means the action or inaction that inflicts injury, unreasonable confinement, intimidation, or punishment on an adult person with a disability. In instances of abuse of an adult with a disability who is unable to express or demonstrate physical harm, pain, or mental anguish, the abuse is presumed to cause physical harm, pain, or mental anguish. Abuse includes sexual abuse, mental abuse, physical abuse, personal exploitation and financial exploitation of an adult with a disability and which have the following meanings:

(a) "Sexual abuse" means any form of nonconsensual sexual conduct, including but not limited to unwanted or inappropriate touching, rape, sodomy, sexual coercion, sexually explicit photographing, and sexual harassment.

(b) "Physical abuse" means the action of inflicting bodily injury or physical mistreatment. Physical abuse includes, but is not limited to, striking with or without an object, slapping, pinching, choking, kicking, shoving, or prodding.

(c) "Mental abuse" means a verbal or nonverbal action that threatens, humiliates, harasses, coerces, intimidates, isolates, unreasonably confines, or punishes a vulnerable adult. Mental abuse may include ridiculing, yelling, or swearing.

(d) "Personal exploitation" means an act of forcing, compelling, or exerting undue influence over an adult with a disability causing the individual to act in a way that is inconsistent with relevant past behavior, or causing the vulnerable adult to perform services for the benefit of another.

(e) "Financial exploitation" means the illegal or improper use, control over, or withholding of the property, income, resources, or trust funds of the vulnerable adult by any person or entity for any person's or entity's profit or advantage other than for the vulnerable adult's profit or advantage.

“Caretaker” any person volunteering or employed by a service provider, as licensed or contracted with by any department of the Executive Office of Health and Human Services, who provides services or supports to an individual with a disability

“Commission,” Disabled persons protection commission

“Department”, any Department within the Executive Office of Health and Human Services

“EOHHS, Executive Office of Health and Human Services

“Executive Director” Executive Director of the Disabled persons protection commission

“Secretary”, Secretary of the Executive Office of Health and Human Services

“Neglect” the failure to provide or permit treatment or services, including sufficient food, clothing, maintenance, medical care or a clean and proper home

“Registry,” the disability abuse registry

“Service provider,” any organization licensed by any department within EOHHS or those facilities or programs licensed, contracted or regulated by any department within EOHHS providing supports and services for individuals with disabilities or those providing community based services with indirect state funding to persons with disabilities, including but not limited to: facilities for individuals with disabilities, a rehabilitation facility; a group home; an adult foster care home; a case management entity that provides services to people with disabilities; a corporate guardian; shared living placement services, a day habilitation center; a residential service or habilitation service authorized to be reimbursed by MassHealth; any licensed or MassHealth-certified entity or any program funded by any EOHHS department that provides respite, companion or personal care services.

SECTION YY. Creation of Disability Abuse Registry.

EOHHS shall establish and maintain a central computerized registry of caretaker who have had a substantiated finding of abuse, neglect or exploitation of a person with a disability issued by the commission and/or any agency within EOHHS that receives and investigates complaints of abuse, neglect and exploitation. The registry will be known as the disability abuse registry.

EOHHS shall adopt rules and regulations that define the procedure and standards for inclusion of a caregiver with a substantiated complaint of abuse, neglect or exploitation on the registry, notification of such inclusion to the caregiver and process for caregiver’s right to appeal the placement of his or her name on the registry. After notice to the caregiver of their right to appeal the substantiated finding, the caregiver’s name will be added to the registry.

SECTION ZZ. Use of Registry.

Once a caregiver’s name has been added to the registry, that person will be prohibited from employment in facilities and programs licensed by departments within EOHHS or those facilities or programs licensed, contracted or regulated by any department within EOHHS or from providing community based services with indirect state funding to persons with disabilities.

All providers, prior to hiring an individual, must review the registry to determine whether the individual’s name is on the registry. No service provider shall hire an individual whose name appears on the registry. All service providers must review the registry on a quarterly basis to ensure current employees have not been placed on the registry.

SECTION XXX. Reporting Process.

Upon the receipt of a complaint or allegation of abuse, neglect or exploitation of a person with a disability, the caregiver or caregivers named in the complaint will automatically be placed on administrative leave until the investigation is completed and a finding has been issued. EOHHS and the Departments will ensure that the providers they license and contract with comply with this rule.

SECTION YYY. Penalties.

EOHHS shall administer monetary sanctions not to exceed five thousand dollars for a provider's failure to check the registry prior to hiring that results in the hiring of a person on the registry.

SECTION ZZZ. Public Disclosure.

EOHHS shall keep information contained in the registry confidential and may only be disclosed under circumstances expressly authorized by rules and regulations promulgated by EOHHS consistent with the requirement that the service provider must have access to the registry prior to hiring new employees and for ongoing evaluation of current employees providing caregiver services to individuals with disabilities.

SECTION XXXX. Section 1 of Chapter 19C of the general laws, as so appears, is amended by deleting the definition of “abuse” and replacing it with the following:

SECTION YYYY. Section 5 of Chapter 19C of the general laws, as so appearing, is hereby amended by inserting a new subsection after subsection 5:

(6) The executive director must submit substantiated investigations of abuse of a person with a disability with the caregiver’s relevant information immediately upon issuance to EOHHS.

Budget Amendment ID: FY2019-S4-509

EHS 509

Pappas Rehabilitation Hospital for Children Bed Minimum

Mr. Timilty moved that the proposed new text be amended in section 2, in item 4590-0915, by inserting after the words "pharmacy services," the following: "provided further, that the Pappas Rehabilitation Hospital for Children shall maintain not less than 120 beds for clients in its inpatient setting".

Budget Amendment ID: FY2019-S4-510

EHS 510

Pappas Rehabilitation Hospital For Children Summer Program

Messrs. Timilty and Feeney moved that the proposed new text be amended in section 2, in item 4590-0915, by adding at the end thereof the following: "provided that $300,000 be expended for the Pappas Rehabilitation Hospital Summer Program"; and in said item, by striking out the figure "158,104,041" and inserting in place thereof the figure:- "158,404,041".

Budget Amendment ID: FY2019-S4-511

EHS 511

Dedham Youth Commission

Mr. Rush moved that the proposed new text be amended in section 2, in item 4800-0038, by adding at the end the following:-";and provided further, that not less than $50,000 shall be expended for the Dedham Youth Commission"; and by striking the figures "$297,006,167" and inserting in place thereof the following figures "$297,056,577."

Budget Amendment ID: FY2019-S4-511-R1

Redraft EHS 511

Dedham Youth Commission

Mr. Rush moved that the proposed new text be amended in section 2, in item 4800-0038, 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 the Dedham youth commission"; and

in said section 2, in said item 4800-0038, by striking out the figure “$297,006,167” and inserting in place thereof the following figure:- “$297,031,167”.

Budget Amendment ID: FY2019-S4-512

EHS 512

School based health centers

Messrs. Lewis, Cyr, Timilty, O'Connor, Feeney and Montigny 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 $500,000 shall be expended to open 5 new school based health centers”; and In said section 2, in said item 4590-0250, by striking out the figure “$11,765,955” and inserting in place thereof the following figure:- “$12,265,955”.

Budget Amendment ID: FY2019-S4-513

EHS 513

Youth at risk

Mr. Lewis moved that the proposed new text be amended in section 2, in item 4590-1507, by striking out the figure “$500,000” and inserting in place thereof the following figure:- “$1,800,000”.

Budget Amendment ID: FY2019-S4-513-R1

Redraft EHS 513

Youth at risk

"4590-1507 For matching grants to the Massachusetts Alliance of Boys and Girls Clubs, the Alliance of Massachusetts YMCAs and YWCA organizations, nonprofit community centers and teen empowerment and youth development programs; provided, that the department of public health shall award not less than $1,800,000 to the Alliance of Massachusetts YMCA, which shall be distributed between said recipient’s member organizations…………………………$2,300,000"

Budget Amendment ID: FY2019-S4-513-R2

2nd Redraft EHS 513

Youth at risk

Messrs. Lewis and Eldridge, Ms. Friedman, Messrs. Hinds, Moore, Crighton, Humason, Brady, Welch, Tran, deMacedo, Rush, Boncore, Collins and O'Connor, Ms. L'Italien, Messrs. DiDomenico and Brownsberger moved that the proposed new text be amended in section 2, in item 4590-1507, by adding the following words:- “provided further, that the department shall award not less than $450,000 to the YWCA organizations, which shall be distributed equally between the Alliance of YWCA’s member organizations; provided further, that the department shall award not less than $1,400,000 to the Alliance of Massachusetts YMCAs, Inc. which shall be distributed between the alliance’s member organizations”; and in said section 2, in said item 4590-1507, by striking out the figure “$500,000” and inserting in place thereof the following figure:- “$2,350,000”.

Budget Amendment ID: FY2019-S4-516

EHS 516

The Samaritans of Fall River/New Bedford

Messrs. Rodrigues and Montigny moved that the proposed new text be amended in section 2, in item 4513-1026, by adding the following: "; and provided further, that $50,000 shall be expended to The Samaritans of Fall River/New Bedford, Inc."

Budget Amendment ID: FY2019-S4-516-R1

Redraft EHS 516

The Samaritans of Fall River/New Bedford

Messrs. Rodrigues and Montigny moved that the proposed new text be amended in section 2, in item 4513-1026, by adding the following words:- “; provided further, that not less than $50,000 shall be expended to The Samaritans of Fall River/New Bedford, Inc.”; and

in said section 2, in said item 4513-1026, by striking out the figure “$4,110,788” and inserting in place thereof the following figure:- “4,160,788”.

Budget Amendment ID: FY2019-S4-517

EHS 517

Cranberry Health Research Center

Messrs. Rodrigues, Cyr and deMacedo moved that the proposed new text be amended in section 2, in item 4513-1111, by inserting at the end thereof the following:- “; and provided further, that notwithstanding any general or special law to the contrary, $100,000 shall be appropriated to the University of Massachusetts – Dartmouth to be expended for the operation of the Cranberry Health Research Center at the University of Massachusetts – Dartmouth”;

and in said item by striking out the figures “$3,434,369” and inserting in place thereof the figures “$3,534,369”.

Budget Amendment ID: FY2019-S4-518-R1

Redraft EHS 518

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 words:- “; provided further, that not less than $25,000 shall be expended for a substance use and detox program in the county of Dukes county administered through Martha’s Vineyard Community Services, Inc.”; and

in said section 2, in said item 4512-0205, by striking out the figure “$425,000” and inserting in place thereof the following figure:- “$450,000”.

Budget Amendment ID: FY2019-S4-518

EHS 518

Dukes County Substance Abuse Program

Mr. Cyr 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 $60,000 shall be expended to fund a substance misuse and detox program in Dukes county administered through Martha’s Vineyard Community Services"; and

In said section 2, in said item 4512-0200, by striking out the figure “$141,783,457” and inserting in place thereof the following figure:- “$141,843,457”.

Budget Amendment ID: FY2019-S4-519

EHS 519

Pappas Rehabilitation Hospital for Children - Ellis Unit

Mr. Timilty moved that the proposed new text be amended in section 2, in item 4590-0915, by inserting after the words "pharmacy services,"the following:- "provided that not less than $500,000 be expended to re-open the 14 bed Ellis Unit at Pappas Rehabilitation Hospital"; and in said section 2, in said item 4590-0915, by striking out the figure "158,104,041" and inserting in place thereof the figure:- "158,604,041".

Budget Amendment ID: FY2019-S4-520

EHS 520

Workplace Care

Messrs. Rush, Crighton, Moore, Lewis, Brady, Eldridge, Feeney, Pacheco, Timilty and deMacedo, Ms. Gobi, Messrs. Collins, O'Connor and Barrett moved that the proposed new text be amended by adding the following section:-

“SECTION XX. The health policy commission shall issue a report on expanding the scope of practice for athletic trainers to the joint committee on health care finance and to the committees on ways and means of both branches by March 1, 2019. The report shall include any legislative and regulatory recommendations for the purpose of improving workforce health and reducing health care costs by increasing the employment of athletic trainers in workplace care settings. The commission’s report shall be based on available evidence and information and shall include the anticipated outcome of the recommendations on the safety, efficacy, access and cost of the health care services provided by athletic trainers in workplace care settings.”

Budget Amendment ID: FY2019-S4-521

EHS 521

Boston Asian Youth

Mr. Boncore moved that the proposed new text be amended in section 2, in item 4800-0038, by inserting after the words “services” the following:

“provided further, that not less than $50,000 shall be expended for youth violence prevention programs administered by Boston Asian: Youth Essential Service”.

Budget Amendment ID: FY2019-S4-522-R1

Redraft EHS 522

Access to Health and Human Services on Martha's Vineyard and 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 $50,000 shall be expended for Martha’s Vineyard Community Service to increase access and cover feasible travel costs associated with arranging access to health and human services on Martha's Vineyard and Nantucket; provided further, that said funds shall be expended equally for Dukes and Nantucket counties”; and

in said section 2, in said item 4000-0300, by striking out the figure “$103,379,599” and inserting in place thereof the following figure:- “$103,429,599”.

Budget Amendment ID: FY2019-S4-522

EHS 522

Access to Health and Human Services on Martha's Vineyard and 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 $50,000 shall be expended for Martha’s Vineyard Community Service to increase access to health and human services on Martha's Vineyard and Nantucket, and these funds shall be expended equally for Dukes and Nantucket counties, to cover feasible travel costs associated with arranging access to health and human services”; and

In said section 2, in said item 4000-0300, by striking out the figure “$103,379,599” and inserting in place thereof the following figure:- “$103,429,599”

Budget Amendment ID: FY2019-S4-523-R1

Redraft EHS 523

CASA Winthrop

Mr. Boncore 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 $35,000 be expended for Community Action for Safe Alternatives, CASA, in Winthrop".

Budget Amendment ID: FY2019-S4-523-R2

2nd Redraft EHS 523

CASA Winthrop

Mr. Boncore 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 $35,000 shall be expended for Community Action for Safe Alternatives, CASA, in the town of Winthrop”.

Budget Amendment ID: FY2019-S4-523

EHS 523

CASA Winthrop

Mr. Boncore 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 $45,000 be expended for Community Action for Safe Alternatives, CASA, in Winthrop".

Budget Amendment ID: FY2019-S4-524

EHS 524

Gavin Total Immersion Program

Messrs. Collins, O'Connor and Timilty moved that the proposed new text be amended in section 2, in item 4512-0200, by inserting after the words "public system;" the following: "provided further, that not less than $320,000 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 "$141,783,457" and inserting in place thereof the figures "$142,103,457".

Budget Amendment ID: FY2019-S4-525

EHS 525

Secure Jobs

Messrs. Barrett, Eldridge and Crighton, Ms. Friedman, Mr. Moore, Ms. Gobi, Mr. Welch, Ms. L'Italien, Messrs. DiDomenico, O'Connor, Rodrigues and Lesser moved that the proposed new text be amended in section 2, in item 4400-1020, by striking out the figure “$650,000” and inserting in place thereof the following figure:- “$1,000,000”.

Budget Amendment ID: FY2019-S4-526

EHS 526

Nuclear Power Plant Radiological Monitoring

Mr. Tarr, Ms. L'Italien and Ms. O'Connor Ives moved that the proposed new text be amended in section 2, in item 4510-0615, that the proposed new text be amended in section 2, in item 4510-0615, by striking out, in line ___, the words “provided further, that in fiscal year 2019 the department shall expend an amount not less than expended in fiscal year 2018 for the C-10 Research and Education Foundation, Inc. to provide radiological monitoring in the 6 communities of the commonwealth that are within the plume exposure emergency planning zone of Seabrook Nuclear Power plant” and inserting in place thereof the following words:- “provided further, that in fiscal year 2019 the department shall expend $98,000 for the C-10 Research and Education Foundation, Inc. to provide radiological monitoring in the 6 communities of the commonwealth that are within the plume exposure emergency planning zone of Seabrook Nuclear Power plant ”.

Budget Amendment ID: FY2019-S4-527

EHS 527

Local 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 & Affordability Program, including the expansion of a coalition of farmers markets throughout Barnstable and Dukes counties to promote SNAP, WIC, Senior and Veteran benefits at Farmers Markets, the creation of site-specific programs targeted to schools, libraries and community centers, the expansion of both farmers’ and farmers markets’ capacity to accept SNAP, WIC, Senior and Veteran food benefits, and the extension of education and outreach campaigns through community partners including nutritionists and food pantries”; and

In said section 2, in item 4400-1001, by striking out the figure “$6,162,023” and inserting in place thereof the following figure:- “$6,212,023”

Budget Amendment ID: FY2019-S4-527-R1

Redraft EHS 527

Local 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 $35,000 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

in said section 2, in item 4400-1001, by striking out the figure “$6,162,023” and inserting in place thereof the following figure:- “$6,197,023”.

Budget Amendment ID: FY2019-S4-527-R2

2nd Redraft EHS 527

Local Food Access and Affordability

Mr. Cyr moved that the proposed new text be amended in section 2, in item 2511-0100, by adding the following words:- “; provided further, that not less than $35,000 shall be expended for Sustainable Cape in the town of Truro for a local food access and affordability program to: (i) expand a coalition of farmers’ markets throughout the counties of Barnstable and Dukes County promoting the Supplemental Nutrition Assistance Program or SNAP, the Women, Infants and Children program or WIC, and seniors and veterans benefits; (ii) to create site-specific programs targeted to schools, libraries and community centers; (ii) to develop the capacity of both farmers and farmers’ markets to accept SNAP and WIC benefits and seniors and veterans food benefits; and (iii) to conduct education and outreach campaigns through community partners, including nutritionists and food pantries”; and

in said section 2, in said item 2511-0100, by striking out the figure “$4,945,785” and inserting in place thereof the following figure:- “$4,980,785”.

Budget Amendment ID: FY2019-S4-528

EHS 528

Continued Operation of Lawrence DTA

Ms. L'Italien moved that the proposed new text be amended in section 2, in item 4400-1000, by adding the following words:- "; provided further, that the Lawrence Transitional Assistance Office shall maintain the same hours of operation and the same number of employees in fiscal year 2019 as were maintained in fiscal year 2018"

Budget Amendment ID: FY2019-S4-528-R1

Redraft EHS 528

Continued Operation of Lawrence DTA

Ms. L'Italien moved that the proposed new text be amended in section 2, in item 4400-1000, by inserting after section ___ the following section:

"SECTION XX:- Notwithstanding any general or special law to the contrary, The Executive Office of Labor and Workforce Development shall maintain the same hours of operation and the same number of employees in fiscal year 2019 as were maintained in fiscal year 2018 at the Lawrence Division of Unemployment Office."

Budget Amendment ID: FY2019-S4-533

EHS 533

Maintaining In-Person Application Sites for Emergency Assistance Family Shelters

Ms. L'Italien, Ms. Friedman, Messrs. Lewis, Eldridge, Ross, Barrett, Moore, Welch, Collins, Crighton and Boncore, Ms. Jehlen, Messrs. Lesser, O'Connor, Cyr, Brady, Brownsberger, Feeney, Montigny, Rodrigues, Rush, Timilty, DiDomenico and Pacheco moved that the proposed new text be amended in section 2, in item 7004-0099, by inserting after the words “after July 1, 2013;” the following words:- "; provided further, that the department shall operate local offices in the ten cities and towns in which the department maintained office locations as of January 1, 2018 in order to continue to accept in-person applications and provide other services related to the emergency assistance housing program funded by item 7004-0101; provided further, that such offices shall have sufficient staffing promptly to determine eligibility and provide other program services to families; provided further, that the department may operate additional local offices in other cities or towns that are geographically convenient to those families who are experiencing homelessness or at risk of homelessness; provided further, that on or before September 1, 2018, the department shall submit a report to the house and senate committee on ways and means with a spending and operational plan for maintaining such in-person offices and detailing any plans the department may have to make greater use of telephonic service delivery to augment in-person services;"

Budget Amendment ID: FY2019-S4-534

EHS 534

Health Care Without Walls

Messrs. Lewis 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 $300,000 be expended for the Health Care Without Walls organization in support of their medical efforts on behalf of homeless and low income women and children”; and In said section 2, in said item 4510-0110, by striking out the figure “$503,653” and inserting in place thereof the following figure:- “$803,653”.

Budget Amendment ID: FY2019-S4-535

EHS 535

Lyme Disease PrEP

Mr. Moore, Ms. Gobi and Mr. 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 $1,600,000 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

in said section 2, in said item 4516-1000, by striking out the figure “$12,332,648” and inserting in place thereof the following figure:- “13,932,648”.

Budget Amendment ID: FY2019-S4-535-R1

Redraft EHS 535

Lyme Disease PrEP

Mr. Moore, Ms. Gobi, Messrs. O'Connor, deMacedo and Montigny moved that the proposed new text be amended in section 2, by inserting after item 7520-0424 the following item:-

“XXXX-XXXX For a pilot program at the MassBiologics division at the University of Massachusetts medical school to support Lyme Disease treatment research and development; provided, that the University of Massachusetts medical school shall transfer within 3 years after the receipt of revenues from the sale or distribution of any Lyme Disease treatment developed as a result of this pilot program the same amount as appropriated herein to the General Fund established in section 2 of chapter 29 of the General Laws…………………….$1,000,000”.

Budget Amendment ID: FY2019-S4-536-R1

Redraft EHS 536

Adult Day Health Payment Rate Adjustment to Prevent Additional ADH Program Closures

Ms. L'Italien, Messrs. Eldridge, Rodrigues, Brownsberger, Rush, Moore, Brady and Lewis, Ms. Friedman, Messrs. Fattman, Humason, Hinds, Ross and Montigny, Ms. Jehlen, Messrs. Welch, Feeney and Barrett, Ms. O'Connor Ives, Messrs. Boncore, Tran, Cyr, Collins, O'Connor, Lesser, DiDomenico, Crighton, Tarr, Timilty and deMacedo, Ms. Gobi, Messrs. Pacheco and Keenan moved that the proposed new text be amended in section 2, in item 4000-0601, by inserting at the end thereof the following words:- “; provided further, that notwithstanding any general or special law to the contrary, the executive office of health and human services shall establish payment rates for adult day health services that are, in the aggregate, not less than $4,000,000 more than was paid for such programs in fiscal year 2018”; and

in said section 2, in said item 4000-0601, by striking out the figure “$352,600,000” and inserting in place thereof the following figure:- “$356,600,000”.

Budget Amendment ID: FY2019-S4-536

EHS 536

Adult Day Health Payment Rate Adjustment to Prevent Additional ADH Program Closures

Ms. L'Italien, Messrs. Eldridge, Rodrigues, Brownsberger, Rush, Moore, Brady and Lewis, Ms. Friedman, Messrs. Fattman, Humason, Hinds, Ross and Montigny, Ms. Jehlen, Messrs. Welch, Feeney and Barrett, Ms. O'Connor Ives, Messrs. Boncore, Tran, Cyr, Collins, O'Connor, Lesser, DiDomenico, Crighton, Tarr, Timilty and deMacedo, Ms. Gobi, Messrs. Pacheco and Keenan moved that the proposed new text be amended in section 2, in item 4000-0601, by inserting at the end thereof the following words:- “;provided further that notwithstanding any general or special law to the contrary, the Executive Office of Health and Human Services shall establish payment rates for Adult Day Health Services that are, in the aggregate, not less than $8,000,000 more than was paid for such programs in fiscal year 2018;”

and in said section 2, in said item 4000-0601, by striking out the figure “$352,600,000” and inserting in place thereof the following figure:- “$360,600,000”

Budget Amendment ID: FY2019-S4-537

EHS 537

Autism Insurance Resource Center

Ms. L'Italien, Messrs. Ross, Moore, Eldridge and O'Connor moved that the proposed new text be amended in section 2, by inserting at the end thereof the following words:- "; and 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 who have MassHealth”

and in said section 2, in said item 4000-0700, by striking out the figure “$2,628,178,033” and inserting in place thereof the following figure:- “$2,628,286,478”

Budget Amendment ID: FY2019-S4-537-R1

Redraft EHS 537

Autism Insurance Resource Center

Ms. L'Italien, Messrs. Ross, Moore, Eldridge and O'Connor 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 $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 section 2, in said item 4000-0300, by striking out the figure “$103,379,599” and inserting in place thereof the following figure:- “$103,488,044”.

Budget Amendment ID: FY2019-S4-539

EHS 539

C-10

Ms. O'Connor Ives and Mr. Tarr moved that the proposed new text be amended in section 2, in item 4510-0615, by adding the following words:- “provided further, that not less than $57,029 shall be expended to C-10 Research & Education Foundation, Inc. for radiological monitoring equipment and technological upgrades”; and

In said section 2, in said item 4510-0615, by striking out the figure "$1,772,312" and inserting in place thereof the following figure:- "$1,829,341".

Budget Amendment ID: FY2019-S4-540

EHS 540

Allowing children with intellectual disabilities to stay home

Messrs. Lewis and Brady, Ms. L'Italien, Messrs. Moore, Eldridge, Humason, Welch, Barrett, Montigny, O'Connor and Cyr moved that the proposed new text be amended in section 2, in item 5948-0012, by striking out the figures "$6,500,000" and inserting in place thereof the following figures:- "$9,000,000”.

Budget Amendment ID: FY2019-S4-541-R1

Redraft EHS 541

Veterans Northeast Outreach Center

Ms. O'Connor Ives, Mr. Tarr and Ms. L'Italien 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 $300,000 shall be expended to the Veterans Northeast Outreach Center, Inc., in the city of Haverhill”, and

in said section 2, in item 1410-0012, by striking out the figure “$4,556,641” and inserting in place thereof the following figure:- “$ 4,654,262”.

Budget Amendment ID: FY2019-S4-541

EHS 541

Veterans Northeast Outreach Center

Ms. O'Connor Ives, Mr. Tarr and Ms. L'Italien moved that the proposed new text be amended in section 2, in item 1410-0012, [Amendment Text]

by adding the following words: "provided further, that not less than $100,000 shall be expended to the Veterans Northeast Outreach Center in Haverhill", and

In said section 2, in item 1410-0012, by striking out the figure"$4,556,641" and inserting in place thereof the following figure:-"$4,656,641"

Budget Amendment ID: FY2019-S4-542

EHS 542

Mental Health Consortium

Ms. O'Connor Ives and Ms. L'Italien moved that the proposed new text be amended in section 2, in item 5042-5000, by adding at the end the following words: "provided further, that not less than $10,500 shall be expended on the Mental Health Consortium through the Guidance Department at the Methuen public Schools in the City of Methuen"; and

In said section 2, in said item 5042-5000, by striking out the figure "$92,196,539" and inserting in place thereof the following figure:- "$92,207,039".

Budget Amendment ID: FY2019-S4-543

EHS 543

Greater Lawrence Family Health Center in Haverhill

Ms. O'Connor Ives and Ms. L'Italien moved that the proposed new text be amended in section 2, in item 4510-0110, by adding at the end thereof the following:- “and provided further that not less than $250,000 shall be made available to the Greater Lawrence Family Health Center to provide increased access to health care for the medically underserved in the Gateway City of Haverhill and provided further that said program to increase access shall involve the development of a full service community health center in Haverhill with collaborative graduate degree level programs to train advanced practice nurses by Regis College and provided further that there shall be an equal or greater match by the Greater Lawrence Family Health Center"; and

In said section 2, in said item 4510-0110, by striking out the figure "$503,653" and inserting in place thereof the following figure:- "$753,653".

Budget Amendment ID: FY2019-S4-543-R1

Redraft EHS 543

Greater Lawrence Family Health Center in Haverhill

Ms. O'Connor Ives and Ms. L'Italien 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 $250,000 shall be expended to the Greater Lawrence Family Health Center for programs to increase access to health care for the medically underserved in the city of Haverhill; provided further, that said programs shall include the development of a full-service community health center in Haverhill with collaborative, graduate-degree level programs to train advanced practice nurses by Regis College; provided further, that the expenditure of said funds shall be contingent on the Greater Lawrence Family Health Center providing a matching amount of not less than $250,000 in private funding:”; and

Budget Amendment ID: FY2019-S4-544-R1

Redraft EHS 544

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 words:- “; 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 in consultation with NAMI Cape Cod, Inc. and the county 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; provided further, that not less than $20,000 shall be expended for the county of Barnstable to conduct a study of the Plymouth County outreach project and to determine the viability of replicating the project in the county of Barnstable”; and

in said section 2, in said item 5046-0000, by striking out the figure “$486,920,614” and inserting in place thereof the following figure:- “$486,985,614”.

Budget Amendment ID: FY2019-S4-544

EHS 544

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 words:- “; provided further, that not less than $45,000 shall be expended for the Barnstable Police Department’s Community Impact Unit in consultation with National Alliance of Mental Illness Cape Cod and Barnstable County for a designated emergency site which shall provide shelter, address basic human needs and provide protective oversight and assistance for the high risk chronically homeless on Cape Cod; provided further that not less than $20,000 shall be expended for Barnstable County to conduct a study of the Plymouth County Outreach Project and to determine the viability of replicating the project in Barnstable County”; and

In said section 2, in said item 5046-0000, by striking out the figure “$486,614” and inserting in place thereof the following figure:- “$551,614”.

Budget Amendment ID: FY2019-S4-545

EHS 545

Penalty for owner or operator for use of EBT at prohibited locations

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

"SECTION_.Section 5J of chapter 18 as appearing in the 2016 official edition is hereby amended by striking lines 18-20 in their entirety and inserting in place thereof the following:-"not more than $1,000 for a first offense, by a fine of not less than $1,000 nor more than $5,000 for a second offense and by a fine of not less than $5,000 for a third and subsequent offense"

Budget Amendment ID: FY2019-S4-546-R1

Redraft EHS 546

Narcan 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

in said section 2, in said item 4512-0204, by striking out the figure “$970,000” and inserting in place thereof the following figure:- “$990,000”.

Budget Amendment ID: FY2019-S4-546

EHS 546

Narcan 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 $50,000 shall be made available to Barnstable County for the purchase of Naloxone through the municipal naloxone bulk purchase program”; and

In said section 2, in said item 4512-0204, by striking out the figure “$970,000” and inserting in place thereof the following figure:- “$1,020,000”.

Budget Amendment ID: FY2019-S4-548

EHS 548

Level staffing at Tewksbury State Hospital

Ms. L'Italien, Messrs. Cyr and Timilty moved that the proposed new text be amended in section 2, in item 4590-0915, by inserting at the end thereof the following words:- “; provided further, that Tewksbury hospital shall maintain the same number of beds in fiscal year 2019 as was maintained in fiscal year 2018”.

Budget Amendment ID: FY2019-S4-552

EHS 552

Randolph Elder Affairs Dementia Training Initiative

Mr. Timilty moved that the proposed new text be amended in section 2, in item 9110-9002, by adding the following words:- "provided further, that $40,000 shall be granted to the town of Randolph’s Department of Elder Affairs for a training program for town employees on how to best interact with citizens suffering from dementia"; and in said section 2, in said item 9110-9002 by striking out the figure "15,700,000" and inserting in place thereof the following figure:- "15,740,000".

Budget Amendment ID: FY2019-S4-553

EHS 553

Elder Homelessness Prevention and Support

Messrs. Lewis, Eldridge, Barrett and Cyr, Ms. Jehlen, Messrs. Moore and Welch, Ms. L'Italien, Ms. Gobi, Messrs. Montigny and O'Connor moved that the proposed new text be amended in section 2, in item 9110-1700, by striking out the figures “$186,000” and inserting in place thereof the following figures:- “$286,000”.

Budget Amendment ID: FY2019-S4-555

EHS 555

Bureau of Environmental Health

Messrs. Cyr and O'Connor moved that the proposed new text be amended in section 2, in item 4510-0600, by striking out the figure “$3,755,666“ and inserting in place thereof the following figure:- “$4,455,666”

Budget Amendment ID: FY2019-S4-556-R1

Redraft EHS 556

Pilot Program for Community Networks for Aging in Place

Messrs. Lewis and Cyr, Ms. Gobi and Mr. Moore moved that the proposed new text be amended in section 2, in item 9110-1630, by adding the following "and provided further, that not less than $35,000 shall be expended for a 1 year pilot program for the demonstration of the community network aging in place in Brookline, Nauset, and Reading"; and In said section 2, in said line item 9110-1630, by striking out the figures “$175,019,124” and inserting in place thereof the figures “$175,054,124”.

Budget Amendment ID: FY2019-S4-556

EHS 556

Pilot Program for Community Networks for Aging in Place

Messrs. Lewis and Cyr moved that the proposed new text be amended in section 2, in item 9110-9002, by adding the following "and provided further, that not less than $35,000 shall be expended for a 1 year pilot program for the demonstration of the community network aging in place in Brookline, Nauset, and Reading"; and In said section 2, in said line item 9110-9002, by striking out the figures “$15,700,000” and inserting in place thereof the figures “$15,735,000”.

Budget Amendment ID: FY2019-S4-561

EHS 561

LGBTQ Training

Ms. L'Italien, Mr. Hinds, Ms. Jehlen, Messrs. Eldridge, Cyr, Lewis, Barrett, Moore, Welch, Timilty and Collins, Ms. Gobi, Messrs. O'Connor and Ross moved that the proposed new text be amended by inserting after section 63 the following section:- "SECTION 64. Chapter 19A of the General Laws, as appearing in the 2016 official edition, is hereby amended by inserting after section 41 the following section:-

“Section 42. The department shall develop a curriculum and training program on the prevention and elimination of discrimination based on sexual orientation, gender identity and expression and on improving access to services for lesbian, gay, bisexual and transgender elders and caregivers. The training program shall be completed by all providers of services who contract with or receive funding from the department, Aging Service Access Points or the MassHealth Office of Long Term Care, or whose services are certified by the department. The training curriculum established pursuant to section 42 of chapter 19A of the General Laws shall be completed within 9 months of enactment of the legislation and a provider shall commence the training program within 12 months of employment."

Budget Amendment ID: FY2019-S4-562

EHS 562

East Bridgewater Council on Aging Volunteer Coordinator

Mr. Timilty 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 be expended to the Town of East Bridgewater for a full time volunteer coordinator at the Council on Aging"; and in said section 2, in said item 7008-0900, by striking out the figure "15,700,000" and inserting in place thereof the following figure:- "15,725,000".

Budget Amendment ID: FY2019-S4-563

EHS 563

Treehouse

Messrs. Humason, Lewis, Eldridge and Welch and Ms. O'Connor Ives moved that the proposed new text be amended in section 2, in item 4800-0038, by adding the following the words:-

“; not less than $100,000 shall be expended for Treehouse Foundation of Easthampton to expand the inter-generational Treehouse Community model to the Boston MetroWest region" and in said item by striking out the figures “$297,006,167” and inserting in place thereof the figures “$297,106,167”.

Budget Amendment ID: FY2019-S4-568

EHS 568

Provincetown Nursing Home Reimbursement Rate

Mr. Cyr moved that the proposed new text be amended in section 2, in item 4000-0601, by inserting the following words:- "; provided further, that the executive office and its agencies, when contracting for services in the town of Provincetown, shall take into consideration the increased costs associated with the provision of goods, services and housing in said town".

Budget Amendment ID: FY2019-S4-569

EHS 569

Rossetti-Cowan Senior Center

Mr. Boncore moved that the proposed new text be amended in section 2, in item 9110-9002, by inserting at the end thereof the following:-

"provided further that not less than $100,000 shall be expended for the Rossetti-Cowan Senior Center in Revere".

Budget Amendment ID: FY2019-S4-569-R1

Redraft EHS 569

Rossetti-Cowan Senior Center

Mr. Boncore moved that the proposed new text be amended in section 2, in item 9110-9002, by inserting at the end thereof the following:-

"provided further that not less than $50,000 shall be expended for the Rossetti-Cowan Senior Center in Revere".

Budget Amendment ID: FY2019-S4-570-R1

Redraft EHS 570

Safety Dance

Mr. Humason 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 for the South Holyoke Safe Neighborhood Initiative”; and

in said section 2, in said item 4590-1507, by striking out the figure “$500,000” and inserting in place thereof the following figure:- “$530,000”.

Budget Amendment ID: FY2019-S4-570

EHS 570

Safety Dance

Mr. Humason moved that the proposed new text be amended in section 2, in item 4590-1507, by inserting at the end thereof the following:- "provided further, that $50,000 shall be expended for the South Holyoke Safe Neighborhood Initiative";

and further in said item, by striking out the figures "$500,000" and inserting in place thereof the figures "$550,000"

Budget Amendment ID: FY2019-S4-572

EHS 572

Ensuring contracting parity for critical access MassHealth specialty providers

Messrs. Lewis, Boncore, O'Connor and DiDomenico moved that the proposed new text be amended by inserting after section ___ the following section:-

"SECTION X. Notwithstanding any other general or special law to the contrary, the secretary of health and human services shall ensure division of medical assistance payment provisions for managed care organization and accountable care partnership plan contracts applying to freestanding pediatric acute hospitals and specialty cancer acute hospitals shall apply to pediatric specialty units as defined within section 8A of chapter 118E of the Massachusetts General Laws."

Budget Amendment ID: FY2019-S4-573

EHS 573

Children's Advocacy Centers

Messrs. Cyr, Rodrigues, Montigny and Feeney, Ms. Gobi, Messrs. O'Connor and Ross 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 2019”.

Budget Amendment ID: FY2019-S4-574

EHS 574

Brain Injury Services

Messrs. Barrett, Moore and Eldridge, Ms. Friedman, Messrs. Crighton, Brady, Lewis and Hinds, Ms. L'Italien, Messrs. Feeney, Keenan and Welch, Ms. Gobi, Messrs. O'Connor and Ross moved that the proposed new text be amended in section 2, in item 4120-6000, by striking out the figure “$16,364,075” and inserting in place thereof the following figure:- “$16,614,075”.

Budget Amendment ID: FY2019-S4-575

EHS 575

Youth at Risk

Messrs. Cyr, Lewis and Brownsberger, Ms. Friedman, Messrs. Moore, Welch and DiDomenico, Ms. Gobi, Messrs. Eldridge, Lesser, O'Connor, Ross and Feeney moved that the proposed new text be amended in section 2, in item 4590-1507, by inserting after the word " programs", in line 4, the following words:- "; provided, that the department of public health shall award not less than $500,000 for competitively procured grants to youth at-risk programs utilizing an evidence-based positive youth development model, including programs that serve lesbian, gay, bisexual, transgender, queer and questioning youth".

Budget Amendment ID: FY2019-S4-576

EHS 576

Fragile Beginnings & Project NESST

Messrs. Barrett and DiDomenico, Ms. Friedman, Mr. Crighton, Ms. L'Italien, Messrs. Lewis, Eldridge, Moore, Welch, Cyr and Collins, Ms. Gobi 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 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

In said section 2, in said item 4800-0038, by striking out the figure “$297,006,167” and inserting in the place thereof the following figure:- “297,406,167”.

Budget Amendment ID: FY2019-S4-576-R1

Redraft EHS 576

Fragile Beginnings & Project NESST

In said section 2, in said item 4800-0038, by striking out the figure “$297,006,167” and inserting in the place thereof the following figure:- "297,156,167".

Budget Amendment ID: FY2019-S4-577-R2

2nd Redraft EHS 577

Grandparents Raising Grandchildren Study Commission

Ms. L'Italien, Messrs. Feeney, Ross, Crighton, deMacedo, Rodrigues, Moore, Tarr, Cyr and Lesser moved that the proposed new text be amended in section 2, by inserting after section XX the following section:-

SECTION XX. The commission on the status of grandparents raising grandchildren shall study and analyze the impact opioid use in the commonwealth has and will have on grandparents and other relatives raising related children, provided, however, that the study shall include, but not be limited to an investigation into (i) the number of individuals in the Commonwealth raising related children of relatives; (ii) the number of individuals in the Commonwealth raising grandchildren because one or both of the parents are addicted to an opioid drug; (iii) resources available to provide services to both the grandparent or other relative as well as the children; and (iv) whether such services are coordinated in a manner that is useful to the grandparents and other relatives. The commission shall contract with the University of Massachusetts Medical School to complete the study, and the commission shall submit a report of its findings and recommendations, together with drafts of legislation necessary to carry those recommendations into effect, by filing the same with the joint committee on elder affairs and the joint committee on mental health, substance use and recovery not later than July 1 2019.;

and in said section 2, in item 9110-0100, by inserting at the end thereof the following words:- "; and provided further that not less than $50,000 shall be allocated to the department of elder affairs, who shall contract with the University of Massachusetts Medical School to conduct a study on the impact opioid use in the Commonwealth has and will have on grandparents and other relatives raising related children;"

and in said section 2, in said item 9110-0100, by striking the figure "$2,099,609" and inserting in place thereof the following figure:- "$2,149,609"

Budget Amendment ID: FY2019-S4-577-R3

3rd Redraft EHS 577

Grandparents Raising Grandchildren Study Commission

Ms. L'Italien, Messrs. Feeney, Ross, Crighton, deMacedo, Rodrigues, Moore, Tarr, Cyr and Lesser 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, who 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 further, 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 one or both of the parents are addicted to an opioid drug; (iii) resources available to provide services to both the grandparent or other relative as well as 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: FY2019-S4-577

EHS 577

Grandparents Raising Grandchildren Study Commission

Ms. L'Italien, Messrs. Feeney, Ross, Crighton, deMacedo, Rodrigues, Moore and Tarr 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, who shall contract with the University of Massachusetts Medical School to conduct a study on the impact opioid use in the Commonwealth has and will have on grandparents and other relatives raising related children, and provided further that the study will 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 one or both of the parents are addicted to an opioid drug; (iii) resources available to provide services to both the grandparent or other relative as well as the children; and (iv) whether such services are coordinated in a manner that is useful to the grandparents and other relatives.............$80,000"

Budget Amendment ID: FY2019-S4-577-R1

Redraft EHS 577

Grandparents Raising Grandchildren Study Commission

Ms. L'Italien, Messrs. Feeney, Ross, Crighton, deMacedo, Rodrigues, Moore, Tarr, Barrett, Cyr and Welch, Ms. Gobi, Messrs. Lesser and O'Connor moved that the proposed new text be amended in section 2, by inserting after section XX the following section:-

In said section 2, by inserting, after item 4590-2001 the following item:-

"4590-2010 For the department of elder affairs, who shall contract with the University of Massachusetts Medical School to conduct a study on the impact opioid use in the Commonwealth has and will have on grandparents and other relatives raising related children .............$80,000"

Budget Amendment ID: FY2019-S4-583

EHS 583

DPH Airplane Noise Impact Study

Messrs. Timilty, DiDomenico and O'Connor 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: FY2019-S4-585

EHS 585

Expanding Mental Health Treatment

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

SECTION __. There is hereby established a special commission to study expanding the use of public psychiatric hospitals operated by the Department of Mental Health. The commission shall investigate the cost of opening and operating new facilities, impacts on other health care facilities, private and public insurance coverage for inpatient psychiatric treatment, feasibility and impacts of mandatory treatment, and any other relevant matter.

The commission shall consist of the following members: the commissioner of the department of mental health or a designee; the chairs of the joint committee on mental health, substance use, and recovery; one member appointed by the house minority leader; one member appointed by the senate minority leader and three members appointed by the governor, two of whom shall have experience in the mental or behavioral health fields, and one of whom shall have experience in the public safety field.

The commission shall file the results of its study together with recommendations for legislation with the clerks of the house or representatives and senate on or before December 31, 2018.

Budget Amendment ID: FY2019-S4-586

EHS 586

Durable Medical Equipment Program

Messrs. Rush, Ross, Moore and Tarr, Ms. L'Italien and Mr. O'Connor moved that the proposed new text be amended in section 2, in item 4120-4000, by adding the following words:- ";provided further, that $85,000 shall be expended for equipment associated with Durable Medical Equipment Reuse Program"; and in said section 2, in said item 4120-4000, by striking the figure "$10,312,558" and inserting in place thereof the following figure:- "10,397,558".

Budget Amendment ID: FY2019-S4-587-R1

Redraft EHS 587

Nursing Home Facility Assessment

Messrs. Rodrigues, Ross and Eldridge, Ms. Friedman, Messrs. Pacheco, Cyr and Moore, Ms. L'Italien, Ms. Gobi, Messrs. Feeney, Lewis, Tarr, Collins, O'Connor, Fattman, Timilty, Brady and Rush moved that the proposed new text be amended by adding the following sentence:- “The executive office of health and human services shall utilize any unexpended balance from the cumulative total of the established nursing facility Medicaid rates for Fiscal Year 2019 to provide the funds to fully recognize the Medicaid share of the nursing home assessment established by section 63 of chapter 118E of the General Laws.”.

Budget Amendment ID: FY2019-S4-587

EHS 587

Nursing Home Facility Assessment

Messrs. Rodrigues, Ross and Eldridge, Ms. Friedman, Messrs. Pacheco, Cyr and Moore, Ms. L'Italien, Ms. Gobi, Messrs. Feeney, Lewis, Tarr, Collins, O'Connor, Fattman, Timilty, Brady and Rush moved that the proposed new text be amended in section 23 by adding at the end thereof the following sentence :- "The executive office of health and human services shall establish nursing facility MassHealth rates that fully recognize the Medicaid share of the nursing home assessment established by section 63 of chapter 118E of the General Laws."

Budget Amendment ID: FY2019-S4-589-R1

Redraft EHS 589

Employer Medical Assistance Contribution Hardship Exemption

Messrs. Cyr, Rodrigues, Tran and Eldridge, Ms. Friedman, Messrs. Brady, Pacheco, Ross, Hinds and Moore, Ms. L'Italien, Ms. Gobi, Messrs. Lesser, Feeney, Welch, Tarr, Timilty, Collins, O'Connor, Fattman and Rush, Ms. Creem and Mr. DiDomenico moved that the proposed new text be amended by inserting after section 38 the following section:-

“SECTION 38A. Chapter 63 of the acts of 2017 is hereby amended by inserting after section 14 the following section:-

SECTION 14A. (a) The director of unemployment assistance, in consultation with the secretary of administration and finance, shall develop and may approve a hardship waiver for an employer experiencing a financial hardship due to its liability under an increased contribution pursuant to section 3, 5, 7 or 9. In evaluating eligibility for a hardship waiver under this section, special consideration may be given to businesses including, but not limited to: (i) businesses with limited or variable revenue; (ii) small businesses; (iii) employers with seasonal or temporary employees; and (iv) employers providing services that serve the public interest. The hardship waiver may reduce or fully exempt an employer from its liability under an increased contribution.

(b) The director of unemployment assistance, in consultation with the secretary of administration and finance, shall develop and may approve procedures for providing advanced notice and extending the due date of a contribution required under section 9. The director may provide notice of the procedures for requesting an extension to an employer at the same time and in the same manner as the notice of a liability determination.”

Budget Amendment ID: FY2019-S4-589

EHS 589

Employer Medical Assistance Contribution Hardship Exemption

Messrs. Cyr, Rodrigues, Tran and Eldridge, Ms. Friedman, Messrs. Brady, Pacheco, Ross, Hinds and Moore, Ms. L'Italien, Ms. Gobi, Messrs. Lesser, Feeney, Welch, Tarr, Timilty, Collins, O'Connor, Fattman and Rush moved that the proposed new text be amended by adding the following section:-

SECTION X: Section 189A of Chapter 149, as established by Chapter 63 of the Acts of 2017, is hereby amended by adding the following paragraph:-

“The director of unemployment assistance, in consultation with participating agencies, shall identify certain types or classes of employers offering services to Executive Office of Health and Human Services members or beneficiaries and Executive Office of Elder Affairs clients to exempt based on non-profit status; or direct care services provided to Medicaid members, Division of Transitional Assistance members, executive office of elder affairs’ clients; or other similar circumstances that serve the public interest. The director of unemployment assistance shall develop a hardship exemption waiver for an employer experiencing a disparate impact due to its liability under the employer contribution. The hardship exemption waiver shall reduce or fully exempt an employer from its liability under the employer contribution.”

SECTION ___. Section X shall take effect on July 1, 2018.

Budget Amendment ID: FY2019-S4-590

EHS 590

Addiction Treatment

Messrs. Humason, Welch and Lesser moved that the proposed new text be amended in section 2, in item 4512-0200, by adding the following: "and provided further that not less than $200,000 shall be expended to for services provided at the acute care hospital located in Hampden County with an inpatient addiction treatment unit.”

Budget Amendment ID: FY2019-S4-592

EHS 592

EMPOWER Program

Messrs. Humason, Welch and Lesser moved that the proposed new text be amended in section 2, in item 4512-0200, by adding the following words:-

“and provided further that not less than $150,000 shall be made available to the Empowering Mothers for Positive Outcomes with Early Referral Program at Baystate Medical Center”

and in said item by striking out the figures “$141,783,457” and inserting in place thereof the figures “$141,933,457”.

Budget Amendment ID: FY2019-S4-592-R1

Redraft EHS 592

EMPOWER Program

Messrs. Humason, Welch and Lesser and Ms. Gobi moved that the proposed new text be amended in section 2, in item 4512-0205, in item 4512-0205, by adding the following words:- “; provided further, that not less than $150,000 shall be expended for the Empowering Mothers for Positive Outcomes with Early Referral Program at Baystate Medical Center, Inc.”; and

in said section 2, in said item 4512-0205, by striking out the figure “$425,000” and inserting in place thereof the following figure:- “$575,000”.

Budget Amendment ID: FY2019-S4-593

EHS 593

National Association for Black Veterans, Inc.(NABVETS) Veterans First Outreach Center

Messrs. Welch and Lesser, Ms. Gobi, Messrs. Humason 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 $200,000 shall be expended to the Springfield chapter of NABVET’s Veteran’s First Outreach Center, to provide outreach services to veterans in Hampden County”; and

In said section 2, in said item 1410-0012, by striking out the figure “$4,556,641” and inserting in place thereof the following figure:- “$4,756,641”.

Budget Amendment ID: FY2019-S4-594-R1

Redraft EHS 594

FIT Body & Soul Diabetes Prevention

Messrs. Welch, Lesser and O'Connor 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; provided further, that not less than $25,000 shall be expended to Stone Soul, Inc. in the city of Springfield for the Stone Soul community festival; provided further, that not less than $50,000 shall be expended to the Irish Cultural Center, Inc. of Western New England in the town of West Springfield; provided further, that not less than $50,000 shall be expended to Friends of West Springfield Park and Recreation in the town of West Springfield for infrastructure improvements and park maintenance”; and

in said section 2, in said item 7008-0900, by striking out the figure “$848,176” and inserting in place thereof the following figure:- “$998,176”.

Budget Amendment ID: FY2019-S4-594

EHS 594

FIT Body & Soul Diabetes Prevention

Messrs. Welch, Lesser and O'Connor moved that the proposed new text be amended in section 2, in item 7008-0900, by adding the following words:- "; provided, that not less than $50,000 shall be expended for the FIT Body and Soul diabetes prevention program in Springfield"; and

In said section 2, in said item 7008-0900, by striking out the figure “$3,434,369” and inserting in place thereof the following figure:- “$3,484,369”.

Budget Amendment ID: FY2019-S4-595

EHS 595

South End Community Center

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, that not less than $75,000 shall be expended for the South End Community Center's Youth Corp program in Springfield"; and

In said section 2, in said item 4000-0005, by striking out the figure “$7,000,000” and inserting in place thereof the following figure:- “$7,075,000”.

Budget Amendment ID: FY2019-S4-596

EHS 596

The Accessible Local News and Information Broadcast Services for People with Vision Impairments

Messrs. Welch, Hinds, Humason, Lesser, Cyr and deMacedo, Ms. Gobi, Messrs. Moore, Eldridge and Tran, Ms. L'Italien and Mr. 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 $325,000 be expended evenly among each of the following radio reading services: Audible Local Ledger, Audio Journal, Berkshire Talking Chronicle, Lowell Association for the Blind, and Valley Eye Radio”; and

In said item by striking out the figure “$6,071,917” and inserting in place thereof the figure “$6,396,917”.

Budget Amendment ID: FY2019-S4-597-R1

Redraft EHS 597

Martin Luther King, Jr. Family Services

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, that not less than $20,000 shall be expended for the Martin Luther King Jr. Family Services, Inc. to provide comprehensive youth development and violence prevention services to at-risk youth; provided further, that not less than $25,000 shall be expended to Springfield Partners For Community Action, 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 section 2, in said item 4000-0005, by striking out the figure “$7,000,000” and inserting in place thereof the following figure:- “$7,045,000”.

Budget Amendment ID: FY2019-S4-597

EHS 597

Martin Luther King, Jr. Family Services

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, that not less than $75,000 shall be expended for 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 “$7,000,000” and inserting in place thereof the following figure:- “$7,075,000”.

Budget Amendment ID: FY2019-S4-599

EHS 599

Monitoring Accountable Care Organization Use and Efficacy of Non-Medical Services

Messrs. Welch and Eldridge, Ms. Friedman, Messrs. Crighton, Cyr, Lewis, Moore, Tarr and O'Connor moved that the proposed new text be amended in section 2, in item 4000-0500, by striking out the following words "(iii) the projected and to date cost effectiveness of spending on traditionally non-reimbursed flexible services to address health-related social needs including, but not limited to, housing stabilization and support, utility assistance, non-medical transportation, physical activity and nutrition and sexual assault and domestic violence supports" and inserting in place thereof the following words:- "(iii) a summary of spending and activities related to traditionally non-reimbursed services to address health-related social needs including, but not limited to, housing stabilization and support, utility assistance, non-medical transportation, physical activity, nutrition and sexual assault and domestic violence supports; provided further that such summary shall include, to the maximum extent practicable, aggregated data on the results of health-related social needs screening, the number of referrals to human service providers to address such screening, the result of such referrals, and changes in health status; provided further, that such data shall be stratified by demographic factors to support an analysis of the impact on health disparities; provided further, that where data is not available, a report on progress toward establishing necessary data systems shall be provided".

Budget Amendment ID: FY2019-S4-600

EHS 600

Funding Predictability for Disproportionate Share Hospitals

Messrs. Welch and Lewis, Ms. Jehlen, Messrs. DiDomenico and Collins, Ms. Gobi, Messrs. Moore, Montigny and Pacheco moved that the proposed new text be amended in section 2, in item 4000-0700, by striking the words “provided further, that MassHealth may expend an additional $13,000,000 in the aggregate for acute care hospitals that have more than 63 per cent of their gross patient service revenue from governmental payers and free care as determined by the executive office;” and inserting in place thereof the following words:- “provided further, that MassHealth shall expend not less than $13,000,000 in its reimbursement rates to provide an additional 2 percent to its inpatient adjudicated payment amount per discharge and an additional 2 percent to its outpatient adjudicated payment amount per episode of care for disproportionate share hospitals as defined under section 8A of chapter 118E; provided further, the executive office shall provide a supplemental payment of at least $5,000,000 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;”.

Budget Amendment ID: FY2019-S4-601

EHS 601

Baystate Education

Messrs. Welch, Lesser and O'Connor moved that the proposed new text be amended in section 2, in item 1599-7115, by inserting after item 1599-3100 the following item:- “1599-7115 For a reserve to provide one western Massachusetts regional academic health system a one-time payment of $1,000,000 to host a distinct educational track for a Massachusetts medical school focused on rural and urban primary care, population health and integrated health delivery…………..$1,000,000”.

Budget Amendment ID: FY2019-S4-602

EHS 602

Medicaid ACO Amendment

Messrs. Welch, Lesser and O'Connor moved that the proposed new text be amended in section 2, in item 4000-0500, by inserting after the words “said chapter 118E and section 16C of said chapter 118E;”, the following words:- "provided further, that MassHealth shall accelerate the timeframe in which lower network variation factor ACOs receive the full market rate in contract year 2019;".

Budget Amendment ID: FY2019-S4-603

EHS 603

Preserving Access to Behavioral Health Services in Western Mass

Messrs. Welch, Lesser and Humason and Ms. Gobi moved that the proposed new text be amended in section 2, in item 4000-0700, by inserting after the words “free care as determined by the executive office”, the following words:- “provided further, that not less than $4,000,000 shall be expended for disproportionate share payments for services provided at an acute care hospital located in Hampden County with an inpatient child and adolescent psychiatric unit;”.

Budget Amendment ID: FY2019-S4-605

EHS 605

Healthcare for patients displaced by Hurricane Maria and Irma

Messrs. Welch, Lesser and Humason moved that the proposed new text be amended in section 2, in item 4000-0700, by adding the following words:- “; provided further that funds shall be expended, with a methodology consistent with Medicaid reimbursements, from this line item for hospitals in Hampden County disproportionately impacted by treating uninsured patients displaced by natural disasters in Puerto Rico”.

Budget Amendment ID: FY2019-S4-606

EHS 606

Puerto Rico/USVI Evacuee Medical Care

Messrs. Welch, Lesser, Humason and O'Connor 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 $500,000 shall be made available to a western Massachusetts academic medical center with three community health centers for the extraordinary costs associated with the intake, assessment, treatment and care of Puerto Rican and US Virgin Island evacuees who are receiving community health services at said Western Mass AMC and community health centers".

Budget Amendment ID: FY2019-S4-606-R1

Redraft EHS 606

Puerto Rico/USVI Evacuee Medical Care

Messrs. Welch, Lesser, Humason and O'Connor 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 $500,000 shall be made available to a western Massachusetts academic medical center with three community health centers for the costs associated with the intake, assessment, treatment and care of evacuees from the commonwealth of Puerto Rico and the Virgin Islands of the United States who are receiving community health services at said western Massachusetts academic medical center and community health centers”; and

in said section 2, in said item 4000-0300, by striking out the figure “$103,379,599” and inserting in place thereof the following figure:- “$103,879,599”.

Budget Amendment ID: FY2019-S4-608

EHS 608

North Quabbin Community Coalition

Ms. Gobi, Messrs. Hinds and Welch moved that the proposed new text be amended in section 2, in item 4590-0250, by adding the following:

"and provided further, that not less than $100,000 shall be expended for the North Quabbin Community Coalition."

Budget Amendment ID: FY2019-S4-608-R1

Redraft EHS 608

North Quabbin Community Coalition

Ms. Gobi, Messrs. Hinds and Welch moved that the proposed new text be amended in section 2, in item 4590-0250, by adding the following:- "and provided further, that not less than $50,000 shall be expended for the North Quabbin Community Coalition in the town of Athol"; and

in said item, by striking out the figures “$11,765,955” and inserting in place thereof the figures “$11,815,955”.

Budget Amendment ID: FY2019-S4-609

EHS 609

Massachusetts Office of Victim Assistance (MOVA)

Messrs. Lesser, Welch, Cyr, Hinds, Humason and Brownsberger moved that the proposed new text be amended in section 2, in item 0840-0100, by striking out the figure “$587,531” and inserting in place thereof the following figure:- "$837,531".

Budget Amendment ID: FY2019-S4-610

EHS 610

Funding for Substance Abuse Coalitions

Mr. Timilty 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 $360,000 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, East Bridgewater Hope, Easton Wings of Hope, Milton Substance Abuse Prevention Coalition, Randolph Substance Abuse Prevention Coalition, Sharon Substance Prevention Resource Commission, and Organizing Against Substance Abuse in Stoughton”; and in said section 2, in said item 4512-0205, by striking out the figure “$425,000” and inserting in place thereof the following figure:- “$785,000”.

Budget Amendment ID: FY2019-S4-610-R1

Redraft EHS 610

Funding for Substance Abuse Coalitions

Messrs. Timilty, Keenan, Feeney 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 $270,000 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”;

Budget Amendment ID: FY2019-S4-611

EHS 611

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 to be expended on a service coordinator for Randolph THRIVE"; and in said section 2, in said item 7004-0099, by striking out the figure "6,739,414" and inserting in place thereof the following figure:- "6,769,414".

Budget Amendment ID: FY2019-S4-612

EHS 612

Arlington Youth Counseling Center

Ms. Friedman moved that the proposed new text be amended in section 2, in item 5042-5000, by adding at the end thereof the following:- “; and provided further, that not less than $160,000 shall be expended to the Arlington Youth Counseling Center.”

And, in said item, by striking out the figure “$92,196,539” and inserting in place thereof the following figure:- “$92,356,539”

Budget Amendment ID: FY2019-S4-614

EHS 614

Bridge for Resilient Youth in Transition Programs

Ms. Friedman, Messrs. Humason, Barrett, Lewis and Moore, Ms. Creem, Messrs. Eldridge, Feeney, Welch, Keenan, O'Connor and Ross moved that the proposed new text be amended in section 2, in item 4590-0250, by adding at the end thereof the following:- “; and provided further, that not less than $250,000 shall be expended to enhance the Commonwealth's capacity to support the development of school-based Bridge programs for youth who have had prolonged absence due to hospitalization for physical or mental health care.”

And, in said item, by striking out the figure “$11,765,955” and inserting in place thereof the figure:- “$12,015,955”

Budget Amendment ID: FY2019-S4-615

EHS 615

Co-Responder Model

Ms. Friedman, Messrs. Eldridge, Moore, Cyr and Welch, Ms. L'Italien, Messrs. Tarr and O'Connor moved that the proposed new text be amended in section 2, in item 5046-0000, by adding at the end thereof the following:- “; and provided further, that that the department shall disburse not less than $400,000 as grants to municipal police departments for the purpose of implementing co-responder, mental health-based diversion programs that pairs a mental health clinician with police officers to co-respond to calls with mental health elements.”

And, in said item, by striking out the figure “$486,920,614” and inserting in place thereof the following figure:- “$487,320,614”

Budget Amendment ID: FY2019-S4-616

EHS 616

Family Support and Respite

Ms. Friedman, Messrs. Rodrigues, Barrett and Brady, Ms. L'Italien, Messrs. Eldridge, Welch, Montigny, O'Connor and Cyr moved that the proposed new text be amended in section 2, in item 5920-3000, by striking out the figure “$64,014,863” and inserting in place thereof the following figure:- “$70,014,863”

Budget Amendment ID: FY2019-S4-618-R1

Redraft EHS 618

MassHealth Behavioral Health Rate Increase

Ms. Friedman, Messrs. Rodrigues, Eldridge, Brownsberger, Humason, Barrett, Crighton, Pacheco, Cyr, Hinds and Welch, Ms. L'Italien, Messrs. Moore, Feeney and Lewis, Ms. O'Connor Ives, Messrs. O'Connor, Boncore and DiDomenico moved that the proposed new text be amended in section 2, in item 4000-0700, by striking out the words “establish payment rates for outpatient adult behavioral health services that are, in the aggregate, not less than $2,000,000 more than was paid for said services in fiscal year 2018” and inserting in place thereof the following words:- “expend not less than $4,000,000 to begin to align MassHealth fee-for-service payment rates for outpatient and diversionary behavioral health services with payment rates of MassHealth accountable and managed care products”; and

in said section 2, in said item 4000-0700, by striking out the figure “$2,628,178,033” and inserting in place thereof the following figure:- “$2,630,178,033”.

Budget Amendment ID: FY2019-S4-618

EHS 618

MassHealth Behavioral Health Rate Increase

Ms. Friedman, Messrs. Rodrigues, Eldridge, Brownsberger, Humason, Barrett, Crighton, Pacheco, Cyr, Hinds and Welch, Ms. L'Italien, Messrs. Moore, Feeney and Lewis, Ms. O'Connor Ives, Messrs. O'Connor and Boncore moved that the proposed new text be amended in section 2, in item 4000-0700, by striking out the words “establish payment rates for outpatient adult behavioral health services that are, in the aggregate, not less than $2,000,000 more than was paid for said services in fiscal year 2018” and inserting in place thereof the following words:- “expend not less than $7,000,000 to align MassHealth Fee-For-Service payment rates for outpatient and diversionary behavioral health services with payment rates of MassHealth accountable and managed care products”

And, in said item, by striking out the figure “$2,628,178,033” and inserting in place thereof the following figure:- “$2,633,178,033”

Budget Amendment ID: FY2019-S4-619

EHS 619

NAMI Peer to Peer Program

Ms. Friedman, Messrs. Lewis, Eldridge, Crighton, Brady, Barrett, Brownsberger, DiDomenico, Tarr, Montigny and O'Connor and Ms. L'Italien moved that the proposed new text be amended in section 2, in item 5046-0000, by adding at the end thereof the following:- “; and provided further, that not less than $40,000 shall be expended to the National Alliance on Mental Illness Massachusetts for its Peer-to-Peer education program for individuals dealing with mental illness.”

And, in said item, by striking out the figure “$486,920,614” and inserting in place thereof the following figure:- “$486,960,614”

Budget Amendment ID: FY2019-S4-620

EHS 620

Protecting Medically Complex and Fragile Children

Ms. Friedman, Messrs. Rodrigues, Feeney and Eldridge, Ms. L'Italien, Messrs. Brownsberger, Lewis, Crighton, Pacheco, Cyr, Moore, Welch, Barrett, Tarr, O'Connor, Ross and DiDomenico moved that the proposed new text be amended in section 2, in item 4000-0601, by adding at the end thereof the following:- “; and provided further, that an additional $16,000,000 shall be expended for provider agency reimbursement rates under the MassHealth Continuous Skilled Nursing Program for Medically Complex Children and Adults requiring specialized care in all settings.”

And, in said item, by striking out the figure “$3,583,516,725” and inserting in place thereof the following figure:- “$3,599,516,725”

Budget Amendment ID: FY2019-S4-620-R1

Redraft EHS 620

Protecting Medically Complex and Fragile Children

“SECTION 4A. Chapter 12C of the General Laws, as appearing in the 2016 Official Edition, is hereby amended by adding the following section:-

Section 24. The center, in conjunction with MassHealth, shall prepare a biennial report related to the pediatric patients requiring continuous skilled nursing care, as defined in 101 CMR 350.02 and 130 CMR 403.402. The report shall include, but not be limited to: (i) the number of pediatric patients requiring continuous skilled nursing care; (ii) the average, median and total number of continuous skilled nursing hours authorized by MassHealth per day, week, month and year; (iii) the average, median and total number of authorized continuous skilled nursing hours actually delivered per day, week, month and year; (iv) whether there are any distinguishing characteristics of patients that do not have authorized continuous skilled nursing hours filled; (v) any identifiable gaps in the number of filled authorized hours based on patient acuity or other factors; (vi) the proportion of utilization to authorization of service hours in comparison to patient acuity; (vii) the number of nurses providing continuous skilled nursing care to more than 1 patient at a time and the proportion of utilization to authorization of said patients; (viii) the number of nurses who contract with MassHealth to provide continuous skilled nursing care and whether the number is sufficient to fill all authorized continuous skilled nursing hours; (ix) the training, experience and education level of the nurses who contract with MassHealth to provide continuous skilled nursing care; and (x) a review of the adequacy of the reimbursement rates for continuous skilled nursing, as defined in 101 CMR 350.04(2), and a comparison of those rates with the median reimbursement rate paid to all nurses in the commonwealth.

Not later than January 1 of each odd numbered year, the report shall be filed with the secretary of health and human services, the clerks of the senate and the house of representatives, the joint committee on health care financing, the joint committee on public health and the senate and house committees on ways and means. The center shall make the report publicly available on its website.”.

Budget Amendment ID: FY2019-S4-621-R1

Redraft EHS 621

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. in the city of Brockton”.

Budget Amendment ID: FY2019-S4-621

EHS 621

Champion Plan

Mr. Brady moved that the proposed new text be amended in section 2, in item 4512-0200, by adding the following: "and provided further, that not less than $50,000 shall be expended for the Champion Plan in the city of Brockton.”

Budget Amendment ID: FY2019-S4-622

EHS 622

Living Independently for Equality

Messrs. Brady, Timilty and O'Connor moved that the proposed new text be amended in section 2, in item 4120-4000, by adding the following words:- "; provided further, that $30,000 shall be expended for living independently for equality in the city of Brockton"; and

In said section 2, in said item 4120-4000, by striking out the figure ''$10,312,558" and inserting in place thereof the following figure:-''$10,342,558".

Budget Amendment ID: FY2019-S4-623

EHS 623

Bucket Brigade

Mr. Humason and Ms. Gobi 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 $90,000 be expended for the purposes of a juvenile firesetter intervention and prevention program in Hampshire and Franklin Counties, the Town of Athol, and the City of Holyoke”;

and in said item by striking out the figures “$92,196,539” and inserting in place thereof the figures “$92,286,539”.

Budget Amendment ID: FY2019-S4-624

EHS 624

Massachusetts School Nurse Organization

Messrs. Cyr and Lewis, Ms. L'Italien, Messrs. Eldridge, Timilty, Collins, Crighton, O'Connor, deMacedo and Boncore moved that the proposed new text be amended in section 2, in item 4590-0250, by striking out the figure "$11,765,955" and inserting in place thereof the following figure:- "$11,844,395".

Budget Amendment ID: FY2019-S4-625

EHS 625

FGM Public Education

Mr. Brownsberger moved that the proposed new text be amended in section 2, by inserting after item 4510-0112 the following item:

"4510-XXXX For the department of public health, for a program of education, prevention and outreach relative to female genital mutilation; provided, that such program shall be designed to inform the public about the health risks and emotional trauma inflicted by the practice of female genital mutilation………………………………….$250,000"

Budget Amendment ID: FY2019-S4-626

EHS 626

Community Health Center Grant Program

Messrs. Brady and O'Connor moved that the proposed new text be amended in section 2, in item 4510-0110, by striking out the figure $503,653 and inserting in place thereof the figure $1,003,653.

Budget Amendment ID: FY2019-S4-627-R1

Redraft EHS 627

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 $75,000 shall be expended for capital needs, programming and operations at the Ella J. Baker house in Dorchester”; and

in said section 2, in said item 4800-0038, by striking out the figure “$297,006,167” and inserting in place thereof the following figure:- “$297,006,167”.

Budget Amendment ID: FY2019-S4-627-R2

2nd Redraft EHS 627

Ella J. Baker House

in said section 2, in said item 4800-0038, by striking out the figure “$297,006,167” and inserting in place thereof the following figure:- “$297,081,167”.

Budget Amendment ID: FY2019-S4-627

EHS 627

Ella J. Baker House

Mr. Collins moved that the proposed new text be amended in section 2, in item 4800-0015, by adding the following: "provided further that not less than $100,000 shall be expended for capital needs, programming, and operations at the Ella J. Baker house in Dorchester in support of their mission to provide services to at risk youth"

Budget Amendment ID: FY2019-S4-628

EHS 628

Plymouth County Children's Advocacy Center

Messrs. Brady, 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 $175,000 be expended for the Plymouth County Children’s Advocacy Center" for child victims of sexual abuse and assault”: and

In said section 2, in said item 4800-0038, by striking out the figure “$297,006,167” and inserting in place thereof the following figure:-$297,081,167”.

Budget Amendment ID: FY2019-S4-629-R2

2nd Redraft EHS 629

Essential Services Task Force

Messrs. Timilty, Brady, O'Connor, Feeney and Eldridge, Ms. L'Italien, Mr. Crighton, Ms. Gobi, Ms. Jehlen, Messrs. Welch, Pacheco, Collins and Cyr moved that the proposed new text be amended by inserting after section 56 the following section:-

“SECTION 56A. There shall be a task force to investigate the causes and effects of the discontinuation of essential health services by hospitals and existing administrative procedures for the discontinuations under chapter 111 of the General Laws. The task force shall consist of: the secretary of health and human services or a designee, who shall serve as chair; the commissioner of public health or a designee; the executive director of the center for health information and analysis or a designee; the attorney general or a designee; the secretary of labor and workforce development or a designee; the executive director of the health policy commission or a designee; 1 member of the house or representatives; 1 member of the senate; the president of the Massachusetts Nurses Association or a designee; and 3 community representatives from a region that has experienced the closure or discontinuation of an essential health service in the past 5 years, 1 of whom shall be appointed by the Governor, 1 of whom shall be appointed by the speaker of the house and 1 of whom shall be appointed by the senate president.

The task force shall review: (i) recent discontinuations of essential health services by hospitals; (ii) recent hospital closures; (iii) methods implemented in other states to discourage and to manage the discontinuation of essential health services by hospitals and hospital closures; (iv) the sufficiency of the current essential health services review process, including the role of community involvement within the process; and (v) methods implemented in other states to ensure continued access to essential health services by communities affected by a discontinuation of an essential health service or a hospital closure. To the extent possible, the task force shall incorporate into its review any drafts or discussion documents produced by the task force on the discontinuation of essential health services established under section 229 of chapter 165 of the Acts of 2014.

The task force shall provide recommendations on ways to: (i) improve the notification and community involvement processes when a hospital intends to discontinue an essential health service or cease operations; (ii) ensure that communities in the affected service area have access to alternative providers for discontinued essential health services; (iii) ensure uniform reporting of hospital costs and financial conditions across state agencies to better identify hospitals in distress that are on the verge of closing or discontinuing an essential health service; (iv) impose penalties by the department of public health on hospitals that discontinue an essential health service prior to receiving approval by the department; and (v) prevent the termination of services deemed essential health services by the department of public health.

The task force shall file a report of its findings and recommendations for legislation, if any, with the clerks of the senate and house of representatives, the joint committee on health care financing, the joint committee on public health and the senate and house committees on ways and means not later than January 31, 2019.”.

Budget Amendment ID: FY2019-S4-629-R1

Redraft EHS 629

Essential Services Task Force

SECTION XXXX. There shall be a task force to investigate the causes of and the effects of the discontinuation of essential health services by hospitals and existing administrative procedures for the discontinuations under chapter 111 of the General Laws. The task force shall be composed of: the secretary of health and human services or a designee, who shall serve as chair, the commissioner of public health or a designee, the executive director of the center for health information and analysis or a designee, the attorney general or a designee, the secretary of labor and workforce development or a designee, the executive director of the health policy commission or a designee, one member of the house or representatives, one member of the senate, a member of the Massachusetts Nurses Association and three community representatives one appointed by the Governor, one appointed by the Speaker of the House, and one appointed by the Senate President. These three community representatives shall be from diverse areas of the state that have had an essential service closed or discontinued in the past five years.

The task force shall: (i) review recent discontinuations of essential health services by hospitals; (ii) review recent hospital closures; (iii) review methods implemented in other states to discourage and to manage the discontinuation of essential health services by hospitals and hospital closures; and (iv) review methods implemented in other states to ensure continued access to essential health services by communities affected by a discontinuation of an essential health service or a hospital closure.

The task force shall provide recommendations on ways to: (1) improve the notification processes when a hospital intends to discontinue an essential health service or cease operations; (2) ensure that communities in the affected service area have access to alternative providers for discontinued essential health services; (3) ensure uniform reporting of hospital costs and financial conditions across state agencies to better identify hospitals in distress that are on the verge of closing or discontinuing an essential health service; (4) impose penalties through the department of public health to hospitals who discontinue an essential health service prior to receiving approval by the department; and (5) prevent the closure of services deemed essential health services by the department of public health.

The task force shall file a report of its findings and recommendations for legislation, if any, with the clerks of the senate and house of representatives who shall forward the same to the house and senate chairs of the joint committee on health care financing, the house and senate chairs of the joint committee on public health and the chairs of the senate and house committees on ways and means not later than January 31, 2019.

Budget Amendment ID: FY2019-S4-629

EHS 629

Essential Services Task Force

Messrs. Timilty, Brady, O'Connor, Feeney and Eldridge, Ms. L'Italien, Mr. Crighton and Ms. Gobi moved that the proposed new text be amended by adding after section X the following new section:-

"SECTION XXXX. There shall be a task force to investigate the causes of and the effects of the discontinuation of essential health services by hospitals and existing administrative procedures for the discontinuations under chapter 111 of the General Laws. The task force shall be composed of: the secretary of health and human services or a designee, who shall serve as chair, the commissioner of public health or a designee, the executive director of the center for health information and analysis or a designee, the attorney general or a designee, the secretary of labor and workforce development or a designee, the executive director of the health policy commission or a designee, one member of the house or representatives, one member of the senate, a member of the Massachusetts Nurses Association and three community representatives from diverse areas of the state that have had an essential service closed or discontinued in the past five years.

Budget Amendment ID: FY2019-S4-630

EHS 630

Play Programs

Messrs. Brownsberger, Barrett, Moore, Eldridge, Lewis, Brady, Welch and Timilty, Ms. L'Italien, Mr. Tarr, Ms. Gobi and Mr. O'Connor moved that the proposed new text be amended in section 2, in item 7004-0101, by adding the following words:- "provided, that not less than $250,000 shall be expended for play programs serving homeless children"; and

In said section 2, in said item 7004-0101, by striking out the figure "$155,878,948" and inserting in place thereof the following figure:- "$156,128,948".

Budget Amendment ID: FY2019-S4-631

EHS 631

Great Milford Area Regional Substance Abuse and Intervention Program

Mr. Fattman moved that the proposed new text be amended in section 2, in item 4512-0205, by adding at the end thereof the following:- “provided further, that not less than $50,000 be expended for the Milford Police Department and the Juvenile Advocacy Group to maintain a regional substance abuse outreach and intervention program in the Greater Milford area”; and in said item, by striking out the figure “$425,000” and inserting in place thereof the following figure:- “$475,000”.

Budget Amendment ID: FY2019-S4-632

EHS 632

Mendon Senior Center

Mr. Fattman moved that the proposed new text be amended in section 2, in item 9110-9002, by adding at the end thereof the following:- “provided further, that not less than $50,000 shall be expended for the senior center renovation and expansion in the town of Mendon”; and in said item, by striking out the figure “$15,700,000” an inserting in place thereof the following figure:- “$15,750,000”.

Budget Amendment ID: FY2019-S4-634

EHS 634

Naloxone Availability Special Commission

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

SECTION __. Notwithstanding any special or general law there shall be a special commission to study the alternatives and develop recommendations to broaden the availability of naloxone without prescription, including but not limited to recommendations on the standing order process, the collaborative practice agreement process, and/or legislative recommendations.

The special commission shall consist of: the secretary of health and human services or their designee, who shall serve as chair; the commissioner of the division of insurance or their designee; three members to be appointed by the governor, which shall include: one person who is a prescribing physician, one person who is a stakeholder within a retail pharmacy company, and one member of the general citizenry impacted by the opiate epidemic; two members of the house of representatives, one of whom to be appointed by the minority leader; two members of the senate, one of whom to be appointed by the minority leader; the director of the board of pharmacy or their designee; the director of the bureau of substance abuse services or their designee; provided, however, that the first meeting of the commission shall take place not later than January 1, 2019.

The special commission shall submit its recommendations, together with drafts of any legislation, to the clerks of the house of representatives and the senate, the chairs of the joint committee on mental health and substance abuse not later than May 1, 2019."

Budget Amendment ID: FY2019-S4-635

EHS 635

Safe Cigarette Trust Fund

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

“SECTION __. Section 2F of chapter 64C of the General Laws, as so appearing, is hereby amended by striking out the second sentence and inserting in place thereof the following sentence:- “The fund shall consist of all monies recovered as penalties for violations under section 2E or as a settlement of a claim that a person violated said section 2E.”

Budget Amendment ID: FY2019-S4-636

EHS 636

VA Benefits

Mr. Fattman, Ms. Gobi and Mr. O'Connor moved that the proposed new text be amended by inserting after section __ the following new section:-

“SECTION __. Chapter 152 of the General Laws, as so appearing, is hereby amended by striking out section 37A and inserting in place thereof the following:-

Section 37A. Any employee who is a war veteran and disabled as the result of his military or naval service and has been certified as such by the United States Veterans Administration or has an open claim being processed by said administration and who, in the course of and arising out of his employment, receives a personal injury which is aggravated or prolonged by such disability for which he is receiving compensation from said administration, shall receive the compensation provided by this chapter, or said compensation shall be paid to his dependents, if death results from the injury. Such compensation shall be paid by the insurer or self-insurer, who shall be reimbursed, in an amount not to exceed fifty per cent thereof for any period up to one hundred and four weeks and thereafter in an amount not to exceed one hundred per cent, by the state treasurer from the fund created by section sixty-five. In the event that said fund becomes exhausted, the state treasurer shall make such payments from the general fund without appropriation.”

Budget Amendment ID: FY2019-S4-637

EHS 637

State Public Health Laboratory

Messrs. Cyr, Lewis and O'Connor moved that the proposed new text be amended in section 2, in item 4516-1000, by striking out the figure “$12,332,648“ and inserting in place thereof the following figure:- “$15,142,648”

Budget Amendment ID: FY2019-S4-638

EHS 638

Initial Care Assessment Time Frame

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

"SECTION XXX. Section 9D of chapter 118E of the General Laws, as appearing in the 2016 Official Edition, is hereby amended by striking out subsection (e)(5) in its entirety and replacing it with the following new section:

(5) The SCO shall be required to evaluate all its enrollees to determine if an enrollee has complex care needs within 90 days of initial enrollment, as well as on an annual basis, or as requested by the enrollee's primary care physician, or as requested by the enrollee or his authorized representative. If it is determined that an enrollee has complex care needs, the enrollee may receive the ongoing services of a primary care team. If the primary care team determines that the complex care enrollee requires the ongoing services of a primary care team, the primary care team shall develop and monitor a plan of care for said enrollee, and arrange for and deliver all services called for in the plan of care. If an enrollee is deemed to have complex care needs, but the primary care team determines the complex care enrollee does not require the services of a primary care team, the enrollee shall receive the services of a primary care physician and may appeal to the SCO to receive primary care team services. The SCO shall conduct a standard review and make a decision following receipt of all required documentation and, if requested by the primary care physician, the SCO shall conduct an expedited review. The timeline for standard and expedited reviews shall meet the requirements established under 42 C.F.R. 422.568 and 422.572. The SCO shall develop criteria for the primary care team to employ when determining whether the complex care enrollee requires the ongoing services of a primary care team. The SCO shall submit the criteria to the division of medical assistance for its approval."

Budget Amendment ID: FY2019-S4-639-R1

Redraft EHS 639

FOCUS

Mr. Humason, Ms. Gobi, Messrs. Hinds, Lesser and Welch 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 Hampshire, Franklin, Hampden and Berkshire Counties to serve young people who have aged out of the foster care system”; and

in said section 2, in said item 4800-0038, by striking out the figure “$20,248,171” and inserting in place thereof the following figure:- “$20,298,171”.

Budget Amendment ID: FY2019-S4-639

EHS 639

FOCUS

Mr. Humason, Ms. Gobi, Messrs. Hinds, Lesser and Welch moved that the proposed new text be amended in section 2, in item 4800-0038, by adding the following words:-

“;provided further that $50,000 for Friends of Children to operate the FOCUS: Foster Futures Pilot in Hampshire, Franklin, Hampden and Berkshire Counties to serve young people who have aged out of the foster care system."

and in said item by striking the figure "$20,248,171" and inserting in place thereof the figures "$20,298,171"

Budget Amendment ID: FY2019-S4-640-R1

Redraft EHS 640

MA Alliance of Boys & Girls Clubs

Messrs. Lesser, DiDomenico, Welch, Eldridge, Humason and Brownsberger, Ms. Friedman, Messrs. Rodrigues, Lewis and Brady, Ms. O'Connor Ives, Messrs. Crighton, Hinds and deMacedo, Ms. L'Italien, Ms. Creem, Mr. Moore, Ms. Gobi, Messrs. Pacheco, Timilty, Tran, O'Connor, Ross, Collins, Fattman and Cyr moved that the proposed new text be amended in section 2, in item 4590-1507, by striking out item 4590-1507 and inserting in place thereof the following item:

"For matching grants to the Massachusetts Alliance of Boys and Girls Clubs, the Alliance of Massachusetts YMCAs and YWCA organizations, nonprofit community centers and teen empowerment and youth development programs; provided, that the department of public health shall award not less than $1,700,000 to the Massachusetts Alliance of Boys and Girls Clubs, which shall be distributed equally between said recipient’s member organizations…………………………………………$2,200,000".

Budget Amendment ID: FY2019-S4-640-R2

2nd Redraft EHS 640

MA Alliance of Boys & Girls Clubs

Messrs. Lesser, DiDomenico, Welch, Eldridge, Humason and Brownsberger, Ms. Friedman, Messrs. Rodrigues, Lewis and Brady, Ms. O'Connor Ives, Messrs. Crighton, Hinds and deMacedo, Ms. L'Italien, Ms. Creem, Mr. Moore, Ms. Gobi, Messrs. Pacheco, Timilty, Tran, O'Connor, Ross, Collins, Fattman and Cyr moved that the proposed new text be amended in section 2, in item 4590-1507, by adding the following:- “; provided further, that the department of public health shall award not less than $1,700,000 to the Massachusetts Alliance of Boys and Girls Clubs, which shall be distributed equally between said recipient’s member organizations”; and

in said item by striking out the figure “$500,000” and inserting in place thereof the figure:- “$2,200,000”.

Budget Amendment ID: FY2019-S4-640

EHS 640

MA Alliance of Boys & Girls Clubs

"For matching grants to the Massachusetts Alliance of Boys and Girls Clubs, the Alliance of Massachusetts YMCAs and YWCA organizations, nonprofit community centers and teen empowerment and youth development programs; provided, that the department of public health shall award not less than $1,800,000 to the Massachusetts Alliance of Boys and Girls Clubs, which shall be distributed equally between said recipient’s member organizations…………………………………………$2,300,000".

Budget Amendment ID: FY2019-S4-641

EHS 641

Jail Diversion Programs for Non-Violent Offenders

Messrs. Brownsberger, Lewis, Eldridge and Crighton, Ms. Friedman, Messrs. Cyr, Barrett, Hinds, Moore and Brady, Ms. L'Italien, Messrs. Tarr and Welch moved that the proposed new text be amended in section 2, in item 4512-0202, by striking out the words “provided, that each program shall have not less than 60 beds and shall provide clinical assessment services to the respective courts, inpatient treatment for not more than 90 days and ongoing case management services for not more than 1 year;”; and

In said section 2, in said item 4512-0202, by striking out the words “provided further, that programs shall be established in separate counties in locations deemed suitable by the department of public health;”; and

In said section 2, in said item 4512-0202, by striking out the figure “$1,940,000” and inserting in place thereof the following figure:- “$5,000,000”.

Budget Amendment ID: FY2019-S4-642

EHS 642

Preventing Death and Disability from Stroke

Messrs. Montigny, Eldridge, Rodrigues, Crighton, Moore, Brady, Lewis, Barrett and O'Connor, Ms. L'Italien and Mr. Fattman moved that the proposed new text be amended in section 2, by inserting after item 4513-1111 the following new item:-

“4513-1121….For a statewide STOP stroke program; provided, that funds shall be expended for stroke treatment and ongoing prevention services; provided further, that the department of public health shall expend not less than $200,000 to provide educational programming as part of the F.A.S.T campaign on the signs and symptoms of stroke and stroke warning signs with a focus on communities that have the highest incidence of stroke, which shall not be used for personnel costs; provided further, that the department of public health shall provide quality improvement measures, that align with the stroke consensus metrics by utilizing a nationally recognized data set platform, and expand the statewide registry that compiles information and statistics on stroke care using confidentiality standards not less secure than a nationally recognized data set platform, known as the stroke registry data platform; provided further, that the department shall expend not less than $200,000 to require all primary stroke service hospitals and emergency medical services' agencies to report data consistent with nationally-recognized guidelines on the treatment of individuals with confirmed stroke in the commonwealth; provided further, that not less than $100,000 shall be expended to oversee the operation and administration of designated primary stroke service hospital programs, established by 105 CMR 130.1400; and provided further, that such funds shall be used to collect and analyze data from designated primary stroke service hospitals in the commonwealth and for the salary of a full-time surveyor who shall be primarily responsible for ensuring compliance with primary stroke service designation criteria…………….$500,000.”

Budget Amendment ID: FY2019-S4-643

EHS 643

Nursing Home Resident Protection

Messrs. Montigny, Rush, Eldridge and Rodrigues, Ms. Jehlen, Messrs. Moore, Keenan and Timilty, Ms. L'Italien, Mr. Tarr, Ms. Gobi and Mr. O'Connor moved that the proposed new text be amended in section 2, in item 4000-0601, by adding at the end thereof the following:-

“provided further, that MassHealth shall reimburse nursing home facilities for up to 20 medical leave-of-absence days and shall reimburse the facilities for up to 10 nonmedical leave of absence days; provided further, that medical leave-of-absence days shall include an observation stay in a hospital in excess of 24 hours; provided further, that not later than January 1, 2019, MassHealth shall report to the chairs of the house and senate committees on ways and means the following for fiscal year 2018: (a) the number of nursing facility clients on a leave of absence, delineated by the nursing facility, by medical leave-of-absence days and medical leave-of-absence days that exceeded 10 days per hospital stay, nonmedical leave-of-absence days and the total number of days on leave of absence unduplicated member count; (b) licensed beds monthly capacity levels per nursing home and the monthly total number of empty beds per nursing facility, total number of all nursing home residents and total MassHealth nursing home residents; (c) 6 separate MassHealth payment rates and the average payment amount rate per nursing facility client resident; (d) the actual number of nursing home residents for each of the 6 payment categories in clause (c); (e) the aggregate payment amount per nursing facility by month; and (f) all reports shall delineate by nursing home, including grand totals where appropriate; and provided further, that no nursing home shall reassign a patient's bed during a leave of absence that is eligible for reimbursement under this item.”

Budget Amendment ID: FY2019-S4-645

EHS 645

Preventing Patient Abuse and Death in Nursing Homes

Messrs. Montigny and Eldridge, Ms. Jehlen, Messrs. Moore, Timilty and O'Connor 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: FY2019-S4-646

EHS 646

The Women's Center

Mr. Montigny 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, in addition to funding awarded through procurement, not less than $100,000 shall be expended as a grant to the New Bedford Women’s Center, Inc. in the city of New Bedford for school-based domestic violence prevention programs for adolescents and young adults in the greater New Bedford area;”

Budget Amendment ID: FY2019-S4-646-R1

Redraft EHS 646

The Women's Center

Mr. Montigny moved that the proposed new text be amended in section 2, in item 4513-1130, by adding the following words:- “; provided further, that in addition to funding awarded through procurement, not less than $100,000 shall be expended as a grant to the New Bedford Women’s Center, Inc., in the city of New Bedford for school-based domestic violence prevention programs for adolescents and young adults in the greater New Bedford area”; and

in said section 2, in said item 4513-1130, by striking out the figure “$37,111,883” and inserting in place thereof the following figure:- “$37,211,883”.

Budget Amendment ID: FY2019-S4-647

EHS 647

Combating "V.I.P. Syndrome" to Protect Health Care Integrity and Quality

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

"SECTION __. Chapter 111 of the General Laws is hereby amended by inserting after section 53H the following section:-

Section 53I. (a) Notwithstanding any general or special law to the contrary, no health care provider shall knowingly or intentionally violate department rules and regulations adopted under this chapter, at the direct request of a patient, authorized caregiver or other interested person. Any violation shall be documented and reported by the health care provider to the department within 72 hours. The department may impose penalties including, but not limited to, a fine of up to $10,000 per violation or complaint to the relevant board of registration. A health care provider who fails to report a violation, as so provided, may be subject to additional penalties up to $100,000 per violation.

(b) Notwithstanding any general or special law to the contrary, a health care provider shall not knowingly or intentionally designate, mark, label or confer any special status unrelated to medical diagnosis, treatment or care to a patient due to socio-economic status or direct relationship to the health care provider. The department may impose penalties including, but not limited to, a fine of up to $10,000 per violation or complaint to the relevant board of registration.

(c) A penalty assessed under this section shall not preclude the department from assessing fees for violations under this chapter.

(d) A health care provider reporting a violation pursuant to this section shall be afforded protection from retaliatory action in accordance with section 187 of chapter 149.

(e) All violations under this section shall be published in a clear and conspicuous manner on the department’s website.

(f) The commissioner may promulgate regulations to enforce this section."

Budget Amendment ID: FY2019-S4-648

EHS 648

Essex County Regional Recovery Center

Messrs. Tarr and Crighton and Ms. L'Italien moved that the proposed new text be amended in section 2, in item 4512-0200, by adding at the end the following: “provided further, that not less than 1 new recovery center shall be in Essex County”

Budget Amendment ID: FY2019-S4-650

EHS 650

DCF Out Of State

Messrs. Tarr, Humason and O'Connor moved that the proposed new text be amended in section 2, Section 1 of chapter 119 of the General Laws, as appearing in the 2016 Official Edition, is hereby amended by inserting, in line 34, after the word “therein.”, the following new sentence: - In the circumstance that a child the under care of the department is a resident of a state other than Massachusetts, the department shall utilize appropriate resources to return the child back to his state of residency.”.

Budget Amendment ID: FY2019-S4-651

EHS 651

Expansion of the Municipal Naloxone Bulk Purchase Trust Fund

Messrs. Lesser and Cyr, Ms. Friedman, Messrs. Crighton, Hinds, Welch and Keenan, Ms. L'Italien, Ms. Gobi, Messrs. Boncore, O'Connor, Feeney and Tran and Ms. O'Connor Ives moved that the proposed new text be amended by inserting after section X the following section:-

"SECTION XX. Chapter 29 of the general laws is hereby amended by striking out section 2RRRR and inserting in place thereof the following section:-

Section 2RRRR. (a) There shall be a Naloxone Bulk Purchase Trust Fund to be administered and expended by the commissioner of public health or a designee for the naloxone bulk purchase program. Any eligible purchaser may join the program to purchase naloxone. The state office of pharmacy services shall assist with the purchasing and distribution of naloxone on behalf of the program. The department of public health shall provide technical assistance to participating eligible purchasers to ensure that eligible purchasers complete all training and registration requirements.

(b) The fund shall consist of: (i) payments made by participating eligible purchasers 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 only be applied to provide price reductions for municipal first responder agencies purchasing naloxone through the program. 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, the eligible purchasers participating in the program, the amount of naloxone purchased by each eligible purchaser and the discount procured through bulk purchasing.

(c) For the purposes of this section, “eligible purchaser” shall include: (i) any state agency, municipality, or municipal agency; (ii) any public educational institution including, but not limited to, public elementary, secondary and vocational-technical schools, public colleges, community colleges, and universities; (iii) any organization with a current contract with the department of public health; and (iv) any organization that the department deems as an eligible purchaser."

Budget Amendment ID: FY2019-S4-653

EHS 653

Western Massachusetts Pediatric Neonatal Intensive Care Unit

Messrs. Lesser, Humason and Welch and Ms. Gobi moved that the proposed new text be amended in section 2, in item 4000-0300, by adding the following words:- “; provided further, that in calculating rates of payment for children enrolled in MassHealth receiving inpatient services at acute care pediatric hospitals and pediatric specialty units as defined in section 8A of chapter 118E of the General Laws, the executive office shall provide additional reimbursement, if necessary, above the base rates, to the Neonatal Intensive Care Unit (NICU) with at least 33 licensed NICU beds and a Pediatric Intensive Care Unit (PICU) with at least 7 licensed PICU beds within an acute hospital that has at least 22 Continuing Care Nursery (CCN) beds and at least 53 Pediatric Service beds in Hampden County, sufficient to ensure that inpatient SPAD and outlier payments for discharges with a case mix acuity equal to or greater than 5 shall be at least equal to 85 per cent of the expenses incurred in providing services to those children, in an amount of not less than $250,000”.

Budget Amendment ID: FY2019-S4-654

EHS 654

Pharmaceutical "Gag Clauses"

Messrs. Tarr, deMacedo, Humason, Ross, Montigny and O'Connor moved that the proposed new text be amended in section 2, (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: FY2019-S4-657

EHS 657

Center for Innovation and Change

Messrs. Collins and O'Connor moved that the proposed new text be amended in section 2, by adding the following item 4120-XXXX:

"To provide for the cost of creating a Statewide Center for Innovation and Change offering workforce development programs to benefit persons with intellectual and developmental disabilities. The Center will support staff development and innovation leading to an increased ability of employment services personnel to place and support people with disabilities in typical employment settings. The Center shall work with 15 community rehabilitation programs in adopting policies, procedures and practices that increase the placement of individuals with intellectual disabilities served by these agencies, as well as those referred for services from schools and or the Department of Developmental Services. The Center shall offer training, intensive technical assistance and program evaluation. The Department of Developmental Services shall provide funds to direct service provider agencies to modify their structures, increase staff skills and correspondingly increase their placement rates for people with intellectual and developmental disabilities served....... $950,000"

Budget Amendment ID: FY2019-S4-658

EHS 658

Citizenship for New Americans Program (CNAP)

Messrs. Tarr, Lewis, deMacedo, Humason, Feeney and Welch, Ms. L'Italien, Messrs. Ross and O'Connor moved that the proposed new text be amended in section 2, in item 4003-0122, by striking out the figures, “$400,000”, and inserting in place thereof the figures, “$500,000”.

Budget Amendment ID: FY2019-S4-660-R1

Redraft EHS 660

Franklin County Opioid Task Force

in said item, by striking out the figure “$7,417,362” and inserting in place thereof the figure:- “$7,567,362”.

Budget Amendment ID: FY2019-S4-660

EHS 660

Franklin County Opioid Task Force

Messrs. Hinds, Humason, Welch and Lesser and Ms. Gobi moved that the proposed new text be amended in section 2, in item 8910-0108, by adding at the end thereof the following:- “provided further, that not less than $300,000 shall be expended for the Opioid Task Force of Franklin County and the North Quabbin Region; provided further that $100,000 shall be provided for a pilot program for training active bystanders; and provided further, that not less than $150,000 shall be expended for the Franklin County Opioid Education and Awareness Task Force”; and in said item, by striking out the figures “$16,232,777” and inserting in place thereof the figures “$16,782,777”.

Budget Amendment ID: FY2019-S4-662

EHS 662

Safe and Successful Youth Initiative

Messrs. Hinds, Brady, Lewis, Brownsberger, Humason, Rodrigues, Montigny and Eldridge, Ms. Friedman, Messrs. Barrett, Crighton, Cyr, Moore and Welch, Ms. O'Connor Ives, Messrs. Boncore, DiDomenico and Collins, Ms. L'Italien, Messrs. Lesser and O'Connor moved that the proposed new text be amended in section 2, in item 4000-0005, by striking out the figures "$7,000,000" and inserting in place thereof the figures "$8,000,000".

Budget Amendment ID: FY2019-S4-663

EHS 663

Berkshire Youth Development Project

Mr. Hinds moved that the proposed new text be amended in section 2, in item 4512-0205, by adding at the end thereof the following:- "provided further, that not less than $200,000 be expended to the Berkshire County Youth Development Project for youth intervention services"; and in said item, by striking out the figures “$141,783,457” and inserting in place thereof the figures “$141,983,457”.

Budget Amendment ID: FY2019-S4-666

EHS 666

Northern Berkshire Community Coalition

Mr. Hinds moved that the proposed new text be amended in section 2, in item 4590-0250, by adding 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 “$11,765,955” and inserting in place thereof the figures “$11,815,955”.

Budget Amendment ID: FY2019-S4-667

EHS 667

Childrens Advocacy Centers of Hampshire County and Franklin County

Mr. Hinds and Ms. Gobi moved that the proposed new text be amended in section 2, in item 4800-0038, by adding at the end thereof the following:- “provided further, that not less than $50,000 shall be expended for the Children’s Advocacy Center of Hampshire County; provided further, that not less than $50,000 shall be expended for the Children’s Advocacy Center of Franklin County and North Quabbin Region”; and in said line item, by striking out the figures “$297,006,167” and inserting in place thereof the figures “$297,106,167”.

Budget Amendment ID: FY2019-S4-668

EHS 668

South Boston Leadership Initiative

Mr. Collins moved that the proposed new text be amended in section 2, in item 4510-0110, by adding the following: “provided 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 out the figures "503,653" and inserting in place thereof the figures "603,653".

Budget Amendment ID: FY2019-S4-669

EHS 669

Federally Qualified Substance Abuse Center

Mr. Collins moved that the proposed new text be amended in section 2, in item 4510-0110, by adding the following: “provided 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 "503,653" and inserting in place thereof the figures "678,653".

Budget Amendment ID: FY2019-S4-670

EHS 670

Veterans Resource Room

Messrs. Welch and Lesser moved that the proposed new text be amended in section 2, in item 1410-0012, by inserting the following after line item 1410-0012:- "XXXX-XXXX for Veterans Resource Room will be a dedicated space for veterans at Springfield Partners for Community, for veterans that need to access various resources. The space will feature both educational/training equipment such as computers and printers, as well as leisure items such as a television and activity table. The room will be built and furnished out of an existing open space onsite a Springfield Partner..........$75,000"

Budget Amendment ID: FY2019-S4-671

EHS 671

All Dorchester Sports League

Mr. Collins moved that the proposed new text be amended in section 2, in item 7061-9611, By adding the following in in Item 7061-9611, “provided further than not less than $50,000 be expended for the All Dorchester Sports League.”

Budget Amendment ID: FY2019-S4-671-R1

Redraft EHS 671

All Dorchester Sports League

Mr. Collins moved that the proposed new text be amended in section 2, in item 7061-9611, by adding the following: “provided further than not less than $50,000 be expended for the All Dorchester Sports League” and in said item by striking out the figures "$2,858,009" and inserting in place thereof the following figures: "$2,908,009"

Budget Amendment ID: FY2019-S4-671-R2

2nd Redraft EHS 671

All Dorchester Sports League

Mr. Collins moved that the proposed new text be amended in section 2, in item 7061-9611, by adding the following words:- “; provided further, than not less than $10,000 shall be expended for the All Dorchester Sports League, Inc.”; and

in said section 2, in said item 7061-9611, by striking out the figure “$2,858,009” and inserting in place thereof the following figure:- “$2,868,009”.