Consolidated Amendment "D" to H4000

Public Health/Mental Health & Disability Services

Fiscal Note: $11,122,500

Amendments from Public Health: 12, 29, 36, 42, 85, 86, 94, 96, 105, 110, 112, 124, 131, 137, 153, 164, 190, 196, 202, 203, 207, 210, 232, 241, 242, 243, 263, 264, 314, 351, 364, 367, 405, 421, 423, 436, 437, 448, 449, 485, 493, 500, 520, 550, 553, 560, 570, 576, 600, 604, 605, 606, 607, 615, 617, 674, 682, 708, 716, 749, 768, 769, 773, 778, 784, 803, 832, 847, 854, 867, 899, 937, 948, 952, 967, 973, 979, 992, 1001, 1016, 1026, 1031, 1037, 1043, 1046, 1057, 1072, 1079, 1086, 1096, 1103, 1117, 1118, 1119, 1122, 1123, 1129, 1130, 1134, 1144, 1146

Amendments from Mental Health & Disability Services: 6, 18, 27, 48, 100, 167, 189, 193, 311, 337, 352, 394, 402, 404, 431, 467, 482, 609, 623, 666, 707, 739, 750, 770, 846, 850, 871, 896, 983, 1027, 1048, 1116, 1121

Mr. Michlewitz of Boston and others move to amend H.4000 in section 2, in line item 4120-0200, by striking out the figure “$7,847,455” and inserting in place thereof the following figure:- $7,947,455;

And further amend said section 2, in item 4510-0100, by inserting after the words “chapter 111 of the General Laws”, the second time it appears, the following words:- ; provided further, that not less than $50,000 shall be expended for the North Quabbin Community Coalition, Inc.; provided further, that not less than $50,000 shall be expended for the town of Needham to apply for public health department accreditation; provided further, that not less than $30,000 shall be expended for youth and family services programs in the town of Wayland; provided further, that not less than $100,000 shall be expended for Community Servings, Inc. 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; provided further, that not less than $75,000 shall be expended for Volunteers in Medicine – Berkshires, Inc. to provide increased access to care for income-eligible residents;

And further amend said item by striking out the figure “$21,449,963” and inserting in place thereof the following figure:- $21,754,963;

And further amend said section 2, in item 4510-0110, by inserting after the words “section 254c(f)(1)” the following words:- ; provided further, that not less than $100,000 shall be expended for the Lynn Community Health Center for the operation of the Recuperative Care Center; provided further, that not less than $200,000 shall be expended for the NEW Health Charlestown for the purpose of operations and maintenance of treating substance abuse; provided further, that not less than $50,000 shall be expended for the Whittier Street Health Center to retrofit a mobile services van and provide essential public health services to the people of Boston; provided further, that not less than $25,000 shall be expended for the Mattapan Community Health Center for 2019 novel coronavirus pandemic purposes; and provided further, that not less than $150,000 shall be expended for the Public Health Institute of Western Massachusetts to support 413Cares regional response to the 2019 novel coronavirus pandemic;

And further amend said item by striking out the figure “$3,102,547” and inserting in place thereof the following figure:- $3,627,547;

And further amend said section 2, in item 4510-0710, by inserting after the word “program”, the second time it appears, the following words:- ; provided further, that not less than $300,000 shall be expended for the Perinatal-Neonatal Quality Improvement Network of Massachusetts to fund statewide quality improvement projects, including, but not limited to, perinatal opioid projects, COVID-19 rapid response initiatives and efforts to address racial inequities in perinatal and neonatal health;

And further amend said item by striking out the figure “$13,547,011” and inserting in place thereof the following figure:- $13,847,011;

And further amend said section 2, in item 4510-0810, by inserting after the word “examiners” the following words:- ; provided further, that not less than $100,000 shall be expended for hiring, training and employing qualified nurse practitioners to offer PEDI-SANE services at both the Franklin county and Hampshire county Children’s Advocacy Centers;

And further amend said item by striking out the figure “$6,200,448” and inserting in place thereof the following figure:- $6,300,448;

And further amend said section 2, in item 4512-0205, by inserting after the word “services” the following words:- ; provided further, that not less than $50,000 shall be expended for Methuen Community Addiction Resource Engagement Services for the Methuen police department to provide resources for addiction recovery; provided further, that not less than $25,000 shall be expended for the Billerica substance abuse committee to combat the opioid epidemic; provided further, that not less than $50,000 shall be expended for programs for at-risk students in the Medway public schools including the T.H.R.I.V.E. substance abuse prevention program; provided further, that not less than $125,000 shall be expended for Self Esteem Boston’s direct service and provider training programs; provided further, that not less than $25,000 shall be expended for Metro Boston Alive’s efforts to provide culturally responsive addiction services to the people of Boston; provided further, that not less than $125,000 shall be expended for Harbor Health Services for a grant program to prevent and treat addiction to opioid and related substances; provided further, that not less than $100,000 shall be expended for a contract with the Gavin Foundation, Inc. to provide a total immersion program in conjunction with the probation departments of the South Boston division of the Boston municipal court department and other district courts; provided further, that not less than $50,000 shall be expended for the Joseph Nee Collaborative center for substance abuse treatment and recovery programming; provided further, that not less than $150,000 shall be expended for the town of Braintree for Braintree Community Partnership on Substance Abuse; provided further, that not less than $50,000 shall be expended for office-based addiction and opioid treatment, a program of the Greater New Bedford Community Health Center; provided further, that not less than $30,000 shall be expended for East Bridgewater Hope, a substance abuse coalition, community-partnership providing substance abuse outreach and intervention drop-in center; provided further, that not less than $10,000 shall be expended for substance abuse and addiction awareness and education efforts at the Reading Coalition for Prevention and Support; provided further, that not less than $2,000,000 shall be expended for RIZE Massachusetts Foundation, Inc. to assist in their work to end the opioid epidemic in the commonwealth; 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; provided further, that not less than $50,000 shall be expended for Project R.I.G.H.T., Inc.’s substance use and trauma prevention initiative in the Grove Hall area of Boston; provided further, that not less than $50,000 shall be expended for the Bridge Club of Greater Lowell to support the multi-cultural recovery coach program; provided further, that not less than $200,000 shall be expended for One Life at a Time, Inc., located in the city known as the town of Braintree, for the facilitation of access to sober living programs and job training services for people in recovery and associated operational costs; provided further, that notwithstanding any general or special law to the contrary, no funds shall be transferred from this item to any other item of appropriation; and provided further, that funds shall be expended fully and on a schedule consistent with the provisions of section 9B of chapter 29 of the General Laws;

And further amend said item by striking out the figure “$100,000” and inserting in place thereof the following figure:- $3,290,000;

And further amend said section 2, in item 4512-0206, by adding the following words:- ; provided, that not less than $50,000 shall be expended for Tapestry Health Systems Inc. to support its mobile health and harm reduction services;

And further amend said item by striking out the figure “$4,700,000” and inserting in place thereof the following figure:- $4,750,000;

And further amend said section 2, in item 4512-0500, by adding the following words:- ; and provided further, that not less than $250,000 shall be expended for the Forsyth Institute’s center for children’s oral health to expand its ForsythKids programming focused on children and adolescents and to explore the emerging association between oral health status and academic performance;

And further amend said item by striking out the figure “$1,737,206” and inserting in place thereof the following figure:- $1,987,206;

And further amend said section 2, in item 4512-2020, by inserting after the word “providers” the following words:- ; provided further, that not less than $30,000 shall be expended for the purpose of employing 2 full-time mental health counselors within the Barnstable police department;

And further amend said item by striking out the figure “$500,000” and inserting in place thereof the following figure:- $530,000;

And further amend said section 2, in item 4512-2021, by inserting after the words “established in fiscal year 2021” the following words:- ; provided further, that not less than $35,000 shall be expended for the Marshfield fairgrounds mini state site vaccination distribution center to provide reimbursements for re-occurring costs not covered by the Plymouth county cares program, of additional tents, heat, lighting and equipment maintenance to accommodate distribution of vaccines;

And further amend said item by striking out the words “August 3, 2021” and inserting in place thereof the following words:- December 1, 2021;

And further amend said item by striking out the figure “$1,000,000” and inserting in place thereof the following figure:- $1,035,000;

And further amend said section 2, in item 4513-1026, by inserting after the word “affairs” the following words:- ; provided further, that not less than $50,000 shall be expended for the Samaritans of Fall River/New Bedford, Inc.;

And further amend said item by striking out the figure “$6,477,962” and inserting in place thereof the following figure:- $6,527,962;

And further amend said section 2, in item 4513-1111, by inserting after the words “Control and Prevention” the following words:- ; provided further, that not less than $100,000 shall be expended for Survivor Journeys, Inc. for the creation of a virtual cancer survivorship resource center for Survivor Journeys in the city of Springfield, to provide resources and support those in need in addition to maintaining the ability to service those who cannot travel to in-person programs or events; provided further, that said funds for Survivor Journeys shall support updating the Survivor Journeys website platform, training costs, website site platform consulting fees, hiring of an administrative assistant and health science librarian, speaker honorarium fees and translation costs to provide a Spanish-speaking support group and marketing; provided further, that not less than $100,000 shall be expended for the operation of the Cranberry Health Research Center at the University of Massachusetts at Dartmouth;

And further amend said item by striking out the figure “$3,628,657” and inserting in place thereof the following figure:- $3,828,657;

And further amend said section 2, in item 4513-1130, by inserting after the words “funding”, the fourth time it appears, the following words:- ; provided further, that not less than $50,000 shall be expended for the Katie Brown educational program, Inc. for a pilot instructional initiative, and 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; provided further, that not less than $10,000 shall be expended for the purpose of providing additional resources to police officers for domestic violence investigations in the town of Salisbury; provided further, that not less than $5,000 shall be expended for the purpose of providing additional resources to police officers for domestic violence investigations in the city of Newburyport; provided further, that not less than $25,000 shall be expended for the Association of Haitian Women, Inc. in the city of Boston;

And further amend said item by striking out the figure “$50,341,295” and inserting in place thereof the following figure:- $50,431,295;

And further amend said section 2, in item 4590-0915, by inserting after the words “section 2B” the following words:- ; provided further, that the Pappas Rehabilitation Hospital for Children shall maintain not less than 120 beds for clients in its inpatient setting to the extent feasible within the appropriation; provided further, that Tewksbury hospital shall maintain the same number of beds in fiscal year 2022 as maintained in fiscal year 2021; and provided further, that not less than $150,000 shall be expended for the Pappas Rehabilitation Hospital for Children summer program;

And further amend said item by striking out the figure “$170,972,689” and inserting in place thereof the following figure:- $171,122,689;

And further amend said section 2, in item 4590-1507, by adding the following words:- ; provided, that not less than $500,000 shall be expended for the YWCA organizations, which shall be distributed equally between the Alliance of YWCA's member organizations; provided further, that not less than $100,000 shall be expended for the Parkway Community YMCA for youth development programs; provided further, that not less than $1,300,000 shall be expended for the Alliance of Massachusetts YMCAs, Inc. which shall be distributed between the alliance’s member organizations; provided further, that not less than $50,000 shall be expended for programs, services or renovations at the Milford youth center; provided further, that not less than $1,700,000 shall be expended for the Massachusetts Alliance of Boys and Girls Clubs, Inc.; provided further, that not less than $25,000 shall be expended for the Sueños Basketball, Inc. summer league to support low-income youth in the city of Lawrence; provided further that, not less than $20,000 shall be expended for Lawtown boxing gym in the city of Lawrence to provide at-risk youth with health and wellness programming, as well as to foster community engagement; provided further, that not less than $75,000 shall be expended for the Center for Teen Empowerment, Inc.; provided further, that not less than $25,000 shall be expended for the Westfield Boys and Girls Club for its expansion project; provided further, that not less than $200,000 shall be expended for the Big Brothers Big Sisters of Massachusetts Bay, Inc. mentor 2.0 program; provided further, that not less than $75,000 shall be expended for expanded 2019 novel coronavirus pandemic response activities at the Dalton community recreation association in the town of Dalton; provided further, that not less than $25,000 shall be expended for the Billerica Boys and Girls Club for capital and operational needs; provided further, that notwithstanding any general or special law to the contrary, no funds shall be transferred from this item to any other item of appropriation; and provided further, that funds shall be expended fully and on a schedule consistent with the provisions of section 9B of chapter 29 of the General Laws;

And further amend said item by striking out the figure “$2,400,000” and inserting in place thereof the following figure:- 6,495,000;

And further amend said section 2, in item 5042-5000, by inserting after the word “regulations” the following words:- ; provided further, that not less than $100,000 shall be expended for the Massachusetts Association for Mental Health, Inc. and the BIRCh Center to continue collaborating on the establishment of a school-based behavioral health technical assistance center; provided further, that not less than $150,000 shall be expended for the NAN Project in the town of Lexington to increase mental health awareness and suicide prevention; provided further, that not less than $50,000 shall be expended for Boys & Girls Clubs of Boston YouthConnect program to provide community-based mental health services to high-risk youth and their families residing in the East Boston community; provided further, that not less than $50,000 shall be expended for Shrewsbury Youth and Family Services, Inc. for the organization’s continued implementation across the commonwealth of the National Council for Behavioral Health’s youth mental health first aid program,; provided further, that not less than $100,000 shall be expended for the Massachusetts Child Psychiatry Access Project for Moms statewide to support their PSI collaborative and improve the sustainability, data-collection and quality of services to Massachusetts families and providers; provided further, that not less than $50,000 shall be expended for the Northwestern Juvenile Fire Intervention, Response, Education and Safety Partnership, Inc., also known as NOFIRES, for a juvenile firesetter intervention and prevention program in Hampshire and Franklin counties; provided further, that not less than $50,000 shall be expended for Amherst regional public schools to support on-site youth mental health services for Amherst regional high school students;

And further amend said item by striking out the figure “$97,134,089” and inserting in place thereof the following figure:- $97,684,089;

And further amend said section 2, in item 5046-0000, by inserting after the word “measured” the following words:- ; provided further, that not less than $50,000 shall be expended for a grant to the Massachusetts Chapter of the National Association of Social Workers, Inc., for the purpose of providing assistance in connecting consumers to licensed clinical social workers through the Therapy Matcher program; provided further, that not less than $12,500 shall be expended for the Framingham department of public health for a behavioral health system navigation and referral program; provided further, that not less than $100,000 shall be expended for the establishment of a Safe Haven location in Hampshire and Franklin counties;

And further amend said item by striking out the figure “$505,909,292” and inserting in place thereof the following figure:- $506,071,792;

And further amend said section 2, in item 5911-1003, by inserting after the words “Congress, Inc.” the following words:- ; provided further, that not less than $50,000 shall be expended for the Community Access to the Arts, Inc. in the town of Great Barrington;

And further amend said item by striking out the figure “$81,468,289” and inserting in place thereof the following figure:- $81,518,289;

And further amend said section 2, in item 5920-2010, by inserting after the word “services” the following words:- ; provided, that not less than $100,000 shall be expended for Caring Health center to offset the cost of  parking which is required as a direct result of parking limitations in downtown Springfield and to provide healthcare;

And further amend said item by striking out the figure “$240,537,466” and inserting in place thereof the following figure:- $240,637,466;

And moves to further amend the bill by inserting, after section 41, the following section:-

SECTION 41A. (a) Notwithstanding any general or special law to the contrary, the department of mental health shall post to the department’s website, on a monthly basis, data on the availability of adult and pediatric beds at inpatient continuing care facilities that are under the supervision or control of the department, including those operated by or contracted by the department. Such data shall include, but not be limited to: (i) per continuing care facility the: (A) number of operational beds; (B) number of beds that have been taken out of operation; (C) inpatient census data; (D) number of forensic patients admitted; (E) number of patients discharged; (F) number of patients who cannot be discharged from the continuing care facility to the community due to the acuity of their behavioral health diagnosis or forensic status; (G) number of patients appropriate for discharge from continuing care but who are awaiting an available community placement; and (ii) the number of patients that have been admitted from the waitlist for continuing care placement, disaggregated by the continuing care facility that accepted the patient and by the inpatient facility the patient was accepted from. To the extent feasible, all data shall be disaggregated by race, ethnicity, gender identity, age and other demographic information.

(b) Notwithstanding any general or special law to the contrary, not later than January 1, 2022 the department of mental health shall post to its website historic data on the previous 15 years of operational continuing care beds, per continuing care facility operated by or contracted by the department, including, but not limited to, the operational status of beds.

(c) Notwithstanding any general or special law to the contrary, the department of mental health’s continuing care referral list, also known as the inpatient referral summary, shall include data on patients in acute psychiatric facilities awaiting acceptance to continuing care facilities including, but not limited to: (i) the length of time a patient has awaited a continuing care placement, and (ii) the number of patients awaiting placement for each inpatient psychiatric facility. In calculating the amount of time a patient has been awaiting a continuing care placement, the department shall include the time between the submission of an application and the acceptance to a continuing care facility in addition to the time the patient awaited transfer after acceptance for admission.

And further amend the bill in section 43 by striking out, in lines 751 and 752, the words “and (v) substance use disorders” and inserting in place thereof the following words:- (v) substance use disorders; and (vi) suicide.

And further amend the bill by inserting, after section 43, the following section:-

SECTION 43A. The commission on autism established in section 217 of chapter 6 of the General Laws shall investigate and report on the impact of the outbreak of the 2019 novel coronavirus, also known as COVID-19, on Black, Latinx, Asian American and Pacific Islander, Native American and other individuals of color who have a diagnosis of autism spectrum disorder. The commission shall review all available data and information on the range of services and supports provided to individuals with autism spectrum disorder by each major racial and ethnic group, primary language, sex and economic status during the outbreak of COVID-19. The commission shall make recommendations to address any inequities caused by the outbreak of COVID-19 including, but not be limited to, establishing periodic benchmarks and cost estimates for a coordinated system-wide response to address the inequitable impact of the outbreak of COVID-19 and the recovery process on Black, Latinx, Asian American and Pacific Islander, Native American and other individuals of color with autism spectrum disorder. Not later than January 1, 2022 the commission shall submit a report of its investigation, including recommendations and any drafts of legislation necessary to carry those recommendations into effect, to the clerks of the house of representatives and the senate and the joint committee on children, families and persons with disabilities.

And further amend the bill in section 46 by striking out, in line 808, the figure “13” and inserting in place thereof the following figure:- 15.

And  further amend the bill in section 46 by striking out, in line 811, the figure “5” and inserting in place thereof the following figure:- 7.

And further amend the bill in section 46 by inserting, in line 815, after the word “Inc.” the following words:- , 1 of whom shall be a representative of 1199 SEIU United Health Care Workers East, 1 of whom shall be a representative of the Massachusetts chapter of the American Association for Retired Persons.