Consolidated Amendment #B to H.4219

Consolidated Amendment "B" to H4219

Health and Human Services and Education

Fiscal Note: $44,316,000

Amendment 110 has been re-categorized from Health and Human Services to Economic Development

Amendment 380 has been re-categorized from Education to Economic Development

Amendment 395 and 967 has re-categorized from Health and Human Services to Infrastructure

Amendment 437 has been re-categorized from Education to Infrastructure

Amendments from Education: 1, 2, 24, 39, 43, 45, 46, 47, 64, 68, 69, 75, 81, 86, 93, 102, 103, 106, 113, 146, 152, 157, 159, 163, 167, 169, 170, 173, 174, 183, 234, 250, 254, 255, 265, 278, 303, 316, 330, 340, 347, 351, 355, 358, 365, 369, 382, 384, 392, 400, 401, 414, 440, 447, 475, 483, 494, 495, 505, 508, 517, 533, 541, 551, 556, 564, 567, 568, 589, 615, 617, 643, 652, 662, 678, 688, 691, 692, 696, 702, 705, 710, 720, 723, 724, 726, 728, 729, 733, 734, 736, 739, 743, 745, 746, 749, 805, 840, 846, 855, 856, 878, 892, 906, 913, 916, 917, 919, 930, 932, 936, 939, 940, 943, 952, 954, 964, 969, 970, 972, 973, 975, 978, 983, 1003, 1006, 1013, 1015, 1016, 1021, 1026, 1028, 1048, 1050, 1066, 1072, 1083, 1084, 1086, 1087, 1099, 1100, 1106, 1109, 1111, 1112, 1113, 1115, 1117, 1119

Amendments from Health and Human Services: 3, 15, 18, 54, 55, 60, 74, 95, 97, 108, 112, 123, 128, 140, 142, 190, 203, 209, 216, 224, 228, 235, 239, 252, 258, 285, 296, 297, 298, 301, 307, 310, 313, 314, 328, 345, 353, 386, 404, 418, 420, 445, 448, 458, 462, 467, 472, 473, 477, 480, 481, 482, 484, 518, 524, 528, 530, 534, 540, 542, 571, 575, 578, 592, 593, 598, 616, 630, 637, 645, 655, 657, 664, 666, 677, 693, 716, 717, 750, 752, 754, 756, 772, 782, 784, 790, 794, 799, 802, 806, 808, 817, 821, 823, 828, 835, 836, 839, 844, 845, 850, 858, 859, 873, 875, 884, 888, 902, 905, 907, 912, 927, 928, 933, 938, 945, 948, 951, 953, 961, 974, 989, 994, 996, 997, 998, 999, 1008, 1009, 1029, 1032, 1033, 1040, 1043, 1046, 1049, 1061, 1078, 1079, 1089, 1105, 1123, 1125

Mr. Michlewitz of Boston and others move to amend House, No. 4219, in section 2A, in item 1599-2028, by inserting after the words “secretary of health and human services” the following: “; provided further, that a portion of said funds shall be used to reimburse providers for 1-time costs associated with opening new behavioral health and substance use disorder treatment beds in calendar year 2022 or 2023, which are not covered by other reimbursement or grant sources including the MassHealth behavioral health incentive grants for fiscal year 2021 and fiscal year 2022; provided further, that said grants shall not equal more than $24,000,000 to any 1 organization; provided further, that not less than $15,000,0000 shall be expended for programs that promote primary care workforce development, recruitment and retention at community health centers; provided further, that not less than $1,000,000 shall be expended for the Mass211 statewide hotline to connect residents to mental health services, substance abuse disorder treatment supports and other critical health and human services; provided further, that not less than $500,000 shall be expended to William James College to develop a behavioral health workforce development center to retain and develop the culturally diverse, experienced, behavioral health workforce that cares for underserved communities in the commonwealth, and to train a cohort of K-12 experts in school climate, including teachers and administrators, to create inclusive, behaviorally healthy school environments that foster psychological health, social development, diversity and inclusion for children; provided further, that not less than $750,000 shall be expended to support families of children with serious mental health needs; provided further, that not less than $1,000,000 shall be expended to the Massachusetts Association for Mental Health, Inc. and the BIRCh Center to launch a school-based behavioral health technical assistance center; provided further, that $1,500,000 shall be expended for implementation assistance grants to community behavioral health provider organizations to advance adoption of pediatric behavioral health urgent care programs; provided further, that funds shall be expended to support innovation to address emergency department boarding and create better systems for supporting children and adolescents in crisis; provided, that priority focus shall be placed on services for children with complex needs including department of children and families and department of youth services involved children and children with co-occurring autism spectrum disorders and intellectual disabilities and other youth who have been disproportionately impacted by the pandemic; and provided further, that not less than $7,000,000 shall be expended for a federally qualified community health center with a satellite emergency facility that is open 24 hours per day, 7 days per week and that is licensed under 105 C.M.R. 130 for the purpose of expansion of behavioral health urgent care services to address the behavioral health crisis exacerbated by the 2019 novel coronavirus.

And further amend said section 2A, in item 1599-2029, by striking the words “provided further, that not less than $20,000,000 shall be expended for grants to community health centers to update and improve electronic health record systems to be administered by the executive office of health and human services”, and inserting in place thereof the following:- ; provided further, that not less than $15,000,000 shall be expended to a 501(c)(3) MassHealth accountable care organization solely governed by federally qualified health centers to be expended for federally qualified health centers to support the current federally qualified community health centers project to update and improve electronic health record systems to be administered by the executive office of health and human services; and provided further, that not less than $5,000,000 shall be expended for grants to community health centers to update and improve electronic health record systems to be administered by the executive office of health and human services.

And further amend said section 2A, in item 1599-2036 by inserting after the word “delinquency”, the following words:- and youth and young adult homelessness.

And further amend said section 2A, in said item 1599-2036, by inserting after “employment programs” the following words:- , including programs that serve youths, including lesbian, gay, bisexual, transgender, queer and questioning youth, youth of color and youth who are not more than 25 years of age and are experiencing housing insecurity.

And further amend said section 2A, in item 1599-2038, by inserting after the word “systems;”, the first time it appears, the following:- ; provided, further that not less than $100,000 shall be made available to the health policy commission to conduct the study authorized by section 75B.

And further amend said section 2A, in said item 1599-2038, by striking the figure “$150,000,000” and inserting in place thereof: “$150,100,000”.

And further amend said section 2A by inserting after item 1599-2038 the following 4 new items:-

4000-0013For the administration of health and human services programs and special projects; provided, that not less than $60,000 shall be expended for the Barnstable Youth Commission; provided further, that not less than $100,000 shall be expended for Springfield Veterans First (NABVET) outreach center; provided further, that not less than $100,000 shall be expended to be expended to More than Words of Boston; provided further, that not less than $50,000 shall be expended to Auburn Youth & Family Services for upgrades and improvements of the Auburn Youth & Family Services’ building in the town of Auburn; provided further, that not less than $75,000 shall be expended to Harbor Health Services Inc. for the Elder Service Plan in Mattapan; provided further, that not less than $100,000 shall be expended to the Brookline Senior Center to respond to novel coronavirus 2019 related transportation, IT, food insecurity, and social work needs; provided further, that not less than $200,000 shall be expended to Heywood Healthcare for expanding the provision of surgical services on the campus of Heywood Hospital in the City of Gardner to strengthen and support the public health system in the North Central and North Quabbin regions; provided further, that not less than $1,000,000 shall be expended for New England Life Flight, Inc., Boston MedFlight, for critical care air medical and dedicated ground critical care transport equipment; provided further, that not less than 5,000,000 shall be expended for the establishment of a health equity institute to be provided by a state primary care association qualified under section 330A(f)(1) of the Public Health Service Act, 42 U.S.C. section 254c(f); provided further, that not less than $50,000 shall be expended for Leaving the Streets Ministries in Haverhill for violence prevention and street work; provided further, that not less than $50,000 shall be expended to International Veterans Care Services, Inc in the City of Lawrence to mitigate food insecurity and provide housing relief to members of the veteran community that have been financially impacted by the novel coronavirus 2019; provided further, that not less than $160,000 shall be expended to the town of North Andover and Andover for a joint public health Community Health Needs Assessment (CHNA) and Community Health Improvement Plan (CHIP), which will look to address and implement long term solutions to several areas of public health, including, but not limited to, behavioral health, affordable housing, and food insecurity; provided further, that not less than $250,000 shall be expended for technology upgrades for record keeping, patient information and prescription services at the Dan Driscoll Health Center in the Dorchester section of Boston; provided further that not less than $250,000 shall be expended for the Marian Manor for The Aged and Inform Nursing Home to modernize and replace outdated mechanics and recover extraordinary and unreimbursed expenditures incurred due to the novel coronavirus 2019; provided further, that not less than $10,000,000 shall be expended for the expansion of facilities to increase the number of inpatient psychiatric beds for youth in psychiatric crisis of any chronic disease rehabilitation hospital located in the commonwealth that serve solely children and adolescents; provided further that $1,000,000 shall be provided to Health Care For All, Inc., a non-profit consumer health advocacy organization, for a community-based MassHealth redetermination and vaccination outreach, education, and access campaign targeted in communities disproportionately impacted by the novel coronavirus 2019; 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…………………………………………………….$18,445,000

0321-1507For the administration of public counsel programs and services; provided, that not less than $2,000,000 shall be expended to the Committee for Public Counsel Services for the Public Defender Division to address pandemic related backlogged cases over the course of the forthcoming 3 fiscal years; provided, further, that not less than $1,000,000 shall be expended to the Committee for Public Counsel Services for the Children and Family Law program to temporarily fund, over a 3 year period, increased staffing levels to address an increased need for representation as a result of the pandemic; and provided further, that not less than $1,500,000 shall be expended to the Committee on Public Counsel Services for the finance billing modernization project………………………………………………………..…………$4,500,000

4513-0101For the administration of public health programs and special projects; provided, that not less than $200,000 shall be expended for a new Medical OnSite Academy to address the behavioral health needs of those employees working in the medical field, including, but not limited to, critical incident stress management; substance abuse; post-traumatic stress disorder, issues resulting from increased stress due to the COVID-19 Pandemic; staffing shortages; and workplace violence in the medical field; provided further, that not less than $173,000 shall be expended for a community paramedic in the town of Canton; provided further, that not less than $75,000 shall be expended to Heywood hospital for the Youth Tele Behavioral Health program; provided further, that not less than $150,000 shall be expended to design and install a generator for the local health department in the town of Wellesley; provided further, that not less than $250,000 shall be used for UTEC Inc. for food infrastructure, training, and food distribution services; provided further, that not less than $500,000 shall be appropriated to Outer Cape Health Services to support the Structured Outpatient Addiction Program; provided further, that not less than $300,000 shall be dedicated to the City of Everett to hire additional substance abuse counselors to work with the Everett Police Department and the Everett Department of Public Health to provide support and assistance to unhoused members of the community; provided further, that not less than $50,000 shall be used by the Charles River Community Health in Brighton for enhancement of a COVID-19 testing program; provided further, that not less than $100,000 shall be expended to the New Beginnings Re-entry Services in order to reduce recidivism, provide support to formerly incarcerated women in Roxbury transitioning back into the community, build networks, improve social skills and relationships, and help them recover from post-incarceration housing insecurity, addiction, and trauma; provided further, that not less than $100,000 shall be expended on continued investment in North Andover’s community support coordinators, in order to respond to the increase in mental health, substance use disorder, and domestic violence escalations resulting from the 2019 novel coronavirus pandemic; provided further, that not less than $100,000 shall be allocated to the Children’s Advocacy Center of Hampshire County to provide onsite mental health services to children and teens who have experienced trauma due to abuse; provided further, that not less than $100,000 shall be expended for Project RIGHT's substance use disorder/trauma prevention initiative in the Grove Hall area of Boston; provided further, that not less than $75,000 shall be expended for Springfield Pharmacy in the city of Springfield to conduct free rapid COVID-19 testing; provided further, that not less than $200,000 shall be expended to the Merrimack Valley Public Safety Youth Center operated by Lawrence Family Development, Inc. in the city of Lawrence to further their programs to provide programming for at-risk youth and gun violence prevention; provided further, that not less than $70,000 shall be expended to the town of Norwood to offset the rise in transportation expenses after the closure of Norwood Hospital due to a historic climate hazard occurring during the pandemic; provided further, that not less than $100,000 shall be expended to the town of Walpole for improvements to the satellite emergency medical services facility opened in response to the pandemic and the closure of Norwood Hospital due to a historic climate hazard occurring during the pandemic; provided further, that not less than $450,000 shall be expended for a hospital-based, comprehensive Child Protection Program at UMass Memorial Medical Center providing 24/7 pediatric abusive injury care, including: (i) medical evaluation and diagnosis services in cases of pediatric sexual abuse, sexual assault, physical abuse and neglect, (ii) timely health care evaluations and examinations for children entering foster care, and (iii) training of medical, educational and social service professions regarding physical and mental health issues for victims of abuse; provided further, that not less than $350,000 shall be expended for the town of Westford for the purchase of personal protection equipment, cleaning and disinfecting supplies, air filters and other costs associated with the prevention of the spread of Covid-19 in the town of Westford; provided further, that not less than $1,500,000 shall be expended for coordination teams for triage treatment and service supports; provided further, that not less than $5,000,000 shall be expended for post treatment supportive housing within the city of Boston; 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…………….$9,843,000

5011-0101For the administration of mental health programs and special projects; provided, that not less than $115,000 shall be expended for the Mental Health Association to meet the mental health needs of children in the Hampden-Wilbraham regional school istrict and for the implementation of a pilot program to address the implications of the 2019 novel coronavirus on children’s mental health, which may serve as a statewide pilot; provided further, that not less than $20,000 shall be expended to Jay's Hope and Promise, Co. of Hanson to assist individuals recovering from substance misuse; provided further, that not less than $125,000 shall be expended for Wayside Youth and Family Support Network in Watertown to provide youth mental health first aid training; provided further, that not less than $150,000 shall be expended for Community Impact of Milford to maintain a regional substance abuse outreach, intervention, recovery and outpatient program in the greater Milford area; provided further, that not less than $200,000 shall be expended for the Alliance for Inclusion and Prevention to expand children’s access to pandemic-related mental and emotional health services in K-12 schools in Boston, gateway cities and districts across Massachusetts; provided further, that not less than $300,000 shall be expended to Greater Lynn Senior Services, Inc. for its elder mobile mental health program; and provided further, not less than $50,000 shall be expended to the Norwood public health department for a Mental Health Training Awareness (MHAT) services; 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…………………………………….$960,000

And further amend said section 2A by inserting after item 1599-4500 the following 2 new items:-

7010-0013For educational programming, support and special projects; provided, that not less than $1,000,000 shall be expended for the extraordinary and unreimbursed 2019 novel coronavirus pandemic-related expenditures incurred by the New England Center for Children; provided further, that not less than $150,000 shall be expended for the city of Melrose for accessibility and safety improvements for the 2 elevators at the Melrose high school; provided further, that not less than $100,000 shall be expended for the Leominster public schools to conduct a feasibility study for an early childhood education center; provided further, that not less than $250,000 shall be expended for the construction of a health clinic at the Framingham public schools welcome center; provided further, that not less than $100,000 shall be expended for North Attleborough school department to purchase equipment to facilitate the startup of a robotics program; provided further, that not less than $50,000 shall be expended for the Watuppa Rowing Center for ADA compliance improvements and additional programming equipment for instruction and access to underserved high school and adult populations; provided further, that not less than $200,000 shall be expended for the city of Pittsfield for a master plan study of the Pittsfield public schools; provided further, than not less than $5,000 shall be expended for Girls Inc. of Taunton; provided further, that not less than $50,000 shall be expended for the special commission on the long-term fiscal health of rural school districts facing declining enrollment, established by section 22 of chapter 132 of the acts of 2019, for costs, including, but not limited to, staffing and administrative expenses; provided further, that not less than $100,000 shall be expended for Making Opportunity Count (MOC) for the completion of the Youth Innovation Center, which will allow students access to a creative space and critical resources in a disproportionately affected neighborhood; provided further, that not less than $150,000 shall be expended for the Natick public schools for after-school tutoring support and mental health services; provided further, that not less than $600,000 shall be expended for Cradles to Crayons to support children’s clothing security relief; provided further, that not less than $100,000 shall be expended for materials for career and technical training within the career and technical education programs at Weymouth high school; provided further, than not less than $100,000 shall be expended for the replacement of the turf field carpet at the Arthur Kenney field in the town of North Reading; provided further, that not less than $100,000 shall be expended for town of Upton to replace and upgrade heating and ventilation units within municipal buildings; provided further, that not less than $100,000 shall be expended for town of Northbridge for public safety broadband infrastructure improvements; provided further, that not less than $100,000 shall be expended for town of Grafton to replace and upgrade the heating and ventilation units within the Grafton public schools; provided further, than not less than $200,000 shall be expended for Haverhill public schools to purchase an electric school bus; provided further, that not less than $200,000 shall be expended for The Possible Project to support children at risk through job training, entrepreneurship programs and community supports; provided further, that not less than $100,000 shall be expended for the Teen Torch program at Yes We Care; provided further, that not less than $300,000 shall be expended for the East Boston Social Centers, Inc., to provide child care services, improving teacher pay and benefits and making financial aid scholarships available to families; provided further, that not less than $100,000 shall be expended for Amherst regional public schools for mental health services for students; provided further, that not less than $25,000 shall be expended for All Dorchester Sports League for job training, core skills development, after school programming, youth activities and other relevant activities; provided further, that not less than $300,000 shall be expended for the Museum of Science, Boston to hire and retain science, technology, engineering and mathematics educators to help residents access STEM education at the museum and virtually through MOS at School; provided further, that not less than $100,000 shall be expended for the Charlestown Boys and Girls Club for facility upgrades and soil erosion mitigation measures; provided further, that not less than $2,000,000 shall be expended for the Big Brothers Big Sisters of Eastern Massachusetts for funding related to youth mentorship programming in underserved cities to combat the negative effects of the 2019 novel coronavirus pandemic on youth in the commonwealth; provided further, that not less than $25,000 shall be expended for the Chicopee Boys & Girls Club to provide mental health services; provided further, that not less than $33,000 shall be expended for Chicopee Comprehensive high school to purchase a water jet cutter machine for their career and technical education metal fabrication program; provided further, that not less than $50,000 shall be expended for Charles H. McCann regional vocational and technical high school for a workforce training program; provided further, that not less than $75,000 shall be expended for Chicopee high school to purchase equipment to implement a cosmetology program for students; provided further, that not less than $200,000 shall be expended for the youth development organization in the city of Lawrence; 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 …………………………………………………$6,963,000

7010-0015For capital expenditures and education special projects; provided, that not less than $100,000 shall be expended for the Leominster public schools to upgrade the 2 heating, ventilation and air conditioning systems at Bennett elementary schools; provided further, that not less than $150,000 shall be expended for the Leominster public schools to upgrade the water filtration systems throughout the district; provided further, that not less than $210,000 shall be expended for heating, ventilation and air conditioning system upgrades in Silver Lake regional high school; provided further, that not less than $75,000 shall be expended for the town of Gill for improvements to the Gill elementary school; provided further, that not less than $100,000 shall be expended for the Quaboag regional high school athletic complex; provided further, that not less than $45,000 shall be expended for upgrades to an outdoor patio area for classes to be held at the Millville elementary school in the town of Millville; provided further, that not less than $50,000 shall be expended for heating, ventilation and air conditioning upgrades for the town of Shrewsbury public schools; provided further, that not less than $150,000 shall be expended for Lowell public schools to upgrade the heating, ventilation and air conditioning system at Morey elementary school; provided further, that not less than $300,000 shall be expended for heating, ventilation and air conditioning upgrades to schools and public buildings in the town of Hopkinton; provided further, that not less than $100,000 shall be expended for heating, ventilation and air conditioning upgrades to public buildings in the town of Southborough; provided further, that not less than $100,000 shall be expended for the Brookline teen center for programming space expansions and ventilation, heating and cooling improvements; provided further, that not less than $150,000 shall be expended for the Westport community schools for the installation of heating, ventilation and air conditioning systems at the Macomber school; provided further, that not less than $50,000 shall be expended for Camp Avoda located in the town of Middleborough for capital improvements and water system upgrades; provided further, that not less than $250,000 shall be expended for Haverhill public schools for capital and safety improvements; provided further, that not less than $250,000 shall be expended for the city of West Springfield for heating, ventilation and air conditioning upgrades and the expansion of memorial school; provided further, that not less than $250,000 shall be expended for a modular classroom pod and installation at the Hancock elementary school in the city of Brockton; provided further, that not less than $250,000 shall be expended for a modular classroom pod and installation at the Kennedy elementary school in the city of Brockton; provided further, that not less than $300,000 shall be expended for heating, ventilation and air conditioning system improvements for the town of Holbrook; provided further, that not less than $300,000 shall be expended for information technology improvements for the Braintree public school system; provided further, that not less than $75,000 shall be expended for Chicopee comprehensive high school to construct a new maintenance facility to allow for the expansion of heating, ventilation and air conditioning and plumbing career and technical education programming; provided further, that not less than $250,000 shall be expended for upgrades to the heating, ventilation and air conditioning system at the Chicopee Boys & Girls Club; 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……………………$3,505,000

And moves to further amend the bill in section 64 by inserting after the word “agencies”, in line 642, the following words:- ; provided further, that each agency shall submit notice to the office for refugees and immigrants not later than 30 days of signing an agreement with a national voluntary agency, and prior to receiving funds.

And moves to further amend the bill in section 67 by striking out, in line 681, the word “community”.

And moves to further amend the bill by inserting after section 75 the following 2 new sections:-

SECTION 75A. Notwithstanding any general or special law to the contrary, the special commission established in section 135 of chapter 47 of the acts of 2017 is hereby revived and continued to November 30, 2021. The special commission shall file its report and recommendations pursuant to said section 135 of said chapter 47 with the clerks of the house of representatives and senate, the house and senate chairs of the joint committee on health care financing and the house and senate chairs of the joint committee on public health not later than November 30, 2021.

SECTION 75B. (a) Notwithstanding any general or special law to the contrary, the health policy commission shall study and issue a report on the state of the health care workforce in the commonwealth. The report shall include: (i) an assessment identifying chronic and acute workforce shortages affecting various sectors including, but not limited to, primary and behavioral health care, home care and home health care, community health centers and skilled nursing facilities; (ii) an assessment of existing efforts and initiatives to develop cultural competency within health care professions; (iii) an analysis of potential workforce development initiatives and incentive programs to address workforce shortages including, but not limited to, scholarships, student clinical placement initiatives, mentorship programs and student loan forgiveness; and (iv) an examination of the current and potential role of community colleges to provide skills training and certification for certain health care professions.

(b) The health policy commission shall submit its report to the clerks of the senate and the house of representatives and the chairs of the joint committee on health care financing, the joint committee on public health and the joint committee on mental health, substance use and recovery not later than May 1, 2022.