Budget Amendment ID: FY2022-S3-372

EHS 372

Caregivers

Mr. Tarr, Ms. Moran, Messrs. Moore, Feeney, Brady, O'Connor and Pacheco moved that the proposed new text be amended by inserting after section _ the following:-

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


Budget Amendment ID: FY2022-S3-373

EHS 373

State Action for Public Health Excellence program for local boards of health

Ms. Comerford, Ms. Rausch, Ms. DiZoglio, Ms. Moran, Messrs. Eldridge and Crighton, Ms. Chang-Diaz, Mr. Velis, Ms. Gobi, Messrs. Moore, Cronin, Feeney, Lesser, Timilty, Hinds, Tarr, O'Connor, Brady, Gomez, Keenan, Cyr, Finegold, Montigny, Pacheco and Rush moved that the proposed new text be amended in section 2, in item 4512-2022, by striking out the figure “$10,000,000” and inserting in place thereof the figure:- “$13,000,000”.


Budget Amendment ID: FY2022-S3-374

EHS 374

Regional EMS

Mr. Tarr, Ms. Comerford, Messrs. Brady, Hinds, Moore and O'Connor moved that the proposed new text be amended in section 2, in item 4510-0790, by striking the figure:-"$500,000" and inserting in place thereof the following:-"$1,000,000".


Budget Amendment ID: FY2022-S3-375

EHS 375

Lyme Disease Working Group

Messrs. Tarr, Keenan 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 there shall be within the Department of Public Health a Lyme and Tick-borne diseases working group. Said working group shall be comprised of the secretary of health and human services or their designee, the commissioner of the department of public health or their designee, the commissioner of the the department of conservation resources or their designee, Four members of the public appointed by the governor one of whom shall have a background in one of the following areas, Infectious diseases; General practitioner; Mental Health; Entomology; Epidemiology; Health Insurance; health advocacy with a focus in tick-borne diseases;  one of whom shall have a background in one of the following areas, Infectious diseases; General practitioner; Mental Health; Entomology; Epidemiology; Health Insurance; health advocacy with a focus in tick-borne diseases. Said working group shall vote on chair and co-chairs of the working group. Said working group shall hold at least one public hearing annually and shall meet at least quarterly.

The working group shall review current best practices for diagnosis, treatment, and prevention of Lyme and all tick-borne diseases, as well as any reports or recommendations from the local medical community. Working group shall also provide recommendations on improvements to the delivery of care for patients and suspected patients of Lyme and tick-borne diseases, collaborate with the department of health and human services; department of environmental protection; and local governments in promoting effective strategies to combat Lyme and Tick-borne diseases, help streamline state efforts to combat the spread of Lyme and tick-borne diseases, identify all federal opportunities and nonprofit/private organization opportunities where the state may collaborate for projects related to Lyme and tick-borne diseases, collect data and report to the secretaries of the General Court of the Commonwealth on Lyme and tick-borne disease as it appears in the commonwealth annually.

The working group shall annually file a report on a their findings with the clerks of the house and senate, and the department of public health and said report shall be electronically available for the public to view."


Budget Amendment ID: FY2022-S3-376

EHS 376

Fetal opioid drug exposure

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

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

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


Budget Amendment ID: FY2022-S3-377

EHS 377

Medicare Savings Expansion

Mr. Tarr 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 secretary of administration and finance, in consultation with the secretary of health and human services, may transfer from the prescription advantage program in item 9110-1455 of section 2 and the Health Safety Net Trust Fund established in section 66 of chapter 118E of the General Laws in fiscal year 2022, the amount necessary to support the Medicare Savings or Medicare Buy-In programs established in

section 25A of chapter 118E of the General Laws; provided, however, that the secretary of health and human services shall certify to the senate and house committees on ways and means, not less than 45 days in advance of the transfer, in writing, the amount to be transferred and an explanation of the amount of expected savings to those programs resulting from the transfer."


Budget Amendment ID: FY2022-S3-380

EHS 380

Domestic Violence and Sexual Assault Prevention and Survivor Services

Messrs. Moore, Keenan, O'Connor and Cyr moved that the proposed new text be amended in section 2, in item 4513-1130, by striking out the figure "$50,366,295" and inserting in place thereof the following figure:- $50,874,714.


Budget Amendment ID: FY2022-S3-381

EHS 381

Pappas Rehabilitation Hospital for Children Inpatient Beds

Messrs. Timilty, Brady and O'Connor 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 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";


Budget Amendment ID: FY2022-S3-382-R1

Redraft EHS 382

Norfolk, Bristol and Plymouth District Substance Misuse Coalitions

Messrs. Timilty and Keenan 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 $180,000 shall be expended in equal amounts to the following substance abuse coalitions and community partnerships: (i) Avon Coalition for Every Student; (ii) Braintree Community Partnership on Substance Abuse; (iii) Canton Alliance Against Substance Abuse; (iv) EB Hope, Inc., in the town of East Bridgewater; (v) Easton Wings of Hope; (vi) Milton Substance Abuse Prevention Coalition; (vii) Randolph Substance Abuse Prevention Coalition; (viii) Sharon Substance Prevention and Resource Coalition; and (ix) Organizing Against Substances in Stoughton"; and

in said section 2, in said item 4512-0205, by striking out the figure “$125,000” and inserting in place thereof the following figure:- "$305,000".


Budget Amendment ID: FY2022-S3-382

EHS 382

Norfolk, Bristol and Plymouth District Substance Misuse 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 $225,000 shall be expended in equal amounts to the following substance abuse coalitions and community partnerships: (i) Avon Coalition for Every Student; (ii) Braintree Community Partnership on Substance Abuse; (iii) Canton Alliance Against Substance Abuse; (iv) EB Hope, Inc., in the town of East Bridgewater; (v) Easton Wings of Hope; (vi) Milton Substance Abuse Prevention Coalition; (vii) Randolph Substance Abuse Prevention Coalition; (viii) Sharon Substance Prevention and Resource Commission; and (ix) Organizing Against Substances in Stoughton ";

and by striking out the figure:- "$125,000 and inserting in place thereof the following figure:- "$350,000".


Budget Amendment ID: FY2022-S3-383

EHS 383

Pappas Rehabilitation Hospital for Children Summer Program

Messrs. Timilty and Brady moved that the proposed new text be amended in section 2, in item 4590-0915, by adding at the end thereof the following words:- " provided further, that not less than $300,000 shall be expended for the Pappas Rehabilitation Hospital for Children summer program";

and by striking out the figure "$170,972,689" and inserting in place thereof the following figure:- "$171,272,689";


Budget Amendment ID: FY2022-S3-384

EHS 384

Bridge for Resilient Youth in Transition Programs

Ms. Creem, Ms. Comerford, Messrs. Keenan, Moore, O'Connor and Eldridge moved that the proposed new text be amended in section 2, in item 4590-0250, by striking out the figure "$350,000" and inserting in place thereof the figure "$500,000"; and by striking out the figure "$14,373,583" and inserting in place thereof the figure "$14,523,583".


Budget Amendment ID: FY2022-S3-385-R1

Redraft EHS 385

Perinatal-Neonatal Quality Improvement Network of Massachusetts

Ms. Chandler, Mr. Moore, Ms. Rausch, Ms. Comerford, Mr. O'Connor and Ms. Lovely moved that the proposed new text be amended in section 2, by inserting after item 4513-1002 the following item:-

"4513-1003 For the Perinatal-Neonatal Quality Improvement Network of Massachusetts, a joint venture of the Massachusetts Perinatal Quality Collaborative and the Neonatal Quality Collaborative to improve health outcomes for mothers, newborns and families by reducing maternal morbidity and mortality, reducing health care disparities, reducing opioid use disorder in pregnancy and supporting quality improvement initiatives to improve maternal and child health outcomes and achieve health equity; provided, that the department of public health shall provide relevant data to the program in order to determine scope and scale of the program, including data on volume and prevalence of pregnancy-related deaths in the commonwealth; and provided further, that the department shall collect data to gauge the success of the program in decreasing pregnancy-related deaths and track trends within the patient population, including, but not limited to, variance by age, race and comorbidities.……………………………$500,000”.


Budget Amendment ID: FY2022-S3-385

EHS 385

Perinatal-Neonatal Quality Improvement Network of Massachusetts

Ms. Chandler, Mr. Moore, Ms. Rausch and Ms. Comerford moved that the proposed new text be amended in section 2, by inserting, after item 4513-1002, the following item:-

"4513-1003 For the Perinatal-Neonatal Quality Improvement Network of Massachusetts, a joint venture of the Massachusetts Perinatal Quality Collaborative and the Neonatal Quality Collaborative to improve health outcomes for mothers, newborns and families by reducing maternal morbidity and mortality, reducing health care disparities, reducing opioid use disorder in pregnancy, and supporting quality improvement initiatives to improve maternal and child health outcomes and achieve health equity; provided that the department of public health shall provide relevant data to the program in order to determine scope and scale of the program, including data on volume and prevalence of pregnancy-related deaths in the commonwealth; and provided further that the department shall collect data to gauge the success of the program in decreasing pregnancy-related deaths and track trends within the patient population, including, but not limited to, variance by age, race, and co-morbidities.………………………………….$722,500”


Budget Amendment ID: FY2022-S3-387

EHS 387

Radio Reading Services

Ms. Chandler, Messrs. Lesser, Moore and Velis, Ms. Comerford, Messrs. Eldridge and Kennedy, Ms. Gobi, Ms. Moran, Messrs. Fattman, Hinds, O'Connor, Gomez, Cronin and Timilty 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 $100,000 shall be expended to each of the following radio reading services: Audible Local Ledger, Inc., Audio Journal, Inc., Berkshire Talking Chronicle, Lowell Association for the Blind, Inc. and Valley Eye Radio, Inc.", and by striking out the figure “$6,359,783” and inserting in place thereof the following figure:- “$6,859,783”.


Budget Amendment ID: FY2022-S3-388

EHS 388

Head Injury Treatment Services

Ms. Chandler, Mr. Brady, Ms. Gobi, Messrs. Timilty, Barrett, Eldridge, O'Connor, Gomez and Velis moved that the proposed new text be amended in section 2, in item 4120-6000, by striking out the figure “$22,621,548,” and inserting in place thereof the figure:- “$23,384,003”.


Budget Amendment ID: FY2022-S3-389

EHS 389

Personal Protective Equipment Supply

Mr. Tarr moved that the proposed new text be amended in section 2, in item 4510-0100, by adding the following words:- “; provided further, that the office of preparedness and emergency management shall develop and implement a personal protective equipment, or PPE, inventory tracking, management and procurement system for the purposes of projecting the amounts of PPE necessary to combat the 2019 novel coronavirus by category and ensuring the timely availability of such materials for hospitals, nursing homes and other health care providers; provided further, that said system shall include, but not be limited to, a standardized system for health care providers to report: (i) existing stocks of PPE; (ii) outstanding and anticipated orders of PPE; (iii) disruptions in supply chains; (iv) incidents of price gouging; and (v) projected need for PPE; provided further, that said system shall contain a database of PPE suppliers and an indication of the reliability of said suppliers based on the experience of governmental and institutional consumers; provided further, that the system shall include a mechanism for bulk or coordinated procurement of PPE; provided further, that the system shall include a mechanism for a health care provider to alert the office to an impending shortage of PPE, if deemed necessary for maintaining adequate supplies and stockpiles; and provided further, that not later than 90 days following the effective date of this act, the office shall produce weekly reports on the status of the commonwealth’s PPE inventory and post said reports electronically".


Budget Amendment ID: FY2022-S3-389-R1

Redraft EHS 389

Personal Protective Equipment Supply

Messrs. Tarr, Moore and O'Connor moved that the proposed new text be amended in section 2, in item 4510-0100, by adding the following words:- “; provided further, that the office of preparedness and emergency management shall develop and implement a personal protective equipment, or PPE, inventory tracking, management and procurement system for the purposes of projecting the amounts of PPE necessary to combat a declared state of emergency or public health emergency by category and ensuring the timely availability of such materials for hospitals, nursing homes and other health care providers; provided further, that said system shall include, but not be limited to, a standardized system for health care providers to report: (i) existing stocks of PPE; (ii) outstanding and anticipated orders of PPE; (iii) disruptions in supply chains; (iv) incidents of price gouging; and (v) projected need for PPE; provided further, that said system shall contain a database of PPE suppliers and an indication of the reliability of said suppliers based on the experience of governmental and institutional consumers; provided further, that the system shall include a mechanism for bulk or coordinated procurement of PPE; provided further, that the system shall include a mechanism for a health care provider to alert the office to an impending shortage of PPE, if deemed necessary for maintaining adequate supplies and stockpiles; and provided further, that not later than 90 days following the effective date of this act, the office shall produce weekly reports on the status of the commonwealth’s PPE inventory and post said reports electronically".


Budget Amendment ID: FY2022-S3-390

EHS 390

Grants to reimburse for regional vaccination clinics

Messrs. Tarr and O'Connor moved that the proposed new text be amended in section 2, by adding the following words:-"; provided further, that $1,000,000 shall be expended for grants to regional COVID-19 vaccination clinics operated by municipalities or municipal boards of health for unreimbursed costs of operating such clinics," and by striking the figure "$21,049,963" and inserting in place thereof the following:-"$22,049,963".


Budget Amendment ID: FY2022-S3-391

EHS 391

Grandparents Raising Grandchildren Commission

Messrs. Cyr, Tarr and O'Connor moved that the proposed new text be amended in section 2, in item 0950-0030, by striking out the words:- “; provided, that not less than $50,000 shall be expended for a 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; and provided further, that the study shall include, but not be limited to: (i) the number of individuals in the commonwealth raising children of relatives; (ii) the number of individuals in the commonwealth raising grandchildren because 1 or both parents are addicted to an opioid drug; (iii) resources available to provide services to both the grandparent or other relative and to the children; and (iv) whether such services are coordinated in a manner that is beneficial to the grandparents and other relatives”


Budget Amendment ID: FY2022-S3-392

EHS 392

Westfield Boys & Girls Club

Mr. Velis moved that the proposed new text be amended in section 2, in item 4590-1507, ; provided further, that not less than $50,000 shall be expended for the Westfield Boys and Girls Club for its expansion project;

in said section 2, in said item 4590-1507, by striking out the figure “$6,050,000” and inserting in place thereof the following figure:- “$6,100,000”.


Budget Amendment ID: FY2022-S3-393

EHS 393

Norfolk, Bristol and Plymouth District Councils on Aging

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 $150,000 be expended equally to the councils on aging in the towns of Avon, Canton, East Bridgewater, Easton, Milton, Randolph, Sharon, Stoughton, and West Bridgewater";

and by striking out the figure "$17,151,651" and inserting in place thereof the following figure:- "$17,301,651".


Budget Amendment ID: FY2022-S3-394

EHS 394

Disability Employment Tax Credit

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

SECTION X1. Section 6 of said chapter 62 of the General Laws, as most recently amended by section 57 of chapter 358 of the acts of 2020, is hereby amended by adding the following subsection:- (x)(1) An employer that is not a business corporation subject to the excise under chapter 63, shall be allowed a credit equal to $2,000 or 30 per cent of the wages paid to each qualified employee with a disability in a taxable year, whichever is less, against the tax liability imposed by this chapter. If a credit allowed by this subsection exceeds the tax otherwise due under this chapter, 100 per cent of the balance of such credit may, at the option of the taxpayer, be refundable to the taxpayer. In order to qualify, the employee with a disability must be certified by the Massachusetts rehabilitation commission as meeting the definition of disability in the Americans with Disabilities Act, 42 U.S.C. sections 12101 et seq.; capable of working independently; physically or mentally impaired in a manner that constitutes or results in a substantial impediment to employment for the individual; and hired by the employer after July 1, 2021. (2) To be eligible for a credit under this subsection: (a) the primary place of employment and the primary place of residence of the employee must be in the commonwealth, (b) the business shall receive the applicable certification from the Massachusetts rehabilitation commission that the employee qualifies not later than the day the employee begins work; provided, reasonable exceptions to this timeframe may be established through regulation, and (c) the employee must have been employed by the business for a period of at least 18 consecutive months prior to and in the taxable year in which the credit is claimed. (3) An employer that is eligible for and claims the credit allowed under this subsection in a taxable year with respect to a qualified employee with a disability shall be eligible for a credit of up to $2,000 in the subsequent taxable year with respect to such qualified employee. Any credit allowed under this subsection shall not be transferable. (4) The secretary of health and human services, in consultation with the commissioner, shall promulgate regulations establishing an application process for the credit. (5) The credit under this subsection shall be attributed on a pro rata basis to the owners, partners or members of the legal entity entitled to the credit under this subsection, and shall be allowed as a credit against the tax due under this chapter of such owners, partners or members, in a manner determined by the commissioner.

SECTION X2. Chapter 63 of the General Laws is hereby amended by inserting after section 38II, inserted by section 62 of chapter 358 of the acts of 2020, the following section:- Section 38JJ. (a) A business corporation engaged in business in the commonwealth shall be allowed a credit against its excise due under this chapter in an amount equal to $2,000 or 30 per cent of the wages paid to each qualified employee with a disability in a taxable year, whichever is less. If a credit allowed by this section exceeds the tax otherwise due under this chapter, 100 per cent of the balance of such credit may, at the option of the taxpayer, be refundable to the taxpayer. In order to qualify, the employee with a disability must be certified by the Massachusetts rehabilitation commission as meeting the definition of disability in the Americans with Disabilities Act, 42 U.S.C. sections 12101 et seq.; capable of working independently; physically or mentally impaired in a manner that constitutes or results in a substantial impediment to employment for the individual; and hired by the employer after July 1, 2021. (b) To be eligible for a credit under this section: (i) the primary place of employment and the primary place of residence of the employee must be in the commonwealth, (ii) the business shall receive the applicable certification from the Massachusetts rehabilitation commission that the employee qualifies not later than the day the employee begins work; provided, reasonable exceptions to this timeframe may be established through regulation, and (iii) the employee must have been employed by the business for a period of at least 18 consecutive months prior to and in the taxable year in which the credit is claimed. (c) In the case of a business corporation that is subject to a minimum excise under this chapter, the amount of the credit allowed by this section shall not reduce the excise to an amount less than such minimum excise. (d) A business corporation that is eligible for and claims the credit allowed under this section in a taxable year with respect to a qualified employee with a disability shall be eligible for a credit of up to $2,000 in the subsequent taxable year with respect to such qualified employee. Any credit allowed under this section shall not be transferable. (e) The secretary of health and human services, in consultation with the commissioner, shall promulgate regulations establishing an application process for the credit.

SECTION X3. The credit authorized in sections 24 and 27 shall be available for qualified employees with a disability who are hired after July 1, 2021 and shall be available for the tax year beginning on January 1, 2023 and for subsequent tax years. Summary: This section, along with two others, establishes a tax credit for businesses that employ an individual with a disability for a minimum of eighteen consecutive months. This section is the effective date for the tax credit.


Budget Amendment ID: FY2022-S3-395

EHS 395

Increased Funding for Elder Protective Services

Mr. Timilty, Ms. Jehlen, Ms. DiZoglio, Ms. Gobi, Messrs. Moore, Feeney, Velis and Cronin, Ms. Chang-Diaz, Messrs. Eldridge, Tarr, O'Connor, Gomez and Brady and Ms. Rausch moved that the proposed new text be amended in section 2, in item 9110-1636, by adding the following words:- "provided further, that funds contained in this line item may be used to support program adaptations necessitated by the 2019 novel coronavirus in order to ensure adequate and accessible services"; 

and by striking out the figure "$35,571,728" and inserting in place thereof the following figure:- "$36,348,223".


Budget Amendment ID: FY2022-S3-396

EHS 396

Immunization Registry

Mr. Cyr and Ms. Rausch moved that the proposed new text be amended by inserting after section __ the following section:-

“SECTION __. Section 24M of chapter 111 of the General Laws, as appearing in the 2018 Official Edition, is hereby amended by striking, “and (5) staff of state agencies or state programs whose duties include education and outreach related to the improvement of immunization coverage rates among their clients” and replacing it with “(5) staff of state agencies or state programs whose duties include education and outreach related to the improvement of immunization coverage rates among their clients; and (6) health plans for immunization rate improvement and quality improvement efforts.”


Budget Amendment ID: FY2022-S3-397

EHS 397

Daily rate of support for children in foster care

Mr. Velis, Ms. Comerford, Mr. Eldridge, Ms. Gobi, Messrs. Hinds, O'Connor, Gomez and Cronin moved that the proposed new text be amended in section 2, in item 4800-0038, by adding after the words “flex services” the following words:- ;provided further, that funds shall be expended to increase the daily rate of support for children in foster care by not less than 5%; and

by striking the figure “$299,600,800” and inserting in place thereof the following figure:- “$304,100,800”.


Budget Amendment ID: FY2022-S3-399

EHS 399

Pharmacy Services at Community Health Centers

Mr. Cyr, Ms. Comerford, Ms. Moran and Mr. O'Connor moved that the proposed new text be amended in section 2, in item 4000-0500, by adding the following words:- “provided further, that not less than $3,000,000 will be appropriated to Community Care Cooperative, a 501 (c)(3) MassHealth Accountable Care Organization solely governed by Federally Qualified Health Centers to support the start up of its work to establish FQHC pharmacies that will support high quality and cost-effective patient care and ongoing efforts in reducing health disparities”; and by striking out the figure “$6,046,311,783” and inserting in place thereof the following figure:- “$6,049,311,783”.


Budget Amendment ID: FY2022-S3-400-R1

Redraft EHS 400

DPH Airplane Noise Impact Study

Messrs. Timilty and O'Connor moved that the proposed new text be amended by inserting, after section 42, the following section:-

"SECTION 42A. The department of public health shall commission a study of the health and noise impacts of airplane flights directed to and from the General Edward Lawrence Logan International Airport on residents of communities that are represented on the Massachusetts Port Authority Community Advisory Committee.

The study shall include, but not be limited to, an analysis of the health and noise impacts of airplane flights on such residents who are exposed to conditions related to noise and air pollution emanating from airplane flights, including asthma exacerbation, sleep disturbance, stress and elevated blood pressure; provided, that the study shall particularly consider the health impacts on residents living partly or wholly beneath the flight paths most frequently used by aircraft flying, including landing or during takeoff, at an altitude of 10,000 feet.

The department shall submit a report detailing the findings of its study to the clerks of the senate and the house of representatives, the joint committee on public health and the senate and house committees on ways and means not later than November 1, 2021.”.


Budget Amendment ID: FY2022-S3-400

EHS 400

DPH Airplane Noise Impact Study

Messrs. Timilty 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: FY2022-S3-402

EHS 402

The NAN Project

Ms. Lovely, Ms. DiZoglio, Messrs. Moore, Crighton, Velis, Eldridge, Tarr, O'Connor and Cyr moved that the proposed new text be amended in section 2, in item 5042-5000, by inserting at the end thereof the following: “; provided further, that not less than $350,000 shall be expended for The NAN Project to provide mental health awareness and suicide prevention programming in schools and communities; and in said item by striking out the figures “$97,309,089” and inserting in place thereof the figures “$97,659,089”.


Budget Amendment ID: FY2022-S3-403

EHS 403

MCPAP for Moms PSI Collaborative

Ms. Lovely, Ms. Rausch, Messrs. Keenan, Tarr and O'Connor moved that the proposed new text be amended in section 2, in item 5042-5000, by inserting at the end thereof the following "; provided further that not less than $150,000 be expended to 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"; and in said item by striking the figures "$97,309,089" and inserting in place thereof the figures "97,459,089".


Budget Amendment ID: FY2022-S3-404

EHS 404

Postpartum Care Center

Ms. Lovely, Ms. Rausch, Messrs. Keenan, Tarr, O'Connor and Gomez moved that the proposed new text be amended in section 2, in item 4510-0112, by inserting at the end thereof the following:- "; provided further that not less than $190,548 shall be expended for the establishment of the Mother is Supreme postpartum care center pilot program in the Roxbury, Mattapan, or Dorchester neighborhoods in the city of Boston and a service delivery application to provide wrap-around support services for postpartum parents"; and in said item by striking the figures "$300,000" and inserting in place thereof the figures "$490,548".


Budget Amendment ID: FY2022-S3-409

EHS 409

Access to Narcan

Messrs. Velis, Tarr, O'Connor, Gomez and Cyr moved that the proposed new text be amended in section 2, in item 4512-0205, ; provided further, that not less than $100,000 shall be expended for a state-wide pilot program to provide access to narcan and naloxone kits to school districts;

and in said item by striking out the figures “$125,000” and inserting in place thereof the figures “225,000”.

 


Budget Amendment ID: FY2022-S3-410

EHS 410

Increased Behavioral Health Support for School-Based Health Centers

Messrs. Timilty, Moore and Keenan moved that the proposed new text be amended in section 2, in item 4590-0250, by adding the following words after the phrase “mental health care”:- “provided further, that $500,000 shall be allocated to the office of school-based health within the department of public health to administer a competitive grant program to eligible school-based health centers in the Commonwealth to ensure their ability to (a) preserve and expand access to pediatric mental health care to address the long-term impacts of the COVID-19 pandemic on children, (b) develop innovative approaches to address the ongoing impacts of systemic racism and injustice on children, and (c) create stronger pathways to long-term primary and behavioral health care for children";

and by striking out the figure "$14,373,583" and inserting in place thereof the following figure:- "$14,873,583".


Budget Amendment ID: FY2022-S3-412

EHS 412

Penalty on drug manufacturers for excessive price increases

Messrs. O'Connor and Tarr moved that the proposed new text be amended by inserting after section 63 the following sections:-

“SECTION XX. The General Laws are hereby amended by inserting after chapter 63B the following chapter:-

Chapter 63E. Penalty on drug manufacturers for excessive price increases

Section 1. "Commissioner", the commissioner of revenue.

"Consumer price index", the consumer price index for all urban consumers for Boston, as most recently reported by the federal Bureau of Labor Statistics.

"Drug", any medication, as identified by a National Drug Code, approved for sale by the U.S. Food and Drug Administration.

"Excessive price," the price of a drug if it exceeds the sum of (a) the reference price of that drug, as adjusted for any increase or decrease in the consumer price index since the reference price was determined, and (b) an additional 2 per cent of the reference price for each 12 month period that has elapsed since the date on which the reference price was determined. The 2 per cent increment provided in (b) of the preceding sentence shall compound annually on the first day of the first calendar quarter commencing after the end of each 12 month period described therein.

"Excessive price increase", the amount by which the price of a drug exceeds the sum of (a) the reference price of that drug, as adjusted for any increase or decrease in the consumer price index since the reference price was determined, and (b) an additional 2 per cent of the reference price for each 12 month period that has elapsed since the date on which the reference price was determined. The 2 per cent increment provided in (b) shall compound annually on the first day of the first calendar quarter commencing after the end of each 12 month period described therein.

"Person", any natural person or legal entity.

"Price", the wholesale acquisition cost of a drug, per unit, as reported to the First Data Bank or other applicable price compendium designated by the commissioner.

"Reference price", the price of a drug as of January 1, 2021 or in the case of any drug first commercially marketed in the United States after January 1, 2021, the price of the drug on the date when first marketed.

"Related party", an entity is a related party with respect to a person if that entity belongs to the same affiliated group as that person under section 1504 of the Internal Revenue Code, as amended and in effect for the taxable year, or if the entity and the person are otherwise under common ownership and control.

"Unit", the lowest dispensable amount of a drug.

Section 2. (a) Any person who manufactures and sells drugs, directly or through another person, for distribution in the commonwealth and who establishes an excessive price for any such drug directly or in cooperation with a related party, shall pay a per unit penalty on all units of the drug ultimately dispensed or administered in the commonwealth. The penalty for each unit shall be 80 per cent of the excessive price increase for each unit, determined at the beginning of the calendar quarter.

(b) A person who establishes an excessive price for a drug as described in subsection (a) shall file a return as provided in section 4 declaring all units of excessively priced drug sold for distribution in the commonwealth during the quarter. In the event that a person filing such a return pays a penalty with regard to one or more units of drug that are ultimately dispensed or administered outside of the commonwealth, the person may claim a credit for such penalty amounts on the return for the tax period during which such units are ultimately dispensed or administered.

Section 3. The penalty under section 2 shall apply for any calendar quarter only to a person who maintains a place of business in the commonwealth or whose total sales of all products, directly or through another person, for distribution in the commonwealth were more than $100,000 in the prior twelve month period. The penalty shall not apply more than once to any unit of drug sold.

Section 4. Any person subject to the penalty under section 2 shall file a return with the commissioner and shall pay the penalty by the fifteenth day of the third month following the end of each calendar quarter, subject to such reasonable extensions of time for filing as the commissioner may allow. The return shall set out the person's total sales subject to penalty in the immediately preceding calendar quarter and shall provide such other information as the commissioner may require.

Section 5. The penalty imposed under this chapter shall be in addition to, and not a substitute for or credit against, any other penalty, tax or excise imposed under the General Laws.

Section 6. The commissioner may disclose information contained in returns filed under this chapter to the department of public health for purposes of verifying that a filer's sales subject to penalty are properly declared and that all reporting is otherwise correct. Return information so disclosed shall remain confidential and shall not be public record.

Section 7. To the extent that a person subject to penalty under section 2 fails to pay amounts due under this chapter, a related party of such person that directly or indirectly distributes in the commonwealth any drug whose sales are subject to this chapter shall be jointly and severally liable for the penalty due.

Section 8. The commissioner may promulgate regulations or issue other guidance for the implementation of this chapter.

SECTION XX. Chapter 63E of the General Laws, as inserted by section X2, shall apply to sales commencing on or after the enactment date of this act. The commissioner of revenue shall issue regulations or other guidance regarding the reporting and payment of the penalty as soon as practicable after the enactment date of this act.”


Budget Amendment ID: FY2022-S3-413

EHS 413

Excise on manufacture and sale of certain opioids for distribution in the Commonwealth

Mr. O'Connor moved that the proposed new text be amended by inserting after section 63 the following sections:-

“SECTION XX. The General Laws are hereby amended by inserting after chapter 63B the following chapter:-

Chapter 63D. Excise on manufacture and sale of certain opioids for distribution in the commonwealth.

Section 1. "Commissioner", the commissioner of revenue.

"Gross receipts", receipts from sales made by a person to a purchaser that is not a related party. In the case of sales to a related party or parties for subsequent resale to an unrelated buyer, the gross receipts are the amount paid for the product by the first unrelated buyer.

"Opioid", any product included in the pharmacological class category of full opioid agonist, opioid agonist or partial opioid agonist in the National Drug Code (NDC) Directory NDC Product File, except for products approved by the U.S. Food and Drug Administration for the treatment of opioid use disorder.

"Person", any natural person or legal entity.

"Related parties", an entity that belongs to the same affiliated group as the person under section 1504 of the Internal Revenue Code, as amended and in effect for the taxable year, or if the entity and the person are otherwise commonly owned and controlled.

Section 2. (a) Any person who manufactures opioids and sells such products, directly or through another person, for distribution in the commonwealth shall pay an excise of 15 per cent of its gross receipts from such sales; provided, however, that gross receipts subject to the excise under this section shall be limited to the sales of opioids that are ultimately dispensed in the commonwealth pursuant to a valid prescription issued under section 18 of chapter 94C.

(b) A person who manufactures opioids and sells such products, directly or through another person, for distribution in the commonwealth as described in subsection (a) shall file a return as provided in subsection (a) of section 4 declaring total sales subject to excise in the immediately preceding calendar quarter. In the event that a person filing such a return pays an excise of 15 per cent of its gross receipts from sales of opioids that are not ultimately dispensed in the commonwealth pursuant to a valid prescription issued under section 18 of chapter 94C, the person may claim a credit for such excise amounts on the return for the tax period during which such sales are ultimately dispensed.

Section 3. The excise under section 2 shall apply only to persons who maintain a place of business in the commonwealth or whose total sales of all products, directly or through another person, for distribution in the commonwealth are more than $25,000 in the calendar quarter to which the excise under section 2 otherwise would apply, or in the case of the 6 months ending June 30, 2022, more than $50,000 for such 6 month period.

Section 4. (a) Any person subject to the excise under section 2 shall file a return with the commissioner and shall pay such excise by the fifteenth day of the third month following the end of each calendar quarter. Such return shall set out the person's total sales subject to excise in the immediately preceding calendar quarter and shall provide such other information as the commissioner may require.

(b) Each person subject to the excise under section 2 shall provide to the commissioner annually, on or before June 1st, a report detailing all opioids sold, directly or through another person, for distribution in the commonwealth in the prior calendar year. Such report shall include:

(i) the person's name, address, phone number, federal Drug Enforcement Administration (DEA) registration number and controlled substance registration number issued by the department;

(ii) the name and NDC of the opioid;

(iii) the unit of measure and quantity of the opioid;

(iv) the name, address and DEA registration number of the first unrelated buyer of the opioid;

(v) the date of the sale of the opioid;

(vi) whether the opioid was ultimately dispensed in the commonwealth pursuant to a valid prescription issued under section 18 of chapter 94C;

(vii) the gross receipt total, in dollars, of all opioids sold;

(viii) the gross receipt total, in dollars, and quantity by NDC of all opioids ultimately dispensed in the commonwealth pursuant to a valid prescription issued under section 18 of chapter 94C; and

(ix) any other elements required by the commissioner.

Section 5. The excise imposed under this chapter shall be in addition to, and not a substitute for or credit against any other tax or excise imposed under the General Laws.

Section 6. The commissioner may disclose information contained in returns and reports filed under this chapter to the department of public health for purposes of verifying that the appropriate amount of a filer's sales subject to excise are properly declared and that all reporting is otherwise correct. Return and report information so disclosed shall remain confidential and shall not be public record.

Section 7. To the extent that a person subject to excise under section 2 fails to pay amounts due under this chapter, a related party of such person that directly or indirectly distributes the opioid of such person in the commonwealth shall be jointly and severally liable for the excise due.

Section 8. The commissioner may promulgate regulations or issue other guidance for the implementation of this chapter.

SECTION XX. Chapter 63D of the General Laws, as inserted by section 64, shall apply to all sales commencing on or after a date 6 months after the enactment date of this act. The commissioner of revenue shall issue regulations or other guidance regarding the timing of returns required under said chapter 63D, as so inserted, not later than 6 months after the enactment date of this act.”


Budget Amendment ID: FY2022-S3-414

EHS 414

Geriatric Mental Health

Mr. Tarr, Ms. DiZoglio, Messrs. Hinds, Moore, O'Connor and Cyr moved that the proposed new text be amended in section 2, in item 9110-1640, by striking out the figure “$1,000,000” and inserting in place thereof the following figure:- “$1,200,000”.


Budget Amendment ID: FY2022-S3-415

EHS 415

Waltham Partnership for Youth

Mr. Barrett moved that the proposed new text be amended in section 2, in item 4512-0205, by adding the following words:- "; provided further, that not less than $75,000 shall be expended for the Waltham Partnership for Youth, Inc. in the city of Waltham"; and in said section 2, in said item 4512-0205, by striking out the figure "$125,000" and inserting in place thereof the following figure:- "$200,000".


Budget Amendment ID: FY2022-S3-416

EHS 416

Fragile Beginnings & Project NESST

Messrs. Barrett, O'Connor and Velis 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 “$299,600,800” and inserting in the place thereof the following figure:- "300,000,800".


Budget Amendment ID: FY2022-S3-417

EHS 417

Harvard Street Neighborhood Health Center

Mr. Rush moved that the proposed new text be amended in section 2, in item 1410-0012, "; provider further that not less than $190,000 shall be expended for the Harvard Street Neighborhood Health Center Veterans Center in Boston for outreach services and in said item by striking out the figures “$8,699,022” and inserting in place thereof the following figure:-"9,079,022"."


Budget Amendment ID: FY2022-S3-418

EHS 418

Town of Nahant Vietnam Veterans Memorial Wall That Heals

Mr. Crighton moved that the proposed new text be amended in section 2, in item 1410-1616, by adding the following words:-"; provided further, that not less than $10,000 be expended to the town of Nahant for the Vietnam Veterans Memorial Wall that Heals"; and by striking out the figure “$400,000" and inserting in place thereof the following figure:- "$410,000".


Budget Amendment ID: FY2022-S3-419-R1

Redraft EHS 419

Self Esteem Boston

Mr. Rush, Ms. DiZoglio, Messrs. Crighton, Boncore, Keenan, Velis, O'Connor and Gomez moved that the proposed new text be amended in section 2, in item 4512-0205, by adding the following words:- “; provided further, that not less than $175,000 shall be expended for Self Esteem Boston Educational Institute Inc.’s direct service and provider training programs"; and by striking out the figure “$125,000” and inserting in place thereof the following figure:- "$300,000".


Budget Amendment ID: FY2022-S3-419

EHS 419

Self Esteem Boston

Mr. Rush, Ms. DiZoglio, Messrs. Crighton, Boncore, Keenan, Velis and Collins moved that the proposed new text be amended in section 2, in item 4512-0200, “; provided further, that not less than $175,000 shall be expended for Self Esteem Boston’s direct service and provider training programs," and in said item by striking out the figures “$175,300,416” and inserting in place thereof the following figure:-"$175,475,416"."


Budget Amendment ID: FY2022-S3-420

EHS 420

911 Call Study

Messrs. Brownsberger, Eldridge and Moore 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 $475,000 shall be expended for the executive office, in collaboration with the executive office of public safety and security, to conduct a study of 911 calls for service and the disposition of such calls to determine how many calls and what types of calls were or could have been diverted to social service, behavioral health, community arbitration or other unarmed responders instead of law enforcement; provided further, that said study shall combine computer-aided dispatch data with a review of police incident reports and any other information available; provided further, that said data shall be stratified where available by age, race, ethnicity, gender identity, sexual orientation, and individuals with Autism Spectrum Disorder, and intellectual or developmental disabilities; provided further, that said study shall review up to one year of records from at least three police departments with variation of geography, municipal demographics, size, and density; provided further, that the executive office may limit the data collection to less than one year if it determines that survey resources would be better used collecting more data items about a smaller universe of cases; provided further, that the executive office shall submit a report to the Clerks of the House and Senate by December 31, 2022 with findings and recommendations”; and by striking out the figure “$115,234,923” and inserting in place thereof the following figure:- “$115,709,923”


Budget Amendment ID: FY2022-S3-420-R1

Redraft EHS 420

911 Call Study

Messrs. Brownsberger, Eldridge, Moore, Gomez and Cyr and Ms. Rausch 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 $475,000 shall be expended for the executive office of health and human services, in collaboration with the executive office of public safety and security, to conduct a study of  the disposition of 911 calls to determine how many calls and what types of calls were or could have been diverted to social service, behavioral health, community arbitration or other unarmed responders instead of law enforcement; provided further, that the executive office of health and human services shall analyze computer-aided dispatch data, police incident reports and any other information available; provided further, that data shall be stratified, where available, by age, race, ethnicity, gender identity, sexual orientation, individuals with Autism Spectrum Disorder, intellectual or developmental disabilities and any person experiencing homelessness; provided further, that the study shall review up to 1 year of records from at least 3 municipal police departments with variation of geography, municipal demographics, size and density; provided further, that the executive office of health and human services may limit the data collection to less than 1 year if it determines that survey resources would be better used collecting more data items about a smaller universe of cases; provided further, that not later than December 31, 2022, the executive office of health and human services shall submit a report to the house and senate committees on ways and means and the clerks of the senate and house of representatives with its findings and recommendations;”; and in said section 2, in said item 4000-0300, by striking out the figure “$115,234,923” and inserting in place thereof the following figure:- “$115,709,923”.


Budget Amendment ID: FY2022-S3-421

EHS 421

Community Behavioral Health Promotion and Prevention TF Transfer

Messrs. Keenan, Timilty and O'Connor moved that the proposed new text be amended in section 2, by inserting after item 1595-1071 the following item:

“xxxx-xxxx For an operating transfer to the Community Behavioral Health Promotion and Prevention Trust Fund established pursuant to section 35GGG of chapter 10 of the General Laws, inserted by section 7 of chapter 208 of the acts of 2018............. $200,000"


Budget Amendment ID: FY2022-S3-422

EHS 422

Smoking Prevention and Cessation

Messrs. Keenan, Moore, Feeney, Crighton, Timilty, Tarr, O'Connor, Gomez and Cyr and Ms. Jehlen moved that the proposed new text be amended in section 2, in item 4590-0300, by striking out the figure "$4,618,792" and inserting in place thereof the figure:- "$5,618,793".


Budget Amendment ID: FY2022-S3-423

EHS 423

Regional Housing Network

Mr. Keenan moved that the proposed new text be amended in section 2, in item 7004-3036, by adding the following words:- “; provided further, not less than $200,000 shall be made available to the Regional Housing Network for coordination and information technology".


Budget Amendment ID: FY2022-S3-424

EHS 424

Talking Information Center

Messrs. O'Connor and Tarr moved that the proposed new text be amended in section 2, in item 4110-1000, by adding the following words:- “provided further, that not less than $350,000 shall be expended for the Talking Information Center, Incorporated to provide human voiced broadcasts of local news, articles and items of interest to visually impaired and otherwise disabled listeners;” and by striking out the figure “$6,359,783” and inserting in place thereof the following figure:-:- “$6,709,783”.


Budget Amendment ID: FY2022-S3-425

EHS 425

Increased Data Access in Opiate Overdose Reports

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

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

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


Budget Amendment ID: FY2022-S3-426

EHS 426

Contraceptive ACCESS Education

Ms. Chandler, Ms. Rausch, Mr. Crighton, Ms. Comerford, Messrs. Lesser, Hinds and Eldridge moved that the proposed new text be amended in section 2, by inserting after item 4513-2022 the following new item:

“4513-0999 for the department of public health, which may expend not less than $500,000 for a public information campaign to educate and promote awareness to pharmacies and the public about individual eligibility to receive a 12-month prescription for contraceptives in the commonwealth; provided, that the information shall include the availability of a 12-month supply of contraceptives; and provided further, that the commissioner shall partner with insurers, pharmacies, relevant advocacy organizations and employers ………………..………….$500,000”;

And by inserting at the end, the following section:-

“Section XX. The commissioner of public health shall establish a public information campaign to educate and promote awareness to pharmacies and the public, including, but not limited to, clinicians and pharmacists about individuals’ eligibility to receive a 12-month prescription for contraceptives after a 3-month trial period as required by chapter 120 of the acts of 2017. Information shall include, but not be limited to, the availability of a 12-month supply of contraceptives. The commissioner shall partner with insurers, pharmacies, advocacy organizations and employers to ensure that the campaign reaches pharmacists, clinicians, and individuals eligible to receive a 12-month prescription for contraceptives in the commonwealth.”


Budget Amendment ID: FY2022-S3-426-R1

Redraft EHS 426

Contraceptive ACCESS Education

Ms. Chandler, Ms. Rausch, Mr. Crighton, Ms. Comerford, Messrs. Lesser, Hinds, Eldridge and Cyr and Ms. Moran moved that the proposed new text be amended in section 2, by inserting after item 4512-2022 the following new item:-

“4513-0999 For the department of public health, which may expend not less than $500,000 for a public information campaign to educate and promote awareness to pharmacies and the public about individual eligibility to receive a 12-month prescription for contraceptives in the commonwealth; provided, that the information shall include the availability of a 12-month supply of contraceptives; and provided further, that the commissioner shall partner with insurers, pharmacies, relevant advocacy organizations and employers ………………..………….$500,000”; and

by inserting after section 60 the following section:-

“Section 60A. The commissioner of public health shall establish a public information campaign to educate and promote awareness to pharmacies and the public, including, but not limited to, clinicians and pharmacists, about individuals’ eligibility to receive a 12-month prescription for contraceptives after a 3-month trial period as required by chapter 120 of the acts of 2017. Information shall include, but not be limited to, the availability of a 12-month supply of contraceptives. The commissioner shall partner with insurers, pharmacies, advocacy organizations and employers to ensure that the campaign reaches pharmacists, clinicians and individuals eligible to receive a 12-month prescription for contraceptives in the commonwealth.”.


Budget Amendment ID: FY2022-S3-427

EHS 427

Collaborative Drug Therapy Management Optimization

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

"SECTION ___. Subsection (c)(4) of section 24 B1/2 of chapter 112 of the General Laws, as appearing in the 2018 General Edition, is hereby amended by striking out the word "on-site"."


Budget Amendment ID: FY2022-S3-428

EHS 428

Healthy Incentive Program

Ms. Gobi, Mr. Eldridge, Ms. Comerford, Messrs. Moore, Feeney, Finegold, Lesser, Timilty, Fattman, Hinds, Tarr, Crighton, Gomez, Velis, Keenan and Cyr, Ms. Lovely, Ms. Rausch, Messrs. Montigny and O'Connor moved that the proposed new text be amended in section 2, in item 4400-1004, by adding, after the word “shall”, as it first appears, the following words:- “operate it as a year-round, 12-month program and”.


Budget Amendment ID: FY2022-S3-430

EHS 430

McLean School Nurse Liaison Project

Mr. Keenan, Ms. Rausch, Messrs. Timilty, Pacheco and O'Connor and Ms. Comerford moved that the proposed new text be amended in section 2, in item 5042-5000, by inserting after the word "2023" the following words:-

"; provided further, that the budget for MCPAP be expanded by not less than $200,000, with said funds used for the Massachusetts School Nurse Liaison Project (MSNLP-MCPAP) to provide services including educational programming for staff, consultation services and resource development to assist school districts in addressing the mental health needs of their students as a continuation of the existing McLean School Nurse Liaison Project";

and in said item by striking out the figure "$97,309,089" and inserting in place thereof the following figure:- "$97,509,089".


Budget Amendment ID: FY2022-S3-431-R1

Redraft EHS 431

Special Commission on Poverty

Ms. Jehlen, Messrs. Moore, Tarr and O'Connor moved that the proposed new text be amended in section 46, by inserting after the word “designee”, in line 8, the second time it appears, the following words:- “; the secretary of elder affairs or a designee”; and in said section 46, by inserting after the word “Roundtable”, in line 23, the following words:- “; 1 member appointed by the Gerontology Institute at the University of Massachusetts at Boston”.


Budget Amendment ID: FY2022-S3-431

EHS 431

Special Commission on Poverty

Ms. Jehlen, Messrs. Moore, Tarr and O'Connor moved that the proposed new text be amended in section 46, by inserting after the word “designee”, in line 8, the following words:- “; the secretary of elder affairs or a designee”; and, after the word “Roundtable”, in line 23, the following words:- “; 1 member appointed by the Massachusetts Senior Action Council; 1 member appointed by the Gerontology Institute at the University of Massachusetts Boston; 1 member appointed by AARP Massachusetts;”.


Budget Amendment ID: FY2022-S3-432-R1

Redraft EHS 432

Assistive Technology and Independent Living Skills

Ms. Creem, Ms. Comerford, Ms. DiZoglio, Ms. Gobi, Messrs. Eldridge, Feeney, Timilty, Hinds, Barrett, O'Connor and Velis and Ms. Rausch 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 $850,000 shall be expended by the commission to maximize the independent living skills of legally blind residents of the commonwealth through rehabilitation and the provision of accessible devices, assistive software and equipment and supportive technology training and services by qualified private providers in community, residential, virtual and facility-based settings"; and

in said section 2, in said item 4110-1000, by striking out the figure "$6,359,783" and inserting in place thereof the following figure:- "$7,209,783".


Budget Amendment ID: FY2022-S3-432

EHS 432

Assistive Technology and Independent Living Skills

Ms. Creem, Ms. Comerford, Ms. DiZoglio, Ms. Gobi, Messrs. Eldridge, Feeney, Timilty, Hinds, Barrett, O'Connor and Velis moved that the proposed new text be amended in section 2, in item 4110-1000, by adding the following words:- "and provided further, that not less than $850,000 shall be expended by the Massachusetts Commission for the Blind to maximize the independent living skills of legally blind Commonwealth residents through rehabilitation and the provision of accessible devices, assistive software and equipment, with supportive technology training and services by qualified private providers in community, residential, virtual and facility-based settings"; and by striking out the figure "$6,359,783" and inserting in place thereof the following figure:- "$8,083,527".


Budget Amendment ID: FY2022-S3-433

EHS 433

Reducing Geographic Disparities to Healthcare

Messrs. Lesser and Velis moved that the proposed new text be amended in section 2, in item 4510-0020, by adding the following words:- “; provided further, that not less than $90,000 shall be expended for a study to be conducted by the Public Health Institute of Western Massachusetts, a non-profit organization focused on assuring that all people in Western Massachusetts have access to what they need to lead healthy lives, to analyze the impact of the Board of Registration in Medicine physician licensing process on access to healthcare in Berkshire, Franklin, Hampden and Hampshire Counties. The Public Health Institute shall hold at least two public forums to receive input from interested stakeholders and shall report the results of the study to the Legislature’s Joint Committee of Healthcare Finance by January 12, 2022”; and by striking out the figure “$162,229” and inserting in place thereof the figure “$252,229”.


Budget Amendment ID: FY2022-S3-434

EHS 434

Silent Spring Institute's Drinking Water Research Program

Ms. Creem moved that the proposed new text be amended in section 2, in item 4510-0600, by adding the following words:- “; provided, that not less than $25,000 shall be expended for Silent Spring Institute Inc.’s drinking water research program”; and by striking out the figure “$5,345,491” and inserting in place thereof the following figure:- “$5,370,491”.


Budget Amendment ID: FY2022-S3-435

EHS 435

Neighborhood Gun Violence Prevention Program

Ms. Creem, Messrs. Eldridge, Brady, Moore and Feeney, Ms. DiZoglio, Mr. Crighton, Ms. Chang-Diaz, Messrs. Finegold, Lesser, Hinds, O'Connor, Kennedy, Timilty, Cronin, Gomez, Keenan, Cyr and Montigny, Ms. Lovely, Ms. Jehlen and Ms. Rausch moved that the proposed new text be amended in section 2, by inserting after item 4590-1503 the following item:

4590-1504 For a neighborhood-based gun and violent crime prevention pilot program for targeted work with out-of-school youth and young adults aged 17 to 24, inclusive, intended to prevent gun violence and other violent crime in neighborhoods and municipalities with the highest rates of violent crime in the commonwealth; provided, that funds shall be awarded in consultation with the executive office of public safety and security and the department of elementary and secondary education; provided further, that funds shall be awarded to non-profit, community-based organizations located in and serving high risk youth in eligible communities; provided further, that preference shall be given to organizations that have: (a) demonstrated street outreach capacity; (b) effective partnerships with neighborhood health and human services agencies, including mental health providers, and with schools and other local educational institutions; and (c) clearly outlined a comprehensive plan in support of continued or expanded collaboration efforts with such partners, including data related to measurable outcomes of successful partner collaboration; provided further, that eligible expenses for such grants shall include, but not be limited to, case workers, mental health counselors, academic supports and other research-based practices and related support services; provided further, that the department shall ensure that every grant recipient establishes measurable outcomes in its comprehensive plan and provides data related to those outcomes that demonstrate program success; provided further, that preference shall be given to proposals that demonstrate coordination with programs and services funded through items 4000-0005 and 7061-9612; provided further, that not later than March 1, 2022, the department shall submit a report to the executive office for administration and finance, the joint committee on public health, the joint committee on public safety and homeland security, the joint committee on education and the house and senate committees on ways and means, detailing the awarding of grants and details of anticipated contracts by district; and provided further, that the department shall further report on the effectiveness of the program, including but not limited to: (i) any measurable data-driven results; (ii) which strategies and collaborations have most effectively reduced gun and other violence in the grantee neighborhoods; (iii) how spending through this item has been aligned with spending from items 4000-0005 and 7061-9612 in ways that enhance public safety while avoiding programmatic duplication; and (iv) what efforts have been taken by the non-profit community and municipalities to ensure the long term viability of the reforms funded by the pilot program, prior appropriation continued .......................................................... $2,700,000.


Budget Amendment ID: FY2022-S3-437-R1

Redraft EHS 437

W.E.B. DuBois Academy Saturday and Summer Academy

Messrs. Lesser and Gomez moved that the proposed new text be amended in section 2, in item 7010-1192, by adding the following words:- “; provided further, that not less than $25,000 shall be expended to The Black Men of Greater Springfield, Inc. for the implementation of its programming, including the W.E.B. DuBois Academy Saturday School”; and

in said section 2, in said item 7010-1192, by striking out the figure “$1,000,000” and inserting in place thereof the following figure:-

“$1,025,000”.


Budget Amendment ID: FY2022-S3-437

EHS 437

W.E.B. DuBois Academy Saturday and Summer Academy

Messrs. Lesser and Gomez moved that the proposed new text be amended in section 2, in item 7008-1116, by adding the following words:- “; provided further that not less than $150,000 shall be expended to The Black Men of Greater Springfield, Inc. to implement their programming, including the W.E.B. DuBois Academy Saturday School”; and by striking out the figure “$390,000” and inserting in place thereof the figure “$540,000”. 


Budget Amendment ID: FY2022-S3-438

EHS 438

Supporting Counseling Services at Rick’s Place

Mr. Lesser moved that the proposed new text be amended in section 2, in item 4800-0038, by adding the following words:- “; provided further that not less than $50,000 shall be expended for Rick’s Place of in the town of Wilbraham to provide counseling services for youth who have experienced the loss of a parent in the Pioneer Valley and also youth and families dealing with family member loss and isolation from the effects of COVID-19”; and by striking out the figure “$299,600,800” and inserting in place thereof the figure “$299,650,800”.


Budget Amendment ID: FY2022-S3-439

EHS 439

Forsyth Institute’s Center for Children’s Oral Health

Messrs. Crighton and O'Connor moved that the proposed new text be amended in section 2, in item 4512-0500, by adding the following words:- “; provided further, that $475,000 shall be expended for the Forsyth Institute’s Center for Children’s Oral Health to expand its ForsythKids programming focused on children and adolescents and to explore the emerging association between oral health status and academic performance”; and by striking out the figure “1,737,206” and inserting in place thereof the figures “$2,212,206”.


Budget Amendment ID: FY2022-S3-440

EHS 440

NASW Therapy Matcher

Messrs. Cyr, Eldridge and O'Connor moved that the proposed new text be amended in section 2, in item 5046-0000, by adding the following:- “; provided further, that not less than $50,000 shall be expended on 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;” and by striking out the figure “$507,503,141” and inserting in place thereof the following figure:- “$507,553,141”.


Budget Amendment ID: FY2022-S3-441

EHS 441

Recovery Treatment

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 $75,000 shall be expended for the Cambridge Health Alliance for increased access to recovery coach services in the cities of Everett and Cambridge; provided further, that not less than $25,000 shall be expended for the Charlestown Coalition”; and in said item by striking the figure “$125,000” and inserting in place thereof the following figure:- “$225,000”.


Budget Amendment ID: FY2022-S3-442-R1

Redraft EHS 442

Strengthening Prescription Drug Safety and Drug Stewardship

Messrs. Keenan, O'Connor and Montigny moved that the proposed new text be amended by inserting after section 33 the following section:-

“SECTION 33A. Section 77 of chapter 52 of the acts of 2016 is hereby amended by striking out the figure “2021” and inserting in place thereof the following figure:- “2026”.”


Budget Amendment ID: FY2022-S3-442

EHS 442

Strengthening Prescription Drug Safety and Drug Stewardship

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

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

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


Budget Amendment ID: FY2022-S3-444

EHS 444

Massachusetts Rental Voucher Program (MRVP)

Messrs. Keenan and Eldridge, Ms. Comerford, Ms. DiZoglio, Messrs. Brady, Collins, Crighton, Moore and Feeney, Ms. Moran, Ms. Chang-Diaz, Messrs. Lesser, Timilty, Hinds, O'Connor, Gomez, Velis and Cyr, Ms. Lovely, Mr. Cronin, Ms. Jehlen and Ms. Rausch moved that the proposed new text be amended in section 2, in item 7004-9024, by striking out the figure “$129,981,667” and inserting in place thereof the following figure:- “$160,000,000”.


Budget Amendment ID: FY2022-S3-445

EHS 445

Medicare Savings Program

Messrs. Tarr, Timilty, Fattman, Moore and O'Connor, Ms. Lovely and Ms. DiZoglio moved that the proposed new text be amended by inserting after section _the following new sections:

“SECTION_. Section 25A of Chapter 118E of the General Laws is hereby amended by replacing Section 25A with the following section:-

Section 25A. The division shall disregard income in an amount equivalent to sixty-five percent of the federal poverty level, as adjusted annually, in determining eligibility for the Qualified Medicare Beneficiary, Specified Low-Income Medicare Beneficiary and Qualified Individual programs, described in 42 U.S.C. §1396(a)(10)(E) and also known as the Medicare Savings or Medicare Buy-In Programs in accordance with the following schedule or such earlier date as the division determines to be feasible: In the year in which the state plan amendment is approved, the division shall disregard income in an amount equivalent to sixty-five percent (65%) of the federal poverty level.

The division shall implement a waiting list in any year in which the number of qualified applicants for the Qualified Individual Program exceeds the annual block grant amount for said program. The division shall not apply an asset test in determining eligibility for said Medicare Savings Programs. The division shall submit a state plan amendment to implement this section no later than 30 days after the effective date of this section and subsequently promulgate all regulations necessary to implement said income and asset disregards.”


Budget Amendment ID: FY2022-S3-446

EHS 446

Addressing rising rates of HIV

Messrs. Cyr and Keenan, Ms. Comerford, Ms. Chang-Diaz, Messrs. Tarr and O'Connor moved that the proposed new text be amended in section 2, in item 4512-0103, by striking out the figure “$30,255,319” and inserting in place thereof the following figure:- “$31,800,000”.


Budget Amendment ID: FY2022-S3-446-R1

Redraft EHS 446

Addressing rising rates of HIV

Messrs. Cyr and Keenan, Ms. Comerford, Ms. Chang-Diaz, Messrs. Tarr and O'Connor, Ms. Rausch and Mr. Montigny moved that the proposed new text be amended in section 2, in item 4512-0103, by striking out the figure “$30,255,319” and inserting in place thereof the following figure:- “$31,005,319”.


Budget Amendment ID: FY2022-S3-447

EHS 447

School Mental Health Technical Assistance Center

Ms. Creem, Mr. Brady, Ms. DiZoglio, Messrs. O'Connor, Crighton and Cyr and Ms. Comerford 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 $150,000 shall be allocated to 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;” and in said item by striking out the figures "$97,309,089” and inserting in place thereof the figures "97,459,089".


Budget Amendment ID: FY2022-S3-448

EHS 448

Bet Tzedek

Ms. Creem moved that the proposed new text be amended in section 2, in item 4800-0038, by adding the following words:- "provided further, that not less than $30,000 shall be expended for the Bet Tzedek client assistance legal program through Jewish Family and Children's Service, Inc."; and by striking out the figure "$299,600,800 " and inserting in place thereof the following figure:- "$299,630,800".


Budget Amendment ID: FY2022-S3-449

EHS 449

Network of Care

Messrs. Cyr 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 $550,000 shall be expended for the Massachusetts Association for Mental Health for the purpose of maintaining the Network of Care, as the singular place where all mental health, substance use, and related social services programs and organizations are curated into a state-wide online, searchable tool”; and by striking out the figure “$115,234,923” and inserting in place thereof the figure:- “$115,784,923”.


Budget Amendment ID: FY2022-S3-450

EHS 450

Brookline Alzheimer's Respite Program

Ms. Creem moved that the proposed new text be amended in section 2, in item 9110-9002, by adding the following words:-  “; provided further, that no less than $20,000 shall be expended for the operation of the Alzheimer's Caregivers Respite Program at the Brookline Senior Center”; and by deleting the figures “$17,151,651" and inserting in place thereof the figures “$17,171,651".


Budget Amendment ID: FY2022-S3-451

EHS 451

PPE Data Transparency

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

"SECTION XX. The Office of Preparedness and Emergency Management (OPEM) shall require each healthcare facility to designate an inventory manager who shall provide inventory management documentation of any and all personal protective equipment on hand at healthcare facilities to meet the standards in place at the Centers for Disease Control as of January 1, 2020 and the process for and attempts by health care facilities at obtaining personal protective equipment to meet the standards in place at the Centers for Disease Control as of January 1, 2020. These reports shall be made in a format determined by the Office of Preparedness and Emergency Management, and shall include but not be limited to: number targets by item ordered; any differential between what personal protective equipment is needed to achieve the aforementioned standard and the personal protective equipment that has been ordered or procured; vendor names with which the healthcare facility has a supply contract, timeframe for obtaining the requested personal protective equipment; any issues or delays with obtaining requested personal protective equipment; and the percent of the required personal protective equipment that is obtained by state allocation vs private supply chain. These reports shall be made every 14 days and posted by OPEM inventory management for public access via the Commonwealth’s COVID-19 website. Healthcare facilities shall also make available to all employees upon request the supply of personal protective equipment on hand at that time."


Budget Amendment ID: FY2022-S3-452

EHS 452

PPE Oversight Committee

Messrs. Timilty, Feeney, Tarr, Brady, O'Connor and Velis, Ms. Moran, Messrs. Cronin and Pacheco moved that the proposed new text be amended by adding after Section X, the following new section:-

"SECTION XX. There shall be a joint oversight committee on personal protective equipment, hereinafter the committee.

The committee shall include the house and senate chairs of the joint committee on public health, who shall serve as co-chairs; 3 members appointed by the speaker of the house of representatives; 3 members appointed by the president of the senate; 1 member appointed by the minority leader of the house; and 1 member appointed by the minority leader of the senate.

The committee shall conduct a comprehensive review, which shall include, without limitation: (1) a review to determine the current supplies for personal protective equipment that meet the standards of the Centers for Disease Control (CDC) that were in effect on January 1, 2020, held by the Commonwealth, acute care hospitals, non-acute hospitals and state operated facilities; (2) a review to determine how the Commonwealth, acute care hospitals, non-acute hospitals and state operated facilities will establish a supply chain and store of at least sixty (60) days of personal protective equipment per the standards in place at the CDC on January 1, 2020. (3) A review and examination of the elements that led to personal protective equipment shortages during the course of the pandemic. (4) what were the differences between what acute care hospitals, non-acute hospitals and state operated facilities had on hand between March 2020 and December 2020 vs what should have had under existing CDC standards.

The committee shall conduct immediate public hearings and examine witnesses to acquire all information necessary to discharge its responsibilities.

The committee shall file its report on the results of its review and study and its recommendation, if any, together with drafts of legislation if necessary, to carry its recommendation into effect with the Clerks of the House and Senate by September 1, 2021."


Budget Amendment ID: FY2022-S3-453-R1

Redraft EHS 453

Elder Caregiving Grant Program

Ms. Moran, Messrs. O'Connor and Cyr moved that the proposed new text be amended in section 2, in item 9110-1630, by adding the following words:- “provided further, that not less than $55,000 shall be expended for grants to support the provision of training to family caregivers of persons with Alzheimer’s and other dementia-related diseases and the development of evidence-based education and respite programs for families living with Alzheimer’s and other dementia-related diseases”; and by striking out the figure “$184,854,953” and inserting in place thereof the figure:- “184,909,953”.


Budget Amendment ID: FY2022-S3-453

EHS 453

Elder Caregiving Grant Program

Ms. Moran, Messrs. O'Connor and Cyr moved that the proposed new text be amended in section 2, in item 9110-1630, by adding the following words:- “provided further, that not less than $25,000 shall be expended for grants to support the provision of training to family caregivers of persons with Alzheimer’s and other dementia-related diseases and the development of evidence-based education and respite programs for families living with Alzheimer’s and other dementia-related diseases”, and in said item by striking out the figure “$184,854,953” and inserting in place thereof the figure:- “184,879,953”.


Budget Amendment ID: FY2022-S3-454

EHS 454

Newton At Home

Ms. Creem moved that the proposed new text be amended in section 2, in item 9110-9002, by inserting the following words:- “; provided further, that not less than $20,000 shall be expended for financial assistance for qualified seniors in the city of Newton to receive the services of Newton At Home, Inc.”; and by striking out the figure "$17,151,651" and inserting in place thereof the following figure:- "$17,171,651".


Budget Amendment ID: FY2022-S3-455-R2

2nd Redraft EHS 455

Assistance for Mental Health Crisis Response

Ms. Moran and Mr. Cyr moved that the proposed new text be amended in section 2, in item 4512-2020, by adding the following words:- “; provided further, that not less than $100,000 shall be expended for the collaboration of law enforcement and community health centers, hospitals and non-profits in the towns of Bourne, Falmouth and Sandwich to provide social work services to support law enforcement response to mental health crises through education and consultation and to provide assistance developing and implementing post-crisis protocols”; and by striking out the figure “$1,000,000” and inserting in place thereof the following figure:- “$1,100,000”.


Budget Amendment ID: FY2022-S3-455-R1

Redraft EHS 455

Assistance for Mental Health Crisis Response

Ms. Moran and Mr. Cyr moved that the proposed new text be amended in section 2, in item 4512-2020, by adding the following words:-

“; provided further, that not less than $90,000 shall be expended for the collaboration of law enforcement and community health centers, hospitals and non-profits in the towns of Bourne, Falmouth and Sandwich to provide social work services to support law enforcement response to mental health crises through education and consultation and to provide assistance developing and implementing post-crisis protocols”; and

in said section 2, in said item 4512-2020, by striking out the figure “$1,000,000” and inserting in place thereof the following figure:- “$1,090,000”.


Budget Amendment ID: FY2022-S3-455

EHS 455

Assistance for Mental Health Crisis Response

Ms. Moran moved that the proposed new text be amended in section 2, in item 4512-2020, by adding the following words:- “; provided that not less than $100,000 shall be expended for the collaboration of law enforcement and community health centers, hospitals, or non-profits providing services in the Barnstable County towns of Bourne, Falmouth, and Sandwich to provide social work services to support law enforcement response to mental health crisis response through education, consultation, and assistance developing and implementing post-crisis protocols” and by striking out the figure “$1,000,000” and inserting in place thereof the following figure:- “$1,100,000”. 


Budget Amendment ID: FY2022-S3-456

EHS 456

Mass in Motion

Mr. DiDomenico, Ms. Comerford, Mr. Eldridge, Ms. DiZoglio, Ms. Chang-Diaz, Messrs. Velis, Moore, Feeney, Hinds, O'Connor and Gomez, Ms. Rausch, Messrs. Keenan, Cyr, Timilty and Crighton moved that the proposed new text be amended in section 2, in item 4513-1111, by adding the following words:- "; provided further, that $1,000,000 shall be expended to the Mass in Motion Program”, and by striking out the figure "$3,428,656" and inserting in place thereof the following figure:- "$4,428,656".


Budget Amendment ID: FY2022-S3-457

EHS 457

Cape and Islands Veterans Assistance

Ms. Moran 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 $40,000 shall be allocated to Cape and Islands Veterans Outreach Center to support outreach and food insecurity efforts”; and in said item by striking out the figure “$8,699,022” and inserting in place thereof the figure:- “$8,749,022”.


Budget Amendment ID: FY2022-S3-458

EHS 458

Early Intervention Supporting Pandemic Recovery and Health Equity

Mr. DiDomenico, Ms. Comerford, Messrs. Keenan, Feeney, O'Connor and Cyr, Ms. Rausch and Mr. Pacheco moved that the proposed new text be amended in section 2, in item 4513-1020, by striking the figure "$7,694,086" and inserting in place thereof the following figure:- "$8,694,086"; and in said item by striking the figure "$5,770,564" and inserting in place thereof the following figure:- "$6,520,564"; and in said item by striking the figure "$1,923,522" and inserting in place thereof the following figure:- "$2,173,522"; and in said item by striking the figure "$38,000,000" and inserting in place thereof the following figure:- "$39,000,000".


Budget Amendment ID: FY2022-S3-459

EHS 459

Cranberry Health Research Center

Ms. Moran, Messrs. Cyr and Pacheco 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 $100,000 shall be expended for the operation of the Cranberry Health Research Center at the University of Massachusetts at Dartmouth”; and by striking out the figure "$3,428,656" and inserting in place thereof the following figure:- "$3,528,656".


Budget Amendment ID: FY2022-S3-460

EHS 460

Infant Care Necessities

Messrs. Tarr, O'Connor and Fattman moved that the proposed new text be amended in section 2, in item 4510-0100, by inserting at the end thereof the following:- "; provided further that the Department of Public Health shall make a request for approval from the United States Department of Agriculture for the expenditure of benefits on diapers for children and infants under the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)."


Budget Amendment ID: FY2022-S3-461

EHS 461

Detox transportation

Messrs. Tarr, Keenan and O'Connor moved that the proposed new text be amended in section 2, in item 4512-0200, by inserting after the word "system;" (iv) transportation to detoxification facilities".


Budget Amendment ID: FY2022-S3-462

EHS 462

Mental Health Task Force

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

"SECTION __. Chapter 6A of the General Laws is hereby amended by adding the following section:-

Section 16CC. (a) There shall be a standing interagency mental health task force located within, but not subject to the control of, the executive office of health and human services. The member agencies shall include the department of mental health; the department of public health; department of developmental services; division of insurance; office of medicaid; department of housing and community development; mental health advocates who are not under contract with any of the member agencies; members from provider agencies who offer services to adults with mental illness; members from acute care hospitals; members from provider agencies who provide care coordination services; and individuals with direct experience navigating the mental health system in the Commonwealth. The task force shall have representation from members living in diverse regions in the Commonwealth.

(b) The task force shall identify: barriers to accessing continuous mental health care from birth to adulthood; methods to improve continuity of care across age groups; methods to improve continuity of care for individuals with dual diagnosis; methods to improve continuity of care for individuals receiving or attempting to receive services from multiple departments; methods to streamline eligibility for overlapping service areas; methods to streamline funding streams; methods to improve funding streams to meet clinical needs; methods to improve care coordination; strategies to reduce administrative burdens for individuals attempting to access or accessing mental health services; processes for health information exchange and data sharing; processes for ongoing communication between agencies to provide a full array of services to individuals accessing services; processes for ongoing communication between agencies to ensure continued improvement in mental health services and accessibility of those services.

(c) The task force shall submit a report annually by July 1 beginning in 2022 to the governor and the clerks of the senate and house, the senate and house committees on ways and means, the joint committee on children, families, and persons with disabilities, the joint committee on health care financing and the joint committee on public health. The report shall include: (i) interagency goals to improve mental health accessibility; (ii) periodic benchmarks for, and strategies to achieve, any stated goals; (iii) proposals for statutory and regulatory changes to reduce barriers to mental health care or improve interagency cooperation; (iv) cost estimates of any recommendations; (v) any additional recommendations or findings as related to subsection (b)."


Budget Amendment ID: FY2022-S3-463

EHS 463

Small Business Health Insurance Affordability

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

"SECTION __. Section 12 of Chapter 176J of the General Laws is hereby amended by inserting the following:-

(i) The commissioner shall evaluate the effectiveness of purchasing cooperatives in increasing the affordability of health insurance premiums, current impact of health insurance costs on small businesses, and recommendations for increasing affordability and small business leverage in insurance purchasing. The commissioner must include representation from small businesses ranging in size, geographic location, ownership, and structure in the evaluation. The commissioner shall develop a report sharing the results of the evaluation. Such report shall contain analysis of the effectiveness of purchasing cooperatives in increasing the affordability of health insurance premiums, current impact of health insurance costs on small businesses, and recommendations for improving affordability and small business leverage in health insurance purchasing in order to reduce the financial burden of health insurance purchases on small businesses. The report shall be submitted to the clerks of the house and senate, the joint committee on healthcare financing and the joint committee on community development and small business on or before the first day of July 2023 with the findings of the task force evaluations as previously outlined."


Budget Amendment ID: FY2022-S3-464

EHS 464

Addressing Continuing Care Transparency and Capacity

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

"SECTION _ Chapter 19 of the General Laws, as appearing in the 2018 Official Edition, is hereby amended by adding the following section:-

Section 26.

(a) The department shall publicly report data on the availability of adult and pediatric beds at inpatient continuing care facilities that are operated by or contracted by the department.  On a monthly basis, the department shall report: i) number of operational beds, per continuing care facility, and ii) the number of beds that have been taken out of operation, per continuing care facility.  On a weekly basis, the department shall report: i) inpatient census, per continuing care facility; ii) number of patients that have been admitted off of 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; iii) the number of forensic patients admitted per continuing care facility; iv) the number of patients discharged per continuing care facility; v) the 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, per continuing care facility; and vi) the number of patients appropriate for discharge from continuing care but who are awaiting an available community placement, per continuing care facility.  In its first monthly report detailing the operational status of beds at each continuing care facility operated or contracted by the department, the department shall provide historic data on the previous 15 years of operational continuing care beds, per continuing care facility.  To the extent feasible, data in the weekly reports shall be disaggregated by race, ethnicity, gender identity, age and other demographic information deemed relevant."


Budget Amendment ID: FY2022-S3-465

EHS 465

Prescription drug coupon task force

Messrs. Tarr 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, there shall be a prescription drug coupon task force to study and make recommendations on further regulating prescription drug coupons. The task force shall consist of the house and senate chairs of the joint committee on health care financing or their designees, who shall serve as the co-chairs; one member to be appointed by the speaker of the house of representatives; one member to be appointed by the president of the senate; one member to be appointed by the house minority leader; one member to be appointed by the senate minority leader; the secretary of health and human services or a designee; the commissioner of the department of public health or a designee; the commissioner of the division of insurance or a designee; the director of the health policy commission or a designee; and the executive director of the center for health information and analysis or a designee. The task force shall make recommendations on regulatory measures to increase transparency and accountability in the administration and use of prescription drug coupons, including but not limited to requiring drug manufacturer transparency reports; pharmacy benefit manager transparency reports; hospital price transparency reports; implementing copayment caps; applying drug rebate cost savings to insureds’ cost sharing requirements; establishing upper payment limits; prohibiting price gouging and implementing fines for violators; and restricting pharmaceutical gag clauses. The commission shall submit its report and findings, along with any recommendations and drafted legislation, to the clerks of the house of representatives and senate, the house and senate committees on ways and means, and the chairs of the joint committee on health care financing within 12 months of the passage of this act.”


Budget Amendment ID: FY2022-S3-466

EHS 466

Open Door Food Pantry in Gloucester

Messrs. Tarr and Moore moved that the proposed new text be amended in section 2, by inserting after item 7002-2021 the following item:

"7002-2022 by adding the following words, "; provided further that $100,000 shall be expended for the Open Door food pantry in Gloucester" and by striking the figure, "$5,000,000" and inserting in place thereof the following:-"$5,100,000".


Budget Amendment ID: FY2022-S3-467

EHS 467

LGBTQ Older Adults

Mr. Cyr, Ms. Jehlen and Mr. O'Connor moved that the proposed new text be amended in section 2, in item 9110-1630, by striking out the words “provided further, that funding shall be expended for provider training including, but not limited to, home care and home health providers, councils on aging, skilled nursing facilities and adult day health programs and outreach to gay, lesbian, bisexual, transgender, queer and questioning elders and to caregivers” and inserting in place thereof the following words:- “provided further, that funding shall be expended for a contract with the LGBT Aging Project for provider training including, but not limited to, home care and home health providers, councils on aging, skilled nursing facilities and adult day health programs and outreach to gay, lesbian, bisexual, transgender, queer and questioning elders and to caregivers”.


Budget Amendment ID: FY2022-S3-469

EHS 469

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 inserting after the words "flex services" the following: "and provided further, that not less than $250,000 shall be expended for the Children’s Advocacy Center of Suffolk County, Inc." and in said item by striking the figures "$299,600,800" and inserting in place thereof the following figures:- "$299,850,800".


Budget Amendment ID: FY2022-S3-470

EHS 470

Nee Collaborative

Mr. Collins 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 $155,000 shall be expended for the Joseph Nee Collaborative center for substance abuse treatment and recovery programming;" and in said item by striking the figure "$125,000" and inserting in place thereof the following figure:- "$280,000".


Budget Amendment ID: FY2022-S3-471-R2

2nd Redraft EHS 471

Work Inc.

Messrs. Collins and O'Connor moved that the proposed new text be amended in section 2, in item 5911-1003, by adding the following words:- "; provided further, that not less than $100,000 shall be expended for WORK, Inc. to develop a program to improve workforce development and employment opportunities for individuals with disabilities"; and by striking out the figure "$81,259,472” and inserting in place thereof the following figure:- "$81,359,472".


Budget Amendment ID: FY2022-S3-471-R1

Redraft EHS 471

Work Inc.

Messrs. Collins and O'Connor moved that the proposed new text be amended in section 2, in item 5911-0103, by adding the following words:- "; provided further that not less than $100,000 shall be expended for WORK, Inc. to develop a program to improve workforce development and employment opportunities for individuals with disabilities"; and by striking out the figure "$29,823,790" and inserting in place thereof the following figure:- "$29,923,790".


Budget Amendment ID: FY2022-S3-471

EHS 471

Work Inc.

Messrs. Collins and O'Connor moved that the proposed new text be amended in section 2, in item 5920-2000, by inserting at the end thereof the following:- "; provided further that not less than $235,000 shall be expended for WORK, Inc. to develop a program for individuals with disabilities to improve workforce development and employment opportunities" and in said item by striking the figure "$1,408,349,244" and inserting in place thereof the following figure:- "$1,408,584,244".


Budget Amendment ID: FY2022-S3-474

EHS 474

Project RIGHT

Messrs. Collins and O'Connor moved that the proposed new text be amended in section 2, in item 4512-0205, by inserting at the end thereof the following:- "; provided further, that not less than $100,000 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" and in said item by striking the figure "$125,000" and inserting in place thereof the following figure:- "$225,000".


Budget Amendment ID: FY2022-S3-475

EHS 475

Total Immersion Substance Treatment

Messrs. Collins, Timilty and O'Connor moved that the proposed new text be amended in section 2, in item 4512-0205, by adding at the end thereof the following: "; provided further, that not less than $250,000 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" and in said item by striking the figure "$125,000" and inserting in place thereof the following figure:- "$375,000".


Budget Amendment ID: FY2022-S3-477

EHS 477

International Institute Mental Health Services

Ms. Creem, Messrs. Brady, Eldridge, O'Connor and 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 $250,000 shall be expended for the International Institute of New England, Inc. for culturally and linguistically appropriate mental health services for immigrants and refugees"; and in said section 2, in said item 5046-0000, by striking out the figure “$507,503,141” and inserting in place thereof the following figure:- “$507,753,141”.


Budget Amendment ID: FY2022-S3-478-R2

2nd Redraft EHS 478

Recovery Works

Messrs. Velis, Crighton and 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 $800,000 shall be expended for the recovery works program at Massachusetts General Hospital to enhance long-term recovery by offering: (i) individualized career coaching, legal advice and other employment support to participants with substance use disorders across the commonwealth looking for meaningful career opportunities; (ii) employer education and outreach to reduce stigma and increase understanding and awareness around issues related to the employment of persons with substance use disorders; and (iii) ongoing support to the community of participants and their families as they seek to enter, return or shift careers in the workforce”; and by striking out the figure "$125,000" and inserting in place thereof the following figure:- "$925,000".


Budget Amendment ID: FY2022-S3-478-R1

Redraft EHS 478

RecoveryWorks

Messrs. Velis, Crighton and 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 $800,000 shall be expended for the recovery works program within the West End clinic at Massachusetts General Hospital to enhance long-term recovery by offering: (i) individualized career coaching, legal advice and other employment support to participants with substance use disorders across the commonwealth looking for meaningful career opportunities; (ii) employer education and outreach to reduce stigma and increase understanding and awareness around issues related to the employment of persons with substance use disorders; and (iii) ongoing support to the community of participants and their families as they seek to enter, return or shift careers in the workforce”; and

in said section 2, in said item 4512-0205, by striking out the figure "$125,000" and inserting in place thereof the following figure:- "$925,000".


Budget Amendment ID: FY2022-S3-478

EHS 478

RecoveryWorks

Messrs. Velis, Crighton, Timilty and O'Connor moved that the proposed new text be amended in section 2, in item 4512-0205, ; provided further, that not less than $800,000 shall be expended for RecoveryWorks to enhance long-term recovery by offering: (1) individualized career coaching, legal advice, and other employment support to participants across the Commonwealth with substance use disorders looking for meaningful career opportunities; (2) employer education and outreach to reduce stigma and increase understanding and awareness around issues related to the employment of persons with substance use disorders; and (3) ongoing support to the community of participants and their families as they seek to enter, return or shift careers in the workforce;

and by striking the figure "$125,000" and inserting in place thereof the following figure:- "$950,000".


Budget Amendment ID: FY2022-S3-479-R1

Redraft EHS 479

Roca

Mr. Crighton moved that the proposed new text be amended in section 2, in item 4401-1000, by adding the following words:- “; provided further, that not less than $250,000 shall be expended to Roca, Inc. to provide services targeted towards young parents in the city of Lynn who are experiencing acute trauma, multiple systems involvement, mental health concerns, domestic violence or abuse and to increase parenting and life skills, housing stability, self-sufficiency and cognitive and behavioral skills through intensive case management and wraparound supports”; and

in said section 2, in said item 4401-1000, by striking out the figure "$15,550,103" and inserting in place thereof the following figure:- "$15,800,103".


Budget Amendment ID: FY2022-S3-479

EHS 479

Roca

Mr. Crighton moved that the proposed new text be amended in section 2, in item 4401-1000, by adding the following words:- "provided further, that not less than $500,000 shall be expended for Roca to provide services targeted at young parents in the city of Lynn who are experiencing acute trauma, multiple systems involvement, mental health concerns, domestic violence, or abuse; and to increase parenting and life skills, housing stability, and self-sufficiency, and to build cognitive and behavioral skills through intensive case management and wraparound supports”; and by striking out the figure "$15,550,103" and inserting in place thereof the following figure:- "$16,050,103".


Budget Amendment ID: FY2022-S3-480

EHS 480

Massachusetts consultation service for treatment of addiction and pain (MCSTAP)

Messrs. Cyr 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 $400,000 shall be expended for the Massachusetts consultation service for treatment of addiction and pain to provide case management and care navigation support to assist healthcare facilities, individual practitioners and other healthcare providers including, but not limited to, nurse case managers, social workers and recovery coaches in providing care, and identifying community-based providers for referral, for pain management and treatment of substance use disorder”.


Budget Amendment ID: FY2022-S3-480-R1

Redraft EHS 480

Massachusetts consultation service for treatment of addiction and pain (MCSTAP)

Messrs. Cyr 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 $400,000 shall be expended for the Massachusetts Consultation Service for Treatment of Addiction and Pain to provide case management and care navigation support to assist healthcare facilities, individual practitioners and other healthcare providers, including, but not limited to, nurse case managers, social workers and recovery coaches, in providing care and identifying community-based providers for referral for pain management and treatment of substance use disorder”; and

in said section 2, in said item 4000-0300, by striking out the figure “$115,234,923” and inserting in place thereof the following figure:- “$115,634,923”.


Budget Amendment ID: FY2022-S3-481

EHS 481

DMH Jail and Arrest Diversion Grant Program

Ms. Comerford, Mr. Cyr and Ms. Rausch moved that the proposed new text be amended in section 2, in item 5046-0000, by striking out, in line 16, the figure "$7,000,000" and inserting in place thereof the following figure:- "$7,500,000"; and by striking out, in line 51, the figure "$507,503,141" and inserting in place thereof the following figure:- "$508,003,141".


Budget Amendment ID: FY2022-S3-482

EHS 482

DPH Primary Violence Prevention

Ms. Comerford, Messrs. Eldridge, Brady, Moore and Feeney, Ms. Chang-Diaz, Messrs. Crighton, Lesser, O'Connor, Timilty, Cronin, Gomez, Velis and Cyr, Ms. Lovely, Ms. Jehlen and Ms. Rausch moved that the proposed new text be amended in section 2, in item 4590-1506, by striking out the figure “$2,009,183” and inserting in place thereof the following figure:- “$4,000,000”.


Budget Amendment ID: FY2022-S3-483

EHS 483

Youth at Risk Grants

Ms. Comerford, Messrs. Eldridge, Brady, Moore, Lesser, Hinds, O'Connor, Gomez, Velis, Cyr, Cronin and Feeney and Ms. Rausch moved that the proposed new text be amended in section 2, in item 4590-1507, by striking out, in line 9, the figure “$1,400,000” and inserting in place thereof the following figure:- “$2,400,000”; and by striking out, in line 19, the figure "$6,050,000" and inserting in place thereof the following figure:- "$7,050,000".


Budget Amendment ID: FY2022-S3-484

EHS 484

Mental Health Case Workers

Messrs. Kennedy, Tarr, O'Connor and Cyr moved that the proposed new text be amended in section 2, in item 5046-0000, by inserting the following:- "no less than $7,150,000 shall be expended for the hiring of additional mental health case workers throughout all regions of the Commonwealth" and by striking the figure "$507,503,141" and inserting "$514,653,141".


Budget Amendment ID: FY2022-S3-485

EHS 485

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, Inc. to expand the healthy lives program”; and by striking out the figure “$115,234,923” and inserting in place thereof the following figure:- “$115,484,923”.


Budget Amendment ID: FY2022-S3-486

EHS 486

Regional Equity in Pedi-SANE Services for Vulnerable Children

Ms. Comerford moved that the proposed new text be amended in section 2, in item 4510-0810, by adding the following words:- "; provided further, that not less than $200,000 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 by striking out the figure "$5,250,448" and inserting in place thereof the following figure:- "$5,450,448".


Budget Amendment ID: FY2022-S3-486-R1

Redraft EHS 486

Regional Equity in Pedi-SANE Services for Vulnerable Children

Ms. Comerford and Mr. Cronin moved that the proposed new text be amended in section 2, in item 4510-0810, by adding the following words:- "; provided further, that not less than $150,000 shall be expended for hiring, training and employing qualified nurse examiners to offer pediatric sexual assault nurse examiner services at both the Franklin county and Hampshire county children’s advocacy centers"; and by striking out the figure "$5,250,448" and inserting in place thereof the following figure:- "$5,400,448".


Budget Amendment ID: FY2022-S3-487

EHS 487

Community Hospital Reinvestment Trust Fund (CHRTF) Sunset Date

Messrs. O'Connor and Lesser, Ms. Moran, Messrs. Brady and Pacheco moved that the proposed new text be amended by adding after section ____ the following section:-

SECTION ____. Chapter 115 of the acts of 2016 is hereby amended by striking out section 11.


Budget Amendment ID: FY2022-S3-488

EHS 488

Re-Establishment of the Special Commission on SBHCs

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

"SECTION __. The special commission established by section 11 of chapter 124 of the acts of 2019 is hereby revived and continued to January 15, 2022. The special commission shall file its report pursuant to said section 11 of said chapter 124 with the clerks of the house of representatives and the senate, the house and senate committees on ways and means, the joint committee on health care financing, the joint committee on public health, the joint committee on mental health, substance use and recovery and the joint committee on education not later than January 15, 2022."


Budget Amendment ID: FY2022-S3-489

EHS 489

Nuclear Power Plant Assessment

Ms. Moran and Mr. Cyr moved that the proposed new text be amended by inserting after section __ the following section:-

“SECTION __. Section 5K of chapter 111 of the General Laws, as so appearing, is hereby amended by striking out, in line 65, the words "existing and proposed".; and

Said section 5K of said chapter 111, as so appearing, is hereby further amended by inserting, in line 66, after the word "commonwealth" the following words:- , including a nuclear power plant that is no longer operating, until the U.S. Nuclear Regulatory Commission has approved all areas of the site for unrestricted use, excluding the Independent Spent Fuel Storage Installation licensed by the U.S. Nuclear Regulatory Commission, and the unrestricted use areas meet the radiological release criteria established in regulations promulgated pursuant to section 5N. Such assessments shall be.; and

Said section 5K of said chapter 111, as so appearing, is hereby further amended by striking out, in lines 91 and 92, the words "General Fund and credited to the department" and inserting in place thereof the following words:- Radiation Control Trust account.; and

Subsection (E) of said section 5K of said chapter 111, as so appearing, is hereby further amended by striking out the second and third sentences.”


Budget Amendment ID: FY2022-S3-489-R1

Redraft EHS 489

Nuclear Power Plant Assessment

Ms. Moran and Mr. Cyr moved that the proposed new text be amended by inserting after section 17 the following 4 sections:-

“SECTION 17A. Section 5K of chapter 111 of the General Laws, as appearing in the 2018 Official Edition, is hereby amended by striking out, in line 65, the words "existing and proposed”.

SECTION 17B. Said section 5K of said chapter 111, as so appearing, is hereby further amended by inserting after the word “commonwealth”, in line 66, the following words:- , including a nuclear power plant that is no longer operating, until the United States Nuclear Regulatory Commission has approved all areas of the site for unrestricted use, excluding the Independent Spent Fuel Storage Installation licensed by the United States Nuclear Regulatory Commission, and the unrestricted use areas meet the radiological release criteria established in regulations promulgated pursuant to section 5N. Such assessments shall be.

SECTION 17C. Subsection (E) of said section 5K of said chapter 111, as so appearing, is hereby amended by striking out the second and third sentences.

SECTION 17D. Said section 5K of said chapter 111, as so appearing, is hereby further amended by striking out, in lines 91 and 92, the words “General Fund and credited to the department” and inserting in place thereof the following words:- Radiation Control Trust account.”.


Budget Amendment ID: FY2022-S3-490

EHS 490

Holyoke Soldiers' Home Ombudsman's Office

Mr. Velis, Ms. Gobi, Messrs. Tarr and O'Connor moved that the proposed new text be amended in section 2, in item 4190-0100, by adding the following words:- "; provided further, that not less than $200,000 shall be expended for the creation of an ombudsman’s office at the Soldiers’ Home in Holyoke to act as an independent, impartial and confidential resource for the community."


Budget Amendment ID: FY2022-S3-490-R1

Redraft EHS 490

Holyoke Soldiers' Home Ombudsman's Office

Mr. Velis, Ms. Gobi, Messrs. Tarr, Timilty and Montigny moved that the proposed new text be amended in section 2, in item 4190-0100, by adding the following words:- "; provided, that not less than $200,000 shall be expended for the continued operation of an ombudsman’s office at the Soldiers’ Home in Holyoke to act as an independent, impartial and confidential resource for the community".


Budget Amendment ID: FY2022-S3-491

EHS 491

MassHealth Behavioral Health Rate Report

Messrs. Cyr, Tarr and O'Connor moved that the proposed new text be amended in section 2, in item 4100-0060, by adding the following words:- “; provided further, that the center for health information and analysis shall report to the house and senate committees on ways and means, the joint committee on mental health, substance use and recovery and the joint committee on health care financing no later than January 1, 2022 on MassHealth rates of payment for mental health and addiction treatment services set pursuant to chapter 118E, including the date by which each rate was last updated and the percent change for each rate, by individual code and service description”.


Budget Amendment ID: FY2022-S3-491-R1

Redraft EHS 491

MassHealth Behavioral Health Rate Report

Messrs. Cyr, Tarr and O'Connor moved that the proposed new text be amended in section 2, in item 4100-0060, by adding the following words:- “; provided further, that the center for health information and analysis shall report to the house and senate committees on ways and means, the joint committee on mental health, substance use and recovery and the joint committee on health care financing not later than January 1, 2022 on MassHealth rates of payment for mental health and addiction treatment services under sections 13C and 13D of chapter 118E of the General Laws, including the date by which each rate was last updated and the percent change for each rate, by individual code and service description”.


Budget Amendment ID: FY2022-S3-492

EHS 492

East Bridgewater Grab and Go Meals

Messrs. Brady and Timilty moved that the proposed new text be amended in section 2, in item 9110-9002, by adding the following words:- "; provided further, that $10,000 shall be expended for Grab and Go Meals for the senior population provided by the Council on Aging in the town of East Bridgewater”; and by striking out the figure"$17,151,651" and inserting in place thereof the following figure:- "$17,161,651".


Budget Amendment ID: FY2022-S3-492-R1

Redraft EHS 492

East Bridgewater Grab and Go Meals

Messrs. Brady and 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 $10,000 shall be expended to the East Bridgewater council on aging to provide Grab and Go Meals for the senior population”; and by striking out the figure "$17,151,651" and inserting in place thereof the following figure:- "$17,161,651".


Budget Amendment ID: FY2022-S3-493

EHS 493

Champion Plan

Mr. Brady 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 $85,000 shall be expended for the Champion Plan, Inc. within the city of Brockton”, and by striking out the figure "$125,000" and inserting in place thereof the following figure:-"$210,000".


Budget Amendment ID: FY2022-S3-494

EHS 494

Family Planning Services

Ms. Comerford, Ms. Rausch, Messrs. Crighton and Eldridge, Ms. Jehlen, Mr. Lesser, Ms. Chang-Diaz, Messrs. Hinds, Moore, Gomez and Cyr moved that the proposed new text be amended in section 2, in item 4513-1000, by strking out, in line 2, the figure “$6,803,566” and inserting in place thereof the following figure:- “7,831,000”;

and by striking out, in line 11, the figure “$13,703,566” and inserting in place thereof the following figure:- “$14,731,000”.


Budget Amendment ID: FY2022-S3-495

EHS 495

Rate Reserve Reporting

Mr. Cyr moved that the proposed new text be amended in section 2, in item 1599-6903, by adding the following words:- “provided further, that not later than February 1, 2022, departments and private providers receiving funding from this item shall report to the executive office of health and human services on implemented and proposed initiatives that increase the hourly wages and compensation of the direct care human service workforce; provided further, that this report shall include: (i) aggregated provider employee payroll data of the preceding 2 state fiscal years and the current fiscal year from the date of new rate implementations, as validated with information from the uniform financial report or a method determined by the office; (ii) median salary and compensation information of the preceding 2 state fiscal years and the current fiscal year from the date of new rate implementations classified by direct care and front-line staff, medical and clinical staff and management and executive staff, as validated with information from the uniform financial report or a method determined by the office; and (iii) the average employee vacancy rates of direct care and front-line staff of the preceding 2 state fiscal years and the current fiscal year from the date of new rate implementations; provided further, that not later than March 1, 2022, the executive office of health and human services shall provide to the house and senate committees on ways and means: (a) provider data on payroll, median salary and compensation, and average employee vacancy rates; (b) a summary of said data and analysis of trends in median salary and compensation information in the preceding two state fiscal years and the current fiscal year for direct care and front-line staff, medical and clinical staff, and management and executive staff; and (c) a summary of implemented and proposed initiatives among providers that increase the hourly wages and compensation of the direct care human service workforce and workforce retention; and provided further, that not later than March 1, 2022, the executive office of health and human services shall report to the house and senate committees on ways and means a comparison of the median salary for each classification of staff position with the 75th percentile wage estimate for that position as determined by the Bureau of Labor Statistics for Massachusetts in the most recent available data”.


Budget Amendment ID: FY2022-S3-495-R1

Redraft EHS 495

Rate Reserve Reporting

Mr. Cyr moved that the proposed new text be amended in section 2, in item 1599-6903, by adding the following words:-

“; provided further, that not later than October 1, 2022, the executive office of health and human services shall report to the house and senate committees on ways and means a comparison of the median salary for each classification of staff position with the seventy-fifth percentile wage estimate for that position as determined by the federal Bureau of Labor Statistics for the commonwealth in the most recent available data”.


Budget Amendment ID: FY2022-S3-496

EHS 496

Youth-at-Risk Grants

Ms. Chang-Diaz and Mr. O'Connor moved that the proposed new text be amended in section 2, in item 4590-1507, by striking out the figure “$6,050,000” and inserting in place thereof the following figure:- “$8,222,666 ”.


Budget Amendment ID: FY2022-S3-497

EHS 497

Ensuring Stability in MassHeath Payments to Acute Providers

Messrs. Collins, Lesser and Gomez, Ms. Moran, Messrs. Brady, Cronin and Pacheco moved that the proposed new text be amended in section 2, in item 4000-0300, by inserting at the end thereof the following:-

“; provided further, the executive office shall provide supplemental payments to hospitals equal to the difference in FY2022 and FY2019 inpatient and outpatient spending associated with claims for services provided to MassHealth members adjusted on a per-member or other utilization basis”


Budget Amendment ID: FY2022-S3-498

EHS 498

Community Health Center Technical Assistance

Messrs. Collins and Crighton, Ms. Comerford, Messrs. Timilty, O'Connor, Velis and Gomez moved that the proposed new text be amended in section 2, in item 4510-0110, by striking the item and inserting in place thereof the following:-

"4510-0110 For community health center services; provided, that not less than

$350,000 shall be expended on a statewide program of technical

assistance to community health centers to be provided by a state

primary care association qualified under section 330A(f)(1) of the

federal Public Health Service Act, 42 U.S.C. section 254c(f)(1) ............$3,102,54


Budget Amendment ID: FY2022-S3-499

EHS 499

Detention Diversion Advocacy Program

Messrs. Barrett, Eldridge, Hinds and Velis moved that the proposed new text be amended in section 2, in item 4200-0200, by adding the following words:- "provided, that the department shall expend not less than $500,000 for the detention diversion advocacy program coordinated by the Robert F. Kennedy Children’s Action Corps, Inc. to prevent high-risk juveniles presenting before the court from penetrating further into the juvenile justice system"; and in said section 2, item 4200-0200, by striking out the figure "$27,359,610" and inserting in place thereof the following figure:- "27,859,610".


Budget Amendment ID: FY2022-S3-500

EHS 500

School-Based Trauma Counseling

Mr. Collins moved that the proposed new text be amended in section 2, in item 5042-5000, by adding at the end thereof the following: “; provided further, that not less than $400,000 shall be expended for the Alliance for Inclusion and Prevention, Inc. to increase children’s access to pandemic-related mental and emotional health services in K-12 public schools in Boston, Gateway Cities, and districts across Massachusetts”; and in said item by striking out the figures “$97,309,089” and inserting in place thereof the figures “$97,709,089”.


Budget Amendment ID: FY2022-S3-501

EHS 501

Off Island Medical Transportation

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 funds shall be expended to the Nantucket Cottage Hospital for off-island medical transportation, including the transportation of patients with behavioral health conditions”.


Budget Amendment ID: FY2022-S3-501-R1

Redraft EHS 501

Off Island Medical Transportation

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 funds shall be expended to the Nantucket Cottage Hospital and Martha’s Vineyard Hospital for off-island medical transportation, including the transportation of patients with behavioral health conditions”.


Budget Amendment ID: FY2022-S3-503

EHS 503

Safe and Successful Youth Initiative

Ms. Chang-Diaz, Messrs. Lesser, O'Connor and Gomez moved that the proposed new text be amended in section 2, in item 4000-0005, by striking out the figure “$10,000,000” and inserting in place thereof the following figure:- “$11,311,174”.


Budget Amendment ID: FY2022-S3-503-R1

Redraft EHS 503

Safe and Successful Youth Initiative

Ms. Chang-Diaz, Messrs. Lesser, O'Connor and Gomez moved that the proposed new text be amended in section 2, in item 4000-0005, by striking out the figure “$10,000,000” and inserting in place thereof the following figure:-  “$10,500,000”.


Budget Amendment ID: FY2022-S3-505

EHS 505

Smokeless Tobacco Stamping to Strengthen the Regulatory Process

Messrs. Keenan, Hinds and Tarr moved that the proposed new text be amended by inserting after section ___ the following sections: -

“SECTION ___. Section 1 of chapter 64C of the General Laws is hereby amended by striking out the last sentence.

SECTION ___.  Section XX shall take effect on July 1, 2022."


Budget Amendment ID: FY2022-S3-506

EHS 506

CHIA Operating Budget

Mr. Keenan, Ms. Gobi and Mr. Gomez moved that the proposed new text be amended in section 2, in item 4100-0060, by striking out the figure “$28,900,000” and inserting in place thereof the following figure:- “$21,070,586”.


Budget Amendment ID: FY2022-S3-507

EHS 507

Service Coordinators Program

Messrs. Keenan, Hinds, O'Connor, Feeney and Eldridge moved that the proposed new text be amended in section 2, in item 7004-4314, by striking out the figure “$3,000,000” and inserting in place thereof the following figure:- “$4,000,000”.


Budget Amendment ID: FY2022-S3-508

EHS 508

EmpowerHER

Mr. O'Connor moved that the proposed new text be amended in section 2, in item 4800-0038, by adding the following words:- “provided further, that $50,000 shall be expended to EmpowerHER, Inc. in the town of Norwell to support services that address the struggles of individuals whose mothers have died;” and by striking out the figure “$299,600,800” and inserting in place thereof the following figure:- “299,650,800”


Budget Amendment ID: FY2022-S3-509

EHS 509

Clinton Senior Center Improvements

Mr. Cronin moved that the proposed new text be amended in section 2, in item 9110-9002, by adding the following words:- “; $100,000 shall be expended to the Clinton council on aging for improvements to the Clinton senior center in the town of Clinton”;  and by striking out the figure “$17,151,651” and inserting in place thereof the following figure:- “$17,251,651”.


Budget Amendment ID: FY2022-S3-509-R1

Redraft EHS 509

Clinton Senior Center Improvements

Mr. Cronin moved that the proposed new text be amended in section 2, in item 9110-9002, by adding the following words:- “; $25,000 shall be expended to the Clinton council on aging for improvements to the Clinton senior center in the town of Clinton”;  and by striking out the figure “$17,151,651” and inserting in place thereof the following figure:- “$17,176,651”.


Budget Amendment ID: FY2022-S3-510

EHS 510

Sterling Senior Center Improvements

Mr. Cronin moved that the proposed new text be amended in section 2, in item 9110-9002, by adding the following words:- “; $20,000 shall be expended to the Sterling council on aging for improvements to the Sterling senior center in the town of Sterling”;  and by striking out the figure “$17,151,651” and inserting in place thereof the following figure:- “$17,171,651”.


Budget Amendment ID: FY2022-S3-511

EHS 511

Townsend Senior Center Improvements

Mr. Cronin moved that the proposed new text be amended in section 2, in item 9110-9002, by adding the following words:- “; $20,000 shall be expended to the Townsend council on aging for improvements to the Townsend senior center in the town of Townsend”;  and by striking out the figure “$17,151,651” and inserting in place thereof the following figure:- “$17,171,651”.


Budget Amendment ID: FY2022-S3-512

EHS 512

Bolton Senior Center Improvements

Mr. Cronin moved that the proposed new text be amended in section 2, in item 9110-9002, by adding the following words:- “; $20,000 shall be expended to the Bolton council on aging for improvements to the Bolton senior center in the town of Bolton”;  and by striking out the figure “$17,151,651” and inserting in place thereof the following figure:- “$17,171,651”.


Budget Amendment ID: FY2022-S3-513

EHS 513

Berlin Senior Center Improvements

Mr. Cronin moved that the proposed new text be amended in section 2, in item 9110-9002, by adding the following words:- “; $20,000 shall be expended to the Berlin council on aging for improvements to the Berlin senior center in the town of Berlin”;  and by striking out the figure “$17,151,651” and inserting in place thereof the following figure:- “$17,171,651”.


Budget Amendment ID: FY2022-S3-513-R1

Redraft EHS 513

Berlin Senior Center Improvements

Mr. Cronin moved that the proposed new text be amended in section 2, in item 9110-9002, by adding the following words:- “; $20,000 shall be expended to 19 Carter for improvements to the Berlin senior center in the town of Berlin”;  and by striking out the figure “$17,151,651” and inserting in place thereof the following figure:- “$17,171,651”.


Budget Amendment ID: FY2022-S3-514-R1

Redraft EHS 514

Disabled American Veterans Department of Massachusetts Service Fund Inc.

Messrs. Cronin, Rush, Timilty, Crighton, Brady, O'Connor and Tarr moved that the proposed new text be amended in section 2, in item 1410-0250, by adding the following words:- “; provided further, that not less than $500,000 shall be expended to the Disabled American Veterans Department of Massachusetts Service Fund, Inc.”; and

in said section 2, in said item 1410-0250, by striking out the figure “$3,567,655” and inserting in place thereof the following figure:- “$4,067,655”.


Budget Amendment ID: FY2022-S3-514

EHS 514

Disabled American Veterans Department of Massachusetts Service Fund Inc.

Messrs. Cronin, Rush, Timilty, Crighton, Brady and O'Connor moved that the proposed new text be amended in section 2, in item 1410-0250, by adding the following words:- “; $500,000 shall be expended to the Disabled American Veterans Department of Massachusetts Service Fund Inc to eradicate their deficit ”;  and by striking out the figure “$3,567,655” and inserting in place thereof the following figure:- “$4,067,655”.


Budget Amendment ID: FY2022-S3-515

EHS 515

Leominster Mental Health Advocate

Mr. Cronin moved that the proposed new text be amended in section 2, in item 4512-0205, by adding the following words:- “; $25,000 shall be expended to the city of Leominster for the purpose of the employment of a mental health advocate”; and by striking out the figure “$125,000” and inserting in place thereof the following figure:- “$150,000”.


Budget Amendment ID: FY2022-S3-516

EHS 516

Support for Women Veterans Housing Services at Montachusett Veterans Outreach Center, Inc

Mr. Cronin and Ms. Gobi moved that the proposed new text be amended in section 2, in item 1410-0012, by adding the following words:- “; $100,000 shall be expended for women veterans housing services of the Montachusett Veterans Outreach Center, Inc.”; and by striking out the figure “$8,699,022” and inserting in place thereof the following figure:- “$8,799,022”.


Budget Amendment ID: FY2022-S3-517-R2

2nd Redraft EHS 517

Fitchburg Mental Health Counselor

Mr. Cronin moved that the proposed new text be amended in section 2, in item 4512-2020, by adding the following words:- “; provided further, that not less than $75,000 shall be expended to employ 1 full-time mental health counselor within the police department of the city of Fitchburg”; and in said section 2, in said item 4512-2020, by striking out the figure “$1,000,000” and inserting in place thereof the following figure:- “$1,075,000”.


Budget Amendment ID: FY2022-S3-517-R1

Redraft EHS 517

Fitchburg Mental Health Counselor

Mr. Cronin moved that the proposed new text be amended in section 2, in item 4512-2020, “; provided further, that not less than $75,000 shall be expended to employ 1 full-time mental health counselor within the police department of the city of Fitchburg”; and in said section 2, in said item 4512-2020, by striking out the figure “$1,000,000” and inserting in place thereof the following figure:- “$1,075,000”.


Budget Amendment ID: FY2022-S3-517

EHS 517

Fitchburg Mental Health Counselor

Mr. Cronin moved that the proposed new text be amended in section 2, in item 4512-2020, by adding the following words:- “; $75,000 shall be expended for the purpose of employing 1 full-time mental health counselor within the Fitchburg Police Department”; and by striking out the figure “$1,000,000” and inserting in place thereof the following figure:- “$1,075,000”.


Budget Amendment ID: FY2022-S3-518-R2

2nd Redraft EHS 518

Leominster Mental Health Counselor

Mr. Cronin moved that the proposed new text be amended in section 2, in item 4512-2020, by adding the following words:- “; provided further, that not less than $75,000 shall be expended to employ 1 full-time mental health counselor within the police department of the city of Leominster”; and in said section 2, in said item 4512-2020, by striking out the figure “$1,000,000” and inserting in place thereof the following figure:- “$1,075,000”.


Budget Amendment ID: FY2022-S3-518-R1

Redraft EHS 518

Leominster Mental Health Counselor

Mr. Cronin moved that the proposed new text be amended in section 2, in item 4512-2020, “; provided further, that not less than $75,000 shall be expended to employ 1 full-time mental health counselor within the police department of the city of Leominster”; and in said section 2, in said item 4512-2020, by striking out the figure “$1,000,000” and inserting in place thereof the following figure:- “$1,075,000”.


Budget Amendment ID: FY2022-S3-518

EHS 518

Leominster Mental Health Counselor

Mr. Cronin moved that the proposed new text be amended in section 2, in item 4512-2020, by adding the following words:- “; $75,000 shall be expended for the purpose of employing 1 full-time mental health counselor within the Leominster Police Department”; and by striking out the figure “$1,000,000” and inserting in place thereof the following figure:- “$1,075,000”.


Budget Amendment ID: FY2022-S3-519

EHS 519

Alzheimer’s Law

Mr. Finegold, Ms. Gobi, Messrs. O'Connor and Gomez moved that the proposed new text be amended in section 2, by inserting after section XX the following section:-

"SECTION XX. Section 8 of chapter 220 of the acts of 2018 is hereby amended by striking out the words “not later than October 1, 2021:” and inserting in place thereof, the following:- “not later than October 1, 2022:”.


Budget Amendment ID: FY2022-S3-520-R1

Redraft EHS 520

Trauma Informed Diversion Programs for Women

Ms. Creem, Messrs. O'Connor and Gomez moved that the proposed new text be amended in section 8, by striking out, in line 19, the words "or (iv)" and inserting in place thereof the following words:- "(iv) the support of trauma-informed gender-responsive, pre-arrest or pre-arraignment diversion programs; or (v)".


Budget Amendment ID: FY2022-S3-520

EHS 520

Trauma Informed Diversion Programs for Women

Ms. Creem, Messrs. O'Connor and Gomez moved that the proposed new text be amended in SECTION 8 by striking out in line 19 the words "or (iv)" and inserting in place thereof  the following:- "(iv) the support of trauma-informed gender-responsive pre-arrest or pre-arraignment diversion programs for women; or (v)"


Budget Amendment ID: FY2022-S3-521

EHS 521

Academic Health Department Partnerships Trust Fund

Messrs. Finegold and O'Connor moved that the proposed new text be amended in section 2, by inserting after section XX the following section:-

Section XX. Said chapter 29 of the General Laws is hereby further amended by inserting after section 2KKKKK, inserted by section 1 of chapter 254 of the acts of 2020, the following section:-

Section 2LLLLL. There shall be an Academic Health Department Partnerships Trust Fund. The fund shall be administered by the commissioner of public health to support the administration of the academic health department and the academic volunteer corps. There shall be credited to the fund all money received from public or private sources including but not limited to, gifts, grants, donations, bequests, contributions of cash or securities, contributions of property in kind from persons or other governmental, nongovernmental, quasi-governmental or local government entities. Expenditures from the fund shall be made to support the academic health department and academic volunteer corps, including but not limited to: (i) staff administrative support, (ii) paid internships, (iii) training and workforce development activities, and (vi) other services needed to support the program. The department of public health may incur expenses and the comptroller may certify amounts for payment in anticipation of expected receipts;


Budget Amendment ID: FY2022-S3-522

EHS 522

Enhancing Reproductive Health Care Access

Ms. Rausch and Mr. Cyr moved that the proposed new text be amended in section 2, in item 4513-1000, by inserting the following:- provided further, that not less than $50,000 shall be expended for the department of public health to create and publish on its website and in print copy, as practicable, a list of abortion provider facilities opting to be included on said list, which online list shall be sortable by geographic region of the commonwealth and updated as required or requested by a provider or provider facility;

And further amend said item by striking out the figure “$13,703,566” and inserting in place thereof the following figure:- $13,753,566.


Budget Amendment ID: FY2022-S3-523

EHS 523

Supporting Medical Personnel Mental Health

Ms. Rausch moved that the proposed new text be amended in section 2, in item 4510-0100, by inserting after the word “Laws” the following words:- ; provided further, that funds appropriated in this item in fiscal year 2021 for asynchronous technological solutions facilitating the treatment of post-traumatic stress in medical personnel shall not revert, but shall be made available for appropriation until December 31, 2021.


Budget Amendment ID: FY2022-S3-524

EHS 524

Advancing Vaccine Acceptance

Ms. Rausch, Ms. Comerford and Mr. Cyr moved that the proposed new text be amended in section 2, in item 4580-1000, by inserting the following:- provided further, that not less than $250,000 shall be expended for the department of public health to immediately employ one or more personnel with expertise in combating vaccine disinformation whose primary responsibility shall be to advance vaccine acceptance in the commonwealth through methods including, without limitation, culturally competent and linguistically diverse public education and outreach that is designed to provide scientific and medically accurate information about vaccine testing, safety, and efficacy, in partnership with local boards of health, local public health departments, local health care providers, and community-based organizations trusted in communities at elevated risk of outbreaks of vaccine-preventable infectious diseases;

And further amended in said item by striking out the figure “$2,402,819” and inserting in place thereof the following figure:- $2,652,819.


Budget Amendment ID: FY2022-S3-525-R1

Redraft EHS 525

Norwell VNA

Mr. O'Connor moved that the proposed new text be amended in section 2, in item 4510-0100, by adding the following words:- “provided further, that not less than $80,000 shall be expended to Norwell Visiting Nurse Association and Hospice in the town of Norwell to support their telehealth program;” and

in said section 2, in said item 4510-0100, by striking out the figure “$21,049,963” and inserting in place thereof the following figure:- “$21,129,963”.


Budget Amendment ID: FY2022-S3-525

EHS 525

Norwell VNA

Mr. O'Connor moved that the proposed new text be amended in section 2, in item 4510-0615, by adding the following words:- “provided further, that $80,000 shall be expended to NVNA and Hospice in Norwell to support their telehealth program;” and by striking out the figure “$1,932,791” and inserting in place thereof the following figure:- “$2,012,791”


Budget Amendment ID: FY2022-S3-526

EHS 526

Italian Home for Children

Mr. Rush moved that the proposed new text be amended in section 2, in item 4800-0015, by adding the following words:- ";provided further, that not less than $250,000 shall be expended for the Italian Home for Children, Inc.’s mental health services for children" and in said item 4800-0015 by striking out the figure "$114,559,681" and inserting in place thereof the following figure:- "114,809,681"


Budget Amendment ID: FY2022-S3-527

EHS 527

Dental services on Cape Cod

Mr. Cyr moved that the proposed new text be amended in section 2, in item 4000-0700, by adding the following language; "and provided further that no less than $100,000 shall be made available to the Harbor Health Community Health Center for the operation and equipping of a dental clinic serving the mid and lower Cape Cod area"; and by striking out the figure "$3,135,753,542" and inserting in place thereof the following figure:- "$3,135,853,542".


Budget Amendment ID: FY2022-S3-527-R1

Redraft EHS 527

Dental services on Cape Cod

Mr. Cyr moved that the proposed new text be amended in section 2, in item 4000-0700, by adding the following words:- "; and provided further, that not less than $100,000 shall be expended to the Harbor Health Services, Inc. Ellen Jones Community Dental Center in South Dennis for the operation and equipping of a dental clinic serving the mid and lower Cape Cod area"; and by striking out the figure "$3,135,753,542" and inserting in place thereof the following figure:- "$3,135,853,542".


Budget Amendment ID: FY2022-S3-529

EHS 529

Health Care  Provider Reimbursements Related to COVID-19

Messrs. Finegold and O'Connor moved that the proposed new text be amended in section 2, by inserting after section ___ the following section: -

 

SECTION ___.  Notwithstanding the provisions of section 108B of chapter 175, section 7 of chapter 176B, section 7 of chapter 176E, section 21 of chapter 176G of the General Laws as appearing in the 2020 Official Edition, or any other general or special law to the contrary, the following provisions shall take effect:: --

For the duration of the federal public health emergency related to COVID-19, a health benefit plan shall reimburse a health care provider who bills for incurred personal protective equipment expenses as a separate expense, using the American Medical Association’s current procedural terminology code 99072 or as subsequently amended, $6.57 for each individual patient encounter.

For purposes of this section, cost sharing is limited to the covered service according to the terms and conditions of the health benefit plan and does not apply to an expense for personal protective equipment.

The provisions of this section are not intended to apply to health care services that are not provided in person.

This section  applies prospectively for the duration of the state of emergency related to COVID-19 and takes effect immediately.

This section expires upon the termination of the federal public health emergency related to COVID-19 as proclaimed by the United States Department of Health and Human Services.


Budget Amendment ID: FY2022-S3-530-R1

Redraft EHS 530

Women Veteran Outreach

Mr. Velis, Ms. Gobi, Messrs. Tarr and Gomez moved that the proposed new text be amended in section 2, in item 1410-0015, by adding the following words:- “; provided, that not less than $500,000 shall be expended for the expansion of the women veterans’ outreach program; provided further, that the department of veterans’ services shall conduct a study on the changing needs of women veterans in the commonwealth; provided further, that said study shall examine and evaluate: (i) current housing options for women veterans; (ii) quality of physical, mental and reproductive healthcare offered to women veterans; (iii) care for military-related sexual trauma; and (iv) possible outreach initiatives to women veterans across the commonwealth; provided further, that not later than February 1, 2022, the department shall file a report with the clerks of the senate and house of representatives, the chairs of the house and senate committees on ways and means and the joint committee on veteran and federal affairs detailing the results of said study”; and

in said section 2, in said item 1410-0015, by striking out the figure "$116,243" and inserting in place thereof the following figure:- "$616,243".


Budget Amendment ID: FY2022-S3-530

EHS 530

Women Veteran Outreach

Mr. Velis, Ms. Gobi, Messrs. Tarr and O'Connor moved that the proposed new text be amended in section 2, in item 1410-0015, ; provided, that not less than $500,000 shall be expended for the expansion of the women veterans outreach program; provided further, that the department of veteran services shall conduct a study on the changing needs of women veterans in the commonwealth; provided further, that the said study shall examine and evaluate the following, but not limited to: (1) current housing options for women veterans; (2) quality of physical, mental, and reproductive healthcare offered to women veterans; (3) care for military-related sexual trauma; and (4) possible outreach initiatives to women veterans across the commonwealth; and provided further, that the department shall file a report with the clerks of the senate and house of representatives, the chairs of the house and senate committees on ways and means and the senate and house chairs of the joint committee on veteran and federal affairs not later than January 1, 2022;

and by striking the figure "$116,243" and inserting in place thereof the following figure:- "$1,000,000"


Budget Amendment ID: FY2022-S3-531-R1

Redraft EHS 531

Sweet Community House Food Distribution Hub

Mr. Feeney moved that the proposed new text be amended in section 2, in item 2511-0105, by adding the following words:- "; provided further, that not less than $100,000 shall be expended to the Attleboro Norton YMCA and its tenant partners to renovate the Sweet Community House in order to make its kitchen suitable for commercial use and capable of distributing hundreds of meals per week to area residents and to make the facility a hub for food security in the Greater Attleboro region"; and by striking out the figure "$30,260,000" and inserting in place thereof the following figure:- "$30,360,000".


Budget Amendment ID: FY2022-S3-531

EHS 531

Sweet Community House Food Distribution Hub

Mr. Feeney moved that the proposed new text be amended in section 2, in item 7008-1116, by adding the following words:- "; provided further, that not less than $100,000 be expended to the Attleboro YMCA and its tenant partners to renovate the Sweet Community House, making it's kitchen suitable for commercial use and capable of distributing hundreds of meals per week to area residents, as well as additional upgrades that will allow this facility to serve as the hub of food security in the Greater Attleboro region"; and by striking out the figure "$390,000" and inserting in place thereof the following figure:- "$490,000".


Budget Amendment ID: FY2022-S3-532-R1

Redraft EHS 532

Mansfield Food Pantry

Mr. Feeney moved that the proposed new text be amended in section 2, in item 2511-0105, by adding the following words:- "; provided further, that not less than $15,000 shall be expended to Our Daily Bread food pantry in the town of Mansfield for facility and storage improvements"; and by striking out the figure "$30,260,000" and inserting in place thereof the following figure:- "$30,275,000".


Budget Amendment ID: FY2022-S3-532

EHS 532

Mansfield Food Pantry

Mr. Feeney moved that the proposed new text be amended in section 2, in item 7008-1116, by adding the following words:- "; provided further, that not less than $15,000 shall be expended for facility and storage improvements to Our Daily Bread in the Town of Mansfield"; and by striking out the figure "$390,000" and inserting in place thereof the following figure:- "$405,000".


Budget Amendment ID: FY2022-S3-533-R1

Redraft EHS 533

Behavioral Health Services for Older Adults

Ms. DiZoglio, Messrs. O'Connor and Tarr moved that the proposed new text be amended in section 2, in item 4120-1000, by adding the following words:- “; provided further, that funds may be expended to pilot community-based sites to provide comprehensive health services to adults under the age of 60 to: (i) divert such adults from being placed in nursing homes; or (ii) release such adults from nursing homes; provided further, that not later than April 1, 2022, the commission shall submit a report to the joint committee on elder affairs and the house and senate committees on ways and means on the status of implementing the community-based sites”.


Budget Amendment ID: FY2022-S3-533

EHS 533

Behavioral Health Services for Older Adults

Ms. DiZoglio, Messrs. O'Connor and Tarr moved that the proposed new text be amended in section 2, in item 4120-1000, by adding the following:- ; to deter adults under age 60 from a nursing home placement and to release them from a nursing home by funding five community based sites which will provide comprehensive behavioral health services; and in said item by striking out the figures “$414,690” and inserting in place thereof the figures “$1,064,690”.


Budget Amendment ID: FY2022-S3-534-R2

2nd Redraft EHS 534

C-10 Research and Education Foundation, Inc

Ms. DiZoglio and Mr. Tarr moved that the proposed new text be amended in section 2, in item 4510-0615, by striking out the words “in fiscal year 2022, the department shall expend an amount not less than the amount expended in fiscal year 2021” and inserting in place thereof the following words:- “not less than $100,000 shall be expended”; and in said section 2, in said item 4510-0615, by striking out the figure “$1,932,791” and inserting in place thereof the following figure:- $1,942,791”.


Budget Amendment ID: FY2022-S3-534

EHS 534

C-10 Research and Education Foundation, Inc

Ms. DiZoglio moved that the proposed new text be amended in section 2, in item 4510-0615, by adding the following: "provided further, that not less than $10,000 shall be expended for the C-10 Research and Education Foundation, Inc. to provide radiological monitoring in the six communities of the commonwealth that are within the plume exposure emergency planning zone of Seabrook Nuclear Power plant"; and by striking out the figure “$1,932,791” and inserting in place thereof the figure “$1,942,791”.


Budget Amendment ID: FY2022-S3-534-R1

Redraft EHS 534

C-10 Research and Education Foundation, Inc

Ms. DiZoglio moved that the proposed new text be amended in section 2, in item 4510-0615, by striking out the words “in fiscal year 2022, the department shall expend an amount not less than the amount expended in fiscal year 2021” and inserting in place thereof the following words:- “not less than $10,000 shall be expended”; and by striking out the figure “$1,932,791” and inserting in place thereof the following figure:- “$1,942,791”.


Budget Amendment ID: FY2022-S3-535

EHS 535

Behavioral Health Services

Ms. DiZoglio, Messrs. Crighton and O'Connor moved that the proposed new text be amended in section 2, in item 4120-1000, by striking out the figure “$414,690” and inserting in place thereof the following figure:- “$600,000”.


Budget Amendment ID: FY2022-S3-536

EHS 536

Greater Lawrence Family Health Center

Ms. DiZoglio, Messrs. Barrett and Finegold moved that the proposed new text be amended in section 2, in item 4510-0110, by adding the following: “; provided further, that not less than $250,000 shall be expended to the Greater Lawrence Family Health Center for the purpose of the Commonwealth’s first community health center-based Advanced Practice Nursing Residency program in collaboration with Regis College, to further develop the primary care workforce and expand access to primary care in the medically underserved communities of Haverhill and Greater Lawrence”; and by striking out the figure “$2,002,548” and inserting in place thereof the figure “$2,252,548”.


Budget Amendment ID: FY2022-S3-537

EHS 537

Access to Medically-Assisted Treatment (MAT)

Mr. Velis moved that the proposed new text be amended in section 2, in item 4512-0206, ; provided further, that not less than $1,000,000 shall be expended for a pilot program to increase access to medically-assisted treatment throughout the Commonwealth; and by striking the figure "$4,750,000" and inserting in place thereof the following figure:- "$5,750,000"


Budget Amendment ID: FY2022-S3-539

EHS 539

Wage Replacement Options Under Paid Family and Medical Leave

Messrs. Feeney, O'Connor and Gomez, Ms. Moran, Messrs. Brady, Cronin and Pacheco moved that the proposed new text be amended by inserting after section X the following section: -

"SECTION X. Section 3 of Chapter 175M of the General Laws is hereby amended by inserting after Section (c) the following:- (d) The Department shall not prevent or prohibit a covered individual from using any accrued wage replacement benefits, including but not limited to vacation, sick leave, sick time or any other paid time off, to supplement the weekly benefit amount provided by this chapter that allows the covered individual to receive weekly wage replacement of up to 100 percent of the covered individual’s average weekly wage."


Budget Amendment ID: FY2022-S3-540-R1

Redraft EHS 540

School Nurse Liaison Project Addressing Mental Health Needs of Students

Mr. Feeney, Ms. Rausch, Messrs. Timilty, Pacheco and Cyr, Ms. Comerford, Messrs. Keenan and O'Connor 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 $200,000 shall be expended for the Massachusetts Child Psychiatry Access Program to expand its services to include the Massachusetts School Nurse Liaison Project to provide services including, but not limited to, educational programming for school staff, consultation services and resource development to assist school districts and private schools in addressing the mental health needs of their students, as a continuation of the existing McLean School Nurse Liaison Project”; and by striking out the figure “$97,309,089” and inserting in place thereof the following figure:- “$97,509,089”.


Budget Amendment ID: FY2022-S3-540

EHS 540

School Nurse Liaison Project Addressing Mental Health Needs of Students

Mr. Feeney, Ms. Rausch, Messrs. Timilty, Pacheco, O'Connor and Keenan moved that the proposed new text be amended in section 2, in item 5042-5000, by adding the following words:- “; provided further, that the budget for MCPAP be expanded by not less than $200,000, with said funds used for the Massachusetts School Nurse Liaison Project (MSNLP-MCPAP) to provide services including Educational Programming for staff, Consultation services, and resource development to assist school districts and private schools in addressing the mental health needs of their students, as a continuation of the existing McLean School Nurse Liaison Project”; and by striking out the figure “$97,309,089” and inserting in place thereof the following figure:- “$97,509,089”.


Budget Amendment ID: FY2022-S3-541

EHS 541

Narcan for Barnstable County

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


Budget Amendment ID: FY2022-S3-542

EHS 542

Disability Employment Tax Credit

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

"SECTION X. Section 6 of chapter 62 of the General Laws, as most recently amended by section 57 of chapter 358 of the acts of 2020, is hereby amended by adding the following subsection:-

(x)(1) An employer that is not a business corporation subject to the excise under chapter 63, shall be allowed a credit equal to $5,000 or 30 per cent of the wages paid to each qualified employee with a disability in the first taxable year of employment, whichever is less, against the tax liability imposed by this chapter. Such employer shall be allowed a credit equal to $2,000 or 30 per cent of the wages paid to each qualified employee with a disability in each subsequent taxable year of employment, whichever is less, against the tax liability imposed by this chapter.  If a credit allowed by this subsection exceeds the tax otherwise due under this chapter, 100 per cent of the balance of such credit may, at the option of the taxpayer, be refundable to the taxpayer. In order to qualify, the employee with a disability shall be: (i) certified by the Massachusetts rehabilitation commission as meeting the definition of disability under the Americans with Disabilities Act, 42 U.S.C. section 12102; (ii) capable of working independently; (iii) physically or mentally impaired in a manner that constitutes or results in a substantial impediment to employment for the individual; and (iv) hired by the employer after July 1, 2021.

(2) To be eligible for a credit under this subsection: (a) the primary place of employment  and the primary place of residence of the employee shall be in the commonwealth; (b) the  business shall receive the applicable certification from the Massachusetts rehabilitation  commission that the employee qualifies not later than the day the employee begins work;  provided, that reasonable exceptions to this timeframe may be established through regulation;  and (c) the employee shall be employed by the business for a period of at least 12 consecutive  months prior to and in the taxable year in which the credit is claimed.

(3) An employer that is eligible for and claims the credit allowed under this subsection in a taxable year with respect to a qualified employee with a disability shall be eligible for such   credit in the subsequent taxable year with respect to such qualified employee. Any credit allowed under this subsection shall not be transferable.

(4) The secretary of health and human services, in consultation with the commissioner, shall promulgate regulations establishing an application process for the credit.

(5) The credit under this subsection shall be attributed on a pro rata basis to the owners, partners or members of the legal entity entitled to the credit under this subsection, and shall be allowed as a credit against the tax due under this chapter of such owners, partners or members, in a manner determined by the commissioner."


Budget Amendment ID: FY2022-S3-543

EHS 543

Cathy's House

Ms. Gobi and Mr. Cronin moved that the proposed new text be amended in section 2, in item 1410-0250, by adding at the end thereof, the following:

“; provided further that not less than $25,000 shall be provided to the Montachusett Veterans Outreach Center for Cathy’s House”


Budget Amendment ID: FY2022-S3-543-R1

Redraft EHS 543

Cathy's House

Ms. Gobi and Mr. Cronin moved that the proposed new text be amended in section 2, in item 1410-0250, by adding the following words:- “; provided further, that not less than $25,000 shall be expended for maintenance and improvements for Cathy’s House, in the town of Winchendon”; and by striking out the figure “$3,582,655” and inserting in place thereof the following figure:- “$3,607,655”.


Budget Amendment ID: FY2022-S3-544

EHS 544

CIVOC and Blinded Vets

Mr. Cyr and Ms. Moran moved that the proposed new text be amended in section 2, in item 1410-0250, by adding the following words:- “; provided further, that not less than $55,000 shall be expended to the Cape and Islands Veterans Outreach Center, Inc. for veterans housing and homelessness prevention services, including a contract for services with the Blinded Veterans Association of Cape Cod and the Islands”; and by striking out the figure “$3,582,655” and inserting in place thereof the following figure:- “$3,637,655”.


Budget Amendment ID: FY2022-S3-546

EHS 546

Substance Use Diversion Pilot Program in Norfolk County

Messrs. Feeney, O'Connor and Timilty moved that the proposed new text be amended in section 2, in item 4512-0200, by adding after "system" the following words:- "; provided further, that not less than $5,200,000 shall be expended for the Norfolk County Sheriff’s office to administer a 2 year pilot substance use diversion program to provide treatment, counseling, recovery coaching and job training for those affected by substance use disorder”; and by striking out the figure "$175,300,416" and inserting in place thereof the following figure:- "$180,500,416".


Budget Amendment ID: FY2022-S3-547

EHS 547

Supporting Front Line Contracted Service Providers of Homeless Individuals

Messrs. Keenan and O'Connor, Ms. DiZoglio and Ms. Comerford moved that the proposed new text be amended in section 2, in item 7004-0102, by striking out, in line ___, the words “provided further, that the department of housing and community development may allocate funds to other agencies for the program;" and inserting in place thereof the following words:- “provided further, that the full amount appropriated in this item shall be allocated to contracted service providers of homeless individuals in fiscal year 2020; provided further, that up to $1,500,000 appropriated for this item in fiscal year 2021 shall not revert but shall be made available for the purposes of this item in fiscal year 2022;"


Budget Amendment ID: FY2022-S3-548

EHS 548

Regional Women's Services

Mr. Collins moved that the proposed new text be amended in section 2, in item 4800-0038, by adding at the end thereof the following:_ "provided further, that not less than $200,000 shall be expended for Julie's Family Learning Program, Inc. for programming and services to help women break the cycle of poverty" and in said item by striking the figure "$299,600,800" and inserting in place thereof the following figure:- "$299,800,800"


Budget Amendment ID: FY2022-S3-548-R1

Redraft EHS 548

Regional Women's Services

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 $200,000 shall be expended to Julie's Family Learning Program, Inc. " and

in said section 2, in said item 4800-0038, by striking out the figure "$299,600,800" and inserting in place thereof the following figure:- "$299,800,800".


Budget Amendment ID: FY2022-S3-548-R2

2nd Redraft EHS 548

Regional Women's Services

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 $100,000 shall be expended to Julie's Family Learning Program, Inc. " and by striking out the figure "$299,600,800" and inserting in place thereof the following figure:- "$299,700,800".


Budget Amendment ID: FY2022-S3-549

EHS 549

South Boston Neighborhood House

Mr. Collins 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 operation of the South Boston Neighborhood House, Inc. and its senior program;" and in said item by striking the figure "$17,151,651" and inserting in place thereof the following:- "$17,201,651"


Budget Amendment ID: FY2022-S3-550

EHS 550

Ella J. Baker House

Messrs. Collins and O'Connor 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 capital needs, programming and operations at the Ella J. Baker House in the Dorchester section of the city of Boston" and in said item by striking the figure "$299,600,800" and inserting in place thereof the following figure:- "$299,650,800"


Budget Amendment ID: FY2022-S3-550-R1

Redraft EHS 550

Ella J. Baker House

Messrs. Collins and O'Connor moved that the proposed new text be amended in section 2, in item 4800-0038, by adding the following words:- "; provided further, that not less than $75,000 shall be expended for capital needs, programming and operations at the Ella J. Baker House in the Dorchester section of the city of Boston"; and

in said section 2, in said item 4800-0038, by striking out the figure "$299,600,800" and inserting in place thereof the following figure:- "$299,675,800".


Budget Amendment ID: FY2022-S3-551

EHS 551

Supportive Housing and Relocation Aid for Trauma Survivors

Messrs. Collins and O'Connor moved that the proposed new text be amended in section 2, by inserting after item 7004-0202 the following item: "7004-XXXX. For the City of Boston to provide supportive housing and relocation services for survivors of trauma and violence.……………..…...$1,000,000"


Budget Amendment ID: FY2022-S3-552

EHS 552

Springfield Safety Net

Messrs. Gomez and Lesser moved that the proposed new text be amended in section 2, in item 7008-1116, by adding the following words:- “provided further, that not less than $15,000 shall be expended for the Community Survival Center; provided further, that not less than $20,000 shall be expended for the Spring of Hope, Body and Soul program in the City of Springfield”; and by striking out the figure “$390,000” and inserting in place thereof the following figure:- “$425,000”.


Budget Amendment ID: FY2022-S3-554-R1

Redraft EHS 554

Brightwood Clinic

Messrs. Gomez and Lesser 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 $50,000 shall be expended for Baystate Health, Inc.’s Brightwood Health Clinic in the city of Springfield to assist in outreach related to the 2019 novel coronavirus in the neighborhoods served by the clinic, including in the North End of the city”; and by striking out the figure "$2,002,548" and inserting in place thereof the following figure:- "$2,052,548".


Budget Amendment ID: FY2022-S3-554

EHS 554

Brightwood Clinic

Messrs. Gomez and Lesser 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 $50,000 shall be expended for the Brightwood Health Clinic in the City of Springfield to assist in COVID-19 related outreach to the neighborhoods served by said clinic, predominantly in the North End of the City”; and in said item by striking out the figure "$2,002,548" and inserting in place thereof the following figure:- "$2,052,548".


Budget Amendment ID: FY2022-S3-555-R1

Redraft EHS 555

Revere SUDI

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 $50,000 shall be expended for the Substance Use Disorder Initiatives office in the city of Revere”; and in said section 2, in said item 4512-0205, by striking out the figure “$125,000” and inserting in place thereof the following figure:- “$175,000”.


Budget Amendment ID: FY2022-S3-555

EHS 555

Revere SUDI

Mr. Boncore moved that the proposed new text be amended in section 2, in item 4512-0205, by adding the following words:- “; and provided further, that $50,000 shall be expended for the City of Revere’s Substance Use Disorder Initiatives” and by striking out the figure “$125,000” and inserting in place thereof the following figure:- “$175,000”.


Budget Amendment ID: FY2022-S3-557-R1

Redraft EHS 557

Roca Springfield High Risk Young Parents

Messrs. Gomez and Lesser moved that the proposed new text be amended in section 2, in item 4401-1000, by adding the following words:- "; provided further, that not less than $250,000 shall be expended to Roca, Inc. to provide services targeted towards young parents in the city of Springfield who are experiencing acute trauma, multiple systems involvement, mental health concerns, domestic violence or abuse and to increase parenting and life skills, housing stability, self-sufficiency and cognitive and behavioral skills through intensive case management and wraparound supports”; and in said section 2, in said item 4401-1000, by striking out the figure "$15,550,103" and inserting in place thereof the following figure:- "$15,800,103".


Budget Amendment ID: FY2022-S3-557

EHS 557

Roca Springfield High Risk Young Parents

Messrs. Gomez and Lesser moved that the proposed new text be amended in section 2, in item 4401-1000, by adding the following words:- "provided further, that not less than $500,000 shall be expended for Roca to provide services targeted at young parents in the city of Springfield who are experiencing acute trauma, multiple systems involvement, mental health concerns, domestic violence, or abuse; and to increase parenting and life skills, housing stability, and self-sufficiency, and to build cognitive and behavioral skills through intensive case management and wraparound supports” and by striking out the figure "$15,550,103" and inserting in place thereof the following figure:- "$16,050,103".


Budget Amendment ID: FY2022-S3-558

EHS 558

Public Health Institute of Western MA

Mr. Gomez, Ms. Comerford, Ms. Gobi and Mr. Lesser moved that the proposed new text be amended in section 2, in item 4510-0110, by inserting after the words “section 254c(f)(1)” the following words:- "; 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 by striking out the figure "$2,002,548" and inserting in place thereof the following figure:- "2,152,548".


Budget Amendment ID: FY2022-S3-559

EHS 559

Racial Impact Statement for DCF Reforms

Ms. Chang-Diaz, Ms. Comerford, Messrs. Hinds, Barrett and Gomez and Ms. Jehlen moved that the proposed new text be amended in section 2, in item 4800-0038, by inserting after the words “outcomes for children;”, the following words:- "provided further that not less than 30 days prior to making each such reform the department shall provide an assessment of the racial impact of such reform including whether it is likely to have a disproportionate or unique impact on racial and ethnic minorities in the Commonwealth; and provided further that such assessment shall be sent to the house and senate committees on ways and means; the joint committee on children, families and persons with disabilities; and the clerks of the house of representatives and senate;"


Budget Amendment ID: FY2022-S3-559-R1

Redraft EHS 559

Racial Impact Statement for DCF Reforms

Ms. Chang-Diaz, Ms. Comerford, Messrs. Hinds, Barrett and Gomez and Ms. Rausch moved that the proposed new text be amended in section 2, in item 4800-0038, by inserting after the word “children”, the fourth time it appears, the following words:- "; provided further, that not less than 30 days prior to making each such reform, the department shall provide an assessment of the racial impact of such reform, including whether it is likely to have a disproportionate or unique impact on racial and ethnic minorities in the commonwealth; provided further, that such assessment shall be sent to the house and senate committees on ways and means, the joint committee on children, families and persons with disabilities and the clerks of the senate and house of representatives".


Budget Amendment ID: FY2022-S3-562

EHS 562

Direct Negotiations for Rebates on Certain Drugs and Non-drug Products

Mr. Tarr, Ms. Gobi and Mr. O'Connor 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 executive office of health and human services may directly negotiate rebate agreements with manufacturers of non-drug products and drugs that are not covered outpatient drugs under 42 U.S.C. s. 1396r-8, provided that such agreements maximize value to the commonwealth. Such agreements may be based on the value, efficacy or outcomes of the non-drug product or drug."


Budget Amendment ID: FY2022-S3-563-R1

Redraft EHS 563

Children’s Behavioral Health Council Study On Unit Closures

Mr. Gomez, Ms. Gobi, Messrs. Tarr, O'Connor, Timilty and Pacheco moved that the proposed new text be amended in section 48, in proposed subsection (b), by striking out clause (ix) and inserting in place thereof the following 2 clauses:-

“(ix) the impacts of closures of units and elimination of children’s behavioral health services including, but not limited to, access to clinically appropriate services, geographic disparities, economic disparities and strategies to prevent future unit and service closures that affect children in need of these services; and (x) any other factors the council deems relevant for addressing the barriers to the delivery of an equitable, culturally-competent, affordable and clinically-appropriate continuum of behavioral health care and services to children who are consumers of behavioral health services and their families.”.


Budget Amendment ID: FY2022-S3-563

EHS 563

Children’s Behavioral Health Council Study On Unit Closures

Mr. Gomez, Ms. Gobi, Messrs. Tarr, O'Connor and Velis moved that the proposed new text be amended in Section 48, by inserting after the word “schools;”, in line 30, the following words:- “(ix) the impacts of closures of units and elimination of services for children’s behavioral health services including, but not limited to access to clinically appropriate services, geographic disparities, economic disparities and what can be done to prevent future unit and service closures that affect this population,”; and by striking in line 30 the words “(ix)” and inserting in place thereof the word “(x)”;

And further amends said section by inserting after the words “study with” in line 35 the following words:- “the joint committee on children, families and persons with disabilities and”.


Budget Amendment ID: FY2022-S3-566-R1

Redraft EHS 566

Advancing Systemic Solutions for Birthing People

Ms. Rausch and Ms. Lovely moved that the proposed new text be amended in section 2, in item 4513-1000, by adding the following words:-

“; provided further, that not less than $100,000 shall be expended for the department of public health to engage the services of a research center to conduct a culturally competent qualitative and quantitative study of: (i) the rates and bases of criminal prosecutions of pregnant and recently postpartum individuals; (ii) the prevalence and circumstances of infant abandonment in the commonwealth; and (iii) interventions that may have helped to avoid situations described in clauses (i) and (ii), including, but not limited to: (a) better access to social services, government benefits and health care during, prior to and subsequent to pregnancy; and (b) attendant impacts of structural and systemic racism and other forms of systemic inequality”;  and

in said section 2, in said item 4513-1000, by striking out the figure “$13,703,566” and inserting in place thereof the following figure:- “$13,803,566”.


Budget Amendment ID: FY2022-S3-566

EHS 566

Advancing Systemic Solutions for Birthing People

Ms. Rausch moved that the proposed new text be amended in section 2, in item 4513-1000, by inserting the following:- provided further, that not less than $150,000 shall be expended for the department of public health to engage the services of a research center to conduct a culturally competent qualitative and quantitative study of: (1) the rates and bases of criminal prosecutions of pregnant and recently postpartum individuals; (2) the prevalence and circumstances of infant abandonment in the commonwealth; (3) interventions that may have helped to avoid the above described situations, including but not limited to: (i) better access to social services, government benefits, and health care during, prior to, and subsequent to pregnancy; and (ii) attendant impacts of structural and systemic racism and other forms of systemic inequality; 

And further amended in said item by striking out the figure “$13,703,566” and inserting in place thereof the following figure:- $13,853,566.

 


Budget Amendment ID: FY2022-S3-567

EHS 567

Sportsmen Tennis Club

Mr. Collins moved that the proposed new text be amended in section 2, in item 4000-0005, by inserting at the end thereof the following:- "provided further, that not less than $100,000 shall be expended on the Sportsmen Tennis Club." and in said item by striking the figures "$10,000,000" and inserting in place thereof the following figures:-"$10,100,000"


Budget Amendment ID: FY2022-S3-568

EHS 568

Smart from the Start

Mr. Collins moved that the proposed new text be amended in section 2, in item 7010-1192, "provided further, that not less than $320,000 shall be expended for programs and services offered by Smart from the Start, Inc. to promote the healthy development of young children and their families living in under served communities of Boston through trauma informed, multi-generational family support and community engagement"


Budget Amendment ID: FY2022-S3-569

EHS 569

Ensuring the Full State Transfer to the Health Safety Net Trust Fund

Mr. Velis, Ms. Gobi, Ms. Moran, Messrs. Brady, Cronin and Pacheco moved that the proposed new text be amended in section 3, in section 60 by striking out the words "up to".


Budget Amendment ID: FY2022-S3-570

EHS 570

Substance Abuse Prevention and Intervention

Messrs. Finegold and O'Connor, Ms. Moran, Messrs. Brady, Timilty, Cronin and Pacheco moved that the proposed new text be amended in section 2, in item 4512-0205, by striking out item 4512-0205 and inserting in place thereof the following new section:

 

For grants and contracts with substance use programs to provide comprehensive prevention, intervention and recovery services; provided, that not less than $25,000 shall be expended for Decisions at Every Turn Coalition, Inc. for grants and contracts with substance abuse programs to provide comprehensive prevention, intervention and recovery services; provided further, that not less than $25,000 shall be expended for Framingham Fostering Opioid Recovery Compassion and Education, or FORCE, in the city of Framingham; provided further, that not less than $25,000 shall be expended for the Natick 180 Coalition in the town of Natick; provided further, that not less than $25,000 shall be expended for the Hopkinton Organizing for Prevention program in the town of Hopkinton; and provided further, that not less than $25,000 shall be expended for the Holliston Drug and Alcohol Awareness Coalition in the town of Holliston; 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


Budget Amendment ID: FY2022-S3-571-R1

Redraft EHS 571

Manet Community Health Center

Messrs. Keenan and O'Connor moved that the proposed new text be amended in section 2, in item 4510-0110, by adding the following words:- “; provided further, that $250,000 shall be made available to Manet Community Health Center, Incorporated in the cities of Quincy, Attleboro and Taunton and in the town of Hull for advancing a post-pandemic response program including, but not limited to, piloting a Sunday service to enhance accessibility to critically needed services, modifying spaces for telehealth services and opening a service site in the city of Attleboro”; and 

in said section 2, in said item 4510-0110, by striking out the figure “$2,002,548” and inserting in place thereof the following figure:-  “$2,252,548”.


Budget Amendment ID: FY2022-S3-571

EHS 571

Manet Community Health Center

Messrs. Keenan and O'Connor moved that the proposed new text be amended in section 2, in item 4510-0110, by adding the following words:- “; provided further, that $500,000 shall be made available to Manet Community Health Center in the cities of Quincy and Taunton; in the town of Hull; and, in the town of Attleboro, for advancing a Post Pandemic Response Program, which includes, but is not limited to, piloting a Sunday service to enhance accessibility to critically needed services and modifying spaces for telehealth services, and opening a service site in Attleboro”; and by striking out the figure “$2,002,548” and inserting in place thereof the following figure:- “$2,502,548”.


Budget Amendment ID: FY2022-S3-572

EHS 572

Bilingual Veterans Outreach Center of Mass. Inc.

Messrs. Velis and O'Connor moved that the proposed new text be amended in section 2, in item 1410-0012, ; provided further, that no less than $100,000 shall be expended for the Bilingual Veterans Outreach Center of Mass. Inc.


Budget Amendment ID: FY2022-S3-573

EHS 573

Relative to the MassHealth Delivery System Reform Trust Fund

Mr. Velis and Ms. Gobi moved that the proposed new text be amended in section 3, in section 52 by striking out the section in its entirety and inserting in its place the following:-

"SECTION 52. Notwithstanding any general or special law to the contrary, the secretary of health and human services shall, not later than June 30, 2022, make available $40,000,000 from the MassHealth Delivery System Reform Trust Fund established in section 2SSSS of chapter 29 of the General Laws to acute care hospitals in the form of enhanced Medicaid payments, supplemental payments or through other appropriate mechanisms; provided further, that such enhanced Medicaid payments shall not offset existing Medicaid payments for which an eligible hospital may be qualified to receive.".


Budget Amendment ID: FY2022-S3-575-R1

Redraft EHS 575

Youth Mental Health Support Text Line Pilot Program

Ms. Rausch, Messrs. Eldridge, O'Connor, Cyr and Timilty moved that the proposed new text be amended in section 2, in item 4513-1027, by adding the following words:-

“; provided further, that not less than $250,000 shall be expended for the development of a pilot program for text-based mental health support tailored to youth and young adults in the commonwealth and youth mental health community education, outreach and communications; provided further, that not later than June 30, 2022, the Samaritans, Inc., shall report to the house and senate committees on ways and means and the joint committee on mental health, substance use and recovery on data concerning the success of said pilot program including, but not limited to, usage rates, demographic data and equity data, as practicable”; and in said section 2, in said item 4513-1027, by striking out the figure “$400,000” and inserting in place thereof the following figure:- “$650,000”.


Budget Amendment ID: FY2022-S3-575

EHS 575

Youth Mental Health Support Text Line Pilot Program

Ms. Rausch moved that the proposed new text be amended in section 2, in item 4513-1027, by inserting the following:- provided further, that not less than $777,000 shall be expended for the development of a pilot program text-based mental health support line tailored specifically to youth and young adults in the commonwealth and youth mental health community education, outreach and communications; provided further, that no later than June 30, 2022, Samaritans shall report to the senate and house committees on ways and means and the joint committee on mental health, substance use and recovery data concerning the success of said pilot program, including but not limited to usage rates and, as practicable, demographic and equity data;

And further amended in said item by striking the figure “$400,000” and inserting in place thereof the figure:- $1,177,000.


Budget Amendment ID: FY2022-S3-576

EHS 576

Rapid Creation of Pediatric Inpatient Mental Health Beds

Messrs. Timilty, Tarr and O'Connor moved that the proposed new text be amended in section 2, in item 4513-2020, by adding the following words:- "provided further, that the department of public health, in consultation with the department of mental health, shall expend not less than $1,000,000 to promote inpatient behavioral health access by supporting the rapid creation of new inpatient mental health acute care beds for children and adolescents in the commonwealth, and develop and maintain an online portal that enables the public to access real-time data on the availability of pediatric acute psychiatric beds, intensive community-based treatment beds, continuing care beds, and post-hospitalization residential beds, categorized by geographic region in the commonwealth, which shall include, but not be limited to: (1) the total number of beds licensed by the department of mental health, the department of public health and the department of early education and care, and the total number of available beds broken down by licensing authority; (2) the total number of available beds broken down by children and adolescents age ranges; (3) the average daily bed availability broken down by licensing authority and by children and adolescent age ranges; (4) daily bed admissions broken down by licensing authority and by children and adolescent age ranges; (5) the location from which a child or adolescent was admitted; (6) daily bed discharges broken down by licensing authority and by children and adolescent age ranges; and (7) the average length of stay broken down by licensing authority and by children and adolescent age ranges”;

 

and by striking out the figure “$10,032,000” and inserting in place thereof the following figure:- “$11,032,000".


Budget Amendment ID: FY2022-S3-577-R1

Redraft EHS 577

Vaccine Equity Benchmarks

Ms. Chang-Diaz, Ms. Rausch, Ms. Comerford, Messrs. Moore, Lesser, Cronin, Keenan, Cyr, Pacheco and Montigny moved that the proposed new text be amended in section 2, in item 4000-0009, by adding the following words:- “; provided further, that not later than July 30, 2021, the secretary of health and human services shall, in consultation with the office of health equity and the department of public health, establish a set of quantitative goals and benchmarks to define and achieve equitable vaccine penetration in communities disproportionately impacted by the 2019 novel coronavirus; provided further, that the 2019 novel coronavirus infection and hospitalization rates of different racial and ethnic groups shall be considered in establishing the benchmarks”.


Budget Amendment ID: FY2022-S3-577

EHS 577

Vaccine Equity Benchmarks

Ms. Chang-Diaz, Ms. Rausch, Ms. Comerford, Messrs. Moore, Lesser, Cronin, Keenan and Cyr moved that the proposed new text be amended in section 2, in item 4000-0009, by adding after the word “plan”, the following words:- “; provided, that not later than July 31, 2021, the secretary of health and human services shall, in consultation with the office of health equity and the department of public health, establish a set of quantitative goals and benchmarks to define and achieve equitable vaccine penetration in communities disproportionately impacted by the 2019 novel coronavirus; provided, that the COVID-19 infection and hospitalization rates of different racial and ethnic group shall be considered in establishing the benchmarks."


Budget Amendment ID: FY2022-S3-578

EHS 578

Child and Adolescent Behavioral Health

Mr. DiDomenico, Ms. DiZoglio, Messrs. Tarr and O'Connor, Ms. Jehlen, Messrs. Velis, Keenan and Cyr and Ms. Comerford moved that the proposed new text be amended in section 2, in item 4513-2020, by inserting after the words "community health centers" the following words:-

", including hospital-licensed health centers,"

 

and by adding at the end thereof the following words:-

"and provided further, that not less than an additional $3,000,000 shall be expended for a loan repayment assistance program for the purpose of enhancing recruitment and retention of child and adolescent psychiatrists for expansion of child and adolescent inpatient services at hospitals participating in the MassHealth incentive program for new inpatient bed capacity; provided further, priority shall be given to hospitals serving a high proportion of Medicaid and low-income patients; provided further, that said loan repayment assistance program shall be administered by the executive office of health and human services or by an organization under contract with the executive office to administer the program; provided further, that to be eligible for loan repayment assistance under this item, an individual shall: (1) be certified in child and adolescent psychiatry by the American Board of Psychiatry and Neurology or have completed a Triple Board combining pediatrics, general psychiatry, and child and adolescent psychiatry; (2) have outstanding educational debt; (3) not participate in any other loan repayment program; and (4) be required to enter into a contract with the commonwealth which shall, for not less than 5 years, obligate the individual to provide child and adolescent inpatient psychiatric services located in the commonwealth on a consistent basis, to be defined in regulation by the executive office; provided further, that loan repayment assistance shall be provided on an ongoing basis during the applicable 5-year period and the amount of the repayment assistance provided shall be up to $300,000 per eligible individual; and provided further, that the executive office shall promulgate regulations for the administration and enforcement of the loan repayment assistance program for child and adolescent psychiatrists under this item which shall include penalties and repayment procedures if a participating individual fails to comply with program requirements";

and by striking out the figure "$10,032,000" and inserting in place thereof the following figure:- "13,032,000".


Budget Amendment ID: FY2022-S3-579

EHS 579

Greater New Bedford Community Health Center

Mr. Montigny moved that the proposed new text be amended in section 2, in item 4512-0205, by inserting the following words:- “; provided further, that not less than $175,000 shall be expended for Office-Based Addiction/Opioid Treatment, a program of the Greater New Bedford Community Health Center”; and by striking out the figure “$125,000” and inserting in place thereof the following figure:- “$300,000”.


Budget Amendment ID: FY2022-S3-580

EHS 580

Nero's Law

Messrs. Montigny, Tarr, Pacheco, Moore, Fattman, O'Connor, Velis, Gomez, Cyr and Timilty moved that the proposed new text be amended by inserting after section ___ the following section:-

"SECTION ___.  Section 1 of chapter 111C of the General Laws is hereby amended by inserting after the definition of “person” the following definition:-

“Police dog,” a specially trained dog owned or used by a law enforcement department or agency of the commonwealth or any of its political subdivisions, and used in the course of the department’s or agency’s official work, including a search and rescue dog, service dog, accelerant detection canine, or other dog that is in use by the law enforcement agency for official duties.”; and

by inserting after section ___ the following section:-

“SECTION ___. Said chapter 111C is hereby amended by adding after section 9 the following section:-

Section 9A. Ambulance services shall authorize their EMS personnel to provide emergency treatment to a police dog injured in the line of duty, and transport such police dog by ambulance, to a veterinary clinic or veterinary hospital equipped to provide emergency treatment to dogs; provided, there are no person requiring emergency medical treatment or transport at that time.  Ambulance services shall develop written policies or procedures for the following:

(a) Appropriate training of EMS personnel to provide police dogs basic level first aid, cardiopulmonary resuscitation, and life-saving interventions, including but not limited to administering naloxone , developed in consultation with a veterinarian licensed pursuant to chapter 112; the provision of advanced life support care is not authorized and requires treatment by a veterinarian licensed pursuant to chapter 112;

(b) Safe handling procedures for injured police dogs, including the use of a box muzzle, and response coordination with a law enforcement agency member trained in handling police dogs, developed in consultation with a veterinarian licensed pursuant to chapter 112 and a law enforcement police dog handler or trainer;

(c) Identification of local veterinary facilities that will provide emergency treatment of injured police dogs on short notice;

(d) Proper and complete decontamination of stretchers, the patient compartment, and all contaminated medical equipment, when a police dog has been transported by ambulance or other EMS vehicle; and

(e) Sterilization of the interior of an ambulance, including complete sanitizing of all allergens and disinfection to a standard safe for human transport before being returned to human service.”; and

by inserting after section ___ the following section:-

“SECTION ___. Section 21 of chapter 111C, as so appearing, is hereby amended by inserting after the first paragraph the following paragraph:-

No EMS personnel certified, accredited or otherwise approved under this chapter, and no additional personnel certified or authorized under section 9, who in the performance of their duties and in good faith render emergency first aid, cardiopulmonary resuscitation, transportation, or other EMS, to an injured police dog, as permitted by section 9A of this chapter, shall be personally liable as a result of rendering such aid or services or, in the case of an emergency medical technician or additional personnel, as a result of transporting such animal to a veterinary care facility, nor shall they be liable to a veterinary care facility for its expenses if, under emergency conditions, they cause the admission of such animal to said veterinary care facility.”; and

by inserting after section ___ the following section:-

“SECTION ___. Section 58 of chapter 112 is hereby amended by inserting the following paragraph:-

9. Any EMS provider who provides care to an injured police dog as defined in Section 9A of Chapter 111C.olice dog as defined in Section 26 of Chapter 111C.”.


Budget Amendment ID: FY2022-S3-581

EHS 581

Supplemental Security Rest Home Formula

Ms. Gobi, Mr. Crighton, Ms. Jehlen, Messrs. Moore, O'Connor and Cronin moved that the proposed new text be amended in section 2, in item 4405-2000, by adding at the end thereof the following:

“; provided further, that rates for residential care facilities and rest homes effective July 1, 2021, established under section 13D of chapter 118E of the General Laws, shall cumulatively total not less than $5,600,000 more than rates effective January 1, 2021”

and in said item by striking out the figures “$202,480,784” and inserting in place thereof the figures “$208,080,784”.


Budget Amendment ID: FY2022-S3-583

EHS 583

Nursing Home Resident Protection

Messrs. Montigny, Moore and O'Connor moved that the proposed new text be amended in section 2, in item 4000-0601, by adding the following words:- “provided further, that not later than January 1, 2022, MassHealth shall report to the chairs of the house and senate committees on ways and means the following for fiscal year 2021: (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.” 


Budget Amendment ID: FY2022-S3-584

EHS 584

Immigrants' Assistance Center

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

by striking out the figure “$2,000,000” and inserting in place thereof the following figure:- “$2,075,000”.


Budget Amendment ID: FY2022-S3-585

EHS 585

EAEDC Rest Home Funding Formula

Ms. Gobi, Mr. Crighton, Ms. Jehlen, Messrs. Moore and O'Connor moved that the proposed new text be amended in section 2, in item 4408-1000, by adding at the end thereof the following:

“; provided further, that rates for residential care facilities and rest homes effective July 1, 2021, established under section 13D of chapter 118E of the General Laws, shall cumulatively total not less than $2,400,000 more than rates effective January 1, 2021”

and in said item by striking out the figures “$101,538,779” and inserting in place thereof the figures “$103,938,779”.


Budget Amendment ID: FY2022-S3-586

EHS 586

Regional Equity for Residents Facing Visual Impairment

Mr. Montigny moved that the proposed new text be amended in section 2, in item 4110-0001, by adding the following words:- “; provided, that the commission shall maintain a southeast regional office in the city of New Bedford”.


Budget Amendment ID: FY2022-S3-587

EHS 587

BHA Digital Equity

Messrs. Collins and Boncore moved that the proposed new text be amended in section 2, in item 7004-0107, by inserting at the end thereof the following: " provided further, that not less than

$450,000 shall be expended for the Boston housing authority to provide

free high speed internet access, digital equity and necessary related

capital improvements at state-assisted properties" and in said item by striking out the figure "$125,000" and inserting in place thereof the following figure:- "$575,000"


Budget Amendment ID: FY2022-S3-588

EHS 588

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

Mr. Montigny moved that the proposed new text be amended by inserting after section ___ the following 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 $5,000 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 $50,000 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 $5,000 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) The commissioner may promulgate regulations to enforce this section. "


Budget Amendment ID: FY2022-S3-589

EHS 589

Preventing Death & Disability From Stroke

Messrs. Montigny and Feeney, Ms. Moran, Messrs. Timilty, Moore, O'Connor, Gomez and Pacheco moved that the proposed new text be amended by inserting after section ___ the following section:-

"SECTION ___.  Chapter 111 of the General Laws is hereby amended by inserting after section 51K the following section:-

Section 51L. (a) The department and regional EMS councils created pursuant to section 4 of chapter 111C shall annually review and update, if appropriate, their pre-hospital care protocols and point-of-entry plans to ensure stroke patients are transported to the most appropriate facility in accordance with this section.

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

(c) The department shall convene a group of experts, including, but not limited to, a representative from the American Stroke Association, a representative from The Massachusetts Neurologic Association, Inc., a representative from the Society of Neurointerventional Surgery, a representative from Massachusetts College of Emergency Physicians, Inc. and a representative of a regional EMS council created pursuant to said section 4 of said chapter 111C, with input from key stroke stakeholders and professional societies, to form a stroke advisory taskforce that shall assist with data oversight, program management and advice regarding the stroke system of care. The task force shall meet not less than biannually to review data and provide advice."; and

by inserting after section ___ the following section:-

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


SENATE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 2459

Text of amendment (Senator Montigny) to the Senate Bill making appropriations for the fiscal year 2022 for the maintenance of the departments, boards, commissions, institutions and certain activities of the commonwealth, for interest, sinking fund and serial bond requirements and for certain permanent improvements (Senate, No. 3).

 

The Commonwealth of Massachusetts

 

_______________

In the One Hundred and Ninety-Second General Court
(2021-2022)

_______________

 

by inserting after section ___ the following section:-

“SECTION ___. Chapter 111 of the General Laws, as so appearing, is hereby amended by striking out section 71 and inserting in place thereof the following section:-

Section 71. For purposes of this section and sections 71A ½ to 73, the following terms shall have the following meanings unless the context or subject matter clearly requires otherwise:

“Applicant”, any person who applies to the department for a license to establish or maintain and operate a long-term care facility.

“Charitable home for the aged”, any institution, however named, conducted for charitable purposes and maintained for the purpose of providing a retirement home for elderly persons and which may provide nursing care within the home for its residents.

“Convalescent or nursing home or skilled nursing facility”, any institution, however named, whether conducted for charity or profit, which is advertised, announced or maintained for the express or implied purpose of caring for four or more persons admitted thereto for the purpose of nursing or convalescent care.

“Infirmary maintained in a town”, an infirmary which hitherto the department of public welfare has been directed to visit by section 7 of chapter 121.

“Intermediate care facility for persons with an intellectual disability”, any institution, however named, whether conducted for charity or profit, which is advertised, announced or maintained for the purpose of providing rehabilitative services and active treatment to persons with an intellectual disability or persons with related conditions, as defined in regulations promulgated pursuant to Title XIX of the federal Social Security Act (P.L. 89–97); which is not both owned and operated by a state agency; and which makes application to the department for a license for the purpose of participating in the federal program established by said Title XIX.

“License”, an initial or renewal license to establish or maintain and operate a long-term care facility issued by the department.

“Licensee”, a person to whom a license to establish or maintain and operate a long-term care facility has been issued by the department.

“Long-term care facility”, a charitable home for the aged, a convalescent or nursing home, an infirmary maintained in a town, an intermediate care facility for persons with an intellectual disability or a rest home.

“Owner”, any person owning 5 per cent or more of, with an ownership interest of 5 per cent or more of, or with a controlling interest in an applicant, potential transferee or the real property on which a long-term care facility is located.

“Person”, an individual, a trust, estate, partnership, association, company or corporation.

“Potential transferee”, a person who submits to the department a “notice of intent to acquire” the facility operations of a currently operating long-term care facility.

“Rest home”, any institution, however named, which is advertised, announced or maintained for the express or implied purpose of providing care incident to old age to four or more persons who are ambulatory and who need supervision.

“Transfer of facility operations”, a transfer of the operations of a currently operating long-term care facility from the current licensee of the long-term care facility to a potential transferee, pending licensure, pursuant to a written “transfer of operations” agreement.

To each applicant it deems suitable and responsible  to establish or maintain and operate a long-term care facility and which meets all other requirements for long-term care facility licensure, the department shall issue for a term of two years, and shall renew for like terms, a license, subject to the restrictions set forth in this section or revocation by it for cause; provided, however, that each convalescent or nursing home and each intermediate care facility for persons with an intellectual disability shall be inspected at least once a year.

No license shall be issued to establish or maintain an intermediate care facility for persons with an intellectual disability, unless there is a determination by the department that there is a need for such facility at the designated location; provided, however, that in the case of a facility previously licensed as an intermediate care facility for persons with an intellectual disability in which there is a change in ownership, no such determination shall be required and in the case of a facility previously licensed as an intermediate care facility for persons with an intellectual disability in which there is a change in location, such determination shall be limited to consideration of the suitability of the new location.

In the case of the transfer of facility operations of a long-term care facility, a potential transferee shall submit a “notice of intent to acquire” to the department at least 90 days prior to the proposed transfer date. The notice of intent to acquire shall be on a form supplied by the department and shall be deemed complete upon submission of all information which the department requires on the notice of intent form and is reasonably necessary to carry out the purposes of this section.

No license shall be issued to an applicant and no potential transferee may submit an application for a license unless the department makes a determination that the applicant or potential transferee is responsible and suitable for licensure.

For purposes of this section, the department's determination of responsibility and suitability shall be limited to the following factors:

(i) the criminal or civil history of the applicant or the potential transferee, including their respective owners, which shall include certification by the department of criminal justice information services and which may include a review of any pending or settled litigation or other court proceedings in the commonwealth and in other states;

(ii) the financial capacity of the applicant or potential transferee, including their respective owners, to establish or maintain and operate a long-term care facility, which may include any recorded liens and unpaid fees or taxes in the commonwealth and in other states;

(iii) the history of the applicant or potential transferee, including their respective owners,  in providing long-term care in the commonwealth, measured by compliance with applicable statutes and regulations governing the operation of long-term care facilities; and

(iv) the history of the applicant or potential transferee, including their respective owners,  in providing long-term care in states other than the commonwealth, if any, measured by compliance with the applicable statutes and regulations governing the operation of long term care facilities in said states.

With respect to potential transferees, upon determination by the department that a potential transferee is responsible and suitable for licensure, the potential transferee may file an application for a license. In the case of a potential transfer of facility operations, the filing of an application for a license shall have the effect of a license until the department takes final action on such application.

If the department determines that an applicant or potential transferee is not suitable and responsible, the department's determination shall take effect on the date of the department's notice. In such cases, the applicant or potential transferee shall upon the filing of a written request with the department be afforded an adjudicatory hearing pursuant to chapter 30A. During the pendency of such appeal, the applicant or potential transferee shall not operate the facility as a licensee, or, without prior approval of the department, manage such facility.

Each applicant, potential transferee and licensee shall keep all information provided to the department current. Promptly after the applicant, potential transferee or licensee becomes aware of any change to information related to information it provided or is required to provide to the department, such person shall submit to the department written notice of the changes. Changes include, but are not limited to, changes in financial status, such as filing for bankruptcy, any default under a lending agreement or lease, the appointment of a receiver or the recording of any lien.

An applicant, potential transferee or licensee and their respective owners shall be in compliance with all applicable federal, state and local laws, rules and regulations.

Prior to engaging a company to manage the long-term care facility a licensee shall notify the department in writing of the name of and provide contact information for the proposed management company and any other information on the management company and its personnel that may be reasonably requested by the department. Any such engagement must be pursuant to a written agreement between the licensee and the management company. Such written agreement shall include a requirement that the management company and its personnel shall comply with all applicable federal, state and local laws, regulations and rules. Promptly after the effective date of any such agreement, the licensee shall provide to the department a copy of the valid, fully executed agreement.

With respect to a license issued as a result of a transfer of operations, the department shall not reduce the number of beds that were on the license held by the former licensee, unless the public safety requires it.

No license shall be issued hereunder unless there shall be first submitted to the department by the authorities in charge of the long-term care facility with respect to each building occupied by residents (1) a certificate of inspection of the egresses, the means of preventing the spread of fire and apparatus for extinguishing fire, issued by an inspector of the office of public safety and inspections of the division of professional licensure; provided, however, that with respect to convalescent or nursing homes only, the division of health care quality of the department of public health shall have sole authority to inspect for and issue such certificate, and (2) a certificate of inspection issued by the head of the local fire department certifying compliance with the local ordinances.

Any applicant who is aggrieved, on the basis of a written disapproval of a certificate of inspection by the head of the local fire department or by the office of public safety and inspections of the division of professional licensure, may, within 30 days from such disapproval, appeal in writing to the division of professional licensure. With respect to certificates of inspection that the division of health care quality of the department of public health has the sole authority to issue, an applicant may, within 30 days from disapproval of a certificate of inspection, appeal in writing to the department of public health only. Failure to either approve or disapprove within 30 days, after a written request by an applicant, shall be deemed a disapproval.

If the division of professional licensure or, where applicable, the department of public health approves the issuance of a certificate of inspection, it shall forthwith be issued by the agency that failed to approve. If said department disapproves, the applicant may appeal therefrom to the superior court. Failure of said department to either approve or disapprove the issuance of a certificate of inspection within 30 days after receipt of an appeal shall be deemed a disapproval. No license shall be issued by the department until issuance of an approved certificate of inspection, as required in this section.

Nothing in this section or in section 72 or 73 of this chapter shall be construed to revoke, supersede or otherwise affect any laws, ordinances, by-laws, rules or regulations relating to building, zoning, registration or maintenance of a long-term care facility.

For cause, the department may limit, restrict, suspend or revoke the license.  Grounds for cause on which the department may take such action shall include failure or inability to provide adequate care to residents, failure to maintain substantial compliance with applicable statutes, rules and regulations or lack of financial capacity to maintain and operate a long-term care facility. Limits or restrictions include requiring a facility to limit new admissions. Suspension of a license includes suspending the license during a pending license revocation action or suspending the license to permit the licensee a period of time, not shorter than 60 days, to wind down operations, and discharge and transfer, if applicable, all residents.

The department may, when public necessity and convenience require, or to prevent undue hardship to an applicant or licensee, under such rules and regulations as it may adopt, grant a temporary provisional or probationary license under this section; provided, however, that no such license shall be for a term exceeding one year.

With respect to an order to limit, restrict or suspend a license, within 7 days of receipt of the written order, the licensee may file a written request with the department for administrative reconsideration of the order or any portion thereof. Failure of the department to grant, deny or otherwise act upon any such written request within seven days of its receipt of such a request shall be deemed a denial of the request.

Upon a written request by a licensee who is aggrieved by the revocation of a license or by an applicant who is aggrieved by the refusal of the department to renew a license, the commissioner and the council shall hold a public hearing, after due notice, and thereafter they may modify, affirm or reverse the action of the department; provided, however, that the department may not refuse to renew and may not revoke the license of a long-term care facility until after a hearing before a hearings officer, and any such applicant so aggrieved shall have all the rights provided in chapter 30A with respect to adjudicatory proceedings.

In no case shall the revocation of such a license take effect in less than 30 days after written notification by the department to the licensee.

The fee for a license to establish or maintain or operate a long-term care facility shall be determined annually by the commissioner of administration under the provision of section 3B of chapter 7, and the license shall not be transferable or assignable and shall be issued only for the premises named in the application.

Nursing institutions licensed by the department of mental health, or the department of developmental services for persons with intellectual disabilities shall not be licensed or inspected by the department of public health. The inspections herein provided shall be in addition to any other inspections required by law.

In the case of new construction, or major addition, alteration, or repair with respect to any facility subject to this section, preliminary architectural plans and specifications and final architectural plans and specifications shall be submitted to a qualified person designated by the commissioner. Written approval of the final architectural plans and specifications shall be obtained from said person prior to said new construction, or major addition, alteration, or repair.

Notwithstanding any of the foregoing provisions of this section, no license to establish or maintain and operate a long-term care facility  shall be issued by the department unless the applicant for such license submits to the department a certificate that each building to be occupied by patients of such convalescent or nursing home or skilled nursing facility meets the construction standards of the state building code, and is of at least type 1–B fireproof construction; provided, however, that this paragraph shall not apply in the instance of a transfer of facility operations of a convalescent or nursing home or skilled nursing facility whose license had not been revoked as of the time of such transfer; and provided, further, that a public medical institution as defined under section 2 of chapter 118E, which meets the construction standards as defined herein, shall not be denied a license as a nursing home under this section because it was not of new construction and designed for the purpose of operating a convalescent or nursing home or skilled nursing facility at the time of application for a license to operate a nursing home. An intermediate care facility for persons with an intellectual disability shall be required to meet the construction standards established for such facilities by Title XIX of the Social Security Act (P.L. 89–97) and any regulations promulgated pursuant thereto, and by regulations promulgated by the department.

Every applicant for a license and every potential transferee shall provide on or with its application or notice of intent to acquire a sworn statement of the names and addresses of any person who owns or has an ownership or control interest in the applicant or potential transferee or in the real property on which the long-term care facility is located. As used herein, the phrase ''person with an ownership or control interest'' shall have the definition set forth in 42 USC Sec. 1320a–3 of the Social Security Act and in regulations promulgated hereunder by the department.

The department shall notify the secretary of elder affairs forthwith of the pendency of any proceeding of any public hearing or of any action to be taken under this section relating to any convalescent or nursing home, rest home, infirmary maintained in a town, or charitable home for the aged. The department shall notify the commissioner of mental health forthwith of the pendency of any proceeding, public hearing or of any action to be taken under this section relating to any intermediate care facility for persons with an intellectual disability.”; and

by inserting after section ___ the following section:-

“SECTION ___. Said chapter 111, as so appearing, is hereby further amended by striking out section 72E and inserting in place thereof the following section:-

Section 72E. The department shall, after every inspection by its agent made under authority of section 72 of this chapter, give the licensee of the inspected long-term care facility notice in writing of every violation of the applicable statutes, rules and regulations of the department found upon said inspection. With respect to the date by which the licensee shall remedy or correct each violation, hereinafter the “correct by date”, the department in such notice shall specify a reasonable time, not more than 60 days after receipt thereof, by which time the licensee shall remedy or correct each violation cited therein or, in the case of any violation which in the opinion of the department is not reasonably capable of correction within 60 days, the department shall require only that the licensee submit a written plan for the timely correction of the violation in a reasonable manner. The department may modify any nonconforming plan upon notice in writing to the licensee.

Absent good faith efforts to remedy or correct, failure to remedy or correct a cited violation by the agreed upon correct by date shall be cause to pursue or impose the remedies or sanctions available to it under sections 71 through 73 of this chapter  unless the licensee shall demonstrate to the satisfaction of the department or the court, as the case may be, that such failure was not due to any neglect of its duty and occurred despite an attempt in good faith to make correction by the agreed upon correct by date. The department may pursue or impose any remedy or sanction or combination of remedies or sanctions available to it under said sections 71 through 73. An aggrieved licensee may pursue the remedies available to it under such sections.

In addition, if the licensee fails to maintain substantial compliance with applicable statutes, rules and regulations, in addition to imposing any of the other remedies or sanctions available to it, the department may require the licensee to engage, at the licensee’s own expense, a temporary manager to assist the licensee with bringing the facility into substantial compliance and with sustaining such compliance. Such manager is subject to the department’s approval, such approval not to be unreasonably withheld. Any such engagement of a temporary manager would be for a period of not less than 6 months and shall be pursuant to a written agreement between the licensee and the management company. A copy of such agreement shall be provided by the licensee to the department promptly after execution.

Nothing in this section shall be construed to prohibit the department from enforcing a statute, rule or regulation, administratively or in court, without first affording formal opportunity to make correction under this section, where, in the opinion of the department, the violation of such statute, rule or regulation jeopardizes the health or safety of residents or the public or seriously limits the capacity of a licensee to provide adequate care, or where the violation of such statute, rule or regulation is the second such violation occurring during a period of 12 full months.”; and

by inserting after section ___ the following section:-

“SECTION ___. Said chapter 111, as so appearing, is hereby further amended by striking out section 73 and inserting in place thereof the following section:-

Section 73. Whoever advertises, announces, establishes or maintains, or is concerned in establishing or maintaining a long-term care facility, or is engaged in any such business, without a license granted under section 71 of this chapter, or whoever being licensed under said section violates any provision of sections 71 to 73, inclusive, shall for a first offense be punished by a fine of not more than $1,000, and for a subsequent offense by a fine of not more than $2,000 or by imprisonment for not more than two years.

Notwithstanding the above paragraph, whoever violates any rule or regulation made pursuant to sections 71, 71C, 72, or 72C shall be punished by such fine not to exceed $22,320, unless the department determines a higher amount is permitted pursuant to 42 CFR 488.438. If any person violates any such rule or regulation by allowing a condition to exist which may be corrected or remedied, the department shall order him, in writing, to correct or remedy such condition, and if such person fails or refuses to comply with such order by the agreed upon correct by date as defined in section 72E, each day after the agreed upon correct by date during which such failure or refusal to comply continues shall constitute a separate offense.  Fines collected pursuant to this paragraph shall be deposited into the Long-Term Care Facility Quality Improvement Fund established pursuant to section 2UUUU of chapter 29 and shall not revert to the General Fund.  A failure to pay the fine imposed by this section shall be a violation of this section."


Budget Amendment ID: FY2022-S3-592

EHS 592

Bird Street Community Center, Inc

Mr. Collins moved that the proposed new text be amended in section 2, in item 7010-1192, by inserting at the end thereof the following: -" provided further, that not less than $50,000 shall be expended for the Bird Street Community Center."


Budget Amendment ID: FY2022-S3-593

EHS 593

Mattapan Community Health Center

Mr. Collins moved that the proposed new text be amended in section 2, in item 4510-0110, by inserting at the end thereof the following: - "provided further, that not less than $75,000 shall be expended for the Mattapan Community Health Center for 2019 novel corona virus pandemic purposes;


Budget Amendment ID: FY2022-S3-594

EHS 594

Association of Haitian Women in Boston (AFAB)

Mr. Collins moved that the proposed new text be amended in section 2, in item 4513-1130, by inserting at the end thereof the following "provided further, that not less than $75,000 shall be expended for the Association of Haitian Women, Inc. in the city of Boston;