https://malegislature.gov/Budget/FY2022/FinalBudget


I recommend that you slowly search for the following words 
individually or collectively:

disability
intellectual
developmental

The 2022 Massachusetts budget probably allocates more money for 
vegetables than prisoners or education.
We are talking many BILLIONS for the vegetables.


This stuff comes from an older buget when the
term mental retard was OK.

    0411-1010 Governor's commission on mental retardation
    0411-1100 Governor's commission on mental retardation
    5911-1000 Mental Retardation: administration
    5911-1003 Mental Retardation: administration and operations
    5911-1102 Mental Retardation: facility repairs
    5911-1210 Mental Retardation: certifying direct care employees
    5911-2000 Mental Retardation: transportation costs, adult services
    5911-9999 Mental Retardation: workers compensation, unemployment insurance
    5920-1000 Mental Retardation: regional and area offices
    5920-2000 Mental Retardation: residential adult services
    5920-2006 Mental Retardation: residential rate initiative
    5920-2010 Mental Retardation: residential health adult services
    5920-2020 Mental Retardation: settlement agreement
    5920-2025 Mental Retardation: adult work programs
    5920-3000 Mental Retardation: intensive family support
    5920-3010 Mental Retardation: autistic children
    5920-4050 Mental Retardation: unserved/underserved client
    5920-5000 Mental Retardation: services to clients at 22
    5920-6000 Mental Retardation: older unserved
    5920-8000 Mental Retardation: child/adolescent services
    5930-1000 Mental Retardation: facilities for the mentally retarded
    5982-1000 Mental Retardation: Templeton Developmental Center
    5948-0012 Department of Mental Retardation: alternative placements
    5947-0005 Mental Retardation: Family Support Model Demonstration
    5947-0006 Mental Retardation: Family Support
    5947-0007 Mental Retardation: Bridges to Community
    5947-0008 Mental Retardation: Personal Assistant Services
    5947-0009 Mental Retardation: Family Support
    5947-0010 Mental Retardation: Family Support grant



Department of Developmental Services.

5911-1003........ For the administration and operation of the 
department of developmental services; provided, that the 
department shall not charge user fees for transportation or 
community day services; provided further, that the commissioner 
of developmental services may transfer funds between items 
5920-2025, 5920-2000 and 5911-2000; provided further, that the 
commissioner shall notify the house and senate committees on 
ways and means not less than 15 days in advance of any such 
transfer; provided further, that regional employment 
collaboratives shall be funded at not less than the amount 
funded in fiscal year 2021; provided further, that not less than 
$175,000 shall be expended for the Massachusetts Down Syndrome 
Congress, Inc.; provided further, that not less than $50,000 
shall be expended for the Community Access to the Arts, Inc. in 
the town of Great Barrington; provided further, that not less 
than $100,000 shall be expended for WORK Incorporated to develop 
a program to improve workforce development and employment 
opportunities for individuals with disabilities; and provided 
further, that not less than $50,000 shall be expended for the 
Center for Autism and Neurodevelopmental Disorders at the 
University of Massachusetts memorial medical center and the 
University of Massachusetts medical school based on the 
patient-centered medical home concept $81,618,289

 

5911-2000........ For transportation costs associated with 
community-based day and work programs; provided, that the 
department of developmental services shall provide 
transportation which shall be prioritized by need; provider 
further, that not later than 60 days after the end of each 
quarter, the department shall report to the house and senate 
committees on ways and means and joint committee on children, 
families and persons with disabilities on: (i) the number of 
trips provided to individual homes; and (ii) the number of trips 
provided into the community during the day or program that were 
not to or from a center-based program; and provided further, 
that funds shall be expended by the department for the new day 
and work service components developed through item 5920-2025 and 
to support increased service utilization resulting from higher 
levels of vaccination for the 2019 novel coronavirus and 
improvement in the public health emergency...... $27,095,451

 

5920-2000         For vendor-operated, community-based 
residential adult services, including intensive individual 
supports; provided, that annualized funding shall be expended 
for turning 22 clients who began receiving services in fiscal 
year 2020 under item 5920-5000 of section 2 of chapter 154 of 
the acts of 2018; provided, that not later than March 1, 2022, 
the department shall submit a report to the house and senate 
committees on ways and means detailing the use of shared-living 
services in the commonwealth, which shall include, but not be 
limited to, the: (i) number of clients living in shared-living 
placements, broken down by age and location; (ii) average cost 
of shared-living services; (iii) number of clients living in a 
shared-living placement with individuals they knew prior to the 
arrangement; (iv) department's oversight of the application 
and placement process; (v) safeguards in place for clients 
receiving these services; and (vi) potential for growth of the 
program; provided further, that the commissioner of 
developmental services may transfer funds from this item to item 
5920-2010, as necessary, under an allocation plan which shall 
detail, by object class, the distribution of the funds to be 
transferred and which shall be filed with the house and senate 
committees on ways and means not less than 30 days before any 
such transfer; and provided further, that not more than 
$5,000,000 shall be transferred from this item in fiscal year 
2022................................ $1,408,349,244

5920-2003........ For supportive technology and remote services 
for individuals served by the department of developmental 
services.........................................................
...................... $500,000

 

5920-2010........ For state-operated, community-based 
residential services for adults, including community-based 
health services; provided, that not less than $100,000 shall be 
expended for Caring Health center to offset the cost of  parking 
which is required as a direct result of parking limitations in 
downtown Springfield and to provide healthcare $240,637,466

 

5920-2025........ For community-based day and work programs and 
associated transportation costs for adults; provided, that the 
department of developmental services shall provide 
transportation which shall be prioritized by need; provided 
further, that the department shall support individuals with 
disabilities who transitioned from employment services offered 
at sheltered workshops to community-based employment as part of 
the commonwealth's employment first initiative; provided 
further, that any public-private partnerships with employers and 
nonprofits shall encourage the highest level of independence 
among individuals with disabilities and shall provide options to 
maximize community involvement and participation; provided 
further, that not later than December 31, 2021, the department 
shall issue a report to the house and senate committees on ways 
and means and the joint committee on children, families and 
persons with disabilities detailing: (i) the number of eligible 
individuals employed in community-based employment in fiscal 
year 2021 and the number estimated for fiscal year 2022; (ii) 
the number and types of community-based employment partners; 
(iii) the outcomes measured; and (iv) recommendations for 
expansion; and provided further, that funds shall be expended by 
the department to support recovery and increased service 
utilization following the 2019 novel coronavirus pandemic, 
including: (a) service system redesign to provide new service 
components or modalities including, but not limited to, remote 
and virtual supports and in-home or community-based services; 
(b) development of a new service model capable of providing 
individualized services to constituents otherwise unable to 
engage in traditional day services; and (c) supplemental funding 
for community-based provider agencies to support adaptations and 
pandemic recovery efforts including, but not limited to, 
technology supports and recruiting, hiring and training staff 
for new roles; and provided further, that up to $15,000,000 of 
additional funds provided in fiscal year 2022 shall be expended 
by the department to (1) re-design the service system to respond 
to the new needs created by the COVID-19 pandemic, requiring new 
day services components or modalities, including but not limited 
to: remote and virtual supports, and in-home or in-community 
services, (2) provide "bridge" funding for community-based 
provider agencies to re-design their current service model, 
including but not limited to: recruiting and hiring new staff, 
training staff for new roles, and providing technology supports 
for staff during the transition, (3) develop a new, more fluid 
service model based on the real-time, individual needs of 
constituents otherwise unable to engage in traditional day 
services, and (4) plan for increased service need that may occur 
during the fiscal year in response to increased vaccinations and 
any improvement in the public health emergency 
............................................. $219,962,246

 

5920-3000........ For respite services and intensive family 
supports........................................ $84,853,898

 

5920-3010........ For contracted support services for families 
of children with autism through the autism division at the 
department of developmental services; provided, that the 
department shall expend not less than $5,500,000 to provide 
services under the children's autism spectrum disorder waiver 
under section 1915(iii) of the Social Security Act, 42 U.S.C. 
1396n(iii); provided further, that the waiver shall include 
children with autism spectrum disorder ages 0 to 8, inclusive, 
including children with autism spectrum disorder ages 0 to 3, 
inclusive, who are receiving services through the department of 
public health's early intervention program; provided further, 
that the department shall take all steps necessary to ensure 
that the waiver program is fully enrolled and that eligible 
children with autism immediately begin to receive services under 
said waiver; provided further, that the department shall 
immediately file any waiver amendment necessary with the federal 
Centers for Medicare and Medicaid Services to comply with the 
requirements of this item; provided further, that not later than 
January 14, 2022, the department shall report to the house and 
senate committees on ways and means, the joint committee on 
education and the joint committee on children, families and 
persons with disabilities on the: (i) number of contracted 
support services provided for families with children with autism 
under this item; (ii) the costs associated with such services; 
(iii) the services provided by the children's autism spectrum 
disorder waiver, with information regarding the number of 
children enrolled in the waiver and receiving services; (iv) 
linguistic and cultural diversity, age, gender and geographic 
representation of the applicants and the children enrolled in 
the program; (v) department plans to continue to assess the 
demand for waiver services; (vi) any executive office of health 
and human services plans to expand the waiver for children on 
the autism spectrum of all ages in the future; and (vii) other 
information determined relevant by the department; and provided 
further, that the department shall submit copies of amended 
waivers to the house and senate committees on ways and means, 
the joint committee on education and the joint committee on 
children, families and persons with disabilities upon submission 
of the amendment.................... $7,433,900

 

5920-3020         For the implementation of chapter 226 of the 
acts of 2014, including services and supports for individuals 
with a developmental disability attributable to autism spectrum 
disorder, Smith-Magenis syndrome or Prader-Willi syndrome; 
provided, that the department shall submit quarterly reports to 
the house and senate committees on ways and means detailing: (i) 
the number of individuals eligible for services; (ii) the number 
of eligible individuals served; (iii) the type of services 
provided; (iv) the cost per service; and (v) the cost per 
individual; and provided further, that not less than $300,000 
shall be expended for the commission on autism established under 
said chapter 226.. $36,607,970

 

5920-3025........ For funding to support initiatives to address 
the needs of individuals with developmental disabilities who are 
aging including, but not limited to, individuals with Down 
syndrome and Alzheimer's disease, through the identification 
of best practices for services for affected individuals, 
including: (i) medical care coordination models that address 
conditions common to individuals with developmental disabilities 
who are aging; (ii) training for direct care and other staff in 
the identification of dementia or other age-related conditions; 
and (iii) the collection of data regarding the effectiveness of 
the initiatives included in this item; provided, that not later 
than April 1, 2022, the department of developmental services 
shall report to the executive office for administration and 
finance and the house and senate committees on ways and means on 
the status of these initiatives including, but not limited to: 
(a) the number of participants served by each initiative; (b) 
the participant outcomes, including impacts on the physical and 
cognitive health of participants; (c) the cost of each 
initiative and the cost per participant; (d) the implementation 
plans for these initiatives in fiscal years 2023 and 2024; and 
(e) recommendations for enhancing the care of individuals with 
developmental disabilities who are 
aging............................................................
..................................... $100,000

 

5920-5000........ For services to clients of the department who 
turn 22 years of age during fiscal year 2021 and 2022; provided, 
that not later than January 7, 2022, the department shall report 
to the house and senate committees on ways and means on the use 
of any funds encumbered or expended from this item including, 
but not limited to, the number of clients served in each region 
and the types of services purchased in each region..... 
$79,948,997

 
5930-1000         For the operation of facilities for 
individuals with intellectual disabilities; provided, that in 
order to comply with the decision in Olmstead v. L.C. ex rel. 
Zimring, 527 U.S. 581 (1999) and to enhance care for clients, 
the department of developmental services shall discharge clients 
residing in intermittent care facilities for individuals with 
intellectual disabilities, or an ICF/IID, to residential 
services in the community if: (i) the client is deemed 
clinically suited for a more integrated setting; (ii) community 
residential service capacity and resources available are 
sufficient to provide each client with an equal or improved 
level of service; and (iii) the cost to the commonwealth of 
serving the client in the community is less than or equal to the 
cost of serving the client in an ICF/IID; provided further, that 
any client transferred to another ICF/IID as the result of a 
facility closure shall receive a level of care that is equal to 
or greater than the level of care that had been provided at the 
closed ICF/IID; provided further, that the department may 
allocate funds from this item to items 5920-2000, 5920-2010 and 
5920-2025, as necessary, under allocation plans which shall be 
submitted to the house and senate committees on ways and means 
not less than 30 days before any transfer for residential and 
day services for clients formerly receiving inpatient care at an 
ICF/IID; and provided further, that not later than December 15, 
2021, the department shall report to the house and senate 
committees on ways and means, on: (a) all efforts to comply with 
the decision in Olmstead v. L.C. ex rel. Zimring, 527 U.S. 581 
(1999); (b) the enhancement of care within available resources 
to clients served by the department; and (c) the steps taken to 
consolidate or close an 
ICF/IID..........................................................
........ $103,743,275

1107-2501         For the operation of the disabled persons 
protection commission including, but not limited to, the costs 
of maintaining a computerized registry system of persons who 
have been substantiated for registrable abuse of a person with 
an intellectual or developmental disability; provided, that the 
commission shall facilitate compliance by the department of 
mental health and the department of developmental services with 
uniform investigative standards; provided further, that not 
later than the last day of each quarter, the commission shall 
report to the house and senate committees on ways and means on 
the number of claims of abuse by caretakers made by employees or 
contracted service employees of the department of developmental 
services, the department of mental health and the Massachusetts 
rehabilitation commission; provided further, that the report 
shall include the number of: (i) substantiated claims; (ii) 
unsubstantiated claims; and (iii) false claims reported as a 
result of intentional and malicious action; provided further, 
that not later than March 1, 2022, the commission shall issue a 
brief update to its fiscal year 2021 report detailing staffing 
changes and planned staffing changes from fiscal year 2018 
through fiscal year 2022, and analyzing the effect of those 
changes on operational efficiency and caseload reduction; 
provided further, that the commission shall detail a two-year 
hiring plan based on the appropriation provided in this item, 
and identify any remaining staffing needs within the agency 
necessary to reduce or eliminate backlogs with an estimate of 
the cost of those needs; provided further, that said update 
shall be provided to the house and senate committees on ways and 
means and to the joint committee on children, families and 
persons with disabilities; and provided further, that all 
persons who call the commission's 24-hour hotline shall be 
provided with the opportunity to elect that the call not be 
recorded, prior appropriation continued $7,896,740

4000-0430         For the CommonHealth program to provide 
primary and supplemental medical care and assistance to disabled 
adults and children under sections 9A, 16 and 16A of chapter 
118E of the General Laws; provided, that funds may be expended 
from this item for health care services provided to the 
recipients in prior fiscal years; provided further, that the 
executive office of health and human services shall maximize 
federal reimbursement for state expenditures made on behalf of 
those adults and children; provided further, that children shall 
be determined eligible for medical care and assistance if they 
meet the disability standards as defined by the executive 
office, which standards shall be no more restrictive than those 
in effect on July 1, 1996; and provided further, that the 
executive office shall process a CommonHealth application within 
45 days of receipt of a completed application or within 90 days 
if a determination of disability is required......... 
$191,450,151 

4000-0700........ For health care services provided to medical 
assistance recipients under the executive office of health and 
human services' health care indemnity or thirdparty liability 
plan, to medical assistance recipients not otherwise covered 
under the executive office's managed care or senior care plans 
and for MassHealth benefits provided to children, adolescents 
and adults under section 9 of chapter 118E of the General Laws 
and clauses (a) to (d), inclusive and clause (h) of subsection 
(2) of section 9A of said chapter 118E and section 16C of said 
chapter 118E; provided, that no payments for special provider 
costs shall be made from this item without the prior written 
approval of the secretary of administration and finance; 
provided further, that no funds shall be expended from this item 
for children and adolescents under clause (c) of said subsection 
(2) of said section 9A of said chapter 118E whose household 
incomes as determined by the executive office exceed 150 per 
cent of the federal poverty level; provided further, that 
children who have aged out of the custody of the department of 
children and families shall be eligible for benefits through the 
age limit specified in MassHealth's approved state plan; 
provided further, that funds shall be expended from this item 
for members who qualify for early intervention services; 
provided further, that MassHealth shall expend $13,000,000 in 
the aggregate for acute care hospitals that have greater than 63 
percent of their gross patient service revenue from governmental 
payers and free care as determined by the executive office; 
provided further, that in fiscal year 2022 MassHealth shall 
maintain the same level of federally-optional chiropractic 
services that were in effect in fiscal year 2016 that were 
included in its state plan or demonstration program in effect on 
January 1, 2002 for members enrolled in the primary care 
clinician program; provided further, that the executive office 
shall not, in fiscal year 2022, fund programs relating to case 
management with the intention of reducing length of stay for 
neonatal intensive care unit cases; provided further, that funds 
may be expended from this item for activities relating to 
customer service; provided further, that notwithstanding this 
item, funds may be expended from this item for the purchase of 
third-party insurance including, but not limited to, Medicare 
for any medical assistance recipient; provided further, that the 
executive office may reduce MassHealth premiums or copayments or 
offer other incentives to encourage enrollees to comply with 
wellness goals; provided further, that funds may be expended 
from this item for activities relating to disability 
determinations or utilization management and review, including 
patient screenings and evaluations, regardless of whether such 
activities are performed by a state agency, contractor, agent or 
provider; provided further, that MassHealth shall continue to 
expend funds for expanded oral health benefits, including 
endodontic and prosthodontic services, for adult members, 
consistent with the benefits provided beginning on January 1, 
2021; provided further, that not later than March 1, 2022, the 
executive office shall report to the house and senate committees 
on ways and means on: (i) dental coverage available to 
MassHealth recipients as of January 1, 2022 as it compares to 
dental coverage available to MassHealth recipients on January 1, 
2010; (ii) utilization of dental services in fiscal year 2021 
and fiscal year 2022; (iii) the actual and projected costs and 
revenue associated with dental coverage in fiscal year 2021 and 
fiscal year 2022; and (iv) the estimated cost effectiveness of 
dental coverage as a contributor to MassHealth total cost of 
care; provided further, that dental services for adults shall be 
covered at least to the extent they were covered as of June 30, 
2021; provided further, that not later than December 1, 2021, 
$750,000 shall be equally distributed to the teaching community 
health centers with family medicine residency programs in the 
cities of Worcester and Lawrence and in the South Boston section 
of the city of Boston; provided further, that the secretary of 
health and human services shall designate an agency to 
administer the funds and shall retain 5 percent of the total 
funds; provided further, that the secretary shall: (a) report to 
the house and senate committees on ways and means on the use of 
the funds by teaching community health centers; and (b) audit 
said centers in order to confirm the use of the funds by each 
center for training purposes; provided further, that funds may 
be expended from this item for health care services provided to 
recipients in prior fiscal years; and provided further, that not 
less than $100,000 shall be expended to Harbor Health Services, 
Inc.'s Ellen Jones Community Dental Center in the South Dennis 
section in the town of Dennis for the operation and equipping of 
a dental clinic serving the mid and lower Cape Cod 
area........................................................... 
$3,135,853,542

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