In addition to the previously existing federal regulations, the Department has established a health care quality account funded by civil money penalties paid by nursing homes. Expenditure of the funds can be made for any purpose that will directly improve quality of care in nursing facilities and may include funding for the establishment and operation of a demonstration project, a grant award, or relocation of residents in crisis situations. The account may also be used or to fund educational programs to nursing facilities, the OHCQ, other government, professional, or advocacy agencies and consumers. Suggestions for the use of the funds may be submitted by members of the public, advocacy organizations, government agencies, professional organizations including trade associations, nursing homes; and nursing home associations. At the time of our visit, there was $230,000 in the state account and $1,300,000 in the federal account. OHCQ recently introduced a budget amendment to allow them to use money from the account for the Wellspring program. Previously, funds have been used for the Family Council Project, the Wellspring Project, Pets-on-Wheels, training, relocation services and end-of-life care.