Read 1st time February 7, 2000, and 1000 copies ordered printed.
ANNE C. WALKER, Chief Clerk
AN ACT
To appropriate money for the expenses, grants, and distributions of the Department of Social Services and the several divisions and programs thereof to be expended only as provided in Article IV, Section 28 of the Constitution of Missouri, for the period beginning July 1, 2000 and ending June 30, 2001.
There is appropriated out of the State Treasury, to be expended only as provided in Article IV, Section 28 of the Constitution of Missouri, for the purpose of funding each Department, Division, agency, and program enumerated in each section for the item or items stated, and for no other purpose whatsoever chargeable to the fund designated for the period beginning July 1, 2000 and ending June 30, 2001, as follows:
Section 11.005. To the Department of Social Services
For Departmental Administration
For the purpose of funding the Office of the Director
Personal Service $782,990
Annual salary adjustment in accordance with Section 105.005,
RSMo 2,190
Expense and Equipment 147,304
For expenses of the specific duties of the Prince Hall Advisory Board 5,000
From General Revenue Fund 937,484
Personal Service 11,850
Annual salary adjustment in accordance with Section 105.005,
RSMo 6
From Federal Funds 11,856
Total $949,340
Section 11.010. To the Department of Social Services
For Departmental Administration
For funding Temporary Assistance for Needy Families Block Grant,
child care, Work First Initiatives, work-related transportation,
payments to employees participating in the wage
supplementation program, necessary administrative expenses,
or to respond to changes in fiscal policy for the Department
of Social Services, for the purpose of funding programs in response
to changes in federal fiscal policies with regard to welfare reform.
No funds appropriated herein may be expended until a utilization
plan has been received and reviewed by the House Budget
Committee Chair, the House Appropriations Committee-Social
Services and Corrections Chair and the Senate Appropriations
Committee Chair; and has also been distributed to all current
House Appropriation Committee-Social Services and Corrections
members.
From General Revenue Fund $13,917,441
From Federal Funds 9,312,000E
Total $23,229,441
Section 11.015. To the Department of Social Services
For Departmental Administration
For the Office of the Director
For the purpose of funding contractual services with Legal Services
Corporations in Missouri which provide legal services to low-income
Missouri citizens. Funds shall be allocated according to the
most recent national census data for the population of poor persons
living in Missouri and in the same manner as current allocation
from the Legal Services Corporation. Funding shall not be allocated
if the provisions of Section 504(a)(7) and Section 508(b)(2)(B)
of the Omnibus 1996 Appropriations Bill have not been met
by the Legal Services Corporation. Contracts for services should
provide low-income Missouri citizen's equal access to the civil
justice system, with high priority on families and children, domestic
violence, the elderly, and qualification for benefits under the
Social Security Act and Work Opportunity Reconciliation Act
of 1996.Contractors shall provide to the department a report
of services rendered, including the number of low-income citizens
served, the types of services provided, the cost per case, and the
amount of free and reduced fee legal services which have
been provided; and shall include a full accounting of all
expenditures made by or on behalf of Legal Services
Corporations in Missouri which shall include expenditures of all
federal, state, and other funds.
From General Revenue Fund $1,250,000
Section 11.020. To the Department of Social Services
For the Office of the Director
For the purpose of receiving and expending donations and federal
funds provided that the General Assembly shall be notified of
the source of any new funds and the purpose for which they shall
be expended, in writing, prior to the use of said funds
From Federal and Other Funds $10,430,000E
Section 11.030. To the Department of Social Services
For the Office of the Director
For the purpose of funding the Personnel and Labor Relations Section
Personal Service $305,172
Expense and Equipment 30,549
From General Revenue Fund 335,721
Personal Service 25,585
Expense and Equipment 2,645
From Federal Funds 28,230
Total $363,951
Section 11.035. To the Department of Social Services
For Administrative Services
For the purpose of funding the Division of Budget and Finance
Personal Service $2,459,414
Expense and Equipment 1,116,147
From General Revenue Fund 3,575,561
Personal Service 494,098
Expense and Equipment 959,858
From Federal Funds 1,453,956
Total $5,029,517
Section 11.040. To the Department of Social Services
For Administrative Services
For the Division of Budget and Finance
For the purpose of funding the receipt and disbursement of refunds
and incorrectly deposited receipts to allow the over-collection of
accounts receivables to be paid back to the recipient
From Federal and Other Funds $275,000E
Section 11.045. To the Department of Social Services
For Administrative Services
For the Division of Budget and Finance
For the purpose of funding payments to counties toward the care
and maintenance of each delinquent or dependent child as provided
in Chapter 211.156, RSMo
From General Revenue Fund $4,360,000E
Section 11.050. To the Department of Social Services
For Administrative Services
For the purpose of funding the Division of Data Processing
Personal Service $4,052,411
Expense and Equipment 7,889,983
From General Revenue Fund 11,942,394
Personal Service 4,537,301
Expense and Equipment 21,043,137
From Federal Funds 25,580,438
Personal Service 35,479
Expense and Equipment 403,289
From Administrative Trust Fund 438,768
Expense and Equipment
From Child Support Collections Fund 515,051
Expense and Equipment
From Educational Improvement Fund 127,238
Personal Service 7,153
Expense and Equipment 43,271
From Third Party Liability Collections Fund 50,424
Expense and Equipment
From Nursing Facility Quality of Care Fund 959
Total $38,655,272
Section 11.055. To the Department of Social Services
For Administrative Services
For the purpose of funding the Division of General Services
Personal Service $2,138,752
Expense and Equipment 1,073,158
From General Revenue Fund 3,211,910
Personal Service 316,361
Expense and Equipment 63,600
From Federal Funds 379,961
Expense and Equipment
From Administrative Trust Fund 250,000
For the purpose of funding the centralized inventory system
Expense and Equipment
From Administrative Trust Fund 4,200,000
For the purpose of funding operating maintenance and repair
From General Revenue Fund 30,708
From Federal Funds 10,138
Total $8,082,717
Section 11.060. To the Department of Social Services
For Administrative Services
For the purpose of funding the Division of Legal Services
Personal Service $2,982,206
Expense and Equipment 519,863
From General Revenue Fund 3,502,069
Personal Service 2,976,216
Expense and Equipment 601,216
From Federal Funds 3,577,432
Personal Service 134,028
Expense and Equipment 31,706
From Third Party Liability Collections Fund 165,734
Personal Service 53,819
Expense and Equipment 14,294
From Nursing Facility Quality of Care Fund 68,113
Total $7,313,348
Section 11.065. To the Department of Social Services
For the purpose of funding the Division of Child Support Enforcement
Personal Service $690,349
Expense and Equipment 3,364,804
From General Revenue Fund 4,055,153
Personal Service 24,938,697
Expense and Equipment 11,803,288
From Federal Funds 36,741,985
Personal Service 7,381,597
Expense and Equipment 3,153,370
From Child Support Enforcement Collections Fund 10,534,967
Expense and Equipment
From Administrative Trust Fund 39,690
Total $51,371,795
Section 11. 070. To the Department of Social Services
For the Division of Child Support Enforcement
For the purpose of funding contractor and associated costs related
to the development of the Missouri Automated Child Support
System (MACSS)
From Child Support Enforcement Collections Fund $2,574,949
From Federal Funds 7,412,000
Total $9,986,949
Section 11.075. To the Department of Social Services
For the Division of Child Support Enforcement
For the purpose of funding Parents Fair Share Program
Personal Service
From General Revenue Fund $5,586
Personal Service 823,088
Expense and Equipment 3,599,973
From Federal Funds 4,423,061
Personal Service 403,574
Expense and Equipment 731,679
From Child Support Enforcement Collections Fund 1,135,253
Total $5,563,900
Section 11.080. To the Department of Social Services
For the Division of Child Support Enforcement
For the purpose of funding contractual agreements with local
governments in certain paternity establishment and child
support enforcement cases
From Child Support Enforcement Collections Fund $653,000
From Federal Funds 1,270,000
Total $1,923,000
Section 11.085. To the Department of Social Services
For the Division of Child Support Enforcement
For the purpose of funding payments to private agencies collecting
child support orders and arrearages
From Child Support Enforcement Collections Fund $510,000
From Federal Funds 990,000
Total $1,500,000
Section 11.090. To the Department of Social Services
For the Division of Child Support Enforcement
For the purpose of funding reimbursement to counties and the City of
St. Louis providing child support enforcement services
From Federal Funds $6,980,000
Section 11.100. To the Department of Social Services
For the Division of Child Support Enforcement
For the purpose of funding payment to the federal government for
reimbursement of federal Temporary Assistance for Needy
Families payments, incentive payments to local governments
and other states, refunds of bonds, refunds of support payments
or overpayments, and distributions to families
From Federal Funds $23,300,000E
From Alternative Care Trust Fund 167,000
From Debt Offset Escrow Fund 4,000,000E
Total $27,467,000
Section 11.105. To the Department of Social Services
For the Division of Child Support Enforcement
For the purpose of funding refunds of over-collected state taxes to
non-custodial parents who owe child support
From Child Support Enforcement Collections Fund $171,000E
Section 11.120. To the Department of Social Services
For the Division of Family Services
For the purpose of funding Administrative Services and for electronic
benefit transfers (EBT) systems to reduce fraud, waste, and abuse
Personal Service $3,024,193
Expense and Equipment 3,772,230
From General Revenue Fund 6,796,423
Personal Service 6,257,680
Expense and Equipment 5,717,194
From Federal Funds 11,974,874
Expense and Equipment
From Blind Pension Fund 62,417
Total $18,833,714
Section 11.125. To the Department of Social Services
For the Division of Family Services
For the purpose of funding training of staff including those who
provide social services and training of staff for FUTURES,
Temporary Assistance, and Work First
Expense and Equipment
From General Revenue Fund $1,820,000
From Federal Funds 548,632
Total $2,368,632
Section 11.130. To the Department of Social Services
For the Division of Family Services
For the purpose of funding the receipt of funds from the Polk
County and Bolivar Charitable Trust for the exclusive benefit and
use of the Polk County Office of the Division of Family Services
From Charitable Trust Account $10,000
Section 11.135. To the Department of Social Services
For the Division of Family Services
For the purpose of funding contractor, hardware, and other costs
associated with planning, development, and implementation
of a Family Assistance Management Information System (FAMIS)
From General Revenue Fund $3,469,876
From Federal Funds 4,000,124
Total $7,470,000
Section 11.140. To the Department of Social Services
For the Division of Family Services
For the purpose of funding Field Services Operations
Personal Service $13,401,272
Expense and Equipment 7,106,912
From General Revenue Fund 20,508,184
Personal Service 29,699,066
Expense and Equipment 7,342,633
From Federal Funds 37,041,699
Personal Service 259,387
Expense and Equipment 58,006
From Health Initiatives Fund 317,393
Total $57,867,276
Section 11.145. To the Department of Social Services
For the Division of Family Services
For the purpose of funding salaries of line staff
Personal Service
From General Revenue Fund $37,030,533
From Federal Funds 72,507,172
From Health Initiatives Fund 443,088
Total $109,980,793
Section 11.150. To the Department of Social Services
For the Division of Family Services
For the purpose of funding job search assistance, skill training
services, and emergency intervention services, including
transportation expenses and other related expenses for active
FUTURES, Temporary Assistance, and Work First participants
From General Revenue Fund $2,760,000
From Federal Funds 7,586,605
Total $10,346,605
Section 11.155. To the Department of Social Services
For the Division of Family Services
For the purpose of funding Food Stamp work training-related expenses
From General Revenue Fund $82,000
From Federal Funds 7,100,000
Total $7,182,000
Section 11.160. To the Department of Social Services
For the Division of Family Services
For the purpose of funding Child Care Services for recipients of
the programs funded by the Temporary Assistance for Needy
Families Block Grant, those who would be at risk of being
eligible for Temporary Assistance for Needy Families and
low-income families, the general administration of the programs,
early childhood care and education programs pursuant to Chapter
313, RSMo, and to support the Educare program not to exceed
$3,000,000 expenses
From General Revenue Fund $57,800,000
From Federal Funds 86,000,000
From Early Childhood Development, Education and Care Fund 298,152
For the purpose of payments to accredited child care providers pursuant
to Chapter 313, RSMo 3,750,000
For the purpose of funding early childhood start-up and expansion grants
pursuant to Chapter 313, RSMo 5,480,000
For the purpose of funding early childhood development,
education, and care programs for low-income families
pursuant to Chapter 313, RSMo 3,750,000
For the purpose of funding certificates to low-income, at-home
families for early childhood development, education, and
care pursuant to Chapter 313, RSMo 3,750,000
From Early Childhood Development, Education and Care Fund 16,730,000
Total $160,828,152
Section 11.165. To the Department of Social Services
For the Division of Family Services
For the purpose of funding the payment of Temporary Assistance
for Needy Families benefits and for payments to employers
participating in the wage supplementation program
From General Revenue Fund $21,000,000
From Federal Funds 120,000,000E
Total $141,000,000
Section 11.170. To the Department of Social Services
For the Division of Family Services
For the purpose of funding supplemental payments to aged or
disabled persons
From General Revenue Fund $365,000
Section 11.175. To the Department of Social Services
For the Division of Family Services
For the purpose of funding nursing care payments to aged, blind,
or disabled persons, provided a portion of this appropriation
may be transferred to the Department of Mental Health for
persons removed from the Supplemental Nursing Care Program
and placed in the Supported Housing Program, resulting in a
reduction of Department of Mental Health supplemental nursing
home clients and for personal funds to recipients of Supplemental
Nursing Care payments as required by Section 208.030, RSMo
From General Revenue Fund $25,704,000
Section 11.180. To the Department of Social Services
For the Division of Family Services
For the purpose of funding General Relief Program payments
From General Revenue Fund $5,550,000
From Federal Funds 740,000
Total $6,290,000
Section 11.185. To the Department of Social Services
For the Division of Family Services
For the purpose of funding receipt and disbursement of Supplemental
Security Income Program payments
From Federal Funds $4,000,000
Section 11.190. To the Department of Social Services
For the Division of Family Services
For the purpose of funding Blind Pensions and Supplemental payments
to blind persons
From Blind Pension Fund $15,971,788
Section 11.195. To the Department of Social Services
For the Division of Family Services
For the purpose of funding benefits and services as provided by the
Indochina Migration and Refugee Assistance Act of 1975
as amended
From Federal Funds $3,812,553
Section 11.200. To the Department of Social Services
For the Division of Family Services
For the purpose of funding community services programs provided
by community action agencies, including programs to assist
the homeless, under the provisions of the Community Services
Block Grant provided that no funds may be expended by the
Human Development Corporation (HDC) of the City of St. Louis
until a full disclosure financial statement has been presented
to the director of the Department of Social Services
From Federal Funds $15,603,980
Section 11.205. To the Department of Social Services
For the Division of Family Services
For the purpose of funding grants for local initiatives to assist the homeless
From Federal Funds $500,000
Section 11.210. To the Department of Social Services
For the Division of Family Services
For the purpose of funding the Emergency Shelter Grant Program
From Federal Funds $1,340,000
Section 11.215. To the Department of Social Services
For the Division of Family Services
For the purpose of funding the Surplus Food Distribution Programs,
and the receipt and disbursement of Donated Commodities
Program payments
From Federal Funds $1,000,000
Section 11.220. To the Department of Social Services
For the Division of Family Services
For the purpose of funding payments to the Department of Natural
Resources for weatherization services
From General Revenue Fund $1,000,000
For the purpose of funding the Low-Income Home Energy Assistance
Program
From Federal Funds 27,300,000
Total $28,300,000
Section 11.225. To the Department of Social Services
For the Division of Family Services
For the purpose of funding administration of blind services
Personal Service $466,110
Expense and Equipment 194,538
From General Revenue Fund 660,648
Personal Service 2,892,908
Expense and Equipment 842,431
From Federal Funds 3,735,339
Personal Service 556,818
Expense and Equipment 93,027
From Blind Pension Fund 649,845
Total $5,045,832
Section 11.230. To the Department of Social Services
For the Division of Family Services
For the purpose of funding services for the visually impaired
From General Revenue Fund $1,240,000
From Federal Funds 5,070,000
From Blind Pension Fund 310,000
From Donated Funds 100,000
Total $6,720,000
Section 11.235. To the Department of Social Services
For the Division of Family Services
For the purpose of funding services for children and families to
include the programs and activities delineated in this section
For the purpose of funding children's treatment services, including,
but not limited to, home-based services, day treatment services,
preventive services, child care, family reunification services,
intensive in-home services, child assessment centers and
services provided through comprehensive, expedited permanency
systems of care for children and families
From General Revenue Fund $8,337,009
From Federal Funds 5,747,297
For the purpose of funding Foster Care payments, including grandparent
foster care and guardian foster care, related services and for
expenses related to the training of foster parents, and for intensive
in-home services, and for services provided through
comprehensive, expedited permanency systems of care for
children and families
From General Revenue Fund 27,403,722
From Federal Funds 11,312,462
For the purpose of funding Adoption Subsidy payments and related
services
From General Revenue Fund 30,713,625
From Federal Funds 10,694,882
For the purpose of funding independent living placements and
therapeutic treatment services, including services provided
through comprehensive, expedited permanency systems of care
for children and families
From General Revenue Fund 1,780,000
From Federal Funds 2,870,000
For the purpose of funding any programs enumerated in this section,
including services provided through comprehensive, expedited
permanency systems of care for children and families
From General Revenue Fund 7,727,035
From Federal Funds 3,667,035
Total $110,253,067
Section 11.240. To the Department of Social Services
For the Division of Family Services
For the purpose of funding Regional Child Assessment Centers
From General Revenue Fund $1,750,000
Section 11.245. To the Department of Social Services
For the Division of Family Services
For the purpose of funding residential placements and therapeutic
treatment services, including services provided through
comprehensive, expedited permanency systems of care for
children and families
From General Revenue Fund $30,860,106
From Federal Funds 35,952,387
Total $66,812,493
Section 11.250. To the Department of Social Services
For the Division of Family Services
For the purpose of funding diversion of children from inpatient
psychiatric treatment and to provide services to reduce the
number of children's inpatient medical hospitalization days
From General Revenue Fund $7,155,739
From Federal Funds 10,072,061
Total $17,227,800
Section 11.255. To the Department of Social Services
For the Division of Family Services
For the purpose of funding Caring Communities
Personal Service $783,243
For the purpose of funding Caring Communities Program payments 1,790,000
From General Revenue Fund 2,573,243
For the purpose of funding Caring Communities Program payments
From Federal Funds 8,290,000
Total $10,863,243
Section 11.260. To the Department of Social Services
For the Division of Family Services
For the purpose of funding residential placement payments to counties for
children in the custody of juvenile courts
From Federal Funds $700,000
Section 11.265. To the Department of Social Services
For the Division of Family Services
For the purpose of funding grants or contracts for local initiatives
to assist victims of domestic violence
From General Revenue Fund $2,800,000
From Federal Funds 1,000,000
Total $3,800,000
Section 11.270. To the Department of Social Services
For the Division of Family Services
For the purpose of funding the Child Abuse and Neglect Prevention
Grant and Children Justice Act Grant
From Federal Funds $1,000,000
Section 11.275. To the Department of Social Services
For the Division of Family Services
For the purpose of funding transactions involving personal funds of
children in the custody of the Division of Family Services or
the Division of Youth Services
From Alternative Care Trust Fund $9,000,000E
Section 11.300. To the Department of Social Services
For the Division of Youth Services
For the purpose of funding Central Office and Regional Offices
Personal Service $2,139,185
Expense and Equipment 356,963
From General Revenue Fund 2,496,148
Personal Service 522,874
Expense and Equipment 98,446
From Federal Funds 621,320
Total $3,117,468
Section 11.305. To the Department of Social Services
For the Division of Youth Services
For the purpose of funding treatment services including foster care
and contractual payments
Personal Service $30,641,061
Expense and Equipment 3,945,838
From General Revenue Fund 34,586,899
Personal Service 6,318,244
Expense and Equipment 9,142,343
From Federal Funds 15,460,587
Personal Service 2,290,643
Expense and Equipment 1,910,062
From DSS Educational Improvement Fund 4,200,705
Personal Service 101,422
Expense and Equipment 10,135
From Health Initiatives Fund 111,557
For the purpose of funding operating maintenance and repair
From General Revenue Fund 78,794
From Federal Funds 138,243
Total $54,576,785
Section 11.310. To the Department of Social Services
For the Division of Youth Services
For the purpose of funding incentive payments to counties for
community-based treatment programs for youth
From General Revenue Fund $3,340,000
From Gaming Commission Fund 500,000
Total $3,840,000
Section 11.400. To the Department of Social Services
For the Division of Medical Services
Personal Service $3,566,081
Expense and Equipment 509,967
From General Revenue Fund 4,076,048
Personal Service 4,842,126
Expense and Equipment 2,483,033
From Federal Funds 7,325,159
Personal Service 16,476
Expense and Equipment 5,110
From Pharmacy Rebates Fund 21,586
Personal Service 256,590
Expense and Equipment 31,385
From Health Initiatives Fund 287,975
Personal Service 74,281
Expense and Equipment 10,281
From Nursing Facility Quality of Care Fund 84,562
Personal Service 246,287
Expense and Equipment 1,414,665
From Third-Party Liability Collections Fund 1,660,952
Total $13,456,282
Section 11.401. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding women and minority health care outreach
programs in St. Louis City, Mississippi, New Madrid, Dunklin,
and Pemiscot counties
From General Revenue Fund $500,000
From Federal Funds 500,000
Total $1,000,000
Section 11.405. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding fees associated with third-party collections
From Federal Funds $250,000E
From Third-Party Liability Collections Fund 250,000E
Total $500,000E
Section 11.410. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding the operation of the information system
From General Revenue Fund $5,987,188
From Federal Funds 25,844,006
Total $31,831,194
Section 11.415. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding contractor payments associated with
managed care eligibility and enrollment of Medicaid recipients
From General Revenue Fund $1,970,526
From Federal Funds 1,970,527
Total $3,941,053
Section 11.420. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding pharmaceutical payments under the
Medicaid fee-for-service and managed care programs and for
the purpose of funding professional fees for pharmacists
From General Revenue Fund $200,769,878
From Federal Funds 378,019,415
From Pharmacy Rebates Fund 41,791,585
Total $620,580,878
Section 11.425. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding physician services and related services,
including, but not limited to, clinic and podiatry services,
physician-sponsored services and fees, laboratory and x-ray
services, and family planning services under the Medicaid
fee-for-service and managed care programs
From General Revenue Fund $59,858,652
From Federal Funds 96,243,080
Total $156,101,732
Section 11.430. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding Early and Periodic Screening,
Diagnostic and Treatment (EPSDT) services under the
Medicaid fee-for-service and managed care programs
From General Revenue Fund $29,702,291
From Federal Funds 51,245,273
Total $80,947,564
Section 11.435. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding dental services under the Medicaid
fee-for-service and managed care programs
From General Revenue Fund $4,627,040
From Federal Funds 7,287,386
Total $11,914,426
Section 11.440. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding payments to third-party insurers, employers,
or policyholders for health insurance
From General Revenue Fund $22,380,769
From Federal Funds 34,950,648
Total $57,331,417
Section 11.445. To the Department of Social Services
For the Division of Medical Services
For funding long-term care services
For the purpose of funding home health, respite care, homemaker
chore, personal care, advanced personal care, adult day care,
AIDS, and children's waiver services, Program for All-Inclusive
Care for the Elderly, and other related services under the
Medicaid fee-for-service and managed care programs.
The department shall gather information from the industry,
demonstrating the extent that the industry has complied
with legislative intent that rate increases funded herein shall
be used to increase direct service worker salaries and benefits.
In accepting the increased rates, the individual members of the
industry agree to provide such information.
From General Revenue Fund $73,708,758
From Federal Funds 114,804,685
For the purpose of funding home-delivered meals distributed
according to formula to the Area Agencies on Aging
From Federal Funds 4,191,968
For the purpose of funding care in nursing facilities, Program for
All-Inclusive Care for the Elderly, or other long-term care
services under the Medicaid fee-for-service and managed
care programs
From General Revenue Fund 141,646,466
From Federal Funds 278,402,068
From Uncompensated Care Fund 35,600,000
Total $648,353,945
Section 11.450. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding all other non-institutional services,
including but not limited to, rehabilitation, optometry,
audiology, ambulance, non-emergency medical transportation,
training for diabetic patients provided by pharmacists and other
health care providers who are certified in diabetes education at a
rate of no less than $40 per hour for the first visit and $20 per
hour for each subsequent visit to be paid directly from the
division, broker services, and durable medical equipment
under the Medicaid fee-for-service and managed care programs
From General Revenue Fund $28,512,127
From Federal Funds 47,004,594
Total $75,516,721
Section 11.455. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding the payment to comprehensive prepaid
health care plans or for payments to providers of health care
services for persons eligible for medical assistance under the
Medicaid fee-for-service program or State Medical Program
as provided by federal or state law or for payments to programs
authorized by the Frail Elderly Demonstration Project
Waiver as provided by the Omnibus Budget Reconciliation
Act of 1990 (P.L. 101-508, Section 4744) and by Section
208.152 (22), RSMo
From General Revenue Fund $58,902,649
From Federal Funds 262,987,758
From Health Initiatives Fund 7,061,052
From Federal Reimbursement Allowance Fund 105,763,939
Total $434,715,398
Section 11.460. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding hospital care under the Medicaid
fee-for-service and managed care programs
From General Revenue Fund $48,381,427
From Federal Funds 233,883,202
From Uncompensated Care Fund 52,300,000
From Federal Reimbursement Allowance Fund 47,136,061
Total $381,700,690
Section 11.465. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding payments to hospitals under the Federal
Reimbursement Allowance Program and for the expenses of
the Poison Control Center in order to provide services to all
hospitals within the state
From Federal Funds $213,000,000E
From Federal Reimbursement Allowance Fund 1E
Total $213,000,001E
Section 11.470. To the Department of Social Services
For the Division of Medical Services
For funding programs to enhance access to care for the uninsured using
fee-for-service, prepaid health plans, or other alternative
service delivery and reimbursement methodology approved by
the director of the Department of Social Services
From General Revenue Fund $29,006,877
From Federal Funds 139,761,039
From Federal Reimbursement Allowance Fund and
Intergovernmental Transfers 32,600,000
From Health Initiatives Fund 4,400,000
From Pharmacy Rebates Fund 1,570,000
From Premium Fund 1,000,000E
For the purpose of funding health care services provided to
uninsured adults through local initiatives for the uninsured
From Federal and Other Funds 1E
Total $208,337,917
Section 11.475. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding uncompensated care hospital payments
under the Medicaid fee-for-service and managed care programs
From Federal Funds $100,000,000
Section 11.480. There is transferred out of the State Treasury,
chargeable to the General Revenue Fund, One Hundred
Forty Million Dollars ($140,000,000) to the Federal
Reimbursement Allowance Fund
From General Revenue Fund $140,000,000E
Section 11.485. There is transferred out of the State Treasury,
chargeable to the Federal Reimbursement Allowance Fund,
One Hundred Forty Million Dollars ($140,000,000) to the
General Revenue Fund as a result of reconciling the Federal
Reimbursement Allowance Fund
From Federal Reimbursement Allowance Fund $140,000,000E
Section 11.490. There is transferred out of the State Treasury,
chargeable to the General Revenue Fund, Eighty-Six Million
Dollars ($86,000,000) to the Nursing Facility Federal
Reimbursement Allowance Fund
From General Revenue Fund $86,000,000E
Section 11.495. There is transferred out of the State Treasury,
chargeable to the Nursing Facility Federal Reimbursement
Allowance Fund, Eighty-Six Million Dollars ($86,000,000)
to the General Revenue Fund as a result of reconciling the
Nursing Facility Federal Reimbursement Allowance Fund
From Nursing Facility Federal Reimbursement Allowance Fund $86,000,000E
Section 11.500. There is transferred out of the State Treasury,
chargeable to the Nursing Facility Federal Reimbursement
Allowance Fund, One Million, Five Hundred Thousand
Dollars ($1,500,000) to the Nursing Facility Quality of
Care Fund
From Nursing Facility Federal Reimbursement Allowance Fund $1,500,000
Section 11.505. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding Nursing Facility Federal Reimbursement
Allowance payments as provided by law. Funds appropriated
for per diem rate increases shall be allocated based on the
direct patient care cost component.
From Federal Funds $151,607,000E
From Nursing Facility Federal Reimbursement Allowance Fund 13,880,342E
Total $165,487,342E
Section 11.510. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding Medicaid services for the Department of
Mental Health under the Medicaid fee-for-service and
managed care programs
From Federal Funds $185,175,927E
Section 11.515. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding payments for health care services
provided through the Medicaid fee-for-service, managed care,
and the State Medical Program by the Health Access Initiative Act
From Federal Funds $10,145,664
From Health Initiatives Fund 5,557,112
Total $15,702,776
Section 11.520. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding medical benefits for recipients
of the State Medical Program, including coverage in
managed care programs
From General Revenue Fund $27,186,304
Section 11.525. To the Department of Social Services
For the Division of Medical Services
For the purpose of supplementing appropriations for any medical
service under the Medicaid fee-for-service, managed care
or State Medical Program, including related services
From General Revenue Fund $670,775
From Federal Funds 35,802,636E
From Uncompensated Care Fund 7,780,000E
From Pharmacy Rebates Fund 2,330,000E
From Third-Party Liability Collections Fund 6,130,000E
From Federal Reimbursement Allowance Fund 2,033,333E
Total $54,746,744
Section 11.600. To the Department of Social Services
For the Division of Aging
For the purpose of funding Central Administration and Support Services
Personal Service $619,302
Expense and Equipment 115,565
From General Revenue Fund 734,867
Personal Service 701,814
Expense and Equipment 118,905
From Federal Funds 820,719
Total $1,555,586
Section 11.605. To the Department of Social Services
For the Division of Aging
For the purpose of funding Home and Community Services Personnel
Personal Service $6,473,088
Expense and Equipment 1,057,294
From General Revenue Fund 7,530,382
Personal Service 7,877,026
Expense and Equipment 903,663
From Federal Funds 8,780,689
Total $16,311,071
Section 11.610. To the Department of Social Services
For the Division of Aging
For the purpose of funding Institutional Services
Personal Service $4,072,501
Expense and Equipment 559,823
From General Revenue Fund 4,632,324
Personal Service 6,475,568
Expense and Equipment 1,892,623
From Federal Funds 8,368,191
Personal Service 1,085,699
Expense and Equipment 2,324,644
From Nursing Facility Quality of Care Fund 3,410,343
Total $16,410,858
Section 11.615. To the Department of Social Services
For the Division of Aging
For the purpose of funding Home and Community Services programs
From General Revenue Fund $16,701,318
From Federal Funds 3,153,021
From Division of Aging Donations 50,000
Total $19,904,339
Section 11.620. To the Department of Social Services
For the Division of Aging
For the purpose of funding Home and Community Services grants;
provided, however, that funds appropriated herein for
Home-Delivered Meals, distributed according to formula to
the area agencies and which may, for whatever reason,
not be expended shall be redistributed based upon need and
ability to spend. The Area Agencies on Aging shall
comply with all reporting requirements requested by the
department and shall conduct public hearings on their
spending plans and other operations as shall be required
by the department.
From General Revenue Fund $9,700,000
From Federal Funds 27,172,159
From Division of Aging Elderly Home Delivered Meals Trust Fund 430,000
Total $37,302,159
Section 11.625. To the Department of Social Services
For the Division of Aging
For the distributions to Area Agencies on Aging pursuant to the Older
Americans Act and related programs
From General Revenue Fund $1,939,990
Section 11.630. To the Department of Social Services
For the Division of Aging
For the purpose of funding Self-Directed Attendant Care Service
pilot programs. The providers of care must meet all the
protections and requirements of providers in the Missouri
Care Options Program. Pilot program clients must be chosen
due to location constraints and unique scheduling needs that make
them unable to access services through other programs.
From General Revenue Fund $500,000
Missouri House of Representatives