90TH GENERAL ASSEMBLY
Taken up for Perfection March 15, 2000. House Committee Substitute for House Bill No. 1111 ordered Perfected and printed, as amended.ANNE C. WALKER, Chief Clerk3992L.02P
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, provided, however, that federal funds and block grants shall be administered under the oversight of a committee composed of five members of the House of Representatives, to be appointed by the Speaker, five members of the Senate, to be appointed by the President Pro Tem, with no more than three members from either body being of the same political party, 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 $783,534
Annual salary adjustment in accordance with Section 105.005,
RSMo 2,190
Expense and Equipment 136,432
For expenses of the specific duties of the Prince Hall Advisory Board 5,000
From General Revenue Fund 927,156
Personal Service 11,861
Annual salary adjustment in accordance with Section 105.005,
RSMo 6
From Federal Funds 11,867
Total (Not to exceed 15.80 F.T.E.) $939,023
Section 11.010. To the Department of Social Services
For Departmental Administration
For the purpose of funding Temporary Assistance for Needy Families
Block Grant programs, Work First Initiatives, 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. Amendments to the spending plan shall be distributed in
the same manner.
From General Revenue Fund $7,850,000
From Federal Funds 2,792,000E
Total (0 F.T.E.) $10,642,000
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 (0 F.T.E.) $1,618,750
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 (0 F.T.E.) $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 $308,265
Expense and Equipment 27,410
From General Revenue Fund 335,675
Personal Service 25,861
Expense and Equipment 2,645
From Federal Funds 28,506
Total (Not to exceed 10.07 F.T.E.) $364,181
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 $2,482,212
Expense and Equipment 1,076,595
From General Revenue Fund 3,558,807
Personal Service 498,440
Expense and Equipment 959,858
From Federal Funds 1,458,298
Total (Not to exceed 92.05 F.T.E.) $5,017,105
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 (0 F.T.E.) $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 (0 F.T.E.) $5,360,000E
Section 11.050. To the Department of Social Services
For Administrative Services
For the purpose of funding the Division of Data Processing
Personal Service $4,058,915
Expense and Equipment 7,742,388
From General Revenue Fund 11,801,303
Personal Service 4,542,916
Expense and Equipment 21,043,137
From Federal Funds 25,586,053
Personal Service 35,565
Expense and Equipment 403,289
From Administrative Trust Fund 438,854
Expense and Equipment
From Child Support Collections Fund 1,098,010
Expense and Equipment
From Educational Improvement Fund 127,238
Personal Service 7,159
Expense and Equipment 43,271
From Third Party Liability Collections Fund 50,430
Expense and Equipment
From Nursing Facility Quality of Care Fund 959
Total (Not to exceed 200.50 F.T.E.) $39,102,847
Section 11.055. To the Department of Social Services
For Administrative Services
For the purpose of funding the Division of General Services
Personal Service $2,220,453
Expense and Equipment 750,419
From General Revenue Fund 2,970,872
Personal Service 322,286
Expense and Equipment 63,600
From Federal Funds 385,886
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 (Not to exceed 97.69 F.T.E.) $7,847,604
Section 11.060. To the Department of Social Services
For Administrative Services
For the purpose of funding the Division of Legal Services
Personal Service $2,695,796
Expense and Equipment 530,380
From General Revenue Fund 3,226,176
Personal Service 2,954,171
Expense and Equipment 573,577
From Federal Funds 3,527,748
Personal Service 135,449
Expense and Equipment 31,706
From Third Party Liability Collections Fund 167,155
Personal Service
From Child Support Collections Fund 146,074
Personal Service 53,819
Expense and Equipment 14,294
From Nursing Facility Quality of Care Fund 68,113
Total (Not to exceed 180.43 F.T.E.) $7,135,266
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 2,552,182
From General Revenue Fund 3,242,531
Personal Service 25,268,911
Expense and Equipment 11,803,288
From Federal Funds 37,072,199
Personal Service 7,565,376
Expense and Equipment 3,899,234
From Child Support Enforcement Collections Fund 11,464,610
Expense and Equipment
From Administrative Trust Fund 39,690
Total (Not to exceed 1,217.11 F.T.E.) $51,819,030
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 $1,287,474
From Federal Funds 3,706,000
Total (0 F.T.E.) $4,993,474
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 $5,586
Expense and Equipment 600,000
From General Revenue Fund $605,586
Personal Service 839,805
Expense and Equipment 3,599,973
From Federal Funds 4,439,778
Personal Service 413,292
Expense and Equipment 731,679
From Child Support Enforcement Collections Fund 1,144,971
Total (Not to exceed 47.63 F.T.E.) $6,190,335
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 (0 F.T.E.) $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 (0 F.T.E.) $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 (0 F.T.E.) $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 (0 F.T.E.) $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 (0 F.T.E.) $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 $3,011,534
Expense and Equipment 3,568,323
From General Revenue Fund 6,579,857
Personal Service 6,293,704
Expense and Equipment 5,715,220
From Federal Funds 12,008,924
Expense and Equipment
From Blind Pension Fund 62,417
Total (Not to exceed 262.82 F.T.E.) $18,651,198
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
And for the purpose of contracting with community-based not-for-profit
agencies which are certified by a recognized national body and
which demonstrate a record of providing successful job placement,
training and retention services to provide an employment placement
program for vacant Social Service Worker I and Social Service
Worker II positions in the St. Louis Metropolitan area. Such program
should be focused on recruiting professionals for vacant positions and
establishing a recruitment program to address turnover within Division.
Such a program should include recruitment, training, education, supervision,
placement, retention and follow-up services
Expense and Equipment
From General Revenue Fund $1,214,514
From Federal Funds 548,632
Total (0 F.T.E.) $1,763,146
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 (0 F.T.E.) $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 $3,286,335
From Federal Funds 4,000,124
Total (0 F.T.E.) $7,286,459
Section 11.140. To the Department of Social Services
For the Division of Family Services
For the purpose of funding Field Services Operations and for contractual
case management programs
Personal Service $13,526,938
Expense and Equipment 8,745,074
From General Revenue Fund 22,272,012
Personal Service 30,028,182
Expense and Equipment 12,242,633
From Federal Funds 42,270,815
Personal Service 261,784
Expense and Equipment 58,006
From Health Initiatives Fund 319,790
Total (Not to exceed 1,565.01 F.T.E.) $64,862,617
Section 11.145. To the Department of Social Services
For the Division of Family Services
For the purpose of funding salaries of line staff; provided that the division may
use funds appropriated herein to contract with community-based not-for-
profit agencies which are certified by a recognized national body and
which demonstrate a record of providing successful job placement,
training and retention services to provide an employment placement
program for vacant Social Service Worker I and Social Service Worker II
positions in the St. Louis Metropolitan area. Such a program should include
recruitment, training, education, supervision, placement, retention and follow-up
services. The cost of services for each individual shall not exceed
the personnel costs associated with the position being filled. The funding
shall be available for tuition, books, stipends, supervision, training
and other costs associated with such a program
From General Revenue Fund $40,033,913
From Federal Funds 74,319,893
From Health Initiatives Fund 454,243
Total (Not to exceed 3,903.82 F.T.E.) $114,808,049
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 $2,860,000
From Federal Funds 9,706,605
Total (0 F.T.E.) $12,566,605
Section 11.151. To the Department of Social Services
For the Division of Family Services
For the purpose of funding services to TANF and at risk of becoming
TANF clients, including their families. These services shall be
available in Pemiscot, Dunklin, New Madrid and Mississippi
counties and shall include, but not be limited to, After school care,
Summer care, Job training and Family empowerment services
From General Revenue Fund $500,000
From Federal Funds 500,000
Total (0 F.T.E.) $1,000,000
Section 11.152. To the Department of Social Services
For the Division of Family Services
For the purpose of funding services to TANF, transitional TANF and at risk
of becoming TANF clients, including their families. These services
shall be available in Pemiscot, Dunklin, New Madrid, Mississippi,
Scott, Stoddard, Bollinger, Butler and Wayne counties and shall
include, but not be limited to, Job placement, Constructions trades
training, Case management and follow up services.
From General Revenue Fund $500,000
From Federal Funds 500,000
Total (0 F.T.E.) $1,000,000
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,
including Wage supplementation
From General Revenue Fund $82,000
From Federal Funds 8,600,000
Total (0 F.T.E.) $8,682,000
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 $60,800,000
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 and the
evaluation of early childhood development
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 17,028,152
Total (0 F.T.E.) $163,828,152
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 and for
grandparent foster care payments
From General Revenue Fund $20,700,000
From Federal Funds 120,000,000E
Total (0 F.T.E.) $140,700,000
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 (0 F.T.E.) $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.
Funds appropriated herein may be used to match Medicaid funds
if allowable by the federal government
From General Revenue Fund (0 F.T.E.) $25,538,684
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 2,418,800
Total (0 F.T.E.) $7,968,800
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 (0 F.T.E.) $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 (0 F.T.E.) $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 (0 F.T.E.) $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 (0 F.T.E.) $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 (0 F.T.E.) $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 (0 F.T.E.) $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 (0 F.T.E.) $1,000,000
Section 11.220. To the Department of Social Services
For the Division of Family Services
For the purpose of funding the Low-Income Home Energy Assistance Program
From General Revenue Fund $1,000,000
From Federal Funds 27,300,000
For the purpose of funding payments to the Department of Natural Resources
for weatherization services
From General Revenue Fund 1,000,000
Total (0 F.T.E.) $29,300,000
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 $658,533
Expense and Equipment 211,989
From General Revenue Fund 870,522
Personal Service 3,099,484
Expense and Equipment 886,081
From Federal Funds 3,985,565
Personal Service 561,182
Expense and Equipment 93,027
From Blind Pension Fund 654,209
Total (Not to exceed 145.15 F.T.E.) $5,510,296
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 $1,270,000
From Federal Funds 5,085,000
From Blind Pension Fund 310,000
From Donated Funds 100,000
Total (0 F.T.E.) $6,765,000
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. Provided that up to
$1,000,000 of the funds appropriated herein may be used for
the purpose of expanding and creating new programs, statewide,
with the objective of preventing child abuse. The Division of
Family Services shall issue such grants to qualified community
based, non-profit agencies
From General Revenue Fund $9,330,000
From Federal Funds 6,747,297
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 29,011,984
From Federal Funds 11,977,901
For the purpose of funding Adoption Subsidy payments and related
services
From General Revenue Fund 32,506,684
From Federal Funds 11,323,994
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 7,720,000
From Federal Funds 3,667,035
Total (0 F.T.E.) $116,934,895
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 (0 F.T.E.) $2,250,000
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 $32,615,300
From Federal Funds 38,068,887
Total (0 F.T.E.) $70,684,187
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 $7,567,802
From Federal Funds 10,664,534
Total (0 F.T.E.) $18,232,336
Section 11.255. To the Department of Social Services
For the Division of Family Services
For the purpose of funding Caring Communities
Personal Service $785,741
For the purpose of funding Caring Communities Program payments 1,790,000
From General Revenue Fund 2,575,741
For the purpose of funding Caring Communities Program payments
From Federal Funds 8,290,000
Total (Not to exceed 17.35 F.T.E.) $10,865,741
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 (0 F.T.E.) $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 (0 F.T.E.) $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 (0 F.T.E.) $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 (0 F.T.E.) $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 $2,147,903
Expense and Equipment 291,104
From General Revenue Fund 2,439,007
Personal Service 525,533
Expense and Equipment 98,446
From Federal Funds 623,979
For the purpose of funding the operations of scared straight type programs
including, but not limited to, the youth services group program
operating at the Jefferson City Correctional Center
Personal Service
From General Revenue Fund $100,000
Total (Not to exceed 73.62 F.T.E.) $3,162,986
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 $31,046,928
Expense and Equipment 3,713,338
From General Revenue Fund 34,760,266
Personal Service 6,407,925
Expense and Equipment 9,142,343
From Federal Funds 15,550,268
Personal Service 2,294,600
Expense and Equipment 1,910,062
From DSS Educational Improvement Fund 4,204,662
Personal Service 104,197
Expense and Equipment 10,135
From Health Initiatives Fund 114,332
For the purpose of funding operating maintenance and repair
From General Revenue Fund 78,794
From Federal Funds 138,243
Total (Not to exceed 1,410.00 F.T.E.) $54,846,565
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 $6,490,000
From Gaming Commission Fund 500,000
Total (0 F.T.E.) $6,990,000
Section 11.400. To the Department of Social Services
For the Division of Medical Services
Provided that retrospective review of inpatient psychiatric hospital
certification of need and medical necessity of stay for
individuals under age 21 shall be limited to 36 months,
And further provided that additions of drugs to the prior authorization
list shall be subject to approval by the Joint Committee on
Administrative Rules
Personal Service $3,489,175
Expense and Equipment 662,206
From General Revenue Fund 4,151,381
Personal Service 4,770,677
Expense and Equipment 2,125,977
From Federal Funds 6,896,654
Personal Service 16,476
Expense and Equipment 5,110
From Pharmacy Rebates Fund 21,586
Personal Service 259,838
Expense and Equipment 31,385
From Health Initiatives Fund 291,223
Personal Service 74,281
Expense and Equipment 10,281
From Nursing Facility Quality of Care Fund 84,562
Personal Service 250,727
Expense and Equipment 914,665
From Third-Party Liability Collections Fund 1,165,392
Total (Not to exceed 273.83 F.T.E.) $12,610,798
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 (0 F.T.E.) $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 (0 F.T.E.) $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 $5,830,320
From Federal Funds 25,844,006
Total (0 F.T.E.) $31,674,326
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 $1,920,737
From Federal Funds 1,970,527
Total (0 F.T.E.) $3,891,264
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 $205,670,231
From Federal Funds 387,045,350
From Pharmacy Rebates Fund 41,791,585E
Total (0 F.T.E.) $634,507,166
Section 11.421. 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 management care programs. Funds appropriated herein
shall be used for pharmaceutical requirements of children born
prematurely and at risk who are under the age of five
From General Revenue Fund $1,600,000
From Federal Funds 2,400,000
Total (0 F.T.E.) $4,000,000
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 $59,800,000
From Federal Funds 96,243,080
Total (0 F.T.E.) $156,043,080
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,
including payments to Provisional Licensed Psychologists
From General Revenue Fund $28,654,912
From Federal Funds 49,616,488
Total (0 F.T.E.) $78,271,400
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 $5,617,096
From Federal Funds 8,059,087
Total (0 F.T.E.) $13,676,183
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 $22,300,000
From Federal Funds 34,950,648
Total (0 F.T.E.) $57,250,648
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. Provided that an
individual eligible for or receiving nursing home care must be
given the opportunity to have those Medicaid dollars follow them
to the community and choose the personal care option in the
community that best meets the individual's needs. This includes
the Consumer Directed Medicaid State Plan Amendment that is
administered by the Department of Vocational Rehabilitation and
the Department of Education. And further provided that individual's
eligible for the Medicaid Personal Care Option must be allowed to
choose, from among all the options, that option which best meets
their need; and also be allowed to have their Medicaid funds follow
them to whichever option they choose
From General Revenue Fund $74,555,670
From Federal Funds 116,116,968
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 140,888,000
From Federal Funds 278,402,068
From Uncompensated Care Fund 35,600,000
Total (0 F.T.E.) $649,754,674
Section 11.446. To the Department of Social Services
For the Division of Medical Services
For funding long-term services
For the purpose of funding pilot projects to test telephone assurance
programs for the elderly and handicapped
From General Revenue Fund $100,000
From Federal Funds 100,000
Total (0 F.T.E.) $200,000
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 $26,485,288
From Federal Funds 44,052,245
Total (0 F.T.E.) $70,537,533
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 $59,384,493
From Federal Funds 263,739,893
From Health Initiatives Fund 7,061,052
From Federal Reimbursement Allowance Fund 105,763,939
Total (0 F.T.E.) $435,949,377
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 $48,300,000
From Federal Funds 233,883,202
From Uncompensated Care Fund 52,300,000
From Federal Reimbursement Allowance Fund 47,136,061
Total (0 F.T.E.) $381,619,263
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 (0 F.T.E.) $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 $29,058,978
From Federal Funds 139,917,387
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 (0 F.T.E.) $208,546,366
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 (0 F.T.E.) $100,000,000E
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 General Revenue Fund $1,154,997
From Federal Funds 153,339,496E
From Nursing Facility Federal Reimbursement Allowance Fund 13,880,342E
Total (0 F.T.E.) $168,374,835
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 (0 F.T.E.) $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 (0 F.T.E.) $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 (0 F.T.E.) $27,100,000
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 $170,000
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 6,630,000E
From Federal Reimbursement Allowance Fund 2,033,333E
Total (0 F.T.E.) $54,745,969
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 $624,897
Expense and Equipment 112,676
From General Revenue Fund 737,573
Personal Service 708,207
Expense and Equipment 118,905
From Federal Funds 827,112
Total (Not to exceed 38.97 F.T.E.) $1,564,685
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 $7,599,904
Expense and Equipment 1,041,624
From General Revenue Fund 8,641,528
Personal Service 8,567,272
Expense and Equipment 1,047,888
From Federal Funds 9,615,160
Total (Not to exceed 527.86 F.T.E.) $18,256,688
Section 11.610. To the Department of Social Services
For the Division of Aging
For the purpose of funding Institutional Services
Personal Service $4,084,294
Expense and Equipment 447,547
From General Revenue Fund 4,531,841
Personal Service 6,490,341
Expense and Equipment 1,892,623
From Federal Funds 8,382,964
Personal Service 1,087,181
Expense and Equipment 2,324,644
From Nursing Facility Quality of Care Fund 3,411,825
Total (Not to exceed 307.54 F.T.E.) $16,326,630
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 $16,700,000
From Federal Funds 3,153,021
From Division of Aging Donations 50,000
Total (0 F.T.E.) $19,903,021
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 $9,900,000
From Federal Funds 27,172,159
From Division of Aging Elderly Home Delivered Meals Trust Fund 430,000
Total (0 F.T.E.) $37,502,159
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 $2,115,000
From Federal Funds 185,000
Total (0 F.T.E.) $2,300,000
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 (0 F.T.E.) $250,000
Section 11.635. To the Department of Social Services
For the Division of Aging
For the purpose of funding Meal Preparation Equipment Grants
From General Revenue Fund (0 F.T.E.) $250,000
Section 11.640. To the Department of Social Services
For the Division of Aging
For the purpose of funding Adult Day Care Health Care Startup Grants
From General Revenue Fund (0 F.T.E.) $250,000
Bill Totals
General Revenue Fund $1,194,594,024
Federal Funds $3,099,339,213
Other Funds $447,878,184
Total $4,741,811,421
Missouri House of Representatives