SECOND REGULAR SESSION
SENATE COMMITTEE SUBSTITUTE FOR
HOUSE COMMITTEE SUBSTITUTE FOR
HOUSE BILL NO. 1111
90TH GENERAL ASSEMBLY
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 $789,800
Annual salary adjustment in accordance with Section 105.005,
RSMo 2,705
Expense and Equipment 147,304
For expenses of the specific duties of the Prince Hall Advisory Board 5,000
From General Revenue Fund 944,809
Personal Service 11,981
Annual salary adjustment in accordance with Section 105.005,
RSMo 7
From Federal Funds 11,988
Total (Not to exceed 15.80 F.T.E.) $956,797
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 Appropriations Committee-Social Services and Corrections
members.
From General Revenue Fund $12,884,095
From Federal Funds 8,312,000E
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
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.) $23,196,095
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 number of TANF clients 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. An accounting shall be made for the
first six months from July 1, 2000 through December 31, 2000 and
a final accounting for the year through June 30, 2001, and these
reports shall include a comparison with all expenditures for Fiscal
Year 2000. The accountings shall be delivered to the General
Assembly, including the House Budget Committee Chair, the
House Appropriations Committee - Social Services and Corrections
Chair and the Senate Appropriations Committee Chair and also to all current
House Appropriations Committee - Social Services and Corrections members,
no later than January 31, 2001, and July 31, 2001 respectively
From General Revenue Fund (0 F.T.E.) $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 (0 F.T.E.) $12,430,000
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 $307,470
Expense and Equipment 30,549
From General Revenue Fund 338,019
Personal Service 26,005
Expense and Equipment 2,645
From Federal Funds 28,650
Total (Not to exceed 10.07 F.T.E.) $366,669
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 $2,486,945
Expense and Equipment 1,116,147
From General Revenue Fund 3,603,092
Personal Service 501,485
Expense and Equipment 959,858
From Federal Funds 1,461,343
Total (Not to exceed 92.05 F.T.E.) $5,064,435
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.) $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 $4,059,986
Expense and Equipment 7,307,024
From General Revenue Fund 11,367,010
Personal Service 4,563,632
Expense and Equipment 21,043,137
From Federal Funds 25,606,769
Personal Service 36,097
Expense and Equipment 403,289
From Administrative Trust Fund 439,386
Expense and Equipment
From Child Support Collections Fund 1,098,010
Expense and Equipment
From Educational Improvement Fund 127,238
Personal Service 7,254
Expense and Equipment 43,271
From Third Party Liability Collections Fund 50,525
Expense and Equipment
From Nursing Facility Quality of Care Fund 959
Total (Not to exceed 200.50 F.T.E.) $38,689,897
Section 11.055. To the Department of Social Services
For Administrative Services
For the purpose of funding the Division of General Services
Personal Service $2,170,973
Expense and Equipment 1,073,158
From General Revenue Fund 3,244,131
Personal Service 323,098
Expense and Equipment 63,600
From Federal Funds 386,698
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 96.69 F.T.E.) $8,121,675
Section 11.060. To the Department of Social Services
For Administrative Services
For the purpose of funding the Division of Legal Services
Personal Service $2,816,140
Expense and Equipment 478,404
From General Revenue Fund 3,294,544
Personal Service 2,978,502
Expense and Equipment 573,577
From Federal Funds 3,552,079
Personal Service 133,300
Expense and Equipment 31,706
From Third Party Liability Collections Fund 165,006
Personal Service
From Child Support Collections Fund 146,074
Personal Service 51,214
Expense and Equipment 14,294
From Nursing Facility Quality of Care Fund 65,508
Total (Not to exceed 183.20 F.T.E.) $7,223,211
Section 11.065. To the Department of Social Services
For the purpose of funding the Division of Child Support Enforcement,
throughout this bill, funds designated as Child Support
Enforcement Collections Fund shall include, in addition to
collections, any and all fees collected pursuant to the operation
of this division
Personal Service $589,999
Expense and Equipment 2,618,940
From General Revenue Fund 3,208,939
Personal Service 25,166,476
Expense and Equipment 11,803,288
From Federal Funds 36,969,764
Personal Service 7,582,105
Expense and Equipment 3,899,234
From Child Support Enforcement Collections Fund 11,481,339
Expense and Equipment
From Administrative Trust Fund 39,690
Total (Not to exceed 1,217.11 F.T.E.) $51,699,732
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 (0 F.T.E.) $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 $269
Personal Service 841,808
Expense and Equipment 3,599,973
From Federal Funds 4,441,781
Personal Service 426,682
Expense and Equipment 731,679
From Child Support Enforcement Collections Fund 1,158,361
Total (Not to exceed 47.63 F.T.E.) $5,600,411
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 $2,970,071
Expense and Equipment 3,767,154
From General Revenue Fund 6,737,225
Personal Service 6,346,362
Expense and Equipment 5,715,220
From Federal Funds 12,061,582
Expense and Equipment
From Blind Pension Fund 62,417
Total (Not to exceed 262.82 F.T.E.) $18,861,224
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 (0 F.T.E.) $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 (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 $3,460,000
From Federal Funds 4,000,124
Total (0 F.T.E.) $7,460,124
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 $13,471,378
Expense and Equipment 7,106,912
From General Revenue Fund 20,578,290
Personal Service 30,503,467
Expense and Equipment 7,342,633
From Federal Funds 37,846,100
Personal Service 267,561
Expense and Equipment 58,006
From Health Initiatives Fund 325,567
Total (Not to exceed 1,565.01 F.T.E.) $58,749,957
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 up to $360,000 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
Personal Service
From General Revenue Fund $37,404,041
From Federal Funds 75,583,047
From Health Initiatives Fund 470,819
Total (Not to exceed 3,903.82 F.T.E.) $113,457,907
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 (0 F.T.E.) $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 (0 F.T.E.) $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 (0 F.T.E.) $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 (0 F.T.E.) $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 (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
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 740,000
Total (0 F.T.E) $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 (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 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 (0 F.T.E.) $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 $471,044
Expense and Equipment 194,538
From General Revenue Fund 665,582
Personal Service 2,925,224
Expense and Equipment 842,431
From Federal Funds 3,767,655
Personal Service 568,693
Expense and Equipment 93,027
From Blind Pension Fund 661,720
Total (Not to exceed 133.15 F.T.E.) $5,094,957
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 5,085,000
From Blind Pension Fund 310,000
From Donated Funds 100,000
Total (0 F.T.E.) $6,735,000
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 $8,330,000
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 27,400,000
From Federal Funds 11,312,462
For the purpose of funding Adoption Subsidy payments and related
services
From General Revenue Fund 30,700,000
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 7,720,000
From Federal Funds 3,667,035
Total (0 F.T.E.) $110,221,676
Section 11.240. To the Department of Social Services
For the Division of Family Services
For the purpose of funding Regional Child Assessment Centers
located in St. Louis City, St. Louis County, Jackson
County, Buchanan County, Greene County, Boone County,
St. Charles County, Jefferson County, Joplin, and Sedalia.
From General Revenue Fund (0 F.T.E.) $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 $30,800,000
From Federal Funds 35,952,387
Total (0 F.T.E.) $66,752,387
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 $7,150,000
From Federal Funds 10,072,061
Total (0 F.T.E.) $17,222,061
Section 11.255. To the Department of Social Services
For the Division of Family Services
For the purpose of funding Caring Communities
Personal Service $791,987
For the purpose of funding Caring Communities Program payments 1,790,000
From General Revenue Fund 2,581,987
For the purpose of funding Caring Communities Program payments
From Federal Funds 8,290,000
Total (Not to exceed 17.35 F.T.E.) $10,871,987
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 $2,148,810
Expense and Equipment 356,963
From General Revenue Fund 2,505,773
Personal Service 530,883
Expense and Equipment 98,446
From Federal Funds 629,329
Total (Not to exceed 70.62 F.T.E.) $3,135,102
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 $30,852,271
Expense and Equipment 4,008,641
From General Revenue Fund 34,860,912
Personal Service 6,440,281
Expense and Equipment 9,147,070
From Federal Funds 15,587,351
Personal Service 2,329,526
Expense and Equipment 1,910,062
From DSS Educational Improvement Fund 4,239,588
Personal Service 103,972
Expense and Equipment 10,135
From Health Initiatives Fund 114,107
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.) $55,018,995
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 (0 F.T.E.) $3,840,000
Section 11.400. To the Department of Social Services
For the Division of Medical Services
Personal Service $3,587,779
Expense and Equipment 574,967
From General Revenue Fund 4,162,746
Personal Service 4,890,774
Expense and Equipment 2,498,033
From Federal Funds 7,388,807
Personal Service 16,476
Expense and Equipment 5,110
From Pharmacy Rebates Fund 21,586
Personal Service 261,437
Expense and Equipment 31,385
From Health Initiatives Fund 292,822
Personal Service 69,849
Expense and Equipment 10,281
From Nursing Facility Quality of Care Fund 80,130
Personal Service 245,116
Expense and Equipment 1,414,665
From Third-Party Liability Collections Fund 1,659,781
Total (Not to exceed 285.83 F.T.E.) $13,605,872
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 $5,980,000
From Federal Funds 25,844,006
Total (0 F.T.E.) $31,824,006
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 $1,970,000
From Federal Funds 1,970,527
Total (0 F.T.E.) $3,940,527
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 $199,073,871
From Federal Funds 376,571,174
From Pharmacy Rebates Fund 41,791,585E
Total (0 F.T.E.) $617,436,630
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 $29,898,058
From Federal Funds 51,552,743
Total (0 F.T.E.) $81,450,801
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 $5,117,096
From Federal Funds 8,059,087
Total (0 F.T.E.) $13,176,183
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 individuals' 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 individuals 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 $72,711,628
From Federal Funds 113,265,251
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 141,000,000
From Federal Funds 278,402,068
From Uncompensated Care Fund 35,600,000
Total (0 F.T.E.) $645,170,915
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 $28,290,868
From Federal Funds 46,795,462
Total (0 F.T.E.) $75,086,330
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 uninsured adults 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; provided that in
order to be eligible, and pursuant to the provisions of Section
208.185, RSMo, Supp., 1999; parents and guardians of uninsured
children with incomes between two hundred twenty-six and three
hundred percent of the federal poverty level shall submit with their
application two health insurance quotes from insurers providing
services in their community and said quotes shall exceed one
hundred thirty-three percent of the average monthly premium
currently required in the Missouri Consolidated Health Care Plan
From General Revenue Fund $14,825,050
From Federal Funds 68,241,848
From Federal Reimbursement Allowance Fund and
Intergovernmental Transfers 24,300,000
From Pharmacy Rebates Fund 814,421
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.) $108,181,320
Section 11.472. To the Department of Social Services
For the Division of Medical Services
For funding programs to enhance access to care for uninsured children
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; provided
that in order to be eligible, and pursuant to the provisions of
Section 208.185, RSMo, Supp, 1999; parents and guardians of
uninsured children with incomes between two hundred
twenty-six and three hundred percent of the federal poverty
level shall submit with their application two health insurance
quotes from insurers providing services in their community
and said quotes shall exceed one hundred thirty-three percent
of the average monthly premium currently required in the
Missouri Consolidated Health Care Plan; and provided that
up to Seven Million Dollars ($7,000,000) of the funds appropriated
herein may be used for direct medical services by local health
agencies contracted through the Department of Health
From General Revenue Fund $14,233,928
From Federal Funds 71,675,539
From Federal Reimbursement Allowance Fund and Intergovernmental
Transfers 8,300,000
From Health Initiatives Fund 4,400,000
From Pharmacy Rebates Fund 755,579
From Premium Fund 1,000,000E
Total (0 F.T.E.) $100,365,046
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.) $100,000,000
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. Any increases in wages
and benefits already codified in a collective bargaining
agreement in effect as of July 1, 2000, will not be counted
towards the increased expenditures required by the act.
Facilities will be required to supply these contract provisions
to Division of Medical Services
From Federal Funds $151,607,000E
From Nursing Facility Federal Reimbursement Allowance Fund 13,880,342E
Total (0 F.T.E.) $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 (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 $670,000
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 6,130,000E
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 $628,110
Expense and Equipment 115,565
From General Revenue Fund 743,675
Personal Service 712,654
Expense and Equipment 118,905
From Federal Funds 831,559
Total (Not to exceed 38.97 F.T.E.) $1,575,234
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 $6,583,212
Expense and Equipment 1,057,294
From General Revenue Fund 7,640,506
Personal Service 8,100,666
Expense and Equipment 903,663
From Federal Funds 9,004,329
Total (Not to exceed 484.86 F.T.E.) $16,644,835
Section 11.610. To the Department of Social Services
For the Division of Aging
For the purpose of funding Institutional Services
Personal Service $4,092,208
Expense and Equipment 559,823
From General Revenue Fund 4,652,031
Personal Service 6,515,520
Expense and Equipment 1,892,623
From Federal Funds 8,408,143
Personal Service 1,078,645
Expense and Equipment 2,324,644
From Nursing Facility Quality of Care Fund 3,403,289
Total (Not to exceed 307.54 F.T.E.) $16,463,463
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 $9,800,000
From Federal Funds 27,172,159
From Division of Aging Elderly Home Delivered Meals Trust Fund 430,000
Total (0 F.T.E) $37,402,159
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 (0 F.T.E.) $1,930,000
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.) $500,000
Bill Totals
General Revenue Fund $1,170,607,854
Federal Funds $3,083,774,277
Other Funds $450,739,236
Total $4,705,121,367