FIRST REGULAR SESSION
HOUSE BILL NO. 11
91ST GENERAL ASSEMBLY
INTRODUCED BY REPRESENTATIVE GREEN (73).
Read 1st time February 13, 2001, and 1000 copies ordered printed.
TED WEDEL, 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, 2001 and ending June 30, 2002.
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, 2001 and ending June 30, 2002 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 $754,054
Annual salary adjustment in accordance with Section 105.005, RSMo 206
Expense and Equipment 130,004
From General Revenue Fund 884,264
Personal Service 12,038
Annual salary adjustment in accordance with Section 105.005, RSMo 4
Expense and Equipment 1,500
From Federal Funds 13,542
Personal Service 41,300
Expense and Equipment 17,300
From Child Support Collections Fund 58,600
Total $956,406
Section 11.010. 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 citizens 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. An accounting shall be made for the first six months from July 1, 2001 through December 31, 2001 and a final accounting for the year through June 30, 2002, and these reports shall include a comparison with all expenditures for Fiscal Year 2001. The accountings shall be delivered to the General Assembly, including the House Budget Committee Chair, the House Appropriations Committee - Social Services Chair and the Senate Appropriations Committee Chair, and also to all current House Appropriations Committee - Social Services members, no later than January 31, 2002, and July 31, 2002 respectively
From Tort Victims' Compensation Fund $1,550,000
Section 11.015. 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 $12,430,000E
Section 11.020. To the Department of Social Services
For Administrative Services
For the Division of General Services
For the purpose of funding operating maintenance and repair
From Facilities Maintenance Reserve Fund $30,708
From Federal Funds 10,138
For the Division of Youth Services
For the purpose of funding operating maintenance and repair
From Facilities Maintenance Reserve Fund 78,794
From Federal Funds 138,243
Total $257,883
Section 11.025. 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 $309,411
Expense and Equipment 30,549
From General Revenue Fund 339,960
Personal Service 26,179
Expense and Equipment 2,645
From Federal Funds 28,824
Total $368,784
Section 11.030. To the Department of Social Services
For Administrative Services
For the purpose of funding the Division of Budget and Finance
Personal Service $2,117,340
Expense and Equipment 184,307
From General Revenue Fund 2,301,647
Personal Service 427,380
Expense and Equipment 123,525
From Federal Funds 550,905
Total $2,852,552
Section 11.035. 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 $575,000E
Section 11.040. 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 11.045. To the Department of Social Services
For Administrative Services
For the purpose of funding the Division of Data Processing
Personal Service $4,063,866
Expense and Equipment 6,194,861
From General Revenue Fund 10,258,727
Personal Service 4,534,433
Expense and Equipment 21,066,514
From Federal Funds 25,600,947
Personal Service 36,353
Expense and Equipment 403,289
From Administrative Trust Fund 439,642
Expense and Equipment
From Child Support Collections Fund 1,632,959
Expense and Equipment
From Educational Improvement Fund 127,238
Personal Service 7,294
Expense and Equipment 43,271
From Third Party Liability Collections Fund 50,565
Expense and Equipment
From Nursing Facility Quality of Care Fund 959
Total $38,111,037
Section 11.050. To the Department of Social Services
For Administrative Services
For the purpose of funding the Division of General Services
Personal Service $2,152,717
Expense and Equipment 832,099
From General Revenue Fund 2,984,816
Personal Service 325,716
Expense and Equipment 85,724
From Federal Funds 411,440
Expense and Equipment
From Administrative Trust Fund 250,000
Personal Service
From Child Support Enforcement Fund 93,689
For the purpose of funding the centralized inventory system
Expense and Equipment
From Administrative Trust Fund 5,200,000E
Total $8,939,945
Section 11.055. To the Department of Social Services
For Administrative Services
For the purpose of funding the Division of Legal Services
Personal Service $2,835,729
Expense and Equipment 478,404
From General Revenue Fund 3,314,133
Personal Service 2,996,110
Expense and Equipment 582,977
From Federal Funds 3,579,087
Personal Service 134,325
Expense and Equipment 31,706
From Third Party Liability Collections Fund 166,031
Personal Service 51,466
Expense and Equipment 14,294
From Nursing Facility Quality of Care Fund 65,760
Personal Service
From Child Support Enforcement Fund 146,074
Total $7,271,085
Section 11.060. To the Department of Social Services
For the purpose of funding the Division of Child Support Enforcement
Personal Service $580,962
Expense and Equipment 2,582,337
From General Revenue Fund 3,163,299
Personal Service 25,780,723
Expense and Equipment 14,181,542
From Federal Funds 39,962,265
Personal Service 7,664,658
Expense and Equipment 3,705,158
From Child Support Enforcement Collections Fund 11,369,816
Expense and Equipment
From Administrative Trust Fund 39,690
Total $54,535,070
Section 11.065. 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 $2,040,000
From Federal Funds 3,960,000
Total $6,000,000
Section 11.070. To the Department of Social Services
For the Division of Child Support Enforcement
For the purpose of funding Parents Fair Share Program
Personal Service $848,133
Expense and Equipment 3,599,973
From Federal Funds 4,448,106
Personal Service 430,359
Expense and Equipment 731,679
From Child Support Enforcement Collections Fund 1,162,038
Total $5,610,144
Section 11.075. 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 11.080. 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 11.085. 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 $6,980,000E
Section 11.090. 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 11.100. 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 $2,957,811
Expense and Equipment 3,766,146
From General Revenue Fund 6,723,957
Personal Service 6,715,491
Expense and Equipment 6,469,295
From Federal Funds 13,184,786
Personal Service 348,978
Expense and Equipment 624,868
From Third-Party Liability Collections Fund 973,846
Expense and Equipment
From Blind Pension Fund 62,417
Total $20,945,006
Section 11.105. To the Department of Social Services
For the Division of Family Services
For the purpose of funding one-time costs for training and technology upgrades for Child Welfare services
From General Revenue Fund $4,000,000
From Federal Funds 1,354,752
Total $5,354,752
Section 11.110. 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 11.115. 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 11.120. 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 $2,966,138
From Federal Funds 3,789,073
Total $6,755,211
Section 11.125. To the Department of Social Services
For the Division of Family Services
For the purpose of funding Field Services Operations
Personal Service $14,034,328
Expense and Equipment 7,008,144
From General Revenue Fund 21,042,472
Personal Service 28,796,286
Expense and Equipment 8,197,639
From Federal Funds 36,993,925
Personal Service 268,813
Expense and Equipment 57,991
From Health Initiatives Fund 326,804
Total $58,363,201
Section 11.130. 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 $37,651,002
From Federal Funds 72,279,584
From Health Initiatives Fund 475,040
Total $110,405,626
Section 11.135. To the Department of Social Services
For the Division of Family Services
For the purpose of funding Direct Client Support, and for other welfare related activities
From General Revenue Fund $2,760,000
From Federal Funds 11,368,085
For the purpose of funding Community Initiatives, and for other welfare related activities
From Federal Funds 4,633,799E
For the purpose of funding services to TANF and at risk of becoming TANF clients, including their families in the Bootheel area, and for other welfare related activities. The services shall include, but not be limited to, after school care, summer care, job training, and family empowerment services
From Federal Funds 800,000
Total $19,561,884
Section 11.140. 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 11.145. 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 $59,412,362
From Federal Funds 104,223,960E
From Early Childhood Development, Education and Care Fund 1,609,591
For the purpose of payments to accredited child care providers pursuant to
Chapter 313, RSMo 3,153,500
For the purpose of funding early childhood start-up and expansion grants
pursuant to Chapter 313, RSMo 3,784,200
For the purpose of funding early childhood development, education, and care
programs for low-income families pursuant to Chapter 313, RSMo 3,153,500
For the purpose of funding certificates to low-income, at-home families for
Chapter 313, RSMo 3,153,500
From Early Childhood Development, Education and Care Fund 13,244,700
Total $178,490,613
Section 11.150. 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 $25,000,000
From Federal Funds 120,000,000E
For the purpose of funding Grandparent Foster Care payments
From General Revenue Fund 22,384,205
For the purpose of funding Food Stamp wage supplementation
From Federal Funds 1,500,000
Total $168,884,205
Section 11.155. 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 $315,000
Section 11.160. 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 $25,538,684
Section 11.165. 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 11.170. 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 11.175. 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 $17,167,588
Section 11.180. 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 11.185. 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 11.190. 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 11.195. 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 11.200. 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 11.205. 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 31,794,696E
Total $32,794,696
Section 11.210. To the Department of Social Services
For the Division of Family Services
For the purpose of funding administration of blind services
Personal Service $526,207
Expense and Equipment 194,538
From General Revenue Fund 720,745
Personal Service 3,045,694
Expense and Equipment 842,431
From Federal Funds 3,888,125
Personal Service 573,580
Expense and Equipment 93,027
From Blind Pension Fund 666,607
Total $5,275,477
Section 11.215. 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 $6,735,000
Section 11.220. 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 $8,330,000
From Federal Funds 5,486,047
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 28,205,992
From Federal Funds 11,645,182
For the purpose of funding Adoption Subsidy payments and related services
From General Revenue Fund 34,211,515
From Federal Funds 13,578,271
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 3,393,228
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 12,476,743
From Federal Funds 6,675,436
Total $125,782,414
Section 11.225. 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 $2,250,000
Section 11.230. 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 $28,245,468
From Federal Funds 40,107,312
Total $68,352,780
Section 11.235. 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 $6,561,278
From Federal Funds 9,691,373
Total $16,252,651
Section 11.240. To the Department of Social Services
For the Division of Family Services
For the purpose of funding Caring Communities
Personal Service $795,631
For the purpose of funding Caring Communities Program payments 1,531,801
From General Revenue Fund 2,327,432
For the purpose of funding Caring Communities Program payments
From Federal Funds 8,290,000
Total $10,617,432
Section 11.245. 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 11.250. 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 1,347,534
Total $4,147,534
Section 11.255. 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 11.260. 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 $2,126,858
Expense and Equipment 350,940
From General Revenue Fund 2,477,798
Personal Service 534,179
Expense and Equipment 117,846
From Federal Funds 652,025
Total $3,129,823
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 $31,538,145
Expense and Equipment 4,158,179
From General Revenue Fund 35,696,324
Personal Service 6,490,534
Expense and Equipment 7,073,293
From Federal Funds 13,563,827
Personal Service 2,345,539
Expense and Equipment 1,509,018
From DSS Educational Improvement Fund 3,854,557
Personal Service 105,022
Expense and Equipment 10,135
From Health Initiatives Fund 115,157
Total $53,229,865
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 $5,796,000
From Gaming Commission Fund 500,000
Total $6,296,000
Section 11.400. To the Department of Social Services
For the Division of Medical Services
Personal Service $3,947,347
Expense and Equipment 4,615,972
From General Revenue Fund 8,563,319
Personal Service 4,934,761
Expense and Equipment 9,084,863
From Federal Funds 14,019,624
Personal Service 16,581
Expense and Equipment 5,110
From Pharmacy Rebates Fund 21,691
Personal Service 263,435
Expense and Equipment 31,385
From Health Initiatives Fund 294,820
Personal Service 70,374
Expense and Equipment 10,281
From Nursing Facility Quality of Care Fund 80,655
Personal Service 247,216
Expense and Equipment 1,414,665
From Third-Party Liability Collections Fund 1,661,881
Total $24,641,990
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 $6,099,538
From Federal Funds 27,564,738
From Intergovernmental Transfer Fund 543,677
Total $34,207,953
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 $470,000
From Federal Funds 3,470,527
Total $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 $236,446,984
From Federal Funds 445,178,996
From Pharmacy Rebates Fund 46,518,758E
From Health Initiatives Fund 969,293
Total $729,114,031
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 managed 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 $282,388
From Federal Funds 442,612
Total $725,000
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 $86,887,380
From Federal Funds 146,918,480
From Health Initiatives Fund 1,247,544
Total $235,053,404
Section 11.430. 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 $6,795,048
From Federal Funds 10,762,059
From Health Initiatives Fund 71,162
Total $17,628,269
Section 11.435. 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 $23,876,234
From Federal Funds 38,011,335
Total $61,887,569
Section 11.440. 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. 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 Division 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 $87,618,036
From Federal Funds 151,930,077
From Intergovernmental Transfer Fund 9,154,296
From Health Initiatives Fund 159,305
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 136,145,374
From Federal Funds 269,275,211
From Uncompensated Care Fund 35,600,000
Total $694,074,267
Section 11.445. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding one-time grants to nursing homes to increase quality and efficiency.
From Intergovernmental Transfer Fund $51,803,500
From Federal Funds 81,196,500
Total $133,000,000
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 $33,012,807
From Federal Funds 53,943,903
From Health Initiatives Fund 194,881
Total $87,151,591
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 $96,489,861
From Federal Funds 294,989,414
From Health Initiatives Fund 7,593,735
From Federal Reimbursement Allowance Fund 70,763,939
From Intergovernmental Transfer Fund 15,372,715
Total $485,209,664
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 $24,519,569
From Federal Funds 276,239,615
From Uncompensated Care Fund 52,300,000
From Federal Reimbursement Allowance Fund 82,136,061
From Health Initiatives Fund 2,797,179
From Intergovernmental Transfer Fund 12,994,913
Total $450,987,337
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 health care by 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 $15,226,783
From Federal Funds 69,855,488
From Federal Reimbursement Allowance Fund and
Intergovernmental Transfers 24,300,000
From Pharmacy Rebates Fund 814,421
From Intergovernmental Transfer Fund 1,709,655
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 $111,906,348
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-services, 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 208.631, 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 $13,714,512
From Federal Funds 76,088,371
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
From Intergovernmental Transfer Fund 1,344,744
Total $105,603,206
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 $100,000,000E
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
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 medical benefits for recipients of the State Medical Program, including coverage in managed care programs
From General Revenue Fund $29,098,401
From Health Initiatives Fund 353,437
Total $29,451,838
Section 11.520. 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 $1,077,966
From Federal Funds 34,880,516E
From Uncompensated Care Fund 6,099,999E
From Pharmacy Rebates Fund 2,330,000E
From Third-Party Liability Collections Fund 6,130,000E
From Federal Reimbursement Allowance Fund 2,033,333E
From Intergovernmental Transfer Fund 1,680,001E
Total $54,231,815
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 $600,136
Expense and Equipment 115,565
From General Revenue Fund 715,701
Personal Service 696,258
Expense and Equipment 126,405
From Federal Funds 822,663
Total $1,538,364
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 $6,631,755
Expense and Equipment 952,239
From General Revenue Fund 7,583,994
Personal Service 7,974,787
Expense and Equipment 931,145
From Federal Funds 8,905,932
Total $16,489,926
Section 11.610. To the Department of Social Services
For the Division of Aging
For the purpose of funding Institutional Services
Personal Service $4,115,773
Expense and Equipment 557,624
From General Revenue Fund 4,673,397
Personal Service 6,551,642
Expense and Equipment 1,854,907
From Federal Funds 8,406,549
Personal Service 1,083,555
Expense and Equipment 2,276,449
From Nursing Facility Quality of Care Fund 3,360,004
Total $16,439,950
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 $17,062,802
From Federal Funds 2,521,157
From Division of Aging Donations 50,000
Total $19,633,959
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 28,794,840
From Division of Aging Elderly Home Delivered Meals Trust Fund 430,000
Total $39,124,840
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
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 $250,000
Missouri House of Representatives