FIRST REGULAR SESSION

[PERFECTED]

HOUSE COMMITTEE SUBSTITUTE FOR

HOUSE BILL NO. 10

91ST GENERAL ASSEMBLY


Reported from the Committee on Budget, March 8, 2001, with recommendation that House Committee Substitute for House Bill No. 10 Do Pass.

Taken up for Perfection March 13, 2001. Bill ordered Perfected and printed.

TED WEDEL, Chief Clerk

0010L.02P


AN ACT

To appropriate money for the expenses, grants, refunds, and distributions of the Department of Mental Health, the Board of Public Buildings, the Department of Health, and the several divisions and programs thereof and the Missouri Health Facilities Review Committee 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.




Be it enacted by the General Assembly of the state of Missouri, as follows:

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 10.005. To the Department of Mental Health

For the Office of the Director

For the purpose of funding Administration

Personal Service $7,441,664

Expense and Equipment 2,438,671

From General Revenue Fund 9,880,335



Personal Service 406,757

Expense and Equipment 735,188

From Federal Funds 1,141,945

Total (Not to exceed 196.64 F.T.E.) $11,022,280



Section 10.010. To the Department of Mental Health

For the Office of the Director

For the purpose of funding the Office of Information Systems

Personal Service and/or Expense and Equipment

From General Revenue Fund $6,181,751

From Federal Funds 5,947,331

Total (Not to exceed 83.34 F.T.E.) $12,129,082



Section 10.015. To the Department of Mental Health

For the Office of the Director

For the purpose of funding insurance, private pay, licensure fee, and/or Medicaid refunds by state facilities operated by the Department of Mental Health

From General Revenue Fund $50,000



For the payment of refunds set off against debts as required by Section 143.786, RSMo

From Debt Offset Escrow Fund 70,000E

Total (0 F.T.E.) $120,000



Section 10.017. There is transferred out of the State Treasury, chargeable to the Escheats Fund, Fifty Thousand Dollars ($50,000) to the Mental Health Trust Fund

From Escheats Fund $50,000E



Section 10.020. To the Department of Mental Health

For the Office of the Director

For the purpose of funding receipt and disbursement of donations and gifts which may become available to the Department of Mental Health during the year (excluding federal grants and funds)

Personal Service $736,165

Expense and Equipment 1,283,486

From Mental Health Trust Fund (not to exceed 6.00 F.T.E.) $2,019,651



Section 10.025. To the Department of Mental Health

For the Office of the Director

For the purpose of funding operational maintenance and repairs for state-owned facilities

Expense and Equipment

From Facilities Maintenance and Reserve Fund (0 F.T.E.) $1,197,230



Section 10.030. To the Department of Mental Health

For the Office of the Director

For the purpose of funding federal grants which become available between sessions of the General Assembly

Personal Service and/or Expense and Equipment

From Federal Funds (Not to exceed 4.00 F.T.E.) $350,840E



Section 10.035. To the Department of Mental Health

For the Office of the Director

For the purpose of funding the Caring Communities Program $3,314,137

Personal Service 83,442

Expense and Equipment 12,406

From General Revenue Fund 3,409,985



For the Caring Communities Program

From Federal Funds 2,104,583

Total (Not to exceed 1.71 F.T.E.) $5,514,568



Section 10.045. To the Department of Mental Health

For the Office of the Director

For the purpose of funding work therapy for client workers at state agencies

Personal Service $80,519

Expense and Equipment 600

From Mental Health Interagency Payments Fund (Not to exceed 6.00 F.T.E.) $81,119



Section 10.060. There is transferred out of the State Treasury, chargeable to the General Revenue Reimbursements Fund, Twenty-Two Million, Five Hundred Eleven Thousand, Eight Hundred Dollars ($22,511,800) to the General Revenue Fund

From General Revenue Reimbursements Fund $22,511,800



Section 10.105. To the Department of Mental Health

For the Division of Alcohol and Drug Abuse

For the purpose of funding the administration of statewide comprehensive alcohol and drug abuse prevention and treatment programs

Personal Service $1,491,220

Expense and Equipment 58,213

From General Revenue Fund 1,549,433



Personal Service 798,380

Expense and Equipment 824,783

From Federal Funds 1,623,163



Personal Service 204,373

Expense and Equipment 51,204

From Health Initiatives Fund 255,577



Personal Service 88,521

Expense and Equipment 52,372

From Mental Health Earnings Fund 140,893



For statewide needs assessments 400,000

For an interstate study to develop a standardized approach for measuring the performance and outcomes of substance abuse treatment programs. This is a three-year federal grant initially appropriated in Fiscal Year 2000.

Expense and Equipment 502,143

From Federal Funds 902,143

Total (Not to exceed 67.15 F.T.E.) $4,471,209



Section 10.110. To the Department of Mental Health

For the Division of Alcohol and Drug Abuse

For the purpose of funding prevention and education services $235,540

Personal Service 7,364



For the purpose of funding prevention and education services using

General Revenue in place of Health Initiatives Fund 200,000

From General Revenue Fund 442,904



For prevention and education services 2,736,915

Personal Service 228,162

Expense and Equipment 78,165

From Federal Funds 3,043,242



For tobacco enforcement

Provided that no person under the age of eighteen shall be used as either an employee or a volunteer for the purposes of enforcement of tobacco laws

Personal Service 236,110

Expense and Equipment 117,820

From Federal Funds 353,930



For the purpose of funding Kids Beat Program

Expense and Equipment

From Federal Funds 119,000



For a state incentive program and a community high-risk youth program

Expense and Equipment

From Federal Funds 3,143,617



For Community 2000 Team Programs

From General Revenue Fund 230,000

From Federal Funds 2,317,651



For school-based alcohol and drug abuse prevention programs

From Federal Funds 187,827

Total (Not to exceed 13.00 F.T.E.) $9,838,171



Section 10.115. To the Department of Mental Health

For the Division of Alcohol and Drug Abuse

For the purpose of funding the treatment of alcohol and drug abuse $17,574,763

Personal Service and/or Expense and Equipment 2,798,697



For the purpose of funding the treatment of alcohol and drug abuse using

General Revenue in place of Health Initiatives Fund 3,553,414



For the purpose of expanding adolescent substance abuse services across the state. Funds are to be distributed using a formula, developed by the Department of Mental Health, ensuring that priority is given to underserved populations and those at greater risk of abusing

alcohol and drugs 1,250,316



For the purpose of funding adult substance abuse services in service area #6 300,000

From General Revenue Fund 25,477,190



For treatment of alcohol and drug abuse 22,600,168

Personal Service and/or Expense and Equipment 525,954

From Federal Funds 23,126,122



For treatment of alcohol and drug abuse

From Health Initiatives Fund 4,558,388

Total (Not to exceed 10.00 F.T.E.) $53,161,700



Section 10.120. To the Department of Mental Health

For the Division of Alcohol and Drug Abuse

For the purpose of funding treatment of compulsive gambling $412,798

Personal Service 34,704

Expense and Equipment 5,194

From Compulsive Gamblers Fund (Not to exceed 1.00 F.T.E.) $452,696



Section 10.125. To the Department of Mental Health

For the Division of Alcohol and Drug Abuse

For the purpose of funding the Substance Abuse Traffic Offender Program

From Federal Funds $407,458

From Health Initiatives Fund 1,365,680

From Mental Health Earnings Fund 1,732,097E

Total (0 F.T.E.) $3,505,235

Section 10.205. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding division administration

Personal Service $1,574,494

Expense and Equipment 343,261

From General Revenue Fund 1,917,755



Personal Service 415,320

Expense and Equipment 295,401

From Federal Funds 710,721



For the Committee on Minority Special Health, Psychological

and Social Needs of Older Individuals and the Institute

on Minority Health and Aging

Expense and Equipment

From General Revenue Fund 28,000

From Federal Funds 7,000



For suicide prevention initiatives

Expense and Equipment

From Federal Funds 150,000

Total (Not to exceed 46.93 F.T.E.) $2,813,476



Section 10.210. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding adult community programs provided that up to

ten percent of this appropriation may be used for services for youth $72,480,910

Personal Service and/or Expense and Equipment 6,115,983

From General Revenue Fund 78,596,893



For adult community programs 17,073,733

Personal Service and/or Expense and Equipment 1,977,770

From Federal Funds 19,051,503



For adult community programs

From payments by the Department of Social Services for supported community living for Comprehensive Psychiatric Services clients in lieu of Supplemental Nursing Care payments

From Mental Health Interagency Payments Fund 250,000



For adult community programs

From Health Initiatives Fund 70,624



For adult community programs in counties serving a disproportionate

share of forensic clients

From General Revenue Fund 300,000

Total (Not to exceed 56.89 F.T.E.) $98,269,020



Section 10.215. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding nursing home reform requirements of the Omnibus Budget Reconciliation Act of 1987, including specialized services

From General Revenue Fund $56,000

From Federal Funds 168,000

Total (0 F.T.E.) $224,000



Section 10.220. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of reimbursing attorneys, physicians, and counties for

fees in involuntary civil commitment procedures $950,000E



For distribution through the Office of Administration to counties pursuant

to Section 56.700, RSMo 150,000

From General Revenue Fund (0 F.T.E.) $1,100,000



Section 10.225. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding programs for the homeless mentally ill

From General Revenue Fund $906,392



For programs for the homeless mentally ill 3,076,359

Expense and Equipment 1,654,680

From Federal Funds 4,731,039

Total (0 F.T.E.) $5,637,431



Section 10.230. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding forensic support services

Personal Service $627,119

Expense and Equipment 122,638

From General Revenue Fund (Not to exceed 17.39 F.T.E.) $749,757



Section 10.235. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding youth community programs, provided that up to

ten percent of this appropriation may be used for services for adults $21,295,796

Personal Service and/or Expense and Equipment 3,161,401

From General Revenue Fund 24,457,197



For youth community programs 2,158,783

Personal Service and/or Expense and Equipment 4,235,377

From Federal Funds 6,394,160



For youth community programs

From Health Initiatives Fund 598,888

Total (Not to exceed 25.05 F.T.E.) $31,450,245



Section 10.240. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding services for children who are clients of the Divisions of Youth Services and Family Services

Personal Service and/or Expense and Equipment

From Mental Health Interagency Payments Fund (Not to exceed 38.00 F.T.E.) $1,338,887



Section 10.310. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding fuel and utility expenses at state facilities operated by the Division of Comprehensive Psychiatric Services, provided that up to three percent of this appropriation may be used for facilities operated by the Division of Mental Retardation and Developmental Disabilities

Expense and Equipment

From General Revenue Fund (0 F.T.E.) $5,398,512



Section 10.315. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purchase and administration of new medication therapies

Expense and Equipment

From General Revenue Fund $9,178,336

From Federal Funds 916,243

Total (0 F.T.E.) $10,094,579



Section 10.325. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding costs for forensic clients resulting from loss of benefits under provisions of the Social Security Domestic Employment Reform Act of 1994

Expense and Equipment

From General Revenue Fund (0 F.T.E.) $500,000



Section 10.335. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding Fulton State Hospital

Personal Service and/or Expense and Equipment $44,974,686



For alcohol and drug treatment

Personal Service and/or Expense and Equipment 876,672

From General Revenue Fund (Not to exceed 1,435.43 F.T.E.) $45,851,358



Section 10.340. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding Northwest Missouri Psychiatric Rehabilitation Center

Personal Service and/or Expense and Equipment

From General Revenue Fund $12,633,922

From Federal Funds 437,116



For psychiatric services

Personal Service and/or Expense and Equipment

From Mental Health Trust Fund 400,840



For direct and/or contract provision of children's services

Personal Service and/or Expense and Equipment

From General Revenue Fund 2,323,455

Total (Not to exceed 487.63 F.T.E.) $15,795,333



Section 10.345. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding St. Louis Psychiatric Rehabilitation Center

Personal Service and/or Expense and Equipment

From General Revenue Fund $20,077,952

From Federal Funds 176,945

Total (Not to exceed 628.88 F.T.E.) $20,254,897



Section 10.350. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding Southwest Missouri Psychiatric Rehabilitation Center

Personal Service and/or Expense and Equipment

From General Revenue Fund (Not to exceed 109.17 F.T.E.) $3,565,812



Section 10.355. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding Cottonwood Residential Treatment Center

Personal Service and/or Expense and Equipment

From General Revenue Fund (Not to exceed 75.75 F.T.E.) $2,222,369



Section 10.360. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding Hawthorn Children's Psychiatric Hospital

Personal Service and/or Expense and Equipment

From General Revenue Fund (Not to exceed 200.48 F.T.E.) $6,551,197



Section 10.365. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding Metropolitan St. Louis Psychiatric Center

Personal Service and/or Expense and Equipment

From General Revenue Fund $14,543,313

From Federal Funds 159,909



For alcohol and drug treatment

Personal Service and/or Expense and Equipment

From General Revenue Fund 439,792

Total (Not to exceed 403.78 F.T.E.) $15,143,014



Section 10.370. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding Mid-Missouri Mental Health Center

Personal Service and/or Expense and Equipment

From General Revenue Fund $7,481,282

From Federal Funds 281,576



For services for children and youth

Personal Service and/or Expense and Equipment

From General Revenue Fund 1,944,068

Total (Not to exceed 255.25 F.T.E.) $9,706,926



Section 10.375. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding Southeast Missouri Mental Health Center

Personal Service and/or Expense and Equipment

From General Revenue Fund (Not to exceed 581.75 F.T.E.) $18,121,533



Section 10.376. To the Board of Public Buildings

For the Department of Mental Health

For operation and maintenance of the Southeast Missouri Mental Health Center

Expense and Equipment

From General Revenue Fund (0 F.T.E.) $129,322



Section 10.380. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding Western Missouri Mental Health Center for lease/purchase payments and related expenses, operation of the current facility, and any other expenses related to replacement of the facility

Personal Service and/or Expense and Equipment

From General Revenue Fund $21,832,038



For the Western Missouri Mental Health Center and/or contracting for children's services in the Northwest Region

Personal Service and/or Expense and Equipment

From General Revenue Fund 971,833



For alcohol and drug treatment

Personal Service and/or Expense and Equipment

From General Revenue Fund 348,167

From Federal Funds 708,460

Total (Not to exceed 706.84 F.T.E.) $23,860,498



Section 10.385. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding the Sexually Violent Predator Program

Personal Service and/or Expense and Equipment

From General Revenue Fund (Not to exceed 109.90 F.T.E.) $4,215,561



Section 10.405. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding division administration

Personal Service $1,270,645

Expense and Equipment 247,657

From General Revenue Fund 1,518,302



Personal Service 50,922

Expense and Equipment 7,195

From Federal Funds 58,117

Total (Not to exceed 30.75 F.T.E.) $1,576,419



Section 10.415. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding community programs

From General Revenue Fund $78,766,577

From Federal Funds 1,200,000

From General Revenue Reimbursements Fund 4,544,329



For consumer and family-directed supports/in-home services/ choices for families

From General Revenue Fund 22,931,683



For services for children in the custody of the Division of Family Services

From Mental Health Interagency Payments Fund 1,049,857



For SB 40 Board tax funds to be used as match for Medicaid initiatives for clients of the Division

From Mental Health Trust Fund 5,852,732E



For the purpose of funding programs and in-home family directed services for persons with autism and their families

From General Revenue Fund 4,228,427



For early childhood intervention services

From General Revenue Fund 1,459,199

From Federal Funds 3,763,919

From Mental Health Interagency Payments Fund 4,547,312

Total (0 F.T.E.) $128,344,035





Section 10.420. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding family support loans pursuant to Section 633.185, RSMo

From Family Support Loan Fund $291,305



For the purpose of funding family support stipends pursuant to Section 633.180, RSMo

From General Revenue Fund 1,098,916

Total (0 F.T.E.) $1,390,221



Section 10.425. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding community support staff

Personal Service, Expense and Equipment, and/or Purchase of Community Services

From General Revenue Fund $3,560,927

From Federal Funds 19,072,577

Total (Not to exceed 298.35 F.T.E.) $22,633,504



Section 10.430. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding nursing home reform requirements of the Omnibus Budget Reconciliation Act of 1987

Personal Service

From General Revenue Fund $82,357

From Federal Funds 223,748

Total (Not to exceed 7.46 F.T.E.) $306,105



Section 10.435. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding developmental disabilities services

Personal Service $326,019

Expense and Equipment 1,187,593

From Federal Funds (Not to exceed 7.98 F.T.E.) $1,513,612



Section 10.500. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding the Albany Regional Center

Personal Service and/or Expense and Equipment

From General Revenue Fund (Not to exceed 41.38 F.T.E.) $1,600,415



Section 10.505. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding the Central Missouri Regional Center

Personal Service and/or Expense and Equipment

From General Revenue Fund (Not to exceed 48.88 F.T.E.) $1,631,720



Section 10.510. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding the Hannibal Regional Center

Personal Service and/or Expense and Equipment

From General Revenue Fund (Not to exceed 56.13 F.T.E.) $2,108,252



Section 10.515. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding the Joplin Regional Center

Personal Service and/or Expense and Equipment

From General Revenue Fund (Not to exceed 53.06 F.T.E.) $2,044,593



Section 10.520. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding the Kansas City Regional Center

Personal Service and/or Expense and Equipment

From General Revenue Fund $2,790,810

From Federal Funds 5,595

Total (Not to exceed 72.91 F.T.E.) $2,796,405



Section 10.525. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding the Kirksville Regional Center

Personal Service and/or Expense and Equipment

From General Revenue Fund (Not to exceed 41.29 F.T.E.) $1,529,893



Section 10.530. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding the Poplar Bluff Regional Center

Personal Service and/or Expense and Equipment

From General Revenue Fund (Not to exceed 46.08 F.T.E.) $1,758,835



Section 10.535. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding the Rolla Regional Center

Personal Service and/or Expense and Equipment

From General Revenue Fund (Not to exceed 51.88 F.T.E.) $1,784,372



Section 10.540. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding the Sikeston Regional Center

Personal Service and/or Expense and Equipment

From General Revenue Fund $1,692,714

From Federal Funds 5,595

Total (Not to exceed 46.54 F.T.E.) $1,698,309



Section 10.545. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding the Springfield Regional Center

Personal Service and/or Expense and Equipment

From General Revenue Fund (Not to exceed 60.23 F.T.E.) $2,254,962



Section 10.550. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding the St. Louis Regional Center

Personal Service and/or Expense and Equipment

From General Revenue Fund $4,266,202

From Federal Funds 11,190

Total (Not to exceed 124.77 F.T.E.) $4,277,392



Section 10.560. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding fuel and utility expenses at state facilities operated by the Division of Mental Retardation-Developmental Disabilities, provided that up to three percent of this appropriation may be used for facilities operated by the Division of Comprehensive Psychiatric Services

Expense and Equipment

From General Revenue Fund (0 F.T.E.) $3,254,349



Section 10.570. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding Bellefontaine Habilitation Center

Personal Service, Expense and Equipment, and/or Purchase of Community Services

From General Revenue Fund $23,295,172

From Federal Funds 1,613,661

Total (Not to exceed 973.62 F.T.E.) $24,908,833



Section 10.575. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding Higginsville Habilitation CenterPersonal Service, Expense and Equipment, and/or Purchase of Community Services

From General Revenue Fund $9,839,149

From Federal Funds 240,951



For Northwest Community Services

Personal Service, Expense and Equipment, and/or Purchase of Community Services

From General Revenue Fund 2,143,601

From Federal Funds 665,328

Total (Not to exceed 488.09 F.T.E.) $12,889,029



Section 10.580. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding Marshall Habilitation Center

Personal Service, Expense and Equipment, and/or Purchase of Community Services

From General Revenue Fund $22,757,327

From Federal Funds 1,969,641

Total (Not to exceed 1,003.65 F.T.E.) $24,726,968



Section 10.585. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding Nevada Habilitation Center

Personal Service, Expense and Equipment, and/or Purchase of Community Services

From General Revenue Fund (Not to exceed 352.25 F.T.E.) $10,424,042



Section 10.590. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding St. Louis Developmental Disabilities Treatment Center

Personal Service, Expense and Equipment, and/or Purchase of Community Services

From General Revenue Fund $18,554,692

From Federal Funds 751,007

Total (Not to exceed 767.96 F.T.E.) $19,305,699



Section 10.591. To the Board of Public Buildings

For the operation and maintenance of St. Louis Developmental Disabilities Treatment Center improvements

Expense and Equipment

From General Revenue Fund (0 F.T.E.) $84,861



Section 10.595. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding Southeast Missouri Residential Services

Personal Service, Expense and Equipment, and/or Purchase of Community Services

From General Revenue Fund $6,121,706

From Federal Funds 108,788

Total (Not to exceed 240.02 F.T.E.) $6,230,494



Section 10.600. To the Department of Health

For the Office of the Director

For the purpose of funding program operations and support

Personal Service $2,110,987

Expense and Equipment 157,155

From General Revenue Fund 2,268,142



Personal Service 1,107,943

Expense and Equipment 550,126

From Federal Funds 1,658,069



For the Office of Minority Health

Personal Service 213,396

Expense and Equipment 113,637

From General Revenue Fund 327,033



Expense and Equipment and/or Program Specific Distribution

From Federal Funds 106,904



For the Institute on Minority Health and Aging

Expense and Equipment

From General Revenue Fund 210,000

Total (Not to exceed 86.20 F.T.E.) $4,570,148



Section 10.605. To the Department of Health

For the purpose of funding the Center for Health Information and Evaluation

For the purpose of funding program operations and support

Personal Service $2,503,843

Expense and Equipment 985,907

From General Revenue Fund 3,489,750



Personal Service 3,356,498

Expense and Equipment 4,129,375

From Federal Funds 7,485,873



Expense and Equipment

From Missouri Public Health Services Fund 50,000



Personal Service 112,942

Expense and Equipment 18,000

From Workers' Compensation Fund 130,942

Total (Not to exceed 160.34 F.T.E.) $11,156,565



Section 10.610. To the Department of Health

For the Center for Health Information and Evaluation

For the purpose of paying the fees of local registrars of vital records in accordance with Section 193.305, RSMo

From General Revenue Fund (0 F.T.E.) $155,000



Section 10.615. To the Department of Health

For the Center for Local Public Health Services

For the purpose of funding program operations and support

Personal Service $495,795

Expense and Equipment 77,286

From General Revenue Fund 573,081



Personal Service 89,556

Expense and Equipment 10,692

From Federal Funds 100,248



Personal Service 42,711

Expense and Equipment 164,902

From Department of Health Donated Fund 207,613

Total (Not to exceed 13.20 F.T.E.) $880,942



Section 10.620. To the Department of Health

For the Center for Local Public Health Services

For the purpose of funding core public health functions and related expenses

From General Revenue Fund (0 F.T.E.) $9,662,092

Section 10.625. To the Department of Health

For the Center for Community Development and Health Care Access

For the purpose of funding program operations and support

Personal Service $201,442

Expense and Equipment 41,240

From General Revenue Fund 242,682



Personal Service 515,024

Expense and Equipment 348,233

From Federal Funds 863,257



Personal Service

From Health Access Incentive Fund 82,264



Personal Service 62,756

Expense and Equipment 22,500

From Professional and Practical Nursing Student Loan and Nurse Loan

Repayment Fund 85,256



For Caring Communities

From General Revenue Fund 2,223,774

From Federal Funds 1,218,333

Total (Not to exceed 19.00 F.T.E.) $4,715,566



Section 10.630. To the Department of Health

For the Center for Community Development and Health Care Access

For the purpose of funding the Community Health Assessment Resource Team

Personal Service $346,890

Expense and Equipment 160,334

From General Revenue Fund 507,224



Personal Service 121,808

Expense and Equipment 10,000

From Federal Funds 131,808

Total (Not to exceed 11.50 F.T.E.) $639,032



Section 10.635. To the Department of Health

For the Center for Community Development and Health Care Access

For the purpose of funding the Primary Care Resource Initiative Program

From General Revenue Fund 636,000

From Health Access Incentive Fund $4,054,000

From Department of Health Donated Fund 850,000

Total (0 F.T.E.) $5,540,000



Section 10.640. To the Department of Health

For the Center for Community Development and Health Care Access

For the purpose of funding the Financial Aid to Medical Students and Medical School Loan Repayment Programs in accordance with Chapter 191, RSMo

From General Revenue Fund $13,950

From Federal Funds 214,446

From Medical School Loan Repayment Fund 50,000

Total (0 F.T.E.) $278,396



Section 10.645. To the Department of Health

For the Center for Community Development and Health Care Access

For the purpose of funding the Nurse Loan and Nurse Loan Repayment Programs in accordance with Chapter 335, RSMo

From Federal Funds $60,000

From Professional and Practical Nursing Student Loan and Nurse Loan

Repayment Fund 450,000

Total (0 F.T.E.) $510,000



Section 10.655. To the Department of Health

For the Division of Administration

For the purpose of funding program operations and support

Personal Service $934,624

Expense and Equipment 303,467

From General Revenue Fund 1,238,091



Personal Service 1,279,008

Expense and Equipment 2,388,125

From Federal Funds 3,667,133



Personal Service 115,880

Expense and Equipment 419,280

From Missouri Public Health Services Fund 535,160



Expense and Equipment

From Health Access Incentive Fund 7,000

From Department of Health Document Services Fund 225,000

From Workers' Compensation Fund 8,000

From Department of Health Donated Fund 1,496,604



For the purpose of funding federal grants which may become available between sessions of the General Assembly

Personal Service and/or Expense and Equipment

From Federal Funds 5,000,000



For the purpose of funding receipt and disbursement of donations, gifts, and grants which may become available to the department during the year (excluding federal grants and funds)

Personal Service and/or Expense and Equipment

From Department of Health Donated Fund 2,000,000

Total (Not to exceed 70.00 F.T.E.) $14,176,988



Section 10.660. To the Department of Health

For the Division of Administration

For the purpose of funding preventive health services under the provisions of the Preventive Health Services Block Grant

From Federal Funds (0 F.T.E.) $2,137,788



Section 10.665. To the Department of Health

For the Division of Administration

For the purpose of funding Aid to Local Governmental Health Facilities in accordance with Chapter 189, RSMo

From General Revenue Fund (0 F.T.E.) $23,505



Section 10.670. To the Department of Health

For the Division of Administration

For the purpose of funding the payment of refunds set off against debts in accordance with Section 143.786, RSMo

From Debt Offset Escrow Fund (0 F.T.E.) $50,000E



Section 10.675. To the Department of Health

For the Division of Administration

For the purpose of funding the State Public Health Laboratory

Personal Service $1,960,055

Expense and Equipment 1,320,766

From General Revenue Fund 3,280,821



Personal Service 1,068,677

Expense and Equipment 2,496,174

From Federal Funds 3,564,851



Personal Service 725,099

Expense and Equipment 1,483,300

From Missouri Public Health Services Fund 2,208,399

Total (Not to exceed 108.97 F.T.E.) $9,054,071



Section 10.680. There is transferred out of the State Treasury, chargeable to the Health Initiatives Fund, Four Million, Two Hundred Sixty-Eight Thousand, Three Dollars ($4,268,003) to the Health Access Incentive Fund

From Health Initiatives Fund $4,268,003



Section 10.685. To the Department of Health

For the Missouri Health Facilities Review Committee

For the purpose of funding program operations and support

Personal Service $254,835

Expense and Equipment 67,891

From General Revenue Fund (Not to exceed 8.00 F.T.E.) $322,726





Section 10.690. To the Department of Health

For the Division of Environmental Health and Communicable Disease Prevention

For the purpose of funding program operations and support

Personal Service $3,404,026

Expense and Equipment 4,158,334

From General Revenue Fund 7,562,360



Personal Service 4,016,373

Expense and Equipment 15,017,822

From Federal Funds 19,034,195



Personal Service 169,422

Expense and Equipment 70,532

From Hazardous Waste Remedial Fund 239,954



Personal Service 80,358

Expense and Equipment 235,050

From Missouri Public Health Services Fund 315,408



For the purpose of funding medications

From General Revenue Fund 2,200,000

From Federal Funds 9,213,055

Total (Not to exceed 213.35 F.T.E.) $38,564,972



Section 10.695. To the Department of Health

For the Division of Maternal, Child and Family Health

For the purpose of funding program operations and support

Personal Service $1,654,981

Expense and Equipment 843,180

From General Revenue Fund 2,498,161



Personal Service 1,786,212

Expense and Equipment 3,416,786

From Federal Funds 5,202,998



Personal Service

From Health Initiatives Fund 39,818



For service coordination and related expenses

Personal Service and/or Expense and Equipment

From General Revenue Fund 1,037,836

From Federal Funds 997,181

Total (Not to exceed 177.19 F.T.E.) $9,775,994



Section 10.697. To the Department of Health

For the Division of Maternal, Child and Family Health

For the purpose of funding sexual assault prevention education and victim services. Services shall be provided by rape crisis centers or when rape crisis centers are not available, through State sexual assault coalitions and other public and private nonprofit entities

From Federal Funds (0 F.T.E.) $789,134



Section 10.700. To the Department of Health

For the Division of Maternal, Child and Family Health

For the purpose of funding maternal and child health services, including rape medical examinations, Sudden Infant Death Syndrome (SIDS) payments, and maternal and child health services from sources other than the Maternal and Child Health Block Grant

From General Revenue Fund (0 F.T.E.) $1,916,971



Section 10.705. To the Department of Health

For the Division of Maternal, Child and Family Health

For the purpose of funding maternal and child health services under the provisions of the Maternal and Child Health Block Grant

From Federal Funds (0 F.T.E.) $6,585,000



Section 10.710. To the Department of Health

For the Division of Maternal, Child and Family Health

1. For the purpose of funding family planning services, pregnancy testing and follow-up services, provided that none of these funds appropriated herein may be expended to directly or indirectly subsidize abortion services or administrative expenses. Abortion services include performing, assisting with, or directly referring for abortions, or encouraging or counseling patients to have abortions. Family planning services are preconception services that limit or enhance fertility, including contraception methods, the management of infertility, preconception counseling, education, and general reproductive health care. Follow-up services are services that supplement initial consultations for family planning services and pregnancy testing but do not include pregnancy or childbirth care. Nondirective counseling is defined as providing patients with a list of health care and social service providers that provide pregnancy, prenatal, delivery, infant care, foster care, adoption, alternative to abortion and abortion services and nondirective, non-marketing information in regard to such providers. Such list may categorize the providers by the service or services they provide. An organization that receives these funds may not directly refer patients who seek abortion services to any organization that provides abortion services, including its own independent affiliate. Nondirective counseling relating to pregnancy may be provided. None of these funds may be paid or granted to an organization or an affiliate of an organization that provides abortion services. An organization that receives these funds may not display or distribute marketing materials about abortion services to patients. An otherwise qualified organization shall not be disqualified from receipt of these funds because of its affiliation with an organization that provides abortion services, provided that the affiliated organization that provides abortion services is independent as determined by the conditions set forth in this section. To ensure that the state does not lend its imprimatur to abortion services, and to ensure that an organization that provides abortion services does not receive a direct or indirect economic or marketing benefit from these funds, an organization that receives these funds and its independent affiliate that provides abortion services may not share any of the following:

(a) The same or similar name;

(b) Medical or non-medical facilities, including but not limited to

business offices, treatment, consultation, examination,

and waiting rooms;

(c) Expenses;

(d) Employee wages or salaries; or

(e) Equipment or supplies, including but not limited to computers,

telephone systems, telecommunications equipment and office

supplies.

An independent affiliate that provides abortion services must be separately incorporated from any organization that receives these funds. An organization that receives these funds must maintain financial records that demonstrate strict compliance with this section and that demonstrate that its independent affiliate that provides abortion services receives no direct or indirect economic or marketing benefit from these funds. An independent audit shall be conducted at least once every three years to ensure compliance with this section. If the organization is an affiliate of an organization which provides abortion services, the independent audit shall be conducted at least annually. The audit shall be conducted by either an independent auditing firm retained by the department of health or by an independent auditing firm approved by the department and retained by an organization receiving these funds. Nothing in this subsection requires an organization receiving federal funds pursuant to Title X of the Public Health Service Act to refrain from performing any service that must or shall be provided pursuant to Title X or the Title X Program Guidelines for Project Grants for Family Planning Services as published by the U.S. Department of Health and Human Services as such laws and guidelines are currently in effect.

2. If any provision of subsection 1 of this section is held invalid, the provision shall be severed from subsection 1 of this section and the remainder of subsection 1 of this section shall be enforced. If the entirety of subsection 1 of this section is held invalid, then this appropriation shall be in accordance with subsection 3 of this section; otherwise subsections 3 and 5 of this section shall have no effect.

3. For the purpose of funding family planning services, pregnancy testing, and follow-up services that are provided directly by the department of health or provided directly by government agencies of this state or provided directly by any political subdivision of this state or provided directly by community mental health centers organized pursuant to sections 205.975 to 205.990, RSMo, or provided directly by community action agencies organized pursuant to sections 660.370 to 660.374, RSMo, through contractual agreement with the department, provided that none of the funds appropriated herein may be expended to directly or indirectly subsidize abortion services or administrative expenses. Abortion services include performing, assisting with, or directly referring for abortions, or encouraging or counseling patients to have abortions. Family planning services are preconception services that limit or enhance fertility, including contraception methods, the management of infertility, preconception counseling, education, and general reproductive health care. Follow-up services are services that supplement initial consultations for family planning services and pregnancy testing but do not include pregnancy or childbirth care. Nondirective counseling is defined as providing patients with a list of health care and social service providers that provide pregnancy, prenatal, delivery, infant care, foster care, adoption, alternative to abortion and abortion services and nondirective, non-marketing information in regard to such providers. Such list may categorize the providers by the service or services they provide. An entity that receives funds pursuant to this subsection may not directly refer patients who seek abortion services to any organization that provides abortion services. Nondirective counseling relating to pregnancy may be provided. None of the funds provided pursuant to this subsection may be paid or granted to an entity that provides abortion services. Any entity receiving funds pursuant to this subsection may not display or distribute marketing materials about abortion services to patients. An independent audit shall be conducted at least once every three years to ensure compliance with this section. The audit shall be conducted by either an independent auditing firm retained by the department of health or by an independent auditing firm approved by the department and retained by the entity receiving these funds. Nothing in this subsection requires an entity receiving federal funds pursuant to Title X of the Public Health Service Act to refrain from performing any service that must or shall be provided pursuant to Title X or the Title X Program Guidelines for Project Grants for Family Planning Services as published by the U.S. Department of Health and Human Services as such laws and guidelines are currently in effect.

4. If the entirety of subsection 1 of this section is held invalid and any provision of subsection 3 of this section is held invalid, then this appropriation shall be in accordance with subsection 5; otherwise subsection 5 shall have no effect.

5. For the purpose of funding family planning services, pregnancy testing, and follow-up services that are provided directly by the department of health or provided by government agencies of this state or provided directly by any political subdivision of this state through contractual agreement with the department, provided that none of these funds appropriated herein may be expended to directly or indirectly subsidize abortion services or administrative expenses. Abortion services include performing, assisting with, or directly referring for abortions, or encouraging or counseling patients to have abortions. Family planning services are preconception services that limit or enhance fertility, including contraception methods, the management of infertility, preconception counseling, education, and general reproductive health care. Follow-up services are services that supplement initial consultations for family planning services and pregnancy testing but do not include pregnancy or childbirth care. Nondirective counseling is defined as providing patients with a list of health care and social service providers that provide pregnancy, prenatal, delivery, infant care, foster care, adoption, alternative to abortion and abortion services and nondirective, non-marketing information in regard to such providers. Such list may categorize the providers by the service or services they provide. The department and any other government entity receiving funds pursuant to this subsection may not directly refer patients who seek abortion services to any organization that provides abortion services. Nondirective counseling relating to pregnancy may be provided. None of the funds provided pursuant to this subsection may be paid or granted to a government entity that provides abortion services. The department and any other government entity receiving funds pursuant to this subsection may not display or distribute marketing materials about abortion services to patients. An independent audit shall be conducted at least once every three years to ensure compliance with this section. The audit shall be conducted by either an independent auditing firm retained by the department of health or by an independent auditing firm approved by the department and retained by the government entity receiving these funds. Nothing in this subsection requires the department and any other government entity receiving federal funds pursuant to Title X of the Public Health Service Act to refrain from performing any service that must or shall be provided pursuant to Title X or the Title X Program Guidelines for Project Grants for Family Planning Services as published by the U.S. Department of Health and Human Services as such laws and guidelines are currently in effect.

From General Revenue Fund $5,118,639

From Federal Funds 1,464,819

Total (0 F.T.E.) $6,583,458



Section 10.715. To the Department of Health

For the Division of Maternal, Child and Family Health

1. For the purpose of funding alternatives to abortion services as follows: prenatal care, medical care, parenting skills, drug and alcohol testing and treatment, child care, newborn or infant care, housing, alternative schooling, adoption assistance, job training and placement, efforts to promote responsible paternity, ultrasound services, case management for pregnancy maintenance, domestic abuse protection and transportation, such services to be for women only during their pregnancy and continuing for one year thereafter, excluding any service of the type described in Section 10.710, provided that none of these funds may be expended for the purpose of performing, assisting or encouraging abortion and further provided that none of these funds may be expended to directly or indirectly subsidize abortion services, as verified by independent audit, and none of these funds may be granted to organizations or affilitiates of organizations which provide or promote abortions.

2. If any provision of subsection 1 of this section is held invalid, then this appropriation shall be in accordance with subsection 3; otherwise subsection 3 shall have no effect.

3. For the purpose of funding alternatives to abortion services provided directly by the department of health or provided directly by government agencies through contractual agreement with the department, as follows: prenatal care, medical care, parenting skills, drug and alcohol testing and treatment, child care, newborn or infant care, housing, alternative schooling, adoption assistance, job training and placement, efforts to promote responsible paternity, ultrasound services, case management for pregnancy maintenance, domestic abuse protection and transportation, such services to be for women only during their pregnancy and continuing for one year thereafter, excluding any service of the types described in Section 10.710, provided that none of these funds may be expended for the purpose of encouraging abortion.

From General Revenue Fund (0 F.T.E.) $1,000,000



Section 10.720. To the Department of Health

For the Division of Maternal, Child and Family Health

For the purpose of funding school-aged children's health services and related expenses

From Health Initiatives Fund (0 F.T.E.) $5,366,564



Section 10.725. To the Department of Health

For the Division of Maternal, Child and Family Health

For the purpose of funding children with special health care needs and related expenses

From General Revenue Fund $1,548,499

From Federal Funds 4,306,191

From Crippled Children's Service Fund 275,000

From Smith Memorial Endowment Fund 35,000

From Department of Health Interagency Payments Fund 3,720,527

Total (0 F.T.E.) $9,885,217



Section 10.730. To the Department of Health

For the Division of Maternal, Child and Family Health

For the purpose of funding head injury community rehabilitation and support services

From General Revenue Fund $1,724,298

From Federal Funds 250,000

Total (0 F.T.E.) $1,974,298



Section 10.735. To the Department of Health

For the Division of Maternal, Child and Family Health

For the purpose of funding genetic services

From General Revenue Fund $2,055,110

From Federal Funds 260,000

Total (0 F.T.E.) $2,315,110



Section 10.737. To the Department of Health

For the Division of Maternal, Child and Family Health

For the purpose of funding blindness education, screening, and treatment services

From Blindness Education, Screening, and Treatment Fund (0 F.T.E.) $126,667



Section 10.740. To the Department of Health

For the Division of Nutritional Health and Services

For the purpose of funding program operations and support

Personal Service $286,672

Expense and Equipment 301,951

From General Revenue Fund 588,623



Personal Service 2,735,828

Expense and Equipment 3,002,487

From Federal Funds 5,738,315

Total (Not to exceed 87.00 F.T.E.) $6,326,938

Section 10.745. To the Department of Health

For the Division of Nutritional Health and Services

For the purpose of funding Women, Infants and Children (WIC) Supplemental Nutrition program distributions and related expenses

From General Revenue Fund $55,800

From Federal Funds 90,000,000

Total (0 F.T.E.) $90,055,800



Section 10.750. To the Department of Health

For the Division of Nutritional Health and Services

For the purpose of funding the Child and Adult Care Food Program

From Federal Funds (0 F.T.E.) $52,044,130E



Section 10.755. To the Department of Health

For the Division of Nutritional Health and Services

For the purpose of funding the Summer Food Service Program

From Federal Funds (0 F.T.E.) $8,747,200



Section 10.760. To the Department of Health

For the Division of Health Standards and Licensure

For the purpose of funding program operations and support

Personal Service $2,843,343

Expense and Equipment 459,012

From General Revenue Fund 3,302,355



Personal Service 1,752,392

Expense and Equipment 429,993

From Federal Funds 2,182,385



Personal Service 62,258

Expense and Equipment 13,650

From Health Access Incentive Fund 75,908



Personal Service 51,907

Expense and Equipment 18,200

From Mammography Fund 70,107



Personal Service 179,046

Expense and Equipment 81,840

From Early Childhood Development, Education and Care Fund 260,886



For the purpose of funding a diet pill education program

From Department of Health Donated Fund 130,000



For the purpose of health and safety inspections and related services

Personal Service and/or Expense and Equipment

From General Revenue Fund 3,370,870

From Federal Funds 2,555,958

From Missouri Public Health Services Fund 107,373

Total (Not to exceed 262.01 F.T.E.) $12,055,842



Section 10.765. To the Department of Health

For the Division of Health Standards and Licensing

For the purpose of funding activities to improve the quality of child care, increase the availability of early childhood development programs, before- and after-school care, and in-home services for families with newborn children, and for general administration of the program in accordance with Section 313.835, RSMo

From Federal Funds $4,964,775

From Early Childhood Development, Education and Care Fund 728,740

Total (0 F.T.E.) $5,693,515



Section 10.770. To the Department of Health

For the Division of Chronic Disease Prevention and Health Promotion

For the purpose of funding program operations and support

Personal Service $758,675

Expense and Equipment 1,236,001

From General Revenue Fund 1,994,676



Personal Service 2,376,137

Expense and Equipment 7,510,913

From Federal Funds 9,887,050



Personal Service 70,670

Expense and Equipment 300,999

From Organ Donation Fund 371,669

Total (Not to exceed 97.34 F.T.E.) $12,253,395



Section 10.775. To the Department of Health

For the Division of Chronic Disease Prevention and Health Promotion

For the purpose of funding the Missouri Arthritis Program

From General Revenue Fund (0 F.T.E.) $156,849



Bill Totals

General Revenue Fund $628,552,387

Federal Funds 360,296,349

Other Funds 42,867,032

Total $1,031,715,768




Missouri House of Representatives