FIRST REGULAR SESSION
[TRULY AGREED TO AND FINALLY PASSED]
CONFERENCE COMMITTEE SUBSTITUTE FOR
SENATE COMMITTEE SUBSTITUTE FOR
HOUSE COMMITTEE SUBSTITUTE FOR
HOUSE BILL NO. 11
91ST GENERAL ASSEMBLY
0011L.04T 2001
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 206 206
Expense and Equipment 111,004
For expenses of the specific duties of the Prince Hall Advisory Board 5,000
From General Revenue Fund 870,264
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
Expense and Equipment
From Intergovernmental Transfer Fund 19,000
Total (Not to exceed 15.80 F.T.E.) $961,406
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 General Revenue Fund $50,000
From Tort Victims' Compensation Fund 750,000
From Intergovernmental Transfer Fund 750,000
Total (0 F.T.E.) $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 (0 F.T.E.) $12,430,000
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 (0 F.T.E.) $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 29,491
From General Revenue Fund 338,902
Personal Service 26,179
Expense and Equipment 2,645
From Federal Funds 28,824
Expense and Equipment
From Intergovernmental Transfer Fund 1,058
Total (Not to exceed 10.07 F.T.E.) $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 178,895
From General Revenue Fund 2,296,235
Personal Service 427,380
Expense and Equipment 123,525
From Federal Funds 550,905
Expense and Equipment
From Intergovernmental Transfer Fund 5,412
Total (Not to exceed 80.05 F.T.E.) $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 (0 F.T.E.) $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 (0 F.T.E.) $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 4,622,423
From General Revenue Fund 8,686,289
Personal Service 4,768,496
Expense and Equipment 20,832,452
From Federal Funds 25,600,948
Personal Service 36,353
Expense and Equipment 403,289
From Administrative Trust Fund 439,642
Personal Service 239,938
Expense and Equipment 1,393,020
From Child Support Collections Fund 1,632,958
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
Expense and Equipment
From Intergovernmental Transfer Fund 1,600,438
Total (Not to exceed 206.50 F.T.E.) $38,139,037
Section 11.050. To the Department of Social Services
For Administrative Services
For the purpose of funding the Division of General Services
Personal Service $2,059,028
Expense and Equipment 788,599
From General Revenue Fund 2,847,627
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
Expense and Equipment
From Intergovernmental Transfer Fund 43,500
For the purpose of funding the centralized inventory system
Expense and Equipment
From Administrative Trust Fund 9,700,000E
Total (Not to exceed 94.69 F.T.E.) $13,346,256
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 411,763
From General Revenue Fund 3,247,492
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
Expense and Equipment
From Intergovernmental Transfer Fund 66,641
Total (Not to exceed 183.20 F.T.E.) $7,271,085
Section 11.060. To the Department of Social Services
For the purpose of funding the Division of Child Support Enforcement, throughout this bill, funds designated as Child Support Enforcement Collections Funds shall include, in addition to collections, any and all fees collected pursuant to the operation of this division
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 (Not to exceed 1,231.78 F.T.E.) $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 (0 F.T.E.) $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 (Not to exceed 47.63 F.T.E.) $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 (0 F.T.E.) $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 (0 F.T.E.) $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 (0 F.T.E.) $7,500,000
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 (0 F.T.E.) $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 3,719,048
From General Revenue Fund 6,676,859
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
Expense and Equipment
From Intergovernmental Transfer Fund 47,098
Total (Not to exceed 278.82 F.T.E.) $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 Intergovernmental Transfer Fund $4,000,000
From Federal Funds 1,354,752
Total (0 F.T.E.) $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 (0 F.T.E.) $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 (0 F.T.E.) $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 $2,951,822
From Federal Funds 3,789,073
From Intergovernmental Transfer Fund 14,316
Total (0 F.T.E.) $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 6,903,013
From General Revenue Fund 20,937,341
Personal Service 30,727,564
Expense and Equipment 8,197,639
From Federal Funds 38,925,203
Personal Service 268,813
Expense and Equipment 57,991
From Health Initiatives Fund 326,804
Expense and Equipment
From Intergovernmental Transfer Fund 105,131
Total (Not to exceed 1,583.67 F.T.E.) $60,294,479
Section 11.130. To the Department of Social Services
For the Division of Family Services
For the purpose of funding salaries of line staff; provided that the division may use up to $350,000 for the purpose of contracting with community-based not-for-profit agencies which are certified by a recognized national body and which demonstrate a record of providing successful job placement, training and retention services to implement a retention program to address turnover in offices in the Metropolitan St. Louis Region
Personal Service
From General Revenue Fund $37,651,002
From Federal Funds 76,127,386
From Health Initiatives Fund 475,040
Total (Not to exceed 3,903.82 F.T.E.) $114,253,428
Section 11.135. To the Department of Social Services
For the purpose of funding Direct Client Support, and for other welfare client
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 Intergovernmental Transfer Fund 4,145,979
From Federal Funds 4,633,799E
For the purpose of funding TANF and at-risk of becoming TANF clients, including their families in the Bootheel area, and for other welfare related activities. These services shall include, but not be limited to after-school care, summer care, job training, and family empowerment services.
From General Revenue Fund 2,000,000
From Federal Funds 800,000
For the purpose of funding services provided at the Grace Hill
Neighborhood Services to include, but not be limited to,
after school care, job training, and family empowerment
services
From General Revenue Fund 400,000
For the purpose of funding services at the Lindbergh Family Resource
Center, St. Joseph, Missouri, to include, but not be limited to,
after school care, youth and family empowerment services
From General Revenue Fund 400,000
Total (0 F.T.E.) $26,507,863
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 $81,939
From Federal Funds 7,100,000
Expense and Equipment
From Intergovernmental Transfer Fund 61
Total (0 F.T.E.) $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 $59,410,208
From Federal Funds 104,223,960
From Early Childhood Development, Education and Care Fund 1,609,591
Expense and Equipment
From Intergovernmental Transfer Fund 2,154
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 (Not to exceed 1.00 F.T.E.) $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 12,684,205
For the purpose of funding Food Stamp wage supplementation
From Federal Funds 1,500,000
Total (0 F.T.E.) $159,184,205
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 (0 F.T.E.) $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 (0 F.T.E.) $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 (0 F.T.E.) $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 (0 F.T.E.) $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 (0 F.T.E.) $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 (0 F.T.E.) $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 (0 F.T.E.) $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 (0 F.T.E.) $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 (0 F.T.E.) $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 (0 F.T.E.) $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 31,794,695E
Total (0 F.T.E.) $32,794,695
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 171,928
From General Revenue Fund 698,135
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
Personal Service 275,000
Expense and Equipment 47,610
From Intergovernmental Transfer Fund 322,610
Total (Not to exceed 138.15 F.T.E.) $5,575,477
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 $1,239,935
From Federal Funds 5,085,000
From Blind Pension Fund 310,000
From Donated Funds 100,000
From Intergovernmental Transfer Fund 65
Total (0 F.T.E.) $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 $8,329,815
From Federal Funds 5,486,047
From Intergovernmental Transfer Fund 185
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 31,894,792
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 1,777,894
From Federal Funds 3,393,228
From Intergovernmental Transfer Fund 2,106
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 12,476,578
From Federal Funds 6,675,436
From Intergovernmental Transfer Fund 165
Total (0 F.T.E.) $129,471,214
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 (0 F.T.E.) $2,500,000
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 $29,017,862
From Federal Funds 40,709,284
Total (0 F.T.E.) $69,727,146
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 (0 F.T.E.) $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 $399,637
For the purpose of funding Caring Communities Program payments 765,901
From General Revenue Fund 1,165,538
For the purpose of funding Caring Communities Program payments
From Federal Funds 6,677,905
Total (0 F.T.E.) $7,843,443
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 (0 F.T.E.) $700,000
Section 11.250. To the Department of Social Services
For the Division of Family Services
For the purpose of funding services/programs to assist victims of domestic violence
From General Revenue Fund $3,800,000
From Federal Funds 1,347,534
For the purpose of funding twenty domestic violence intervention/
rehabilitation pilot projects pursuant to Section 455.305 RSMo
From General Revenue Fund 1,000,000
Total (0 F.T.E.) $6,147,534
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 (0 F.T.E.) $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 (0 F.T.E.) $9,000,000E
Section 11.300. To the Department of Social Services
For the Division of Youth Services
For the purpose of funding Central Office and Regional Offices
Personal Service $2,126,858
Expense and Equipment 328,533
From General Revenue Fund 2,455,391
Personal Service 534,179
Expense and Equipment 117,846
From Federal Funds 652,025
Expense and Equipment
From Intergovernmental Transfer Fund 22,407
Total (Not to exceed 69.62 F.T.E.) $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 $31,081,059
Expense and Equipment 3,971,207
From General Revenue Fund 35,052,266
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 1,379,282
From DSS Educational Improvement Fund 3,724,821
Personal Service 105,022
Expense and Equipment 10,135
From Health Initiatives Fund 115,157
Expense and Equipment
From Intergovernmental Transfer Fund 88,495
Total (Not to exceed 1,410.00 F.T.E.) $52,544,566
Section 11.310. To the Department of Social Services
For the Division of Youth Services
For the purpose of funding incentive payments to counties for community-based treatment programs for youth
From General Revenue Fund $6,440,000
From Gaming Commission Fund 500,000
Total (0 F.T.E.) $6,940,000
Section 11.400. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding administrative services, including $60,000 for a pager program in the metropolitan Kansas City area. Additionally, the Division may use up to $2,600,000 within this section for payments to providers for participating in cost containment programs and services.
Personal Service $4,202,245
Expense and Equipment 5,322,677
From General Revenue Fund 9,524,922
Personal Service 5,189,659
Expense and Equipment 11,632,805
From Federal Funds 16,822,464
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
Expense and Equipment
From Intergovernmental Transfer Fund 1,321,237
For the purpose of funding women and minority health care outreach programs
From General Revenue Fund 650,000
From Federal Funds 650,000
Total (Not to exceed 305.50 F.T.E.) $31,027,670
Section 11.401. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding a revenue maximization unit in the
Division of Medical Services
Personal Service $81,000
Expense and Equipment 29,744
From Federal Reimbursement Allowance Funds 110,744
Personal Service 81,000
Expense and Equipment 29,744
From Federal Funds 110,744
Total (Not to exceed 4.00 F.T.E.) $221,488
Section 11.405. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding fees associated with third-party collections
From Federal Funds $250,000E
From Third-Party Liability Collections Fund 250,000E
Total (0 F.T.E.) $500,000E
Section 11.410. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding the operation of the information system
From General Revenue Fund $5,979,900
From Federal Funds 27,564,738
From Intergovernmental Transfer Fund 663,315
Total (0 F.T.E.) $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 (0 F.T.E.) $3,940,527
Section 11.420. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding pharmaceutical payments under the Medicaid fee-for-service and managed care programs and for the purpose of funding professional fees for pharmacists
From General Revenue Fund $241,485,482
From Federal Funds 455,108,835
From Pharmacy Rebates Fund 46,518,758E
From Health Initiatives Fund 969,293
For pharmacy rate adjustments for managed care plans in the western
region. Such adjustments shall occur only until new rates are
established by re-bid in 2002
From General Revenue Fund 250,000
From Federal Funds 375,000
Total (0 F.T.E.) $744,707,368
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 (0 F.T.E.) $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 $87,019,593
From Federal Funds 147,217,880
From Health Initiatives Fund 1,247,544
Total (0 F.T.E.) $235,485,017
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 $8,012,017
From Federal Funds 12,695,615
From Health Initiatives Fund 71,162
For the purpose of funding dental services to Missouri rural counties
through the University of Missouri Dental School
From Intergovernmental Transfer Funds 200,000
Total (0 F.T.E.) $20,978,794
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 (0 F.T.E.) $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 to the extent necessary to meet their unmet needs as determined by 13 CSR 15 9.030(5) and further be allowed to choose the personal care program option in the community that best meets the individuals' unmet needs. This includes the Consumer Directed Medicaid State Plan Amendment that is administered by the Division of Vocational Rehabilitation in the Department of Elementary and Secondary Education. And further provided that individuals eligible for the Medicaid Personal Care Option must be allowed to choose, from among all the program options, that option which best meets their unmet need as determined by 13 CSR 15 9.030(5); and also be allowed to have their Medicaid funds follow them to the extent necessary to meet their unmet needs to whichever option they choose. This language does not create any entitlements not established by statute.
From General Revenue Fund $92,561,381
From Federal Funds 159,678,247
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 135,493,028
From Federal Funds 269,376,788
From Uncompensated Care Fund 35,600,000
Total (0 F.T.E.) $706,215,013
Section 11.442. To the Department of Social Services
For the Division of Medical Services
For funding long-term care services
For the purpose of funding telephone assurance programs for the elderly and handicapped
From Intergovernmental Transfer Fund $200,000
From Federal Funds 300,000
Total (0 F.T.E.) $500,000
Section 11.445. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding one-time payments to nursing homes to increase quality and efficiency, to provide one-time funding of $2,800,000 for high Medicaid volume facilities, and to provide one-time funding of up to $1,900,000 for facilities reimbursed less than $85 per bed day.
Additionally, up to $200,000 provided within this section may be used for a comprehensive evaluation of turnover and care within the nursing home industry.
From Federal Fund $81,196,500
From Intergovernmental Transfer Funds 51,803,500
Total (0 F.T.E.) $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 $33,015,863
From Federal Funds 53,952,056
From Health Initiatives Fund 194,881
Total (0 F.T.E.) $87,162,800
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 $97,611,348
From Federal Funds 296,747,226
From Health Initiatives Fund 7,593,735
From Federal Reimbursement Allowance Fund 70,763,939
From Intergovernmental Transfer Fund 15,372,715
Total (0 F.T.E.) $488,088,963
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 $24,658,958
From Federal Funds 276,611,559
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 (0 F.T.E.) $451,498,670
Section 11.462. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding a Core Primary Care Network. Services may include programs and activities to increase access to primary care, oral health services, chronic and infectious disease prevention, and other vital health and support services, with an emphasis on dental services
From General Revenue Fund (0 F.T.E.) $2,500,000
Section 11.465. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding payments to hospitals under the Federal Reimbursement Allowance Program and for the expenses of the Poison Control Center in order to provide services to all hospitals within the state
From Federal Funds $213,000,000E
From Federal Reimbursement Allowance Fund 1E
Total (0 F.T.E.) $213,000,001E
Section 11.470. To the Department of Social Services
For the Division of Medical Services
For funding programs to enhance access to health care for uninsured adults or adults authorized by the 91st General Assembly, for purposes of funding the safety net program 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 (0 F.T.E.) $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 $13,779,806
From Federal Funds 76,595,626
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 1,000,000
From Intergovernmental Transfer Fund 1,344,744
Total (0 F.T.E.) $106,175,755
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, and further provided that the Division may use up to $10,000,000 (dependent upon the receipt of additional federal funding) for the purpose of funding uncompensated care provided by University Hospital, Children's Hospital, Ellis Fischel Cancer Center, and Missouri Rehabilitation Center that are owned and operated by the Board of Curators as defined in Chapter 172, RSMo
From Federal Funds and Other Funds (0 F.T.E.) $100,000,000E
Section 11.480. There is transferred out of the State Treasury, chargeable to the General Revenue Fund, One Hundred Forty Million Dollars ($140,000,000) to the Federal Reimbursement Allowance Fund
From General Revenue Fund $140,000,000E
Section 11.485. There is transferred out of the State Treasury, chargeable to the Federal Reimbursement Allowance Fund, One Hundred Forty Million Dollars ($140,000,000) to the General Revenue Fund as a result of reconciling the Federal Reimbursement Allowance Fund
From Federal Reimbursement Allowance Fund $140,000,000E
Section 11.490. There is transferred out of the State Treasury, chargeable to the General Revenue Fund, Eighty-Six Million Dollars ($86,000,000) to the Nursing Facility Federal Reimbursement Allowance Fund
From General Revenue Fund $86,000,000E
Section 11.495. There is transferred out of the State Treasury, chargeable to the Nursing Facility Federal Reimbursement Allowance Fund, Eighty-Six Million Dollars ($86,000,000) to the General Revenue Fund as a result of reconciling the Nursing Facility Federal Reimbursement Allowance Fund
From Nursing Facility Federal Reimbursement Allowance Fund $86,000,000E
Section 11.500. There is transferred out of the State Treasury, chargeable to the Nursing Facility Federal Reimbursement Allowance Fund, One Million, Five Hundred Thousand Dollars ($1,500,000) to the Nursing Facility Quality of Care Fund
From Nursing Facility Federal Reimbursement Allowance Fund $1,500,000
Section 11.505. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding Nursing Facility Federal Reimbursement Allowance payments as provided by law
From Federal Funds $151,607,000E
From Nursing Facility Federal Reimbursement Allowance Fund 13,880,342E
Total (0 F.T.E.) $165,487,342E
Section 11.510. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding Medicaid services for the Department of Mental Health under the Medicaid fee-for-service and managed care programs
From General Revenue Fund $7,057
From Federal Funds 185,194,756E
Total (0 F.T.E.) $185,201,813
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 $29,558,715
From Health Initiatives Fund 353,437
Total (0 F.T.E.) $29,912,152
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 Federal Funds $209,880,516
From Uncompensated Care Fund 6,100,000
From Pharmacy Rebates Fund 2,330,000
From Third-Party Liability Collections Fund 24,130,000
From Federal Reimbursement Allowance Fund 2,033,333
From Intergovernmental Transfer Fund 193,957,966
Total (0 F.T.E.) $438,431,815
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 105,831
From General Revenue Fund 705,967
Personal Service 696,258
Expense and Equipment 126,405
From Federal Funds 822,663
Expense and Equipment
From Intergovernmental Transfer Fund 9,734
Total (Not to exceed 37.97 F.T.E.) $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 943,536
From General Revenue Fund 7,575,291
Personal Service 7,974,787
Expense and Equipment 931,145
From Federal Funds 8,905,932
Expense and Equipment
From Intergovernmental Transfer Fund 8,703
Total (Not to exceed 478.86 F.T.E.) $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 549,629
From General Revenue Fund 4,665,402
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
Expense and Equipment
From Intergovernmental Transfer Fund 207,995
Total (Not to exceed 307.54 F.T.E.) $16,639,950
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 $17,911,729
From Federal Funds 2,787,597
From Division of Aging Donations 50,000
Total (0 F.T.E.) $20,749,326
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 (0 F.T.E.) $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 (0 F.T.E.) $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 (0 F.T.E.) $259,650
Section. 11.635. To the Department of Social Services
For the Division of Aging
For the purpose of funding Meal Preparation Equipment Grants
From Intergovernmental Transfer Fund (0 F.T.E.) $125,000
Section 11.640. To the Department of Social Services
For the Division of Aging
For the purpose of funding Adult Day Care Health Care Startup Grants
From General Revenue Fund (0 F.T.E.) $125,000
Bill Totals
General Revenue $1,274,879,681
Federal Funds 3,793,332,121
Other Funds 571,530,570
Total $5,639,742,372
Missouri House of
Representatives