SECOND REGULAR SESSION

[TRULY AGREED TO AND FINALLY PASSED]

CONFERENCE COMMITTEE SUBSTITUTE FOR

SENATE COMMITTEE SUBSTITUTE FOR

HOUSE COMMITTEE SUBSTITUTE FOR

HOUSE BILL NO. 1110

91ST GENERAL ASSEMBLY

3010L.04T 2002


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 Senior Services, and the several divisions and programs thereof, the Missouri Health Facilities Review Committee and the Commission for the Senior Rx Program to be expended only as provided in Article IV, Section 28 of the Constitution of Missouri, for the period beginning July 1, 2002 and ending June 30, 2003.




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, 2002 and ending June 30, 2003, as follows:



Section 10.005. To the Department of Mental Health

For the Office of the Director

Personal Service $1,027,513

Expense and Equipment 156,601

From General Revenue Fund 1,184,114



Personal Service 39,620

Expense and Equipment 40,772

From Federal Funds 80,392

Total (Not to exceed 20.26 F.T.E.) $1,264,506



Section 10.007. To the Department of Mental Health

For the Office of the Director

For funding program operations and support

Personal Service $5,115,676

Expense and Equipment 1,782,790

From General Revenue Fund 6,898,466



Personal Service 367,137

Expense and Equipment 694,416

From Federal Funds 1,061,553

Total (Not to exceed 143.50 F.T.E.) $7,960,019



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 $3,185,287

Expense and Equipment 3,257,554

From General Revenue Fund 6,442,841



Personal Service 40,640

Expense and Equipment 1,756,691

From Federal Funds 1,797,331



Expense and Equipment

From Mental Health Interagency Payments Fund 2,800,000

Total (Not to exceed 79.34 F.T.E.) $11,040,172



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 $120,000



Section 10.017. There is transferred out of the State Treasury, chargeable to the Escheats Fund, Fifty Thousand Dollars 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 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 $100,000

Expense and Equipment 1,800,000

From Federal Funds (Not to exceed 2.00 F.T.E.) $1,900,000



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 4.00 F.T.E.) $81,119



Section 10.050. To the Department of Mental Health

For Medicaid payments related to intergovernmental payments

From Mental Health Intergovernmental Transfer Fund $12,000,000

From Federal Funds 18,000,000

Total (0 F.T.E.) $30,000,000



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 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 $1,303,655

Expense and Equipment 55,672

From General Revenue Fund 1,359,327



Personal Service 835,112

Expense and Equipment 821,957

From Federal Funds 1,657,069



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.

Expense and Equipment 499,843

From Federal Funds 899,843

Total (Not to exceed 62.62 F.T.E.) $4,312,709



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 $435,540

Personal Service 7,364

From General Revenue Fund 442,904



For prevention and education services 7,218,264

Personal Service 228,162

Expense and Equipment 725,631

From Federal Funds 8,172,057



For prevention and education services

From Healthy Families Trust Fund-Tobacco Prevention Account 300,000



For tobacco retailer education

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 153,622

From Federal Funds 389,732



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

Personal Service 178,588

Expense and Equipment 3,084,029

From Federal Funds 3,262,617



For Community 2000 Team programs

From General Revenue Fund 210,034

From Federal Funds 2,317,651



For school-based alcohol and drug abuse prevention programs

From Federal Funds 383,237

Total (Not to exceed 17.20 F.T.E.) $15,597,232



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 . $20,769,786

Personal Service 1,553,926

Expense and Equipment 2,769,333

From General Revenue Fund 25,093,045



For system enhancement of youth services

Personal Service 16,267

Expense and Equipment 731,802

From Federal Funds 748,069



For treatment of alcohol and drug abuse 29,144,357

Personal Service 659,332

Expense and Equipment 575,082

From Federal Funds 30,378,771



For treatment of alcohol and drug abuse

From Healthy Families Trust Fund-Health Care Account 2,077,681

From Health Initiatives Fund 4,558,388

Total (Not to exceed 69.13 F.T.E.) $62,855,954



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 $1,178,299

Expense and Equipment 194,885

From General Revenue Fund 1,373,184



Personal Service 415,320

Expense and Equipment 145,401

From Federal Funds 560,721



For the minority health and aging program

Expense and Equipment

From General Revenue Fund 10,500

From Federal Funds 7,000



For suicide prevention initiatives

Expense and Equipment

From Federal Funds 150,000

Total (Not to exceed 39.33 F.T.E.) $2,101,405



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 $67,472,271

Personal Service 1,564,442

Expense and Equipment 3,743,962

From General Revenue Fund 72,780,675



For adult community programs 16,665,238

Personal Service 190,069

Expense and Equipment 2,151,597

From Federal Funds 19,006,904



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 Healthy Families Trust Fund-Health Care Account 750,000

From Health Initiatives Fund 20,624

Total (Not to exceed 51.46 F.T.E.) $92,808,203



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 $70,866

From Federal Funds 212,599

Total (0 F.T.E.) $283,465



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 $851,392



For programs for the homeless mentally ill 3,842,992

Expense and Equipment 118,400

From Federal Funds 3,961,392

Total (0 F.T.E.) $4,812,784



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 $19,652,070

Personal Service 626,095

Expense and Equipment 1,975,358

From General Revenue Fund 22,253,523



For youth community programs 1,196,148

Personal Service 164,405

Expense and Equipment 1,113,607

From Federal Funds 2,474,160



For youth community programs

From Health Initiatives Fund 98,888

Total (Not to exceed 21.65 F.T.E.) $24,826,571



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 $599,800

Expense and Equipment 100,200

From Mental Health Interagency Payments Fund (Not to exceed 18.00 F.T.E.) $700,000



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.) $5,019,420



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 $9,080,488

From Federal Funds 916,243

Total (0 F.T.E.) $9,996,731



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 $35,542,040

Personal Service and/or Expense and Equipment 1,870,634

Expense and Equipment 5,785,650

From General Revenue Fund 43,198,324



For the provision of support services to other agencies

Expense and Equipment

From Mental Health Interagency Payments Fund 425,000

Total (Not to exceed 1,355.31 F.T.E.) $43,623,324



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 $9,948,751

Personal Service and/or Expense and Equipment 523,618

Expense and Equipment 1,737,181

From General Revenue Fund 12,209,550



Personal Service 415,260

Personal Service and/or Expense and Equipment 21,856

From Federal Funds 437,116



For psychiatric services

Personal Service 380,798

Personal Service and/or Expense and Equipment 20,042

From Mental Health Trust Fund 400,840



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

Personal Service 1,918,612

Personal Service and/or Expense and Equipment 100,980

Expense and Equipment 306,492

From General Revenue Fund 2,326,084

Total (Not to exceed 457.31 F.T.E.) $15,373,590



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 $16,375,050

Personal Service and/or Expense and Equipment 861,845

Expense and Equipment 2,185,880

From General Revenue Fund 19,422,775



Personal Service 168,098

Personal Service and/or Expense and Equipment 8,847

From Federal Funds 176,945

Total (Not to exceed 614.88 F.T.E.) $19,599,720



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 $2,749,542

Personal Service and/or Expense and Equipment 144,713

Expense and Equipment 629,921

From General Revenue Fund (Not to exceed 109.17 F.T.E.) $3,524,176



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 $1,814,951

Personal Service and/or Expense and Equipment 95,524

Expense and Equipment 326,468

From General Revenue Fund (Not to exceed 75.75 F.T.E.) $2,236,943



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 $5,434,188

Personal Service and/or Expense and Equipment 286,010

Expense and Equipment 849,937

From General Revenue Fund 6,570,135



Personal Service 1,198,380

Personal Service and/or Expense and Equipment 63,073

Expense and Equipment 78,684

From Federal Funds 1,340,137

Total (Not to exceed 244.38 F.T.E.) $7,910,272



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 $10,281,536

Personal Service and/or Expense and Equipment 541,133

Expense and Equipment 3,307,657

From General Revenue Fund 14,130,326



Personal Service 151,914

Personal Service and/or Expense and Equipment 7,995

From Federal Funds 159,909

Total (Not to exceed 380.78 F.T.E.) $14,290,235



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 $5,874,652

Personal Service and/or Expense and Equipment 309,192

Expense and Equipment 1,192,929

From General Revenue Fund 7,376,773



Personal Service 266,775

Personal Service and/or Expense and Equipment 14,041

Expense and Equipment 760

From Federal Funds 281,576



For services for children and youth

Personal Service 1,884,187

Personal Service and/or Expense and Equipment 99,168

Expense and Equipment 368,758

From General Revenue Fund 2,352,113

Total (Not to exceed 254.50 F.T.E.) $10,010,462



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 $14,193,623

Personal Service and/or Expense and Equipment 747,033

Expense and Equipment 1,999,929

From General Revenue Fund (Not to exceed 543.05 F.T.E.) $16,940,585



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 $17,901,303

Personal Service and/or Expense and Equipment 942,174

Expense and Equipment 2,579,285

From General Revenue Fund 21,422,762



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

Personal Service 822,196

Personal Service and/or Expense and Equipment 43,274

Expense and Equipment 109,660

From General Revenue Fund 975,130



Personal Service 300,082

Personal Service and/or Expense and Equipment 15,794

Expense and Equipment 29,994

From Federal Funds 345,870

Total (Not to exceed 681.73 F.T.E.) $22,743,762



Section 10.385. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding the Missouri Sexual Offender Treatment Center

Personal Service $2,955,495

Personal Service and/or Expense and Equipment 155,552

Expense and Equipment 992,015

From General Revenue Fund (Not to exceed 112.00 F.T.E.) $4,103,062



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 $1,023,278

Expense and Equipment 131,787

From General Revenue Fund 1,155,065



Personal Service 50,922

Expense and Equipment 7,195

From Federal Funds 58,117

Total (Not to exceed 26.07 F.T.E.) $1,213,182



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 $67,597,477

From Federal Funds 9,200,000

From General Revenue Reimbursements Fund 4,544,329



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

From General Revenue Fund 20,875,564



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

From General Revenue Fund 3,669,169



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 early childhood intervention services

From General Revenue Fund 1,282,007

From Federal Funds 3,763,919

From Mental Health Interagency Payments Fund 4,547,312

Total (0 F.T.E.) $122,382,366



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 550,764

Total (0 F.T.E.) $842,069



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 $1,093,995

Expense and Equipment 1,781,083

From General Revenue Fund 2,875,078



Personal Service 9,544,667

Expense and Equipment 1,348,446

Purchase of Community Services 8,179,464

From Federal Funds 19,072,577

Total (Not to exceed 298.35 F.T.E.) $21,947,655



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 $1,199,699

Personal Service and/or Expense and Equipment 63,142

Expense and Equipment 209,604

From General Revenue Fund (Not to exceed 39.07 F.T.E.) $1,472,445



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 $1,403,411

Personal Service and/or Expense and Equipment 73,863

Expense and Equipment 109,446

From General Revenue Fund (Not to exceed 48.88 F.T.E.) $1,586,720



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 $1,581,140

Personal Service and/or Expense and Equipment 83,218

Expense and Equipment 306,892

From General Revenue Fund (Not to exceed 51.71 F.T.E.) $1,971,250



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 $1,565,466

Personal Service and/or Expense and Equipment 82,393

Expense and Equipment 347,763

From General Revenue Fund (Not to exceed 51.56 F.T.E.) $1,995,622



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 $2,150,645

Personal Service and/or Expense and Equipment 113,192

Expense and Equipment 331,393

From General Revenue Fund 2,595,230



Expense and Equipment

From Federal Funds 5,595

Total (Not to exceed 69.43 F.T.E.) $2,600,825



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 $1,127,178

Personal Service and/or Expense and Equipment 59,398

Expense and Equipment 243,867

From General Revenue Fund (Not to exceed 37.79 F.T.E.) $1,430,443



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 $1,322,828

Personal Service and/or Expense and Equipment 69,622

Expense and Equipment 235,038

From General Revenue Fund (Not to exceed 41.58 F.T.E.) $1,627,488



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 $1,480,891

Personal Service and/or Expense and Equipment 77,941

Expense and Equipment 164,045

From General Revenue Fund (Not to exceed 49.88 F.T.E.) $1,722,877



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 $1,282,691

Personal Service and/or Expense and Equipment 67,510

Expense and Equipment 227,469

From General Revenue Fund 1,577,670



Expense and Equipment

From Federal Funds 5,595

Total (Not to exceed 42.54 F.T.E.) $1,583,265



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 $1,697,157

Personal Service and/or Expense and Equipment 89,324

Expense and Equipment 365,121

From General Revenue Fund (Not to exceed 57.23 F.T.E.) $2,151,602



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 $3,626,150

Personal Service and/or Expense and Equipment 231,456

Expense and Equipment 322,521

From General Revenue Fund 4,180,127



Expense and Equipment

From Federal Funds 11,190

Total (Not to exceed 124.77 F.T.E.) $4,191,317



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.) $3,044,667



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 $20,073,944

Personal Service, Expense and Equipment and/or Purchase

of Community Services 1,056,523

Expense and Equipment 1,603,102

From General Revenue Fund 22,733,569



Personal Service 1,032,417

Personal Service, Expense and Equipment and/or Purchase

of Community Services 54,338

Expense and Equipment 526,906

From Federal Funds 1,613,661

Total (Not to exceed 960.93 F.T.E.) $24,347,230



Section 10.575. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding Higginsville Habilitation Center

Personal Service $8,229,610

Personal Service, Expense and Equipment and/or Purchase

of Community Services 433,137

Expense and Equipment 1,091,022

From General Revenue Fund 9,753,769



Personal Service 228,904

Personal Service, Expense and Equipment and/or Purchase

of Community Services 12,047

From Federal Funds 240,951



For Northwest Community Services

Personal Service 2,045,451

Personal Service, Expense and Equipment and/or Purchase

of Community Services 33,266

From General Revenue Fund 2,078,717



Personal Service 561,393

Personal Service, Expense and Equipment and/or Purchase

of Community Services 103,935

From Federal Funds 665,328

Total (Not to exceed 512.04 F.T.E.) $12,738,765



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 $19,273,514

Personal Service, Expense and Equipment and/or Purchase

of Community Services 1,014,395

Expense and Equipment 1,419,358

From General Revenue Fund 21,707,267



Personal Service 1,576,222

Personal Service, Expense and Equipment and/or Purchase

of Community Services 82,959

Expense and Equipment 310,460

From Federal Funds 1,969,641

Total (Not to exceed 969.40 F.T.E.) $23,676,908



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 $7,986,428

Personal Service, Expense and Equipment and/or Purchase

of Community Services 420,338

Expense and Equipment 1,487,492

From General Revenue Fund (Not to exceed 346.25 F.T.E.) $9,894,258



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 $14,871,405

Personal Service, Expense and Equipment and/or Purchase

of Community Services 782,705

Expense and Equipment 1,755,000

From General Revenue Fund 17,409,110



Personal Service 713,457

Personal Service, Expense and Equipment and/or Purchase

of Community Services 37,550

From Federal Funds 751,007

Total (Not to exceed 730.71 F.T.E.) $18,160,117



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 $5,001,793

Personal Service, Expense and Equipment and/or Purchase

of Community Services 263,252

Expense and Equipment 694,085

From General Revenue Fund 5,959,130



Personal Service 84,349

Personal Service, Expense and Equipment and/or Purchase

of Community Services 4,439

Expense and Equipment 20,000

From Federal Funds 108,788

Total (Not to exceed 236.24 F.T.E.) $6,067,918



Section 10.600. To the Department of Health and Senior Services

For the Office of the Director

For the purpose of funding program operations and support

Personal Service $1,977,815

Expense and Equipment 96,007

From General Revenue Fund 2,073,822



Personal Service 1,734,917

Expense and Equipment 585,110

From Federal Funds 2,320,027



For the Office of Minority Health

Personal Service 246,042

Expense and Equipment 296,344

From General Revenue Fund 542,386



Expense and Equipment and the Purchase of Services

From Federal Funds 106,904



For Minority Health and Aging

Expense and Equipment and the Purchase of Services

From General Revenue Fund 194,950

Total (Not to exceed 97.36 F.T.E.) $5,238,089



Section 10.602. To the Department of Health and Senior Services

For Homeland Security

Personal Service $2,172,547

Expense and Equipment 16,586,099

From Federal Funds (Not to exceed 48 F.T.E.) $18,758,646



Section 10.605. To the Department of Health and Senior Services

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

For the purpose of funding program operations and support

Personal Service $2,395,346

Expense and Equipment 744,573

From General Revenue Fund 3,139,919



Personal Service 3,821,111

Expense and Equipment 5,886,586

From Federal Funds 9,707,697



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



Personal Service 225,012

Expense and Equipment 365,000

From Document Services Fund 590,012



Personal Service 158,466

Expense and Equipment 481,059

From Department of Health Donated Fund 639,525

Total (Not to exceed 174.24 F.T.E.) $14,258,095



Section 10.610. To the Department of Health and Senior Services

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 and Senior Services

For the Center for Local Public Health

For the purpose of funding program operations and support

Personal Service $395,595

Expense and Equipment 39,046

From General Revenue Fund 434,641



Personal Service 89,556

Expense and Equipment 10,692

From Federal Funds 100,248



Personal Service 89,914

Expense and Equipment 162,097

From Department of Health Donated Fund 252,011

Total (Not to exceed 14.00 F.T.E.) $786,900



Section 10.620. To the Department of Health and Senior Services

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.) $9,596,367



Section 10.625. To the Department of Health and Senior Services

For the Center for Health Improvement

For the purpose of funding program operations and support

Personal Service $474,999

Expense and Equipment 191,006

From General Revenue Fund 666,005



Personal Service 726,520

Expense and Equipment 597,948

From Federal Funds 1,324,468



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

Total (Not to exceed 31.85 F.T.E.) $2,157,993



Section 10.635. To the Department of Health and Senior Services

For the Center for Health Improvement

For the Primary Care Resource Initiative Program (PRIMO)

From Health Access Incentive Fund $4,054,000

From Department of Health Donated Fund 850,000

Total (0 F.T.E.) $4,904,000



Section 10.640. To the Department of Health and Senior Services

For the Center for Health Improvement

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

From General Revenue Fund $13,531

From Federal Funds 214,446

From Medical School Loan Repayment Fund 50,000

Total (0 F.T.E.) $277,977



Section 10.645. To the Department of Health and Senior Services

For the Center for Health Improvement

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 and Senior Services

For the Division of Administration

For the purpose of funding program operations and support

Personal Service $841,248

Expense and Equipment 258,467

From General Revenue Fund 1,099,715



Personal Service 1,672,223

Expense and Equipment 2,806,927

From Federal Funds 4,479,150



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 Healthy Families Trust Fund-Health Care Account 89,652

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 300,000

Expense and Equipment 3,000,002

From Federal Funds 3,300,002



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 provided that such funds are consistent with the Department's mission

Personal Service 250,000

Expense and Equipment 750,000

From Department of Health Donated Fund 1,000,000

Total (Not to exceed 77.12 F.T.E.) $12,240,283



Section 10.660. To the Department of Health and Senior Services

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.) $1,637,788



Section 10.670. To the Department of Health and Senior Services

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 and Senior Services

For the Office of Director

For the purpose of funding the State Public Health Laboratory

Personal Service $2,146,653

Expense and Equipment 1,528,343

From General Revenue Fund 3,674,996



Personal Service 1,068,677

Expense and Equipment 2,496,174

From Federal Funds 3,564,851



Personal Service 725,099

Expense and Equipment 1,479,300

From Missouri Public Health Services Fund 2,204,399



Personal Service 115,212

Expense and Equipment 238,491

From Healthy Families Trust Fund - Health Care Account 353,703

Total (Not to exceed 118.97 F.T.E.) $9,797,949



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 to the Health Access Incentive Fund

From Health Initiatives Fund $4,268,003



Section 10.685. To the Department of Health and Senior Services

For the Missouri Health Facilities Review Committee

For the purpose of funding program operations and support

Personal Service $176,000

Expense and Equipment 33,000

From General Revenue Fund (Not to exceed 6.00 F.T.E.) $209,000



Section 10.690. To the Department of Health and Senior Services

For the Division of Environmental Health and Communicable Disease Prevention

For the purpose of funding program operations and support

Personal Service $3,441,647

Expense and Equipment 3,740,410

From General Revenue Fund 7,182,057



Personal Service 4,016,373

Expense and Equipment 14,202,229

From Federal Funds 18,218,602



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 Lead Abatement Loan Program

From Missouri Lead Abatement Loan Fund 276,000



For the Childhood Lead Screening Program

Personal Service 52,362

Expense and Equipment 782,631

From the Healthy Families Trust Fund - Health Care Account 834,993



For the purpose of funding medications

From General Revenue Fund 2,134,000

From Federal Funds 9,213,055

Total (Not to exceed 209.35 F.T.E.) $38,414,069



Section 10.695. To the Department of Health and Senior Services

For the Division of Maternal, Child and Family Health

For the purpose of funding program operations and support

Personal Service $1,691,761

Expense and Equipment 221,220

From General Revenue Fund 1,912,981



Personal Service 1,836,084

Expense and Equipment 3,427,286

From Federal Funds 5,263,370



Personal Service

From Health Initiatives Fund 39,818



For service coordination and related expenses to allow the division to contract for these services at the local level when possible

Personal Service 746,078

Expense and Equipment 253,608

From General Revenue Fund 999,686



Personal Service 1,055,181

Expense and Equipment 300,000

From Federal Funds 1,355,181

Total (Not to exceed 171.69 F.T.E.) $9,571,036



Section 10.697. To the Department of Health and Senior Services

For the Division of Maternal, Child and Family Health

For sexual assault prevention education and victim services

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



Section 10.700. To the Department of Health and Senior Services

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) $2,063,102



Section 10.705. To the Department of Health and Senior Services

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 and Senior Services

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. Any organization receiving federal funds pursuant to Title X of the federal Public Health Services Act may perform services which are required under the federal act, but otherwise prohibited pursuant to this section if:

1) Specifically directed by United States Secretary of Health and Human Services to perform such services by written order directed to the organization; and

2) Such order is final and no longer subject to appeal, and

3) The refusal to perform such required services will result in the withholding of federal funds to said organization.

Federal statutory or regulatory provisions or guidelines of general application shall not constitute such written order as described herein.

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. Any entity receiving federal funds pursuant to Title X of the federal Public Health Services Act may perform services which are required under the federal act, but otherwise prohibited pursuant to this section if:

1) Specifically directed by the United States Secretary of Health and Human Services to perform such services by written order directed to the entity; and

2) Such order is final and no longer subject to appeal, and

3) The refusal to perform such required services will result in the withholding of federal funds to said entity.

Federal statutory or regulatory provisions or guidelines of general application shall not constitute such written order as described herein.

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. Any government entity receiving federal funds pursuant to Title X of the federal Public Health Services Act may perform services which are required under the federal act, but otherwise prohibited pursuant to this section if:

1) Specifically directed by the United States Secretary of Health and Human Services to perform such services by written order directed to the government entity; and

2) Such order is final and no longer subject to appeal, and

3) The refusal to perform such required services will result in the withholding of federal funds to said government entity.

Federal statutory or regulatory provisions or guidelines of general application shall not constitute such written order as described herein.

From General Revenue Fund $3,618,639

From Federal Funds 1,464,819

Total (0 F.T.E.) $5,083,458



Section 10.715. To the Department of Health

For the Division of Maternal, Child and Family Health

For the purpose of funding alternatives to abortion services, consisting of services or counseling offered to a pregnant woman and continuing for one year thereafter, to assist her in carrying her unborn child to term instead of having an abortion, and to assist her in caring for her dependent child or placing her child for adoption, including, but not limited to the following: prenatal care; medical and mental health care; parenting skills; drug and alcohol testing and treatment; child care; newborn or infant care; housing; utilities; educational services; food, clothing and supplies relating to pregnancy, newborn care and parenting; adoption assistance; job training and placement; establishing and promoting responsible paternity; ultrasound services; case management; domestic abuse protection; and transportation. Actual provision and delivery of such services shall be dependent on client needs and not otherwise prioritized by the department. Such services shall be available only during pregnancy and continuing for one year thereafter, and shall exclude any service of the type described in Section 10.710. An independent audit shall be conducted annually to ensure compliance with this section. None of these funds shall be expended to perform or induce, assist in the performing or inducing of, or refer for, abortions; and none of these funds shall be granted to organizations or affiliates of organizations that perform or induce, assist in the performing or inducing of, or refer for, abortionsFrom General Revenue Fund $700,000



Section 10.720. To the Department of Health and Senior Services

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 and Senior Services

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 $1,207,261

From Federal Funds 4,056,191

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.) $9,293,979



Section 10.730. To the Department of Health and Senior Services

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 $1,473,235

From Federal Funds 250,000

Total (0 F.T.E.) $1,723,235



Section 10.735. To the Department of Health and Senior Services

For the Division of Maternal, Child and Family Health

For the purpose of funding genetic services

From General Revenue Fund $1,730,110

From Federal Funds 260,000

Total (0 F.T.E.) $1,990,110



Section 10.737. To the Department of Health and Senior Services

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.) $250,000



Section 10.740. To the Department of Health and Senior Services

For the Division of Nutritional Health and Services

For the purpose of funding program operations and support

Personal Service $219,758

Expense and Equipment 163,807

From General Revenue Fund 383,565



Personal Service 2,806,736

Expense and Equipment 7,387,483

From Federal Funds 10,194,219

Total (Not to exceed 87.65 F.T.E.) $10,577,784



Section 10.745. To the Department of Health and Senior Services

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 $54,126

From Federal Funds 92,340,000

From Department of Health Donated Fund 145,714

Total (0 F.T.E.) $92,539,840



Section 10.750. To the Department of Health and Senior Services

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.) $42,083,939E



Section 10.755. To the Department of Health and Senior Services

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 and Senior Services

For the Division of Health Standards and Licensure

For the purpose of funding program operations and support

Personal Service $2,653,892

Expense and Equipment 403,817

From General Revenue Fund 3,057,709



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, to allow the division to contract for services at the local level, when possible

Personal Service 3,067,633

Expense and Equipment 136,985

From General Revenue Fund 3,204,618



Personal Service 1,713,161

Expense and Equipment 812,915

From Federal Funds 2,526,076



Personal Service 57,904

Expense and Equipment 49,469

From Missouri Public Health Services Fund 107,373

Total (Not to exceed 257.65 F.T.E.) $11,615,062



Section 10.765. To the Department of Health and Senior Services

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 and Senior Services

For the Division of Chronic Disease Prevention and Health Promotion

For the purpose of funding program operations and support

Personal Service $667,180

Expense and Equipment 984,109

From General Revenue Fund 1,651,289



Personal Service 2,551,462

Expense and Equipment 6,823,438

From Federal Funds 9,374,900



Personal Service 70,670

Expense and Equipment 300,999

From Organ Donation Fund 371,669

Total (Not to exceed 88.09 F.T.E.) $11,397,858



Section 10.780. To the Department of Health and Senior Services

For the Division of Senior Services

For the purpose of funding Central Administration and Support Services

Personal Service $442,003

Expense and Equipment 80,995

From General Revenue Fund 522,998



Personal Service 539,090

Expense and Equipment 120,208

From Federal Funds 659,298

Total (Not to exceed 30.60 F.T.E.) $1,182,296



Section 10.785. To the Department of Health and Senior Services

For the Division of Senior Services

For the purpose of funding Home and Community Services personnel

Personal Service $6,373,886

Expense and Equipment 839,707

From General Revenue Fund 7,213,593



Personal Service 7,974,787

Expense and Equipment 931,145

From Federal Funds 8,905,932

Total (Not to exceed 478.86 F.T.E.) $16,119,525



Section 10.790. To the Department of Health and Senior Services

For the Division of Health Standards and Licensure

For the purpose of funding Institutional Services

Personal Service $3,990,856

Expense and Equipment 513,205

From General Revenue Fund 4,504,061



Personal Service 6,551,642

Expense and Equipment 1,854,907

From Federal Funds 8,406,549



Personal Service 1,083,555

Expense and Equipment 2,276,449

From Nursing Facility Quality of Care Fund 3,360,004

Total (Not to exceed 309.51 F.T.E.) $16,270,614



Section 10.795. To the Department of Health and Senior Services

For the Division of Senior Services

For the purpose of funding Home and Community Services programs

From General Revenue Fund $16,044,376

From Federal Funds 2,787,597

From Division of Aging Donations Fund 50,000

Total (0 F.T.E.) $18,881,973



Section 10.800. To the Department of Health and Senior Services

For the Division of Senior Services

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 $8,820,000

From Federal Funds 28,794,840

From Division of Aging Elderly Home Delivered Meals Trust Fund 430,000

From Health Families Trust Fund - Senior Catastrophic Prescription Account 980,000

Total (0 F.T.E.) $39,024,840



Section 10.805. To the Department of Health and Senior Services

For the Division of Senior Services

For the distributions to Area Agencies on Aging pursuant to the

Older Americans Act and related programs

From General Revenue (0 F.T.E.) $2,153,454



For the purpose of providing state matching funds in furtherance of the St. Louis Naturally Occurring Retirement Communities (NORCs) demonstration project authorized under the Older Americans Act Title IV Account of the Labor, Health and Human Services Education,and Related Agencies Appropriations Bill of 2003

From General Revenue 100,000

Total (0 F.T.E.) $2,253,454



Section 10.825. To the Department of Health and Senior Services

For the Division of Senior Services

For the Commission for the Missouri Senior Rx Program

For the Missouri Senior Rx Program $68,100,000

Personal Service 732,864

Expense and Equipment 4,876,630

If the enrollment fee collections exceed the originally projected

enrollment revenues, the Commission shall be authorized to spend

from such collections to cover the cost of third party administration

Expense and Equipment 1,500,000

From Missouri Senior Rx Fund (Not to exceed 20.00 F.T.E.) $75,209,494



Section 10.830. There is transferred out of the State Treasury, chargeable to the Healthy Families Trust Fund - Senior Catastrophic Prescription Account, Sixty-five Million, Eight Hundred Seventy-nine Thousand, Three Hundred Sixty-seven ($65,879,367) Dollars to the Missouri Senior Rx Fund

From Healthy Families Trust Fund - Senior Catastrophic Prescription

Account $65,879,367



BILL TOTALS

General Revenue $617,984,091

Federal Funds 455,806,370

Other Funds 139,567,541

Total $1,213,358,002




Missouri House of Representatives