FIRST REGULAR SESSION
SENATE COMMITTEE SUBSTITUTE FOR
HOUSE SUBSTITUTE FOR
HOUSE BILL NO. 10
92ND GENERAL ASSEMBLY
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 Missouri 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, 2003 and ending June 30, 2004.
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, 2003 and ending June 30, 2004, as follows:
Section 10.005. To the Department of Mental Health
For the Office of the Director
Personal Service and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund $933,892
Personal Service 60,935
Expense and Equipment 79,285
From Federal Funds 140,220
Total (Not to exceed 17.36 F.T.E.) $1,074,112
Section 10.010. To the Department of Mental Health
For the Office of the Director
For funding program operations and support
Personal Service and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund 6,033,238
Personal Service 390,314
Expense and Equipment 584,416
From Federal Funds 974,730
Total (Not to exceed 131.63 F.T.E.) $7,007,968
Section 10.015. To the Department of Mental Health
For the Office of the Director
For the purpose of funding the Office of Information Systems
Personal Service and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund $6,053,586
Personal Service 41,240
Expense and Equipment 2,006,691
From Federal Funds 2,047,931
Expense and Equipment
From Mental Health Interagency Payments Fund 2,800,000
Total (Not to exceed 77.40 F.T.E.) $10,901,517
Section 10.020. 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 (0 F.T.E.) $50,000
For the payment of refunds set off against debts as required by Section 143.786, RSMo
From Debt Offset Escrow Fund 70,000E
Total (0 F.T.E.) $120,000
Section 10.025. There is transferred out of the State Treasury, chargeable to the Abandoned Fund, Fifty Thousand Dollars ($50,000) to the Mental Health Trust Fund
From Abandoned Fund (0 F.T.E.) $50,000E
Section 10.030. 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 10.035. 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 10.040. 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 $10,000,000
From Federal Funds 15,000,000
Total (0 F.T.E.) $25,000,000
Section 10.055. There is transferred out of the State Treasury, chargeable to the General Revenue Reimbursements Fund, Two Million, Seven Hundred Thousand Dollars ($2,700,000) to the General Revenue Fund
From General Revenue Reimbursements Fund (0 F.T.E.) $2,700,000
Section 10.060. There is transferred out of the State Treasury, chargeable to Federal Funds, Nineteen Million, Eight Hundred Eleven Thousand, Eight Hundred Dollars ($19,811,800) to the General Revenue Fund
From Federal Funds (0 F.T.E.) $19,811,800
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 and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund $1,289,379
Personal Service 859,155
Expense and Equipment 599,868
From Federal Funds 1,459,023
Personal Service 206,091
Expense and Equipment 51,204
From Health Initiatives Fund 257,295
Personal Service 89,210
Expense and Equipment 52,372
From Mental Health Earnings Fund 141,582
For statewide needs assessments
From Federal Funds 400,000
Total (Not to exceed 59.82 F.T.E.) $3,547,279
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
Personal Service
From General Revenue Fund $7,485
For prevention and education services 6,968,264
Personal Service 229,841
Expense and Equipment 725,631
From Federal Funds 7,923,736
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 222,606
Expense and Equipment 103,622
From Federal Funds 323,228
For the purpose of funding the 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 29,997
From Federal Funds 2,059,693
For school-based alcohol and drug abuse prevention programs
From General Revenue Fund 435,540
From Federal Funds 641,195
Total (Not to exceed 16.20 F.T.E.) $15,105,491
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
Personal Service and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund $4,354,445
For system enhancement of youth services
Personal Service 16,267
Expense and Equipment 731,802
From Federal Funds 748,069
For the purpose of funding treatment of alcohol and drug abuse,
contingent upon the availability of additional new revenue
for fiscal year 2004 as authorized in legislation in 2003 by
the 92nd General Assembly and approved by the Governor
and/or voters.
From General Revenue Fund $5,491,000
For treatment of alcohol and drug abuse
From General Revenue Fund 13,910,145
For treatment of alcohol and drug abuse 44,073,314E
Personal Service 668,932
Expense and Equipment 425,082
From Federal Funds 45,167,328
For treatment of alcohol and drug abuse
From Healthy Families Trust Fund-Health Care Account 2,077,681
From Health Initiatives Fund 5,585,388
Total (Not to exceed 69.13 F.T.E.) $77,334,056
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 34,996
Expense and Equipment 5,194
From Compulsive Gamblers Fund (Not to exceed 1.00 F.T.E.) $452,988
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 Mental Health Earnings Fund 3,570,018E
Total (0 F.T.E.) $3,977,476
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 and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund $1,079,343
Personal Service 420,254
Expense and Equipment 174,311
From Federal Funds 594,565
For the minority health and aging program
Expense and Equipment
From Federal Funds 7,000
For suicide prevention initiatives
Expense and Equipment
From Federal Funds 150,000
Total (Not to exceed 33.58 F.T.E.) $1,830,908
Section 10.210. To the Department of Mental Health
For the Division of Comprehensive Psychiatric Services
Personal Service and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund 3,765,964
Personal Service 190,069
Expense and Equipment 2,463,133
From Federal Funds 2,653,202
For the purpose of funding adult community programs provided that up to
ten percent of this appropriation may be used for services for youth
From General Revenue Fund $63,094,177
From Federal Funds 72,786,777E
For the purpose of funding adult community programs provided that
up to ten percent (10%) of this appropriation may be used for
services for youth, contingent upon the availability of additional
new revenue for fiscal year 2004 as authorized in legislation in
2003 by the 92nd General Assembly and approved by the Governor
and/or voters
From General Revenue Fund $4,522,000
For adult community programs
From payments by the Department of Social Services for supported community living for Comprehensive Psychiatric Services clients in lieu of Supplemental Nursing Care payments
From Mental Health Interagency Payments Fund 250,000
For adult community programs
From Health Initiatives Fund 20,624
Total (Not to exceed 12.96 F.T.E.) $147,093,344
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 and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund (Not to exceed 17.39 F.T.E.) $755,477
Section 10.235. To the Department of Mental Health
For the Division of Comprehensive Psychiatric Services
Personal Service and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund 2,142,110
Personal Service 165,605
Expense and Equipment 1,168,101
From Federal Funds 1,333,706
For the purpose of funding youth community programs, provided that up to
ten percent of this appropriation may be used for services for adults
From General Revenue Fund 19,388,605
From Federal Funds 17,864,151E
For the purpose of funding youth community programs, provided that up
to ten percent (10%) of this appropriation may be used for services
for adults, contingent upon the availability of additional new revenue
for fiscal year 2004 as authorized in legislation in 2003 by
the 92nd General Assembly and approved by the Governor
and/or voters.
From General Revenue Fund $1,207,000
For youth community programs
From Health Initiatives Fund 98,888
Total (Not to exceed 12.07 F.T.E.) $42,034,460
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 Department of Social Services
Personal Service $615,922
Expense and Equipment 100,200
From Mental Health Interagency Payments Fund (Not to exceed 18.00 F.T.E.) $716,122
Section 10.245. 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 10.250. 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 10.255. 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 10.260. To the Department of Mental Health
For the Division of Comprehensive Psychiatric Services
For the purpose of funding Fulton State Hospital
Personal Service and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund $43,918,347
For the provision of support services to other agencies
Expense and Equipment
From Mental Health Interagency Payments Fund 425,000
Total (Not to exceed 1,355.65 F.T.E.) $44,343,347
Section 10.265. To the Department of Mental Health
For the Division of Comprehensive Psychiatric Services
For the purpose of funding Northwest Missouri Psychiatric Rehabilitation Center
Personal Service and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund $12,187,376
Personal Service
From Federal Funds 441,316
For psychiatric services
From Mental Health Trust Fund 400,840
Total (Not to exceed 384.72 F.T.E.) $13,029,532
Section 10.270. To the Department of Mental Health
For the Division of Comprehensive Psychiatric Services
For the purpose of funding St. Louis Psychiatric Rehabilitation Center
Personal Service and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund $19,598,469
Personal Service
From Federal Funds 176,945
Total (Not to exceed 611.06 F.T.E.) $19,775,414
Section 10.275. To the Department of Mental Health
For the Division of Comprehensive Psychiatric Services
For the purpose of funding Southwest Missouri Psychiatric Rehabilitation Center
Personal Service and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund (Not to exceed 109.17 F.T.E.) $3,582,664
Section 10.280. To the Department of Mental Health
For the Division of Comprehensive Psychiatric Services
For the purpose of funding Cottonwood Residential Treatment Center
Personal Service and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund (Not to exceed 83.75 F.T.E.) $2,282,403
Section 10.285. To the Department of Mental Health
For the Division of Comprehensive Psychiatric Services
For the purpose of funding Hawthorn Children's Psychiatric Hospital
Personal Service and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund $6,560,697
Personal Service 1,266,912
Expense and Equipment 78,684
From Federal Funds 1,345,596
Total (Not to exceed 240.72 F.T.E.) $7,906,293
Section 10.290. To the Department of Mental Health
For the Division of Comprehensive Psychiatric Services
For the purpose of funding Metropolitan St. Louis Psychiatric Center
Personal Service and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund $14,038,123
Personal Service
From Federal Funds 159,909
Total (Not to exceed 375.13 F.T.E.) $14,198,032
Section 10.295. To the Department of Mental Health
For the Division of Comprehensive Psychiatric Services
For the purpose of funding Mid-Missouri Mental Health Center
Personal Service and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund $7,512,104
Personal Service
From Federal Funds 286,076
For services for children and youth
Personal Service and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund 1,810,996
Total (Not to exceed 241.00 F.T.E.) $9,609,176
Section 10.300. To the Department of Mental Health
For the Division of Comprehensive Psychiatric Services
For the purpose of funding Southeast Missouri Mental Health Center
Personal Service and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund (Not to exceed 543.42 F.T.E.) $17,215,616
Section 10.305. 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 10.310. To the Department of Mental Health
For the Division of Comprehensive Psychiatric Services
For the purpose of funding Western Missouri Mental Health Center
Personal Service and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund $20,424,931
For the Western Missouri Mental Health Center and/or contracting for children's services in the Northwest Region
Personal Service and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund 972,700
Personal Service 307,979
Expense and Equipment 37,891
From Federal Funds 345,870
Total (Not to exceed 632.17 F.T.E.) $21,743,501
Section 10.315. To the Department of Mental Health
For the purpose of funding the Missouri Sexual Offender Treatment Center
Personal Service and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund (Not to exceed 153.94 F.T.E.) $5,587,053
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 and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund 1,054,451
Personal Service 50,922
Expense and Equipment 7,195
From Federal Funds 58,117
Total (Not to exceed 20.32 F.T.E.) $1,112,568
Section 10.410. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
Provided that non-Medicaid services for Medicaid eligibles shall
not be reduced below the prior year expenditure
For the purpose of funding community programs
From General Revenue Fund $72,667,791
From Federal Funds 159,260,657E
From General Revenue Reimbursements Fund 4,544,329
For consumer and family directed supports/in-home services/choices for families
From General Revenue Fund 16,127,127
For the purpose of funding consumer and family directed supports/
in-home services/choices for families
From General Revenue Fund 4,748,437
For the purpose of funding programs and in-home family directed services for persons with autism and their families, contingent upon the availability of additional new revenue for fiscal year 2004
as authorized in legislation in 2003 by the 92nd General Assembly and approved by the Governor and/or voters
From General Revenue Fund 2,637,606
For the purpose of funding programs and in-home family directed services
for persons with autism and their families, contingent upon the
availability of additional new revenue for fiscal year 2004 as
authorized in legislation in 2003 by the 92nd General Assembly
and approved by the Governor and/or voters.
From General Revenue Fund 1,031,563
For services for children in the custody of the Department of Social Services
From Mental Health Interagency Payments Fund 2,049,857
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
Total (0 F.T.E.) $268,920,099
Section 10.415. 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 (0 F.T.E.) $291,305
Section 10.420. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding community support staff
Personal Service and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund 2,845,446
Personal Service 9,515,970
Expense and Equipment 1,224,901
Purchase of Community Services 20,448,660E
From Federal Funds 31,189,531
Total (Not to exceed 295.31 F.T.E.) $34,034,977
Section 10.430. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding developmental disabilities services
Personal Service $328,041
Expense and Equipment 1,187,593
From Federal Funds (Not to exceed 7.98 F.T.E.) $1,515,634
Section 10.435. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding the Albany Regional Center
Personal Service and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund (Not to exceed 37.45 F.T.E.) $1,423,835
Section 10.440. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding the Central Missouri Regional Center
Personal Service and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund (Not to exceed 48.88 F.T.E.) $1,612,381
Section 10.445. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding the Hannibal Regional Center
Personal Service and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund (Not to exceed 47.21 F.T.E.) $1,850,250
Section 10.450. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding the Joplin Regional Center
Personal Service and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund (Not to exceed 48.56 F.T.E.) $1,892,943
Section 10.455. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding the Kansas City Regional Center
Personal Service and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund $2,546,668
Expense and Equipment
From Federal Funds 5,595
Total (Not to exceed 67.93 F.T.E.) $2,552,263
Section 10.460. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding the Kirksville Regional Center
Personal Service and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund (Not to exceed 33.55 F.T.E.) $1,306,578
Section 10.465. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding the Poplar Bluff Regional Center
Personal Service and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund (Not to exceed 39.58 F.T.E.) $1,538,852
Section 10.470. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding the Rolla Regional Center
Personal Service and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund (Not to exceed 46.88 F.T.E.) $1,602,712
Section 10.475. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding the Sikeston Regional Center
Personal Service and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund $1,509,710
Expense and Equipment
From Federal Funds 5,595
Total (Not to exceed 40.54 F.T.E.) $1,515,305
Section 10.480. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding the Springfield Regional Center
Personal Service and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund (Not to exceed 57.23 F.T.E.) $2,179,835
Section 10.485. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding the St. Louis Regional Center
Personal Service and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund $4,263,947
Expense and Equipment
From Federal Funds 11,190
Total (Not to exceed 124.77 F.T.E.) $4,275,137
Section 10.490. 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.) $3,075,586
Section 10.495. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding the Bellefontaine Habilitation Center
Personal Service, Expense and Equipment, and/or
purchase of community services, provided that not more
than fifteen percent (15%) flexibility is allowed between each
appropriation
From General Revenue Fund $23,203,218
From Federal Funds 1,818,985
Total (Not to exceed 963.87 F.T.E.) $25,022,203
Section 10.500. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding the Higginsville Habilitation Center
Personal Service, Expense and Equipment, and/or
purchase of community services, provided that not more
than fifteen percent (15%) flexibility is allowed between each
appropriation
From General Revenue Fund $9,664,850
From Federal Funds 253,082
For Northwest Community Services
Personal Service, Expense and Equipment, and/or
purchase of community services, provided that not more
than fifteen percent (15%) flexibility is allowed between each
appropriation
From General Revenue Fund 2,298,857
From Federal Funds 682,177
Total (Not to exceed 506.51 F.T.E.) $12,898,966
Section 10.505. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding the Marshall Habilitation Center
Personal Service, Expense and Equipment, and/or
purchase of community services, provided that not more
than fifteen percent (15%) flexibility is allowed between each
appropriation
From General Revenue Fund $21,290,588
From Federal Funds 1,993,903
Total (Not to exceed 935.40 F.T.E.) $23,284,491
Section 10.510. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding Nevada Habilitation Center
Personal Service, Expense and Equipment, and/or
purchase of community services, provided that not more
than fifteen percent (15%) flexibility is allowed between each
appropriation
From General Revenue Fund (Not to exceed 346.25 F.T.E.) $10,094,376
Section 10.515. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding the St. Louis Developmental Disabilities Treatment Center
Personal Service, Expense and Equipment, and/or
purchase of community services, provided that not more
than fifteen percent (15%) flexibility is allowed between each
appropriation
From General Revenue Fund $17,915,044
From Federal Funds 1,328,518
Total (Not to exceed 744.96 F.T.E.) $19,243,562
Section 10.520. 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 10.525. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding Southeast Missouri Residential Services
From General Revenue Fund $6,083,950
From Federal Funds 109,462
Total (Not to exceed 236.24 F.T.E.) $6,193,412
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 and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund $2,038,144
Personal Service 2,153,502
Expense and Equipment 688,703
From Federal Funds 2,842,205
For the Office of Minority Health
Personal Service and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund 539,630
Personal Service 63,538
Expense and Equipment 112,409
From Federal Funds 175,947
For Minority Health and Aging
Expense and Equipment and the Purchase of Services
From General Revenue Fund 165,707
From Federal Funds 106,904
Total (Not to exceed 109.36 F.T.E.) $5,868,537
Section 10.605. 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 and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund $3,464,157
Personal Service 1,007,202
Expense and Equipment 1,923,737
From Federal Funds 2,930,939
Personal Service 725,099
Expense and Equipment 1,479,300
From Missouri Public Health Services Fund 2,204,399
Total (Not to exceed 111.47 F.T.E.) $8,599,495
Section 10.610. To the Department of Health and Senior Services
For the Division of Administration
For the purpose of funding program operations and support
Personal Service and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund $1,103,619
Personal Service 1,906,279
Expense and Equipment 3,968,779
From Federal Funds 5,875,058
Expense and Equipment
From Nursing Facility Quality of Care Fund 9,723
Personal Service 118,047
Expense and Equipment 419,280
From Missouri Public Health Services Fund 537,327
Expense and Equipment
From Health Access Incentive Fund 7,000
From Department of Health Document Services Fund 225,000
From Workers' Compensation Fund 8,000
Total (Not to exceed 77.12 F.T.E.) $7,765,727
Section 10.615. To the Department of Health and Senior Services
For the Office of Director
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
Personal Service 250,000
Expense and Equipment 2,246,604
From Department of Health Donated Fund 2,496,604
Total (0 F.T.E.) $5,796,606
Section 10.620. To the Department of Health and Senior Services
For the Office of Director
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.) $1,530,110
Section 10.625. 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 10.630. There is transferred out of the State Treasury, chargeable to the Health Initiatives Fund, Three Million, Two Hundred Forty-One Thousand, Three Dollars ($3,241,003) to the Health Access Incentive Fund
From Health Initiatives Fund (0 F.T.E.) $3,241,003
Section 10.635. 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 and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund $2,345,816
Personal Service 3,490,175
Expense and Equipment 5,552,528
From Federal Funds 9,042,703
Expense and Equipment
From Missouri Public Health Services Fund 50,000
Personal Service 225,012
Expense and Equipment 365,000
From Department of Health Document Services Fund 590,012
Personal Service 114,163
Expense and Equipment 18,000
From Workers' Compensation Fund 132,163
Personal Service 158,778
Expense and Equipment 481,059
From Department of Health Donated Fund 639,837
Total (Not to exceed 142.13 F.T.E.) $12,800,531
Section 10.640. 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 10.645. To the Department of Health and Senior Services
For the Center for Local Public Health Services
For the purpose of funding program operations and support
Personal Service and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund $389,453
Personal Service 89,761
Expense and Equipment 10,692
From Federal Funds 100,453
Personal Service 90,201
Expense and Equipment 162,097
From Department of Health Donated Fund 252,298
Total (Not to exceed 13.00 F.T.E.) $742,204
Section 10.650. 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.) $9,027,772
Section 10.655. To the Department of Health and Senior Services
For the Center for Emergency Response and Terrorism
Personal Service $3,283,299
Expense and Equipment and Program Distribution 26,080,567
From Federal Funds (Not to exceed 61.60 F.T.E.) $29,363,866
Section 10.660. 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 and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund $451,838
Personal Service 731,590
Expense and Equipment 588,633
From Federal Funds 1,320,223
Personal Service
From Health Access Incentive Fund 82,820
Personal Service 63,335
Expense and Equipment 22,500
From Professional and Practical Nursing Student Loan and Nurse Loan
Repayment Fund 85,835
For the Primary Care Resource Initiative Program (PRIMO)
From Health Access Incentive Fund 3,027,000
From Department of Health Donated Fund 850,000
Total (Not to exceed 30.85 F.T.E.) $5,817,716
Section 10.665. 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 Federal Funds $214,446
From Medical School Loan Repayment Fund 50,000
Total (0 F.T.E.) $264,446
Section 10.670. 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 10.675. 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 and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund $4,813,733
For the purpose of funding housing for HIV clients, contingent upon
the availability of additional new revenue for fiscal year 2004 as
authorized in legislation in 2003 by the 92nd General Assembly
and approved by the Governor and/or voters
Expense and Equipment
From General Revenue Fund 64,300
Personal Service 4,210,627
Expense and Equipment 14,052,229
From Federal Funds 18,262,856
Personal Service 170,877
Expense and Equipment 70,532
From Hazardous Waste Remedial Fund 241,409
Personal Service 81,251
Expense and Equipment 235,050
From Missouri Public Health Services Fund 316,301
For the Lead Abatement Loan Program
From Missouri Lead Abatement Loan Fund 276,000
For the purpose of funding medications
From General Revenue Fund 2,027,300
From Federal Funds 9,213,055
For the purpose of funding medications for HIV clients,
contingent upon the availability of additional new revenue
for fiscal year 2004 as authorized in legislation in 2003 by
the 92nd General Assembly and approved by the Governor
and/or voters
Expense and Equipment
From General Revenue Fund 106,700
Total (Not to exceed 192.40 F.T.E.) $35,321,654
Section 10.680. 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 and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund $2,003,779
Personal Service 3,123,977
Expense and Equipment 3,427,286
From Federal Funds 6,551,263
Personal Service
From Health Initiatives Fund 40,309
Total (Not to exceed 145.23 F.T.E.) $8,595,351
Section 10.685. 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.) $889,134
Section 10.690. 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.) $636,334
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 maternal and child health services under the provisions of the Maternal and Child Health Block Grant
From Federal Funds (0 F.T.E.) $8,049,819
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 school-aged children's health services and related expenses
From Health Initiatives Fund (0 F.T.E.) $5,366,564
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 children with special health care needs and related expenses
From General Revenue Fund $1,051,772
From Federal Funds 756,191
From Crippled Children's Service Fund 275,000
From Smith Memorial Endowment Fund 35,000
From Department of Health Interagency Payments Fund 520,527
Total (0 F.T.E.) $2,638,490
Section 10.710. 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 $1,448,498
From Federal Funds 250,000
Total (0 F.T.E.) $1,698,498
Section 10.715. 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 $1,544,227
For the purpose of funding genetic services, contingent upon the
availability of additional new revenue for fiscal year 2004 as
authorized in legislation in 2003 by the 92nd General Assembly
and approved by the Governor and/or voters
From General Revenue Fund 81,275
From Federal Funds 260,000
Total (0 F.T.E.) $1,885,502
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 blindness education, screening, and treatment services
From Blindness Education, Screening, and Treatment Fund (0 F.T.E.) $250,000
Section 10.735. 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 and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund $300,731
Personal Service 2,838,907
Expense and Equipment 4,233,810
From Federal Funds 7,072,717
Total (Not to exceed 86.15 F.T.E.) $7,373,448
Section 10.740. 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 95,470,273
From Department of Health Donated Fund 145,714
Total (0 F.T.E.) $95,670,113
Section 10.745. 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.) $39,256,964E
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 Summer Food Service Program
From Federal Funds (0 F.T.E.) $7,163,879
Section 10.755. 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 and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund $1,456,729
Personal Service 2,571,878
Expense and Equipment 6,423,438
From Federal Funds 8,995,316
Personal Service 102,472
Expense and Equipment 255,010
From Organ Donation Fund 357,482
Total (Not to exceed 86.09 F.T.E.) $10,809,527
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 and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund $10,555,770
Personal Service 9,979,177
Expense and Equipment 3,295,978
From Federal Funds 13,275,155
Personal Service 1,096,808
Expense and Equipment 2,266,726
From Nursing Facility Quality of Care Fund 3,363,534
Personal Service 63,012
Expense and Equipment 13,650
From Health Access Incentive Fund 76,662
Personal Service 52,202
Expense and Equipment 18,200
From Mammography Fund 70,402
Personal Service 181,418
Expense and Equipment 81,840
From Early Childhood Development, Education and Care Fund 263,258
Personal Service 58,005
Expense and Equipment 49,469
From Missouri Public Health Services Fund 107,474
For the purpose of funding a diet pill education program
From Department of Health Donated Fund 130,000
Total (Not to exceed 556.66 F.T.E.) $27,842,255
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 childcare, 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 $2,830,313
From Early Childhood Development, Education and Care Fund 728,740
Total (0 F.T.E.) $3,559,053
Section 10.770. 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 and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund $7,993,749
Personal Service 8,480,215
Expense and Equipment 886,245
From Federal Funds 9,366,460
Total (Not to exceed 514.86 F.T.E.) $17,360,209
Section 10.775. 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 (0 F.T.E.) $15,242,157
For the purpose of funding Home and Community Services programs,
contingent upon the availability of additional new revenue
for fiscal year 2004 as authorized in legislation in 2003 by
the 92nd General Assembly and approved by the Governor
and/or voters
From General Revenue Fund 802,219
From Federal Funds 2,787,597
From Division of Aging Donations Fund 50,000
Total (0 F.T.E.) $18,881,973
Section 10.780. 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 $8,485,869
From Federal Funds 31,124,416
From Division of Aging Elderly Home Delivered Meals Trust Fund 430,000
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, contingent upon the availability
of additional new revenue for fiscal year 2004 as authorized in
legislation in 2003 by the 92nd General Assembly and approved
by the Governor and/or voters
From General Revenue Fund 980,000
Total (0 F.T.E.) $41,020,285
Section 10.785. 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 Fund (0 F.T.E.) $1,866,115
Section 10.790. To the Department of Health and Senior Services
For the Commission for the Missouri Senior Rx Program
For the Missouri Senior Rx Program $22,779,247
Personal Service 641,712
Expense and Equipment 2,745,024
If the enrollment fee collections exceed the originally projected enrollment revenue, 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 the Missouri Senior Rx Fund (Not to exceed 17.00 F.T.E.) $27,665,983
Section 10.795. There is transferred out of the State Treasury, chargeable to the Healthy Families Trust Fund-Senior Catastrophic Prescription Account, Sixteen Million, Four Hundred Eighty-Seven Thousand, Two Hundred Eighty-Eight Dollars ($16,487,288) to the Missouri Senior Rx Fund
From Healthy Families Trust Fund-Senior Catastrophic Prescription
Account (0 F.T.E.) $16,487,288
Section 10.800. 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 and/or Expense and Equipment, provided that
not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund (Not to exceed 3.50 F.T.E.) $192,928
BILL TOTALS
General Revenue Fund $604,856,393
Federal Funds 702,271,286
Other Funds 87,501,171
Total $1,394,628,850