FIRST REGULAR SESSION
SENATE COMMITTEE SUBSTITUTE FOR
HOUSE SUBSTITUTE FOR
HOUSE BILL NO. 11
92ND GENERAL ASSEMBLY
AN ACT
To appropriate money for the expenses, grants, and distributions of the Department of Social Services and the several divisions and programs thereof to be expended only as provided in Article IV, Section 28 of the Constitution of Missouri, for the period beginning July 1, 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 11.005. To the Department of Social Services
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 603,097
Personal Service 12,133
Expense and Equipment 1,500
From Federal Funds 13,633
Personal Service 41,764
Expense and Equipment 17,300
From Child Support Collections Fund 59,064
Total (Not to exceed 10.58 F.T.E.) $675,794
Section 11.010. To the Department of Social Services
For the Office of the Director
For the purpose of funding contractual services with Legal Services Corporations in Missouri which provide legal services to low-income Missouri citizens. Funds shall be allocated according to the most recent national census data for the population of poor persons living in Missouri and in the same manner as current allocation from the Legal Services Corporation. Funding shall not be allocated if the provisions of Section 504(a)(7) and Section 508(b)(2)(B) of the Omnibus 1996 Appropriations Bill have not been met by the Legal Services Corporation. Contracts for services should provide low-income Missouri citizens equal access to the civil justice system, with high priority on families and children, domestic violence, the elderly, and qualification for benefits under the Social Security Act and the Work Opportunity Reconciliation Act of 1996. Contractors shall provide to the department a report of services rendered, including the number of low-income citizens served, the types of services provided, the cost per case, and the amount of free and reduced-fee legal services which have been provided; and shall include a full accounting of all expenditures made by or on behalf of Legal Services Corporations in Missouri which shall include expenditures of all federal, state, and other funds. An accounting shall be made for the first six months from July 1, 2003 through December 31, 2003 and a final accounting for the year through June 30, 2004, and these reports shall include a comparison with all expenditures for Fiscal Year 2003. The accountings shall be delivered to the General Assembly, including the House Budget Committee Chair, the House Appropriations Committee - Social Services Chair, the Senate Appropriations Committee Chair, and also to all current House Appropriations Committee - Social Services members, no later than January 31, 2004, and July 31, 2004 respectively
From Legal Services for Low-Income People Fund $5,290,610E
Section 11.015. There is transferred out of the State Treasury, chargeable to the Basic Civil Legal Services Fund, Five Million, Two Hundred Ninety Thousand, Six Hundred Ten Dollars ($5,290,610) to the Legal Services for Low-Income People Fund
From Basic Civil Legal Services Fund $5,290,610E
Section 11.020. To the Department of Social Services
For the Office of the Director
For the purpose of receiving and expending donations and federal funds provided that the General Assembly shall be notified of the source of any new funds and the purpose for which they shall be expended, in writing, prior to the use of said funds
From Federal and Other Funds $12,429,000
Section 11.025. To the Department of Social Services
For Administrative Services
For the Division of General Services
For the purpose of funding operating maintenance and repair
From Facilities Maintenance Reserve Fund $30,708
From Federal Funds 10,138
For the Division of Youth Services
For the purpose of funding operating maintenance and repair
From Facilities Maintenance Reserve Fund 78,794
From Federal Funds 138,243
Total $257,883
Section 11.030. To the Department of Social Services
For the Office of Director
For the Human Resources 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 452,765
Personal Service 190,653
Expense and Equipment 41,089
From Federal Funds 231,742
Total (Not to exceed 18.23 F.T.E.) $684,507
Section 11.035. To the Department of Social Services
For Administrative Services
For the Division of Budget and Finance
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 1,989,785
Personal Service 422,380
Expense and Equipment 116,518
From Federal Funds 538,898
Total (Not to exceed 68.38 F.T.E.) $2,528,683
Section 11.040. To the Department of Social Services
For Administrative Services
For the Division of Budget and Finance
For the payment of fees to contractors who engage in revenue maximization projects on behalf of the Department of Social Services
From Federal Funds $1,000,000E
Section 11.045. To the Department of Social Services
For Administrative Services
For the Division of Budget and Finance
For the purpose of funding the receipt and disbursement of refunds and incorrectly deposited receipts to allow the over-collection of accounts receivables to be paid back to the recipient
From Federal and Other Funds $2,500,000E
Section 11.050. To the Department of Social Services
For Administrative Services
For the Division of Budget and Finance
For the purpose of funding payments to counties toward the care and maintenance of each delinquent or dependent child as provided in Chapter 211.156, RSMo
From General Revenue Fund $3,192,000
Section 11.055. To the Department of Social Services
For the Information Services and Technology Division
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 6,120,456
Personal Service 4,540,503
Expense and Equipment 25,547,990
From Federal Funds 30,088,493
Personal Service 241,055
Expense and Equipment 2,779,477
From Child Support Enforcement Collections Fund 3,020,532
Personal Service 36,524
Expense and Equipment 403,289
From Administrative Trust Fund 439,813
Expense and Equipment
From Education Improvement Fund 127,238
Personal Service 7,331
Expense and Equipment 43,271
From Third Party Liability Collections Fund 50,602
Total (Not to exceed 185.89 F.T.E.) $39,847,134
Section 11.060. To the Department of Social Services
For Administrative Services
For the purpose of funding the Division of General 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 2,213,429
Personal Service 242,488
Expense and Equipment 83,672
From Federal Funds 326,160
Personal Service
From Child Support Enforcement Fund 95,627
For the purpose of funding the centralized inventory system
Expense and Equipment
From Administrative Trust Fund 5,750,000
Total (Not to exceed 77.76 F.T.E.) $8,385,216
Section 11.065. To the Department of Social Services
For Administrative Services
For the purpose of funding the Division of Legal 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 2,095,591
Personal Service 2,823,231
Expense and Equipment 779,092
From Federal Funds 3,602,323
Personal Service 488,298
Expense and Equipment 318,163
From Third Party Liability Collections Fund 806,461
Personal Service
From Child Support Enforcement Fund 147,745
Total (Not to exceed 149.74 F.T.E.) $6,652,120
Section 11.100. To the Department of Social Services
For the Family Support Division
For the purpose of funding division administration, provided that this appropriation may be used to support the administration of the Children's Division
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 1,787,659
Personal Service 6,068,410
Expense and Equipment 6,363,452
From Federal Funds 12,431,862
Expense and Equipment
From Third Party Liability Collections Fund 134,577
Personal Service 1,346,002
Expense and Equipment 134,847
From Child Support Enforcement Collections Fund 1,480,849
Expense and Equipment
From Administrative Trust Fund 39,690
Expense and Equipment
From Blind Pension Fund 62,417
Total (Not to exceed 237.66 F.T.E.) $15,937,054
Section 11.105. To the Department of Social Services
For the Family Support Division
For the income maintenance field staff and operations, provided that this appropriation may be used to support Children's Division Field Staff and Operations
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 $27,948,342
Personal Service 60,734,831
Expense and Equipment 4,398,163
From Federal Funds 65,132,994
Personal Service 663,295
Expense and Equipment 28,252
From Health Initiatives Fund 691,547
Total (Not to exceed 3,050.77 F.T.E.) $93,772,883
Section 11.110. To the Department of Social Services
For the Family Support Division
For the income maintenance staff training, provided that this appropriation may be used to support Children's Division staff training
From General Revenue Fund $545,999
From Federal Funds 164,591
Total $710,590
Section 11.115. To the Department of Social Services
For the Family Support Division
For the purpose of funding the electronic benefit transfers (EBT) system to reduce fraud, waste, and abuse
Expense and Equipment
From General Revenue Fund $3,259,735
From Federal Funds 2,564,886
Total $5,824,621
Section 11.120. To the Department of Social Services
For the Family Support Division
For the purpose of funding the receipt of funds from the Polk County and Bolivar Charitable Trust for the exclusive benefit and use of the Polk County Office
From Charitable Trust Account $10,000
Section 11.125. To the Department of Social Services
For the Family Support Division
For the purpose of funding contractor, hardware, and other costs associated with planning, development, and implementation of a Family Assistance Management Information System (FAMIS)
From General Revenue Fund $2,451,822
From Federal Funds 3,789,073
Total $6,240,895
Section 11.130. To the Department of Social Services
For the Family Support Division
For the purpose of funding Community Partnerships
Personal Service
From General Revenue Fund $161,956
For grants and contracts to Community Partnerships and other community initiatives and related expenses
From General Revenue Fund 2,890,268
From Federal Funds 7,483,799
For Missouri Mentoring Partnership
From General Revenue Fund 495,715
From Federal Funds 778,143
For Missouri Mentoring Partnership, 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 705,142
Total (Not to exceed 5.38 F.T.E.) $12,515,023
Section 11.135. To the Department of Social Services
For the Family Support Division
For the purpose of funding Food Stamp work training-related expenses
From General Revenue Fund $82,000
From Federal Funds 5,300,000
Total $5,382,000
Section 11.140. To the Department of Social Services
For the Family Support Division
For the purpose of funding the payment of Temporary Assistance for Needy Families benefits
From General Revenue Fund $17,287,706
From Federal Funds 118,545,760E
Total $135,833,466
Section 11.145. To the Department of Social Services
For the Family Support Division
For the purpose of funding Grandparent Foster Care payments
From General Revenue Fund $7,282,030
Section 11.150. To the Department of Social Services
For the Family Support Division
For the purpose of funding supplemental payments to aged or disabled persons
From General Revenue Fund $210,000
Section 11.155. To the Department of Social Services
For the Family Support Division
For the purpose of funding nursing care payments to aged, blind, or disabled persons, provided a portion of this appropriation may be transferred to the Department of Mental Health for persons removed from the Supplemental Nursing Care Program and placed in the Supported Housing Program, resulting in a reduction of Department of Mental Health supplemental nursing home clients and for personal funds to recipients of Supplemental Nursing Care payments as required by Section 208.030, RSMo
From General Revenue Fund $25,538,684
Section 11.158. To the Department of Social Services
For the Family Support Division
For the purpose of funding General Relief Program payments,
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 $10,200,000
Section 11.160. To the Department of Social Services
For the Family Support Division
For the purpose of funding receipt and disbursement of Supplemental Security Income Program payments and funding General Relief benefits payable for periods prior to July 1, 2003. Funds appropriated in this section shall not provide for General Relief cash benefits for periods after June 30, 2003
From Federal Funds $4,000,000
Section 11.165. To the Department of Social Services
For the Family Support Division
For the purpose of funding Blind Pension and supplemental payments to blind persons
From Blind Pension Fund $20,580,572
Section 11.170. To the Department of Social Services
For the Family Support Division
For the purpose of funding benefits and services as provided by the Indochina Migration and Refugee Assistance Act of 1975 as amended
From Federal Funds $3,812,553
Section 11.175. To the Department of Social Services
For the Family Support Division
For the purpose of funding community services programs provided by Community Action Agencies, including programs to assist the homeless, under the provisions of the Community Services Block Grant
From Federal Funds $19,144,171
Section 11.180. To the Department of Social Services
For the Family Support Division
For the purpose of funding grants for local initiatives to assist the homeless
From Federal Funds $500,000
Section 11.185. To the Department of Social Services
For the Family Support Division
For the purpose of funding the Emergency Shelter Grant Program
From Federal Funds $1,340,000
Section 11.190. To the Department of Social Services
For the Family Support Division
For the purpose of funding the Surplus Food Distribution Program and the receipt and disbursement of Donated Commodities Program payments
From Federal Funds $1,000,000
Section 11.195. To the Department of Social Services
For the Family Support Division
For the purpose of funding the Low-Income Home Energy Assistance Program
From Federal Funds $40,794,695E
Section 11.200. To the Department of Social Services
For the Family Support Division
For the purpose of funding administration of blind services
Personal Service $3,093,020
Expense and Equipment 893,411
From Federal Funds 3,986,431
Personal Service 854,016
Expense and Equipment 210,637
From Blind Pension Funds 1,064,653
Total (Not to exceed 129.53 F.T.E.) $5,051,084
Section 11.205. To the Department of Social Services
For the Family Support Division
For the purpose of funding services for the visually impaired
From Federal Funds $5,085,000
From Blind Pension Fund 1,549,935
From Donated Funds 100,000
Total $6,734,935
Section 11.210. To the Department of Social Services
For the Family Support Division
For the purpose of funding Child Support Enforcement Field Staff and Operations
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 540,653
Personal Service 22,917,908
Expense and Equipment 7,528,116
From Federal Funds 30,446,024
Personal Service 5,911,198
Expense and Equipment 1,929,481
From Child Support Enforcement Collections Fund 7,840,679
For the purpose of funding mediation 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 100,000
Total $38,927,356
Section 11.215. To the Department of Social Services
For the Family Support Division
For the purpose of funding payments to private agencies collecting child support orders and arrearages
From Child Support Enforcement Collections Fund $510,000
From Federal Funds 990,000
Total $1,500,000
Section 11.220. To the Department of Social Services
For the Family Support Division
For the purpose of funding contractual agreements with local governments in certain paternity establishment and child support enforcement cases
From Child Support Enforcement Collections Fund $653,000
From Federal Funds 1,270,000
Total $1,923,000
Section 11.225. To the Department of Social Services
For the Family Support Division
For the purpose of funding reimbursement to counties and the City of St. Louis providing child support enforcement services
From Federal Funds $8,200,000E
Section 11.230. To the Department of Social Services
For the Family Support Division
For the purpose of funding payment to the federal government for reimbursement of federal Temporary Assistance for Needy Families payments, incentive payments to local governments and other states, refunds of bonds, refunds of support payments or overpayments, and distributions to families
From Federal Funds $36,000,000E
From Alternative Care Trust Fund 167,000
From Debt Offset Escrow Fund 9,000,000E
Total $45,167,000
Section 11.235. To the Department of Social Services
For the Children's Division
For division administration provided this appropriation may be used to support administration of the Family Support Division
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 1,211,548
Personal Service 3,227,622
Expense and Equipment 2,837,427
From Federal Funds 6,065,049
Personal Service 40,716
Expense and Equipment 11,856
From Early Childhood Trust Fund 52,572
Expense and Equipment
From Third Party Liability Collections Fund 163,323
Total (Not to exceed 119.01 F.T.E.) $7,492,492
Section 11.240. To the Department of Social Services
For the Children's Division
For the Children's Field Staff and Operations, provided that this appropriation may be used to support Family Support Division Income Maintenance Field Staff and Operations
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 $25,022,787
Personal Service 38,515,828
Expense and Equipment 4,461,573
From Federal Funds 42,977,401
Personal Service 49,718
Expense and Equipment 28,209
From Health Initiatives Fund 77,927
Total (Not to exceed 2,013.24 F.T.E.) $68,078,115
Section 11.245. To the Department of Social Services
For the Children's Division
For Children's Staff Training, provided that this appropriation may be used to support Family Support Division Income Maintenance Staff Training
From General Revenue Fund $1,274,001
From Federal Funds 384,041
Total $1,658,042
Section 11.250. To the Department of Social Services
For the Children's Division
For the purpose of funding children's treatment services, including, but not limited to, home-based services, day treatment services, preventive services, child care, family reunification services, or intensive in-home services
From General Revenue Fund $8,329,815
From Federal Funds 5,486,047
Total $13,815,862
Section 11.255. To the Department of Social Services
For the Children's Division
For the purpose of funding placement costs including Foster Care payments, related services, expenses related to training of foster parents, Residential Treatment placements and therapeutic treatment services, and for the diversion of children from inpatient psychiatric treatment and services provided through comprehensive, expedited permanency systems of care for children and families
From General Revenue Fund $56,261,647
From Federal Funds 52,503,972
For the purpose of enhancing current foster care case management
contracts to increase service delivery to children and families.
The purpose of these services shall be to help children who
are at risk of being removed from their family because of
abuse or neglect. Services may also be provided to children
and families to expedite reunifications. Services eligible
under this provision may include Intensive In-Home
Services, Family Reunification Services, and specialized
recruitment and training of foster care families. Funding
may also be used for limited emergency resources for
families.
From Federal Funds 5,000,000
Total $113,765,619
Section 11.260. To the Department of Social Services
For the Children's Division
For the purpose of funding Adoption and Guardianship subsidy payments and related services
From General Revenue Fund $42,039,634
From Federal Funds 18,084,646
Total $60,124,280
Section 11.265. To the Department of Social Services
For the Children's Division
For the purpose of funding independent living placements and transitional living payment services
From Federal Funds $3,393,228
Section 11.270. To the Department of Social Services
For the Children's Division
For the purpose of funding appropriations for children's treatment services, alternative care placement services, adoption subsidy services, independent living services, and services provided through comprehensive, expedited permanency systems of care for children and families
From General Revenue Fund $9,678,918
From Federal Funds 9,273,261
Total $18,952,179
Section 11.275. To the Department of Social Services
For the Children's Division
For the purpose of funding Regional Child Assessment Centers
From General Revenue Fund $1,749,583
Section 11.280. To the Department of Social Services
For the Children's Division
For the purpose of funding diversion of children from inpatient psychiatric treatment and to provide services to reduce the number of children's inpatient medical hospitalization days
From General Revenue Fund $6,561,278
From Federal Funds 9,691,373
Total $16,252,651
Section 11.285. To the Department of Social Services
For the Children's Division
For the purpose of funding residential placement payments to counties for children in the custody of juvenile courts
From Federal Funds $700,000
Section 11.290. To the Department of Social Services
For the Children's Division
For the purpose of funding services and programs to assist victims of domestic violence
From General Revenue Fund $3,655,000
From Federal Funds 1,687,653
For the purpose of funding services and programs to assist victims
of domestic violence, 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 645,000
Total $5,987,653
Section 11.295. To the Department of Social Services
For the Children's Division
For the purpose of funding the Child Abuse and Neglect Prevention Grant and Children Justice Act Grant
From Federal Funds $1,000,000
Section 11.300. To the Department of Social Services
For the Children's Division
For the purpose of funding transactions involving personal funds of children in the custody of the Children's Division or the Division of Youth Services
From Alternative Care Trust Fund $12,000,000E
Section 11.305. To the Department of Social Services
For the Children's Division
For the purpose of funding Child Care Services and to support the Educare Program not to exceed $3,000,000 expenses
From General Revenue Fund $52,112,362
From Federal Funds 106,628,422
From Early Childhood Development, Education and Care Fund 1,548,152
For the purpose of payments to accredited child care providers pursuant to Chapter 313, RSMo
From Early Childhood Development, Education and Care Fund 3,446,898
For the purpose of funding early childhood start-up and expansion grants pursuant to Chapter 313, RSMo
From Early Childhood Development, Education and Care Fund 4,136,278
For the purpose of funding early childhood development, education, and care programs for low-income families pursuant to Chapter 313, RSMo
From Early Childhood Development, Education and Care Fund 3,446,898
For the purpose of funding certificates to low-income, at-home families for Chapter 313, RSMo
From Early Childhood Development, Education and Care Fund 3,446,898
For the purpose of funding child care 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 7,200,000
Total $181,965,908
Section 11.315. To the Department of Social Services
For the Division of Youth Services
For the purpose of funding Central Office and Regional Offices
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 2,062,546
Personal Service 543,939
Expense and Equipment 117,846
From Federal Funds 661,785
Total (Not to exceed 61.57 F.T.E.) $2,724,331
Section 11.320. To the Department of Social Services
For the Division of Youth Services
For the purpose of funding treatment services, including foster care and contractual payments
Personal Service and/or Expense and Equipment, provided that not
more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund 32,529,665
Personal Service 6,627,582
Expense and Equipment 7,073,293
From Federal Funds 13,700,875
Personal Service 2,394,837
Expense and Equipment 3,715,760
From DOSS Educational Improvement Fund 6,110,597
Personal Service 107,219
Expense and Equipment 10,135
From Health Initiatives Fund 117,354
Total (Not to exceed 1,392.00 F.T.E.) $52,458,491
Section 11.325. To the Department of Social Services
For the Division of Youth Services
For the purpose of funding incentive payments to counties for community-based treatment programs for youth. Up to $500,000 from the Gaming Commission Fund appropriated within this
section may be used for funding treatment services, including
foster care and contractual payments
From General Revenue Fund $3,884,412
From Gaming Commission Fund 500,000
Total $4,384,412
Section 11.400. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding administrative services. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient's spend down amount
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 $7,057,156
Personal Service 5,358,625
Expense and Equipment 6,754,641
From Federal Funds 12,113,266
Personal Service 16,810
Expense and Equipment 5,110
From Pharmacy Rebates Fund 21,920
Personal Service 266,394
Expense and Equipment 31,385
From Health Initiatives Fund 297,779
Personal Service 71,346
Expense and Equipment 10,281
From Nursing Quality of Care Fund 81,627
Personal Service 250,625
Expense and Equipment 1,414,665
From Third Party Liability Collections Fund 1,665,290
Total (Not to exceed 291.44 F.T.E.) $21,237,038
Section 11.405. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding women and minority health care outreach 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. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient's spend down amount
From General Revenue Fund $750,000
From Federal Funds 750,000
Total $1,500,000
Section 11.410. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding a revenue maximization unit in the Division of Medical Services. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient's spend down amount
Personal Service $81,000
Expense and Equipment 8,286
From Federal Reimbursement Allowance Fund 89,286
Personal Service 81,000
Expense and Equipment 8,286
From Federal Funds 89,286
Total (Not to exceed 4.00 F.T.E.) $178,572
Section 11.415. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding fees associated with third-party collections and other revenue maximization cost avoidance fees. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient's spend down amount
From Federal Funds $1,000,000E
From Third Party Liability Collections Fund 1,000,000E
Total $2,000,000
Section 11.420. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding the operation of the information systems. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient's spend down amount
From General Revenue Fund $6,892,792
From Federal Funds 18,473,731
Total $25,366,523
Section 11.425. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding contractor payments associated with managed care eligibility and enrollment of Medicaid recipients. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient's spend down amount
From General Revenue Fund $109,586
From Federal Funds 3,110,113
Total $3,219,699
Section 11.430. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding pharmaceutical payments under the Medicaid fee-for-service and managed care programs and for the purpose of funding professional fees for pharmacists. Prior to the implementation of a preferred drug product list, the Division of Medical Services must submit to the Budget Chairman of the House and the Appropriations Chairman of the Senate a study which outlines the impact of such restrictions on patient care and the entire Medicaid budget. A portion of funding provided within this section, $16,442,080 from the General Revenue Fund and $26,109,887 from Federal Funds, is contingent upon both the passage of legislation authorizing the pharmacy provider tax and the approval of the pharmacy provider tax by the Federal Centers for Medicare and Medicaid Services (CMS), each of which must be in an amount sufficient to provide for Fiscal Year 2004 appropriations made from the Pharmacy Federal Reimbursement Allowance Fund. If these contingencies are not satisfied then the appropriation for the contingent funding noted above is revoked and the base dispensing fee, before any related provider tax adjustment, shall be lesser of $4.09 or the lowest dispensing fee accepted by the pharmacy from any insurer or other third party payer; further, a component in determining ingredient cost reimbursement will include the flat Wholesale Acquisition Cost (WAC). The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient's spend down amount
From General Revenue Fund $245,925,389
From Federal Funds 575,820,062
From Pharmacy Rebates Fund 59,633,179E
From Pharmacy Reimbursement Allowance Fund 54,255,870
From Health Initiatives Fund 969,293
From Healthy Families Trust Fund-Health Care Account 1,041,034
For the purpose of funding pharmaceutical payments under the Medicaid
fee-for-service and managed care programs and for the purpose
of funding professional fees for pharmacists. Medications will be
available under the state Medicaid plan without restriction/prior
authorization for persons with mental illnesses, except where
generics are available, shall include atypical antipsychotic
medications, conventional antipsychotic medications, anti-
convulsants, and other medications used for the treatment of
mental illnesses. The funding and language within this line item
are 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. The single agency administering the Medicaid
program is only authorized to reimburse for benefits that exceed
a recipient's spend down amount
From General Revenue Fund 7,200,000
From Federal Funds 11,800,000
Total $956,644,827
Section 11.435. There is transferred out of the State Treasury, chargeable to the General Revenue Fund, Thirty Million Dollars ($30,000,000) to the Pharmacy Reimbursement Allowance Fund
From General Revenue Fund $30,000,000E
Section 11.440. There is transferred out of the State Treasury, chargeable to the Pharmacy Reimbursement Allowance Fund, Thirty Million Dollars ($30,000,000) to the General Revenue Fund as a result of recovering the Pharmacy Reimbursement Allowance Fund
From Pharmacy Reimbursement Allowance Fund $30,000,000E
Section 11.445. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding physician services and related services, including, but not limited to, clinic and podiatry services, physician-sponsored services and fees, laboratory and x-ray services, and family planning services under the Medicaid fee-for-service and managed care programs. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient's spend down amount
From General Revenue Fund $108,792,330
From Federal Funds 182,083,076
From Health Initiatives Fund 1,247,544
From Healthy Families Trust Fund-Health Care Account 1,041,034
Total $293,163,984
Section 11.450. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding dental services for children under the Medicaid fee-for-service and managed care programs. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient's spend down amount
From General Revenue Fund $2,693,467
From Federal Funds 5,750,170
From Health Initiatives Fund 71,162
From Healthy Families Trust Fund-Health Care Account 848,773
Total $9,363,572
Section 11.455. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding payments to third-party insurers, employers, or policyholders for health insurance. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient's spend down amount
From General Revenue Fund $31,199,490
From Federal Funds 50,414,133
Total $81,613,623
Section 11.460. To the Department of Social Services
For the Division of Medical Services
For funding long-term care services
For the purpose of funding home health, respite care, homemaker chore, personal care, advanced personal care, adult day care, AIDS, children's waiver services, Program for All-Inclusive Care for the Elderly, and other related services under the Medicaid fee-for-service and managed care programs. Provided that an individual eligible for or receiving nursing home care must be given the opportunity to have those Medicaid dollars follow them to the community to the extent necessary to meet their unmet needs as determined by 13 CSR 15 9.030(5) and further be allowed to choose the personal care program option in the community that best meets the individuals' unmet needs. This includes the Consumer Directed Medicaid State Plan Amendment that is administered by the Division of Vocational Rehabilitation in the Department of Elementary and Secondary Education. And further provided that individuals eligible for the Medicaid Personal Care Option must be allowed to choose, from among all the program options, that option which best meets their unmet need as determined by 13 CSR 15 9.030(5); and also be allowed to have their Medicaid funds follow them to the extent necessary to meet their unmet needs whichever option they choose. This language does not create any entitlements not established by statute. The single state agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient's spend down amount
From General Revenue Fund $104,484,839
From Federal Funds 167,638,867
From Health Initiatives Fund 159,305
For the purpose of funding care in nursing facilities, Program for All-Inclusive Care for the Elderly, or other long-term care services under the Medicaid fee-for-service and managed care programs. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient's spend down amount
From General Revenue Fund 85,896,423
From Federal Funds 261,666,235
From Uncompensated Care Fund 58,516,478
From Intergovernmental Transfer Fund 20,000,000
From Nursing Facility Federal Reimbursement Allowance Fund 7,000,000
From Healthy Families Trust Fund-Health Care Account 17,973
Total $705,380,120
Section 11.465. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding all other non-institutional services, including, but not limited to, rehabilitation, optometry, audiology, ambulance, non-emergency medical transportation, durable medical equipment, and eyeglasses following cataract surgery under the Medicaid fee-for-service and managed care programs. A portion of this funding allows for contracted services related to prior authorization of certain Medicaid services. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient's spend down amount
From General Revenue Fund $33,639,055
From Federal Funds 55,862,176
From Healthy Families Trust Fund-Health Care Account 831,745
From Health Initiatives Fund 194,881
For the purpose of funding non-emergency medical transportation. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient's spend down amount
From General Revenue Fund 9,576,589
From Federal Funds 11,976,589
For the purpose of funding non-emergency medical transportation,
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. The single agency administering the Medicaid
program is only authorized to reimburse for benefits that exceed a
recipient's spend down amount
From General Revenue Fund 4,000,000
From Federal Funds 4,000,000
Total $120,081,035
Section 11.470. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding the payment to comprehensive prepaid health care plans or for payments to providers of health care services for persons eligible for medical assistance under the Medicaid fee-for-service programs or State Medical Program as provided by federal or state law or for payments to programs authorized by the Frail Elderly Demonstration Project Waiver as provided by the Omnibus Budget Reconciliation Act of 1990 (P.L. 101-508, Section 4744) and by Section 208.152 (22), RSMo. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient's spend down amount
From General Revenue Fund $162,875,631
From Federal Funds 459,515,560
From Health Initiatives Fund 8,270,848
From Federal Reimbursement Allowance Fund 107,540,525
From Healthy Families Trust Fund-Health Care Account 4,447,110
Total $742,649,674
Section 11.475. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding hospital care under the Medicaid fee-for-service and managed care programs. The Division of Medical Services may adjust SFY 2004 costs of the uninsured payments to hospitals to reflect the impact on hospitals of the elimination of Medicaid coverage for adults with incomes above 77 percent of the federal poverty level and who were covered through a Section 1931 transfer. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient's spend down amount
From General Revenue Fund $16,385,660
From Federal Funds 349,336,474
From Uncompensated Care Fund 29,383,522
From Federal Reimbursement Allowance Fund 108,958,465
From Health Initiatives Fund 2,797,179
From Healthy Families Trust Fund-Health Care Account 2,365,987
For Safety Net Payments
From Healthy Families Trust Fund-Health Care Account 30,365,444
For Graduate Medical Education
From Health Families Trust Fund-Health Care Account 10,000,000
For the purpose of funding a community-based care coordinating
program that includes in-home visits and/or phone contact
by a nurse care manager of electronic monitor. The purpose of
such program shall be to ensure that patients are discharged
from hospitals to an appropriate level of care and services
and that targeted Medicaid beneficiaries with chronic illnesses
and high-risk pregnancies receive care in the most cost-
effective setting. Areas of implementation shall include but not
be limited to Greene County. The project shall be contingent
upon adoption of an offsetting increase in the applicable provider
tax and administered by the Division of Medical Services' Disease
Management Program.
From Federal Funds 80,000
From Federal Reimbursement Allowance Fund 80,000
For the purpose of establishing an emergency department diversion
program designed to enhance access to primary care physician
services in lieu of emergency department services. Hospitals
may collaborate with the department to establish an enhanced
fee schedule for physicians identified by such hospitals to
participate in the emergency department diversion programs,
contingent upon adoption of an offsetting increase in the
applicable provider tax.
From Federal Funds $15,000,000
From Federal Reimbursement Fund 10,000,000
For the purpose of funding hospital care under the Medicaid fee-for-
service and managed care programs, and funding for hospital-
employed, Medicaid enrolled physicians in the emergency
department of Level I, II, II Trauma Centers as defined by
the Department of Health & Senior Services and Critical
Access Hospitals as defined by the Department of Social
Services Division of Medical Services, contingent upon
adoption of an offsetting increase in the applicable provider
tax.
From Federal Funds 30,000,000
From Federal Reimbursement Allowance Fund 20,000,000
For the purpose of continuing funding in Southwest Missouri of the
pager project designed to assist those Medicaid recipients with a
high utilization of pharmaceuticals in order to treat chronic
illness. Additionally, such project will be replicated in
metropolitan Kansas City. The project shall be contingent
upon adoption of an offsetting increase in the applicable
provider tax and administered by the Division of Medical
Services' Disease Management Program.
From Federal Funds 60,000
From Federal Reimbursement Fund 60,000
Total $624,872,731
Section 11.476. To the Department of Social Services
For the Division of Medical Services
For payment to Tier 1 Safety Net Hospitals, by maximizing eligible
costs for federal Medicaid funds, utilizing current state and
local funding sources as match for services that are not currently
matched with federal Medicaid payments.
From Federal Funds $23,000,000
Section 11.485. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding payments to hospitals under the Federal Reimbursement Allowance Program and for the expenses of the Poison Control Center in order to provide services to all hospitals within the state. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient's spend down amount
From Federal Funds $384,999,999E
From Federal Reimbursement Allowance Fund 1E
Total $385,000,000
Section 11.490. To the Department of Social Services
For the Division of Medical Services
For funding programs to enhance access to health care for uninsured adults by using fee-for-service, prepaid health plans, or other alternative service delivery and reimbursement methodology approved by the director of the Department of Social Services. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient's spend down amount
From General Revenue Fund $2,286,649
From Federal Funds 3,076,630
From Federal Reimbursement Allowance Fund 423,516
From Pharmacy Reimbursement Allowance Fund 89,128
For the purpose of funding health care services provided to uninsured adults through local initiatives for the uninsured. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient's spend down amount
From Federal and Other Funds 1E
Total $5,875,924
Section 11.495. To the Department of Social Services
For the Division of Medical Services
For funding programs to enhance access to care for uninsured children
using fee-for-services, prepaid health plans, or other alternative
service delivery and reimbursement methodology approved by the
director of the Department of Social Services. In order to be
eligible, and pursuant to the provisions of Sections 208.631 to
208.657, RSMo, parents and guardians of uninsured children with
incomes between two hundred twenty-six and three hundred
percent of the federal poverty level shall submit with their
application two health insurance quotes from insurers providing
services in their community. Said quotes shall exceed one
hundred thirty-three percent of the average monthly premium
currently required in the Missouri Consolidated Health Care Plan.
The single agency administering the Medicaid program is only
authorized to reimburse for benefits that exceed a recipient's
spend down amount
From General Revenue Fund $11,095,939
From Federal Funds 68,489,763
From Federal Reimbursement Allowance Fund 8,300,000
From Health Initiatives Fund 4,999,173
From Pharmacy Rebates Fund 755,579
From Pharmacy Reimbursement Allowance Fund 201,394
From Premium Fund 1,000,000
Total $94,841,848
Section 11.500. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding uncompensated care payments to the St. Louis Regional Disproportionate Share Hospital funding authority
From Federal Funds $25,000,000E
Section 11.505. There is transferred out of the State Treasury, chargeable to the General Revenue Fund, $180,000,000 to the Federal Reimbursement Allowance Fund
From General Revenue Fund $180,000,000E
Section 11.510. There is transferred out of the State Treasury, chargeable to the Federal Reimbursement Allowance Fund, $180,000,000 to the General Revenue Fund as a result of reconciling the Federal Reimbursement Allowance Fund
From Federal Reimbursement Allowance Fund $180,000,000E
Section 11.515. There is transferred out of the State Treasury, chargeable to the General Revenue Fund, $120,000,000 to the Nursing Facility Federal Reimbursement Allowance Fund
From General Revenue Fund $120,000,000E
Section 11.520. There is transferred out of the State Treasury, chargeable to the Nursing Facility Federal Reimbursement Allowance Fund, $120,000,000 to the General Revenue Fund as a result of reconciling the Nursing Facility Federal Reimbursement Allowance Fund
From Nursing Facility Federal Reimbursement Allowance Fund $120,000,000E
Section 11.525. There is transferred out of the State Treasury, chargeable to the Nursing Facility Federal Reimbursement Allowance Fund, $1,500,000 to the Nursing Facility Quality of Care Fund
From Nursing Facility Federal Reimbursement Allowance Fund $1,500,000
Section 11.530. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding Nursing Facility Federal Reimbursement Allowance payments as provided by law. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient's spend down amount
From Federal Funds $184,999,999E
From Nursing Facility Federal Reimbursement Allowance Fund 1E
Total $185,000,000
Section 11.535. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding Medicaid services for the Department of Elementary and Secondary Education under the Medicaid fee-for-service and managed care programs. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient's spend down amount
From Federal Funds $33,230,000E
Section 11.545. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding home-delivered meals distributed according to formula to the Area Agencies on Aging in the Department of Health and Senior Services. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient's spend down amount
From Federal Funds $4,191,968E
Section 11.550. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding medical benefits for recipients of the State Medical Program, including coverage in managed care programs. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient's spend down amount
From General Revenue Fund $35,726,155
From Health Initiatives Fund 353,437
From Pharmacy Reimbursement Allowance Fund 846,090
Total $36,925,682
Section 11.555. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding appropriations for any medical service under the Medicaid fee-for-service, managed care, or State Medical programs, including related services. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient's spend down amount
From Federal Funds $24,107,486
From Premium Fund 3,837,940
From Third Party Liability Collections 11,399,997
From Uncompensated Care Fund 1
From Pharmacy Rebates Fund 1
From Federal Reimbursement Allowance Fund 1
For the purpose of funding Upper Payment Limit maximization transactions
From Federal Funds 20,500,000
From Intergovernmental Transfer Fund 13,000,000
Total $72,845,426
BILL TOTALS
General Revenue Fund $1,248,960,180
Federal Funds 4,006,831,226
Other Funds 356,359,743
Total $5,612,151,149