SECOND REGULAR SESSION
HOUSE COMMITTEE SUBSTITUTE FOR
92ND GENERAL ASSEMBLY
Reported from the Committee on Budget April 5, 2004, with recommendation that the House Committee Substitute for House Bill No. 1011 Do Pass.
STEPHEN S. DAVIS, Chief Clerk
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, 2004 and ending June 30, 2005.
Be it enacted by the General Assembly of the state of Missouri, as follows:
There is appropriated out of the State Treasury, to be expended only as provided in Article IV, Section 28 of the Constitution of Missouri, for the purpose of funding each department, division, agency, and program enumerated in each section for the item or items stated, and for no other purpose whatsoever chargeable to the fund designated for the period beginning July 1, 2004 and ending June 30, 2005 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
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $472,688
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 Enforcement Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . 59,064
Total (Not to exceed 9.00 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$545,385
Section 11.007. To the Department of Social Services
For the Office of the Director
For the purpose of paying overtime compensation
Personal Service
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $462,622
Section 11.010. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $12,124,960
Section 11.015. 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 Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $10,138
From Facilities Maintenance Reserve Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30,708
For the Division of Youth Services
For the purpose of funding operating maintenance and repair
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138,243
From Facilities Maintenance Reserve Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78,794
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $257,883
Section 11.020. 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
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $359,961
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 183,389
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41,089
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 224,478
Total (Not to exceed 15.52 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$584,439
Section 11.025. 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
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,556,420
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 404,196
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116,518
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 520,714
Total (Not to exceed 61.17 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,077,134
Section 11.030. 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 11.035. To the Department of Social Services
For Administrative Services
For the Division of Budget and Finance
For the purpose of funding the receipt and disbursement of refunds and incorrectly deposited receipts to allow the over-collection of accounts receivables to be paid back to the recipient
From Federal and Other Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,500,000E
Section 11.040. To the Department of Social Services
For Administrative Services
For the Division of Budget and Finance
For the purpose of funding payments to counties toward the care and maintenance of each delinquent or dependent child as provided in Chapter 211.156, RSMo
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,192,000
Section 11.045. 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
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,856,066
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28,056,499
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50,413
From Child Support Enforcement Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . .3,014,362
From Administrative Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 438,878
Expense and Equipment
From Education Improvement Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127,238
Total (Not to exceed 162.66 F.T.E). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$35,543,456
Section 11.050. To the Department of Social Services
For the Family Support Division
For the purpose of funding field and line computers
Expense and Equipment
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $957,931
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 581,201
For the purpose of funding field and line training
Expense and Equipment
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 244,845
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131,840
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,915,817
Section 11.055. 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
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,798,237
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 242,488
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83,672
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 326,160
Personal Service
From Child Support Enforcement Collections 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 72.61 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $7,970,024
Section 11.060. 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
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,906,054
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,802,022
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 698,155
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3,500,177
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 488,298
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 318,163
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 806,461
Personal Service
From Child Support Enforcement Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . 147,745
Total (Not to exceed 145.39 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6,360,437
Section 11.100. To the Department of Social Services
For the Family Support Division
Personal Service and/or Expense and Equipment, provided that not more than fifteen percent (15%) flexibility is allowed
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,154,602
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11,179,355
From Child Support Enforcement Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . .1,449,453
Expense and Equipment
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134,577
From Administrative Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39,690
From Blind Pension Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62,417
Total (Not to exceed 198.17 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $14,020,094
Section 11.105. To the Department of Social Services
For the Family Support Division
For the income maintenance field staff and operations
Personal Service and/or Expense and Equipment, provided that not more than fifteen percent (15%) flexibility is allowed
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$26,654,556
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62,240,249
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 696,844
Total (Not to exceed 2,967.99 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$89,591,649
Section 11.110. To the Department of Social Services
For the Family Support Division
For the income maintenance staff training
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $461,921
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 164,591
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $626,512
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,293,847
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,041,481
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$6,335,328
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$2,099,972
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3,789,073
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,889,045
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $107,656
For grants and contracts to Community Partnerships and other community initiatives and related expenses
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,000,000
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7,483,799
For Missouri Mentoring Partnership
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 695,715
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 778,143
Total (Not to exceed 4.38 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $10,065,313
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $67,519
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5,300,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,367,519
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .123,045,760E
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$140,333,466
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$2,403,070
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $185,000
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$26,464,815
Section 11.160. To the Department of Social Services
For the Family Support Division
For the purpose of funding General Relief Program payments
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $100,000
For the purpose of funding receipt and disbursement of Supplemental Security Income Program payments
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,000,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$4,100,000
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $21,505,269
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 (Not to exceed 6.50 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . $40,794,695E
Section 11.200. To the Department of Social Services
For the Family Support Division
For the purpose of funding services and programs to assist victims of domestic violence
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$4,300,000
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,687,653
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,987,653
Section 11.205. To the Department of Social Services
For the Family Support Division
For the purpose of funding administration of blind services
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$2,741,744
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 843,975
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3,585,719
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 804,058
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 210,637
From Blind Pension Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,014,695
Total (Not to exceed 117.87 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $4,600,414
Section 11.210. 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 11.215. 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
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $246,565
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27,216,924
From Child Support Enforcement Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . 7,893,348
Total (Not to exceed 1,044.61 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$35,356,837
Section 11.220. 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 Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $990,000E
From Child Support Enforcement Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . 510,000E
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,500,000
Section 11.225. 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 Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,270,000
From Child Support Enforcement Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . 653,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,923,000
Section 11.230. 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 11.235. 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 11.240. To the Department of Social Services
For the Children’s Division
Personal Service and/or Expense and Equipment, provided that not more than fifteen percent (15%) flexibility is allowed
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $935,054
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5,785,881
From Early Childhood Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52,148
Expense and Equipment
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163,323
Total (Not to exceed 113.98 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6,936,406
Section 11.245. To the Department of Social Services
For the Children’s Division
For the 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
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$25,219,009
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42,912,304
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59,750
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28,749
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88,499
For the purpose of enhancing child welfare services. Monies in this section shall be used to expand existing or support new performance-based contracts including prevention, training, and case management and to expand staff in local welfare offices to achieve accreditation caseload standards. At least $3,200,000 shall be used to expand existing or support new performance-based contracts including prevention, training, and case management
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6,098,458
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,159,702
Total (Not to exceed 1,978.60 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$77,477,972
Section 11.250. To the Department of Social Services
For the Children’s Division
For Children’s Division staff training
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,077,819
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 384,041
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,461,860
Section 11.255. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$8,498,293
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,486,047
For the purpose of funding extensive day treatment services through accredited community based organizations which are licensed by the Department of Mental Health as having an approved “day treatment program”. In order for a child to be eligible for this specialized service, such child shall be between the ages of three and six years of age who are: (1) Eligible for Medicaid; and (2) Placed in or at high risk of psychiatric hospitalization, residential care, or foster care placements; and (3) Diagnosed within Axis I as having a mental health related illness as described in the International Classification of Diseases - 9th Revision (ICD-9). The valid ICD-9 diagnosis codes are those within 290-316; and (4) Pre-authorized for services by the Children’s Division in order to ensure all criteria are met. The Division of Medical Services shall promulgate such CPT codes in order to identify “Day Treatment” as a covered service under the Medicaid program. Such service shall be paid at a rate not lower than the rate currently being paid under the program as authorized through the Missouri’s Children’s Division Treatment Services funds/contracts
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,130,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$15,114,340
Section 11.260. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$56,614,506
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53,080,726
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$114,695,232
Section 11.265. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$42,024,289
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18,388,686
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$60,412,975
Section 11.270. 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 General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,690,790
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3,393,228
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,084,018
Section 11.275. To the Department of Social Services
For the Children’s Division
For the purpose of supplementing 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$9,655,162
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9,273,261
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$18,928,423
Section 11.280. 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 11.285. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$6,505,431
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9,691,373
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$16,196,804
Section 11.290. 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 11.295. 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, the general administration of the programs, and to support the Educare Program
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$59,312,362
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 pursuant to Chapter 313, RSMo
From Early Childhood Development, Education and Care Fund. . . . . . . . . . . . . . 3,446,898
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$181,965,908
Section 11.310. 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
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,664,642
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 661,785
Total (Not to exceed 54.83 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,326,427
Section 11.315. 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
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$32,312,644
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6,624,326
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7,073,293
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13,697,619
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,393,269
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,982,477
From DOSS Educational Improvement Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,375,746
Expense and Equipment
From Youth Services Product Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25,000E
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107,154
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10,135
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117,289
Total (Not to exceed 1,373.81 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$51,528,298
Section 11.320. To the Department of Social Services
For the Division of Youth Services
For the purpose of funding incentive payments to counties for community-based treatment programs for youth
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,687,776
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
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,687,776
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7,750,304
From Pharmacy Rebates Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21,610
From Pharmacy Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27,315
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 273,406
From Nursing Facility Quality of Care Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80,314
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 718,726
Total (Not to exceed 226.11 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $12,559,451
Section 11.405. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding cost saving measures under contract for the pharmacy program administration directed at Medicaid fee-for-service and managed care programs. The contracted services include, but are not limited to, Prospective Drug Use Review including, but not limited to, clinical edits, step therapy, dose optimization edits, prior authorization edits, early refill edits, maximum allowable quantities, maximum allowable drug pricing, preferred drug list, drug-to-drug interaction edits, drug-disease conflict edits, and drug-gender edits; Disease and Case Management services; and Retrospective Drug Use review including, but not limited to, population based reviews, provider education, provider help desk services, clinical criteria, drug information services and support, and ad hoc drug utilization reporting. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$2,071,011
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3,602,788
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 924,911
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$6,598,710
Section 11.410. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding women and minority health care outreach 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $675,000
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 750,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,425,000
Section 11.415. 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 Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89,286
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81,000
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8,286
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89,286
Total (Not to exceed 4.00 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$178,572
Section 11.420. 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 11.425. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,635,801
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17,567,731
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$23,203,532
Section 11.430. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $82,418
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,910,113
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,992,531
Section 11.435. 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. Provided, however, that policies for prescribing psychotropic medications will not include step therapy, and will be solely determined by quality assurance policies specific to the treatment of mental illness. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$273,271,933
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .709,318,929
From Pharmacy Rebates Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .96,303,828E
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8,204,000
From Intergovernmental Transfer Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10,575,694
From Pharmacy Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . 61,984,630
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 969,293
From Healthy Families Trust Fund-Health Care Account. . . . . . . . . . . . . . . . . . 1,041,034
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,161,669,341
Section 11.440. There is transferred out of the State Treasury from the General Revenue Fund to the Pharmacy Reimbursement Allowance Fund
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$30,000,000E
Section 11.445. There is transferred out of the State Treasury from the Pharmacy Reimbursement Allowance Fund to the General Revenue Fund as a result of recovering the Pharmacy Reimbursement Allowance Fund
From Pharmacy Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . $30,000,000E
Section 11.450. 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. At least One Million Dollars ($1,000,000) additional monies will be used to increase emergency room physicians’ reimbursements. The Department shall conduct a telemedicine services pilot program with the University of Missouri not to exceed $50,000 and report the results of the pilot to the appropriations committees of the House and Senate. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$131,332,792
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .216,712,566
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,247,544
From Healthy Families Trust Fund-Health Care Account. . . . . . . . . . . . . . . . . . . . . 1,041,034
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,618,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$352,951,936
Section 11.455. 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 and not for reimbursement of adult dental services provided after July 1, 2004. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,550,878
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9,587,719
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71,162
From Healthy Families Trust Fund-Health Care Account. . . . . . . . . . . . . . . . . . . . . 848,773
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$16,058,532
Section 11.460. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$36,857,532
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59,452,546
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$96,310,078
Section 11.465. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$114,324,981
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180,806,626
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82,742,613
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .260,403,693
From Uncompensated Care Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58,516,478
From Intergovernmental Transfer Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20,000,000
From Nursing Facility Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . .1,072,284
From Healthy Families Trust Fund-Health Care Account. . . . . . . . . . . . . . . . . . . . . . . . 17,973
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,633,433
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$720,677,386
Section 11.470. 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 services for children under the Medicaid fee-for-service and managed care programs and not for reimbursement of adult optometry services provided after July 1, 2004, audiology, ambulance, non-emergency medical transportation, durable medical equipment, and eyeglasses 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$44,271,998
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .71,540,337
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11,254,770
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18,371,370
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$146,465,101
Section 11.475. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$177,257,378
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .494,551,797
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8,464,118
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . 116,112,906
From Healthy Families Trust Fund-Health Care Account. . . . . . . . . . . . . . . . . . . . 4,447,110
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$800,833,309
Section 11.480. 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. At least One Million Dollars ($1,000,000) additional monies will be used for uncompensated care as a result of SFY 05 Medicaid reform actions. The Division of Medical Services may adjust SFY 2005 costs of the uninsured payments to hospitals to reflect the impact on hospitals of the elimination of Medicaid coverage for adults with incomes above 50 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. Monies are not appropriated for coverage of medical assistance for persons whose incomes, calculated using less restrictive income methodologies, as authorized in 42 USC Section 1396(r)(2), exceeds ninety percent of the federal poverty level, and those persons whose income exceeds ninety percent of the federal poverty level will not be eligible for old age assistance benefits, permanent and total disability benefits, or aid to the blind benefits
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$44,418,422
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .371,957,205
From Uncompensated Care Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32,483,522
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,638,000
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . 89,438,465
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,797,179
From Intergovernmental Transfer Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26,771,963
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 Healthy 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 or 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 200,000
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80,000
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120,000
For the purpose of funding hospital care under the Medicaid fee-for-service and managed care programs, and funding costs incurred by hospitals for the staffing of the emergency department with Medicaid enrolled physicians of Level I, II, III Trauma Centers as defined by the Department of Health and 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30,000,000E
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . 20,000,000E
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80,000
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . 80,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$662,796,187
Section 11.485. 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 11.490. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding grants to Federally Qualified Health Centers. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$7,000,000
Section 11.495. 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 11.500. 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 Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,873,007
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .423,516
From Pharmacy Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .89,128
From Intergovernmental Transfer Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,846,610
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$6,232,262
Section 11.505. 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. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,431,327
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81,151,251
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8,191,223
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5,048,112
From Pharmacy Rebates Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 225,430
From Pharmacy Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . .201,394
From Intergovernmental Transfer Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9,358,854
From Premium Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,960,926
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$110,568,517
Section 11.510. 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 11.515. There is transferred out of the State Treasury from the General Revenue Fund to the Federal Reimbursement Allowance Fund
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$180,000,000E
Section 11.520. There is transferred out of the State Treasury from the Federal Reimbursement Allowance Fund to the General Revenue Fund as a result of recovering the Federal Reimbursement Allowance Fund
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . $180,000,000E
Section 11.525. There is transferred out of the State Treasury from the General Revenue Fund to the Nursing Facility Federal Reimbursement Allowance Fund
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$120,000,000E
Section 11.530. There is transferred out of the State Treasury from the Nursing Facility Federal Reimbursement Allowance Fund to the General Revenue Fund as a result of recovering the Nursing Facility Federal Reimbursement Allowance Fund
From Nursing Facility Federal Reimbursement Allowance Fund. . . . . . . . . . . .$120,000,000E
Section 11.535. There is transferred out of the State Treasury from the Nursing Facility Federal Reimbursement Allowance Fund to the Nursing Facility Quality of Care Fund
From Nursing Facility Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . .$1,500,000
Section 11.540. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$216,999,999E
From Nursing Facility Federal Reimbursement Allowance Fund. . . . . . . . . . . . . 1E
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$217,000,000
Section 11.555. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding medical benefits for recipients of State Medical programs including Child Welfare Services, Blind Pension, Juvenile Courts, and Division of Youth Services only, 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$21,602,765
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 353,437
From Pharmacy Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . 846,090
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$22,802,292
Section 11.560. To the Department of Social Services
For the Division of Medical Services
For the purpose of supplementing appropriations for any medical service under the Medicaid fee-for-service, managed care, or State Medical 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$24,107,486E
From Premium Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,837,940
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7,571,156
From Uncompensated Care Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1E
From Pharmacy Rebates Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1E
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1E
From Nursing Facility Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . 181,500
For the purpose of funding Disproportionate Share Hospital maximization transactions
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .52,000,000E
From Intergovernmental Transfer Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33,000,000E
For the purpose of funding Upper Payment Limit maximization transactions
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20,500,000
From Intergovernmental Transfer Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13,000,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$154,198,085
BILL TOTALS
General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,322,161,617
Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,284,727,777
Other Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 487,477,079
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6,094,366,473