FIRST REGULAR SESSION
SENATE COMMITTEE SUBSTITUTE FOR
HOUSE COMMITTEE SUBSTITUTE FOR
93RD GENERAL ASSEMBLY
AN ACT
To appropriate money for the expenses, grants, and distributions of the Department of Social Services and the Office of Administration, 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, 2005 and ending June 30, 2006.
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, monies are not appropriated for coverage of medical assistance provided after August 27, 2005, for adults receiving old age assistance benefits or permanently and totally disabled benefits whose income exceeds eighty-five percent (85%) of the federal poverty level. Monies are not appropriated for coverage of medical assistance provided after August 27, 2005, for persons receiving benefits under RSMo 208.146. Monies are not appropriated for coverage of medical assistance provided after June 30, 2005, for adults receiving benefits under the Medical Assistance for Families program whose income exceeds fifty percent (50%) of the federal poverty level, and for no other purpose whatsoever chargeable to the fund designated for the period beginning July 1, 2005 and ending June 30, 2006 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 twenty percent (20%) flexibility is allowed between each appropriation
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $443,907
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13,874
From Child Support Enforcement Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . 59,444
Total (Not to exceed 8.00 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$517,225
Section 11.010. To the Department of Social Services
For the Office of Administration
For administration of information systems personnel and resources by the Information Technology Services Division, provided that not more than fifty percent (50%) flexibility is allowed between each appropriation
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,063,103
From Federal Funds and Other Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35,210,157
Total (Not to exceed 212.03 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $40,273,260
Section 11.015. To the Department of Social Services
For the Office of the Director
For the purpose of receiving and expending donations and federal funds provided that the General Assembly shall be notified of the source of any new funds and the purpose for which they shall be expended, in writing, prior to the use of said funds
From Federal Funds and Other Funds (0 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . .$12,004,958
Section 11.020. To the Department of Social Services
For Administrative Services
For the Division of General Services
For the purpose of funding operating maintenance and repair
From 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 (0 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$257,883
Section 11.025. To the Department of Social Services
For the Office of the Director
For the Human Resources Center
Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $336,427
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 227,130
Total (Not to exceed 14.52 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$563,557
Section 11.030. To the Department of Social Services
For the Office of the Director
For the purpose of funding field and line training
Expense and Equipment
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $178,125
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131,840
Total (0 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$309,965
Section 11.035. To the Department of Social Services
For the purpose of paying overtime to nonexempt state employees as required by Section 105.935, RSMo, and/or for otherwise authorized Personal Service expenditures in lieu of such overtime payments
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,639,286
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,420,906
Total (0 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3,060,192
Section 11.040. 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 twenty percent (20%) flexibility is allowed between each appropriation
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,428,028
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 533,601
Total (Not to exceed 56.17 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,961,629
Section 11.045. 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 11.050. 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 Funds and Other Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$2,500,000E
Section 11.055. 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 Section 211.156, RSMo
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,302,000
Section 11.060. 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 twenty percent (20%) flexibility is allowed between each appropriation
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $295,600
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 523,133
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .751
From Child Support Enforcement Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7,027
From Administrative Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,913
Expense and Equipment
From Education Improvement Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 755
Total (Not to exceed 18.75 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$831,179
Section 11.065. 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 twenty percent (20%) flexibility is allowed between each appropriation
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,638,386
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 339,744
Personal Service
From Child Support Enforcement Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . 99,227
For the purpose of funding the centralized inventory system and Prince Hall building operations, including staff up to 2 F.T.E.,
Personal Service and/or Expense and Equipment, provided that
not more than twenty percent (20%) flexibility is allowed between
each appropriation
From Administrative Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,750,000
Total (Not to exceed 65.61 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $7,827,357
Section 11.070. 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 twenty percent (20%) flexibility is allowed between each appropriation
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,680,453
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3,561,878
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 816,361
From Child Support Enforcement Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . 150,453
Total (Not to exceed 141.97 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6,209,145
Section 11.075. To the Department of Social Services
For the Family Support Division
Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $542,730
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10,522,985
From Child Support Enforcement Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . .1,345,977
Expense and Equipment
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134,577
From Blind Pension Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62,405
Total (Not to exceed 170.49 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $12,608,674
Section 11.080. 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 twenty percent (20%) flexibility is allowed between each appropriation
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$23,088,252
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62,993,284
From Child Support Enforcement Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . .1,466,590
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 721,275
Total (Not to exceed 2,865.99 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$88,269,401
Section 11.085. To the Department of Social Services
For the Family Support Division
For income maintenance and child support staff training
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $373,012
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 164,591
Total (0 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$537,603
Section 11.090. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$4,168,024
From Federal Funds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,683,518
Total (0 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $7,851,542
Section 11.095. 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 11.100. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$2,262,971
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,788,405
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$6,051,376
Section 11.105. To the Department of Social Services
For the Family Support Division
For the purpose of funding Community Partnerships
Personal Service
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $92,548
For grants and contracts to Community Partnerships and other community initiatives and related expenses
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 727,500
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7,483,799
For Missouri Mentoring Partnership
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 506,844
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 778,143
Total (Not to exceed 3.00 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9,588,834
Section 11.110. To the Department of Social Services
For the Family Support Division
For the purpose of funding the Family Nutrition Program
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,294,560
Section 11.115. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .121,064,744E
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$138,352,450
Section 11.125. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $145,000
Section 11.130. 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, and for personal funds to recipients of Supplemental Nursing Care payments as required by Section 208.030, RSMo
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$25,464,815
Section 11.135. To the Department of Social Services
For the Family Support Division
For the purpose of providing Supplemental Security Income Program payment reimbursements for those eligible for General Relief Cash Assistance prior to July 31, 2003. Payments from this section shall not be considered General Relief Cash Assistance
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$4,000,000
Section 11.140. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $22,901,889
Section 11.145. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,808,853
Section 11.150. 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 11.155. 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 11.160. 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 11.165. 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 11.170. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$40,799,995E
Section 11.175. 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 11.180. To the Department of Social Services
For the Family Support Division
For the purpose of funding administration of blind services
Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,565,157
From Blind Pension Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,020,389
Total (Not to exceed 116.87 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $4,585,546
Section 11.185. To the Department of Social Services
For the Family Support Division
For the purpose of funding services for the visually impaired
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,084,732
From Blind Pension Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,549,919
From Donated Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99,995
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$6,734,646
Section 11.190. 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 twenty percent (20%) flexibility is allowed between each appropriation
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$27,331,407
From Child Support Enforcement Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . .6,223,923
For the purpose of mediation services
From Child Support Enforcement Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . 365,000
Total (Not to exceed 1,035.74 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$33,920,330
Section 11.195. 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 11.200. 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 11.205. 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 11.210. 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 Debt Offset Escrow Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9,000,000E
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$45,000,000
Section 11.215. To the Department of Social Services
For the Children’s Division
Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $838,018
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5,792,904
From Early Childhood Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51,993
Expense and Equipment
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163,323
Total (Not to exceed 108.30 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6,846,238
Section 11.220. 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 twenty percent (20%) flexibility is allowed between each appropriation
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$24,335,098
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43,990,494
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90,482
Total (Not to exceed 1,943.60 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$68,416,074
Section 11.225. To the Department of Social Services
For the Children’s Division
For the purpose of funding Child Welfare Accreditation
Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation
From General Revenue Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,992,858
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,065,302
Total (Not to exceed 139.00 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6,058,160
Section 11.230. To the Department of Social Services
For the Children’s Division
For Children’s Division staff training
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,161,650
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 384,041
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,545,691
Section 11.235. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$6,576,191
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,666,047
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$12,242,238
Section 11.240. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$51,898,213
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53,660,270
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$105,558,483
Section 11.242. To the Department of Social Services
For the Children’s Division
For the purpose of providing comprehensive case management
contracts through community based, not-for-profit organizations
meeting the criteria set forth through HB 1453 passed in 2004.
The purpose of these contracts shall be to provide a system of
care for children living in foster care, independent living or
residential care settings. Services eligible under this provision
may include Intensive In-Home Services, Family reunification
Services, and specialized recruitment and training of foster care
families. Additionally $1,700,000 will be used to enhance rates
and expand access for Intensive In-Home Services and Family
Re-unification services
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$11,955,600
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7,544,400
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$19,500,000
Section 11.245. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$39,483,463
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21,691,189
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$61,174,652
Section 11.250. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,373,228
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,064,018
Section 11.255. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$9,670,990
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9,273,261
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$18,944,251
Section 11.260. To the Department of Social Services
For the Children’s Division
For the purpose of funding Regional Child Assessment Centers
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,098,952
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,898,952
Section 11.265. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$6,346,361
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9,691,373
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$16,037,734
Section 11.270. 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 11.275. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $188,316
Section 11.280. 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 11.285. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$70,817,230
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .106,571,422
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. . . . . . . . . . . . . . . . 3,074,500
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. . . . . . . . . . . . . . . . 3,689,400
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. . . . . . . . . . . . . . . . 3,074,500
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. . . . . . . . . . . . . 3,074,500
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$191,849,704
Section 11.290. 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 twenty percent (20%) flexibility is allowed between each appropriation
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,353,269
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 658,783
Total (Not to exceed 46.33 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,012,052
Section 11.295. 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 twenty percent (20%) flexibility is allowed between each appropriation
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$32,471,101
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13,946,950
From DOSS Educational Improvement Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,451,056
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124,497
Expense and Equipment
From Youth Services Product Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25,000E
Total (Not to exceed 1,368.81 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$52,018,604
Section 11.300. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,767,880
From Gaming Commission Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 500,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$4,267,880
Section 11.400. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding administrative services. Provided that reductions in the Medicaid ombudsman programs in Kansas City and St. Louis will be taken equally between the two programs, but such reductions shall only be in proportion to the percentage that the $209,000 general revenue reduction in Medical Services Administration is to the total Medical Services Administration appropriation. 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 twenty percent (20%) flexibility is allowed between each appropriation
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,726,466
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8,259,197
From Pharmacy Rebates Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22,210
From Pharmacy Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23,125
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 304,248
From Nursing Facility Quality of Care Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83,254
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800,656
Total (Not to exceed 246.71 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $13,219,156
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. Provided, however, that for fee for services eligible policies for prescribing psychotropic medications will not include any new limits to initial access requirements (except dose optimization, or new drug combinations consisting of one or more existing drug entities or preference algorithms for SSRI antidepressants) for persons with mental illness diagnosis, or other illnesses for which treatment with psychotropic medications are indicated and the drug has been approved by the FDA for at least one indication and is a recognized treatment in one of the standard reference compendia or in substantially accepted peer reviewed medical literature and deemed medically appropriate for a diagnosis. No restrictions to access shall be imposed that preclude availability of any individual atypical antipsychotic monotherapy for the treatment of schizophrenia, bipolar disorder, or psychosis associated with severe depression. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$2,301,123
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3,602,788
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 924,911
Total (0 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6,828,822
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 amountFrom General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $546,125
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 568,625
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,114,750
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $83,400
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8,114
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91,514
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83,400
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8,114
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91,514
Total (Not to exceed 4.00 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$183,028
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,000,000E
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,000,000E
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$6,000,000
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,536,731
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18,317,731
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$23,854,462
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $88,445
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,910,113
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,998,558
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
and the Missouri Rx Plan authorized by Sections 208.780 through
208.798 of SB 539 (93rd General Assembly, First Regular Session)
and for Medicare Part D Clawback payments and for administration
of these programs. The line item appropriations within this section
may be used for any other purpose for which line item funding is
appropriated within this section
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 and for the development of a Comprehensive Chronic Care Risk Management program. Provided, however, that for fee for service eligible policies for prescribing psychotropic medications will not include any new limits to initial access requirements (except dose optimization, or new drug combinations consisting of one or more existing drug entities or preference algorithms for SSRI antidepressants) for persons with mental illness diagnosis, or other illnesses for which treatment with psychotropic medications are indicated and the drug has been approved by the FDA for at least one indication and is a recognized treatment in one of the standard reference compendia or in substantially accepted peer reviewed medical literature and deemed medically appropriate for a diagnosis. No restrictions to access shall be imposed that preclude availability of any individual atypical antipsychotic monotherapy for the treatment of schizophrenia, bipolar disorder, or psychosis associated with severe depression. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$205,421,609
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .564,991,646
From Pharmacy Rebates Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .89,022,051E
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5,416,895
From Pharmacy Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . 41,551,145
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 969,293
From Healthy Families Trust Fund-Health Care Account. . . . . . . . . . . . . . . . . . . 1,041,034
For the purpose of funding Part D Medicare clawback payments and for funding Medicaid pharmacy payments as authorized by the provisions of Section 11.435, RSMo
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .97,407,513
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 189,457,826
From Missouri Rx Plan Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30,000,000E
For the purpose of funding services under the Missouri Rx program
authorized under Sections 208.780 through 208.798 of SB 539
(93rd General Assembly, First Regular Session) including personal
service and expense and equipment expenditures to administer
the program provided that not more than twenty percent (20%)
is allowed between each appropriation
From Missouri Rx Plan Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1E
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,225,279,013
Section 11.440. There is transferred out of the State Treasury, chargeable to
the Missouri Senior Rx Fund the unexpended and unobligated balance
of the Missouri Senior Rx Fund to the Missouri Rx Plan Fund. This transfer
shall not occur unless and until the notice requirements of 208.798 of
SB 539 (93rd General Assembly, First Regular Session) have occurred
From Missouri Senior Rx Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1E
Section 11.445. 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 11.450. 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 11.455. 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, provided that funds appropriated herein shall provide for podiatry services provided after August 27, 2005, for all adults. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$139,290,690
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .243,171,017
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,804,969
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,247,544
From Healthy Families Trust Fund-Health Care Account. . . . . . . . . . . . . . . . . . . 1,041,034
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$386,555,254
Section 11.460. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding dental services for children, pregnant women and blind persons who are eligible for medical assistance by law under the Medicaid fee-for-service and managed care programs. Funding is also appropriated for dental services provided to adults eligible for medical assistance prior to August 28, 2005. Funding is appropriated for adult dental services provided after August 27, 2005. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$14,265,893
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24,550,423
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71,162
From Healthy Families Trust Fund-Health Care Account. . . . . . . . . . . . . . . . . . . . 848,773
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$39,736,251
Section 11.465. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$47,592,691
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78,317,754
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$125,910,445
Section 11.470. To the Department of Social Services
For the Division of Medical Services
For funding long-term care services
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 and for contracted services to develop model policies and practices that improve the quality of life for long term care residents. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$102,442,701
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .270,238,385
From Uncompensated Care Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58,516,478
From Nursing Facility Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . .1,072,164
From Healthy Families Trust Fund-Health Care Account. . . . . . . . . . . . . . . . . . . . . . . . 17,973
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,293,188
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$434,580,889
Section 11.475. 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 for children, pregnant women and blind persons who are eligible for medical assistance by law and, prior to August 28, 2005, for adults other than pregnant women and blind persons eligible for medical assistance by law under the Medicaid fee-for-service and managed care programs. After August 27, 2005, the funds appropriated in this section shall be used to provide the same services that are available to children, pregnant women and blind persons to other adults who are eligible for medical assistance by law. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$29,232,881
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68,655,645
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11,018,794
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21,759,475
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$131,693,421
Section 11.480. 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. Monies are appropriated for dental services and podiatry services after August 27, 2005, for any adults, including pregnant women and blind persons who are eligible for medical assistance by law. Monies are appropriated for non-institutional service as defined in Section 11.475 HB 11 (93rd General Assembly, First Regular Session) after August 27, 2005, for adults other than pregnant women and blind persons. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$177,208,302
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .580,120,572
From Managed Care Organization Reimbursement Allowance Fund. . . . . . . . . . . .51,528,800
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8,775,354
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . 110,097,618
From Healthy Families Trust Fund-Health Care Account. . . . . . . . . . . . . . . . . . . 4,447,110
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$932,177,756
Section 11.482. There is transferred out of the State Treasury from
the General Revenue Fund to the Medicaid Managed Care
Organization Reimbursement Allowance Fund
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$21,400,000E
Section 11.483. There is transferred out of the State Treasury from
the Medicaid Managed Care Reimbursement Allowance Fund to
the General Revenue Fund as a result of recovering the Medicaid
Managed Care Organization Reimbursement Allowance Fund
From Medicaid Managed Care Organization Reimbursement Allowance
Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$21,400,000E
Section 11.485. 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, and for the development of a Comprehensive Chronic Care Risk Management Program. The Division of Medical Services may adjust SFY 2006 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 Division of Medical Services shall track payments to out-of-state hospitals by location and by services for adults and by services for children. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$24,154,578
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .379,845,197
From Uncompensated Care Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32,483,522
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . 130,093,418
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,797,179
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,122,974
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .200,000
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150,000
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . 150,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$663,928,299
Section 11.490. 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 11.495. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding grants to Federally Qualified Health Centers
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$7,000,000
Section 11.500. 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 Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . $385,000,000E
Section 11.505. To the Department of Social Services
For the Division of Medical Services
For funding extended women’s health services 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. No funding is appropriated for services for extended transitional medical beneficiaries after June 30, 2005. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $699,259
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,827,366
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .167,756
From Pharmacy Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30,411
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$2,724,793
Section 11.510. To the Department of Social Services
For the Division of Medical Services
For funding programs to enhance access to care for uninsured children using fee-for-services, prepaid health plans, or other alternative service delivery and reimbursement methodology approved by the director of the Department of Social Services. Provided that families of children receiving services under this section shall pay the following premiums to be eligible to receive such services: one percent of family income for children with family incomes between 151 percent and 185 percent of the federal poverty level; three percent of family income for children with family incomes between 186 percent and 225 percent of the federal poverty level and five percent of family income for children with family incomes between 226 percent and 300 percent of the federal poverty level. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$19,067,544
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .98,812,302
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7,719,204
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5,203,765
From Medicaid Managed Care Organization Reimbursement Allowance Fund. . . . .1,071,200
From Pharmacy Rebates Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 225,430
From Pharmacy Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . .201,394
From Premium Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,000,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$138,300,839
Section 11.515. 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 11.520. 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 11.525. 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 11.530. 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 11.535. 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 11.540. 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 11.545. 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 Nursing Facility Federal Reimbursement Allowance Fund. . . . . . . . . . . .$217,000,000E
Section 11.550. 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 General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $69,954
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33,299,954E
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$33,369,908
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 the State Medical programs, including coverage in managed care programs, provided that funds are not appropriated for General Relief medical benefits provided after June 30, 2005. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$25,328,618
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 353,437
From Pharmacy Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . 846,090
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$26,528,145
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. Monies are appropriated for dental services and podiatry services after August 27, 2005, for any adults, including pregnant women and blind persons who are eligible for medical assistance by law. Monies are appropriated for non-institutional services as defined in Section 11.475 HB 11 (93rd General Assembly, First Regular Session) after August 27, 2005, for adults other than pregnant women and blind persons. Monies are not appropriated for General Relief medical benefits provided after June 30, 2005. Monies are not appropriated for services for extended transitional medical beneficiaries after June 30, 2005
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
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$35,698,085
BILL TOTALS
General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,296,222,298
Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,400,663,573
Other Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,362,048,236
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6,058,934,107