HB.WPT

SECOND REGULAR SESSION

[PERFECTED]

HOUSE COMMITTEE SUBSTITUTE FOR

HOUSE BILL NO. 1010

93RD GENERAL ASSEMBLY

Reported from the Committee on Budget March 6, 2006 with recommendation that House Committee Substitute for House Bill No. 1010 Do Pass. Referred to the Committee on Rules pursuant to Rule 25(26)(f).

Reported from the Committee on Rules March 9, 2006 with recommendation that House Committee Substitute for House Bill No. 1010 Do Pass with 10 hours total time limit for debate on Perfection.

Taken up for Perfection March 15, 2006. House Committee Substitute for House Bill No. 1010 ordered Perfected and printed, as amended.

STEPHEN S. DAVIS, Chief Clerk

3010L.02P

AN ACT

To appropriate money for the expenses, grants, refunds, and distributions of the Department of Mental Health, the Board of Public Buildings, the Department of Health and Senior Services, and the several divisions and programs thereof, the Missouri Health Facilities Review Committee to be expended only as provided in Article IV, Section 28 of the Constitution of Missouri, for the period beginning July 1, 2006 and ending June 30, 2007.

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, 2006 and ending June 30, 2007, as follows:

Section 10.005. To the Department of Mental Health

For the Office of the Director

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $660,759

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35,605

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76,223

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111,828

Total (Not to exceed 9.52 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$772,587

Section 10.007. To the Department of Mental Health

For the Office of Administration

For administration of state facilities assets, personnel and resources by the Facilities Management, Design and Construction Division

Personal Service and/or Expense and Equipment, provided that not more than fifty (50%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$20,914,663

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 381,336

Total (Not to exceed 664.98 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $21,295,999

Section 10.010. To the Department of Mental Health

For the Office of the Director

For funding program operations and support

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$6,320,960

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 563,907

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 736,825

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,300,732

For the payment of fees to contractors who engage in revenue maximization projects on behalf of the Department of Mental Health

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1E

Total (Not to exceed 143.43 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $7,621,693

Section 10.015. To the Department of Mental Health

For the Office of the Director

For the purpose of funding insurance, private pay, licensure fee, and/or Medicaid refunds by state facilities operated by the Department of Mental Health

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $49,217

For the payment of refunds set off against debts as required by Section 143.786, RSMo

From Debt Offset Escrow Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70,000E

Total (0 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$119,217

Section 10.020. There is transferred out of the State Treasury from the Abandoned Fund Account to the Mental Health Trust Fund

From Abandoned Fund Account. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $50,000E

Section 10.025. To the Department of Mental Health

For the Office of the Director

For the purpose of funding receipt and disbursement of donations and gifts which may become available to the Department of Mental Health during the year (excluding federal grants and funds)

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $779,963

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,283,486

From Mental Health Trust Fund (Not to exceed 11.50 F.T.E.). . . . . . . . . . . . . . . . .$2,063,449

Section 10.030. To the Department of Mental Health

For the Office of Administration

For the Office of the Director

For the purpose of funding operational maintenance and repairs for state-owned facilities

Expense and Equipment

From Facilities Maintenance Reserve Fund (0 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . $1,197,230

Section 10.035. To the Department of Mental Health

For the Office of the Director

For the purpose of funding federal grants which become available between sessions of the General Assembly

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$106,496E

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,794,378E

From Federal Funds (Not to exceed 2.00 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . $1,900,874

Section 10.040. To the Department of Mental Health

For the Office of the Director

For the purpose of funding Children’s System of Care. . . . . . . . . . . . . . . . . . . . . . .$4,780,190

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between

each appropriation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203,844

From Federal Funds (Not to exceed 1.20 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . $4,984,034

Section 10.045. To the Department of Mental Health

For the Office of the Director

For the purpose of funding Shelter Plus Care grants

From Federal Funds (0 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6,343,179

Section 10.050. To the Department of Mental Health

For Medicaid payments related to intergovernmental payments

From Mental Health Intergovernmental Transfer Fund. . . . . . . . . . . . . . . . . . . . . .$11,000,000

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16,500,000E

Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$27,500,000

Section 10.055. There is transferred out of the State Treasury from Federal Funds to the General Revenue Fund for the purpose of supporting MRDD community programs

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$2,700,000

Section 10.060. There is transferred out of the State Treasury from Federal Funds to the General Revenue Fund Disproportionate Share Hospital (DSH) funds leveraged by the Department of Mental Health-Institute of Mental Disease (IMD) facilities

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$37,304,309E

Section 10.100. To the Department of Mental Health

For the Division of Alcohol and Drug Abuse

For the purpose of funding the administration of statewide comprehensive alcohol and drug abuse prevention and treatment programs

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,055,049

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 766,126

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 181,741

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 947,867

Personal Service

From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42,482

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97,146

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52,372

From Mental Health Earnings Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149,518

Total (Not to exceed 44.38 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,194,916

Section 10.105. To the Department of Mental Health

For the Division of Alcohol and Drug Abuse

For the purpose of funding prevention and education services

Personal Service

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9,394

For prevention and education services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4,738,355

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 323,624

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 801,149

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5,863,128

For prevention and education services

Expense and Equipment

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

For tobacco retailer education

Provided that no person under the age of eighteen shall be used as either an employee or a volunteer for the purposes of enforcement of tobacco laws

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 232,433

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103,622

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 336,055

For a state incentive program

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 190,973

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,821,412

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3,012,385

For Community 2000 Team programs

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22,498

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,059,693

For school-based alcohol and drug abuse prevention programs

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,052,185

Total (Not to exceed 18.26 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $12,655,338

Section 10.110. To the Department of Mental Health

For the Division of Alcohol and Drug Abuse

For the purpose of funding the treatment of alcohol and drug abuse

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between

each appropriation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3,737,527

For treatment of alcohol and drug abuse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22,852,344

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26,589,871

For system enhancement of youth services

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8,561

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 731,802

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 740,363

For treatment of alcohol and drug abuse. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38,603,579E

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 778,401

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 616,607

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39,998,587

For treatment of drug and alcohol abuse with the Access to Recovery Grant

For treatment services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,589,796

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167,583

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 693,550

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7,450,929

For treatment of alcohol and drug abuse

From Inmate Revolving Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .640,084

From Healthy Families Trust Fund-Health Care Account. . . . . . . . . . . . . . . . . . . . . .2,052,908

From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5,577,349

From Mental Health Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 485,000

Total (Not to exceed 55.91 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $83,535,091

Section 10.115. To the Department of Mental Health

For the Division of Alcohol and Drug Abuse

For the purpose of funding treatment of compulsive gambling. . . . . . . . . . . . . . . . . . $412,798

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37,644

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,194

From Compulsive Gambler Fund (Not to exceed 1.00 F.T.E.). . . . . . . . . . . . . . . . . . $455,636

Section 10.120. To the Department of Mental Health

For the Division of Alcohol and Drug Abuse

For the purpose of funding the Substance Abuse Traffic Offender Program

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $426,693

From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 230,545

From Mental Health Earnings Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,570,018E

Total (Not to exceed 5.48 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $4,227,256

Section 10.200. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding division administration

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $792,265

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,492,958

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,143,716

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3,636,674

For suicide prevention initiatives

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23,463

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 620,401

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 643,864

Total (Not to exceed 42.95 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $5,072,803

Section 10.205. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding the PRN nursing and direct care staff pool, provided that staff paid from the PRN nursing and direct care staff pool will only incur fringe benefit costs applicable to part-time employment

Personal Service and/or Expense and Equipment

From General Revenue Fund (Not to exceed 74.12 F.T.E.). . . . . . . . . . . . . . . . . . . $3,236,281

Section 10.210. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding adult community programs

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $622,449

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203,600

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,712,633

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,916,233

For the purpose of funding adult community programs, provided that up to ten percent (10%) of this appropriation may be used for services for youth

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73,695,136

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74,653,144E

From Mental Health Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .170,000

For the purpose of funding programs for the homeless mentally ill

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 425,696

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800,000

Total (Not to exceed 13.46 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $152,282,658

Section 10.215. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of reimbursing attorneys, physicians, and counties for

fees in involuntary civil commitment procedures. . . . . . . . . . . . . . . . . . . . . $850,000E

For distribution through the Office of Administration to counties pursuant

to Section 56.700, RSMo. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132,550

From General Revenue Fund (0 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$982,550

Section 10.220. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding forensic support services

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund (Not to exceed 17.39 F.T.E.). . . . . . . . . . . . . . . . . . . . .$761,478

Section 10.225. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding youth community programs

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $301,038

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100,356

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,113,607

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,213,963

For the purpose of funding youth community programs, provided that up to ten percent (10%) of this appropriation may be used for services for adults

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20,674,622

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17,905,958E

Total (Not to exceed 7.31 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $40,095,581

Section 10.230. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding services for children who are clients of the Department of Social Services

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $489,900

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74,700

From Mental Health Interagency Payments Fund (Not to exceed 11.00 F.T.E.). . . . . $564,600

Section 10.235. To the Department of Mental Health

For the Office of Administration

For the Division of Comprehensive Psychiatric Services

For the purpose of funding fuel and utility expenses at state facilities operated by the Division of Comprehensive Psychiatric Services, provided that up to three percent (3%) of this appropriation may be used for facilities operated by the Division of Mental Retardation and Developmental Disabilities

Expense and Equipment

From General Revenue Fund (0 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $4,810,368

Section 10.240. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purchase and administration of new medication therapies

Expense and Equipment

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$9,080,488

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 916,243

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

Section 10.245. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding costs for forensic clients resulting from loss of benefits under provisions of the Social Security Domestic Employment Reform Act of 1994

Expense and Equipment

From General Revenue Fund (0 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$855,685

Section 10.300. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding Fulton State Hospital

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) may be spent on the Purchase of Community Services, including transitioning clients to the community or other state-operated facilities, and that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$40,575,782

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122,765

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75,150

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 197,915

For the provision of support services to other agencies

Expense and Equipment

From Mental Health Interagency Payments Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .500,000

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,042,885

Total (Not to exceed 1,136.94 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$43,316,582

Section 10.305. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding Northwest Missouri Psychiatric Rehabilitation Center

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$10,112,563

Personal Service

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 496,208

For psychiatric services

From Mental Health Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .421,866

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 305,077

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10,446

Total (Not to exceed 301.80 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $11,346,160

Section 10.310. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding St. Louis Psychiatric Rehabilitation Center

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$16,290,341

Personal Service

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 196,209

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 399,087

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 864

Total (Not to exceed 475.08 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $16,886,501

Section 10.315. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding Southwest Missouri Psychiatric Rehabilitation Center

From General Revenue Fund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,638,451

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169,194

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20,568

Total (Not to exceed 73.98 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,828,213

Section 10.320. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding Metropolitan St. Louis Psychiatric Center

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$12,782,379

Personal Service

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 180,658

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94,310

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,061

Total (Not to exceed 307.77 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $13,058,408

Section 10.325. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding Mid-Missouri Mental Health Center

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$6,997,595

Personal Service

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 314,879

For services for children and youth

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,884,451

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 201,989

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,630

Total (Not to exceed 199.11 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9,404,544

Section 10.330. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding Southeast Missouri Mental Health Center

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$15,574,084

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 436,817

Total (Not to exceed 449.35 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $16,010,901

Section 10.335. To the Board of Public Buildings

To the Office of Administration

For the Department of Mental Health

For operation and maintenance of the Southeast Missouri Mental Health Center

Expense and Equipment

From General Revenue Fund (0 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$129,322

Section 10.340. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding Western Missouri Mental Health Center

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$14,379,079

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

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,011,256

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,015,385

Total (Not to exceed 424.89 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $16,405,720

Section 10.345. To the Department of Mental Health

For the purpose of funding the Missouri Sexual Offender Treatment Center

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$6,485,411

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 367,556

Total (Not to exceed 253.50 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6,852,967

Section 10.350. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding Hawthorn Children’s Psychiatric Hospital

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,633,438

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,405,152

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78,684

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,483,836

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133,881

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,708

Total (Not to exceed 196.88 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $7,257,863

Section 10.355. To the Department of Mental Health

For the purpose of funding Cottonwood Residential Treatment 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,163,898

Personal Service

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,507,397

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61,829

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,040

Total (Not to exceed 84.51 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,734,164

Section 10.400. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding division administration

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $949,845

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 245,543

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63,881

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 309,424

Total (Not to exceed 19.00 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,259,269

Section 10.405. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

Provided that residential services for non-Medicaid eligibles shall not be reduced below the prior year expenditures as long as the person is evaluated to need the services

For the purpose of funding community programs

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$101,618,277

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .230,266,382E

For the purpose of funding community programs

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 993,958

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 798,181

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41,776

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 839,957

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

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16,388,690

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

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3,000,659

For services for children who are clients of the Department of Social Services

From Mental Health Interagency Payments Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,799,857

For SB 40 Board Tax Funds to be used as match for Medicaid initiatives for clients of the Division

From Mental Health Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9,565,135E

Total (Not to exceed 57.49 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $365,472,915

Section 10.410. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding developmental disabilities services

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $351,122

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,187,593

From Federal Funds (Not to exceed 7.98 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . $1,538,715

Section 10.415. To the Department of Mental Health

For the Office of Administration

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding fuel and utility expenses at state facilities operated by the Division of Mental Retardation-Developmental Disabilities, provided that up to three percent (3%) of this appropriation may be used for facilities operated by the Division of Comprehensive Psychiatric Services

Expense and Equipment

From General Revenue Fund (0 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,919,889

Section 10.420. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding capital improvement projects at State Habilitation Centers and residential facilities

From Mental Health Trust Fund (0 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$773,900

Section 10.500. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding the Albany Regional Center

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,208,419

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 419,076

Total (Not to exceed 43.20 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,627,495

Section 10.505. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding the Central Missouri Regional Center

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,478,692

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,051,851

Total (Not to exceed 65.99 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,530,543

Section 10.510. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding the Hannibal Regional Center

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,736,444

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 332,890

Total (Not to exceed 51.43 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,069,334

Section 10.515. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding the Joplin Regional Center

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,731,161

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 412,849

Total (Not to exceed 51.84 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,144,010

Section 10.520. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding the Kansas City Regional Center

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$2,430,553

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,644,756

Total (Not to exceed 95.48 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $4,075,309

Section 10.525. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding the Kirksville Regional Center

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,173,692

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 321,293

Total (Not to exceed 36.25 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,494,985

Section 10.530. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding the Poplar Bluff Regional Center

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,218,503

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 311,059

Total (Not to exceed 38.49 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,529,562

Section 10.535. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding the Rolla Regional Center

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,567,869

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 595,393

Total (Not to exceed 57.95 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,163,262

Section 10.540. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding the Sikeston Regional Center

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,321,165

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 244,921

Total (Not to exceed 40.09 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,566,086

Section 10.545. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding the Springfield Regional Center

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,754,039

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 700,651

Total (Not to exceed 62.83 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,454,690

Section 10.550. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding the St. Louis Regional Center

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$4,170,331

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,098,342

Total (Not to exceed 218.65 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8,268,673

Section 10.555. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding Bellefontaine Habilitation Center

Personal Service and/or Expense and Equipment and/or Purchase of Community Services

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$15,733,143

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,633,487

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,226,300

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35,976

Total (Not to exceed 585.72 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$18,628,906

Section 10.560. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding Higginsville Habilitation Center

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$8,160,001

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 262,582

For Northwest Community Services

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,364,224

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 706,402

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 477,208

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85,769

Total (Not to exceed 448.79 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $12,056,186

Section 10.565. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding Marshall Habilitation Center

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$18,482,708

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,095,321

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 824,401

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50,839

Total (Not to exceed 784.16 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $21,453,269

Section 10.570. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding Nevada Habilitation Center

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$8,538,227

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66,405

Total (Not to exceed 283.11 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8,604,632

Section 10.575. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding St. Louis Developmental Disabilities Treatment Center

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$17,562,930

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 813,536

Total (Not to exceed 649.99 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $18,376,466

Section 10.580. To the Board of Public Buildings

For the Office of Administration

For the Department of Mental Health

For the operation and maintenance of St. Louis Developmental Disabilities Treatment Center improvements

Expense and Equipment

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $84,861

Section 10.585. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding Southeast Missouri Residential Services

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,238,959

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 310,230

Total (Not to exceed 202.48 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $5,549,189

Section 10.600. To the Department of Health and Senior Services

For the Office of the Director

For the purpose of funding program operations and support

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,365,756

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,522,411

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 403,297

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,925,708

Total (Not to exceed 59.59 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3,291,464

Section 10.605. To the Department of Health and Senior Services

For the Office of the Director

For the purpose of funding the State Public Health Laboratory

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$2,784,244

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,009,354

From Missouri Public Health Services Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3,223,445

From Childhood Lead Testing Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 235,383

Total (Not to exceed 101.71 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8,252,426

Section 10.607. To the Department of Health and Senior Services

For the Office of Administration

For administration of state facilities assets, personnel and resources by the Facilities Management, Design and Construction Division

Personal Service and/or Expense and Equipment, provided that not more than fifty (50%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $28,473

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 200,393

From Missouri Public Health Services Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7,792

Total (Not to exceed 4.92 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$236,658

Section 10.610. To the Department of Health and Senior Services

For the Division of Administration

For the purpose of funding program operations and support

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $736,443

Personal Service

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,145,596

From Missouri Public Health Services Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117,473

Expense and Equipment

From Federal and Other Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,656,574

Total (Not to exceed 76.81 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6,656,086

Section 10.615. To the Department of Health and Senior Services

For the Center for Emergency Response and Terrorism

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$2,937,726

Expense and Equipment and Program Distribution. . . . . . . . . . . . . . . . . . . 20,679,535

From Federal Funds (Not to exceed 62.51 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . $23,617,261

Section 10.620. There is transferred out of the State Treasury from the Health Initiatives Fund to the Health Access Incentive Fund

From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,241,003

Section 10.625. To the Department of Health and Senior Services

For the Division of Administration

For the purpose of funding the payment of refunds set off against debts in accordance with Section 143.786, RSMo

From Debt Offset Escrow Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $37,684E

Section 10.630. To the Department of Health and Senior Services

For the Division of Administration

For the purpose of making refund payments

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $16,414E

From Federal and Other Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44,736E

Total (0 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$61,150

Section 10.635. To the Department of Health and Senior Services

For the Office of the Director

For the purpose of receiving and expending federal funds and donations provided that the General Assembly shall be notified of the source of any new funds and the purpose for which they will be expended, in writing, prior to the expenditure of said funds

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,732,245E

From Department of Health Donated Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,652,317E

Total (0 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8,384,562

Section 10.640. To the Department of Health and Senior Services

For the Office of the Director

To provide matching funds for federal and other funds received pursuant to Section 192.326, RSMo

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1E

For contributions from federal and other sources that are deposited in the state treasury for use by the Department of Health and Senior Services to furnish aid and relief pursuant to Section 192.326, RSMo.

From DHSS Disaster Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1E

For response to an avian flu outbreak

From DHSS Disaster Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1E

Total (0 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3

Section 10.645. To the Department of Health and Senior Services

For the Division of Community and Public Health

For the purpose of funding program operations and support

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation and that at least $100,000 shall be used for the diagnosis and treatment of tuberculosis

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$6,778,637

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19,516,345

Personal Service

From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46,416

From Health Access Incentive Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88,630

Expense and Equipment

From Governor’s Council on Physical Fitness Institution Gift Trust Fund. . . . . . . . . . 350,000

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68,365

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16,900

From Professional and Practical Nursing Student Loan and Nurse Loan

Repayment Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85,265

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185,200

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68,532

From Hazardous Waste Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 253,732

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102,309

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82,010

From Organ Donor Program Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 184,319

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99,060

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55,755

From Missouri Public Health Services Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154,815

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 339,468

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 275,000

From Department of Health Document Services Fund. . . . . . . . . . . . . . . . . . . . . . . . . .614,468

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 164,183

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 633,089

From Department of Health Donated Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 797,272

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69,489

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28,756

From Putative Father Registry Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98,245

Total (Not to exceed 586.51 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $28,968,144

Section 10.650. To the Department of Health and Senior Services

For the Division of Community and Public Health

For the purpose of funding core public health functions and related expenses with a portion dedicated to women’s health services, limited to the following:

(1) Breast and cervical cancer checks;

(2) Screening and treatment for sexually transmitted diseases;

(3) HIV screening;

(4) Patient education and prepregnancy counseling on the dangers of smoking, alcohol, and drug use during pregnancy;

(5) Education on sexual coercion and violence in relationships;

(6) Alternatives to abortion services described in Section 10.665 of this bill;

(7) Prenatal health care for purposes of carrying an unborn child to term; and

(8) Health care referrals for services described in subdivisions (1) to (7) of this section, and for no other services;

None of the funds appropriated pursuant to this section shall be expended to perform or induce, assist in the performing or inducing of, or refer for abortions, or for family planning services; and none of the funds appropriated pursuant to this section shall be granted or paid to organizations or affiliates of organizations that perform or induce, assist in the performing or inducing of, or refer for abortions

From General Revenue Fund (0 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9,227,772

Section 10.655. To the Department of Health and Senior Services

For the Division of Community and Public Health

For the purpose of funding community health programs and related expenses

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$9,015,026

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43,985,898

From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5,364,564

From Organ Donor Program Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100,000

From C & M Smith Memorial Endowment Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35,000

From Blindness Education, Screening, and Treatment Fund. . . . . . . . . . . . . . . . . . . . . 250,000

From Crippled Children’s Services Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .275,000

From Missouri Lead Abatement Loan Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .276,000

From Missouri Public Health Services Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 276,750

From Head Injury Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .852,400

From Healthy Families Trust Fund-Tobacco Prevention, Education,

and Cessation Account. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,000,000

Total (0 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $61,430,638

Section 10.660. To the Department of Health and Senior Services

For the Division of Community and Public Health

For the purpose of funding supplemental nutrition programs

From Federal Funds (0 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $156,891,116E

Section 10.665. To the Department of Health and Senior Services

For the Division of Community and Public Health

For the purpose of funding alternatives to abortion services for women at or below 200 percent of Federal Poverty Level, consisting of services or counseling offered to a pregnant woman and continuing for one year thereafter, to assist her in carrying her unborn child to term instead of having an abortion, and to assist her in caring for her dependent child or placing her child for adoption, including, but not limited to the following: prenatal care; medical and mental health care; parenting skills; drug and alcohol testing and treatment; child care; newborn or infant care; housing utilities; educational services; food, clothing, and supplies relating to pregnancy, newborn care, and parenting; adoption assistance; job training and placement; establishing and promoting responsible paternity; ultrasound services; case management; domestic abuse protection; and transportation. Actual provisions and delivery of such services shall be dependent on client needs and not otherwise prioritized by the department. Such services shall be available only during pregnancy and continuing for one year thereafter, and shall exclude any family planning services. None of these funds shall be expended to perform or induce, assisting the performing or inducing of, or refer for, abortions; and none of these funds shall be granted to organizations or affiliates of organizations that perform or induce, assist in the performing or inducing of, or refer for, abortions

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $739,512

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 760,000

Total (0 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,499,512

Section 10.670. To the Department of Health and Senior Services

For the Division of Community and Public Health

For the purpose of funding the Primary Care Resource Initiative Program (PRIMO), Financial Aid to Medical Students, and Loan Repayment Programs

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $199,000

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 274,446

From Health Access Incentive Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,021,500

From Department of Health Donated Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 839,525

From Health Professional Student Loan and Loan Repayment Program. . . . . . . . . . . . .50,000

From Professional and Practical Nursing Student Loan and Nurse Loan

Repayment Fund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 499,752

Total (0 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $4,884,223

Section 10.675. To the Department of Health and Senior Services

For the Division of Community and Public Health

For the Office of Minority Health

For the purpose of funding program operations and support

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $751,252

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 229,675

For Minority Health

Expense and Equipment and the purchase of services for the purpose of funding programs within Minority Health

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165,707

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45,045

Total (Not to exceed 8.33 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,191,679

Section 10.680. To the Department of Health and Senior Services

For the Division of Senior and Disability Services

For the purpose of funding program operations and support

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$8,411,585

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9,572,481

Total (Not to exceed 486.15 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $17,984,066

Section 10.685. To the Department of Health and Senior Services

For the Division of Senior and Disability Services

For the purpose of funding Home and Community Services programs

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$13,127,087

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,667,028

From Division of Aging Donations Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .50,000

For the purpose of funding non-Medicaid, consumer directed in-home services

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,677,300

Total (0 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $19,521,415

Section 10.690. To the Department of Health and Senior Services

For the Division of Senior and Disability 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, and other related services under the Medicaid fee-for-service and managed care programs. Provided that individuals 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. 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 Department of Social Services, the single state agency administering the Medicaid program, is only authorized to reimburse for benefits that exceed a recipient’s spenddown amount

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$152,699,540

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 246,491,849

Total (0 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $399,191,389

Section 10.695. To the Department of Health and Senior Services

For the Division of Senior and Disability Services

For the purpose of funding Alzheimer’s Grants

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $265,670

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 265,670

Total (0 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$531,340

Section 10.700. To the Department of Health and Senior Services

For the Division of Senior and Disability Services

For the purpose of funding Home and Community Services grants, with $647,515 general revenue and sufficient federal authority for the purpose of funding meals to be distributed to each Area Agency on Aging in proportion to the actual number of Medicaid funded home-delivered meals served during the preceding fiscal year, and with $952,485 general revenue for the purpose of funding meals to be distributed to each Area Agency on Aging in proportion to the actual number of Non-Medicaid funded home-delivered meals served during the preceding fiscal year

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$11,899,296

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36,577,853E

From Elderly Home-Delivered Meals Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . 430,000

Total (0 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $48,907,149

Section 10.705. To the Department of Health and Senior Services

For the Division of Senior and Disability Services

From General Revenue Fund (0 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,866,115

Section 10.710. To the Department of Health and Senior Services

For the Division of Senior and Disability Services

For payment to Worth County, Bethany in Harrison County, Hannibal and Puxico for the purpose of acquiring a facility for use as a senior center, provided that no distribution shall be made until the county or city has entered into a binding contract for the acquisition of a facility for such use, and has provided evidence thereof to the Director of the Department of Health and Senior Services

From General Revenue Fund (0 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$379,000

Section 10.715. To the Department of Health and Senior Services

For the Division of Senior and Disability Services

For the purpose of funding Naturally Occurring Retirement Communities

From General Revenue Fund (0 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$150,000

Section 10.720. To the Department of Health and Senior Services

For the Division of Regulation and Licensure

For the purpose of funding program operations and support

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$11,714,123

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13,055,884

From Nursing Facility Quality of Care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,934,625

From Missouri Public Health Services Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 467,468

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68,028

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11,450

From Health Access Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79,478

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56,474

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13,560

From Mammography Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70,034

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 194,915

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57,561

From Early Childhood Development, Education and Care Fund. . . . . . . . . . . . . . 252,476

Total (Not to exceed 574.28 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $28,574,088

Section 10.725. To the Department of Health and Senior Services

For the Division of Regulation and Licensure

For the purpose of funding activities to improve the quality of childcare, increase the availability of early childhood development programs, before- and after-school care, in-home services for families with newborn children, and for general administration of the program

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,403,675

From Early Childhood Development, Education and Care Fund. . . . . . . . . . . . . . . 728,740

Total (0 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,132,415

Section 10.730. To the Department of Health and Senior Services

For the Division of Regulation and Licensure

For the purpose of funding program operations and support for the Missouri Health Facilities Review Committee

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 (Not to exceed 2.80 F.T.E.). . . . . . . . . . . . . . . . . . . . . .$156,342

DEPARTMENT OF MENTAL HEALTH TOTALS

General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$538,094,003

Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .447,625,928

Other Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36,723,990

Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,022,443,921

DEPARTMENT OF HEALTH & SENIOR SERVICES TOTALS

General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$237,137,881

Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .569,509,897

Other Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27,277,085

Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$833,924,863

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