FIRST EXTRAORDINARY SESSION
HOUSE COMMITTEE SUBSTITUTE FOR
92ND GENERAL ASSEMBLY
Reported from the Committee on Budget June 4, 2003, with recommendation that House Committee Substitute for House Bill No. 11 Do Pass.
STEPHEN S. DAVIS, Chief Clerk
AN ACT
To appropriate money for the expenses, grants, and distributions of the Department of Social Services and the several divisions and programs thereof to be expended only as provided in Article IV, Section 28 of the Constitution of Missouri, for the period beginning July 1, 2003 and ending June 30, 2004.
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, 2003 and ending June 30, 2004 as follows:
Section 11.005. To the Department of Social Services
For the Office of the Director
Personal Service and/or Expense and Equipment, provided that not more than fifteen percent (15%) flexibility is allowed between each appropriation
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $302,680
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19,139
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,500
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20,639
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41,764
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17,300
From Child Support Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17,764
Total (Not to exceed 3.00 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$400,147
Section 11.010. To the Department of Social Services
For the Office of the Director
For the purpose of funding contractual services with Legal Services Corporations in Missouri which provide legal services to low-income Missouri citizens. Funds shall be allocated according to the most recent national census data for the population of poor persons living in Missouri and in the same manner as current allocation from the Legal Services Corporation. Funding shall not be allocated if the provisions of Section 504(a)(7) and Section 508(b)(2)(B) of the Omnibus 1996 Appropriations Bill have not been met by the Legal Services Corporation. Contracts for services should provide low-income Missouri citizens equal access to the civil justice system, with high priority on families and children, domestic violence, the elderly, and qualification for benefits under the Social Security Act and the Work Opportunity Reconciliation Act of 1996. Contractors shall provide to the department a report of services rendered, including the number of low-income citizens served, the types of services provided, the cost per case, and the amount of free and reduced-fee legal services which have been provided; and shall include a full accounting of all expenditures made by or on behalf of Legal Services Corporations in Missouri which shall include expenditures of all federal, state, and other funds. An accounting shall be made for the first six months from July 1, 2003 through December 31, 2003 and a final accounting for the year through June 30, 2004, and these reports shall include a comparison with all expenditures for Fiscal Year 2003. The accountings shall be delivered to the General Assembly, including the House Budget Committee Chair, the House Appropriations Committee – Social Services Chair, the Senate Appropriations Committee Chair, and also to all current House Appropriations Committee – Social Services members, no later than January 31, 2004, and July 31, 2004 respectively
From Legal Services for Low-Income People Fund. . . . . . . . . . . . . . . . . . . . . . . . $5,290,610E
Section 11.015. There is transferred out of the State Treasury, chargeable to the Basic Civil Legal Services Fund, Five Million, Two Hundred Ninety Thousand, Six Hundred Ten Dollars ($5,290,610) to the Legal Services for Low-Income People Fund
From Basic Civil Legal Services Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $5,290,610E
Section 11.020. To the Department of Social Services
For the Office of the Director
For the purpose of receiving and expending donations and federal funds provided that the General Assembly shall be notified of the source of any new funds and the purpose for which they shall be expended, in writing, prior to the use of said funds
From Federal and Other Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $12,429,000
Section 11.025. To the Department of Social Services
For Administrative Services
For the Division of General Services
For the purpose of funding operating maintenance and repair
From Facilities Maintenance Reserve Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $30,708
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10,138
For the Division of Youth Services
For the purpose of funding operating maintenance and repair
From Facilities Maintenance Reserve Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78,794
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138,243
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $257,883
Section 11.030. To the Department of Social Services
For the Office of Director
For the Human Resources Center
Personal Service and/or Expense and Equipment, provided that not more than fifteen percent (15%) flexibility is allowed between each appropriation
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $247,026
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 180,079
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41,089
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 221,168
Total (Not to exceed 14.69 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$468,194
Section 11.035. To the Department of Social Services
For Administrative Services
For the Division of Budget and Finance
Personal Service and/or Expense and Equipment, provided that not more than fifteen percent (15%) flexibility is allowed between each appropriation
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,542,422
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 360,129
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116,518
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 476,647
Total (Not to exceed 60.63 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,019,069
Section 11.040. To the Department of Social Services
For Administrative Services
For the Division of Budget and Finance
For the payment of fees to contractors who engage in revenue maximization projects on behalf of the Department of Social Services
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,000,000E
Section 11.045. To the Department of Social Services
For Administrative Services
For the Division of Budget and Finance
For the purpose of funding the receipt and disbursement of refunds and incorrectly deposited receipts to allow the over-collection of accounts receivables to be paid back to the recipient
From Federal and Other Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,500,000E
Section 11.050. To the Department of Social Services
For Administrative Services
For the Division of Budget and Finance
For the purpose of funding payments to counties toward the care and maintenance of each delinquent or dependent child as provided in Chapter 211.156, RSMo
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,192,000
Section 11.055. To the Department of Social Services
For the Information Services and Technology Division
Personal Service and/or Expense and Equipment, provided that not more than fifteen percent (15%) flexibility is allowed between each appropriation
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$4,492,346
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4,185,294
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25,547,990
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29,733,284
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 231,194
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,779,477
From Child Support Enforcement Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . .3,010,671
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33,765
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 403,289
From Administrative Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 437,054
Expense and Equipment
From Education Improvement Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .127,238
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,770
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43,271
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50,041
Total (Not to exceed 163.83 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $37,850,634
Section 11.060. To the Department of Social Services
For Administrative Services
For the purpose of funding the Division of General Services
Personal Service and/or Expense and Equipment, provided that not more than fifteen percent (15%) flexibility is allowed between each appropriation
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,672,152
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 213,710
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83,672
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 297,382
Personal Service
From Child Support Enforcement Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .84,994
For the purpose of funding the centralized inventory system
Expense and Equipment
From Administrative Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,750,000
Total (Not to exceed 70.93 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $7,804,528
Section 11.065. To the Department of Social Services
For Administrative Services
For the purpose of funding the Division of Legal Services
Personal Service and/or Expense and Equipment, provided that not more than fifteen percent (15%) flexibility is allowed between each appropriation
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,864,533
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,626,569
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 779,092
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3,405,661
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 487,674
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 318,163
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 805,837
Personal Service
From Child Support Enforcement Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135,675
Total (Not to exceed 141.74 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6,211,706
Section 11.100. To the Department of Social Services
For the Family Support Division
For the purpose of funding division administration, provided that this appropriation may be used to support the administration of the Children’s Division
Personal Service and/or Expense and Equipment, provided that not more than fifteen percent (15%) flexibility is allowed between each appropriation
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,228,970
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5,209,904
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,363,452
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11,573,356
Expense and Equipment
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134,577
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,132,477
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134,847
From Child Support Enforcement Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . .1,267,324
Expense and Equipment
From Administrative Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39,690
Expense and Equipment
From Blind Pension Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62,417
Total (Not to exceed 211.58 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $14,306,334
Section 11.105. To the Department of Social Services
For the Family Support Division
For the income maintenance field staff and operations, provided that this appropriation may be used to support Children’s Division Field Staff and Operations
Personal Service and/or Expense and Equipment, provided that not more than fifteen percent (15%) flexibility is allowed between each appropriation
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $27,450,629
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60,334,236
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,418,682
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64,752,918
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 674,989
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28,749
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 703,738
Total (Not to exceed 3,041.57 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$92,907,285
Section 11.110. To the Department of Social Services
For the Family Support Division
For the income maintenance staff training, provided that this appropriation may be used to support Children’s Division staff training
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $545,999
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 164,591
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $710,590
Section 11.115. To the Department of Social Services
For the Family Support Division
For the purpose of funding the electronic benefit transfers (EBT) system to reduce fraud, waste, and abuse
Expense and Equipment
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,259,735
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,564,886
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,824,621
Section 11.120. To the Department of Social Services
For the Family Support Division
For the purpose of funding the receipt of funds from the Polk County and Bolivar Charitable Trust for the exclusive benefit and use of the Polk County Office
From Charitable Trust Account. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $10,000
Section 11.125. To the Department of Social Services
For the Family Support Division
For the purpose of funding contractor, hardware, and other costs associated with planning, development, and implementation of a Family Assistance Management Information System (FAMIS)
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$2,451,822
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3,789,073
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$6,240,895
Section 11.130. To the Department of Social Services
For the Family Support Division
For the purpose of funding Community Partnerships
Personal Service
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $10,888
For grants and contracts to Community Partnerships and other community initiatives and related expenses
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,000,000
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7,483,799
For Missouri Mentoring Partnership
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 695,715
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 778,143
Total (Not to exceed 0.50 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9,968,545
Section 11.135. To the Department of Social Services
For the Family Support Division
For the purpose of funding Food Stamp work training-related expenses
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $82,000
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5,300,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,382,000
Section 11.140. To the Department of Social Services
For the Family Support Division
For the purpose of funding the payment of Temporary Assistance for Needy Families benefits
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$17,287,706
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .118,545,760E
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$135,833,466
Section 11.145. To the Department of Social Services
For the Family Support Division
For the purpose of funding Grandparent Foster Care
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$2,403,070
Section 11.150. To the Department of Social Services
For the Family Support Division
For the purpose of funding supplemental payments to aged or disabled persons
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $210,000
Section 11.155. To the Department of Social Services
For the Family Support Division
For the purpose of funding nursing care payments to aged, blind, or disabled persons, provided a portion of this appropriation may be transferred to the Department of Mental Health for persons removed from the Supplemental Nursing Care Program and placed in the Supported Housing Program, resulting in a reduction of Department of Mental Health supplemental nursing home clients and for personal funds to recipients of Supplemental Nursing Care payments as required by Section 208.030, RSMo
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$25,538,684
Section 11.160. To the Department of Social Services
For the Family Support Division
For the purpose of funding receipt and disbursement of Supplemental Security Income Program payments and funding General Relief benefits payable for periods prior to July 1, 2003. Funds appropriated in this section shall not provide for General Relief cash benefits for periods after June 30, 2003
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$4,000,000
Section 11.165. To the Department of Social Services
For the Family Support Division
For the purpose of funding Blind Pension and supplemental payments to blind persons
From Blind Pension Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $20,580,572
Section 11.170. To the Department of Social Services
For the Family Support Division
For the purpose of funding benefits and services as provided by the Indochina Migration and Refugee Assistance Act of 1975 as amended
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,812,553
Section 11.175. To the Department of Social Services
For the Family Support Division
For the purpose of funding community services programs provided by Community Action Agencies, including programs to assist the homeless, under the provisions of the Community Services Block Grant
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$19,144,171
Section 11.180. To the Department of Social Services
For the Family Support Division
For the purpose of funding grants for local initiatives to assist the homeless
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $500,000
Section 11.185. To the Department of Social Services
For the Family Support Division
For the purpose of funding the Emergency Shelter Grant Program
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,340,000
Section 11.190. To the Department of Social Services
For the Family Support Division
For the purpose of funding the Surplus Food Distribution Program and the receipt and disbursement of Donated Commodities Program payments
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,000,000
Section 11.195. To the Department of Social Services
For the Family Support Division
For the purpose of funding the Low-Income Home Energy Assistance Program
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$40,794,695E
Section 11.200. To the Department of Social Services
For the Family Support Division
For the purpose of funding administration of blind services
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,035,685
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 893,411
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3,929,096
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 838,138
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 210,637
From Blind Pension Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,048,775
Total (Not to exceed 128.53 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $4,977,871
Section 11.205. To the Department of Social Services
For the Family Support Division
For the purpose of funding services for the visually impaired
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,085,000
From Blind Pension Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,549,935
From Donated Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$6,734,935
Section 11.210. To the Department of Social Services
For the Family Support Division
For the purpose of funding Child Support Enforcement Field Staff and Operations
Personal Service and/or Expense and Equipment, provided that not more than fifteen percent (15%) flexibility is allowed between each appropriation
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $540,653
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22,855,881
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7,528,116
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30,383,997
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5,879,244
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,029,481
From Child Support Enforcement Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . 7,908,725
Total (Not to exceed 1,077.62 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$38,833,375
Section 11.215. To the Department of Social Services
For the Family Support Division
For the purpose of funding payments to private agencies collecting child support orders and arrearages
From Child Support Enforcement Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . $510,000
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 990,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,500,000
Section 11.220. To the Department of Social Services
For the Family Support Division
For the purpose of funding contractual agreements with local governments in certain paternity establishment and child support enforcement cases
From Child Support Enforcement Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . $653,000
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,270,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,923,000
Section 11.225. To the Department of Social Services
For the Family Support Division
For the purpose of funding reimbursement to counties and the City of St. Louis providing child support enforcement services
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$8,200,000E
Section 11.230. To the Department of Social Services
For the Family Support Division
For the purpose of funding payment to the federal government for reimbursement of federal Temporary Assistance for Needy Families payments, incentive payments to local governments and other states, refunds of bonds, refunds of support payments or overpayments, and distributions to families
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$36,000,000E
From Alternative Care Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167,000
From Debt Offset Escrow Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9,000,000E
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$45,167,000
Section 11.235. To the Department of Social Services
For the Children’s Division
For division administration provided this appropriation may be used to support administration of the Family Support Division
Personal Service and/or Expense and Equipment, provided that not more than fifteen percent (15%) flexibility is allowed between each appropriation
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $982,281
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,852,697
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,837,427
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5,690,124
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40,716
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11,856
From Early Childhood Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52,572
Expense and Equipment
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163,323
Total (Not to exceed 109.16 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6,888,300
Section 11.240. To the Department of Social Services
For the Children’s Division
For the Children’s Field Staff and Operations, provided that this appropriation may be used to support Family Support Division Income Maintenance Field Staff and Operations
Personal Service and/or Expense and Equipment, provided that not more than fifteen percent (15%) flexibility is allowed between
each appropriation
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$25,245,940
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38,404,917
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,482,081
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42,886,998
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61,960
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28,749
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90,709
Total (Not to exceed 2,016.72 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$68,223,647
Section 11.245. To the Department of Social Services
For the Children’s Division
For Children’s Staff Training, provided that this appropriation may be used to support Family Support Division Income Maintenance Staff Training
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,274,001
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 384,041
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,658,042
Section 11.250. To the Department of Social Services
For the Children’s Division
For the purpose of funding children’s treatment services, including, but not limited to, home-based services, day treatment services, preventive services, child care, family reunification services, or intensive in-home services
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$8,329,815
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,486,047
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$13,815,862
Section 11.255. To the Department of Social Services
For the Children’s Division
For the purpose of funding placement costs including Foster Care payments, related services, expenses related to training of foster parents, Residential Treatment placements and therapeutic treatment services, and for the diversion of children from inpatient psychiatric treatment and services provided through comprehensive, expedited permanency systems of care for children and families
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$56,261,647
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52,503,972
For the purpose of enhancing current foster care case management contracts to increase service delivery to children and families. The purpose of these services shall be to help children who are at risk of being removed from their family because of abuse or neglect. Services may also be provided to children and families to expedite reunifications. Services eligible under this provision may include Intensive In-Home Services, Family Reunification Services, and specialized recruitment and training of foster care families. Funding may also be used for limited emergency resources for families
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,000,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$113,765,619
Section 11.260. To the Department of Social Services
For the Children’s Division
For the purpose of funding Adoption and Guardianship subsidy payments and related services
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$42,039,634
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18,084,646
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$60,124,280
Section 11.265. To the Department of Social Services
For the Children’s Division
For the purpose of funding independent living placements and transitional living payment services
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,393,228
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,777,894
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,171,122
Section 11.270. To the Department of Social Services
For the Children’s Division
For the purpose of funding appropriations for children’s treatment services, alternative care placement services, adoption subsidy services, independent living services, and services provided through comprehensive, expedited permanency systems of care for children and families
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$9,678,918
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9,273,261
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$18,952,179
Section 11.275. To the Department of Social Services
For the Children’s Division
For the purpose of funding Regional Child Assessment Centers
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,749,583
Section 11.280. To the Department of Social Services
For the Children’s Division
For the purpose of funding diversion of children from inpatient psychiatric treatment and to provide services to reduce the number of children’s inpatient medical hospitalization days
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$6,561,278
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9,691,373
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$16,252,651
Section 11.285. To the Department of Social Services
For the Children’s Division
For the purpose of funding residential placement payments to counties for children in the custody of juvenile courts
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $700,000
Section 11.290. To the Department of Social Services
For the Children’s Division
For the purpose of funding services and programs to assist victims of domestic violence
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$4,300,000
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,687,653
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,987,653
Section 11.295. To the Department of Social Services
For the Children’s Division
For the purpose of funding the Child Abuse and Neglect Prevention Grant and Children Justice Act Grant
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,000,000
Section 11.300. To the Department of Social Services
For the Children’s Division
For the purpose of funding transactions involving personal funds of children in the custody of the Children’s Division or the Division of Youth Services
From Alternative Care Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $12,000,000E
Section 11.305. To the Department of Social Services
For the Children’s Division
For the purpose of funding Child Care Services and to support the Educare Program not to exceed $3,000,000 expenses
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$59,312,362
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .106,628,422
From Early Childhood Development, Education and Care Fund. . . . . . . . . . . . . . . . 1,548,152
For the purpose of payments to accredited child care providers pursuant to Chapter 313, RSMo
From Early Childhood Development, Education and Care Fund. . . . . . . . . . . . . . . . 3,446,898
For the purpose of funding early childhood start-up and expansion grants pursuant to Chapter 313, RSMo
From Early Childhood Development, Education and Care Fund. . . . . . . . . . . . . . . . 4,136,278
For the purpose of funding early childhood development, education, and care programs for low-income families pursuant to Chapter 313, RSMo
From Early Childhood Development, Education and Care Fund. . . . . . . . . . . . . . . . 3,446,898
For the purpose of funding certificates to low-income, at-home families for Chapter 313, RSMo
From Early Childhood Development, Education and Care Fund. . . . . . . . . . . . . . 3,446,898
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$181,965,908
Section 11.315. To the Department of Social Services
For the Division of Youth Services
For the purpose of funding Central Office and Regional Offices
Personal Service and/or Expense and Equipment, provided that not more than fifteen percent (15%) flexibility is allowed between each appropriation
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,531,240
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 446,430
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117,846
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 564,276
Total (Not to exceed 48.70 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,095,516
Section 11.320. To the Department of Social Services
For the Division of Youth Services
For the purpose of funding treatment services, including foster care and contractual payments
Personal Service and/or Expense and Equipment, provided that not more than fifteen percent (15%) flexibility is allowed between each appropriation
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$32,082,173
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6,532,905
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7,073,293
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13,606,198
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,360,623
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,715,760
From DOSS Educational Improvement Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,076,383
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105,688
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10,135
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115,823
Total (Not to exceed 1,366.50 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$51,880,577
Section 11.325. To the Department of Social Services
For the Division of Youth Services
For the purpose of funding incentive payments to counties for community-based treatment programs for youth. Up to $500,000 from the Gaming Commission Fund appropriated within this section may be used for funding treatment services, including foster care and contractual payments
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,884,412
From Gaming Commission Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 500,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$4,384,412
Section 11.400. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding administrative services. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient’s spend down amount. Monies are not appropriated for coverage of medical assistance for persons whose incomes, calculated using less restrictive income methodologies, as authorized in 42 USC Section 1396(r)(2), exceeds eighty percent of the federal poverty level, and those persons whose income exceeds eighty percent of the federal poverty level will not be eligible for old age assistance benefits, permanent and total disability benefits, or aid to the blind benefits.
Personal Service and/or Expense and Equipment, provided that not more than fifteen percent (15%) flexibility is allowed between each appropriation
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,846,269
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4,952,414
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,754,641
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11,707,055
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16,810
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,110
From Pharmacy Rebates Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21,920
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 266,394
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31,385
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 297,779
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71,346
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10,281
From Nursing Quality of Care Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81,627
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 250,625
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,414,665
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,665,290
Total (Not to exceed 272.26 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $19,619,940
Section 11.405. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding women and minority health care outreach programs. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient’s spend down amount. Monies are not appropriated for coverage of medical assistance for persons whose incomes, calculated using less restrictive income methodologies, as authorized in 42 USC Section 1396(r)(2), exceeds eighty percent of the federal poverty level, and those persons whose income exceeds eighty percent of the federal poverty level will not be eligible for old age assistance benefits, permanent and total disability benefits, or aid to the blind benefits
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $750,000
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 750,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,500,000
Section 11.410. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding a revenue maximization unit in the Division of Medical Services. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient’s spend down amount. Monies are not appropriated for coverage of medical assistance for persons whose incomes, calculated using less restrictive income methodologies, as authorized in 42 USC Section 1396(r)(2), exceeds eighty percent of the federal poverty level, and those persons whose income exceeds eighty percent of the federal poverty level will not be eligible for old age assistance benefits, permanent and total disability benefits, or aid to the blind benefits
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $81,000
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8,286
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .89,286
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81,000
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8,286
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89,286
Total (Not to exceed 4.00 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$178,572
Section 11.415. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding fees associated with third-party collections and other revenue maximization cost avoidance fees. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient’s spend down amount. Monies are not appropriated for coverage of medical assistance for persons whose incomes, calculated using less restrictive income methodologies, as authorized in 42 USC Section 1396(r)(2), exceeds eighty percent of the federal poverty level, and those persons whose income exceeds eighty percent of the federal poverty level will not be eligible for old age assistance benefits, permanent and total disability benefits, or aid to the blind benefits
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,000,000E
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,000,000E
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$2,000,000
Section 11.420. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding the operation of the information systems. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient’s spend down amount. Monies are not appropriated for coverage of medical assistance for persons whose incomes, calculated using less restrictive income methodologies, as authorized in 42 USC Section 1396(r)(2), exceeds eighty percent of the federal poverty level, and those persons whose income exceeds eighty percent of the federal poverty level will not be eligible for old age assistance benefits, permanent and total disability benefits, or aid to the blind benefits
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$6,892,792
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18,473,731
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$25,366,523
Section 11.425. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding contractor payments associated with managed care eligibility and enrollment of Medicaid recipients. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient’s spend down amount. Monies are not appropriated for coverage of medical assistance for persons whose incomes, calculated using less restrictive income methodologies, as authorized in 42 USC Section 1396(r)(2), exceeds eighty percent of the federal poverty level, and those persons whose income exceeds eighty percent of the federal poverty level will not be eligible for old age assistance benefits, permanent and total disability benefits, or aid to the blind benefits
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $109,586
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3,110,113
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,219,699
Section 11.430. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding pharmaceutical payments under the Medicaid fee-for-service and managed care programs and for the purpose of funding professional fees for pharmacists. Prior to the implementation of a preferred drug product list, the Division of Medical Services must submit to the Budget Chairman of the House and the Appropriations Chairman of the Senate a study which outlines the impact of such restrictions on patient care and the entire Medicaid budget. A portion of funding provided within this section, $16,442,080 from the General Revenue Fund and $26,109,887 from Federal Funds, is contingent upon both the passage of legislation authorizing the pharmacy provider tax and the approval of the pharmacy provider tax by the Federal Centers for Medicare and Medicaid Services (CMS), each of which must be in an amount sufficient to provide for Fiscal Year 2004 appropriations made from the Pharmacy Federal Reimbursement Allowance Fund. If these contingencies are not satisfied then the appropriation for the contingent funding noted above is revoked and the base dispensing fee, before any related provider tax adjustment, shall be lesser of $4.09 or the lowest dispensing fee accepted by the pharmacy from any insurer or other third party payer; further, a component in determining ingredient cost reimbursement will include the flat Wholesale Acquisition Cost (WAC). The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient’s spend down amount. Monies are not appropriated for coverage of medical assistance for persons whose incomes, calculated using less restrictive income methodologies, as authorized in 42 USC Section 1396(r)(2), exceeds eighty percent of the federal poverty level, and those persons whose income exceeds eighty percent of the federal poverty level will not be eligible for old age assistance benefits, permanent and total disability benefits, or aid to the blind benefits
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$232,137,569
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .571,644,182
From Pharmacy Rebates Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60,163,328E
From Pharmacy Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . 61,984,630
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 969,293
From Healthy Families Trust Fund-Health Care Account. . . . . . . . . . . . . . . . . . . 1,041,034
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$927,940,036
Section 11.435. There is transferred out of the State Treasury, chargeable to the General Revenue Fund, Thirty Million Dollars ($30,000,000) to the Pharmacy Reimbursement Allowance Fund
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$30,000,000E
Section 11.440. There is transferred out of the State Treasury, chargeable to the Pharmacy Reimbursement Allowance Fund, Thirty Million Dollars ($30,000,000) to the General Revenue Fund as a result of recovering the Pharmacy Reimbursement Allowance Fund
From Pharmacy Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . $30,000,000E
Section 11.445. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding physician services and related services, including, but not limited to, clinic and podiatry services, physician-sponsored services and fees, laboratory and x-ray services, and family planning services under the Medicaid fee-for-service and managed care programs. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient’s spend down amount. Monies are not appropriated for coverage of medical assistance for persons whose incomes, calculated using less restrictive income methodologies, as authorized in 42 USC Section 1396(r)(2), exceeds eighty percent of the federal poverty level, and those persons whose income exceeds eighty percent of the federal poverty level will not be eligible for old age assistance benefits, permanent and total disability benefits, or aid to the blind benefits
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$108,792,330
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .182,083,076
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,247,544
From Healthy Families Trust Fund-Health Care Account. . . . . . . . . . . . . . . . . . . . 1,041,034
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$293,163,984
Section 11.450. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding dental services for children under the Medicaid fee-for-service and managed care programs and not for reimbursement of adult dental services provided after July 1, 2003. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient’s spend down amount. Monies are not appropriated for coverage of medical assistance for persons whose incomes, calculated using less restrictive income methodologies, as authorized in 42 USC Section 1396(r)(2), exceeds eighty percent of the federal poverty level, and those persons whose income exceeds eighty percent of the federal poverty level will not be eligible for old age assistance benefits, permanent and total disability benefits, or aid to the blind benefits
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$2,693,467
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5,750,170
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71,162
From Healthy Families Trust Fund-Health Care Account. . . . . . . . . . . . . . . . . . . . . . 848,773
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$9,363,572
Section 11.455. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding payments to third-party insurers, employers, or policyholders for health insurance. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient’s spend down amount. Monies are not appropriated for coverage of medical assistance for persons whose incomes, calculated using less restrictive income methodologies, as authorized in 42 USC Section 1396(r)(2), exceeds eighty percent of the federal poverty level, and those persons whose income exceeds eighty percent of the federal poverty level will not be eligible for old age assistance benefits, permanent and total disability benefits, or aid to the blind benefits
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$31,199,490
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .50,414,133
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$81,613,623
Section 11.460. To the Department of Social Services
For the Division of Medical Services
For funding long-term care services
For the purpose of funding home health, respite care, homemaker chore, personal care, advanced personal care, adult day care, AIDS, children’s waiver services, Program for All-Inclusive Care for the Elderly, and other related services under the Medicaid fee-for-service and managed care programs. Provided that an individual eligible for or receiving nursing home care must be given the opportunity to have those Medicaid dollars follow them to the community to the extent necessary to meet their unmet needs as determined by 13 CSR 15 9.030(5) and further be allowed to choose the personal care program option in the community that best meets the individuals’ unmet needs. This includes the Consumer Directed Medicaid State Plan Amendment that is administered by the Division of Vocational Rehabilitation in the Department of Elementary and Secondary Education. And further provided that individuals eligible for the Medicaid Personal Care Option must be allowed to choose, from among all the program options, that option which best meets their unmet need as determined by 13 CSR 15 9.030(5); and also be allowed to have their Medicaid funds follow them to the extent necessary to meet their unmet needs whichever option they choose. This language does not create any entitlements not established by statute. The single state agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient’s spend down amount. Monies are not appropriated for coverage of medical assistance for persons whose incomes, calculated using less restrictive income methodologies, as authorized in 42 USC Section 1396(r)(2), exceeds eighty percent of the federal poverty level, and those persons whose income exceeds eighty percent of the federal poverty level will not be eligible for old age assistance benefits, permanent and total disability benefits, or aid to the blind benefits
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$104,484,839
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .167,638,867
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159,305
For the purpose of funding care in nursing facilities, Program for All-Inclusive Care for the Elderly, or other long-term care services under the Medicaid fee-for-service and managed care programs. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient’s spend down amount. Monies are not appropriated for coverage of medical assistance for persons whose incomes, calculated using less restrictive income methodologies, as authorized in 42 USC Section 1396(r)(2), exceeds eighty percent of the federal poverty level, and those persons whose income exceeds eighty percent of the federal poverty level will not be eligible for old age assistance benefits, permanent and total disability benefits, or aid to the blind benefits
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$84,622,959
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .269,622,959
From Uncompensated Care Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58,516,478
From Intergovernmental Transfer Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20,000,000
From Enhanced Federal Matching Proceeds Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . 5,000,000
From Nursing Facility Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . .8,072,284
From Healthy Families Trust Fund-Health Care Account. . . . . . . . . . . . . . . . . . . . 17,973
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$718,336,844
Section 11.465. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding all other non-institutional services, including, but not limited to, rehabilitation, optometry, audiology, ambulance, non-emergency medical transportation, durable medical equipment, and eyeglasses following cataract surgery under the Medicaid fee-for-service and managed care programs. A portion of this funding allows for contracted services related to prior authorization of certain Medicaid services. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient’s spend down amount. Monies are not appropriated for coverage of medical assistance for persons whose incomes, calculated using less restrictive income methodologies, as authorized in 42 USC Section 1396(r)(2), exceeds eighty percent of the federal poverty level, and those persons whose income exceeds eighty percent of the federal poverty level will not be eligible for old age assistance benefits, permanent and total disability benefits, or aid to the blind benefits
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$33,639,055
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55,862,176
From Healthy Families Trust Fund-Health Care Account. . . . . . . . . . . . . . . . . . . . . . . 831,745
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 194,881
For the purpose of funding non-emergency medical transportation. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient’s spend down amount. Monies are not appropriated for coverage of medical assistance for persons whose incomes, calculated using less restrictive income methodologies, as authorized in 42 USC Section 1396(r)(2), exceeds eighty percent of the federal poverty level, and those persons whose income exceeds eighty percent of the federal poverty level will not be eligible for old age assistance benefits, permanent and total disability benefits, or aid to the blind benefits
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12,776,589
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15,176,589
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$118,481,035
Section 11.470. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding the payment to comprehensive prepaid health care plans or for payments to providers of health care services for persons eligible for medical assistance under the Medicaid fee-for-service programs or State Medical Program as provided by federal or state law or for payments to programs authorized by the Frail Elderly Demonstration Project Waiver as provided by the Omnibus Budget Reconciliation Act of 1990 (P.L. 101-508, Section 4744) and by Section 208.152 (22), RSMo. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient’s spend down amount. Monies are not appropriated for coverage of medical assistance for persons whose incomes, calculated using less restrictive income methodologies, as authorized in 42 USC Section 1396(r)(2), exceeds eighty percent of the federal poverty level, and those persons whose income exceeds eighty percent of the federal poverty level will not be eligible for old age assistance benefits, permanent and total disability benefits, or aid to the blind benefits
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$154,303,250
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .459,515,560
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8,270,848
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . 116,112,906
From Healthy Families Trust Fund-Health Care Account. . . . . . . . . . . . . . . . . . . . 4,447,110
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$742,649,674
Section 11.475. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding hospital care under the Medicaid fee-for-service and managed care programs. The Division of Medical Services may adjust SFY 2004 costs of the uninsured payments to hospitals to reflect the impact on hospitals of the elimination of Medicaid coverage for adults with incomes above 77 percent of the federal poverty level and who were covered through a Section 1931 transfer. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient’s spend down amount. Monies are not appropriated for coverage of medical assistance for persons whose incomes, calculated using less restrictive income methodologies, as authorized in 42 USC Section 1396(r)(2), exceeds eighty percent of the federal poverty level, and those persons whose income exceeds eighty percent of the federal poverty level will not be eligible for old age assistance benefits, permanent and total disability benefits, or aid to the blind benefits
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$16,335,660
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .349,336,474
From Uncompensated Care Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29,383,522
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . 105,358,465
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,797,179
From Healthy Families Trust Fund-Health Care Account. . . . . . . . . . . . . . . . . . . . . 2,365,987
From Enhanced Federal Matching Proceeds Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . 3,600,000
For Safety Net Payments
From Healthy Families Trust Fund-Health Care Account. . . . . . . . . . . . . . . . . . . . .30,365,444
For Graduate Medical Education
From Health Families Trust Fund-Health Care Account. . . . . . . . . . . . . . . . . . . . . .10,000,000
For the purpose of funding a community-based care coordinating program that includes in-home visits and/or phone contact by a nurse care manager 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80,000
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80,000
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 & Senior Services and Critical Access Hospitals as defined by the Department of Social Services Division of Medical Services, contingent upon adoption of an offsetting increase in the applicable provider tax
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30,000,000
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . 20,000,000
For the purpose of continuing funding in Southwest Missouri of the pager project designed to assist those Medicaid recipients with a high utilization of pharmaceuticals in order to treat chronic illness. Additionally, such project will be replicated in metropolitan Kansas City. The project shall be contingent upon adoption of an offsetting increase in the applicable provider tax and administered by the Division of Medical Services' Disease Management Program
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60,000
From Federal Reimbursement Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$599,822,731
Section 11.476. To the Department of Social Services
For the Division of Medical Services
For payment to Tier 1 Safety Net Hospitals, by maximizing eligible costs for federal Medicaid funds, utilizing current state and local funding sources as match for services that are not currently matched with federal Medicaid payments
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$23,000,000
Section 11.480. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding grants to Federally Qualified Health Centers. The single state agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient’s spend down amount. Monies are not appropriated for coverage of medical assistance for persons whose incomes, calculated using less restrictive income methodologies, as authorized in 42 USC Section 1396(r)(2), exceeds eighty percent of the federal poverty level, and those persons whose income exceeds eighty percent of the federal poverty level will not be eligible for old age assistance benefits, permanent and total disability benefits, or aid to the blind benefits
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,000,000
Section 11.485. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding payments to hospitals under the Federal Reimbursement Allowance Program and for the expenses of the Poison Control Center in order to provide services to all hospitals within the state. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient’s spend down amount. Monies are not appropriated for coverage of medical assistance for persons whose incomes, calculated using less restrictive income methodologies, as authorized in 42 USC Section 1396(r)(2), exceeds eighty percent of the federal poverty level, and those persons whose income exceeds eighty percent of the federal poverty level will not be eligible for old age assistance benefits, permanent and total disability benefits, or aid to the blind benefits
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$384,999,999E
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . 1E
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$385,000,000
Section 11.490. To the Department of Social Services
For the Division of Medical Services
For funding programs to enhance access to health care for uninsured adults by using fee-for-service, prepaid health plans, or other alternative service delivery and reimbursement methodology approved by the director of the Department of Social Services. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient’s spend down amount. Monies are not appropriated for coverage of medical assistance for persons whose incomes, calculated using less restrictive income methodologies, as authorized in 42 USC Section 1396(r)(2), exceeds eighty percent of the federal poverty level, and those persons whose income exceeds eighty percent of the federal poverty level will not be eligible for old age assistance benefits, permanent and total disability benefits, or aid to the blind benefits
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$2,286,649
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3,076,630
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .423,516
From Pharmacy Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .89,128
For the purpose of funding health care services provided to uninsured adults through local initiatives for the uninsured. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient’s spend down amount. Monies are not appropriated for coverage of medical assistance for persons whose incomes, calculated using less restrictive income methodologies, as authorized in 42 USC Section 1396(r)(2), exceeds eighty percent of the federal poverty level, and those persons whose income exceeds eighty percent of the federal poverty level will not be eligible for old age assistance benefits, permanent and total disability benefits, or aid to the blind benefits
From Federal and Other Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1E
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,875,924
Section 11.495. To the Department of Social Services
For the Division of Medical Services
For funding programs to enhance access to care for uninsured children using fee-for-services, prepaid health plans, or other alternative service delivery and reimbursement methodology approved by the director of the Department of Social Services. Provided that the Department shall implement co-payments as provided in Sections 208.631 to 208.657, RSMo. In order to be eligible, and pursuant to the provisions of Sections 208.631 to 208.657, RSMo, parents and guardians of uninsured children with incomes between two hundred twenty-six and three hundred percent of the federal poverty level shall submit with their application two health insurance quotes from insurers providing services in their community. Said quotes shall exceed one hundred thirty-three percent of the average monthly premium currently required in the Missouri Consolidated Health Care Plan. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient’s spend down amount. Monies are not appropriated for coverage of medical assistance for persons whose incomes, calculated using less restrictive income methodologies, as authorized in 42 USC Section 1396(r)(2), exceeds eighty percent of the federal poverty level, and those persons whose income exceeds eighty percent of the federal poverty level will not be eligible for old age assistance benefits, permanent and total disability benefits, or aid to the blind benefits
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,626,088
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68,489,763
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8,300,000
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4,999,173
From Pharmacy Rebates Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 225,430
From Pharmacy Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . .201,394
From Premium Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,000,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$84,841,848
Section 11.500. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding uncompensated care payments to the St. Louis Regional Disproportionate Share Hospital funding authority
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$25,000,000E
Section 11.505. There is transferred out of the State Treasury, chargeable to the General Revenue Fund, $180,000,000 to the Federal Reimbursement Allowance Fund
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$180,000,000E
Section 11.510. There is transferred out of the State Treasury, chargeable to the Federal Reimbursement Allowance Fund, $180,000,000 to the General Revenue Fund as a result of reconciling the Federal Reimbursement Allowance Fund
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . $180,000,000E
Section 11.515. There is transferred out of the State Treasury, chargeable to the General Revenue Fund, $120,000,000 to the Nursing Facility Federal Reimbursement Allowance Fund
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$120,000,000E
Section 11.520. There is transferred out of the State Treasury, chargeable to the Nursing Facility Federal Reimbursement Allowance Fund, $120,000,000 to the General Revenue Fund as a result of reconciling the Nursing Facility Federal Reimbursement Allowance Fund
From Nursing Facility Federal Reimbursement Allowance Fund. . . . . . . . . . . .$120,000,000E
Section 11.525. There is transferred out of the State Treasury, chargeable to the Nursing Facility Federal Reimbursement Allowance Fund, $1,500,000 to the Nursing Facility Quality of Care Fund
From Nursing Facility Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . .$1,500,000
Section 11.530. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding Nursing Facility Federal Reimbursement Allowance payments as provided by law. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient’s spend down amount. Monies are not appropriated for coverage of medical assistance for persons whose incomes, calculated using less restrictive income methodologies, as authorized in 42 USC Section 1396(r)(2), exceeds eighty percent of the federal poverty level, and those persons whose income exceeds eighty percent of the federal poverty level will not be eligible for old age assistance benefits, permanent and total disability benefits, or aid to the blind benefits
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$184,999,999E
From Nursing Facility Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . 1E
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$185,000,000
Section 11.535. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding Medicaid services for the Department of Elementary and Secondary Education under the Medicaid fee-for-service and managed care programs. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient’s spend down amount. Monies are not appropriated for coverage of medical assistance for persons whose incomes, calculated using less restrictive income methodologies, as authorized in 42 USC Section 1396(r)(2), exceeds eighty percent of the federal poverty level, and those persons whose income exceeds eighty percent of the federal poverty level will not be eligible for old age assistance benefits, permanent and total disability benefits, or aid to the blind benefits
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$33,230,000E
Section 11.545. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding home-delivered meals distributed according to formula to the Area Agencies on Aging in the Department of Health and Senior Services. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient’s spend down amount. Monies are not appropriated for coverage of medical assistance for persons whose incomes, calculated using less restrictive income methodologies, as authorized in 42 USC Section 1396(r)(2), exceeds eighty percent of the federal poverty level, and those persons whose income exceeds eighty percent of the federal poverty level will not be eligible for old age assistance benefits, permanent and total disability benefits, or aid to the blind benefits
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$4,191,968E
Section 11.550. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding medical benefits for recipients of the State Medical Program, including coverage in managed care programs. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient’s spend down amount. Monies are not appropriated for coverage of medical assistance for persons whose incomes, calculated using less restrictive income methodologies, as authorized in 42 USC Section 1396(r)(2), exceeds eighty percent of the federal poverty level, and those persons whose income exceeds eighty percent of the federal poverty level will not be eligible for old age assistance benefits, permanent and total disability benefits, or aid to the blind benefits
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$35,544,655
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 353,437
From Pharmacy Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . 846,090
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$36,744,182
Section 11.555. To the Department of Social Services
For the Division of Medical Services
For the purpose of funding appropriations for any medical service under the Medicaid fee-for-service, managed care, or State Medical programs, including related services. Appropriations shall not be used to provide reimbursement for adult dental services provided after July 1, 2003. Monies are not appropriated for coverage of medical assistance for persons whose incomes, calculated using less restrictive income methodologies, as authorized in 42 USC Section 1396(r)(2), exceeds eighty percent of the federal poverty level, and those persons whose income exceeds eighty percent of the federal poverty level will not be eligible for old age assistance benefits, permanent and total disability benefits, or aid to the blind benefits. The single agency administering the Medicaid program is only authorized to reimburse for benefits that exceed a recipient’s spend down amount
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$24,107,486
From Premium Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,837,940
From Third Party Liability Collections. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11,399,997
From Uncompensated Care Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
From Pharmacy Rebates Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
From Nursing Facility Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . 181,500
For the purpose of funding Upper Payment Limit maximization transactions
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20,500,000
From Intergovernmental Transfer Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13,000,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$73,026,926
Section 11.560. There is transferred out of the State Treasury from Federal
Funds to the Enhanced Federal Matching Proceeds Fund
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$208,220,000
BILL TOTALS
General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,186,272,635
Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,992,498,858
Other Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 356,109,806
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $5,534,881,299