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HB1011I-Introduced Bill Text

SECOND REGULAR SESSION

HOUSE BILL NO. 1011

89TH GENERAL ASSEMBLY






INTRODUCED BY REPRESENTATIVE FRANKLIN.

Read 1st time February 4, 1998 and 1000 copies ordered printed.

ANNE C. WALKER, Chief Clerk

L8011.01I




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, 1998, and ending June 30, 1999.






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, 1998 and ending June 30, 1999, as follows:

Section 11.005. To the Department of Social Services

For Departmental Administration

For the Office of the Director

Personal Service $734,706

Annual salary adjustment in accordance with Section 105.005, RSMo 4,379

Expense and Equipment 186,693

From General Revenue Fund 925,778

Personal Service 11,587

Annual salary adjustment in accordance with Section 105.005 RSMo 74

From Federal Funds 11,661

Total $937,439

Section 11.010. To the Department of Social Services

For Departmental Administration

For funding Temporary Assistance for Needy Families Block Grant,

child care, Work First Initiatives, work related transportation,

payments to employees participating in the wage supplementation

program, necessary administrative expenses, or to respond to

changes in fiscal policy for the Department of Social Services

From General Revenue Fund $14,900,000

From Federal Funds 11,500,000

For funding cash payments, purchase of child care, or other Work First

activities in the event the core appropriation is not sufficient

From Federal Funds 9,400,000

Total $35,800,000

Section 11.015. To the Department of Social Services

For Departmental Administration

For the Office of the Director

For 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 Personal Responsibility and 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, 1998 through December 31, 1998 and a final accounting

for the year through June 30, 1999, and these reports shall include a

comparison with all expenditures for Fiscal Year 1998. The first six

months accounting shall be delivered to the General Assembly no later

than January 31, 1999

From General Revenue Fund $750,000

Section 11.020. To the Department of Social Services

For receiving and expending donations and federal funds, Kiosk, and other

automated systems, and Federal Empowerment Zones/Enterprise

Community Grants

From Federal Funds $3,900,000E

Section 11.025. To the Department of Social Services

For Departmental Administration

For the Office of the Director

For funding salaries and expenses of staff, including caseworkers, child

support technicians, and administrative support in response to the

Personal Responsibility and Work Opportunity Reconciliation Act

of 1996

Personal Service

From General Revenue Fund $4,333,647

From Federal Funds 13,105,830

From Child Support Enforcement Collections Fund 1,024,428

From Health Initiatives Fund 81,375

Total $18,545,280

Section 11.030. To the Department of Social Services

For the Office of the Director

For the Personnel and Labor Relations Section

Personal Service $252,883

Expense and Equipment 28,822

From General Revenue Fund 281,705

Personal Service 22,482

Expense and Equipment 2,875

From Federal Funds 25,357

Total $307,062

Section 11.035. To the Department of Social Services

For Administrative Services

For the Division of Budget and Finance

Personal Service $2,292,995

Expense and Equipment 199,800

From General Revenue Fund 2,492,795

Personal Service 467,738

Expense and Equipment 591,527

From Federal Funds 1,059,265

Total $3,552,060

Section 11.040. To the Department of Social Services

For Administrative Services

For the Division of Budget and Finance

For 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 $480,000E

Section 11.045. To the Department of Social Services

For Administrative Services

For the Division of Budget and Finance

For 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 $3,610,000E

Section 11.050. To the Department of Social Services

For Administrative Services

For the Division of Data Processing

Personal Service and/or Expense and Equipment

From General Revenue Fund $8,587,399

From Federal Funds 23,720,900

From Child Support Collections Fund 2,547,723

From Administrative Trust Fund 1,438,065

From Educational Improvement Fund 127,238

From Health Initiatives Fund 49,487

From Nursing Facility Quality of Care Fund 959

Total $36,471,771

Section 11.055. To the Department of Social Services

For Administrative Services

For the Division of General Services

Personal Service $1,924,157

Expense and Equipment 735,033

From General Revenue Fund 2,659,190

Personal Service 303,572

Expense and Equipment 68,072

From Federal Funds 371,644

Expense and Equipment

From Child Support Enforcement Fund 22,230

Expense and Equipment

From Administrative Trust Fund 250,000

For operating maintenance and repair

From General Revenue Fund 30,708

From Federal Funds 10,138

Total $3,343,910

Section 11.060. To the Department of Social Services

For furniture and related expenses

Expense and Equipment

From General Revenue Fund $150,000

Section 11.065. To the Department of Social Services

For Administrative Services

For the Division of Legal Services

Personal Service $2,434,524

Expense and Equipment 376,088

From General Revenue Fund 2,810,612

Personal Service 2,400,608

Expense and Equipment 284,014

From Federal Funds 2,684,622

Personal Service 225,828

Expense and Equipment 66,319

From Child Support Collections Fund 292,147

Personal Service 119,505

Expense and Equipment 31,706

From Health Initiatives Fund 151,211

Total $5,938,592

Section 11.070. To the Department of Social Services

For the Division of Child Support Enforcement

Personal Service $7,346,159

Expense and Equipment 2,950,086

Personal Service and/or Expense and Equipment 65,968

From Child Support Collections Fund 10,362,213

Personal Service 21,852,993

Expense and Equipment 5,503,958

Personal Service and/or Expense and Equipment 247,011

From Federal Funds 27,603,962

Expense and Equipment

From Administrative Trust Fund 39,690

Total $38,005,865

Section 11.075. To the Department of Social Services

For contractor and associated costs related to the development of

the Missouri Automated Child Support System (MACSS)

From Child Support Collections Fund $4,584,873

From Federal Funds 11,397,513

Total $15,982,386

Section 11.080. To the Department of Social Services

For the Division of Child Support Enforcement

For funding the Parents Fair Share Program

From General Revenue Fund $630,000

From Federal Funds 64,205

From Child Support Enforcement Fund 762,106

Total $1,456,311

Section 11.085. To the Department of Social Services

For the Division of Child Support Enforcement

For contractual agreements with local governments in certain paternity

establishment and child support enforcement cases

From Child Support Collections Fund $460,822

From Federal Funds 895,949

Total $1,356,771

Section 11.090. To the Department of Social Services

For the Division of Child Support Enforcement

For payments to private agencies collecting child support orders and arrearages

From Child Support Collections Fund $510,000E

From Federal Funds 990,000E

Total $1,500,000

Section 11.095. To the Department of Social Services

For the Division of Child Support Enforcement

For reimbursement to counties and the City of St. Louis providing child

support enforcement services

From Federal Funds $6,980,000E

Section 11.100. To the Department of Social Services

For the Division of Child Support Enforcement

For 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 $25,300,000E

From Alternative Care Trust Fund 167,000

From Debt Offset Escrow Fund 5,800,000E

Total $31,267,000

Section 11.105. To the Department of Social Services

For the Division of Child Support Enforcement

For refunds of over-collected state taxes to non-custodial parents who

owe child support

From Child Support Collections Fund $171,000E

Section 11.120. To the Department of Social Services

For the Division of Family Services

For Administrative Services and for electronic benefit transfer (EBT)

system to reduce fraud, waste, and abuse

Personal Service $2,954,913

Expense and Equipment 1,275,980

From General Revenue Fund 4,230,893

Personal Service 6,221,988

Expense and Equipment 3,186,481

From Federal Funds 9,408,469

Expense and Equipment

From Blind Pension Fund 62,417

Total $13,701,779

Section 11.125. To the Department of Social Services

For the Division of Family Services

For funding fuel, utilities, service agreements, parking expenses, postage,

telephone and other communication expenses, and for electronic

benefit transfer (EBT) system

From General Revenue Fund $6,002,902

From Federal Funds 5,367,529

From Health Initiatives Fund 29,000

Total $11,399,431

Section 11.130. To the Department of Social Services

For the Division of Family Services

For funding training of staff, including those who provide

social services and training of staff for FUTURES

as set forth in the Family Support Act (P.L. 100-485)

Personal Service and/or Expense and Equipment

From General Revenue Fund $1,828,637

From Federal Funds 214,051

Total $2,042,688

Section 11.135. To the Department of Social Services

For the Division of Family Services

For the receipt of funds from the Polk County and Bolivar Charitable

Trust for the exclusive benefit and use of the Polk County Office

of the Division of Family Services

From Charitable Trust Account $10,000

Section 11.140. To the Department of Social Services

For contractor, hardware, and other costs associated with planning,

development, and implementation of a Family Assistance

Management Information System (FAMIS)

From General Revenue Fund $3,795,526

From Federal Funds 4,376,574

Total $8,172,100

Section 11.145. To the Department of Social Services

For the Division of Family Services

For Field Services Operations

Personal Service $10,323,389

Expense and Equipment 797,736

Personal Service and/or Expense and Equipment 24,094

From General Revenue Fund 11,145,219

Personal Service 26,949,337

Expense and Equipment 1,745,885

Personal Service and/or Expense and Equipment 46,634

From Federal Funds 28,741,856

Personal Service 247,408

Expense and Equipment 15,903

From Health Initiatives Fund 263,311

Total $40,150,386

Section 11.150. To the Department of Social Services

For the Division of Family Services

For funding salaries and travel expenses of line staff

Personal Service $24,031,424

Expense and Equipment 1,185,056

Personal Service and/or Expense and Equipment 55,304

From General Revenue Fund 25,271,784

Personal Service 56,519,274

Expense and Equipment 1,724,374

Personal Service and/or Expense and Equipment 90,232

From Federal Funds 58,333,880

Personal Service 335,094

Expense and Equipment 13,103

From Health Initiatives Fund 348,197

Total $83,953,861

Section 11.155. To the Department of Social Services

For the Division of Family Services

For administration of the FUTURES Program

Personal Service $564,595

Expense and Equipment 455,464

Personal Service and/or Expense and Equipment 513,036

From General Revenue Fund 1,533,095

Personal Service 657,758

Expense and Equipment 690,035

Personal Service and/or Expense and Equipment 727,680

From Federal Funds 2,075,473

Total $3,608,568

Section 11.160. To the Department of Social Services

For the Division of Family Services

For job search assistance; skill training services; and emergency intervention

services, including transportation expenses and other related expenses

for active FUTURES participants

From General Revenue Fund $2,800,000

From Federal Funds 6,370,000

Total $9,170,000

Section 11.165. To the Department of Social Services

For the Division of Family Services

For Food Stamp work training and related expenses

From General Revenue Fund $242,000

From Federal Funds 7,105,959

Total $7,347,959

Section 11.170. To the Department of Social Services

For the Division of Family Services

For child care services for recipients of the programs funded by the

Temporary Assistance for Needy Families Block Grant, those

who would be at risk of becoming eligible for Temporary Assistance

for Needy Families and low-income families, the general administration

of the programs, and to support the Educare Program not to exceed

$3,000,000 expenses

From General Revenue Fund $51,282,978

From Federal Funds 64,800,000E

Total $116,082,978

Section 11.175. To the Department of Social Services

For the Division of Family Services

For the payment of Temporary Assistance for Needy Families benefits and

for payments to employers participating in the wage supplementation

program

From General Revenue Fund $30,560,000

From Federal Funds 135,040,000

For funding cash payments in the event core appropriation is not sufficient

From Federal Funds 17,400,000

Total $183,000,000

Section 11.180. To the Department of Social Services

For the Division of Family Services

For funding settlement of food benefit transactions

From Federal Funds $250,000,000E

Section 11.185. To the Department of Social Services

For the Division of Family Services

For supplemental payments to aged or disabled persons

From General Revenue Fund $475,000

Section 11.190. To the Department of Social Services

For the Division of Family Services

For nursing care payments to aged, blind, or disabled persons, provided that

One Million, One Hundred Thirteen Thousand, Two Hundred and

Eighty Dollars ($1,113,280) 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 $25,731,384

Section 11.195. To the Department of Social Services

For the Division of Family Services

For General Relief Program payments

From General Revenue Fund $4,980,000

From Federal Funds 740,000

Total $5,720,000

Section 11.200. To the Department of Social Services

For the Division of Family Services

For the receipt and disbursement of Supplemental Security Income Program

payments

From Federal Funds $4,000,000E

Section 11.205. To the Department of Social Services

For the Division of Family Services

For Blind Pensions and Supplemental Payments to Blind Persons

From Blind Pension Fund $14,594,200

Section 11.210. To the Department of Social Services

For the Division of Family Services

For funding benefits and services as provided by the Indochina Migration

and Refugee Assistance Act of 1975 as amended

From Federal Funds $2,040,000E

Section 11.215. To the Department of Social Services

For the Division of Family Services

For funding community services programs, including programs to assist

the homeless under the provisions of the Community Services

Block Grant

From Federal Funds $12,000,000E

Section 11.220. To the Department of Social Services

For the Division of Family Services

For funding grants for local initiatives to assist the homeless

From Federal Funds $500,000

Section 11.225. To the Department of Social Services

For the Division of Family Services

For funding the Emergency Shelter Grant Program

From Federal Funds $1,340,000E

Section 11.230. To the Department of Social Services

For the Division of Family Services

For funding the Surplus Food Distribution Programs, and the receipt and

disbursement of Donated Commodities Program payments

From Federal Funds $1,390,000

Section 11.235. To the Department of Social Services

For the Division of Family Services

For funding the Low-Income Home Energy Assistance Program

From General Revenue Fund $1,000,000

From Federal Funds 34,600,000

For payments to the Department of Natural Resources for weatherization

services

From General Revenue Fund 1,000,000

Total $36,600,000

Section 11.240. To the Department of Social Services

For the Division of Family Services

For administration of blind services

Personal Service $420,014

Expense and Equipment 112,273

Personal Service and/or Expense and Equipment 2,574

From General Revenue Fund 534,861

Personal Service 2,616,572

Expense and Equipment 760,462

Personal Service and/or Expense and Equipment 15,119

From Federal Funds 3,392,153

Personal Service 515,332

Expense and Equipment 88,604

Personal Service and/or Expense and Equipment 4,423

From Blind Pension Fund 608,359

Total $4,535,373

Section 11.245. To the Department of Social Services

For the Division of Family Services

For services for the visually impaired

From General Revenue Fund $1,245,125

From Federal Funds 4,773,000

From Blind Pension Fund 310,000

From Donated Funds 100,000

Total $6,428,125

Section 11.250. To the Department of Social Services

For the Division of Family Services

For services for children and families to include the programs and

activities delineated in this section

For Children's Treatment Services, including but not limited to Home-

Based Services, Day Treatment Services, Preventive Services,

Day Care, Family Reunification Services, Intensive In-Home

Services, Child Assessment Centers, and services provided

through comprehensive, expedited permanency, systems of

care for children and families

From General Revenue Fund $10,190,000

From Federal Funds 4,800,000

For Foster Care payments, including grandparent foster care, guardian

foster care, and related services; and for expenses related to the

training of foster parents, for Intensive In-Home Services, and

for services provided through comprehensive, expedited permanency,

systems of care for children and families

From General Revenue Fund 26,146,060

From Federal Funds 9,689,845

For Adoption Subsidy payments and related services

From General Revenue Fund 17,159,713

From Federal Funds 6,365,511

For Independent Living placements and Therapeutic Treatment services,

including services provided through comprehensive, expedited

permanency, systems of care for children and families

From General Revenue Fund 1,780,000

From Federal Funds 1,570,000

For the funding of any program enumerated in this section, including services

provided through comprehensive, expedited permanency,

systems of care for children and families

From General Revenue Fund 7,820,000

From Federal Funds 3,240,000

Total $88,761,129

Section 11.255. To the Department of Social Services

For the Division of Family Services

For residential placements and therapeutic treatment services,

including services provided through comprehensive, expedited

permanency, systems of care for children and families

From General Revenue Fund $35,519,043

From Federal Funds 18,558,041

Total $54,077,084

Section 11.260. To the Department of Social Services

For the Division of Family Services

For the 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 $9,230,000

From Federal Funds 7,670,000

Total $16,900,000

Section 11.265. To the Department of Social Services

For the Division of Family Services

For Caring Communities

Personal Service $740,802

Caring Communities Program Payments 2,540,000

From General Revenue Fund 3,280,802

For Caring Communities Program Payments

From Federal Funds 7,240,000

Total $10,520,802

Section 11.270. To the Department of Social Services

For the Division of Family Services

For residential placement payments to counties for children

in the custody of juvenile courts

From Federal Funds $1,000,000

Section 11.275. To the Department of Social Services

For the Division of Family Services

For grants for local initiatives to assist victims of domestic violence

From General Revenue Fund $2,300,000

From Federal Funds 1,000,000E

Total $3,300,000

Section 11.280. To the Department of Social Services

For the Division of Family Services

For the Child Abuse and Neglect Prevention Grant and Children Justice Act

Grant

From Federal Funds $1,000,000E

Section 11.285. To the Department of Social Services

For the Division of Family Services

For transactions involving personal funds of children in the custody of the

Division of Family Services or the Division of Youth Services

From Children's Funds $10,600,000E

Section 11.300. To the Department of Social Services

For the Division of Youth Services

For Central Office and Regional Offices

Personal Service $1,710,894

Expense and Equipment 315,077

From General Revenue Fund 2,025,971

Personal Service 513,031

Expense and Equipment 113,943

From Federal Funds 626,974

Total $2,652,945

Section 11.305. To the Department of Social Services

For the Division of Youth Services

For funding treatment services including foster care and contractual payments

Personal Service $22,659,861

Expense and Equipment 2,655,474

Personal Service and/or Expense and Equipment 386,348

From General Revenue Fund 25,701,683

Personal Service 6,439,701

Expense and Equipment 7,706,610

Personal Service and/or Expense and Equipment 250,566

From Federal Funds 14,396,877

Personal Service 1,516,661

Expense and Equipment 627,719

From DSS Educational Improvement Fund 2,144,380

Personal Service 96,082

Expense and Equipment 10,135

From Health Initiatives Fund 106,217

For operating maintenance and repair

From General Revenue Fund 78,794

From Federal Funds 138,243

Total $42,566,194

Section 11.310. To the Department of Social Services

For the Division of Youth Services

For costs associated with increased commitments and bed space, including,

but not limited to, personal service, expense and equipment, and

contractual services

From General Revenue Fund $8,195,591

Section 11.315. To the Department of Social Services

For the Division of Youth Services

For incentive payments to counties for community-based treatment programs

for youth

From Federal Funds $6,181,000

From Gaming Commission Fund 500,000

Total $6,681,000

Section 11.400. To the Department of Social Services

For funding the Division of Medical Services

Personal Service $3,178,724

Expense and Equipment 1,682,965

Personal Service and/or Expense and Equipment 42,231

From General Revenue Fund 4,903,920

Personal Service 4,292,422

Expense and Equipment 2,247,464

Personal Service and/or Expense and Equipment 42,231

From Federal Funds 6,582,117

Personal Service 242,679

Expense and Equipment 31,385

From Health Initiatives Fund 274,064

Personal Service 64,830

Expense and Equipment 10,281

From Nursing Facility Quality of Care Fund 75,111

Personal Service 178,837

Expense and Equipment 22,021

From Third-Party Liability Collections 200,858

Total $12,036,070

Section 11.405. To the Department of Social Services

For the Division of Medical Services

For funding fees associated with third-party collections

From Third-Party Liability Collections $3,000,000E

Section 11.410. To the Department of Social Services

For the Division of Medical Services

For funding the operation of the Information System (IS)

From General Revenue Fund $5,636,986

From Federal Funds 18,620,401

Total $24,257,387

Section 11.415. To the Department of Social Services

For the Division of Medical Services

For funding contractor payments associated with managed care eligibility

and enrollment of Medicaid recipients

From General Revenue Fund $2,699,956

From Federal Funds 2,699,956

Total $5,399,912

Section 11.420. To the Department of Social Services

For the Division of Medical Services

For funding pharmaceuticals and pharmacists' services under the Medicaid

fee-for-service and managed care programs

From General Revenue Fund $145,526,913

From Federal Funds 256,254,712

From Pharmacy Rebates 22,832,645E

Total $424,614,270

Section 11.425. To the Department of Social Services

For the Division of Medical Services

For 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

From General Revenue Fund $46,967,854

From Federal Funds 73,841,340

Total $120,809,194

Section 11.430. To the Department of Social Services

For the Division of Medical Services

For funding Early and Periodic Screening, Diagnostic and Treatment

(EPSDT) services under the Medicaid fee-for-service and managed

care programs

From General Revenue Fund $19,069,663

From Federal Funds 34,531,831

Total $53,601,494

Section 11.435. To the Department of Social Services

For the Division of Medical Services

For funding dental services under the Medicaid fee-for-service and managed

care programs

From General Revenue Fund $4,829,578

From Federal Funds 7,350,944

Total $12,180,522

Section 11.440. To the Department of Social Services

For the Division of Medical Services

For funding payments to third-party insurers, employers, or policy holders

for health insurance

From General Revenue Fund $19,711,420

From Federal Funds 31,159,655

Total $50,871,075

Section 11.445. To the Department of Social Services

For the Division of Medical Services

For funding long-term care services

For home health, respite care, homemaker chore, 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

From General Revenue Fund $61,169,277

From Federal Funds 93,103,808

For 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

From General Revenue Fund 154,390,775

From Federal Funds 289,089,552

From Uncompensated Care Fund 35,600,000

Total $633,353,412

Section 11.450. To the Department of Social Services

For the Division of Medical Services

For funding all other non-institutional services, including, but not limited

to, rehabilitation, optometry, audiology, ambulance, non-emergency

medical transportation, broker services, and durable medical

equipment under the Medicaid fee-for-service and managed care

programs

From General Revenue Fund $36,056,872

From Federal Funds 55,548,968

Total $91,605,840

Section 11.455. To the Department of Social Services

For the Division of Medical Services

For funding payments 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 program

or State Medical Program as provided by federal or state law or

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

From General Revenue Fund $62,964,015

From Federal Funds 264,018,370

From Health Initiatives Fund 7,378,636

From Federal Reimbursement Allowance Fund 105,064,185

Total $439,425,206

Section 11.460. To the Department of Social Services

For the Division of Medical Services

For funding hospital care under the Medicaid fee-for-service and

managed care programs

From General Revenue Fund $21,858,793

From Federal Funds 187,309,684

From Uncompensated Care Fund 52,300,000

From Federal Reimbursement Allowance Fund 47,939,070

Total $309,407,547

Section 11.465. To the Department of Social Services

For the Division of Medical Services

For payments to hospitals under the Federal Reimbursement Allowance

Program and the expenses of the Poison Control Center in order to

provide services to all hospitals within the state

From Federal Funds $213,997,492E

From Federal Reimbursement Allowance Fund 140,596,530E

Total $354,594,022E

Section 11.470. To the Department of Social Services

For the Division of Medical Services

For funding programs to enhance access to care for the uninsured

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

From General Revenue Fund $11,395,816

From Federal Funds 102,016,369

From Federal Reimbursement Allowance Fund and Intergovernmental

Transfers 35,337,270

From Health Initiatives Fund 3,111,217

Total $151,860,672

Section 11.475. To the Department of Social Services

For the Division of Medical Services

For funding uncompensated care hospital payments under the Medicaid

fee-for-service and managed care programs

From Federal Funds $184,174,290

Section 11.480. There is transferred out of the Treasury, chargeable to the

General Revenue Fund, One Hundred Forty Million, Five Hundred

Ninety-Six Thousand, Five Hundred Thirty Dollars ($140,596,530)

to the Federal Reimbursement Allowance Fund to provide the state

match for federal claims resulting from the Medicaid expansion

From General Revenue Fund $140,596,530E

Section 11.485. There is transferred out of the Treasury, chargeable to the

Federal Reimbursement Allowance Fund, One Hundred Forty Million,

Five Hundred Ninety-Six Thousand, Five Hundred Thirty Dollars

($140,596,530) to the General Revenue Fund as a result of reconciling

the Federal Reimbursement Allowance Fund

From Federal Reimbursement Allowance Fund $140,596,530E

Section 11.490. There is transferred out of the Treasury, chargeable to the

General Revenue Fund, Eighty-Six Million, Forty Thousand,

Five Hundred Dollars ($86,040,500) to the Nursing Facility

Federal Reimbursement Allowance Fund

From General Revenue Fund $86,040,500E

Section 11.495. There is transferred out of the Treasury, chargeable to the

Nursing Facility Federal Reimbursement Allowance Fund, Eighty-

Six Million, Forty Thousand, Five Hundred Dollars ($86,040,500)

to the General Revenue Fund as a result of reconciling the Nursing

Facility Federal Reimbursement Allowance Fund

From Nursing Facility Federal Reimbursement Allowance Fund $86,040,500E

Section 11.500. There is transferred out of the Treasury, chargeable to

the Nursing Facility Federal Reimbursement Allowance Fund,

One Million, Five Hundred Thousand Dollars ($1,500,000) to

the Nursing Facility Quality of Care Fund

From Nursing Facility Federal Reimbursement Allowance Fund $1,500,000

Section 11.505. To the Department of Social Services

For the Division of Medical Services

For funding Nursing Facility Federal Reimbursement Allowance payments

as provided by law

From Federal Funds $130,959,500E

From Nursing Facility Federal Reimbursement Allowance Fund 86,040,500E

Total $217,000,000E

Section 11.510. To the Department of Social Services

For the Division of Medical Services

For funding Medicaid services for the Department of Mental Health

under the Medicaid fee-for-service and managed care programs

From Federal Funds $143,301,691E

From Payments by the Department of Mental Health 94,149,330E

Total $237,451,021

Section 11.515. To the Department of Social Services

For the Division of Medical Services

For funding payments for health care services provided through

the Medicaid fee-for-service, managed care, and State Medical

programs by the Health Access Initiative Act (HB 564)

From Federal Funds $10,542,429

From Health Initiatives Fund 6,926,388

Total $17,468,817

Section 11.520. To the Department of Social Services

For the Division of Medical Services

For funding medical benefits for recipients of the State Medical Program,

including coverage in managed care programs

From General Revenue Fund $28,775,494

Section 11.525. To the Department of Social Services

For the Division of Medical Services

For supplementing appropriations for any medical service under the

Medicaid fee-for-service, managed care, or State Medical

programs

From General Revenue Fund $11,350,635

From Federal Funds 41,442,234E

From Third-Party Liability Collections 10,270,000E

From Health Initiatives Fund 291,010

From Federal Reimbursement Allowance Fund 3,666,572E

From Pharmacy Rebates 1,200,000E

Total $68,220,451

Section 11.600. To the Department of Social Services

For the Division of Aging

For Central Administration and Support Services

Personal Service $569,331

Expense and Equipment 128,980

From General Revenue Fund 698,311

Personal Service 636,053

Expense and Equipment 124,202

From Federal Funds 760,255

Total $1,458,566

Section 11.605. To the Department of Social Services

For the Division of Aging

For Home and Community Services personnel

Personal Service $5,740,813

Expense and Equipment 789,199

From General Revenue Fund 6,530,012

Personal Service 7,224,305

Expense and Equipment 954,574

From Federal Funds 8,178,879

Total $14,708,891

Section 11.610. To the Department of Social Services

For the Division of Aging

For Institutional Services

Personal Service $3,669,662

Expense and Equipment 549,568

From General Revenue Fund 4,219,230

Personal Service 4,819,662

Expense and Equipment 882,077

Personal Service and/or Expense and Equipment 909,430

From Federal Funds 6,611,169

Personal Service 448,063

Expense and Equipment 339,486

Personal Service and/or Expense and Equipment 1,516,032

From Nursing Facility Quality of Care Fund 2,303,581

Total $13,133,980

Section 11.615. To the Department of Social Services

For the Division of Aging

For Home and Community Services programs

From General Revenue Fund $14,303,970

From Federal Funds 3,220,000

From Aging Donations 50,000

Total $17,573,970

Section 11.620. To the Department of Social Services

For the Division of Aging

For Home and Community Services grants

From General Revenue Fund $6,532,820

From Federal Funds 27,400,000

From Division of Aging Elderly Home Delivered Meals Trust Fund 430,000

Total $34,362,820

Section 11.625. To the Department of Social Services

For the Division of Aging

For distributions to Area Agencies on Aging pursuant to the Older

Americans Act and related programs

From General Revenue Fund $1,221,110




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