90TH GENERAL ASSEMBLY
Taken up for Perfection March 15, 2000. House Committee Substitute for House Bill No. 1110 ordered Perfected and printed, as amended.
ANNE C. WALKER, Chief Clerk
To appropriate money for the expenses, grants, refunds, and distributions of the Department of Mental Health, the Board of Public Buildings, the Department of Health, and the several divisions and programs thereof and the Missouri Health Facilities Review Committee to be expended only as provided in Article IV, Section 28 of the Constitution of Missouri, for the period beginning July 1, 2000 and ending June 30, 2001.
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, 2000 and ending June 30, 2001, as follows:
Section 10.005. To the Department of Mental Health
For the Office of the Director
For the purpose of funding Administration
Personal Service $7,653,610
Expense and Equipment 2,925,486
From General Revenue Fund 10,579,096
Personal Service 386,981
Expense and Equipment 738,141
From Federal Funds 1,125,122
Total (Not to exceed 205.44 F.T.E.) $11,704,218
Section 10.010. To the Department of Mental Health
For the Office of the Director
For the purpose of funding the Office of Information Systems
Personal Service and/or Expense and Equipment
From General Revenue Fund $6,100,819
From Federal Funds 47,912
Total (Not to exceed 81.34 F.T.E.) $6,148,731
Section 10.015. To the Department of Mental Health
For the Office of the Director
For the purpose of funding insurance, private pay, licensure fee, and/or
Medicaid refunds by state facilities operated by the Department
of Mental Health
From General Revenue Fund $50,000
For the payment of refunds set off against debts as required by Section
143.786, RSMo
From Debt Offset Escrow Fund 70,000E
Total (0 F.T.E.) $120,000
Section 10.020. To the Department of Mental Health
For the Office of the Director
For the purpose of funding receipt and disbursement of donations and
gifts which may become available to the Department of Mental
Health during the year (excluding federal grants and funds)
Personal Service $732,157
Expense and Equipment 1,283,486
From Mental Health Trust Fund (Not to exceed 6.00 F.T.E.) $2,015,643
Section 10.025. To the Department of Mental Health
For the Office of the Director
For the purpose of funding operational maintenance and repairs for
state-owned facilities
Expense and Equipment
From General Revenue Fund (0 F.T.E.) $1,197,230
Section 10.030. To the Department of Mental Health
For the Office of the Director
For the purpose of funding federal grants which become available
between sessions of the General Assembly
Personal Service and/or Expense and Equipment
From Federal Funds (Not to exceed 10.00 F.T.E.) $255,186E
Section 10.035. To the Department of Mental Health
For the Office of the Director
For the purpose of funding the Caring Communities Program $3,682,374
Personal Service 160,301
Expense and Equipment 42,406
From General Revenue Fund 3,885,081
For the Caring Communities Program
From Federal Funds 2,104,583
Total (Not to exceed 2.77 F.T.E.) $5,989,664
Section 10.045. To the Department of Mental Health
For the Office of the Director
For the purpose of funding work therapy for client workers at
state agencies
Personal Service $76,208
Expense and Equipment 600
From Mental Health Interagency Payments Fund (Not to exceed 6.00 F.T.E.) $76,808
Section 10.050. To the Department of Mental Health
For the Office of the Director
For the purpose of funding a Work in Recovery Program for adults and
minor parents in response to changes in federal fiscal policies
with regard to welfare reform
From General Revenue Fund (0 F.T.E.) $630,000
Section 10.055. To the Department of Mental Health
For the Office of the Director
For the purpose of funding overtime costs related to direct care staff training
Personal Service $387,529
Expense and Equipment 50,000
From General Revenue Fund (0 F.T.E.) $437,529
Section 10.060. There is transferred out of the State Treasury,
chargeable to the General Revenue Reimbursements Fund,
Thirty-Two Million, Four Hundred Thirty-Eight Thousand,
Eight Hundred and Thirteen Dollars ($32,438,813) to the
General Revenue Fund
From General Revenue Reimbursements Fund $32,438,813
Section 10.105. To the Department of Mental Health
For the Division of Alcohol and Drug Abuse
For the purpose of funding the administration of statewide comprehensive
alcohol and drug abuse prevention and treatment programs
Personal Service $1,557,314
Expense and Equipment 52,891
From General Revenue Fund 1,610,205
Personal Service 806,347
Expense and Equipment 803,079
From Federal Funds 1,609,426
Personal Service 202,455
Expense and Equipment 51,204
From Health Initiatives Fund 253,659
Personal Service 86,172
Expense and Equipment 52,372
From Mental Health Earnings Fund 138,544
For statewide needs assessments 400,000
For an interstate study to develop a standardized approach for measuring
the performance and outcomes of substance abuse treatment
programs. This is a three-year federal grant initially appropriated
in Fiscal Year 2000.
Expense and Equipment 502,143
From Federal Funds 902,143
Total (Not to exceed 67.85 F.T.E.) $4,513,977
Section 10.110. To the Department of Mental Health
For the Division of Alcohol and Drug Abuse
For the purpose of funding prevention and education services $756,451
For the purpose of funding prevention and education services using General
Revenue in place of Health Initiative Funds 346,771
Personal Service 9,488
Expense and Equipment 43,000
From General Revenue Fund 1,155,710
For prevention and education services 5,054,566
Personal Service 227,075
Expense and Equipment 78,165
From Federal Funds 5,359,806
For tobacco enforcement, provided that no person under the age of eighteen
shall be used as either an employee or a volunteer for the purposes of
enforcement of tobacco laws
Expense and Equipment
From General Revenue Fund 1,200,000
Personal Service 233,665
Expense and Equipment 117,820
From Federal Funds 351,485
For a state incentive program and a community high-risk youth program
funded by two federal grants
Expense and Equipment
From Federal Funds 3,262,617
Total (Not to exceed 13.00 F.T.E.) $11,329,618
Section 10.115. To the Department of Mental Health
For the Division of Alcohol and Drug Abuse
For the purpose of funding the treatment of alcohol and drug abuse $18,212,402
For the purpose of funding the treatment of alcohol and drug abuse using
General Revenue in place of Health Initiative Funds 3,553,414
For the purpose of expanding adolescent substance abuse services across
the state. Funds are to be distributed using a formula, developed
by the Department of Mental Health, ensuring that priority is given
to underserved populations and those at a greater risk of abusing
alcohol and drugs 1,250,316
Personal Service and/or Expense and Equipment 4,429,881
From General Revenue Fund 27,446,013
For treatment of alcohol and drug abuse 23,896,115
Personal Service and/or Expense and Equipment 1,225,337
From Federal Funds 25,121,452
For treatment of alcohol and drug abuse
From Health Initiatives Fund 4,558,388
Total (Not to exceed 70.93 F.T.E.) $57,125,853
Section 10.120. To the Department of Mental Health
For the Division of Alcohol and Drug Abuse
For the purpose of funding treatment of compulsive gambling $412,798
Personal Service 34,012
Expense and Equipment 5,194
From Compulsive Gamblers Fund (Not to exceed 1.00 F.T.E.) $452,004
Section 10.125. To the Department of Mental Health
For the Division of Alcohol and Drug Abuse
For the purpose of funding the Substance Abuse Traffic Offender Program
From Federal Funds $407,458
From Health Initiatives Fund 1,365,680
From Mental Health Earnings Fund 1,732,097E
Total (0 F.T.E.) $3,505,235
Section 10.205. To the Department of Mental Health
For the Division of Comprehensive Psychiatric Services
For the purpose of funding division administration
Personal Service $1,638,590
Expense and Equipment 396,688
From General Revenue Fund 2,035,278
Personal Service 430,619
Expense and Equipment 828,344
From Federal Funds 1,258,963
Total (Not to exceed 49.58 F.T.E.) $3,294,241
Section 10.210. To the Department of Mental Health
For the Division of Comprehensive Psychiatric Services
For the purpose of funding adult community programs provided
that up to ten percent of this appropriation may be used for
services for youth $72,602,411
Personal Service and/or Expense and Equipment 6,910,081
From General Revenue Fund 79,512,492
For adult community programs 12,925,708
Personal Service and/or Expense and Equipment 1,974,758
From Federal Funds 14,900,466
For adult community programs
From payments by the Department of Social Services for supported
community living for Comprehensive Psychiatric Services clients
in lieu of Supplemental Nursing Care payments
From Mental Health Interagency Payments Fund 250,000
For adult community programs
From Health Initiatives Fund 70,703
Total (Not to exceed 160.16 F.T.E.) $94,733,661
Section 10.215. To the Department of Mental Health
For the Division of Comprehensive Psychiatric Services
For the purpose of funding nursing home reform requirements of
the Omnibus Budget Reconciliation Act of 1987, including
specialized services
From General Revenue Fund $56,000
From Federal Funds 168,000
Total (0 F.T.E.) $224,000
Section 10.220. To the Department of Mental Health
For the Division of Comprehensive Psychiatric Services
For the purpose of reimbursing attorneys, physicians, and counties for
fees in involuntary civil commitment procedures $950,000E
For distribution through the Office of Administration to counties
pursuant to Section 56.700, RSMo 150,000
From General Revenue Fund (0 F.T.E.) $1,100,000
Section 10.225. To the Department of Mental Health
For the Division of Comprehensive Psychiatric Services
For the purpose of funding programs for the homeless mentally ill
From General Revenue Fund $906,392
For programs for the homeless mentally ill 2,771,622
Expense and Equipment 1,554,680
From Federal Funds 4,326,302
Total (0 F.T.E.) $5,232,694
Section 10.230. To the Department of Mental Health
For the Division of Comprehensive Psychiatric Services
For the purpose of funding forensic support services
Personal Service $618,346
Expense and Equipment 122,638
From General Revenue Fund (Not to exceed 17.39 F.T.E.) $740,984
Section 10.235. To the Department of Mental Health
For the Division of Comprehensive Psychiatric Services
For the purpose of funding youth community programs, provided that
up to ten percent of this appropriation may be used for services
for adults $21,312,965
Personal Service and/or Expense and Equipment 3,445,275
From General Revenue Fund 24,758,240
For youth community programs 2,438,883
Personal Service and/or Expense and Equipment 2,705,630
From Federal Funds 5,144,513
For youth community programs
From Health Initiatives Fund 600,000
Total (Not to exceed 46.96 F.T.E.) $30,502,753
Section 10.240. To the Department of Mental Health
For the Division of Comprehensive Psychiatric Services
For the purpose of funding services for children who are clients
of the Divisions of Youth Services and Family Services
Personal Service and/or Expense and Equipment
From Mental Health Interagency Payments Fund (Not to exceed 38.00 F.T.E.) $1,310,012
Section 10.310. To the Department of Mental Health
For the Division of Comprehensive Psychiatric Services
For the purpose of funding fuel and utility expenses at state facilities
operated by the Division of Comprehensive Psychiatric Services,
provided that up to three percent of this appropriation may be used
for facilities operated by the Division of Mental Retardation
and Developmental Disabilities
Expense and Equipment
From General Revenue Fund (0 F.T.E.) $4,473,678
Section 10.315. To the Department of Mental Health
For the Division of Comprehensive Psychiatric Services
For the purchase and administration of new medication therapies
Expense and Equipment
From General Revenue Fund $9,850,397
From Federal Funds 250,000
Total (0 F.T.E.) $10,100,397
Section 10.325. To the Department of Mental Health
For the Division of Comprehensive Psychiatric Services
For the purpose of funding costs for forensic clients resulting from
loss of benefits under provisions of the Social Security Domestic
Employment Reform Act of 1994
Expense and Equipment
From General Revenue Fund (0 F.T.E.) $500,000
Section 10.335. To the Department of Mental Health
For the Division of Comprehensive Psychiatric Services
For the purpose of funding Fulton State Hospital
Personal Service and/or Expense and Equipment
From General Revenue Fund (Not to exceed 1,419.93 F.T.E.) $44,453,037
Section 10.340. To the Department of Mental Health
For the Division of Comprehensive Psychiatric Services
For the purpose of funding Northwest Missouri Psychiatric Rehabilitation
Center
Personal Service and/or Expense and Equipment
From General Revenue Fund $12,623,985
From Federal Funds 431,189
For psychiatric services
Personal Service and/or Expense and Equipment
From Mental Health Trust Fund 400,000
For direct and/or contract provision of children's services
Personal Service and/or Expense and Equipment
From General Revenue Fund 2,301,098
Total (Not to exceed 500.63 F.T.E.) $15,756,272
Section 10.345. To the Department of Mental Health
For the Division of Comprehensive Psychiatric Services
For the purpose of funding St. Louis Psychiatric Rehabilitation Center
Personal Service and/or Expense and Equipment
From General Revenue Fund $18,729,452
From Federal Funds 172,774
Total (Not to exceed 609.53 F.T.E.) $18,902,226
Section 10.350. To the Department of Mental Health
For the Division of Comprehensive Psychiatric Services
For the purpose of funding Southwest Missouri Psychiatric Rehabilitation
Center
Personal Service and/or Expense and Equipment
From General Revenue Fund (Not to exceed 110.17 F.T.E.) $3,660,257
Section 10.355. To the Department of Mental Health
For the Division of Comprehensive Psychiatric Services
For the purpose of funding Cottonwood Residential Treatment Center
Personal Service and/or Expense and Equipment
From General Revenue Fund (Not to exceed 77.75 F.T.E.) $2,246,401
Section 10.360. To the Department of Mental Health
For the Division of Comprehensive Psychiatric Services
For the purpose of funding Hawthorn Children's Psychiatric Hospital
Personal Service and/or Expense and Equipment
From General Revenue Fund (Not to exceed 200.68 F.T.E.) $6,465,309
Section 10.365. To the Department of Mental Health
For the Division of Comprehensive Psychiatric Services
For the purpose of funding Metropolitan St. Louis Psychiatric Center
Personal Service and/or Expense and Equipment
From General Revenue Fund $14,328,952
From Federal Funds 157,258
Total (Not to exceed 393.78 F.T.E.) $14,486,210
Section 10.370. To the Department of Mental Health
For the Division of Comprehensive Psychiatric Services
For the purpose of funding Mid-Missouri Mental Health Center
Personal Service and/or Expense and Equipment
From General Revenue Fund $7,354,031
From Federal Funds 276,356
For services for children and youth
Personal Service and/or Expense and Equipment
From General Revenue Fund 1,731,415
Total (Not to exceed 252.75 F.T.E.) $9,361,802
Section 10.375. To the Department of Mental Health
For the Division of Comprehensive Psychiatric Services
For the purpose of funding Southeast Missouri Mental Health Center
Personal Service and/or Expense and Equipment
From General Revenue Fund (Not to exceed 663.32 F.T.E.) $20,630,471
Section 10.376. To the Board of Public Buildings
For the Department of Mental Health
For operation and maintenance of the Southeast Missouri Mental Health
Center
Expense and Equipment
From General Revenue Fund (0 F.T.E.) $129,322
Section 10.380. To the Department of Mental Health
For the Division of Comprehensive Psychiatric Services
For the purpose of funding Western Missouri Mental Health Center for
lease/purchase payments and related expenses, operation of the
current facility, and any other expenses related to replacement
of the facility
Personal Service and/or Expense and Equipment $20,582,388
For the Western Missouri Mental Health Center and/or contracting for
children's services in the Northwest Region
Personal Service and/or Expense and Equipment 950,035
From General Revenue Fund (Not to exceed 667.41 F.T.E.) $21,532,423
Section 10.405. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding division administration
Personal Service $1,380,495
Expense and Equipment 247,657
From General Revenue Fund 1,628,152
Personal Service 50,422
Expense and Equipment 7,195
From Federal Funds 57,617
Total (Not to exceed 33.70 F.T.E.) $1,685,769
Section 10.410. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding the Early and Periodic Screening, Diagnostic
and Treatment Program
Personal Service $210,539
Expense and Equipment 200,220
From General Revenue Fund (Not to exceed 6.00 F.T.E.) $410,759
Section 10.415. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding community programs
From General Revenue Fund $70,679,437
From Federal Funds 1,200,000
From General Revenue Reimbursements Fund 4,544,329
For consumer and family directed supports/in-home services/choices for
families
From General Revenue Fund 22,697,989
For services for children in the custody of the Division of Family Services
From Mental Health Interagency Payments Fund 1,049,857
For SB 40 Board tax funds to be used as match for Medicaid initiatives for
clients of the Division
From Mental Health Trust Fund 5,852,732E
For the purpose of funding programs and in-home family directed services
for persons with autism and their families
From General Revenue Fund 4,004,965
For early childhood intervention services
From General Revenue Fund 1,282,007
From Federal Funds 3,763,919
From Mental Health Interagency Payments Fund 4,547,312
Total (0 F.T.E.) $119,622,547
Section 10.420. To the Department of Mental Health For the Division
of Mental Retardation-Developmental Disabilities
For the purpose of funding family support loans pursuant to
Section 633.185, RSM
From Family Support Loan Fund $ 541,305
For the purpose of funding family support stipends pursuant to
Section 633.180, RSMo
From General Revenue Fund 1,098,916
Total (0 F.T.E.) $1,640,221
Section 10.425. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding Community Support Staff
Personal Service, Expense and Equipment, and/or Purchase of
Community Services
From General Revenue Fund $3,268,497
For Community Support Staff 8,179,464
For Personal Service, Expense and Equipment and/or Purchase of
Community Services 10,344,111
From Federal Funds 18,523,575
Total (Not to exceed 298.35 F.T.E.) $21,792,072
Section 10.430. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding nursing home reform requirements of
the Omnibus Budget Reconciliation Act of 1987
Personal Service
From General Revenue Fund $85,457
From Federal Funds 219,714
Total (Not to exceed 7.46 F.T.E.) $305,171
Section 10.435. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding developmental disabilities services
Personal Service $320,820
Expense and Equipment 1,187,593
From Federal Funds (Not to exceed 7.98 F.T.E.) $1,508,413
Section 10.500. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding the Albany Regional Center
Personal Service and/or Expense and Equipment
From General Revenue Fund (Not to exceed 41.38 F.T.E.) $1,619,804
Section 10.505. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding the Central Missouri Regional Center
Personal Service and/or Expense and Equipment
From General Revenue Fund (Not to exceed 48.88 F.T.E.) $1,637,404
Section 10.510. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding the Hannibal Regional Center
Personal Service and/or Expense and Equipment
From General Revenue Fund (Not to exceed 57.13 F.T.E.) $2,120,945
Section 10.515. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding the Joplin Regional Center
Personal Service and/or Expense and Equipment
From General Revenue Fund (Not to exceed 54.56 F.T.E.) $2,124,391
Section 10.520. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding the Kansas City Regional Center
Personal Service and/or Expense and Equipment
From General Revenue Fund (Not to exceed 71.91 F.T.E.) $2,750,086
Section 10.525. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding the Kirksville Regional Center
Personal Service and/or Expense and Equipment
From General Revenue Fund (Not to exceed 41.29 F.T.E.) $1,536,139
Section 10.530. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding the Poplar Bluff Regional Center
Personal Service and/or Expense and Equipment
From General Revenue Fund (Not to exceed 46.08 F.T.E.) $1,753,519
Section 10.535. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding the Rolla Regional Center
Personal Service and/or Expense and Equipment
From General Revenue Fund (Not to exceed 51.88 F.T.E.) $1,751,667
Section 10.540. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding the Sikeston Regional Center
Personal Service and/or Expense and Equipment
From General Revenue Fund (Not to exceed 45.54 F.T.E.) $1,644,726
Section 10.545. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding the Springfield Regional Center
Personal Service and/or Expense and Equipment
From General Revenue Fund (Not to exceed 60.23 F.T.E.) $2,268,810
Section 10.550. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding the St. Louis Regional Center
Personal Service and/or Expense and Equipment
From General Revenue Fund (Not to exceed 122.77 F.T.E.) $4,148,810
Section 10.560. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding fuel and utility expenses at state facilities
operated by the Division of Mental Retardation and Developmental
Disabilities, provided that up to three percent of this appropriation
may be used for facilities operated by the Division of
Comprehensive Psychiatric Services
Expense and Equipment
From General Revenue Fund (0 F.T.E.) $2,830,880
Section 10.565. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding intensive staffing needs in habilitation centers
Personal Service
From General Revenue Fund $176,641
Personal Service 1,388,699
Expense and Equipment 22,380
From Federal Funds 1,411,079
Total (Not to exceed 70.00 F.T.E.) $1,587,720
Section 10.570. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding Bellefontaine Habilitation Center
Personal Service, Expense and Equipment, and/or Purchase
of Community Services
From General Revenue Fund $22,852,213
From Federal Funds 1,093,582
Total (Not to exceed 950.14 F.T.E.) $23,945,795
Section 10.575. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding Higginsville Habilitation Center
Personal Service, Expense and Equipment, and/or Purchase of
Community Services
From General Revenue Fund $10,664,999
For Northwest Community Services
Personal Service, Expense and Equipment, and/or Purchase of
Community Services
From General Revenue Fund 2,077,506
From Federal Funds 650,640
Total (Not to exceed 544.07 F.T.E.) $13,393,145
Section 10.580. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding Marshall Habilitation Center
Personal Service, Expense and Equipment, and/or Purchase of
Community Services
From General Revenue Fund $22,262,929
From Federal Funds 1,564,394
Total (Not to exceed 986.44 F.T.E.) $23,827,323
Section 10.585. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding Nevada Habilitation Center
Personal Service, Expense and Equipment, and/or Purchase of
Community Services
From General Revenue Fund (Not to exceed 357.75 F.T.E.) $10,423,020
Section 10.590. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding St. Louis Developmental Disabilities
Treatment Center
Personal Service, Expense and Equipment, and/or Purchase of
Community Services
From General Revenue Fund $18,137,664
From Federal Funds 491,381
Total (Not to exceed 756.30 F.T.E.) $18,629,045
Section 10.591. To the Board of Public Buildings
For the operation and maintenance of St. Louis Developmental Disabilities
Treatment Center improvements
Expense and Equipment
From General Revenue Fund (0 F.T.E.) $84,861
Section 10.595. To the Department of Mental Health
For the Division of Mental Retardation-Developmental Disabilities
For the purpose of funding Southeast Missouri Residential Services
Personal Service, Expense and Equipment, and/or Purchase of
Community Services
From General Revenue Fund $6,001,023
From Federal Funds 55,409
Total (Not to exceed 237.59 F.T.E.) $6,056,432
Section 10.600. To the Department of Health
For the Office of the Director
For the purpose of funding program operations and support
Personal Service $2,228,368
Expense and Equipment 475,269
From General Revenue Fund 2,703,637
Personal Service 987,242
Expense and Equipment 545,126
From Federal Funds 1,532,368
Total (Not to exceed 86.90 F.T.E.) $4,236,005
Section 10.605. To the Department of Health
For the Office of the Director
For the purpose of funding the Center for Health Information Management
and Epidemiology
For program operations and support
Personal Service $2,830,071
Expense and Equipment 1,190,069
From General Revenue Fund 4,020,140
Personal Service 3,319,223
Expense and Equipment 4,129,375
From Federal Funds 7,448,598
Expense and Equipment
From Missouri Public Health Services Fund 50,000
Personal Service 111,643
Expense and Equipment 18,000
From Workers' Compensation Fund 129,643
Total (Not to exceed 168.34 F.T.E.) $11,648,383
Section 10.610. To the Department of Health
For the Center for Health Information Management and Epidemiology
For the purpose of paying the fees of local registrars of vital records
as provided in Section 193.305, RSMo
From General Revenue Fund (0 F.T.E.) $155,000
Section 10.615. To the Department of Health
For the Office of the Director
For the Center for Local Public Health
For the purpose of funding program operations and support
Personal Service $586,668
Expense and Equipment 82,286
From General Revenue Fund 668,954
Personal Service 88,836
Expense and Equipment 10,692
From Federal Funds 99,528
Personal Service 42,500
Expense and Equipment 82,302
From Department of Health Donated Funds 124,802
Total (Not to exceed 16.70 F.T.E.) $893,284
Section 10.620. To the Department of Health
For the Office of the Director
For the Center for Local Public Health Services
For the purpose of funding core public health functions and related
expenses
From General Revenue Fund (0 F.T.E.) $9,302,372
Section 10.625. To the Department of Health
For the Center for Community Development and Health Care Access
For the purpose of funding program operations and support
Personal Service
From General Revenue Fund $35,460
Personal Service 300,722
Expense and Equipment 348,233
From Federal Funds 648,955
Personal Service
From Health Access Incentive Fund 81,186
Personal Service 61,631
Expense and Equipment 22,500
From Professional and Practical Nursing Student Loan and Nurse Loan
Repayment Fund 84,131
For the Essential Community Provider Certification Program
Personal Service 38,070
Expense and Equipment 10,000
From General Revenue Fund 48,070
For Caring Communities
From General Revenue Fund 2,470,860
From Federal Funds 1,218,333
Total (Not to exceed 12.00 F.T.E.) $4,586,995
Section 10.630. To the Department of Health
For the Center for Community Development and Health Care Access
For the purpose of funding the Community Health Assessment Resource
Team
Personal Service $385,470
Expense and Equipment 160,334
From General Revenue Fund 545,804
Personal Service 120,170
Expense and Equipment 10,000
From Federal Funds 130,170
Total (Not to exceed 12.50 F.T.E.) $675,974
Section 10.635. To the Department of Health
For the Center for Community Development and Health Care Access
For the purpose of funding Primary Care Resource Initiative Program
From General Revenue Fund $330,000
From Health Access Incentive Fund 2,710,000
From Department of Health Donated Fund 850,000
For the Area Health Education Centers
From General Revenue Fund 1,010,000
From Health Access Incentive Fund 740,000
Total (0 F.T.E.) $5,640,000
Section 10.640. To the Department of Health
For the Center for Community Development and Health Care Access
For the purpose of funding Financial Aid to Medical Students Program
or Medical School Loan Repayment Program in accordance with
Chapter 191, RSMo
From General Revenue Fund $13,950
From Federal Funds 214,446
From Medical School Loan Repayment Fund 50,000
Total (0 F.T.E.) $278,396
Section 10.645. To the Department of Health
For the Center for Community Development and Health Care Access
For the purpose of funding Nurse Loan and Nurse Loan Repayment
programs in accordance with Chapter 335, RSMo
From Federal Funds $60,000
From Professional and Practical Nursing Student Loan and Nurse Loan
Repayment Fund 450,000
Total (0 F.T.E.) $510,000
Section 10.655. To the Department of Health
For the Division of Administration
For the purpose of funding program operations and support
Personal Service $916,736
Expense and Equipment 343,467
From General Revenue Fund 1,260,203
Personal Service 1,256,341
Expense and Equipment 2,388,125
From Federal Funds 3,644,466
Personal Service 114,841
Expense and Equipment 419,280
From Missouri Public Health Services Fund 534,121
Expense and Equipment
From Health Access Incentive Fund 7,000
From Department of Health Document Services Fund 225,000
From Workers' Compensation Fund 8,000
From Department of Health Donated Funds 1,496,604
For the use of federal grants and donations which become available
between sessions of the General Assembly
Personal Service and/or Expense and Equipment
From Federal Funds and Other Funds 7,000,000
Total (Not to exceed 70.00 F.T.E.) $14,175,394
Section 10.660. To the Department of Health
For the Division of Administration
For the purpose of funding preventive health services under the
provisions of the Preventive Health Services Block Grant
From Federal Funds (0 F.T.E.) $2,383,826
Section 10.665. To the Department of Health
For the Division of Administration
For the purpose of funding the Hospital Subsidy Program
From General Revenue Fund (0 F.T.E.) $422,280
Section 10.670. To the Department of Health
For the Division of Administration
For the purpose of funding the payment of refunds set off against debts
as required by Section 143.786, RSMo
From Debt Offset Escrow Fund (0 F.T.E.) $50,000E
Section 10.675. To the Department of Health
For the Division of Administration
For the purpose of funding State Public Health Laboratory
Personal Service $2,063,133
Expense and Equipment 1,320,766
From General Revenue Fund 3,383,899
Personal Service 1,052,601
Expense and Equipment 2,496,174
From Federal Funds 3,548,775
Personal Service 655,882
Expense and Equipment 1,268,100
From Missouri Public Health Services Fund 1,923,982
Total (Not to exceed 110.72 F.T.E.) $8,856,656
Section 10.680. There is transferred out of the State Treasury,
chargeable to the Health Initiatives Fund, Three Million,
Six Hundred Sixty-Four Thousand, Three Dollars ($3,664,003)
to the Health Access Incentive Fund
From Health Initiatives Fund $3,664,003
Section 10.685. To the Department of Health
For the purpose of funding the Missouri Health Facilities Review
Committee
Personal Service $281,678
Expense and Equipment 61,891
From General Revenue Fund (Not to exceed 9.00 F.T.E.) $343,569
Section 10.690. To the Department of Health
For the Division of Environmental Health and Communicable Disease
Prevention
For the purpose of funding program operations and support
Personal Service $2,667,570
Expense and Equipment 2,400,093
From General Revenue Fund 5,067,663
Personal Service 2,837,018
Expense and Equipment 6,013,710
From Federal Funds 8,850,728
Personal Service 166,911
Expense and Equipment 70,532
From Hazardous Waste Remedial Fund 237,443
Personal Service 79,597
Expense and Equipment 240,050
From Missouri Public Health Services Fund 319,647
For the Section of STD/HIV/AIDS Prevention and Care Services
Personal Service 939,495
Expense and Equipment 1,514,075
From General Revenue Fund 2,453,570
Personal Service 873,010
Expense and Equipment 5,868,313
From Federal Funds 6,741,323
For the purpose of funding medications
From General Revenue Fund 2,200,000
From Federal Funds 6,440,437
Total (Not to exceed 216.10 F.T.E.) $32,310,811
Section 10.695. To the Department of Health
For the Division of Maternal, Child and Family Health
For the purpose of funding program operations and support
Personal Service $1,895,018
Expense and Equipment 1,958,895
From General Revenue Fund 3,853,913
Personal Service 1,962,144
Expense and Equipment 4,055,504
From Federal Funds 6,017,648
Personal Service
From Health Initiatives Fund 39,262
For service coordination and related expenses
Personal Service and/or Expense and Equipment
From General Revenue Fund 1,226,072
From Federal Funds 984,015
Total (Not to exceed 193.19 F.T.E.) $12,120,910
Section 10.700. To the Department of Health
For the Division of Maternal, Child and Family Health
For the purpose of funding maternal and child health services,
including rape medical examinations, Sudden Infant Death
Syndrome (SIDS) payments, and maternal and child health
services from sources other than the Maternal and Child Health
Block Grant
From General Revenue Fund (0 F.T.E.) $849,018
Section 10.705. To the Department of Health
For the Division of Maternal, Child and Family Health
For the purpose of funding maternal and child health services under
the provisions of the Maternal and Child Health Block Grant
From Federal Funds (0 F.T.E.) $6,585,000
Section 10.710. To the Department of Health
For the Division of Maternal, Child and Family Health
1. For the purpose of funding family planning services, pregnancy testing
and follow-up services, provided that none of these funds appropriated
herein may be expended to directly or indirectly subsidize abortion
services or administrative expenses. Abortion services include performing,
assisting with, or directly referring for abortions, or encouraging or
counseling patients to have abortions. Family planning services are
preconception services that limit or enhance fertility, including contraception
methods, the management of infertility, preconception counseling,
education, and general reproductive health care. Follow-up services are
services that supplement initial consultations for family planning services
and pregnancy testing but do not include pregnancy or childbirth care.
Nondirective counseling is defined as providing patients with a list of
health care and social service providers that provide pregnancy, prenatal,
delivery, infant care, foster care, adoption, alternative to abortion and
abortion services and nondirective, non-marketing information in regard
to such providers. Such list may categorize the providers by the service
or services they provide. An organization that receives these funds may
not directly refer patients who seek abortion services to any organization
that provides abortion services, including its own independent affiliate.
Nondirective counseling relating to pregnancy may be provided. None of
these funds may be paid or granted to an organization or an affiliate of
an organization that provides abortion services. An organization that
receives these funds may not display or distribute marketing materials
about abortion services to patients. An otherwise qualified organization
shall not be disqualified from receipt of these funds because of its
affiliation with an organization that provides abortion services, provided
that the affiliated organization that provides abortion services is independent
as determined by the conditions set forth in this section. To ensure that the
state does not lend its imprimatur to abortion services, and to ensure that an
organization that provides abortion services does not receive a direct or
indirect economic or marketing benefit from these funds, an organization
that receives these funds and its independent affiliate that provides abortion
services may not share any of the following:
(a) The same or similar name;
(b) Medical or non-medical facilities, including but not limited to
business offices, treatment, consultation, examination,
and waiting rooms;
(c) Expenses;
(d) Employee wages or salaries; or
(e) Equipment or supplies, including but not limited to computers,
telephone systems, telecommunications equipment and office
supplies.
An independent affiliate that provides abortion services must be separately
incorporated from any organization that receives these funds. An organization
that receives these funds must maintain financial records that demonstrate
strict compliance with this section and that demonstrate that its independent
affiliate that provides abortion services receives no direct or indirect
economic or marketing benefit from these funds. An independent audit
shall be conducted at least once every three years to ensure compliance
with this section. If the organization is an affiliate of an organization
which provides abortion services, the independent audit shall be conducted
at least annually. The audit shall be conducted by either an independent
auditing firm retained by the department of health or by an independent
auditing firm approved by the department and retained by an organization
receiving these funds. Nothing in this subsection requires an organization
receiving federal funds pursuant to Title X of the Public Health Service
Act to refrain from performing any service that must or shall be provided
pursuant to Title X or the Title X Program Guidelines for Project Grants
for Family Planning Services as published by the U.S. Department of
Health and Human Services as such laws and guidelines are currently
in effect.
2. If any provision of subsection 1 of this section is held invalid, the provision
shall be severed from subsection 1 of this section and the remainder of
subsection 1 of this section shall be enforced. If the entirety of subsection 1
of this section is held invalid, then this appropriation shall be in accordance
with subsection 3 of this section; otherwise subsections 3 and 5 of this
section shall have no effect.
3. For the purpose of funding family planning services, pregnancy testing, and
follow-up services that are provided directly by the department of health
or provided directly by government agencies of this state or provided
directly by any political subdivision of this state or provided directly by
community mental health centers organized pursuant to sections 205.975
to 205.990, RSMo, or provided directly by community action agencies
organized pursuant to sections 660.370 to 660.374, RSMo, through
contractual agreement with the department, provided that none of the
funds appropriated herein may be expended to directly or indirectly
subsidize abortion services or administrative expenses. Abortion services
include performing, assisting with, or directly referring for abortions,
or encouraging or counseling patients to have abortions. Family planning
services are preconception services that limit or enhance fertility, including
contraception methods, the management of infertility, preconception
counseling, education, and general reproductive health care. Follow-up
services are services that supplement initial consultations for family
planning services and pregnancy testing but do not include pregnancy
or childbirth care. Nondirective counseling is defined as providing
patients with a list of health care and social service providers that provide
pregnancy, prenatal, delivery, infant care, foster care, adoption, alternative
to abortion and abortion services and nondirective, non-marketing
information in regard to such providers. Such list may categorize the
providers by the service or services they provide. An entity that receives
funds pursuant to this subsection may not directly refer patients who seek
abortion services to any organization that provides abortion services.
Nondirective counseling relating to pregnancy may be provided. None of
the funds provided pursuant to this subsection may be paid or granted to
an entity that provides abortion services. Any entity receiving funds
pursuant to this subsection may not display or distribute marketing
materials about abortion services to patients. An independent audit shall
be conducted at least once every three years to ensure compliance with
this section. The audit shall be conducted by either an independent
auditing firm retained by the department of health or by an independent
auditing firm approved by the department and retained by the entity
receiving these funds. Nothing in this subsection requires an entity
receiving federal funds pursuant to Title X of the Public Health Service
Act to refrain from performing any service that must or shall be provided
pursuant to Title X or the Title X Program Guidelines for Project Grants
for Family Planning Services as published by the U.S. Department of
Health and Human Services as such laws and guidelines are currently
in effect.
4. If the entirety of subsection 1 of this section is held invalid and any provision
of subsection 3 of this section is held invalid, then this appropriation shall
be in accordance with subsection 5; otherwise subsection 5 shall have no
effect.
5. For the purpose of funding family planning services, pregnancy testing, and
follow-up services that are provided directly by the department of health
or provided by government agencies of this state or provided directly
by any political subdivision of this state through contractual agreement
with the department, provided that none of these funds appropriated
herein may be expended to directly or indirectly subsidize abortion
services or administrative expenses. Abortion services include peforming,
assisting with, or directly referring for abortions, or encouraging or
counseling patients to have abortions. Family planning services are
preconception services that limit or enhance fertility, including
contraception methods, the management of infertility, preconception
counseling, education, and general reproductive health care. Follow-up
services are services that supplement initial consultations for family
planning services and pregnancy testing but do not include pregnancy
or childbirth care. Nondirective counseling is defined as providing
patients with a list of health care and social service providers that
provide pregnancy, prenatal, delivery, infant care, foster care, adoption,
alternative to abortion and abortion services and nondirective, non-marketing
information in regard to such providers. Such list may categorize the
providers by the service or services they provide. The department and any
other government entity receiving funds pursuant to this subsection may
not directly refer patients who seek abortion services to any organization
that provides abortion services. Nondirective counseling relating to pregnancy
may be provided. None of the funds provided pursuant to this subsection
may be paid or granted to a government entity that provides abortion
services. The department and any other government entity receiving
funds pursuant to this subsection may not display or distribute marketing
materials about abortion services to patients. An independent audit shall
be conducted at least once every three years to ensure compliance with
this section. The audit shall be conducted by either an independent
auditing firm retained by the department of health or by an independent
auditing firm approved by the department and retained by the government
entity receiving these funds. Nothing in this subsection requires the
department and any other government entity receiving federal funds
pursuant to Title X of the Public Health Service Act to refrain from
performing any service that must or shall be provided pursuant to
Title X or the Title X Program Guidelines for Project Grants for
Family Planning Services as published by the U.S. Department of Health
and Human Services as such laws and guidelines are currently in effect.
From General Revenue Fund $5,018,639
From Federal Funds 1,464,819
Total (0 F.T.E.) $6,483,458
Section 10.715. To the Department of Health
For the Division of Maternal, Child and Family Health
1. For the purpose of funding alternatives to abortion services as follows:
prenatal care, medical care, parenting skills, drug and alcohol
testing and treatment, child care, newborn or infant care, housing,
alternative schooling, adoption assistance, job training and
placement, efforts to promote responsible paternity,
ultrasound services, case management for pregnancy
maintenance, domestic abuse protection and transportation,
such services to be for women only during their pregnancy and
continuing for one year thereafter, excluding any service
of the type described in Section 10.710, provided that none of
these funds may be expended for the purpose of performing,
assisting or encouraging abortion and further provided that none
of these funds may be expended to directly or indirectly subsidize
abortion services, as verified by independent audit, and none of
these funds may be granted to organizations or affilitiates of
organizations which provide or promote abortions.
2. If any provision of subsection 1 of this section is held invalid, then
this appropriation shall be in accordance with subsection 3; otherwise
subsection 3 shall have no effect.
3. For the purpose of funding alternatives to abortion services provided
directly by the department of health or provided directly by government
agencies through contractual agreement with the department, as
follows: prenatal care, medical care, parenting skills, drug and alcohol
testing and treatment, child care, newborn or infant care, housing,
alternative schooling, adoption assistance, job training and placement,
efforts to promote responsible paternity, ultrasound services, case
management for pregnancy maintenance, domestic abuse protection and
transportation, such services to be for women only during their
pregnancy and continuing for one year thereafter, excluding any
service of the types described in Section 10.710, provided that none
of these funds may be expended for the purpose of encouraging
abortion.
From General Revenue Fund (0 F.T.E.) $900,000
Section 10.720. To the Department of Health
For the Division of Maternal, Child and Family Health
For the purpose of funding school-aged children's health services and
related expenses
From Health Initiatives Fund (0 F.T.E.) $5,366,564
Section 10.725. To the Department of Health
For the Division of Maternal, Child and Family Health
For the purpose of funding children with special health care needs and
related expenses
From General Revenue Fund $1,648,499
From Federal Funds 4,306,191
From Crippled Children's Service Fund 275,000
From Smith Memorial Endowment Fund 35,000
From Department of Health Interagency Payments Fund 3,720,527
Total (0 F.T.E.) $9,985,217
Section 10.730. To the Department of Health
For the Division of Maternal, Child and Family Health
For the purpose of funding Head Injury community rehabilitation and
support services
From General Revenue Fund $1,724,298
From Federal Funds and Other Funds 250,000
Total (0 F.T.E.) $1,974,298
Section 10.735. To the Department of Health
For the Division of Maternal, Child and Family Health
For the purpose of funding genetic services
From General Revenue Fund $2,055,110
From Federal Funds 260,000
Total (0 F.T.E.) $2,315,110
Section 10.740. To the Department of Health
For the Division of Nutritional Health and Services
Personal Service $283,030
Expense and Equipment 340,869
From General Revenue Fund 623,899
Personal Service 2,700,887
Expense and Equipment 3,036,939
From Federal Funds 5,737,826
Total (Not to exceed 87.00 F.T.E.) $6,361,725
Section 10.745. To the Department of Health
For the Division of Nutritional Health and Services
For the purpose of funding Women, Infants and Children (WIC)
Supplemental Nutrition program distributions and related expenses
From General Revenue Fund $55,800
From Federal Funds 90,000,000
Total (0 F.T.E.) $90,055,800
Section 10.750. To the Department of Health
For the Division of Nutritional Health and Services
For the purpose of funding the Child and Adult Care Food Program
From Federal Funds (0 F.T.E.) $52,044,130E
Section 10.755. To the Department of Health
For the Division of Nutritional Health and Services
For the purpose of funding the Summer Food Service Program
From Federal Funds (0 F.T.E.) $8,747,200
Section 10.760. To the Department of Health
For the Division of Health Standards and Licensure
For the purpose of funding program operations and support
Personal Service $2,792,699
Expense and Equipment 520,465
From General Revenue Fund 3,313,164
Personal Service 1,731,644
Expense and Equipment 429,993
From Federal Funds 2,161,637
Personal Service 61,404
Expense and Equipment 13,650
From Health Access Incentive Fund 75,054
Personal Service 50,997
Expense and Equipment 13,200
From Mammography Fund 64,197
Personal Service 177,996
Expense and Equipment 93,990
From Early Childhood Development,
Education and Care Fund 271,986
For a diet pill education program
From General Revenue Fund 50,000
From Department of Health Donated Funds 500,000
For the purpose of health and safety inspections and related services
Personal Service and/or Expense and Equipment
From General Revenue Fund 3,392,950
From Federal Funds 2,118,396
From Missouri Public Health Services Fund 105,993
Total (Not to exceed 255.51 F.T.E.) $12,053,377
Section 10.765. To the Department of Health
For the Division of Health Standards and Licensing
For activities to improve the quality of child care, increase the
availability of early childhood development programs,
before- and after-school care, and in-home services for families
with newborn children, and for general administration of
the program under the provisions of the Child Care and
Development Fund
From General Revenue Fund $728,740
From Federal Funds 4,964,775
Total (0 F.T.E.) $5,693,515
Section 10.770. To the Department of Health
For the Division of Chronic Disease Prevention and Health Promotion
For the purpose of funding program operations and support
Personal Service $840,546
Expense and Equipment 1,125,926
From General Revenue Fund 1,966,472
Personal Service 2,399,113
Expense and Equipment 6,708,774
From Federal Funds 9,107,887
Personal Service 70,092
Expense and Equipment 300,999
From Organ Donation Fund 371,091
Total (Not to exceed 94.09 F.T.E.) $11,445,450
Section 10.775. To the Department of Health
For the Division of Chronic Disease Prevention and Health Promotion
For the purpose of funding the Missouri Arthritis Program
From General Revenue Fund (0 F.T.E.) $156,849
Bill Totals
General Revenue Fund $589,995,555
Federal Funds $342,884,212
Other Funds $83,164,119
Total $1,016,043,886
Missouri House of Representatives