SECOND REGULAR SESSION

[TRULY AGREED TO AND FINALLY PASSED]

CONFERENCE COMMITTEE SUBSTITUTE NO. 2 FOR

HOUSE BILL NO. 1110

90TH GENERAL ASSEMBLY

3991L.05T 2000


AN ACT

To appropriate money for the expenses, grants, refunds, and distributions of the Department of Mental Health, the Board of Public Buildings, the Department of Health, and 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.




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, provided, however, that federal funds and block grants in the Department of Health shall be administered under the oversight of a committee composed of five members of the House of Representatives, to be appointed by the Speaker, five members of the Senate, to be appointed by the President Pro Tem, and the Director of the Department of Social Services and the Director of the Department of Health, (both of whom shall serve in an advisory capacity having no voting rights), and further provided that department proposals shall be submitted in writing to the members of this committee thirty (30) days prior to scheduled meetings, 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 $7,618,107

Expense and Equipment 2,925,486

From General Revenue Fund 10,543,593



Personal Service 388,819

Expense and Equipment 738,141

From Federal Funds 1,126,960

Total (Not to exceed 203.44 F.T.E.) $11,670,553



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 $6,097,448

From Federal Funds 47,121

Total (Not to exceed 81.34 F.T.E.) $6,144,569



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 $734,905

Expense and Equipment 1,283,486

From Mental Health Trust Fund (Not to exceed 6.00 F.T.E.) $2,018,391



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 $80,000

Expense and Equipment 270,000

From Federal Funds (Not to exceed 4.00 F.T.E.) $350,000



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 161,714

Expense and Equipment 42,406

From General Revenue Fund 3,886,494



For the Caring Communities Program

From Federal Funds 2,104,583

Total (Not to exceed 2.77 F.T.E.) $5,991,077



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 $79,259

Expense and Equipment 600

From Mental Health Interagency Payments Fund (Not to exceed 6.00 F.T.E.) $79,859



Section 10.050. To the Department of Mental Health

For the Office of the Director

For the purpose of funding programs in response to changes in federal fiscal policies with regard to welfare reform. No funds appropriated herein may be expended until a utilization plan has been received by both the House Budget Committee Chair and the Senate Appropriations Chair.

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.) $530,000



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 $1,570,451

Expense and Equipment 52,891

From General Revenue Fund 1,623,342



Personal Service 812,845

Expense and Equipment 803,079

From Federal Funds 1,615,924



Personal Service 203,113

Expense and Equipment 51,204

From Health Initiatives Fund 254,317



Personal Service 87,786

Expense and Equipment 52,372

From Mental Health Earnings Fund 140,158



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.) $4,535,884



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

Personal Service 7,364

Expense and Equipment 43,000

For the purpose of funding prevention and education services using General

Revenue in place of Health Initiative Funds 346,771

From General Revenue Fund 1,153,586



For prevention and education services 5,054,566

Personal Service 226,902

Expense and Equipment 78,165

From Federal Funds 5,359,633



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 236,110

Expense and Equipment 117,820

From Federal Funds 353,930



For the purpose of funding Kids Beat Program

Expense & Equipment

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119,000



For a state incentive program and a community high-risk youth program

funded by two federal grants

Expense and Equipment

From Federal Funds 3,143,617

Total (Not to exceed 13.00 F.T.E.) $11,329,766



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 $17,912,402

Personal Service and/or Expense and Equipment 4,493,162

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

For the purpose of funding adult substance abuse services in service area #6 . . . . . . . . 300,000

From General Revenue Fund 27,509,294



For treatment of alcohol and drug abuse 23,896,115

Personal Service and/or Expense and Equipment 1,230,004

From Federal Funds 25,126,119



For treatment of alcohol and drug abuse

From Health Initiatives Fund 4,558,388

Total (Not to exceed 70.93 F.T.E.) $57,193,801



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 34,494

Expense and Equipment 5,194

From Compulsive Gamblers Fund (Not to exceed 1.00 F.T.E.) $452,486



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 $1,652,950

Expense and Equipment 396,688

From General Revenue Fund 2,049,638



Personal Service 438,679

Expense and Equipment 452,401

From Federal Funds 891,080

Total (Not to exceed 49.58 F.T.E.) $2,940,718



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 . $72,552,411

Personal Service and/or Expense and Equipment 7,176,948

From General Revenue Fund 79,729,359



For adult community programs 12,925,708

Personal Service and/or Expense and Equipment 1,976,877

From Federal Funds 14,902,585



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 163.16 F.T.E.) $94,952,647



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 $623,467

Expense and Equipment 122,638

From General Revenue Fund (Not to exceed 17.39 F.T.E.) $746,105



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 $20,685,494

Personal Service and/or Expense and Equipment 3,489,576

For the purpose of funding programs in response to changes in federal fiscal

policies with regard to welfare reform. No funds appropriated herein

may be expended until a utilization plan has been received & reviewed

by both the House Budget Committee Chair and the Senate Appropriations

Committee Chair 627,471

From General Revenue Fund 24,802,541



For youth community programs 2,148,583

Personal Service and/or Expense and Equipment 2,697,319

From Federal Funds 4,845,902



For youth community programs

From Health Initiatives Fund 600,000

Total (Not to exceed 46.96 F.T.E.) $30,248,443



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.) $1,330,907



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 $9,178,336

From Federal Funds 916,243

Total (0 F.T.E.) $10,094,579



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 1,409.93 F.T.E.) $44,597,173



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 $12,781,800

From Federal Funds 434,386



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 2,347,653

Total (Not to exceed 500.63 F.T.E.) $15,963,839



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 $18,937,257

From Federal Funds 175,580

Total (Not to exceed 609.53 F.T.E.) $19,112,837



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.) $3,700,415



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.) $2,260,461



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.) $6,534,860



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 $14,484,759

From Federal Funds 158,544

Total (Not to exceed 393.78 F.T.E.) $14,643,303



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 $7,430,850

From Federal Funds 279,371



For services for children and youth

Personal Service and/or Expense and Equipment

From General Revenue Fund 1,751,442

Total (Not to exceed 252.75 F.T.E.) $9,461,663



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.) $20,842,962



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 $20,867,388



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 964,745

From General Revenue Fund (Not to exceed 667.41 F.T.E.) $21,832,133



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 $1,396,456

Expense and Equipment 247,657

From General Revenue Fund 1,644,113



Personal Service 50,607

Expense and Equipment 7,195

From Federal Funds 57,802

Total (Not to exceed 33.70 F.T.E.) $1,701,915



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 $212,223

Expense and Equipment 200,220

From General Revenue Fund (Not to exceed 6.00 F.T.E.) $412,443



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 $68,534,872

From Federal Funds 1,200,000

From General Revenue Reimbursements Fund 4,544,329



For the purpose of funding in response to changes in federal fiscal

policies with regard to welfare reform. No funds appropriated

herein may be expended until a utilization plan has been

received & reviewed by both the House Budget Committee Chair and

the Senate Appropriations Committee Chair 224,900

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

families

From General Revenue Fund 20,147,071



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 3,714,965



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.) $114,861,964



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, RSMo

From Family Support Loan Fund $291,305



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.) $1,390,221



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 $3,346,874



For Community Support Staff 8,179,464

For Personal Service, Expense and Equipment and/or Purchase of

Community Services 10,216,062

From Federal Funds 18,395,526

Total (Not to exceed 298.35 F.T.E.) $21,742,400



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 $81,966

From Federal Funds 222,572

Total (Not to exceed 7.46 F.T.E.) $304,538



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 $324,344

Expense and Equipment 1,187,593

From Federal Funds (Not to exceed 7.98 F.T.E.) $1,511,937



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.) $1,631,725



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.) $1,636,464



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.) $2,139,816



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.) $2,139,292



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.) $2,775,973



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.) $1,548,798



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.) $1,756,968



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.) $1,769,500



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.) $1,662,060



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.) $2,285,662



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.) $4,142,239



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.) $2,730,880



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 $145,189



Personal Service 1,408,683

Expense and Equipment 22,380

From Federal Funds 1,431,063

Total (Not to exceed 70.00 F.T.E.) $1,576,252



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 $22,895,896

From Federal Funds 1,104,681

Total (Not to exceed 950.14 F.T.E.) $24,000,577



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 $10,659,835



For Northwest Community Services

Personal Service, Expense and Equipment, and/or Purchase of

Community Services

From General Revenue Fund 2,122,811

From Federal Funds 657,666

Total (Not to exceed 544.07 F.T.E.) $13,440,312



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 $22,337,001

From Federal Funds 1,589,517

Total (Not to exceed 986.44 F.T.E.) $23,926,518



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.) $10,437,708



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 $18,182,847

From Federal Funds 492,984

Total (Not to exceed 756.30 F.T.E.) $18,675,831



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 $6,001,525

From Federal Funds 55,998

Total (Not to exceed 237.59 F.T.E.) $6,057,523



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 $2,219,329

Expense and Equipment 475,269

From General Revenue Fund 2,694,598



Personal Service 1,000,890

Expense and Equipment 545,126

From Federal Funds 1,546,016

Total (Not to exceed 86.2 F.T.E.) $4,240,614



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 $2,856,175

Expense and Equipment 1,190,069

From General Revenue Fund 4,046,244



Personal Service 3,337,420

Expense and Equipment 4,129,375

From Federal Funds 7,466,795



Expense and Equipment

From Missouri Public Health Services Fund 50,000



Personal Service 112,312

Expense and Equipment 18,000

From Workers' Compensation Fund 130,312

Total (Not to exceed 168.34 F.T.E.) $11,693,351



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 $593,267

Expense and Equipment 82,286

From General Revenue Fund 675,553



Personal Service 89,346

Expense and Equipment 10,692

From Federal Funds 100,038



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.) $900,393



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.) $9,662,092



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 $37,444



For the Essential Community Provider Certification Program

Personal Service 38,070

Expense and Equipment 10,000

From General Revenue Fund 48,070



Personal Service 304,241

Expense and Equipment 348,233

From Federal Funds 652,474



Personal Service

From Health Access Incentive Fund 81,844



Personal Service 62,336

Expense and Equipment 22,500

From Professional and Practical Nursing Student Loan and Nurse Loan

Repayment Fund 84,836



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.) $4,593,861



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 $387,758

Expense and Equipment 160,334

From General Revenue Fund 548,092



Personal Service 121,178

Expense and Equipment 10,000

From Federal Funds 131,178

Total (Not to exceed 12.50 F.T.E.) $679,270



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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $636,000

From Health Access Incentive Fund 4,054,000

From Department of Health Donated Fund 850,000

Total (0 F.T.E.) $5,540,000



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 $928,534

Expense and Equipment 343,467

From General Revenue Fund 1,272,001



Personal Service 1,270,817

Expense and Equipment 2,388,125

From Federal Funds 3,658,942



Personal Service 115,460

Expense and Equipment 419,280

From Missouri Public Health Services Fund 534,740



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.) $14,202,287



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 $2,083,363

Expense and Equipment 1,320,766

From General Revenue Fund 3,404,129



Personal Service 1,062,593

Expense and Equipment 2,496,174

From Federal Funds 3,558,767



Personal Service 660,331

Expense and Equipment 1,268,100

From Missouri Public Health Services Fund 1,968,431

Total (Not to exceed 110.72 F.T.E.) $8,891,327



Section 10.680. There is transferred out of the State Treasury,

chargeable to the Health Initiatives Fund, Four Million,

Two Hundred Sixty-Eight Thousand, Three Dollars ($4,268,003)

to the Health Access Incentive Fund

From Health Initiatives Fund $4,268,003



Section 10.685. To the Department of Health

For the purpose of funding the Missouri Health Facilities Review

Committee

Personal Service $284,444

Expense and Equipment 61,891

From General Revenue Fund (Not to exceed 9.00 F.T.E.) $346,335



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 $2,689,123

Expense and Equipment 2,280,093

From General Revenue Fund 4,969,216



Personal Service 2,867,472

Expense and Equipment 6,013,710

From Federal Funds 8,881,182



Personal Service 168,162

Expense and Equipment 70,532

From Hazardous Waste Remedial Fund 238,694



Personal Service 79,938

Expense and Equipment 240,050

From Missouri Public Health Services Fund 319,988



For the Section of STD/HIV/AIDS Prevention and Care Services

Personal Service 948,113

Expense and Equipment 1,634,075

From General Revenue Fund 2,582,188



Personal Service 880,041

Expense and Equipment 5,868,313

From Federal Funds 6,748,354



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.) $32,380,059



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 $1,913,619

Expense and Equipment 1,958,895

From General Revenue Fund 3,872,514



Personal Service 1,982,628

Expense and Equipment 4,055,504

From Federal Funds 6,038,132



Personal Service

From Health Initiatives Fund 39,642



For service coordination and related expenses (to allow the department the ability to contract for

these services at the local level when possible)

Personal Service and/or Expense and Equipment

From General Revenue Fund 1,235,958

From Federal Funds 990,994

Total (Not to exceed 193.19 F.T.E.) $12,177,240



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 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. 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 $5,118,639

From Federal Funds 1,464,819

Total (0 F.T.E.) $6,583,458



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.) $1,000,000



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 $285,290

Expense and Equipment 340,869

From General Revenue Fund 626,159



Personal Service 2,718,940

Expense and Equipment 3,036,939

From Federal Funds 5,755,879

Total (Not to exceed 87.00 F.T.E.) $6,382,038



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, provided

that funds are distributed to each county based upon the number

of eligible children residing in that county. Moneys that are not used

by one county may be redistributed to another

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 $2,895,805

Expense and Equipment 520,465

From General Revenue Fund 3,416,270



Personal Service 1,742,957

Expense and Equipment 429,993

From Federal Funds 2,172,950



Personal Service 61,838

Expense and Equipment 13,650

From Health Access Incentive Fund 75,488



Personal Service 51,539

Expense and Equipment 13,200

From Mammography Fund 64,739



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 Department of Health Donated Funds 500,000



For the purpose of health and safety inspections and related services(to allow the

department the ability to contract for these services at the local level when possible.)

Personal Service and/or Expense and Equipment

From General Revenue Fund 3,422,283

From Federal Funds 2,128,004

From Missouri Public Health Services Fund 106,743

Total (Not to exceed 257.51 F.T.E.) $12,158,463



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 $847,438

Expense and Equipment 1,125,926

From General Revenue Fund 1,973,364



Personal Service 2,420,842

Expense and Equipment 6,708,774

From Federal Funds 9,129,616



Personal Service 70,355

Expense and Equipment 300,999

From Organ Donation Fund 371,354

Total (Not to exceed 93.09 F.T.E.) $11,474,334



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 $586,605,569

Federal Funds $343,136,624

Other Funds $83,558,628

Total $1,013,300,821



Missouri House of Representatives