FIRST REGULAR SESSION

HOUSE COMMITTEE SUBSTITUTE FOR

HOUSE BILL NO. 14

91ST GENERAL ASSEMBLY


Reported from the Committee on Budget, April 23, 2001, with recommendation that the House Committee Substitute for House Bill No. 14 Do Pass.

TED WEDEL, Chief Clerk

0014L.02C


AN ACT

To appropriate money for the expenses, grants, and distributions of the Department of Health, Department of Social Services, Department of Mental Health, Department of Higher Education and institutions of higher education included therein, Department of Elementary and Secondary Education, and the Office of Administration, and the several divisions and programs thereof to be expended only as provided in Article IV, Section 28 of the Constitution of Missouri, and to transfer money among certain funds for the period beginning July 1, 2001 and ending June 30, 2002.




Be it enacted by the General Assembly of the state of Missouri, as follows:

There is appropriated out of the State Treasury, to be expended only as provided in Article IV, Section 28 of the Constitution of Missouri, for the purpose of funding each Department, Division, agency, and program enumerated in each section for the item or items stated, and for no other purpose whatsoever chargeable to the fund designated for the period beginning July 1, 2001 and ending June 30, 2002, as follows:



Section 14.005. For the purpose of funding programs to improve health care access and treatment

To the Department of Health

For the purpose of funding the Healthy Communities Program $2,015,511

Personal Service 104,556

Expense and Equipment 48,566

From Healthy Families Trust Fund - Health Care Account 2,168,633



To the Department of Health

For the purpose of funding the Healthy Community Workforce Program and related expenses

From Healthy Families Trust Fund - Health Care Account 300,000

From Donated Funds 300,000



To the Department of Social Services

For the purpose of funding grants to Federally Qualified Health Centers

From Healthy Families Trust Fund - Health Care Account 5,000,000



To the University of Missouri - Columbia School of Medicine

For the purpose of funding the telemedicine program

From Healthy Families Trust Fund - Health Care Account 3,940,000



For the purpose of one-time funding for a feasible telehealth project to increase access to health care for families in 33 rural minority communities in the 6-county area of the Bootheel - Dunklin, Mississippi, New Madrid, Pemiscot, Scott, and Stoddard counties. Missouri Telehealth Resource Center (MTRC) shall work with local providers, citizens of the 6-county area, and contracted community based not-for-profit Missouri Corporations to develop, implement and evaluate a feasible telehealth project for the target 6-county area. The not-for-profits shall be a certified MBE/WBE and based in the 6-county area being served. MTRC shall provide required basic telehealth equipment to the 6-county area project.

From Healthy Families Trust Fund-Health Care Account 150,000



For the purpose of one-time grants partially funding digital telecommunications services for the telehealth project serving the 6-county area of the Bootheel - Dunklin, Mississippi, New Madrid, Pemiscot, Scott, and Stoddard counties-during years 2,3, and 4 of the project.

From Healthy Families Trust Fund-Health Care Account 60,000



To the Department of Social Services

For the purpose of funding one-time costs of the Safety Net Program

From Healthy Families Trust Fund - Health Care Account 20,000,000

From Federal Funds 31,348,000



To the Department of Social Services

For the purpose of funding the Safety Net Program to include provider

sponsored and community-based clinics

From Healthy Families Trust Fund - Health Care Account 59,693,655

From Federal Funds 16,604,434



To the Department of Mental Health

For the purpose of funding the Safety Net Program

From Healthy Families Trust Fund - Health Care Account 5,964,669



To the Department of Social Services

For the purpose of funding safety net services for the Department of Mental Health

From Federal Funds 9,348,988

Total (Not to exceed 3.00 F.T.E.) $154,878,379



Section 14.010. For the purpose of funding programs to improve early childhood and youth development care and education

To the Department of Elementary and Secondary Education

For the purpose of funding additional home visits for three-to five-year-olds

and at-risk services in the Parents as Teachers Program $6,034,800

For the purpose of funding recruitment of new minority and at-risk families to the Parents As Teachers initiative from 33 rural minority communities in the 6-county area of the Bootheel-Dunklin, Mississippi, New Madrid, Pemiscot, Scott, and Stoddard counties. A contracting relationship shall be established with a community based not-for-profit organization to help identify families in the 6-county area that have children ages three to five that need more intensive support. Said community based not-for-profit shall be exempt from taxation pursuant to Section 501(c)(3) of the Internal Revenue Code, certified as an MBE/WBE corporation, and based in the target area served. Funding shall accurately reflect additional transportation costs involved in identifying targeted families for recruitment who live in sparsely

populated rural communities in the 6-county area being served 28,200

For the purpose of improving accreditation resources 352,500



To the Department of Social Services

For community grants to improve early child care and youth development

opportunities 606,300

For the purpose of funding improvement to the quality of early childhood and youth development care and education. It is designed to bridge the gap and calls for coordination with Head Start, Parents As Teachers, and Early Head Start and other such programs. These grants will be awarded to communities to target "at-risk" and minorities populations. A contracting relationship shall be established with a community based not-for-profit organization to help identify families in the 6-county area that have children ages three to five that need more intensive support. Said community based not-for-profit shall be exempt from taxation pursuant to Section 501(c)(3) of the Internal Revenue Code, chartered by a national body, certified as an MBE corporation, and based in the target area served. Funding shall accurately reflect additional transportation costs involved in identifying targeted families for recruitment who live in sparsely populated rural communities in

the 6-county area being served 267,900

For the Early Head Start Program 1,621,500

For payments to child care providers 3,525,000

For a program and related expenses to coordinate early childhood and

youth development programs 310,200



To the Department of Health

For home-visitation programs 831,900

For programs to improve the quality of child care 521,700

From Healthy Families Trust Fund - Early Child Care Account $14,100,000



Section 14.015. To the Office of Administration

For the purpose of funding life sciences grants to include, but not limited to, research of cancers of the lung, larynx, oral cavity, pharynx and esophagus, bladder, pancreas, uterine, cervix, kidney, stomach, leukemia, prostrate, and colon; and research of diabetes and sickle cell anemia and related expenses. State funding of the grants shall not exceed two-thirds of the total project cost and the grantee shall be required to leverage the remaining one-third from private donations or contributions donations or contributions or from

private or federal grants $13,356,000

For the purpose of funding mini-grants to community-based non-governmental agencies and organizations in Kansas City, St. Louis and the Bootheel - Dunklin, Mississippi, New Madrid, Pemiscot, Scott and Stoddard counties-to implement the "Ready, Set, Goal" life sciences career enrichment program for minority and other at risk children, youth and young adults. The organizations shall form partnerships with schools to implement the programs. Mini-grants shall be for the specific purpose of funding the development of culturally appropriate, gender and age-specific life sciences career enrichment pilot interventions for children, youth and young adults in the targeted minority communities. Mini-grants shall be made to community- based not-for-profit Missouri Corporations that are certified as MBE/WBEs and based in the targeted minority communities in Kansas City, St. Louis, and the Bootheel. Such projects shall operate for the following purposes: (1) To plan, develop, and implement culturally-appropriate, gender and age-specific life sciences career enrichment programs, activities and materials; (2) To work in cooperation with community-based coalitions to develop locally-appropriate education and recruitment strategies regarding life sciences career development; (3) To additionally, establish contracting relationships with small minority businesses, certified as MBE/WBEs, that specialize in health promotion and research activities, to conduct evaluations of the pilot projects; (4) To develop after school (latch key) programs

for minority and at risk children by not-for-profit organizations 644,000

From Healthy Families Trust Fund - Life Sciences Account $14,000,000



Section 14.020. To the Department of Health

For the purpose of funding a comprehensive tobacco use prevention program

Personal Service $547,553

For grants and other program expenditures 10,915,747

For the purpose of funding mini-grants to community-based non-governmental agencies and organizations in Kansas City, St. Louis and the Bootheel - Dunklin, Mississippi, New Madrid, Pemiscot, Scott and Stoddard counties - to implement the approach recommended by the Center for Disease Control to prevent and reduce tobacco use. Mini-grants shall be for the specific purpose of funding the development of culturally appropriate, gender and age-specific "minority and at-risk tobacco control" pilot interventions that target children, women and at-risk and minority communities. Mini-grants shall be made to community-based not-for-profit Missouri Corporations that are certified as MBE/WBEs and based in the targeted minority communities in Kansas City, St. Louis, and the Bootheel. Such projects shall operate for the following purposes: (1) To plan, develop, and implement culturally-appropriate, gender and age-specific tobacco use prevention and reduction programs, activities and materials; (2) To work in cooperation with community-based coalitions to develop education and prevention strategies regarding tobacco use; (3) To additionally, establish contracting relationships with small minority businesses, certified as MBE/WBEs, that specialize in health promotion and research activities, to conduct evaluations

of the pilot projects 2,636,700

From Healthy Families Trust Fund - Tobacco Prevention

Account (Not to exceed 14.00 F.T.E.) $14,100,000



Section 14.030. There is transferred out of the State Treasury, chargeable to the Healthy Families Trust Fund, Eighty-Nine Million, Three Hundred Thousand Dollars ($89,300,000) to the General Revenue Fund

From Healthy Families Trust Fund $89,300,000E



Section 14.035. There is transferred out of the State Treasury, chargeable to the Healthy Families Trust Fund, Ninety-Seven Million, Three Hundred Thousand Dollars ($97,300,000) to the Healthy Families Trust Fund - Health Care Account

From Healthy Families Trust Fund $97,300,000E



Section 14.040. There is transferred out of the State Treasury, chargeable to the Healthy Families Trust Fund, Fourteen Million One Hundred Thousand Dollars ($14,100,000) to the Healthy Families Trust Fund - Early Child Care Account

From Healthy Families Trust Fund $14,100,000E



Section 14.045. There is transferred out of the State Treasury, chargeable to the Healthy Families Trust Fund, Fourteen Million Dollars ($14,000,000) to the Healthy Families Trust Fund - Life Sciences Account

From Healthy Families Trust Fund $14,000,000E



Section 14.050. There is transferred out of the State Treasury, chargeable to the Healthy Families Trust Fund, Fourteen Million, One Hundred Thousand Dollars ($14,100,000) to the Healthy Families Trust Fund - Tobacco Prevention Account

From Healthy Families Trust Fund $14,100,000E



Section 14.055. There is transferred out of the State Treasury, chargeable to the Healthy Families Trust Fund, One Hundred, Forty-Seven Million, Three Hundred Thousand Dollars ($147,300,000) to the Healthy Families Trust Fund - Senior Prescription Account

From Healthy Families Trust Fund $147,300,000E



Section 14.060. There is transferred out of the State Treasury, chargeable to the Health Families Trust Fund, One Hundred, Twenty-Five Million Dollars ($125,000,000) to the Fund for Missouri's Future

From Healthy Families Trust Fund $125,000,000



Bill Totals

General Revenue $0

Federal Funds 57,301,422

Other Funds 139,776,957

Total $197,078,379



Missouri House of Representatives