SECOND REGULAR SESSION

HOUSE COMMITTEE SUBSTITUTE FOR

HOUSE BILL NO. 2010

94TH GENERAL ASSEMBLY

Reported from the Committee on Budget March 12, 2008 with recommendation that House Committee Substitute for House Bill No. 2010 Do Pass. Referred to the Committee on Rules pursuant to Rule 25(21)(f).

D. ADAM CRUMBLISS, Chief Clerk

3010L.02C

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 Senior Services, and the several divisions and programs thereof, 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, 2008 and ending June 30, 2009.

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, 2008 and ending June 30, 2009, as follows:

Section 10.005. To the Department of Mental Health

For the Office of the Director

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $686,049

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37,201

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76,223

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113,424

Total (Not to exceed 9.52 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$799,473

Section 10.010. To the Department of Mental Health

For the Office of the Director

For the purpose of paying overtime to state employees and/or paying otherwise authorized personal service expenditures in lieu of such overtime payments. Non-exempt state employees identified by Section 105.935, RSMo, will be paid first with any remaining funds being used to pay overtime to any other state employees

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,369,531

Section 10.015. There is transferred out of the State Treasury from Federal Funds to the OA Information Technology - Federal and Other Fund for the purpose of funding the consolidation of Information Technology Services

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $60,000E

Section 10.020. To the Department of Mental Health

For the Office of the Director

For the purpose of funding Mental Health Transformation - State Incentive grants

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $716,086

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,060,214E

From Federal Funds (Not to exceed 9.85 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . $2,776,300

Section 10.025. To the Department of Mental Health

For the Office of the Director

For funding program operations and support

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,870,605

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 739,696

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 847,016

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,586,712

For the MO HealthNet mental health partnership technology initiative

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 783,350

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,716,650

From Health Care Technology Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,250,000

For the payment of fees to contractors who engage in revenue maximization projects on behalf of the Department of Mental Health

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1E

Total (Not to exceed 133.78 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $11,207,318

Section 10.030. To the Department of Mental Health

For the Office of the Director

For staff training

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,208,634

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,000,000

Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$2,208,634

Section 10.035. To the Department of Mental Health

For the Office of the Director

For the purpose of funding insurance, private pay, licensure fee, and/or MO HealthNet refunds by state facilities operated by the Department of Mental Health

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $49,217E

For the payment of refunds set off against debts as required by Section 143.786, RSMo

From Debt Offset Escrow Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70,000E

Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $119,217

Section 10.040. There is transferred out of the State Treasury from the Abandoned Fund Account to Mental Health Trust Fund

From Abandoned Fund Account. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $50,000E

Section 10.045. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $815,506

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,283,486

From Mental Health Trust Fund (Not to exceed 11.50 F.T.E.). . . . . . . . . . . . . . . . .$2,098,992

Section 10.050. To the Department of Mental Health

For the Office of the Director

For the purpose of receiving and expending grants, donations, contracts, and payments from private, federal, and other governmental agencies which may become available between sessions of the general assembly provided that the general assembly shall be notified of the source of any new funds and the purpose for which they shall be expended, in writing, prior to the use of said funds

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$111,803E

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,794,378E

From Federal Funds (Not to exceed 2.00 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . $1,906,181

Section 10.055. To the Department of Mental Health

For the Office of the Director

For the purpose of funding Children's System of Care. . . . . . . . . . . . . . . . . . . . . . . $7,165,301

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between

each appropriation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 323,611

From Federal Funds (Not to exceed 2.20 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . $7,488,912

Section 10.060. To the Department of Mental Health

For the Office of the Director

For housing assistance for homeless veterans

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $715,000

For the purpose of funding Shelter Plus Care grants

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,923,031

Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$7,638,031

Section 10.065. To the Department of Mental Health

For MO HealthNet payments related to intergovernmental payments

From Mental Health Intergovernmental Transfer Fund. . . . . . . . . . . . . . . . . . . . . . .$8,000,000

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11,000,000E

Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$19,000,000

Section 10.070. There is transferred out of the State Treasury from Federal Funds to the General Revenue Fund for the purpose of supporting MRDD community programs

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $850,000

Section 10.075. There is transferred out of the State Treasury from Federal Funds to the General Revenue Fund Disproportionate Share Hospital (DSH) funds leveraged by the Department of Mental Health - Institute of Mental Disease (IMD) facilities

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$37,304,309E

Section 10.080. There is transferred out of the State Treasury from Federal Funds to the General Revenue Fund for the purpose of funding MRDD state-operated facilities

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $700,000

Section 10.100. 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 and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,142,881

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 852,350

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 183,541

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,035,891

Personal Service

From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44,812

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114,756

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52,372

From Mental Health Earnings Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167,128

Total (Not to exceed 45.88 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,390,712

Section 10.105. To the Department of Mental Health

For the Division of Alcohol and Drug Abuse

For the purpose of funding prevention and education services

Personal Service

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $23,467

For prevention and education services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4,288,996

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 360,405

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102,363

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4,751,764

For prevention and education services

Expense and Equipment

From Healthy Families Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .300,000

For tobacco retailer education

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

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173,249

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103,622

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 276,871

For a state incentive program

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130,077

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,821,412

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,951,489

For Community 2000 Team programs

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 502,732

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,059,693

From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82,148

For school-based alcohol and drug abuse prevention programs

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,227,356

Total (Not to exceed 15.76 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $12,175,520

Section 10.110. 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

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between

each appropriation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3,816,218

For treatment of alcohol and drug abuse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31,177,460

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34,993,678

For treatment of adolescents with co-occurring addiction and mental illness

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 555,427

From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,445

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 469,130

For treatment of alcohol and drug abuse. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42,328,477E

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 783,527

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 646,412

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43,758,416

For treatment of drug and alcohol abuse with the Access to Recovery Grant

For treatment services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,589,796

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155,497

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 693,550

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7,438,843

For treatment of alcohol and drug abuse

From Inmate Revolving Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,070,084

From Healthy Families Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,985,637

From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6,163,181

From DMH Local Tax Matching Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 708,343

Total (Not to exceed 54.81 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $97,148,184

Section 10.115. To the Department of Mental Health

For the Division of Alcohol and Drug Abuse

For the purpose of funding treatment of compulsive gambling. . . . . . . . . . . . . . . . . . $454,615

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39,829

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,194

From Compulsive Gamblers Fund (Not to exceed 1.00 F.T.E.). . . . . . . . . . . . . . . . . .$499,638

Section 10.120. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $427,777

From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 241,204

From Mental Health Earnings Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,931,651E

Total (Not to exceed 5.48 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $4,600,632

Section 10.200. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding division administration

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $794,316

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 599,516

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 366,601

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 966,117

Expense and Equipment

From Health Care Technology Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,825,000

For suicide prevention initiatives

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24,589

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 620,401

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 644,990

Total (Not to exceed 24.60 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6,230,423

Section 10.205. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding the PRN nursing and direct care staff pool, provided that staff paid from the PRN nursing and direct care staff pool will only incur fringe benefit costs applicable to part-time employment

Personal Service and/or Expense and Equipment

From General Revenue Fund (Not to exceed 74.12 F.T.E.). . . . . . . . . . . . . . . . . . . $3,408,420

Section 10.210. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding adult community programs

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $661,064

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,006,829

For the purpose of funding adult community programs, provided that up to ten percent (10%) of this appropriation may be used for services for youth, and provided that at least $650,000 General Revenue be spent on mental health services to cover the spouses and children of active and past duty veterans, including deceased veterans of the past and current conflicts

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85,920,710

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82,938,316E

From Mental Health Earnings Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 223,740

From DMH Local Tax Matching Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 241,291E

For the purpose of funding law enforcement and judicial training

From Mental Health Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .266,235

For the provision of mental health services and support services to other

agencies

From Mental Health Interagency Payments Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .377,050

For the purpose of funding programs for the homeless mentally ill

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 496,047

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800,000

Total (Not to exceed 9.80 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $173,931,282

Section 10.215. 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. . . . . . . . . . . . . . . . . . . . . $774,099E

For distribution through the Office of Administration to counties pursuant

to Section 56.700, RSMo. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132,550

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $906,649

Section 10.220. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding forensic support service

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $797,790

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,094

Total (Not to exceed 17.39 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$801,884

Section 10.225. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding youth community programs

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $310,068

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,219,338

For the purpose of funding youth community programs, provided that up to ten percent (10%) of this appropriation may be used for services for adults

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22,869,277

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20,975,453E

From DMH Local Tax Matching Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 365,270E

Total (Not to exceed 7.31 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $45,739,406

Section 10.230. 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 Department of Social Services

Expense and Equipment

From Mental Health Interagency Payments Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . .$156,135

Section 10.235. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$10,905,524

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 916,243

Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$11,821,767

Section 10.240. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $878,548

Section 10.300. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding Fulton State Hospital

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$51,099,423

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 180,322

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 223,224

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 403,546

For the provision of support services to other agencies

Expense and Equipment

From Mental Health Interagency Payments Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .250,000

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,593,865

Total (Not to exceed 1,261.38 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$53,346,834

Section 10.305. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding Northwest Missouri Psychiatric Rehabilitation Center

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$11,799,224

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 575,795

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105,903

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 681,698

For psychiatric services

From Mental Health Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .438,746

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 249,854

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10,759

Total (Not to exceed 311.30 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $13,180,281

Section 10.310. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding St. Louis Psychiatric Rehabilitation Center

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$19,311,728

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 320,339

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93,210

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 413,549

For the purpose of paying overtime to state employees and/or paying otherwise authorized personal service expenditures in lieu of such overtime payments. Non-exempt state employees identified by Section 105.935, RSMo will be paid first with any remaining funds being used to pay overtime to any other state employees

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 382,926

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 890

Total (Not to exceed 521.49 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $20,109,093

Section 10.315. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding Southwest Missouri Psychiatric Rehabilitation Center

From General Revenue Fund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,919,753

From Federal Funds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .192,417

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18,198

Total (Not to exceed 76.05 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3,130,368

Section 10.320. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding Metropolitan St. Louis Psychiatric Center

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$14,590,232

Personal Service

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 290,962

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86,790

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,093

Total (Not to exceed 340.03 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $14,969,077

Section 10.325. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding Mid-Missouri Mental Health Center

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$8,070,075

Personal Service

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 407,621

For services for children and youth Personal Service and/or Expense and Equipment, provided that not more than twenty-five percent (25%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,003,944

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151,945

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,799

Total (Not to exceed 221.71 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $10,639,384

Section 10.330. 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, provided that not more than twenty percent (20%) may be spent on the Purchase of Community Services, including transitioning clients to the community or other state-operated facilities, and that not more than twenty-five percent (25%) flexibility is allowed between each appropriation and not more than twenty percent (20%) flexibility is allowed between Southeast Mental Health Center and Southeast Mental Health Center - Missouri Sexual Offender Treatment Center

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$20,109,428

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 337,665

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 326,536

For the purpose of funding Southeast Mental Health Center - Missouri Sexual Offender Treatment Center

Personal Service and/or Expense and Equipment, provided that not more than twenty-five percent (25%) flexibility is allowed between each appropriation and not more than twenty percent (20%) flexibility is allowed between Southeast Mental Health Center - Missouri Sexual Offender Treatment Center and Southeast Mental Health Center

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12,358,151

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35,241

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165,726

Total (Not to exceed 851.97 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $33,332,747

Section 10.335. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $53,925

Section 10.340. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding Western Missouri Mental Health Center

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$17,566,930

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97,274

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 633,927

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 731,201

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, provided that not more than twenty-five percent (25%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,072,283

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 494,347

Total (Not to exceed 466.89 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $19,864,761

Section 10.350. 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, provided that not more than twenty-five percent (25%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$6,671,117

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,531,107

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 191,894

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,723,001

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119,917

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,909

Total (Not to exceed 214.14 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8,520,944

Section 10.355. To the Department of Mental Health

For the purpose of funding Cottonwood Residential Treatment Center

Personal Service and/or Expense and Equipment, provided that not more than twenty-five percent (25%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,276,811

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,683,029

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 350,000

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,033,029

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54,302

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,071

Total (Not to exceed 87.51 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3,365,213

Section 10.400. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding division administration

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,944,241

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 299,463

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63,881

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 363,344

Total (Not to exceed 39.00 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,307,585

Section 10.405. To the Department of Mental Health

For the purpose of funding cost associated with the Division of Mental Retardation-Developmental Disabilities to achieve personnel standards at habilitation centers

Personal Service and/or Expense and Equipment

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,842,008

To pay the state operated ICF/MR provider tax

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,355,142

Total (Not to exceed 97.70 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $10,197,150

Section 10.410. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

Provided that residential services for non-MO HealthNet eligibles shall not be reduced below the prior year expenditures as long as the person is evaluated to need the services

For the purpose of funding community programs

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$123,270,651

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .267,242,965E

For the purpose of funding community programs

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 687,822

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 183,239

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41,776

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 225,015

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

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18,089,100

For the purpose of funding programs and in-home family directed services for persons with autism and their families

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10,446,176

For services for children who are clients of the Department of Social Services

From Mental Health Interagency Payments Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,443,549

For SB 40 Board Tax Funds to be used as match for MO HealthNet initiatives for clients of the division

From DMH Local Tax Matching Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12,853,770E

Total (Not to exceed 16.42 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $436,259,048

Section 10.415. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding community support staff

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$8,422,608

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10,202,422

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 935,150

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11,137,572

Total (Not to exceed 452.92 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $19,560,180

Section 10.420. There is transferred out of the State Treasury from the General Revenue Fund to the Mental Health Housing Trust Fund

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $277,867

Section 10.425. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For projects at state habilitation centers and residential facilities

From Mental Health Housing Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$301,867

Section 10.430. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding developmental disabilities services

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $370,082

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,187,593

From Federal Funds (Not to exceed 7.98 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . $1,557,675

Section 10.440. There is transferred out of the State Treasury from the General Revenue Fund to the ICF/MR Reimbursement Allowance Fund

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $443,483E

Section 10.445. There is transferred out of the State Treasury from the ICF/MR Reimbursement Allowance Fund to the General Revenue Fund as a result of recovering the ICF/MR Reimbursement Allowance Fund

From ICF/MR Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . $4,798,625E

There is transferred out of the State Treasury from the ICF/MR Reimbursement Allowance Fund to Federal Funds

From ICF/MR Reimbursement Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,743,740E

Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$7,542,365

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, provided that not more than twenty-five percent (25%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $862,350

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16,120

Total (Not to exceed 19.99 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $878,470

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, provided that not more than twenty-five percent (25%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,000,815

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47,499

Total (Not to exceed 28.91 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,048,314

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, provided that not more than twenty-five percent (25%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,025,743

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60,597

Total (Not to exceed 22.00 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,086,340

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, provided that not more than twenty-five percent (25%) flexibility is allowed between each appropriation

From General Revenue Fund (Not to exceed 27.14 F.T.E.). . . . . . . . . . . . . . . . . . . $1,279,475

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, provided that not more than twenty-five percent (25%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,737,499

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81,377

Total (Not to exceed 37.87 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,818,876

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, provided that not more than twenty-five percent (25%) flexibility is allowed between each appropriation

From General Revenue Fund (Not to exceed 16.01 F.T.E.). . . . . . . . . . . . . . . . . . . . .$766,832

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, provided that not more than twenty-five percent (25%) flexibility is allowed between each appropriation

From General Revenue Fund (Not to exceed 20.70 F.T.E.). . . . . . . . . . . . . . . . . . . . .$891,121

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, provided that not more than twenty-five percent (25%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $895,170

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127,147

Total (Not to exceed 26.50 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,022,317

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, provided that not more than twenty-five percent (25%) flexibility is allowed between each appropriation

From General Revenue Fund (Not to exceed 21.55 F.T.E.). . . . . . . . . . . . . . . . . . . . .$978,217

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, provided that not more than twenty-five percent (25%) flexibility is allowed between each appropriation

From General Revenue Fund (Not to exceed 26.88 F.T.E.). . . . . . . . . . . . . . . . . . . $1,265,465

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, provided that not more than twenty-five percent (25%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,204,939

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91,910

Total (Not to exceed 85.80 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3,296,849

Section 10.555. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding Bellefontaine Habilitation Center

Personal Service and/or Expense and Equipment provided that not more than twenty percent (20%) may be spent on the Purchase of Community Services, including transitioning clients to the community or other state-operated facilities, and that not more than twenty-five percent (25%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$15,610,971

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 663,815

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,517,967

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37,055

Total (Not to exceed 478.29 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $17,829,808

Section 10.560. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding Higginsville Habilitation Center

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$9,839,960

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 285,411

For Northwest Community Services

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,655,997

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 760,330

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 482,254

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88,342

Total (Not to exceed 476.79 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $14,112,294

Section 10.565. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding Marshall Habilitation Center

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$21,849,722

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,253,303

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 849,133

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52,364

Total (Not to exceed 816.65 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $25,004,522

Section 10.570. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding Nevada Habilitation Center

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$9,695,182

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,104

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37,497

Total (Not to exceed 297.11 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9,735,783

Section 10.575. 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

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$20,121,238

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,445

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 625,398

Total (Not to exceed 675.88 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $20,750,081

Section 10.580. To the Department of Mental Health

For the Division of Mental Retardation-Developmental Disabilities

For the purpose of funding Southeast Missouri Residential Services

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,869,381

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 319,537

Total (Not to exceed 206.48 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6,188,918

Section 10.600. To the Department of Health and Senior Services

For the Office of the Director

For the purpose of funding program operations and support

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,196,634

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,117,236

Total (Not to exceed 57.58 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3,313,870

Section 10.605. To the Department of Health and Senior Services

For the Division of Administration

For the purpose of funding program operations and support

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $794,913

Personal Service

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,369,506

From Missouri Public Health Services Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127,598

Expense and Equipment

From Federal Funds and Other Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,338,011

Total (Not to exceed 77.73 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6,630,028

Section 10.610. There is transferred out of the State Treasury from the Health Initiatives Fund to the Health Access Incentive Fund

From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,241,003

Section 10.615. To the Department of Health and Senior Services

For the Division of Administration

For the purpose of funding the payment of refunds set off against debts in accordance with Section 143.786, RSMo

From Debt Offset Escrow Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $15,000E

Section 10.620. To the Department of Health and Senior Services

For the Division of Administration

For the purpose of making refund payments

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $16,414E

From Federal Funds and Other Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44,736E

Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $61,150

Section 10.625. To the Department of Health and Senior Services

For the Division of Administration

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,000,001E

From Department of Health - Donated Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 450,000E

Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,450,001

Section 10.630. To the Department of Health and Senior Services

For the Division of Administration

For contributions from federal and other sources that are deposited in the State Treasury for use by the Department of Health and Senior Services to furnish aid and relief pursuant to Section 192.326, RSMo

From DHSS Disaster Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1E

Section 10.635. To the Department of Health and Senior Services

For the Division of Community and Public Health

For the purpose of funding program operations and support

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$8,590,125

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20,392,054

Personal Service

From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48,695

From Health Access Incentive Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93,400

Expense and Equipment

From Governor's Council on Physical Fitness Institution Gift Trust Fund. . . . . . . . . . . 50,000

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72,527

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16,900

From Professional and Practical Nursing Student Loan and Nurse Loan

Repayment Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .89,427

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 195,509

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68,532

From Hazardous Waste Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 264,041

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106,909

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82,010

From Organ Donor Program Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 188,919

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 325,759

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116,507

From Missouri Public Health Services Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 442,266

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 358,100

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 275,000

From Department of Health and Senior Services Document Services Fund. . . . . . . . . 633,100

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173,386

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 633,089

From Department of Health - Donated Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 806,475

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74,742

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28,756

From Putative Father Registry Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103,498

Total (Not to exceed 612.86 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31,702,000

Section 10.640. To the Department of Health and Senior Services

For the Division of Community and Public Health

For the purpose of funding core public health functions and related expenses

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$10,309,672

Section 10.645. To the Department of Health and Senior Services

For the Division of Community and Public Health

For the purpose of funding community health programs and related expenses

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$10,846,536

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43,259,591

From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7,614,564

From Organ Donor Program Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100,000

From C & M Smith Memorial Endowment Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35,000

From Crippled Children Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75,000

From Missouri Lead Abatement Loan Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76,000

From Missouri Public Health Services Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 276,750

From Head Injury Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .852,400

From Healthy Families Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 950,000

Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$64,085,841

Section 10.650. To the Department of Health and Senior Services

For the Division of Community and Public Health

For the purpose of funding supplemental nutrition programs

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $32,100

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .156,891,116E

Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$156,923,216

Section 10.655. To the Department of Health and Senior Services

For the Division of Community and Public Health

For the purpose of funding alternatives to abortion services for women at or below 200 percent of Federal Poverty Level, consisting of services or counseling offered to a pregnant woman and continuing for one year thereafter, to assist her in carrying her unborn child to term instead of having an abortion, and to assist her in caring for her dependent child or placing her child for adoption, including, but not limited to the following: prenatal care; medical and mental health care; parenting skills; drug and alcohol testing and treatment; child care; newborn or infant care; housing utilities; educational services; food, clothing, and supplies relating to pregnancy, newborn care, and parenting; adoption assistance; job training and placement; establishing and promoting responsible paternity; ultrasound services; case management; domestic abuse protection; and transportation. Actual provisions and delivery of such services shall be dependent on client needs and not otherwise prioritized by the department. Such services shall be available only during pregnancy and continuing for one year thereafter, and shall exclude any family planning services. None of these funds shall be expended to perform or induce, assisting the performing or inducing of, or refer for, abortions; and none of these funds shall be granted to organizations or affiliates of organizations that perform or induce, assist in the performing or inducing of, or refer for, abortions

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,949,512

Section 10.660. To the Department of Health and Senior Services

For the Division of Community and Public Health

For the purpose of funding the Primary Care Resource Initiative Program (PRIMO), Financial Aid to Medical Students, Area Health Education Centers, and Loan Repayment Programs From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $274,446

From Health Access Incentive Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,021,500

From Department of Health - Donated Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 839,525

From Professional and Practical Nursing Student Loan and Nurse Loan

Repayment Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .499,752

From Health Care Access Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1E

For a healthcare workforce study

From Health Access Incentive Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 250,000

Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$4,885,224

Section 10.665. To the Department of Health and Senior Services

For the Division of Community and Public Health

For the Office of Minority Health

For the purpose of funding program operations and support

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $746,667

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 233,283

For Minority Health

Expense and Equipment and the purchase of services for the purpose of funding programs within Minority Health

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165,707

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45,045

Total (Not to exceed 8.33 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,190,702

Section 10.670. To the Department of Health and Senior Services

For the Division of Community and Public Health

For the Center for Emergency Response and Terrorism

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,123,559

Expense and Equipment and Program Distribution. . . . . . . . . . . . . . . . . . . 20,179,535

From Federal Funds (Not to exceed 63.01 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . $23,303,094

Section 10.675. To the Department of Health and Senior Services

For the Division of Community and Public Health

For the purpose of funding the State Public Health Laboratory

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$2,773,833

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,802,416

From Other Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,082,742

Total (Not to exceed 98.70 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9,658,991

Section 10.676. To the Department of Health and Senior Services

For the Division of Community and Public Health

For the purpose of funding the Donated Dental Services program

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $68,370

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1E

Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $68,371

Section 10.680. To the Department of Health and Senior Services

For the Division of Senior and Disability Services

For the purpose of funding program operations and support

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$8,887,814

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10,417,343

Total (Not to exceed 481.65 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $19,305,157

Section 10.685. To the Department of Health and Senior Services

For the Division of Senior and Disability Services

For the purpose of funding non-MO HealthNet reimbursable senior and disability programs, provided that one hundred percent (100%) flexibility is allowed between the non-MO HealthNet reimbursable senior and disability programs general revenue appropriation and the non-MO HealthNet, consumer-directed care program general revenue appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$8,391,269

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,667,028

For the purpose of funding non-MO HealthNet, consumer directed in-home services

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,328,296

Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$12,386,593

Section 10.688. To the Department of Health and Senior Services

For the Division of Senior and Disability Services

For the purpose of providing naturalization assistance to refugees and/or legal immigrants who: have resided in Missouri more than five years, are unable to benefit or attend classroom instruction, and who require special assistance to successfully attain the requirements to become a citizen. Services may include direct tutoring, assistance with identifying and completing appropriate waiver requests to the Immigration and Customs Enforcement agency, and facilitating proper documentation. The department shall award a contract under this section to a qualified not for profit organization which can demonstrate its ability to work with this population and does not currently receive funding through refugee services programs administered by the state. A report shall be compiled for the general assembly evaluating the program's effectiveness in helping senior refugees and immigrants in establishing citizenship and their ability to qualify individuals for Medicare

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $200,000

Section 10.690. To the Department of Health and Senior Services

For the Division of Senior and Disability Services

For the purpose of funding respite care, homemaker chore, personal care, advanced personal care, adult day care, AIDS, children's waiver services, home-delivered meals, and other related services under the MO HealthNet fee-for-service and managed care programs. Provided that individuals eligible for or receiving nursing home care must be given the opportunity to have those MO HealthNet dollars follow them to the community to the extent necessary to meet their unmet needs as determined by 19 CSR 30 81.030 and further be allowed to choose the personal care program option in the community that best meets the individuals' unmet needs. This includes the Consumer Directed MO HealthNet State Plan. And further provided that individuals eligible for the MO HealthNet Personal Care Option must be allowed to choose, from among all the program options, that option which best meets their unmet needs as determined by 19 CSR 30 81.030; and also be allowed to have their MO HealthNet funds follow them to the extent necessary to meet their unmet needs whichever option they choose. This language does not create any entitlements not established by statute. Upon receipt of a referral for MO HealthNet funded home and community-based care containing a nurse assessment or physician's order, the department shall review the recommendations regarding services and process the referral within 15 business days. When information contained in the referral is sufficient to establish eligibility for MO HealthNet funded long-term care and determine the level of service need as required pursuant to state and federal regulations, the department shall prior-authorize Home and Community-based services and arrange for the provision of services. MO HealthNet reimbursement for personal care benefits shall be effective the date of the assessment or physician's order. MO HealthNet reimbursement for Waiver services shall be effective the date the state develops and approves the care plan. At such time the state shall notify the referring entity. The in-home provider shall be reimbursed a minimum of one and no more than two authorized nurse visits to make the initial nurse assessment. When information is insufficient or the proposed care plan requires additional evaluation by state staff that is not obtainable from the referring entity, the department shall inform the provider and contact the individual to schedule an in-home assessment to be conducted by the state staff within 30 days

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$160,233,271

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 272,578,733

Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$432,812,004

Section 10.695. To the Department of Health and Senior Services

For the Division of Senior and Disability Services

For the purpose of funding Alzheimer's grants

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $539,564

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 265,670

Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $805,234

Section 10.700. To the Department of Health and Senior Services

For the Division of Senior and Disability Services

For the purpose of funding Home and Community Services grants, including funding for meals to be distributed to each Area Agency on Aging in proportion to the actual number of meals served during the preceding fiscal year, provided that at least $1,500,000 of existing General Revenue be used for non-MO HealthNet meals to be distributed to each Area Agency on Aging in proportion to the actual number of meals served during the preceding fiscal year

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$11,401,894

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31,536,227E

From Elderly Home-Delivered Meals Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . 200,000

Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$43,138,121

Section 10.705. To the Department of Health and Senior Services

For the Division of Senior and Disability Services

For distributions to Area Agencies on Aging pursuant to the Older Americans Act and related programs

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,608,681

Section 10.710. To the Department of Health and Senior Services

For the Division of Senior and Disability Services

For the purpose of funding Naturally Occurring Retirement Communities

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $150,000

Section 10.715. To the Department of Health and Senior Services

For the Division of Regulation and Licensure

For the purpose of funding program operations and support

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$11,363,525

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11,919,093

From Nursing Facility Quality of Care Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,988,342

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72,181

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11,450

From Health Access Incentive Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83,631

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61,446

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13,560

From Mammography Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75,006

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 206,042

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57,561

From Early Childhood Development, Education and Care Fund. . . . . . . . . . . . . . . . . .263,603

Total (Not to exceed 515.74 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $25,693,200

Section 10.720. To the Department of Health and Senior Services

For the Division of Regulation and Licensure

For the purpose of funding activities to improve the quality of childcare, increase the availability of early childhood development programs, before- and after-school care, in-home services for families with newborn children, and for general administration of the program

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $711,675

From Early Childhood Development, Education and Care Fund. . . . . . . . . . . . . . . 728,740

Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,440,415

Section 10.725. To the Department of Health and Senior Services

For the Division of Regulation and Licensure

For the purpose of funding program operations and support for the Missouri Health Facilities Review Committee

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between each appropriation

From General Revenue Fund (Not to exceed 2.80 F.T.E.). . . . . . . . . . . . . . . . . . . . . .$162,370

DEPARTMENT OF MENTAL HEALTH TOTALS

General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$619,994,533

Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .502,469,662

Other Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39,989,182

Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,162,453,377

DEPARTMENT OF HEALTH AND SENIOR SERVICES TOTALS

General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$242,740,753

Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .585,603,490

Other Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26,828,055

Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$855,172,298

•