FIRST REGULAR SESSION

SENATE COMMITTEE SUBSTITUTE FOR

HOUSE COMMITTEE SUBSTITUTE FOR

HOUSE BILL NO. 10

95TH GENERAL ASSEMBLY

0010S.03C

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, 2009 and ending June 30, 2010.

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, 2009 and ending June 30, 2010, 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-five percent (25%) flexibility is allowed between personal service and expense and equipment

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $632,298

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71,976

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104,574

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 176,550

Total (Not to exceed 9.52 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$808,848

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,410,617

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $726,856

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

From Federal Funds (Not to exceed 9.85 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . $2,787,070

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-five percent (25%) flexibility is allowed between personal service and expense and equipment

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,604,049

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 670,037

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

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,517,053

For the MO HealthNet mental health partnership technology initiative

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

From Federal Budget Stabilization Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,250,000

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

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 125.05 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $10,871,103

Section 10.030. To the Department of Mental Health

For the Office of the Director

For staff training

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $727,288

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

Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,727,288

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 purpose of making refund payments

From Federal Funds and Other Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,100E

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

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

Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $120,317

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $427,464

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,219,597

From Mental Health Trust Fund (Not to exceed 11.50 F.T.E.). . . . . . . . . . . . . . . . .$1,647,061

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$112,982E

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

From Federal Funds (Not to exceed 2.00 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . $1,907,360

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. . . . . . . . . . . . . . . . . . . . . . .$5,165,301

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

personal service and expense and equipment. . . . . . . . . . . . . . . . . . . . . . . . 325,388

From Federal Funds (Not to exceed 2.20 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . $5,490,689

Section 10.060. To the Department of Mental Health

For the Office of the Director

For housing assistance for homeless veterans

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $300,000

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,498,162

For the purpose of funding Shelter Plus Care grants

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9,713,890

Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$11,512,052

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 10.066. To the Department of Mental Health

There is hereby transferred out of the State Treasury, chargeable to the

General Revenue Fund, to the Department of Social Services

Intergovernmental Fund for the purpose of providing the state

match for the Department of Mental Health payments

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$82,200,000E

Section 10.070. There is transferred out of the State Treasury from Federal Funds to the General Revenue Fund for the purpose of supporting the Division of Developmental Disabilities 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 DD 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-five percent (25%) flexibility is allowed between personal service and expense and equipment

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,042,493

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 903,597

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

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,087,138

Personal Service

From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45,069

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114,061

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

From Mental Health Earnings Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 166,433

Total (Not to exceed 44.46 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,341,133

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $25,973

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

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 360,406

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

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4,751,765

For prevention and education services

Personal Service and/or Expense and Equipment

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

For tobacco retailer education

The Division of Alcohol and Drug Abuse shall be allowed to use persons under the age of eighteen for the purpose of tobacco retailer education in support of Synar requirements under the federal substance abuse prevention and treatment block grant

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173,250

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

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 276,872

For a state incentive program

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131,043

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

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,952,455

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.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $12,178,994

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-five percent (25%) flexibility is allowed between

personal service and expense and equipment. . . . . . . . . . . . . . . . . . . . . . . . $4,946,526

For treatment of alcohol and drug abuse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28,635,202

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33,581,728

For treatment of alcohol and drug abuse. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44,007,013E

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 783,672

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,079,750

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47,870,435

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

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

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 156,900

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

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7,440,246

For treatment of alcohol and drug abuse

From Federal Budget Stabilization Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,164,046

From Inmate Revolving Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,999,560

From Healthy Families Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,925,500

From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6,075,180

From DMH Local Tax Matching Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 685,753

Total (Not to exceed 54.81 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $103,742,448

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39,936

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

From Compulsive Gamblers Fund (Not to exceed 1.00 F.T.E.). . . . . . . . . . . . . . . . . .$499,745

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $427,864

From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 241,466

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

Total (Not to exceed 5.48 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $4,600,981

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-five percent (25%) flexibility is allowed between personal service and expense and equipment

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $706,419

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 604,287

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 459,011

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,063,298

For suicide prevention initiatives

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24,892

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

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 645,293

Total (Not to exceed 24.60 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,415,010

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,414,613

For the purpose of funding a staff pool to support the Psychiatric Acute

Care Transformation process at the Department of Mental

Health acute care facilities

From Mental Health Interagency Payment Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . 748,614

Total (Not to exceed 95.12 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $4,163,227

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 personal service and expense and equipment

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $454,841

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,008,633

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

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86,824,919

From Federal Budget Stabilization Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,697,245

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88,816,781E

From Mental Health Earnings Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 583,740

From DMH Local Tax Matching Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 233,596E

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

From Mental Health Interagency Payments Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,272,400

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.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $183,188,202

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 162,550

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $936,649

Section 10.220. To the Department of Mental Health

For the Division of Comprehensive Psychiatric Services

For the purpose of funding forensic support services

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

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $800,434

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

Total (Not to exceed 20.39 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$804,528

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-five percent (25%) flexibility is allowed between personal service and expense and equipment

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $191,471

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,291,914

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23,490,891

From Federal Budget Stabilization Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 318,255

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24,323,155E

From DMH Local Tax Matching Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 552,824E

Total (Not to exceed 6.29 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $50,168,510

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$11,272,508

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

Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$12,188,751

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $913,685

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$52,012,428

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,641,681

Total (Not to exceed 1,245.15 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$54,307,655

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$12,099,701

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 577,400

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

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 683,303

For psychiatric services

From Mental Health Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .447,558

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 223,622

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11,082

Total (Not to exceed 309.30 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $13,465,266

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$19,550,623

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 319,538

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

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 412,748

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 394,414

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 917

Total (Not to exceed 521.49 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $20,358,702

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$2,947,287

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 193,761

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18,744

Total (Not to exceed 76.05 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3,159,792

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$14,813,141

Personal Service

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 289,680

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89,394

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,126

Total (Not to exceed 340.03 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $15,193,341

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 or adult and youth community programs

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $486,376

Personal Service

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 406,263

For services for children and youth

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

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150,110

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,973

Total (Not to exceed 23.00 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,048,722

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 percent (20%) flexibility is allowed between personal service and expense and equipment and not more than twenty percent (20%) flexibility is allowed between Southeast Missouri Mental Health Center and Southeast Missouri Mental Health Center – Missouri Sexual Offender Treatment Center

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$20,406,218

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 345,788

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 282,138

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

Personal Service and/or Expense and Equipment, provided that not more than twenty percent (20%) flexibility is allowed between personal service and expense and equipment and not more than twenty percent (20%) flexibility is allowed between Southeast Missouri Mental Health Center – Missouri Sexual Offender Treatment Center and Southeast Missouri Mental Health Center

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9,670,800

From Federal Budget Stabilization Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5,000,000

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27,118

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 170,698

Total (Not to exceed 881.85 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $35,902,760

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $55,593

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$13,422,051

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

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,068,060

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 509,177

Total (Not to exceed 366.47 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $15,730,489

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 percent (20%) flexibility is allowed between personal service and expense and equipment

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$6,766,967

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,528,169

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

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,720,063

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123,515

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7,116

Total (Not to exceed 214.14 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8,617,661

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 percent (20%) flexibility is allowed between personal service and expense and equipment

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,288,896

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,677,345

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

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,027,345

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55,931

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,103

Total (Not to exceed 87.26 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3,373,275

Section 10.400. To the Department of Mental Health

For the Division of Developmental Disabilities

For the purpose of funding division administration

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

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,811,651

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 303,009

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122,536

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 425,545

Total (Not to exceed 38.00 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,237,196

Section 10.405. To the Department of Mental Health

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

Personal Service and/or Expense and Equipment

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,363,262

From Federal Budget Stabilization Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,962,449

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3,685,199

To pay the state operated ICF/MR provider tax

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,582,418E

Total (Not to exceed 159.43 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $13,593,328

Section 10.410. To the Department of Mental Health

For the Division of 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$133,389,551

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .295,876,158E

For the purpose of funding community programs

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

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8,843,718

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 184,788

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

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 226,564

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

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17,790,422

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

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9,446,176

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

From Mental Health Interagency Payments Fund. . . . . . . . . . . . . . . . . . . . . . . . . . .5,443,549E

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.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $483,869,908

Section 10.415. To the Department of Mental Health

For the Division of 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 personal service and expense and equipment

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$8,616,056

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11,151,353

Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 685,150

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11,836,503

Total (Not to exceed 457.92 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $20,452,559

Section 10.420. To the Department of Mental Health

For the Division of Developmental Disabilities

For the purpose of funding developmental disabilities services

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $372,505

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

From Federal Funds (Not to exceed 7.98 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . $1,560,098

Section 10.425. 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 10.430. 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 Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . 2,743,740E

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

Section 10.500. To the Department of Mental Health

For the Division of 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 personal service and expense and equipment

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $865,101

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16,241

Total (Not to exceed 19.99 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$881,342

Section 10.505. To the Department of Mental Health

For the Division of 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 personal service and expense and equipment

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,007,895

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47,836

Total (Not to exceed 28.91 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,055,731

Section 10.510. To the Department of Mental Health

For the Division of 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 personal service and expense and equipment

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,042,109

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61,327

Total (Not to exceed 22.00 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,103,436

Section 10.515. To the Department of Mental Health

For the Division of 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 personal service and expense and equipment

From General Revenue Fund (Not to exceed 24.14 F.T.E.). . . . . . . . . . . . . . . . . . . $1,166,370

Section 10.520. To the Department of Mental Health

For the Division of 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 personal service and expense and equipment

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,724,926

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81,643

Total (Not to exceed 37.37 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,806,569

Section 10.525. To the Department of Mental Health

For the Division of 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 personal service and expense and equipment

From General Revenue Fund (Not to exceed 15.01 F.T.E.). . . . . . . . . . . . . . . . . . . . .$731,720

Section 10.530. To the Department of Mental Health

For the Division of 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 personal service and expense and equipment

From General Revenue Fund (Not to exceed 20.70 F.T.E.). . . . . . . . . . . . . . . . . . . . .$893,782

Section 10.535. To the Department of Mental Health

For the Division of 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 personal service and expense and equipment

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $894,826

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127,698

Total (Not to exceed 26.50 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,022,524

Section 10.540. To the Department of Mental Health

For the Division of 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 personal service and expense and equipment

From General Revenue Fund (Not to exceed 20.55 F.T.E.). . . . . . . . . . . . . . . . . . . . .$945,102

Section 10.545. To the Department of Mental Health

For the Division of 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 personal service and expense and equipment

From General Revenue Fund (Not to exceed 26.88 F.T.E.). . . . . . . . . . . . . . . . . . . $1,277,598

Section 10.550. To the Department of Mental Health

For the Division of 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 personal service and expense and equipment

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,197,381

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92,395

Total (Not to exceed 85.80 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3,289,776

Section 10.555. To the Department of Mental Health

For the Division of Developmental Disabilities

For the purpose of funding Bellefontaine Habilitation Center

Personal Service and/or Expense and Equipment provided that not more than fifteen percent (15%) 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 percent (20%) flexibility is allowed between personal service and expense and equipment

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$15,843,938

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

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,157,255

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38,167

Total (Not to exceed 478.29 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $17,703,175

Section 10.560. To the Department of Mental Health

For the Division of Developmental Disabilities

For the purpose of funding Higginsville Habilitation Center

Personal Service and/or Expense and Equipment, provided that not more than fifteen percent (15%) 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 percent (20%) flexibility is allowed between personal service and expense and equipment

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$9,157,221

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 281,677

For Northwest Community Services

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,617,663

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,399,421

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 496,722

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90,992

Total (Not to exceed 476.79 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $14,043,696

Section 10.565. To the Department of Mental Health

For the Division of Developmental Disabilities

For the purpose of funding Marshall Habilitation Center

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$9,798,960

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11,359,138

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 874,607

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53,935

Total (Not to exceed 697.85 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $22,086,640

Section 10.570. To the Department of Mental Health

For the Division of Developmental Disabilities

For the purpose of funding Nevada Habilitation Center

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$9,719,707

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

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38,622

Total (Not to exceed 297.11 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9,761,433

Section 10.575. To the Department of Mental Health

For the Division of Developmental Disabilities

For the purpose of funding St. Louis Developmental Disabilities Treatment Center

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$6,582,727

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12,073,264

Total (Not to exceed 626.43 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $18,655,991

Section 10.580. To the Department of Mental Health

For the Division of Developmental Disabilities

For the purpose of funding Southeast Missouri Residential Services

service and expense and equipment

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,843,231

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 329,123

Total (Not to exceed 206.48 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6,172,354

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-five percent (25%) flexibility is allowed between personal service and expense and equipment

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,047,561

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,130,890

Total (Not to exceed 54.43 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3,178,451

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-five percent (25%) flexibility is allowed between personal service and expense and equipment

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $631,371

Personal Service

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,374,849

From Missouri Public Health Services Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129,417

Expense and Equipment

From Federal Funds and Other Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,238,011

Total (Not to exceed 73.73 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6,373,648

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-five percent (25%) flexibility is allowed between personal service and expense and equipment

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$8,424,035

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19,182,744

Personal Service

From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49,242

From Health Access Incentive Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .94,028

Expense and Equipment

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

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72,526

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

From Professional and Practical Nursing Student Loan and Nurse Loan

Repayment Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .89,426

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 196,479

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

From Hazardous Waste Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 265,011

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108,540

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

From Organ Donor Program Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 190,550

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 325,199

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

From Missouri Public Health Services Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 441,706

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 360,142

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

From Department of Health and Senior Services Document Services Fund. . . . . . . . . 635,142

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174,182

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

From Department of Health - Donated Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 807,271

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73,721

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

From Putative Father Registry Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102,477

Total (Not to exceed 608.86 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $30,331,632

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$9,019,586

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$10,082,738

From Federal Budget Stabilization Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,700,000

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41,756,938

From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5,364,564

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

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

From Crippled Children Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30,000

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

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

From Head Injury Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,149,900

From Blindness Education, Screening and Treatment Program Fund. . . . . . . . . . 99,000

Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$60,670,890

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

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 Budget Stabilization Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,000,000

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174,446

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

Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,535,224

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-five percent (25%) flexibility is allowed between personal service and expense and equipment

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $695,256

From Federal Budget Stabilization Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50,000

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 236,890

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.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,192,898

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,148,731

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

From Federal Funds (Not to exceed 63.01 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . $23,328,266

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-five percent (25%) flexibility is allowed between personal service and expense and equipment

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$2,330,804

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,802,215

From Other Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,420,290

Total (Not to exceed 99.70 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9,553,309

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-five percent (25%) flexibility is allowed between personal service and expense and equipment

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$8,533,114

From Federal Budget Stabilization Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 270,872

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10,428,641

Total (Not to exceed 481.65 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $19,232,627

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,080,796

Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$11,139,093

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. 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 Federal Budget Stabilization 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 properly completed 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 fifteen (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 and the in-home provider shall be reimbursed for one authorized nurse visit to complete the nurse assessment. For authorized referrals, MO HealthNet reimbursement for personal care benefits shall be effective the date of the assessment or physician’s order, and MO HealthNet reimbursement for Waiver services shall be effective the date the state reviews and approves the care plan. At such time the state shall notify the referring entity. The department shall notify the referring entity if additional information is required to process the referral within five (5) business days of receiving the referral. The in-home provider shall be reimbursed a minimum of one (1) and no more than two (2) authorized nurse visits to make a properly completed referral. 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 thirty (30) days

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$172,438,881

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 308,965,029E

From In-Home Services Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . 1E

Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$481,403,911

Section 10.692. There is transferred out of the State Treasury from the General

Revenue Fund to the In-Home Services Reimbursement Allowance Fund

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1E

Section 10.693. There is transferred out of the State Treasury from the In-Home

Services Reimbursement Allowance Fund to the General Revenue Fund

as a result of recovering the In-Home Reimbursement Allowance Fund

From In-Home Services Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . .$1E

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 $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 and also including $2,275,197 for needs of the Area Agencies on Aging in Fiscal Year 2010 as approved by the Department

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$9,480,540

From Federal Budget Stabilization Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,421,354

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

From Elderly Home-Delivered Meals Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . 100,000

Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$42,538,121

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 Federal Budget Stabilization Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $127,500

Section 10.720. 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-five percent (25%) flexibility is allowed between personal service and expense and equipment

From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$10,715,752

From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11,915,047

From Nursing Facility Quality of Care Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,159,158

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72,171

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

From Health Access Incentive Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83,621

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61,387

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

From Mammography Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74,947

Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 206,785

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

From Early Childhood Development, Education and Care Fund. . . . . . . . . . . . . . 264,346

Total (Not to exceed 503.66 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $25,212,871

Section 10.725. 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 10.730. 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-five percent (25%) flexibility is allowed between personal service and expense and equipment

From General Revenue Fund (Not to exceed 2.80 F.T.E.). . . . . . . . . . . . . . . . . . . . . .$163,863

DEPARTMENT OF MENTAL HEALTH TOTALS

General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$591,827,992

Federal Budget Stabilization Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12,391,995

Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .572,039,513

Other Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42,271,054

Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,218,530,554

DEPARTMENT OF HEALTH AND SENIOR SERVICES TOTALS

General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$247,299,030

Federal Budget Stabilization Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4,769,726

Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .619,002,497

Other Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24,275,597

Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$895,346,850

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