FIRST REGULAR SESSION
[TRULY AGREED TO AND FINALLY PASSED]
CONFERENCE COMMITTEE SUBSTITUTE NO. 2 FOR
SENATE COMMITTEE SUBSTITUTE FOR
HOUSE COMMITTEE SUBSTITUTE FOR
95TH GENERAL ASSEMBLY
AN ACT
To appropriate money for the expenses, grants, and distributions of the Department of Social Services and the Office of Administration and the several divisions and programs thereof to be expended only as provided in Article IV, Section 28 of the Constitution of Missouri, 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 11.005. To the Department of Social Services
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 equipmentFrom General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $390,901
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 Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13,879
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 equipmentFrom Child Support Enforcement Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . 63,883
Total (Not to exceed 6.00 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$468,663
Section 11.010. To the Department of Social Services
For the Office of Administration
For administration of central mail personnel and resources by the Division of General 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $309,116
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29,151
From Child Support Enforcement Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . 10,713
Total (Not to exceed 9.00 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$348,980
Section 11.015. To the Department of Social Services
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
From Federal Funds and Other Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,954,958E
Section 11.020. To the Department of Social Services
For the Office of the Director
For the Human Resources 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $305,126
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 227,144
Total (Not to exceed 11.52 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$532,270
Section 11.025. To the Department of Social Services
For the Office of the Director
For the purpose of funding field and line training
Expense and Equipment
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $136,782
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131,840
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $268,622
Section 11.030. To the Department of Social Services
For the Division of Finance and Administrative 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$2,183,202
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,253,528
From Department of Social Services Administrative Trust Fund. . . . . . . . . . . . . . . . . . . .4,283
From Child Support Enforcement Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . 50,136
For the purpose of funding the centralized inventory system, for reimbursable goods and services provided by the department, and for related equipment replacement and maintenance expenses
From Department of Social Services Administrative Trust Fund. . . . . . . . . . . . . . . 5,447,752
Total (Not to exceed 87.50 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8,938,901
Section 11.035. To the Department of Social Services
For the Division of Finance and Administrative Services
For the payment of fees to contractors who engage in revenue maximization projects on behalf of the Department of Social Services
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $250,000E
Section 11.040. To the Department of Social Services
For the Division of Finance and Administrative Services
For the purpose of funding the receipt and disbursement of refunds and incorrectly deposited receipts to allow the over-collection of accounts receivables to be paid back to the recipient
From Federal Funds and Other Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$2,500,000E
Section 11.045. To the Department of Social Services
For the Division of Finance and Administrative Services
For the purpose of funding payments to counties toward the care and maintenance of each delinquent or dependent child as provided in Section 211.156, RSMo
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$2,484,608
Section 11.050. To the Department of Social Services
For the Division of Legal 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,761,460
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3,675,444
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 668,140
From Child Support Enforcement Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . 166,003
Total (Not to exceed 126.97 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6,271,047
Section 11.055. To the Department of Social Services
For the Family Support Division
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $954,811
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19,058,126
From Child Support Enforcement Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . 1,497,550
Total (Not to exceed 170.95 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $21,510,487
Section 11.060. To the Department of Social Services
For the Family Support Division
For the income maintenance field staff and operations
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$26,368,221
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65,292,138
From Child Support Enforcement Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . 598,928
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 792,579
Total (Not to exceed 2,816.15 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$93,051,866
Section 11.065. To the Department of Social Services
For the Family Support Division
For income maintenance and child support staff training
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $285,870
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136,449
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $422,319
Section 11.070. To the Department of Social Services
For the Family Support Division
For the purpose of funding the electronic benefit transfers (EBT) system to reduce fraud, waste, and abuse
Expense and Equipment
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,754,203
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,341,516
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$7,095,719
Section 11.075. To the Department of Social Services
For the Family Support Division
For the purpose of funding the receipt of funds from the Polk County and Bolivar Charitable Trust for the exclusive benefit and use of the Polk County Office
From Family Support and Children’s Divisions Donations Fund. . . . . . . . . . . . . . . . $10,000E
Section 11.080. To the Department of Social Services
For the Family Support Division
For the purpose of funding contractor, hardware, and other costs associated with planning, development, and implementation of a Family Assistance Management Information System (FAMIS)
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$2,032,119
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,788,405
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,820,524
Section 11.085. To the Department of Social Services
For the Family Support Division
For the purpose of funding Community Partnerships
Personal Service
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $93,124
For grants and contracts to Community Partnerships and other community initiatives and related expenses
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 582,000
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7,483,799
For Missouri Mentoring Partnership
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 606,781
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 778,143
For the purpose of funding a program for adolescent boys with the
goal of preventing teen pregnancies
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 300,000
Total (Not to exceed 2.00 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9,843,847
Section 11.090. To the Department of Social Services
For the Family Support Division
For the purpose of funding the Family Nutrition Education Program
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$9,294,560
Section 11.095. To the Department of Social Services
For the Family Support Division
For the purpose of funding the payment of Temporary Assistance for Needy Families (TANF) benefits, and for a transitional benefit and for community work support programs provided that total funding herein is sufficient to fund TANF benefits, provided that $1,700,000 of TANF federal funds is set aside from total funding herein to fund a St. Louis County pilot project to help increase TANF work participation
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$8,587,706
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .115,445,760E
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$124,033,466
Section 11.100. To the Department of Social Services
For the Family Support Division
For the purpose of funding supplemental payments to aged or disabled persons
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $69,665
Section 11.105. To the Department of Social Services
For the Family Support Division
For the purpose of funding nursing care payments to aged, blind, or disabled persons, and for personal funds to recipients of Supplemental Nursing Care payments as required by Section 208.030, RSMo
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$25,807,581
Section 11.110. To the Department of Social Services
For the Family Support Division
For the purpose of funding Blind Pension and supplemental payments to blind persons
From Blind Pension Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $29,148,100
Section 11.115. To the Department of Social Services
For the Family Support Division
For the purpose of funding benefits and services as provided by the Indochina Migration and Refugee Assistance Act of 1975 as amended and for the immigration pilot project
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,808,853
Section 11.120. To the Department of Social Services
For the Family Support Division
For the purpose of funding community services programs provided by Community Action Agencies, including programs to assist the homeless, under the provisions of the Community Services Block Grant
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$19,144,171
Section 11.125. To the Department of Social Services
For the Family Support Division
For the purpose of funding grants for local initiatives to assist the homeless
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $500,000
Section 11.130. To the Department of Social Services
For the Family Support Division
For the purpose of funding the Emergency Shelter Grant Program
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,340,000
Section 11.135. To the Department of Social Services
For the Family Support Division
For the purpose of funding the Surplus Food Distribution Program and the receipt and disbursement of Donated Commodities Program payments
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,175,585
Section 11.140. To the Department of Social Services
For the Family Support Division
For the purpose of funding the Low-Income Home Energy Assistance Program
From Federal Funds (Not to exceed 6.50 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . $40,826,051E
Section 11.145. To the Department of Social Services
For the Family Support Division
For the purpose of funding services and programs to assist victims of domestic violence
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$4,750,000
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,687,653
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$6,437,653
Section 11.150. To the Department of Social Services
For the Family Support Division
For the purpose of funding administration of blind 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $85,114
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3,798,473
From Blind Pension Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,109,455
Total (Not to exceed 117.87 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $4,993,042
Section 11.155. To the Department of Social Services
For the Family Support Division
For the purpose of funding services for the visually impaired
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$6,372,075
From Blind Pension Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,737,081
From Family Support and Children’s Divisions Donations Fund. . . . . . . . . . . . . . . . . . 99,995
From Blindness Education, Screening and Treatment Program Fund. . . . . . . . . . . . 250,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$8,459,151
Section 11.160. To the Department of Social Services
For the Family Support Division
For the purpose of funding Child Support Enforcement field staff and operations
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$4,181,342
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24,132,250
From Child Support Enforcement Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . 7,443,814
Total (Not to exceed 861.24 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $35,757,406
Section 11.165. To the Department of Social Services
For the Family Support Division
For the purpose of funding payments to private agencies collecting child support orders and arrearages
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $690,000E
From Child Support Enforcement Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . 360,000E
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,050,000
Section 11.170. To the Department of Social Services
For the Family Support Division
For the purpose of funding reimbursement to counties and the City of St. Louis and contractual agreements with local governments providing child support enforcement services and for incentive payments to local governments
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$2,785,855
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13,568,621E
From Child Support Enforcement Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . 927,563
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$17,282,039
Section 11.175. To the Department of Social Services
For the Family Support Division
For the purpose of funding payment to the federal government for reimbursement of federal Temporary Assistance for Needy Families payments, incentive payments to other states, refunds of bonds, refunds of support payments or overpayments, and distributions to families
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$31,500,000E
From Debt Offset Escrow Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9,000,000E
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$40,500,000
Section 11.180. There is transferred out of the State Treasury from the Department of Social Services Federal and Other Fund to the Job Development and Training Fund
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,971,614
Section 11.185. There is transferred out of the State Treasury from the Debt Offset Escrow Fund to the Department of Social Services Federal and Other Fund and/or the Child Support Enforcement Collections Fund
From Debt Offset Escrow Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $700,000E
Section 11.190. To the Department of Social Services
For the Children’s Division
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,060,881
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5,886,452
From Early Childhood Development, Education and Care Fund. . . . . . . . . . . . . . . . . . .56,139
Expense and Equipment
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50,000
Total (Not to exceed 104.30 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $7,053,472
Section 11.195. To the Department of Social Services
For the Children’s Division
For the Children’s Division field staff and operations
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$28,628,568
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45,677,185
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96,866
Total (Not to exceed 1,942.45 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$74,402,619
Section 11.200. To the Department of Social Services
For the Children’s Division
For the purpose of funding Child Welfare Accreditation
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,894,942
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,803,775
Total (Not to exceed 152.50 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8,698,717
Section 11.205. To the Department of Social Services
For the Children’s Division
For Children’s Division staff training
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $892,028
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 384,041
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,276,069
Section 11.210. To the Department of Social Services
For the Children’s Division
For the purpose of funding children’s treatment services provided that such programs are in existence as of the effective date of this section including, but not limited to, home-based services, day treatment services, preventive services, child care, family reunification services, or intensive in-home services
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$6,810,191
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5,166,047
For the purpose of funding crisis nursery
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,350,000
For the purpose of funding teen crisis care
From Federal Budget Stabilization Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 400,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$13,726,238
Section 11.215. To the Department of Social Services
For the Children’s Division
For the purpose of funding grants to local community-based programs to strengthen the child welfare system locally to prevent child abuse and neglect and divert children from entering into the custody of the Children’s Division
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,900,000
Section 11.220. To the Department of Social Services
For the Children’s Division
For the purpose of funding placement costs including foster care payments; related services; expenses related to training of foster parents; residential treatment placements and therapeutic treatment services; and for the diversion of children from inpatient psychiatric treatment and services provided through comprehensive, expedited permanency systems of care for children and families
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$57,769,636
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30,822,478
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$88,592,114
Section 11.225. To the Department of Social Services
For the Children’s Division
For the purpose of providing comprehensive case management contracts through community-based organizations as described in Section 210.112, RSMo. The purpose of these contracts shall be to provide a system of care for children living in foster care, independent living, or residential care settings. Services eligible under this provision may include, but are not limited to, case management, foster care, residential treatment, intensive in-home services, family reunification services, and specialized recruitment and training of foster care families
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$14,993,210
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10,163,856
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$25,157,066
Section 11.230. To the Department of Social Services
For the Children’s Division
For the purpose of funding Adoption and Guardianship subsidy payments and related services
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$58,449,953
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23,289,411
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$81,739,364
Section 11.235. To the Department of Social Services
For the Children's Division
For the purpose of funding Adoption Resource Centers
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $200,000
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $300,000
Section 11.240. To the Department of Social Services
For the Children’s Division
For the purpose of funding independent living placements and transitional living payment services
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,690,790
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,423,228
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$6,114,018
Section 11.245. To the Department of Social Services
For the Children’s Division
For the purpose of supplementing appropriations for children’s treatment services; alternative care placement services; adoption subsidy services; independent living services; psychiatric diversion services and services provided through comprehensive, expedited permanency systems of care for children and families
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$8,247,347
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,773,261
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$15,020,608
Section 11.250. To the Department of Social Services
For the Children’s Division
For the purpose of funding Regional Child Assessment Centers
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,498,952
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$2,298,952
Section 11.255. To the Department of Social Services
For the Children’s Division
For the purpose of funding residential placement payments to counties for children in the custody of juvenile courts
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $400,000
Section 11.260. To the Department of Social Services
For the Children’s Division
For the purpose of funding the Child Abuse and Neglect Prevention Grant and Children’s Justice Act Grant
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $188,316
Section 11.265. To the Department of Social Services
For the Children’s Division
For the purpose of funding transactions involving personal funds of children in the custody of the Children’s Division or the Division of Youth Services
From Alternative Care Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $12,000,000E
Section 11.270. To the Department of Social Services
For the Children’s Division
For the purpose of funding child care services, the general administration of the programs and to support the Educare Program
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$66,837,747
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .111,402,702
From Early Childhood Development, Education and Care Fund. . . . . . . . . . . . . . . . 1,548,152
For the purpose of payments to accredited child care providers pursuant to Chapter 313, RSMo
From Early Childhood Development, Education and Care Fund. . . . . . . . . . . . . . . . 3,074,500
For the purpose of funding early childhood start-up and expansion grants pursuant to Chapter 313, RSMo
From Early Childhood Development, Education and Care Fund. . . . . . . . . . . . . . . . 3,689,400
For the purpose of funding early childhood development, education, and care programs for low-income families pursuant to Chapter 313, RSMo
From Early Childhood Development, Education and Care Fund. . . . . . . . . . . . . . . . 3,074,500
For the purpose of funding certificates to low-income, at-home families pursuant to Chapter 313, RSMo
From Early Childhood Development, Education and Care Fund. . . . . . . . . . . . . 3,074,500
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$192,701,501
Section 11.275. To the Department of Social Services
For the Division of Youth Services
For the purpose of funding Central Office and Regional Offices
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,437,793
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 668,320
Total (Not to exceed 42.33 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,106,113
Section 11.280. To the Department of Social Services
For the Division of Youth Services
For the purpose of funding treatment services, including foster care and contractual payments
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$21,181,594
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28,539,631
From DOSS Educational Improvement Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,853,082
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135,503
Expense and Equipment
From Youth Services Products Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1E
For the purpose of paying overtime to nonexempt state employees as required by Section 105.935, RSMo, and/or for otherwise authorized Personal Service expenditures in lieu of such overtime payments
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,110,391
Total (Not to exceed 1,368.81 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$56,820,202
Section 11.285. To the Department of Social Services
For the Division of Youth Services
For the purpose of funding incentive payments to counties for community-based treatment programs for youth
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,767,880
From Gaming Commission Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 500,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$4,267,880
Section 11.400. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding administrative 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$4,711,705
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9,566,475
From Pharmacy Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25,476
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 335,180
From Nursing Facility Quality of Care Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90,794
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 867,770
From Missouri Rx Plan Fund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 787,859
Total (Not to exceed 263.11 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $16,385,259
Section 11.405. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding health care technology projects and initiatives to improve the delivery of care, reduce administrative burdens, and reduce waste, fraud, and abuse
From Health Care Technology Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3,000,000
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,500,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,500,000
Section 11.410. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding clinical services management related to the administration of the MO HealthNet Pharmacy fee-for-service and managed care programs and administration of the Missouri Rx Plan
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $551,123
From Federal Budget Stabilization Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,187,500
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12,215,288
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 924,911
From Missouri Rx Plan Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,160,894
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$20,039,716
Section 11.415. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding women and minority health care outreach
programs
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $546,125
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 568,625
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,114,750
Section 11.420. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding a revenue maximization unit in the MO HealthNet Division
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $92,019
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8,114
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100,133
Personal Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92,019
Expense and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8,114
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100,133
Total (Not to exceed 4.00 F.T.E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$200,266
Section 11.425. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding fees associated with third-party collections and other revenue maximization cost avoidance fees
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,500,000E
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,500,000E
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,000,000
Section 11.430. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding the operation of the information systems
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,565,516
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21,629,251
For the purpose of funding the modernization of the Medicaid Management Information System (MMIS) and the operation of the information systems
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31,670,598
From Health Care Technology Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,296,733
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$64,162,098
Section 11.432. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding contractor payments associated with a care
coordination program for MO HealthNet recipients
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$3,000,000
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,375,209
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$8,375,209
Section 11.435. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding pharmaceutical payments and program expenses under the MO HealthNet and Missouri Rx Plan authorized by Sections 208.780 through 208.798, RSMo and for Medicare Part D Clawback payments and for administration of these programs. The line item appropriations within this section may be used for any other purpose for which line item funding is appropriated within this section provided that not more than $350,000 of the appropriations within this section shall be used to fund the Missouri RX Plan Advisory Commission’s expenses
For the purpose of funding pharmaceutical payments under the MO HealthNet fee-for-service and managed care programs and for the purpose of funding professional fees for pharmacists and for a comprehensive chronic care risk management program and for the treatment of Sickle Cell Disease using the comprehensive chronic care risk management model as implemented by the state’s Chronic Care Improvement Program. And further provided that
the aggregate dispensing fee and aggregate reimbursement rates
shall be no less than the rates in FY2009
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$125,426,149
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .606,750,829
From Life Sciences Research Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28,725,000
From Pharmacy Rebates Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .96,130,097E
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5,252,468
From Pharmacy Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . 60,479,712E
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 969,293
From Healthy Families Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,041,034
From Premium Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,800,000
For the purpose of funding Medicare Part D Clawback payments and for funding MO HealthNet pharmacy payments as authorized by the provisions of Section 11.435
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .185,000,000
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1E
For the purpose of funding pharmaceutical payments under the Missouri Rx Plan authorized by Sections 208.780 through 208.798, RSMo
From Missouri Rx Plan Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,781,772E
From Healthy Families Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13,820,394
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,133,176,749
Section 11.440. There is transferred out of the State Treasury from the General Revenue Fund to the Pharmacy Reimbursement Allowance Fund
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$30,000,000E
Section 11.445. There is transferred out of the State Treasury from the Pharmacy Reimbursement Allowance Fund to the General Revenue Fund as a result of recovering the Pharmacy Reimbursement Allowance Fund
From Pharmacy Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . $30,000,000E
Section 11.450. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding physician services and related services including, but not limited to, clinic and podiatry services, telemedicine services, physician-sponsored services and fees, laboratory and x-ray services, and family planning services under the MO HealthNet fee-for-service and managed care programs and for a comprehensive chronic care risk management program and Major Medical Prior Authorization and for the treatment of Sickle Cell Disease using the comprehensive chronic care risk management model as implemented by the state’s Chronic Care Improvement Program
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$164,521,124
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .324,089,254
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,906,107
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,247,544
From Healthy Families Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,041,034
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$492,805,063
Section 11.455. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding dental services under the MO HealthNet fee-for-service and managed care programs and for the treatment of Sickle Cell Disease using the comprehensive chronic care risk management model as implemented by the state’s Chronic Care Improvement Program
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$4,761,170
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10,253,383
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71,162
From Healthy Families Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 848,773
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$15,934,488
Section 11.460. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding payments to third-party insurers, employers, or policyholders for health insurance
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$55,028,382
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102,606,126
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$157,634,508
Section 11.465. To the Department of Social Services
For the MO HealthNet Division
For funding long-term care services
For the purpose of funding care in nursing facilities or other long-term care services under the MO HealthNet fee-for-service and managed care programs and for contracted services to develop model policies and practices that improve the quality of life for long-term care residents and for the treatment of Sickle Cell Disease using the comprehensive chronic care risk management model as implemented by the state’s Chronic Care Improvement Program
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$150,973,789
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .403,485,546
From Uncompensated Care Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58,516,478
From Nursing Facility Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . .9,134,756
From Healthy Families Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17,973
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,592,981
For the purpose of funding home health for the elderly, or other long-term care services under the MO HealthNet fee-for-service and managed care programs
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,393,434
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4,573,837
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159,305
For the purpose of funding Program for All-Inclusive Care for the Elderly, or other long-term care services under the MO HealthNet fee-for-service and managed care programs
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,251,372
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,073,454
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$638,172,925
Section 11.470. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding all other non-institutional services provided that such programs and services are in existence as of the effective date of this section including, but not limited to, rehabilitation, optometry, audiology, ambulance, non-emergency medical transportation, durable medical equipment, and eyeglasses under the MO HealthNet fee-for-service and managed care programs, and for rehabilitation services provided by residential treatment facilities as authorized by the Children’s Division for children in the care and custody of the Children’s Division and for the treatment of Sickle Cell Disease using the comprehensive chronic care risk management model as implemented by the state’s Chronic Care Improvement Program. A portion of this funding allows for contracted services related to prior authorization of certain MO HealthNet services
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$76,671,333
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .155,151,728
From Nursing Facility Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . .1,414,043
From Healthy Families Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .831,745
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 194,881
From Ambulance Service Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . 9,069,225E
For the purpose of funding non-emergency medical transportation and for the treatment of Sickle Cell Disease using the comprehensive chronic care risk management model as implemented by the state’s Chronic Care Improvement Program
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11,400,003
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20,584,219
For the purpose of funding the federal share of MO HealthNet reimbursable non-emergency medical transportation for public entities
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,460,100
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$281,777,277
Section 11.472. There is transferred out of the State Treasury from
the General Revenue Fund to the Ambulance Service
Reimbursement Allowance Fund
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$9,069,225E
Section 11.473. There is transferred out of the State Treasury from the Ambulance Service Reimbursement Allowance Fund to the General Revenue Fund as a result of recovering the Ambulance Service Reimbursement Allowance Fund
From Ambulance Service Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . $9,069,225E
Section 11.475. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding the payment to comprehensive prepaid health care plans or for payments to providers of health care services for persons eligible for medical assistance under the MO HealthNet fee-for-service programs or State Medical Program as provided by federal or state law or for payments to programs authorized by the Frail Elderly Demonstration Project Waiver as provided by the Omnibus Budget Reconciliation Act of 1990 (P.L. 101-508, Section 4744) and by Section 208.152 (16), RSMo
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$248,151,985
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .688,308,950
From MO HealthNet Managed Care Organization Reimbursement
Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11,478,156E
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8,055,080
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . 93,533,441
From Healthy Families Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,447,110
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,053,974,722
Section 11.480. There is transferred out of the State Treasury from the General Revenue Fund to the MO HealthNet Managed Care Organization Reimbursement Allowance Fund
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$21,400,000E
Section 11.485. There is transferred out of the State Treasury from the MO HealthNet Managed Care Organization Reimbursement Allowance Fund to the General Revenue Fund as a result of recovering the MO HealthNet Managed Care Organization Reimbursement Allowance Fund
From MO HealthNet Managed Care Organization Reimbursement
Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$21,400,000E
Section 11.490. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding hospital care under the MO HealthNet fee-for-service and managed care programs, and for a comprehensive chronic care risk management program and for the treatment of Sickle Cell Disease using the comprehensive chronic care risk management model as implemented by the state’s Chronic Care Improvement Program. The MO HealthNet Division may adjust state Fiscal Year 2010 costs of the uninsured payments to hospitals to reflect the impact on hospitals of the elimination of MO HealthNet coverage for adults with incomes above the TANF level and who were covered through a Section 1931 transfer. The MO HealthNet Division shall track payments to out-of-state hospitals by location and by services for adults and by services for children
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$35,925,422
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .473,713,006
From Uncompensated Care Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32,483,522
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . 148,498,958
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,797,179
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,062,735
From Healthy Families Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,365,987
For Safety Net Payments
From Healthy Families Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30,365,444
For Graduate Medical Education
From Healthy Families Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10,000,000
For the purpose of funding a community-based care coordinating program that includes in-home visits and/or phone contact by a nurse care manager or electronic monitor. The purpose of such program shall be to ensure that patients are discharged from hospitals to an appropriate level of care and services and that targeted MO HealthNet beneficiaries with chronic illnesses and high-risk pregnancies receive care in the most cost-effective setting. Areas of implementation shall include, but not be limited to, Greene County. The project shall be contingent upon adoption of an offsetting increase in the applicable provider tax and administered by the MO HealthNet Division's Disease Management Program
From Federal Budget Stabilization Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 200,000
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 400,000
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .200,000
For the purpose of funding hospital care under the MO HealthNet fee-for-service and managed care programs, and funding costs incurred by hospitals for the staffing of the emergency department with MO HealthNet enrolled physicians of Level I, II, III Trauma Centers as defined by the Department of Health and Senior Services and Critical Access Hospitals as defined by the Department of Social Services, MO HealthNet Division, contingent upon adoption of an offsetting increase in the applicable provider tax
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30,000,000E
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . 20,000,000E
For the purpose of continuing funding in Southwest Missouri and metropolitan Kansas City Regions of the pager project facilitating medication compliance for the chronically ill MO HealthNet participants identified by the Division as having high utilization of acute care because of poor management of their condition. The project shall be contingent upon adoption of an offsetting increase in the applicable provider tax and administered by the MO HealthNet Division's Disease Management Program
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 215,000
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . 215,000
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$788,442,253
Section 11.495. To the Department of Social Services
For the MO HealthNet Division
For payment to Tier 1 Safety Net Hospitals, by maximizing eligible costs for federal Medicaid funds, utilizing current state and local funding sources as match for services that are not currently matched with federal Medicaid payments
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$8,000,000E
Section 11.500. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding grants to Federally Qualified Health Centers
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$9,250,000
Section 11.505. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding a pilot project for rural health clinics using telehealth
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $265,000
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 436,430
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $701,430
Section 11.510. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding payments to hospitals under the Federal Reimbursement Allowance Program including state costs to pay for an independent audit of DSH payments as required by CMS and for the expenses of the Poison Control Center in order to provide services to all hospitals within the state
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . $799,784,207E
Section 11.511. To the Department of Social Services
There is hereby transferred out of the State Treasury, chargeable to the
Department of Social Services Intergovernmental Transfer Fund
to the General Revenue Fund for the purpose of providing the
state match for Medicaid payments
From Department of Social Services Intergovernmental Transfer Fund. . . . . . . .$82,200,000E
Section 11.512. To the Department of Social Services
For the Mo HealthNet Division
For the purpose of funding payments to the Tier 1 Safety Net Hospitals
using Intergovernmental transfers
From Department of Social Services Intergovernmental Transfer Fund. . . . . . . .$66,300,000E
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .112,900,000E
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$179,200,000
Section 11.515. To the Department of Social Services
For the MO HealthNet Division
For funding extended women’s health services using fee-for-service, prepaid health plans, or other alternative service delivery and reimbursement methodology approved by the director of the Department of Social Services
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,245,779
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11,833,516
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .167,756
From Pharmacy Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49,034
For the purpose of funding health care services provided to uninsured adults through local initiatives for the uninsured
From Federal and Other Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1E
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$13,296,086
Section 11.517. To the Department of Social Services
For the MO HealthNet Division
For the purpose of implementing and administering the Show-Me Health Coverage Plan as established by SB 306, however, such appropriation shall be contingent upon passage and approval of SB 306 by the 95th General Assembly, First Regular Session and signing into law of SB 306
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . $52,615,793
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94,273,635
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$146,889,428
Section 11.520. To the Department of Social Services
For the MO HealthNet Division
For funding programs to enhance access to care for uninsured children using fee-for-services, prepaid health plans, or other alternative service delivery and reimbursement methodology approved by the director of the Department of Social Services. Provided that families of children receiving services under this section shall pay the following premiums to be eligible to receive such services: zero percent on the amount of a family’s income which is less than 150 percent of the federal poverty level; four percent on the amount of a family’s income which is less than 185 percent of the federal poverty level but greater than 150 percent of the federal poverty level; eight percent of the amount on a family’s income which is less than 225 percent of the federal poverty level but greater than 185 percent of the federal poverty level; fourteen percent on the amount of a family’s income which is less than 300 percent of the federal poverty level but greater than 225 percent of the federal poverty level not to exceed five percent of total income. Families with an annual income of more than 300 percent of the federal poverty level are ineligible for this program
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$30,895,887
From MO HealthNet Managed Care Organization Reimbursement
Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 267,800
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .143,144,832
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7,719,204
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5,375,576
From Pharmacy Rebates Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 225,430
From Pharmacy Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . .907,611
From Premium Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,592,452
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$191,128,792
Section 11.525. There is transferred out of the State Treasury from the General Revenue Fund to the Federal Reimbursement Allowance Fund
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$450,000,000E
Section 11.530. There is transferred out of the State Treasury from the Federal Reimbursement Allowance Fund to the General Revenue Fund as a result of recovering the Federal Reimbursement
Allowance Fund
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . $450,000,000E
Section 11.535. There is transferred out of the State Treasury from the General Revenue Fund to the Nursing Facility Federal Reimbursement Allowance Fund
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$120,000,000E
Section 11.540. There is transferred out of the State Treasury from the Nursing Facility Federal Reimbursement Allowance Fund to the General Revenue Fund as a result of recovering the Nursing Facility Federal Reimbursement Allowance Fund
From Nursing Facility Federal Reimbursement Allowance Fund. . . . . . . . . . . .$120,000,000E
Section 11.545. There is transferred out of the State Treasury from the Nursing Facility Federal Reimbursement Allowance Fund to the Nursing Facility Quality of Care Fund
From Nursing Facility Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . .$1,500,000
Section 11.550. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding Nursing Facility Federal Reimbursement Allowance payments as provided by law
From Nursing Facility Federal Reimbursement Allowance Fund. . . . . . . . . . . .$235,091,756E
Section 11.555. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding MO HealthNet services for the Department of Elementary and Secondary Education under the MO HealthNet fee-for-service and managed care programs
From General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $69,954
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33,299,954E
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$33,369,908
Section 11.560. To the Department of Social Services
For the MO HealthNet Division
For the purpose of funding medical benefits for recipients of the state medical programs, including coverage in managed care programs and for the treatment of Sickle Cell Disease using the comprehensive chronic care risk management model as implemented by the state’s Chronic Care Improvement ProgramFrom General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$29,421,161
From Pharmacy Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . 1,460,328
From Health Initiatives Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 353,437
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$31,234,926
Section 11.565. To the Department of Social Services
For the MO HealthNet Division
For the purpose of supplementing appropriations for any medical service under the MO HealthNet fee-for-service, managed care, or state medical programs, including related services and for the treatment of Sickle Cell Disease using the comprehensive chronic care risk management model as implemented by the state’s Chronic Care Improvement Program, provided that the funds appropriated herein shall not be used to implement new programs or services and that such programs and services are in existence as of the effective date of this section
From Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$24,107,486
From Premium Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,837,940
From Third Party Liability Collections Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7,571,156
From Uncompensated Care Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
From Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
From Nursing Facility Federal Reimbursement Allowance Fund. . . . . . . . . . . . . . 181,500
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$35,698,084
BILL TOTALS
General Revenue Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,520,263,903
Federal Budget Stabilization Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,787,500
Federal Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,006,249,143
Other Funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,945,406,004
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $7,474,706,550
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