FIRST REGULAR SESSION
HOUSE BILL NO. 11
103RD GENERAL ASSEMBLY
INTRODUCED BY REPRESENTATIVE DEATON.
0011H.01I JOSEPH ENGLER, Chief Clerk
AN ACT
To appropriate money for the expenses, grants, refunds, and distributions of the Department of
Social Services and the several divisions and programs thereof to be expended only as
provided in Article IV, Section 28 of the Constitution of Missouri, and to transfer
money among certain funds for the period beginning July 1, 2025, and ending June 30,
2026.
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 1
Article IV, Section 28 of the Constitution of Missouri, for the purpose of funding each 2
department, division, agency, fund transfer, and program described herein for the item or items 3
stated, and for no other purpose whatsoever chargeable to the fund designated for the period 4
beginning July 1, 2025, and ending June 30, 2026, as follows: 5
Section 11.005. To the Department of Social Services 1
For the Office of the Director 2
For the Director’s Office, provided three percent (3%) flexibility is 3
allowed from this section to Section 11.905 4
Personal Service ................................................................................................$154,437 5
Annual salary adjustment in accordance with Section 105.005, 6
RSMo ......................................................................................................................6,362 7
Expense and Equipment ........................................................................... 33,601 8
From General Revenue Fund ..........................................................................................194,400 9
Personal Service ..................................................................................................183,905 10
Annual salary adjustment in accordance with Section 105.005, 11
RSMo ......................................................................................................................2,740 12 HB 11 2
Expense and Equipment ........................................................................... 1,197
13
From Federal Funds ........................................................................................................187,842 14
Personal Service ....................................................................................................43,323 15
Annual salary adjustment in accordance with Section 105.005, 16
RSMo ....................................................................................................... 685 17
From Child Support Enforcement Fund .............................................................. 44,008 18
Total ..............................................................................................................................$426,250 19
Section 11.010. To the Department of Social Services 1
For the Office of the Director 2
For the Director’s Office, Children’s Division Residential Program Unit 3
For administrative expenses 4
Personal Service .............................................................................................$1,412,834 5
Expense and Equipment ........................................................................... 171,584 6
From General Revenue Fund .......................................................................................1,584,418 7
Personal Service ..................................................................................................560,757 8
Expense and Equipment ........................................................................... 17,566 9
From Federal Funds ............................................................................................. 578,323 10
Total ...........................................................................................................................$2,162,741 11
Section 11.015. To the Department of Social Services 1
For the Office of the Director 2
For receiving and expending grants, donations, contracts, and payments 3
from private, federal, and other governmental agencies which 4
may become available between sessions of the General Assembly 5
provided that the General Assembly shall be notified of the 6
source of any new funds and the purpose for which they shall be 7
expended, in writing, prior to the use of said funds 8
From Federal Funds ...................................................................................................$2,000,000 9
From Family Services Donations Fund ............................................................... 33,999 10
Total ...........................................................................................................................$2,033,999 11
Section 11.020. To the Department of Social Services 1
Funds are to be transferred out of the State Treasury to the OA 2
Information Technology Federal Fund 3
From Federal Funds .................................................................................................$25,153,300 4
Section 11.025. To the Department of Social Services 1 HB 11 3
For the Office of the Director 2
For the Human Resources Center, provided three percent (3%) flexibility 3
is allowed from this section to Section 11.905 4
Personal Service ................................................................................................$377,106 5
Expense and Equipment ........................................................................... 11,062
6
From General Revenue Fund ..........................................................................................388,168 7
Personal Service ..................................................................................................235,005 8
Expense and Equipment ........................................................................... 29,831 9
From Federal Funds ........................................................................................................264,836 10
Personal Service 11
From Temporary Assistance for Needy Families Federal Fund .......................... 28,577 12
Total ..............................................................................................................................$681,581 13
Section 11.030. To the Department of Social Services 1
For the Office of the Director 2
For the State Technical Assistance Team (STAT) 3
For the prevention and investigation of child abuse, child neglect, child 4
sexual abuse, child exploitation/pornography or child fatality 5
cases, as described in Sections 660.520 to 660.528, RSMo, and 6
for administrative expenses, provided five percent (5%) 7
flexibility is allowed between personal service and expense and 8
equipment; and further provided three percent (3%) flexibility is 9
allowed from this section to Section 11.905 10
Personal Service .............................................................................................$2,039,768 11
Expense and Equipment ........................................................................... 223,512 12
From General Revenue Fund .....................................................................................$2,263,280 13
Section 11.035. To the Department of Social Services 1
For the Office of the Director 2
For the Missouri Medicaid Audit and Compliance Unit, provided five 3
percent (5%) flexibility is allowed between personal service and 4
expense and equipment, and further provided three percent (3%) 5
flexibility is allowed from this section to Section 11.905 6
Personal Service .............................................................................................$1,976,621 7
Expense and Equipment ........................................................................... 400,031 8
From General Revenue Fund .......................................................................................2,376,652 9
Personal Service ...............................................................................................2,469,950 10 HB 11 4
Expense and Equipment ........................................................................... 900,468
11
From Federal Funds .....................................................................................................3,370,418 12
Personal Service ....................................................................................................14,157 13
Expense and Equipment ........................................................................... 4,095 14
From FMAP Enhancement – Expansion Fund .................................................................18,252 15
Expense and Equipment 16
From Recovery Audit and Compliance Fund ...................................................................82,087 17
Personal Service ..................................................................................................342,361 18
Expense and Equipment ........................................................................... 141,946 19
From Medicaid Provider Enrollment Fund .......................................................... 484,307 20
Total ...........................................................................................................................$6,331,716 21
Section 11.040. To the Department of Social Services 1
For the Office of the Director 2
For the Missouri Medicaid Audit and Compliance Unit 3
For a case management, provider enrollment, and fraud abuse and 4
detection system, provided three percent (3%) flexibility is 5
allowed from this section to Section 11.905 6
Expense and Equipment 7
From General Revenue Fund .....................................................................................$1,141,709 8
From Federal Funds ............................................................................................. 5,858,291 9
Total ...........................................................................................................................$7,000,000 10
Section 11.045. To the Department of Social Services 1
For the Office of the Director 2
For the Missouri Medicaid Audit and Compliance Unit 3
For the design, development, implementation, maintenance, and 4
operation costs for a Medicaid provider enrollment system 5
Expense and Equipment 6
From General Revenue Fund ........................................................................................$623,806 7
From Federal Funds ............................................................................................. 5,614,256 8
Total ...........................................................................................................................$6,238,062 9
Section 11.050. To the Department of Social Services 1
For the Office of the Director 2
For the Missouri Medicaid Audit and Compliance Unit 3
For recovery audit services 4 HB 11 5
Expense and Equipment 5
From Recovery Audit and Compliance Fund ............................................................$1,200,000 6
Section 11.055. To the Department of Social Services 1
For the Division of Finance and Administrative Services, provided three 2
percent (3%) flexibility is allowed from this section to Section 3
11.905 4
Personal Service .............................................................................................$2,251,869 5
Expense and Equipment ........................................................................... 382,475
6
From General Revenue Fund .......................................................................................2,634,344 7
Personal Service ...............................................................................................1,310,944 8
Expense and Equipment ........................................................................... 251,218 9
From Federal Funds .....................................................................................................1,562,162 10
Personal Service ......................................................................................................5,246 11
Expense and Equipment ........................................................................... 317 12
From Department of Social Services Administrative Trust Fund ......................................5,563 13
Personal Service ....................................................................................................65,736 14
Expense and Equipment .......................................................................... 750 15
From Child Support Enforcement Fund ...........................................................................66,486 16
For the centralized inventory system, for reimbursable goods and 17
services provided by the department, and for related equipment 18
replacement and maintenance expenses 19
From Department of Social Services Administrative Trust Fund ...................... 1,200,000 20
Total ...........................................................................................................................$5,468,555 21
Section 11.060. To the Department of Social Services 1
For the Division of Finance and Administrative Services 2
For the Child Welfare Eligibility Unit 3
For administrative expenses, provided five percent (5%) flexibility is 4
allowed between personal service and expense and equipment 5
Personal Service ................................................................................................$881,572 6
Expense and Equipment .......................................................................... 21,287 7
From General Revenue Fund ..........................................................................................902,859 8
Personal Service ..................................................................................................779,815 9
Expense and Equipment .......................................................................... 18,964 10 HB 11 6
From Federal Funds ............................................................................................ 798,779
11
Total ...........................................................................................................................$1,701,638 12
Section 11.065. To the Department of Social Services 1
For the Division of Finance and Administrative Services 2
For the Compliance Services Unit 3
For administrative expenses 4
Personal Service 5
From General Revenue Fund ........................................................................................$212,461 6
From Federal Funds ........................................................................................................136,746 7
From Temporary Assistance for Needy Families Federal Fund .....................................255,985 8
From Victims of Crime Act Federal Fund ......................................................................178,134 9
For contracted compliance monitoring and fiscal monitoring services 10
Expense and Equipment 11
From Federal Funds .....................................................................................................1,031,110 12
Expense and Equipment 13
From Temporary Assistance for Needy Families Federal Fund .......................... 578,663
14
Total ...........................................................................................................................$2,393,099 15
Section 11.070. To the Department of Social Services 1
For the Division of Finance and Administrative Services 2
For the payment of fees to contractors who engage in revenue 3
maximization projects on behalf of the Department of Social 4
Services and the General Assembly 5
From Federal Funds ......................................................................................................$750,000 6
From Temporary Assistance for Needy Families Federal Fund .......................... 250,000 7
Total ...........................................................................................................................$1,000,000 8
Section 11.075. To the Department of Social Services 1
For the Division of Finance and Administrative Services 2
For the receipt and disbursement of refunds and incorrectly deposited 3
receipts to allow the over-collection of accounts receivables to be 4
paid back to the recipient, provided twenty-five percent (25%) 5
flexibility is allowed between federal and other funds within this 6
section 7
From Federal Funds .................................................................................................$19,025,000 8
From FMAP Enhancement – Expansion Fund ...............................................................450,000 9 HB 11 7
From Temporary Assistance for Needy Families Federal Fund .......................................27,000 10
From Pharmacy Rebates Fund ..........................................................................................25,000 11
From Third Party Liability Collections Fund .................................................................369,000 12
From Premium Fund ............................................................................................ 5,500,000
13
Total .........................................................................................................................$25,396,000 14
Section 11.080. To the Department of Social Services 1
For the Division of Finance and Administrative Services 2
For payments to counties and the City of St. Louis toward the care and 3
maintenance of each delinquent or dependent child as provided 4
in Section 211.156, RSMo, provided three percent (3%) 5
flexibility is allowed from this section to Section 11.905 6
From General Revenue Fund .....................................................................................$1,171,980 7
Section 11.085. To the Department of Social Services 1
For the Division of Legal Services administrative expenses, provided 2
five percent (5%) flexibility is allowed between personal service 3
and expense and equipment, and further provided three percent 4
(3%) flexibility is allowed from this section to Section 11.905 5
Personal Service .............................................................................................$2,716,843 6
Expense and Equipment ........................................................................... 132,756 7
From General Revenue Fund .......................................................................................2,849,599 8
Personal Service ...............................................................................................2,410,360 9
Expense and Equipment ........................................................................... 171,833 10
From Federal Funds .....................................................................................................2,582,193 11
Personal Service ..................................................................................................749,526 12
Expense and Equipment ........................................................................... 230,547 13
From Temporary Assistance for Needy Families Federal Fund .....................................980,073 14
Personal Service ..................................................................................................719,349 15
Expense and Equipment ........................................................................... 91,057 16
From Third Party Liability Collections Fund .................................................................810,406 17
Personal Service 18
From Child Support Enforcement Fund .............................................................. 178,880
19
Total ...........................................................................................................................$7,401,151 20
Section 11.090. To the Department of Social Services 1 HB 11 8
For the Division of Legal Services 2
For permanency attorneys and permanency attorney contracted services, 3
including reunification, guardianship, adoption, or termination of 4
parental rights, for children in the care, custody, or involved with 5
the Children’s Division, provided twenty five percent (25%) 6
flexibility is allowed from expense and equipment to personal 7
service, and further provided fifty percent (50%) flexibility is 8
allowed from personal service to expense and equipment, and 9
further provided ten percent (10%) flexibility is allowed between 10
Sections 11.090, 11.405, 11.420, 11.425, 11.440, 11.465, 11.475, 11
and 11.480 12
Personal Service .............................................................................................$3,599,951 13
Expense and Equipment ........................................................................... 2,382,830
14
From General Revenue Fund .......................................................................................5,982,781 15
Personal Service ...............................................................................................1,802,820 16
Expense and Equipment ........................................................................... 1,415,200 17
From Federal Funds .....................................................................................................3,218,020 18
Personal Service 19
From Temporary Assistance for Needy Families Federal Fund .....................................252,379 20
Personal Service 21
From Third Party Liability Collections Fund ...................................................................67,045 22
Personal Service 23
From Child Support Enforcement Fund ...........................................................................14,061 24
For Title IV-E reimbursements to counties, the City of St. Louis, and 25
other organizations who receive public dollars for the legal 26
representation of parents and children in juvenile or family courts 27
From Federal Funds ........................................................................................................600,000 28
For non-recurring adoption or legal guardianship expenses related to 29
permanency, including but not limited to: reasonable and 30
necessary adoption fees, court costs, attorney fees and other 31
expenses which are directly related to the legal adoption or legal 32
guardianship 33
From General Revenue Fund .......................................................................................2,019,345 34
From Federal Funds ........................................................................................................826,778 35 HB 11 9
From Temporary Assistance for Needy Families Federal Fund .....................................408,177 36
For a program to provide legal representation for parents of children who 37
are the subject of child abuse and neglect investigations under 38
Chapter 210 and potential court proceedings under Chapter 211 39
From Federal Funds ............................................................................................. 150,000
40
Total .........................................................................................................................$13,538,586 41
Section 11.100. To the Department of Social Services 1
For the Family Support Division, provided three percent (3%) flexibility 2
is allowed from this section to Section 11.905 3
Personal Service .............................................................................................$2,214,769 4
Expense and Equipment ........................................................................... 24,911 5
From General Revenue Fund .......................................................................................2,239,680 6
Personal Service ...............................................................................................3,844,901 7
Expense and Equipment ........................................................................... 5,567,633 8
From Federal Funds .....................................................................................................9,412,534 9
Personal Service ....................................................................................................51,137 10
Expense and Equipment ........................................................................... 500,355 11
From Temporary Assistance for Needy Families Federal Fund .....................................551,492 12
Personal Service 13
From Child Support Enforcement Fund ............................................................. 657,029 14
Total .........................................................................................................................$12,860,735 15
Section 11.105. To the Department of Social Services 1
For the Family Support Division 2
For the income maintenance field staff and operations, provided three 3
percent (3%) flexibility is allowed from this section to Section 4
11.905 5
Personal Service ...........................................................................................$28,726,875 6
Expense and Equipment ........................................................................... 3,758,379 7
From General Revenue Fund .....................................................................................32,485,254 8
Personal Service .............................................................................................45,888,019 9
Expense and Equipment ........................................................................... 18,757,394 10
From Federal Funds ...................................................................................................64,645,413 11
HB 11 10
Personal Service ..................................................................................................816,197 12
Expense and Equipment ........................................................................... 3,878,247
13
From FMAP Enhancement – Expansion Fund ............................................................4,694,444 14
Personal Service ..................................................................................................434,233 15
Expense and Equipment ........................................................................... 94,726 16
From Temporary Assistance for Needy Families Federal Fund .....................................528,959 17
Personal Service ...............................................................................................1,037,345 18
Expense and Equipment ........................................................................... 27,917 19
From Health Initiatives Fund ............................................................................... 1,065,262 20
Total .......................................................................................................................$103,419,332 21
Section 11.110. To the Department of Social Services 1
For the Family Support Division 2
For the Income Maintenance (IM) Call Center 3
For state operated and contracted call center administrative and 4
operational expenses, provided fifty percent (50%) flexibility is 5
allowed between subsections within this section 6
For Medicaid and Children’s Health Insurance Program (CHIP) 7
eligibility 8
Personal Service ................................................................................................$920,389 9
Expense and Equipment ........................................................................... 1,544,208 10
From General Revenue Fund .......................................................................................2,464,597 11
Personal Service ...............................................................................................2,768,127 12
Expense and Equipment ........................................................................... 4,632,624 13
From Federal Funds .....................................................................................................7,400,751 14
For Adult Expansion Group (AEG) eligibility, as described in Section 15
36(c) of Article IV of the Missouri Constitution 16
Personal Service ..................................................................................................315,567 17
Expense and Equipment ........................................................................... 540,473 18
From FMAP Enhancement - Expansion Fund ................................................................856,040 19
Personal Service ..................................................................................................965,469 20
Expense and Equipment ........................................................................... 1,621,418 21
From Federal Funds .....................................................................................................2,586,887 22
For Supplemental Nutrition Assistance Program (SNAP) eligibility 23 HB 11 11
Personal Service ...............................................................................................5,898,305 24
Expense and Equipment ........................................................................... 3,881,498
25
From General Revenue Fund .......................................................................................9,779,803 26
Personal Service ...............................................................................................6,367,424 27
Expense and Equipment ........................................................................... 3,881,498 28
From Federal Funds ...................................................................................................10,248,922 29
For Temporary Assistance eligibility 30
Personal Service ..................................................................................................552,291 31
Expense and Equipment ........................................................................... 245,951 32
From Temporary Assistance for Needy Families Federal Fund .......................... 798,242 33
Total .........................................................................................................................$34,135,242 34
Section 11.115. To the Department of Social Services 1
For the Income Maintenance (IM) Call enter 2
For the operation for the Interactive Voice Response (IVR) System 3
For Medicaid and Children’s Health Insurance Program (CHIP) 4
eligibility 5
Expense and Equipment 6
From General Revenue Fund ........................................................................................$322,500 7
From Federal Funds ........................................................................................................427,500 8
For Supplemental Nutrition Assistance Program (SNAP) eligibility 9
Expense and Equipment 10
From General Revenue Fund ..........................................................................................322,500 11
From Federal Funds ............................................................................................. 427,500 12
Total ...........................................................................................................................$1,500,000 13
Section 11.120. To the Department of Social Services 1
For the Family Support Division 2
For public acute care hospital partnerships to assist with eligibility 3
determinations for Medicaid and CHIP 4
From General Revenue Fund .....................................................................................$1,000,000 5
From Federal Funds ............................................................................................. 1,000,000 6
Total ...........................................................................................................................$2,000,000 7
Section 11.125. To the Department of Social Services 1
For the Family Support Division 2 HB 11 12
For income maintenance and child support staff training, provided three 3
percent (3%) flexibility is allowed from this section to Section 4
11.905 5
Expense and Equipment 6
From General Revenue Fund ........................................................................................$104,340 7
From Federal Funds ............................................................................................. 109,953
8
Total ..............................................................................................................................$214,293 9
Section 11.130. To the Department of Social Services 1
For the Family Support Division 2
For the Electronic Benefit Transfers (EBT) system 3
Expense and Equipment 4
From General Revenue Fund ........................................................................................$835,130 5
From Federal Funds ........................................................................................................834,797 6
From Temporary Assistance for Needy Families Federal Fund .......................... 100,000 7
Total ...........................................................................................................................$1,769,927 8
Section 11.135. To the Department of Social Services 1
For the Family Support Division 2
For the Summer Electronic Benefit Transfer (EBT) program 3
For administrative expenses 4
Personal Service ................................................................................................$171,367 5
Expense and Equipment ........................................................................... 11,543 6
From General Revenue Fund ..........................................................................................182,910 7
Personal Service ..................................................................................................171,367 8
Expense and Equipment ........................................................................................11,543 9
From Federal Funds ............................................................................................. 182,910 10
Total ..............................................................................................................................$365,820 11
Section 11.140. To the Department of Social Services 1
For the Family Support Division 2
For the Summer Electronic Benefit Transfer (EBT) program 3
Expense and Equipment 4
From General Revenue Fund .....................................................................................$6,413,100 5
From Federal Funds ............................................................................................. 57,913,100 6
Total .........................................................................................................................$64,326,200 7
Section 11.145. To the Department of Social Services 1
For the Family Support Division 2 HB 11 13
For the receipt of funds from the Polk County and Bolivar Charitable 3
Trust for the exclusive benefit and use of the Polk County Office 4
From Family Services Donations Fund ..........................................................................$10,000 5
Section 11.150. To the Department of Social Services 1
For the Family Support Division 2
For contractor, hardware, and other costs associated with planning, 3
development, and implementation of a Family Assistance 4
Management Information System (FAMIS), provided three 5
percent (3%) flexibility is allowed from this section to Section 6
11.905 7
Expense and Equipment 8
From General Revenue Fund ........................................................................................$571,908 9
From Federal Funds ..........................................................................................................73,422 10
From Temporary Assistance for Needy Families Federal Fund .......................... 400,000
11
Total ...........................................................................................................................$1,045,330 12
Section 11.155. To the Department of Social Services 1
For the Family Support Division 2
For the Missouri Eligibility Determination and Enrollment System 3
(MEDES), provided ten percent (10%) flexibility is allowed 4
between Sections 11.155 and 11.160, and further provided three 5
percent (3%) flexibility is allowed from this section to Section 6
11.905 7
For the design, development, implementation, maintenance and 8
operation costs for the Medicaid and Children’s Health Insurance 9
Program (CHIP) eligibility categories under the Modified 10
Adjusted Gross Income (MAGI) based methodology 11
Expense and Equipment, excluding employee administrative 12
costs 13
From General Revenue Fund .....................................................................................$1,679,087 14
From Federal Funds ...................................................................................................27,892,688 15
From FMAP Enhancement - Expansion Fund ................................................................500,000 16
From Temporary Assistance for Needy Families Federal Fund ..................................1,300,000 17
From Health Initiatives Fund .......................................................................................1,000,000 18
For the design, development, and implementation costs for Supplemental 19
Nutrition Assistance Program (SNAP) 20
Expense and Equipment, excluding employee administrative costs 21 HB 11 14
From General Revenue Fund .......................................................................................2,688,120 22
From Federal Funds ...................................................................................................12,644,516 23
From Temporary Assistance for Needy Families Federal Fund ..................................2,000,000 24
For the design, development, and implementation costs of Adult 25
Medicaid eligibility. 26
Expense and Equipment, excluding employee administrative costs 27
From General Revenue Fund .......................................................................................3,000,000 28
From Federal Funds ...................................................................................................27,000,000 29
For the design, development, and implementation costs for Temporary 30
Assistance (TA) 31
Expense and Equipment, excluding employee administrative costs 32
From Temporary Assistance for Needy Families Federal Fund .....................................200,000 33
For the expenses for the independent verification and validation (IV&V) 34
services 35
Expense and Equipment, excluding employee administrative costs 36
From General Revenue Fund ..........................................................................................352,983 37
From Federal Funds ........................................................................................................970,537 38
For the expenses related to the enterprise content management (ECM) 39
system 40
Expense and Equipment, excluding employee administrative costs 41
From General Revenue Fund .......................................................................................1,031,283 42
From Federal Funds .....................................................................................................3,118,087 43
For the expenses related to the project management office (PMO) 44
Expense and Equipment 45
From General Revenue Fund .......................................................................................1,359,631 46
From Federal Funds ............................................................................................. 2,661,566
47
Total .........................................................................................................................$89,398,498 48
Section 11.160. To the Department of Social Services 1
For the Family Support Division 2
For third party eligibility verification services: in order to improve the 3
accuracy of Medicaid, SNAP and TANF eligibility 4
determinations and redeterminations, increase operational 5
efficiencies, achieve cost savings, and minimize fraud, the 6
Missouri Department of Social Services shall obtain real-time 7 HB 11 15
employment and income data (up-to-date, non-modeled 8
employment and income data provided by employers and/or 9
payroll providers) from a payroll data provider, as defined by the 10
Fair Credit Reporting Act, 15 U.S.C. s.1681 et seq., provided the 11
term "payroll data provider" means payroll providers, wage 12
verification companies, and other commercial or non-13
commercial entities that collect and maintain data regarding 14
employment and wages; and further provided the contractors 15
shall also, on a monthly basis, identify participants of covered 16
programs who have died, moved out of state, or been incarcerated 17
longer than 90 days, provided ten percent (10%) flexibility is 18
allowed between Sections 11.155 and 11.160 19
Expense and Equipment 20
From General Revenue Fund .....................................................................................$4,197,481 21
From Federal Funds .....................................................................................................9,946,513 22
From FMAP Enhancement – Expansion Fund .............................................................$654,781 23
From Temporary Assistance for Needy Families Federal Fund .......................... 217,878
24
Total .........................................................................................................................$15,016,653 25
Section 11.165. To the Department of Social Services 1
For the Family Support Division 2
For the Food Nutrition Program 3
From Federal Funds .................................................................................................$14,343,755 4
Section 11.170. To the Department of Social Services 1
For the Family Support Division 2
For Missouri Work Programs 3
For a program located in a city not within a county that assists 4
participants in obtaining post-secondary education and job 5
training and teaching the imperative career-skill and work ethic 6
necessary to become successful employees and that serves 7
economically disadvantaged African American males and 8
females to find jobs and have the opportunity to earn livable 9
wages 10
From Temporary Assistance for Needy Families Federal Fund ...................................$500,000 11
For a program in a city with more than four hundred thousand inhabitants 12
and located in more than one county to teach parenting 13
curriculum and other skills to men, along with assisting them in 14 HB 11 16
finding employment, health care, dealing with civil and criminal 15
charges and cases, and other social services thus allowing them 16
to develop healthy and supportive relationships with their kids 17
and families 18
From Temporary Assistance for Needy Families Federal Fund .....................................100,000 19
For the purpose of funding a program in a city not within a county to 20
foster healthy relationships by strengthening families and 21
reducing the rates of absentee fathers through employment 22
placement, job readiness, and employer retention skills 23
From Temporary Assistance for Needy Families Federal Fund ......................... 1,000,000
24
Total ...........................................................................................................................$1,600,000 25
Section 11.175. To the Department of Social Services 1
For the Family Support Division 2
For a nonprofit organization located in any county with more than one 3
million inhabitants that provides youth and their family with 4
mentorship as well as virtual or in-person educational 5
opportunities relating to college preparedness, workforce 6
development, and character preparation to foster academic 7
success 8
From Temporary Assistance for Needy Families Federal Fund ...................................$330,500 9
Section 11.180. To the Department of Social Services 1
For the Family Support Division 2
For a public school located in a city with more than one thousand nine 3
hundred but fewer than two thousand one hundred fifty 4
inhabitants and located in a county with more than twenty-two 5
thousand but fewer than twenty-five thousand inhabitants and 6
with a county seat with more than five hundred but fewer than 7
nine hundred, a public school located in a city with more than 8
twelve thousand five hundred but fewer than fourteen thousand 9
inhabitants and located in a county with more than fifty thousand 10
but fewer than sixty thousand inhabitants and with a county seat 11
with more than twelve thousand six hundred but fewer than 12
fifteen thousand inhabitants, and a public school located in a city 13
with more than seven thousand but fewer than eight thousand 14
inhabitants and that is the county seat of a county with more than 15
fifteen thousand seven hundred but fewer than seventeen 16 HB 11 17
thousand six hundred inhabitants, for a model that uses integrated 17
student support in collaboration with local communities to 18
address barriers to student success 19
From Temporary Assistance for Needy Families Federal Fund ...................................$800,000 20
For an organization with a program with the goal of reaching 21
independence from poverty through support, education, career 22
development, financial planning, and mentoring located in a city 23
with more than one hundred sixty thousand but fewer than two 24
hundred thousand inhabitants 25
From Temporary Assistance for Needy Families Federal Fund .....................................700,000 26
For a not-for-profit organization located in a city not within a county that 27
has been in operation for over 100 years and provides children 28
and family services 29
From Temporary Assistance for Needy Families Federal Fund ..................................2,000,000 30
For the Temporary Assistance for Needy Families (TANF) benefits and 31
Temporary Assistance (TA) Diversion transitional benefits 32
From General Revenue Fund .......................................................................................3,856,800 33
From Temporary Assistance for Needy Families Federal Fund ......................... 16,200,000
34
Total .........................................................................................................................$23,556,800 35
Section 11.185. To the Department of Social Services 1
For the Family Support Division 2
For a healthy marriage and fatherhood initiative 3
From Temporary Assistance for Needy Families Federal Fund ................................$2,500,000 4
For a not-for-profit organization which was founded in 2008 and located 5
in any city with more than one hundred twenty-five thousand but 6
fewer than one hundred sixty thousand inhabitants provided the 7
funds are used for responsible fatherhood services and healthy 8
marriage activities 9
From Temporary Assistance for Needy Families Federal Fund .......................... 500,000 10
Total ...........................................................................................................................$3,000,000 11
Section 11.190. To the Department of Social Services 1
For the Family Support Division 2
For supplemental payments to aged or disabled persons 3
From General Revenue Fund ..........................................................................................$10,872 4 HB 11 18
Section 11.195. To the Department of Social Services 1
For the Family Support Division 2
For nursing care payments to aged, blind, or disabled persons, and for 3
personal funds to recipients of Supplemental Nursing Care 4
payments as required by Section 208.030, RSMo, provided 5
thirty-five percent (35%) flexibility is allowed from Section 6
11.195 to 11.745 7
From General Revenue Fund ...................................................................................$25,420,885 8
Section 11.200. To the Department of Social Services 1
For the Family Support Division 2
For Blind Pension and supplemental payments to blind persons, provided 3
that the Department of Social Services, whenever it calculates a 4
new estimated rate or rates for the Blind Pension and/or 5
supplemental payments to blind persons for the upcoming fiscal 6
year, shall transmit the new estimated rate or rates, as well as the 7
accompanying assumptions and calculations used to create the 8
new estimated rate or rates, to the following organizations: 9
Missouri Council for the Blind, National Federation of the Blind 10
of Missouri, and the State Rehabilitation Council 11
From Blind Pension Fund ........................................................................................$43,780,576 12
Section 11.205. To the Department of Social Services 1
For the Family Support Division 2
For the administration of blind services, provided three percent (3%) 3
flexibility is allowed from this section to Section 11.905 4
Personal Service .............................................................................................$1,093,800 5
Expense and Equipment ........................................................................... 135,715
6
From General Revenue Fund .......................................................................................1,229,515 7
Personal Service ...............................................................................................4,113,351 8
Expense and Equipment ........................................................................... 753,032 9
From Federal Funds ............................................................................................. 4,866,383 10
Total ...........................................................................................................................$6,095,898 11
Section 11.210. To the Department of Social Services 1
For the Family Support Division 2 HB 11 19
For services for the visually impaired, provided three percent (3%) 3
flexibility is allowed from this section to Section 11.905 4
From General Revenue Fund .....................................................................................$1,507,789 5
From Federal Funds .....................................................................................................6,436,444 6
From Family Services Donations Fund ............................................................................99,995 7
From Blindness Education, Screening and Treatment Program Fund ................. 349,000
8
Total ...........................................................................................................................$8,393,228 9
Section 11.215. To the Department of Social Services 1
For the Family Support Division 2
For business enterprise programs for the blind 3
From Federal Funds .................................................................................................$44,603,034 4
Section 11.220. To the Department of Social Services 1
For the Family Support Division 2
For Child Support Enforcement field staff and operations, provided three 3
percent (3%) flexibility is allowed from this section to Section 4
11.905 5
Personal Service .............................................................................................$3,681,668 6
Expense and Equipment ........................................................................... 2,537,371 7
From General Revenue Fund .......................................................................................6,219,039 8
Personal Service .............................................................................................19,803,965 9
Expense and Equipment ........................................................................... 7,672,795 10
From Federal Funds ...................................................................................................27,476,760 11
Personal Service ...............................................................................................2,457,642 12
Expense and Equipment ........................................................................... 396,390 13
From Child Support Enforcement Fund .............................................................. 2,854,032 14
Total .........................................................................................................................$36,549,831 15
Section 11.225. To the Department of Social Services 1
For the Family Support Division 2
For the Child Support Enforcement Call Center 3
For state operated call center administrative and operational expenses 4
Personal Service ................................................................................................$887,742 5
Expense and Equipment ........................................................................... 614,737 6
From General Revenue Fund .......................................................................................1,502,479 7
Personal Service ...............................................................................................1,694,015 8 HB 11 20
Expense and Equipment ........................................................................... 1,297,492
9
From Federal Funds .....................................................................................................2,991,507 10
Personal Service ..................................................................................................129,519 11
Expense and Equipment ........................................................................... 95,844 12
From Child Support Enforcement Fund .............................................................. 225,363 13
Total ...........................................................................................................................$4,719,349 14
Section 11.230. To the Department of Social Services 1
For the Family Support Division 2
For reimbursements to counties and the City of St. Louis and contractual 3
agreements with local governments providing child support 4
services, provided three percent (3%) flexibility is allowed from 5
this section to Section 11.905 6
From General Revenue Fund .....................................................................................$2,240,491 7
From Federal Funds ...................................................................................................14,886,582 8
From Child Support Enforcement Fund .............................................................. 400,212 9
Total .........................................................................................................................$17,527,285 10
Section 11.235. To the Department of Social Services 1
For the Family Support Division 2
For reimbursements to the federal government for federal Temporary 3
Assistance for Needy Families payments, refunds of bonds, 4
refunds of support payments or overpayments, and distributions 5
to families 6
From Federal Funds .................................................................................................$36,500,000 7
From Debt Offset Escrow Fund ........................................................................... 6,000,000 8
Total .........................................................................................................................$42,500,000 9
Section 11.240. To the Department of Social Services 1
Funds are to be transferred out of the State Treasury to the 2
Department of Social Services Federal Fund 3
From Debt Offset Escrow Fund ....................................................................................$955,000 4
Funds are to be transferred out of the State Treasury to the Child 5
Support Enforcement Fund 6
From Debt Offset Escrow Fund ........................................................................... 245,000 7
Total ...........................................................................................................................$1,200,000 8
Section 11.245. To the Department of Social Services 1 HB 11 21
For the Family Support Division 2
For the Office of Workforce and Community Initiatives 3
For administrative expenses 4
Personal Service 5
From General Revenue Fund ........................................................................................$120,626 6
From Federal Funds .....................................................................................................1,983,719 7
From Temporary Assistance for Needy Families Federal Fund .......................... 1,068,061
8
Total ...........................................................................................................................$3,172,406 9
Section 11.250. To the Department of Social Services 1
For the Family Support Division 2
For grants and contracts to Community Partnerships and other 3
community initiatives and related expenses, provided three 4
percent (3%) flexibility is allowed from this section to Section 5
11.905 6
From General Revenue Fund ........................................................................................$632,328 7
From Federal Funds ..........................................................................................................78,307 8
From Temporary Assistance for Needy Families Federal Fund ..................................7,525,492 9
For the Missouri Mentoring Partnership 10
From Federal Funds ........................................................................................................935,000 11
From Temporary Assistance for Needy Families Federal Fund .....................................508,700 12
For a program for adolescents with the goal of preventing teen 13
pregnancies 14
From Temporary Assistance for Needy Families Federal Fund .......................... 600,000 15
Total .........................................................................................................................$10,279,827 16
Section 11.255. To the Department of Social Services 1
For the Family Support Division 2
For the Missouri Work Assistance Program Unit 3
For Work Assistance Programs 4
From General Revenue Fund .....................................................................................$1,855,554 5
From Temporary Assistance for Needy Families Federal Fund ................................12,867,755 6
For the Missouri SkillUp Program 7
From Federal Funds .....................................................................................................4,672,471 8
From Temporary Assistance for Needy Families Federal Fund ..................................6,719,104 9
HB 11 22
For the attendance of Supplemental Nutrition Assistance Program 10
recipients at adult high schools as designated by the Department 11
of Elementary and Secondary Education 12
From Federal Funds .....................................................................................................4,650,000 13
For the attendance of low-income individuals at adult high schools as 14
designated by the Department of Elementary and Secondary 15
Education 16
From General Revenue Fund .......................................................................................2,000,000 17
From Temporary Assistance for Needy Families Federal Fund ..................................6,400,000 18
For the purpose of funding a satellite location for each of the four Excel 19
Adult High Schools through the program as awarded by the 20
Department of Elementary and Secondary Education 21
From Budget Stabilization Fund ..................................................................................1,000,000 22
For the Summer Jobs Program 23
From Temporary Assistance for Needy Families Federal Fund .....................................850,000 24
For Jobs for America’s Graduates 25
From Temporary Assistance for Needy Families Federal Fund ..................................4,150,000 26
For the Foster Care Jobs Program 27
From Temporary Assistance for Needy Families Federal Fund ..................................1,000,000 28
For the purpose of funding a program located in a city not within a county 29
that assists individuals with limited opportunities to self-30
sufficiency by breaking down barriers to self-sufficiency, 31
creating a safer and more inclusive community 32
From Temporary Assistance for Needy Families Federal Fund ..................................1,000,000 33
For a program located in a city not within a county that fosters inclusion 34
of minority and women-owned businesses on construction 35
projects 36
From Temporary Assistance for Needy Families Federal Fund .....................................500,000 37
For an organization located in a city not within a county, whose mission 38
is to empower individuals for social and economic growth 39
through relationship and opportunity by facilitating supplemental 40 HB 11 23
education programs, job development and training, and 41
community service programs for under-resourced individuals 42
From General Revenue Fund .......................................................................................2,000,000 43
For an organization located in a city with more than four hundred 44
thousand inhabitants and located in more than one county that 45
works to improve the quality of life for individuals in the Latino 46
communities of Greater Kansas City through education, financial 47
counseling and lending, and cultural events 48
From Temporary Assistance for Needy Families Federal Fund ..................................5,000,000 49
For a comprehensive counseling and solution generation service that 50
focuses on a multi-year journey for high school students from 51
initial training to full-time employment with pre-identified entry 52
level jobs that drive the program’s training while earning a degree 53
relating to information technology, provided that the service is 54
designed to assist with environmental hurdles and with students 55
receiving accredited course credit from institutions for higher 56
education in the state of Missouri, and further provided that the 57
service includes a multi-year, wrap around support infrastructure 58
for each student that extends from the student’s acceptance into 59
the program through full time employment and continues until 60
the student completes a degree, if so requested by the program 61
participant, also known as HyperCare 62
From Temporary Assistance for Needy Families Federal Fund .......................... 3,500,000
63
Total .........................................................................................................................$58,164,88464
Section 11.260. To the Department of Social Services 1
For the Family Support Division 2
For a not-for-profit organization located in county with more than one 3
million inhabitants and founded in 2018 who focuses on 4
underserved children and families provided the funds be used for 5
youth jobs programs, mentoring sessions, transportation costs 6
and healthy meals for summer youth events 7
From Temporary Assistance for Needy Families Federal Fund ...................................$500,000 8
Section 11.265. To the Department of Social Services 1
For the Family Support Division 2 HB 11 24
For support to Food Banks’ effort to provide services and food to low-3
income individuals 4
From Temporary Assistance for Needy Families Federal Fund ..............................$10,000,000 5
For an evidence-based program through a school-based early warning 6
and response system that improves student attendance, behavior, 7
and course performance in reading and math by identifying the 8
root causes for student absenteeism, classroom disruption, and 9
course failure 10
From Temporary Assistance for Needy Families Federal Fund ..................................1,500,000 11
For after school support programs 12
From Temporary Assistance for Needy Families Federal Fund ..................................1,000,000 13
For out of school support programs 14
From Temporary Assistance for Needy Families Federal Fund ..................................2,000,000 15
For services that provide assistance and engagement to address critical 16
areas of need for low-income individuals, families, and children 17
located in a city not within a county 18
From Temporary Assistance for Needy Families Federal Fund .....................................250,000 19
For a program located in a city not within a county that helps youth, 20
families, and older adults attain self-sustaining lives by providing 21
innovative social, educational, and recreational resources 22
From Temporary Assistance for Needy Families Federal Fund .....................................200,000 23
For a program located in a city not within a county that offers community 24
housing and community integration to adults with developmental 25
disabilities in nurturing, positive, and stable home-like 26
environments 27
From Temporary Assistance for Needy Families Federal Fund .......................... 230,000
28
Total .........................................................................................................................$15,180,000 29
Section 11.270. To the Department of Social Services 1
For the Family Support Division 2
For a not-for-profit located in a county with more than one million 3
inhabitants which focuses on at risk and under-represented youth 4
and young adults provided the funding is used for personal and 5 HB 11 25
professional skills development, peer-mentoring services, and 6
training young adults to become mentor leaders 7
From General Revenue Fund ..........................................................................................$70,000 8
Section 11.275. To the Department of Social Services 1
For the Family Support Division 2
For out of school enrichment initiatives 3
Program Distribution 4
From Temporary Assistance for Needy Families Federal Fund ................................$7,265,000 5
Section 11.280. To the Department of Social Services 1
For the Family Support Division 2
For a healthy marriage and fatherhood initiative delivered by a Missouri 3
nonprofit corporation at multiple locations throughout the state 4
of Missouri with a primary office located in a city with more than 5
one hundred sixty thousand but fewer than two hundred thousand 6
inhabitants 7
From Temporary Assistance for Needy Families Federal Fund ...................................$500,000 8
Section 11.285. To the Department of Social Services 1
For the Family Support Division 2
For alternatives to abortion services, including the provision of diapers 3
and other infant hygiene products to women who qualify for 4
alternative to abortion services, provided that if the Department 5
grants or allocates funds to certain not-for-profit organizations or 6
regions of the state that are unused or anticipated to be unused, 7
then the Department shall redistribute such funds to other not-for-8
profit organizations or regions of the state to ensure that all the 9
funds appropriated are available to serve women who qualify for 10
alternatives to abortion services, and further provided that the 11
Department shall not limit the amount that can be expended per 12
client 13
From General Revenue Fund .....................................................................................$2,033,561 14
From Federal Funds ..........................................................................................................50,000 15
From Temporary Assistance for Needy Families Federal Fund ................................10,300,000 16
For the alternatives to abortion public awareness program, including 17
assistance to contractors and subcontractors with the Department 18
for alternatives to abortion services, to help alternatives to 19 HB 11 26
abortion agencies reach pregnant women at risk for having 20
abortions when such agencies are blocked or in any other way 21
suppressed by any search engine, social media platform, or digital 22
advertising network 23
From General Revenue Fund ............................................................................... 275,000
24
Total .........................................................................................................................$12,658,561 25
Section 11.290. To the Department of Social Services 1
For the Family Support Division 2
For a not-for-profit located in county with more than one million 3
inhabitants and founded in 2015 for substance abuse treatment, 4
family support services, access to healthy foods and adequate 5
shelter 6
From Temporary Assistance for Needy Families Federal Fund ...................................$500,000 7
From Opioid Addiction Treatment and Recovery Fund ...................................... 500,000 8
Total ...........................................................................................................................$1,000,000 9
Section 11.295. To the Department of Social Services 1
For the Family Support Division 2
For community services programs provided by Community Action 3
Agencies or other not-for-profit organizations under the 4
provisions of the Community Services Block Grant 5
From Federal Funds .................................................................................................$23,637,0006
Section 11.300. To the Department of Social Services 1
For the Family Support Division 2
For an organization in county with more than twenty-two thousand but 3
fewer than twenty-five thousand inhabitants and with a county 4
seat with more than one thousand four hundred but fewer than 5
one thousand nine hundred inhabitants that supports programs 6
and non-profits promoting health, wellness, and families 7
From Temporary Assistance for Needy Families Federal Fund ...................................$100,000 8
Section 11.305. To the Department of Social Services 1
For the Family Support Division 2
For the Food Distribution Program, the receipt and disbursement of 3
Donated Food Program payments and for the Local Food 4
Purchase Assistance Cooperative Program 5
From Federal Funds ...................................................................................................$6,777,682 6 HB 11 27
From Department of Social Services Federal Stimulus Funds ............................ 3,748,530
7
Total .........................................................................................................................$10,526,212 8
Section 11.310. To the Department of Social Services 1
For the Family Support Division 2
For the Low-Income Home Energy Assistance Program, provided the 3
eligible household income does not exceed one hundred and fifty 4
percent (150%) of the federal poverty level or sixty percent 5
(60%) of the state median income (SMI) 6
From Federal Funds ...............................................................................................$101,619,871 7
Section 11.315. To the Department of Social Services 1
For the Family Support Division 2
For a city with more than ten thousand but fewer than eleven thousand 3
inhabitants and located in a county with more than one million 4
inhabitants for a workforce development program for 5
underserved youth provided the funds are used for tools, supplies, 6
career training and support services 7
From Temporary Assistance for Needy Families Federal Fund ...................................$275,000 8
Section 11.320. To the Department of Social Services 1
For the Family Support Division 2
For a nonprofit organization located in a city not within a county that 3
builds homes and communities that is dedicated to eliminating 4
substandard housing in a city not within a county and empowers 5
local families to build and purchase their own home 6
From General Revenue Fund ........................................................................................$250,000 7
Section 11.325. To the Department of Social Services 1
For the Family Support Division 2
For grants to not-for-profit organizations for services and programs to 3
assist victims of domestic violence, provided three percent (3%) 4
flexibility is allowed from this section to Section 11.905 5
From General Revenue Fund .....................................................................................$5,000,000 6
From Federal Funds .....................................................................................................3,000,000 7
From Temporary Assistance for Needy Families Federal Fund ..................................1,600,000 8
From Department of Social Services Federal Stimulus Funds ....................................3,204,219 9
For emergency shelter services to assist victims of domestic violence 10 HB 11 28
From Temporary Assistance for Needy Families Federal Fund .......................... 562,137
11
Total .........................................................................................................................$13,366,356 12
Section 11.330. To the Department of Social Services 1
For the Family Support Division 2
For the Victims of Crime Act (VOCA) Unit 3
For the administrative expenses of the Victims of Crime Act program 4
Personal Service 5
From General Revenue Fund ..........................................................................................$27,827 6
Personal Service ..................................................................................................286,501 7
Expense and Equipment ........................................................................... 100,010 8
From Victims of Crime Act Federal Fund ......................................................................386,511 9
For training and technical assistance expenses for the Victims of Crime 10
Act program 11
Expense and Equipment 12
From Victims of Crime Act Federal Fund ........................................................... 500,000 13
Total ..............................................................................................................................$914,338 14
Section 11.335. To the Department of Social Services 1
For the Family Support Division 2
For the Office of Workforce & Community Initiatives 3
For the Victims of Crime Act (VOCA) Unit 4
For grants to not-for-profit organizations for services and programs to 5
assist victims of crime 6
From General Revenue Fund ...................................................................................$25,000,000 7
From Victims of Crime Act Federal Fund ........................................................... 49,331,537 8
Total .........................................................................................................................$74,331,537 9
Section 11.340. To the Department of Social Services 1
For the Family Support Division 2
For grants to not-for-profit organizations for services and programs to 3
assist victims of sexual assault, provided three percent (3%) 4
flexibility is allowed from this section to Section 11.905 5
From General Revenue Fund .....................................................................................$1,750,000 6
From Department of Social Services Federal Stimulus Funds ............................ 1,231,936 7
Total ...........................................................................................................................$2,981,936 8
Section 11.350. To the Department of Social Services 1 HB 11 29
For the Children’s Division administrative expenses, provided three 2
percent (3%) flexibility is allowed from this section to Section 3
11.905 4
Personal Service .............................................................................................$1,999,971 5
Expense and Equipment ........................................................................... 1,732,153
6
From General Revenue Fund .......................................................................................3,732,124 7
Personal Service ...............................................................................................1,915,795 8
Expense and Equipment ........................................................................... 1,027,628 9
From Federal Funds .....................................................................................................2,943,423 10
Personal Service 11
From Temporary Assistance for Needy Families Federal Fund .....................................944,470 12
Expense and Equipment 13
From Department of Social Services Federal Stimulus Funds .........................................23,032 14
Expense and Equipment 15
From Third Party Liability Collections Fund ...................................................... 55,493 16
Total ...........................................................................................................................$7,698,542 17
Section 11.355. To the Department of Social Services 1
For the Children’s Division 2
For the Child Abuse and Neglect Hotline Unit 3
For administrative expenses, provided five percent (5%) flexibility is 4
allowed between personal service and expense and equipment 5
Personal Service .............................................................................................$5,467,887 6
Expense and Equipment ........................................................................... 283,788 7
From General Revenue Fund .....................................................................................$5,751,675 8
Section 11.360. To the Department of Social Services 1
For the Children’s Division, provided five percent (5%) flexibility is 2
allowed between personal service and expense and equipment, 3
and further provided five percent (5%) flexibility is allowed from 4
Section 11.360 to 11.355, and further provided that fifty percent 5
(50%) flexibility is allowed between Sections 11.360, 11.370, 6
and 11.375, and further provided three percent (3%) flexibility is 7
allowed from this section to Section 11.905 8
For the Children’s Division field staff and operations administrative 9
expenses 10 HB 11 30
Personal Service ...........................................................................................$45,498,621 11
Expense and Equipment ........................................................................... 2,252,033
12
From General Revenue Fund .....................................................................................47,750,654 13
Personal Service .............................................................................................43,055,244 14
Expense and Equipment ........................................................................... 3,407,659 15
From Federal Funds ...................................................................................................46,462,903 16
Personal Service .............................................................................................14,861,214 17
Expense and Equipment ........................................................................... 1,818,336 18
From Temporary Assistance for Needy Families Federal Fund ................................16,679,550 19
Personal Service ....................................................................................................97,411 20
Expense and Equipment ........................................................................... 35,558 21
From Health Initiatives Fund ..........................................................................................132,969 22
For recruitment and retention services 23
From General Revenue Fund .......................................................................................1,226,992 24
From Federal Funds .....................................................................................................1,101,008 25
For the expansion of a foster care portal software that can be accessed by 26
children’s division caseworkers, licensed foster families, foster 27
care licensure applicants, parents or guardians of children in 28
foster care, and other key parties to ensure streamlined 29
communication and information sharing 30
From General Revenue Fund ..........................................................................................750,000 31
For expanding the reach of the Foster Care Wellness pilot Module 32
statewide 33
From General Revenue Fund .......................................................................................1,925,000 34
From Federal Funds ............................................................................................. 1,925,000 35
Total .......................................................................................................................$117,954,076 36
Section 11.365. To the Department of Social Services 1
For the Children’s Division 2
For diligent search for relative placements 3
Personal Service ................................................................................................$749,220 4
Expense and Equipment ........................................................................... 188,633 5
From General Revenue Fund ..........................................................................................937,853 6
HB 11 31
Personal Service ..................................................................................................301,607 7
Expense and Equipment ........................................................................... 74,559
8
From Federal Funds ............................................................................................. 376,166 9
Total ...........................................................................................................................$1,314,019 10
Section 11.370. To the Department of Social Services 1
For the Children’s Division 2
For administrative expenses of the Family Centered Services (FCS) 3
program, provided five percent (5%) flexibility is allowed 4
between personal service and expense and equipment, and further 5
provided fifty percent (50%) flexibility is allowed between 6
Sections 11.360, 11.370, and 11.375 7
Personal Service .............................................................................................$2,697,320 8
Expense and Equipment ........................................................................... 213,570 9
From General Revenue Fund .......................................................................................2,910,890 10
Personal Service ..................................................................................................805,879 11
Expense and Equipment ........................................................................... 65,680 12
From Federal Funds ............................................................................................. 871,559 13
Total ...........................................................................................................................$3,782,449 14
Section 11.375. To the Department of Social Services 1
For the Children’s Division 2
For Team Decision Making (TDM) administrative expenses, provided 3
five percent (5%) flexibility is allowed between personal service 4
and expense and equipment, and further provided fifty percent 5
(50%) flexibility is allowed between Sections 11.360, 11.370, 6
and 11.375 7
Personal Service .............................................................................................$2,730,173 8
Expense and Equipment ........................................................................... 213,570 9
From General Revenue Fund .......................................................................................2,943,743 10
Personal Service ..................................................................................................842,595 11
Expense and Equipment ........................................................................... 65,680 12
From Federal Funds ............................................................................................. 908,275 13
Total ...........................................................................................................................$3,852,018 14
Section 11.380. To the Department of Social Services 1
For the Children’s Division 2 HB 11 32
For the development and integration of a new comprehensive child 3
welfare information system 4
From Federal Funds ...................................................................................................$2,000,000 5
From Budget Stabilization Fund .......................................................................... 5,337,573
6
Total ...........................................................................................................................$7,337,573 7
Section 11.385. To the Department of Social Services 1
For the Children’s Division 2
For Children’s Division staff training, provided three percent (3%) 3
flexibility is allowed from this section to Section 11.905 4
From General Revenue Fund .....................................................................................$1,085,056 5
From Federal Funds ........................................................................................................590,243 6
For specialized investigation skills training 7
Expense and Equipment 8
From Department of Social Services Federal Stimulus Funds ............................ 569,611 9
Total ...........................................................................................................................$2,244,910 10
Section 11.390. To the Department of Social Services 1
For the Children’s Division 2
For a statewide specialist focused on prevention and response to sex 3
trafficking and sexual exploitation of children and for services for 4
child victims, provided five percent (5%) flexibility is allowed 5
between personal service and expense and equipment 6
Personal Service ..................................................................................................$63,586 7
Expense and Equipment ........................................................................... 7,053 8
From General Revenue Fund ............................................................................................70,639 9
Personal Service ....................................................................................................37,345 10
Expense and Equipment ........................................................................... 4,141 11
From Federal Funds ............................................................................................. 41,486 12
Total ..............................................................................................................................$112,125 13
Section 11.395. To the Department of Social Services 1
For the Children’s Division 2
For prevention of human trafficking 3
Expense and Equipment 4
From Department of Social Services Federal Stimulus Funds .....................................$274,937 5
HB 11 33
For grants to nonprofit organizations for statewide prevention and 6
education efforts concerning human trafficking through a 7
program that reaches public and charter schools 8
Expense and Equipment 9
From General Revenue Fund ............................................................................... 150,000
10
Total ..............................................................................................................................$424,937 11
Section 11.400. To the Department of Social Services 1
For the Children’s Division 2
For prevention services and programs for children and families to assist 3
children to remain safely in their homes and prevent the need for 4
foster care placement 5
Brief Strategic Family Therapy (BSFT) 6
From General Revenue Fund .....................................................................................$1,037,787 7
From Federal Funds .....................................................................................................1,037,787 8
Parent-Child Interaction Therapy (PCIT) 9
From General Revenue Fund ..........................................................................................995,630 10
From Federal Funds ........................................................................................................995,630 11
For the Birth Match Program as set forth in Section, 210.156 RSMo. 12
Personal Service 13
From Temporary Assistance for Needy Families Federal Fund .....................................110,755 14
Program Distribution 15
From Temporary Assistance for Needy Families Federal Fund .......................... 558,065 16
Total ...........................................................................................................................$4,735,654 17
Section 11.405. To the Department of Social Services 1
For the Children’s Division provided ten percent (10%) flexibility is 2
allowed between Sections 11.090, 11.405, 11.420, 11.425, 3
11.440, 11.465, 11.475, and 11.480, and further provided three 4
percent (3%) flexibility is allowed from this section to Section 5
11.905 6
For children’s treatment services including, but not limited to, home-7
based services, day treatment services, preventive services, 8
family reunification services, or intensive in-home services 9
From General Revenue Fund ...................................................................................$15,268,036 10
From Federal Funds .....................................................................................................9,846,892 11
From Temporary Assistance for Needy Families Federal Fund .....................................425,286 12 HB 11 34
For crisis care 13
From General Revenue Fund ............................................................................... 2,316,000
14
Total .........................................................................................................................$27,856,214 15
Section 11.410. To the Department of Social Services 1
For the Children’s Division 2
For court ordered drug testing 3
Expense and Equipment 4
From General Revenue Fund .....................................................................................$1,081,076 5
From Federal Funds ............................................................................................. 318,924 6
Total ...........................................................................................................................$1,400,000 7
Section 11.415. To the Department of Social Services 1
For the Children’s Division 2
For costs associated with the implementation of the Family First 3
Prevention Services Act (FFPSA) 4
For grants to providers to develop and provide community settings 5
From Federal Funds ...................................................................................................$4,311,800 6
For the development and start-up of new prevention programs that meet 7
FFPSA criteria 8
From Federal Funds ............................................................................................. 1,301,900 9
Total ...........................................................................................................................$5,613,700 10
Section 11.420. To the Department of Social Services 1
For the Children’s Division 2
For foster care placement special expenses, respite services, and 3
transportation expenses; expenses related to training of foster 4
parents, provided ten percent (10%) flexibility is allowed 5
between Sections 11.090, 11.405, 11.420, 11.425, 11.440, 6
11.465, 11.475, and 11.480 7
From General Revenue Fund .....................................................................................$3,521,170 8
From Federal Funds ........................................................................................................991,047 9
From Temporary Assistance for Needy Families Federal Fund ..................................1,052,158 10
For foster care treatment costs in an outdoor learning foster care program 11
that is licensed or accredited for treatment programming with the 12
reimbursement rate for this service determined by a cost study for 13
payment in addition to other service rates for the foster child, 14 HB 11 35
provided that such reimbursement rate shall not exceed the 15
appropriation authority, and further provided that no funds shall 16
be expended to any vendor who fails to report a crime as required 17
by law and/or failed to remove an employee from duties related 18
to the treatment program upon becoming aware of a charge or 19
indictment 20
From General Revenue Fund ..........................................................................................183,385 21
From Federal Funds ........................................................................................................316,615 22
For awards to licensed community-based foster care and adoption 23
recruitment programs 24
From Foster Care and Adoptive Parents Recruitment and Retention Fund ......... 15,000
25
Total ...........................................................................................................................$6,079,375 26
Section 11.425. To the Department of Social Services 1
For the Children’s Division 2
For foster care maintenance payments, provided ten percent (10%) 3
flexibility is allowed between Sections 11.090, 11.405, 11.420, 4
11.425, 11.440, 11.465, 11.475, and 11.480 5
From General Revenue Fund ...................................................................................$51,808,475 6
From Federal Funds ...................................................................................................19,875,505 7
From Temporary Assistance for Needy Families Federal Fund ................................20,314,073 8
From Alternative Care Trust Fund ....................................................................... 8,000,000 9
Total .........................................................................................................................$99,998,053 10
Section 11.430. To the Department of Social Services 1
For the Children’s Division 2
For room and board expenses for children placed in a Therapeutic Foster 3
Care (TFC) home setting 4
From General Revenue Fund .....................................................................................$4,566,746 5
From Federal Funds ............................................................................................. 1,902,621 6
Total ...........................................................................................................................$6,469,367 7
Section 11.435. To the Department of Social Services 1
For the Children’s Division 2
For room and board expenses for children placed in Qualified Residential 3
Treatment Program designated facilities, provided seventy-five 4
percent (75%) flexibility is allowed between subsections within 5 HB 11 36
this section, and further provided ten percent (10%) flexibility is 6
allowed between Sections 11.435, 11.440, and 11.755 7
For placements in a Qualified Residential Treatment Program/non-8
Institution for Mental Disease (QRTP/non-IMD) designated 9
facilities 10
From General Revenue Fund ...................................................................................$13,835,914 11
From Federal Funds .....................................................................................................5,359,649 12
For placements in Qualified Residential Treatment Programs/Institution 13
for Mental Disease (QRTP/IMD) designated facilities 14
From General Revenue Fund .......................................................................................4,159,992 15
From Federal Funds ............................................................................................. 680,912
16
Total .........................................................................................................................$24,036,467 17
Section 11.440. To the Department of Social Services 1
For the Children’s Division 2
For residential treatment placements and therapeutic treatment services; 3
and for the diversion of children from inpatient psychiatric 4
treatment and services provided through comprehensive, 5
expedited permanency systems of care for children and families, 6
provided ten percent (10%) flexibility is allowed between 7
Sections 11.090, 11.405, 11.420, 11.425, 11.440, 11.465, 11.475, 8
and 11.480, and further provided ten percent (10%) flexibility is 9
allowed between Sections 11.435, 11.440, and 11.755 10
From General Revenue Fund ...................................................................................$22,594,667 11
From Temporary Assistance for Needy Families Federal Fund ................................13,351,973 12
From Federal Funds ............................................................................................. 7,310,026 13
Total .........................................................................................................................$43,256,666 14
Section 11.445. To the Department of Social Services 1
For the Children’s Division 2
For contractual payments for expenses related to training of foster 3
parents 4
From General Revenue Fund ........................................................................................$603,513 5
From Federal Funds ............................................................................................. 372,934 6
Total ..............................................................................................................................$976,447 7
Section 11.450. To the Department of Social Services 1
For the Children’s Division 2 HB 11 37
For foster parent support 3
Expense and Equipment 4
From General Revenue Fund .....................................................................................$4,208,037 5
From Federal Funds ............................................................................................. 1,246,315
6
Total ...........................................................................................................................$5,454,352 7
Section 11.455. To the Department of Social Services 1
For the Children’s Division 2
For costs associated with attending post-secondary education including, 3
but not limited to tuition, books, fees, room and board for current 4
or former foster youth, provided three percent (3%) flexibility is 5
allowed from this section to Section 11.905 6
From General Revenue Fund ........................................................................................$188,848 7
From Federal Funds .....................................................................................................1,050,000 8
From Temporary Assistance for Needy Families Federal Fund .......................... 450,000 9
Total ...........................................................................................................................$1,688,848 10
Section 11.460. To the Department of Social Services 1
For the Children’s Division 2
For comprehensive case management contracts through community-3
based organizations as described in Section 210.112, RSMo; the 4
purpose of these contracts shall be to provide a system of care for 5
children living in foster care, independent living, or residential 6
care settings; services eligible under this provision may include, 7
but are not limited to, case management, foster care, residential 8
treatment, intensive in-home services, family reunification 9
services, and specialized recruitment and training of foster care 10
families, provided three percent (3%) flexibility is allowed from 11
this section to Section 11.905 12
From General Revenue Fund ...................................................................................$35,251,584 13
From Federal Funds ............................................................................................. 21,685,931 14
Total .........................................................................................................................$56,937,515 15
Section 11.465. To the Department of Social Services 1
For the Children’s Division 2
For adoption subsidy payments, provided ten percent (10%) flexibility is 3
allowed between subsections within this section, and further 4
provided ten percent (10%) flexibility is allowed between 5 HB 11 38
Sections 11.090, 11.405, 11.420, 11.425, 11.440, 11.465, 11.475, 6
and 11.480 7
From General Revenue Fund ...................................................................................$55,211,954 8
From Federal Funds ...................................................................................................51,994,222 9
From Temporary Assistance for Needy Families Federal Fund ................................14,439,396 10
For guardianship subsidy payments, provided ten percent (10%) 11
flexibility is allowed between subsections within this section, and 12
further provided ten percent (10%) flexibility is allowed between 13
Sections 11.090, 11.405, 11.420, 11.425, 11.440, 11.465, 11.475, 14
and 11.480 15
From General Revenue Fund .....................................................................................19,850,562 16
From Federal Funds ...................................................................................................15,895,630 17
From Temporary Assistance for Needy Families Federal Fund .......................... 11,860,598
18
Total .......................................................................................................................$169,252,362 19
Section 11.470. To the Department of Social Services 1
For the Children’s Division 2
For kinship navigator services 3
Program Distribution 4
From Federal Funds ......................................................................................................$372,318 5
Section 11.475. To the Department of Social Services 1
For the Children's Division provided ten percent (10%) flexibility is 2
allowed between Sections 11.090, 11.405, 11.420, 11.425, 3
11.440, 11.465, 11.475, and 11.480 4
For a Family Resource Center with a primary office location, in any city 5
with more than one hundred five thousand but fewer than one 6
hundred twenty-five thousand inhabitants 7
From General Revenue Fund .....................................................................................$3,198,434 8
From Federal Funds .....................................................................................................5,807,580 9
From Temporary Assistance for Needy Families Federal Fund .....................................391,910 10
For a Family Resource Center with a primary office location, in any city 11
with more than forty thousand but fewer than fifty-one thousand 12
inhabitants and partially located in a county with more than 13
seventy thousand but fewer than eighty thousand inhabitants 14
From General Revenue Fund .......................................................................................3,059,828 15
From Federal Funds .....................................................................................................4,686,171 16 HB 11 39
From Temporary Assistance for Needy Families Federal Fund .....................................326,023 17
For a Family Resource Center with a primary office location in any 18
county with more than one million inhabitants 19
From General Revenue Fund .......................................................................................2,745,302 20
From Federal Funds .....................................................................................................3,889,565 21
From Temporary Assistance for Needy Families Federal Fund .....................................271,142 22
For a Family Resource Center located in a city with more than sixteen 23
thousand but fewer than eighteen thousand inhabitants and 24
located in more than one county, and located in a city with more 25
than four thousand nine hundred but fewer than five thousand six 26
hundred inhabitants and located in a county with more than 27
fourteen thousand but fewer than fifteen thousand seven hundred 28
inhabitants and with a county seat with more than four thousand 29
nine hundred but fewer than five thousand five hundred 30
inhabitants, and located in a city with more than four thousand 31
nine hundred but fewer than five thousand six hundred 32
inhabitants and that is the county seat of a county with more than 33
twelve thousand five hundred but fewer than fourteen thousand 34
inhabitants 35
From General Revenue Fund ..........................................................................................600,000 36
For a Family Resource Center located in a county with more than 37
seventeen thousand six hundred but fewer than nineteen thousand 38
inhabitants and with a county seat with more than three hundred 39
but fewer than one thousand inhabitants 40
From General Revenue Fund ..........................................................................................300,000 41
For a Family Resource Center located in any city with more than thirty-42
six thousand five hundred but fewer than forty thousand 43
inhabitants 44
From General Revenue Fund ..........................................................................................500,000 45
For additional Behavioral Intervention Services in areas of need 46
From Federal Funds ............................................................................................. 900,000
47
Total .........................................................................................................................$26,675,955 48
Section 11.480. To the Department of Social Services 1
For the Children’s Division 2 HB 11 40
For independent living placements and transitional living services, 3
provided ten percent (10%) flexibility is allowed between 4
Sections 11.090, 11.405, 11.420, 11.425, 11.440, 11.465, 11.475, 5
and 11.480 6
From General Revenue Fund .....................................................................................$1,947,584 7
From Federal Funds ............................................................................................. 4,171,219
8
Total ...........................................................................................................................$6,118,803 9
Section 11.485. To the Department of Social Services 1
For the Children’s Division 2
For Regional Child Assessment Centers, provided three percent (3%) 3
flexibility is allowed from this section to Section 11.905 4
From General Revenue Fund .....................................................................................$2,249,475 5
From Federal Funds .....................................................................................................1,700,000 6
From Health Initiatives Fund ............................................................................... 501,048 7
Total ...........................................................................................................................$4,450,523 8
Section 11.490. To the Department of Social Services 1
For the Children’s Division 2
For Regional Child Assessment Centers 3
For services and programs administered through the statewide 4
association of Regional Child Assessment Centers aimed at 5
preventing and combating the commercial sexual exploitation of 6
children 7
From General Revenue Fund ........................................................................................$500,000 8
Section 11.495. To the Department of Social Services 1
For the Children’s Division 2
For residential placement payments to counties for children in the 3
custody of juvenile courts 4
From Federal Funds ......................................................................................................$175,000 5
Section 11.500. To the Department of Social Services 1
For the Children’s Division 2
For CASA IV-E allowable training costs 3
From Federal Funds ......................................................................................................$150,000 4
Section 11.505. To the Department of Social Services 1
For the Children’s Division 2 HB 11 41
For the Child Abuse and Neglect Prevention Grant and Children’s Justice 3
Act Grant 4
From Federal Funds ...................................................................................................$1,251,091 5
Section 11.510. To the Department of Social Services 1
For the Children’s Division 2
For transactions involving personal funds of children in the custody of 3
the Children’s Division 4
From Alternative Care Trust Fund .............................................................................$8,000,000 5
Section 11.550. To the Department of Social Services 1
For the Division of Youth Services 2
For the Central Office and regional offices, provided three percent (3%) 3
flexibility is allowed from this section to Section 11.905 4
Personal Service .............................................................................................$1,104,048 5
Expense and Equipment ........................................................................... 81,090
6
From General Revenue Fund .......................................................................................1,185,138 7
Personal Service ..................................................................................................262,539 8
Expense and Equipment ........................................................................... 13,855 9
From Federal Funds ........................................................................................................276,394 10
Personal Service ..................................................................................................984,541 11
Expense and Equipment ........................................................................... 86,672 12
From Temporary Assistance for Needy Families Federal Fund ..................................1,071,213 13
Expense and Equipment 14
From Youth Services Treatment Fund ................................................................. 999 15
Total ...........................................................................................................................$2,533,744 16
Section 11.555. To the Department of Social Services 1
For the Division of Youth Services 2
For treatment services, including foster care and contractual payments, 3
provided up to $500,000 can be used for juvenile court diversion, 4
provided ten percent (10%) flexibility is allowed between federal 5
funds, and further provided five percent (5%) flexibility is 6
allowed between personal service and expense and equipment; 7
and further provided three percent (3%) flexibility is allowed 8
from this section to Section 11.905 9
Personal Service ...........................................................................................$25,775,382 10 HB 11 42
Expense and Equipment ........................................................................... 1,269,455
11
From General Revenue Fund .....................................................................................27,044,837 12
Personal Service ...............................................................................................6,406,504 13
Expense and Equipment ........................................................................... 4,263,527 14
From Federal Funds ...................................................................................................10,670,031 15
Personal Service .............................................................................................13,190,742 16
Expense and Equipment ........................................................................... 1,514,661 17
From Temporary Assistance for Needy Families Federal Fund ................................14,705,403 18
Personal Service ...............................................................................................3,999,304 19
Expense and Equipment ........................................................................... 3,854,787 20
From DOSS Educational Improvement Fund ..............................................................7,854,091 21
Personal Service ..................................................................................................178,072 22
Expense and Equipment ........................................................................... 9,106
23
From Health Initiatives Fund ..........................................................................................187,178 24
Expense and Equipment 25
From Youth Services Products Fund ..................................................................................5,000 26
For overtime to non-exempt state employees and/or for paying otherwise 27
authorized personal service expenditures in lieu of such overtime 28
payments; non-exempt state employees identified by Section 29
105.935, RSMo, will be paid first with any remaining funds to be 30
used to pay overtime to any other state employees 31
From General Revenue Fund .......................................................................................1,133,414 32
For payment distribution of Social Security benefits received on behalf 33
of youth in care 34
From Division of Youth Services Child Benefits Fund ....................................... 200,000 35
Total .........................................................................................................................$61,799,954 36
Section 11.560. To the Department of Social Services 1
For the Division of Youth Services 2
For incentive payments to counties for community-based treatment 3
programs for youth, provided three percent (3%) flexibility is 4
allowed from this section to Section 11.905 5
From General Revenue Fund .....................................................................................$3,479,486 6 HB 11 43
From Gaming Commission Fund ........................................................................ 500,000
7
Total ...........................................................................................................................$3,979,486 8
Section 11.600. To the Department of Social Services 1
For the MO HealthNet Division 2
For administrative services, provided three percent (3%) flexibility is 3
allowed from this section to Section 11.905 4
Personal Service .............................................................................................$4,558,319 5
Expense and Equipment ........................................................................... 6,252,855 6
From General Revenue Fund .....................................................................................10,811,174 7
Personal Service ...............................................................................................9,460,534 8
Expense and Equipment ........................................................................... 11,473,522 9
From Federal Funds ...................................................................................................20,934,056 10
Personal Service ..................................................................................................555,338 11
Expense and Equipment ........................................................................... 55,553 12
From Pharmacy Rebates Fund ........................................................................................610,891 13
Personal Service ..................................................................................................135,943 14
Expense and Equipment ........................................................................... 232,708 15
From Federal Reimbursement Allowance Fund .............................................................368,651 16
Personal Service ....................................................................................................34,086 17
Expense and Equipment ........................................................................... 356 18
From Pharmacy Reimbursement Allowance Fund ...........................................................34,442 19
Personal Service ..................................................................................................566,877 20
Expense and Equipment ........................................................................... 41,385 21
From Health Initiatives Fund ..........................................................................................608,262 22
Personal Service ..................................................................................................113,122 23
Expense and Equipment ........................................................................... 10,281 24
From Nursing Facility Quality of Care Fund ..................................................................123,403 25
Personal Service ..................................................................................................528,593 26
Expense and Equipment ........................................................................... 488,041 27
From Third Party Liability Collections Fund ..............................................................1,016,634 28
Expense and Equipment 29 HB 11 44
From Life Sciences Research Trust Fund ...........................................................................3,000 30
Personal Service 31
From Missouri Rx Plan Fund ..........................................................................................443,129 32
Personal Service ....................................................................................................23,682 33
Expense and Equipment ........................................................................... 128,466
34
From Ambulance Service Reimbursement Allowance Fund ..........................................152,148 35
Personal Service ....................................................................................................57,920 36
Expense and Equipment ........................................................................... 425,372 37
From Ground Emergency Medical Transportation Fund ..................................... 483,292 38
Total .........................................................................................................................$35,589,082 39
Section 11.605. To the Department of Social Services 1
For the MO HealthNet Division 2
For clinical services management related to the administration of the MO 3
HealthNet Pharmacy fee-for-service and managed care programs 4
and administration of the Missouri Rx Plan, provided three 5
percent (3%) flexibility is allowed from this section to Section 6
11.905 7
Expense and Equipment 8
From General Revenue Fund ........................................................................................$461,917 9
From Federal Funds ...................................................................................................12,214,032 10
From Third Party Liability Collections Fund .................................................................924,911 11
From Missouri Rx Plan Fund ............................................................................................62,947 12
From Pharmacy Rebates Fund ............................................................................. 497,648 13
Total .........................................................................................................................$14,161,455 14
Section 11.610. To the Department of Social Services 1
For the MO HealthNet Division 2
For MO HealthNet Transformation initiatives 3
Personal Service ................................................................................................$272,214 4
Expense and Equipment ........................................................................... 3,130,458 5
From General Revenue Fund .......................................................................................3,402,672 6
Personal Service ..................................................................................................274,717 7
Expense and Equipment ........................................................................... 7,379,318 8
From Federal Funds ............................................................................................. 7,654,035 9
Total .........................................................................................................................$11,056,707 10 HB 11 45
Section 11.615. To the Department of Social Services 1
For the MO HealthNet Division 2
For the MO HealthNet Data Management Office administrative expenses 3
Personal Service ................................................................................................$225,394 4
Expense and Equipment ........................................................................... 11,926
5
From General Revenue Fund ..........................................................................................237,320 6
Personal Service ..................................................................................................453,477 7
Expense and Equipment ........................................................................... 23,632
8
From Federal Funds ............................................................................................. 477,109 9
Total ..............................................................................................................................$714,429 10
Section 11.620. To the Department of Social Services 1
For the MO HealthNet Division 2
For fees associated with third-party collections and other revenue 3
maximization cost avoidance fees 4
Expense and Equipment 5
From Federal Funds ...................................................................................................$4,250,000 6
From Third Party Liability Collections Fund ...................................................... 4,250,000 7
Total ...........................................................................................................................$8,500,000 8
Section 11.625. To the Department of Social Services 1
For the MO HealthNet Division 2
For the Missouri Medicaid Information Systems (MMIS) 3
For the operation of the information systems, provided ten percent (10%) 4
flexibility is allowed between subsections within this section, and 5
further provided three percent (3%) flexibility is allowed from 6
this section to Section 11.905 7
From General Revenue Fund ...................................................................................$30,541,092 8
From Federal Funds ...................................................................................................94,389,495 9
From FMAP Enhancement – Expansion Fund ............................................................2,416,534 10
From Health Initiatives Fund .......................................................................................1,591,687 11
From Uncompensated Care Fund ...................................................................................430,000 12
For the operation of the Business Intelligence Solution – Enterprise Data 13
Warehouse (BIS-EDW) 14
Expense and Equipment 15
From General Revenue Fund .......................................................................................1,961,638 16 HB 11 46
From Federal Funds .....................................................................................................7,684,913 17
For the operation of the Beneficiary Support and Premiums Collections 18
Solution and Services (BSPC) – Enrollment Broker 19
Expense and Equipment 20
From General Revenue Fund .......................................................................................2,854,462 21
From Federal Funds .....................................................................................................4,934,119 22
For the operation of the Clinical Management Services and Pharmacy 23
Claims and Prior Authorization (CMSP) 24
Expense and Equipment 25
From General Revenue Fund .......................................................................................5,138,668 26
From Federal Funds ...................................................................................................15,303,167 27
For the operation of the pharmacy system and support services-Pharmacy 28
Solution 29
Expense and Equipment 30
From General Revenue Fund .......................................................................................1,500,000 31
From Federal Funds ...................................................................................................13,500,000 32
For the operation of the Managed Care Contract Management Tool 33
Expense and Equipment 34
From General Revenue Fund ..........................................................................................700,000 35
From Federal Funds ............................................................................................. 6,300,000
36
Total .......................................................................................................................$189,245,77537
Section 11.630. To the Department of Social Services 1
For the MO HealthNet Division 2
For the competitive procurement of technology for a statewide closed-3
loop social service referral platform for addressing the social 4
determinants of health, defined as nonclinical community and 5
social factors such as housing, food security, transportation, 6
financial strain, and interpersonal safety, that affect health, 7
functioning, and quality-of-life outcomes; the platform shall: 8
share information securely and consistent with all applicable 9
federal and state laws regarding individual consent, personal 10
health information, privacy, public records, and data security; 11
provide support and be made available statewide, at minimum, to 12
community-based organizations, state agencies; hospital system, 13 HB 11 47
county programs, and safety net healthcare providers; identify 14
social care needs through embedded screening and other data 15
analytics tools; coordinate social care referrals and interventions 16
through closed-loop referrals which include not only if the 17
referral occurred but the outcome of the referral; track and 18
measure the outcomes of referrals and the impact of 19
interventions; support client-level community health records 20
where this information is longitudinally stored; and create a 21
longitudinal view of a client's social care opportunities, the social 22
care needs identified for this client, the social care services that 23
this client has been connected to, and the outcomes of these social 24
care interventions over time; the services procured with the 25
platform shall include a community engagement team to support 26
the development of multisector network, and provide the 27
identification of, training, onboarding, and ongoing support for 28
community-based organizations 29
Expense and Equipment 30
From General Revenue Fund .....................................................................................$2,500,000 31
From Federal Funds ............................................................................................. 2,500,000
32
Total ...........................................................................................................................$5,000,000 33
Section 11.635. To the Department of Social Services 1
For the MO HealthNet Division 2
For the purpose of supporting the transformation of any or all of the 3
state's existing Health Information Exchanges into a Health Data 4
Utility by providing funds to enhance the existing HIE 5
infrastructure for the purpose of data analysis focused on 6
supporting MO HealthNet. Data analytics provided through the 7
HIE(s) shall provide analysis to MO HealthNet and members 8
focused on enhancing care delivery and system efficiency in the 9
MO HealthNet program and improving health care delivery and 10
outcomes in under-served communities. All HIEs shall be 11
required to maintain strict compliance with all patient privacy 12
protections under HIPAA and any other applicable state or 13
federal laws 14
From General Revenue Fund .....................................................................................$5,000,000 15
From Federal Funds ............................................................................................. 45,000,000 16
Total .........................................................................................................................$50,000,000 17
HB 11 48
Section 11.640. To the Department of Social Services 1
For the MO HealthNet Division 2
For the Money Follows the Person Program 3
From Federal Funds ...................................................................................................$1,532,549 4
Section 11.700. To the Department of Social Services 1
For the MO HealthNet Division, provided three percent (3%) flexibility 2
is allowed from this section to Section 11.905 3
For pharmaceutical payments under the MO HealthNet fee-for-service 4
program, professional fees for pharmacists, and for a 5
comprehensive chronic care risk management program, provided 6
ten percent (10%) flexibility is allowed between this subsection 7
and Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 8
11.755, 11.765, 11.770, 11.775, 11.780, 11.810, 11.825, 11.830, 9
and 11.840 10
From General Revenue Fund .................................................................................$196,610,521 11
From Federal Funds .................................................................................................915,764,828 12
From Pharmacy Rebates Fund .................................................................................260,835,622 13
From Third Party Liability Collections Fund ..............................................................4,217,574 14
From Pharmacy Reimbursement Allowance Fund ....................................................35,376,122 15
From Health Initiatives Fund .......................................................................................3,543,350 16
From Premium Fund ....................................................................................................3,800,000 17
For Medicare Part D Clawback payments, provided ten percent (10%) 18
flexibility is allowed between this subsection and Sections 19
11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 20
11.770, 11.775, 11.780, 11.810, 11.825, 11.830, and 11.840 21
From General Revenue Fund ............................................................................... 383,532,210
22
Total ....................................................................................................................$1,803,680,227 23
Section 11.705. To the Department of Social Services 1
For the MO HealthNet Division 2
For the purpose of funding pharmaceutical payments under the Missouri 3
Rx Plan authorized by Sections 208.780 through 208.798, RSMo 4
From General Revenue Fund .....................................................................................$1,213,563 5
From Missouri Rx Plan Fund ............................................................................... 1,188,774 6
Total ...........................................................................................................................$2,402,337 7
Section 11.710. To the Department of Social Services 1 HB 11 49
For the MO HealthNet Division 2
For Pharmacy Reimbursement Allowance payments as provided by law 3
From Federal Funds .................................................................................................$37,990,000 4
From Pharmacy Reimbursement Allowance Fund .............................................. 20,010,000
5
Total .........................................................................................................................$58,000,000 6
Section 11.715. To the Department of Social Services 1
For the MO HealthNet Division 2
For physician services and related services including, but not limited to, 3
clinic and podiatry services, telemedicine services, physician-4
sponsored services and fees, laboratory and x-ray services, 5
asthma related services, diabetes prevention and obesity related 6
services, services provided by chiropractic physicians, and 7
family planning services under the MO HealthNet fee-for-service 8
program, and for a comprehensive chronic care risk management 9
program, and Major Medical Prior Authorization, provided ten 10
percent (10%) flexibility is allowed between this subsection and 11
Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 12
11.765, 11.770, 11.775, 11.780, 11.810, 11.825, 11.830, and 13
11.840 14
From General Revenue Fund .................................................................................$208,022,848 15
From Federal Funds .................................................................................................382,444,093 16
From Pharmacy Reimbursement Allowance Fund ...........................................................10,000 17
From Health Initiatives Fund .......................................................................................1,427,081 18
From Third Party Liability Collections Fund .................................................................241,046 19
For payment of physician and related services to Certified Community 20
Behavioral Health Organizations (CCBHO), provided that 21
Applied Behavioral Analysis (ABA) services are included in the 22
CCBHO Prospective Payment System, provided ten percent 23
(10%) flexibility is allowed between this subsection and Sections 24
11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 25
11.770, 11.775, 11.780, 11.810, 11.825, 11.830, and 11.840 26
From General Revenue Fund .....................................................................................75,180,484 27
From Federal Funds ............................................................................................. 140,455,106 28
Total .......................................................................................................................$807,780,658 29
Section 11.720. To the Department of Social Services 1
For the MO HealthNet Division 2 HB 11 50
For the Program for All-Inclusive Care for the Elderly, including 3
program funds for an additional location at a Federally Qualified 4
Health Center that saw more than 45,000 patients last year in a 5
county with more than two hundred sixty thousand but fewer than 6
three hundred thousand inhabitants, provided ten percent (10%) 7
flexibility is allowed between this subsection and Sections 8
11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 9
11.770, 11.775, 11.780, 11.810, 11.825, 11.830, and 11.840 10
From General Revenue Fund .....................................................................................$6,275,311 11
From Federal Funds ............................................................................................. 10,995,739
12
Total .........................................................................................................................$17,271,050 13
Section 11.725. To the Department of Social Services 1
For the MO HealthNet Division 2
For dental services under the MO HealthNet fee-for-service program, 3
including adult dental procedure codes (Tier 1-6), provided ten 4
percent (10%) flexibility is allowed between this section and 5
Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 6
11.765, 11.770, 11.775, 11.780, 11.810, 11.825, 11.830, and 7
11.840 8
From General Revenue Fund .....................................................................................$5,302,645 9
From Federal Funds ...................................................................................................10,044,781 10
From Health Initiatives Fund ............................................................................... 71,162 11
Total .........................................................................................................................$15,418,588 12
Section 11.730. To the Department of Social Services 1
For the MO HealthNet Division 2
For payments to third-party insurers, employers, or policy holders for 3
health insurance, provided ten percent (10%) flexibility is 4
allowed between this section and Sections 11.700, 11.715, 5
11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 11.775, 6
11.780, 11.810, 11.825, 11.830, and 11.840, and further provided 7
three percent (3%) flexibility is allowed from this section to 8
Section 11.905 9
From General Revenue Fund .................................................................................$128,844,388 10
From Federal Funds ............................................................................................. 260,015,587 11
Total .......................................................................................................................$388,859,975 12
Section 11.735. To the Department of Social Services 1 HB 11 51
For the MO HealthNet Division 2
For funding long-term care services 3
For care in nursing facilities under the MO HealthNet fee-for-service 4
program and for contracted services to develop model policies 5
and practices that improve the quality of life for long-term care 6
residents, provided ten percent (10%) flexibility is allowed 7
between this subsection and Sections 11.700, 11.715, 11.720, 8
11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 11.775, 11.780, 9
11.810, 11.825, 11.830, and 11.840, and further provided five 10
percent (5%) flexibility is allowed from this subsection to the 11
value based incentive payments to nursing facilities subsection 12
within this section 13
From General Revenue Fund .................................................................................$346,201,028 14
From Federal Funds .................................................................................................745,800,372 15
From Uncompensated Care Fund ..............................................................................58,516,478 16
From Third Party Liability Collections Fund ..............................................................6,992,981 17
For value-based incentive payments to nursing facilities 18
From General Revenue Fund .....................................................................................12,271,136 19
From Federal Funds ...................................................................................................22,507,067 20
For home health for the elderly under the MO HealthNet fee-for-service 21
program, provided ten percent (10%) flexibility is allowed 22
between this subsection and Sections 11.700, 11.715, 11.720, 23
11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 11.775, 11.780, 24
11.810, 11.825, 11.830, and 11.840 25
From General Revenue Fund .......................................................................................1,248,046 26
From Federal Funds .....................................................................................................2,574,685 27
From Health Initiatives Fund ............................................................................... 159,305
28
Total ....................................................................................................................$1,196,271,098 29
Section 11.740. To the Department of Social Services 1
For the MO HealthNet Division 2
For funding long-term care services 3
For Nursing Facility Reimbursement Allowance payments as provided 4
by law 5
From Federal Funds ...............................................................................................$244,303,447 6
From Nursing Facility Reimbursement Allowance Fund .................................... 128,678,915 7
Total .......................................................................................................................$372,982,362 8 HB 11 52
Section 11.745. To the Department of Social Services 1
For the MO HealthNet Division 2
For rehabilitative and preventative care services ordered by a physician 3
and delivered by an Assisted Living Facility, provided one 4
hundred percent (100%) flexibility is allowed between funds 5
From General Revenue Fund ...................................................................................................$1 6
From Federal Funds ............................................................................................. 1
7
Total .........................................................................................................................................$2 8
Section 11.750. To the Department of Social Services 1
For the MO HealthNet Division 2
For publicly funded long-term care services and support contracts and 3
funding supplemental payments for care in nursing facilities 4
under the nursing facility upper payment limit 5
From Federal Funds ...................................................................................................$7,080,493 6
From Long Term Support UPL Fund .................................................................. 3,870,275 7
Total .........................................................................................................................$10,950,768 8
Section 11.755. To the Department of Social Services 1
For the MO HealthNet Division 2
For all other non-institutional services including, but not limited to, 3
rehabilitation, optometry, audiology, ambulance, non-emergency 4
medical transportation, durable medical equipment, and 5
eyeglasses under the MO HealthNet fee-for-service program, and 6
for rehabilitation services provided by residential treatment 7
facilities as authorized by the Children’s Division for children in 8
the care and custody of the Children’s Division, provided ten 9
percent (10%) flexibility is allowed between this subsection and 10
Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11
11.765, 11.770, 11.775, 11.780, 11.810, 11.825, 11.830, and 12
11.840, and further provided ten percent (10%) flexibility is 13
allowed between Sections 11.435, 11.440, and 11.755 14
From General Revenue Fund .................................................................................$140,990,348 15
From Federal Funds .................................................................................................254,942,844 16
From Nursing Facility Reimbursement Allowance Fund ............................................1,414,043 17
From Health Initiatives Fund ..........................................................................................194,881 18
From Ambulance Service Reimbursement Allowance Fund .....................................10,159,809 19
HB 11 53
For non-emergency medical transportation, provided ten percent (10%) 20
flexibility is allowed between this subsection and Sections 21
11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 22
11.770, 11.775, 11.780, 11.810, 11.825, 11.830, and 11.840 23
From General Revenue Fund .....................................................................................21,763,884 24
From Federal Funds ...................................................................................................40,949,767 25
For the federal share of MO HealthNet reimbursable non-emergency 26
medical transportation for public entities 27
From Federal Funds ............................................................................................. 2,555,469
28
Total .......................................................................................................................$472,971,045 29
Section 11.760. To the Department of Social Services 1
For the MO HealthNet Division 2
For payments to providers of ground emergency medical transportation 3
From Federal Funds .................................................................................................$54,286,596 4
From Ground Emergency Medical Transportation Fund ..................................... 29,673,650 5
Total .........................................................................................................................$83,960,246 6
Section 11.765. To the Department of Social Services 1
For the MO HealthNet Division 2
For complex rehabilitation technology items classified within the 3
Medicare program as of January 1, 2014 as durable medical 4
equipment that are individually configured for individuals to 5
meet their specific and unique medical, physical, and functional 6
needs and capacities for basic activities of daily living and 7
instrumental activities of daily living identified as medically 8
necessary to prevent hospitalization and/or institutionalization of 9
a complex needs patient; such items shall include, but not be 10
limited to, complex rehabilitation power wheelchairs, highly 11
configurable manual wheelchairs, adaptive seating and 12
positioning systems, and other specialized equipment such as 13
standing frames and gait trainers, provided ten percent (10%) 14
flexibility is allowed between this section and Sections 11.700, 15
11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 16
11.775, 11.780, 11.810, 11.825, 11.830, and 11.840, and further 17
provided three percent (3%) flexibility is allowed from this 18
section to Section 11.905 19
From General Revenue Fund .....................................................................................$5,139,870 20 HB 11 54
From Federal Funds ............................................................................................. 9,403,160
21
Total .........................................................................................................................$14,543,030 22
Section 11.770. To the Department of Social Services 1
For the MO HealthNet Division 2
For payment to comprehensive prepaid health care plans for the general 3
plan as provided by federal or state law or for payments to 4
programs authorized by the Frail Elderly Demonstration Project 5
Waiver as provided by the Omnibus Budget Reconciliation Act 6
of 1990 (P.L.101-508, Section 4744) and by Section 208.152 7
(16), RSMo, provided that the department shall implement 8
programs or measures to achieve cost-savings through 9
emergency room services reform, and further provided that MO 10
HealthNet eligibles described in Section 501(a)(1)(D) of Title V 11
of the Social Security Act may voluntarily enroll in the Managed 12
Care Program, and further provided that the Department shall 13
direct its contracted actuary to develop an Aged, Blind, and 14
Disabled rate cell inside the MO HealthNet Managed Care 15
program to reflect the cost of those members choosing to be 16
enrolled in a managed care plan, and further provided ten percent 17
(10%) flexibility is allowed between this subsection and Sections 18
11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 19
11.770, 11.775, 11.780, 11.810, 11.825, 11.830, and 11.840 20
From General Revenue Fund .................................................................................$490,451,765 21
From Federal Funds ..............................................................................................1,374,396,511 22
From Uncompensated Care Fund ..............................................................................33,848,436 23
From Health Initiatives Fund .....................................................................................18,590,380 24
From Federal Reimbursement Allowance Fund ......................................................155,083,260 25
From Healthy Families Trust Fund ............................................................................14,435,373 26
From Life Sciences Research Trust Fund ..................................................................26,697,272 27
From Premium Fund ....................................................................................................9,259,854 28
From Ambulance Service Reimbursement Allowance Fund .......................................2,892,711 29
For supplemental Medicare parity payments to primary care physicians 30
relating to maternal-fetal medicine, neonatology, and pediatric 31
cardiology 32
From General Revenue Fund ..........................................................................................998,587 33
From Federal Funds .....................................................................................................1,939,298 34
HB 11 55
For supplemental payments to Tier 1 Safety Net Hospitals, or to any 35
affiliated physician group that provides physicians for any Tier 1 36
Safety Net Hospital, for physician and other healthcare 37
professional services as approved by the Centers for Medicare 38
and Medicaid Services 39
From Federal Funds ...................................................................................................44,699,437 40
From Department of Social Services Intergovernmental Transfer Fund ...................24,433,204 41
For payments to providers of public ground emergency medical 42
transportation, pursuant to Sections 208.1030 and 208.1032 43
RSMo., when providing services to persons paid for under this 44
section 45
From Federal Funds ...................................................................................................25,954,375 46
From Ground Emergency Medical Transportation Fund ..................................... 13,670,624
47
Total ....................................................................................................................$2,237,351,087 48
Section 11.775. To the Department of Social Services 1
For the MO HealthNet Division 2
For payment to a comprehensive prepaid health care plan for the 3
specialty plan as provided by federal or state law or for payments 4
to programs authorized by the Frail Elderly Demonstration 5
Project Waiver as provided by the Omnibus Budget 6
Reconciliation Act of 1990 (P.L. 101-508, Section 4744) and by 7
Section 208.152 (16), RSMo., and further provided ten percent 8
(10%) flexibility is allowed between this section and Sections 9
11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 10
11.770, 11.775, 11.780, 11.810, 11.825, 11.830, and 11.840 11
From General Revenue Fund .................................................................................$132,549,064 12
From Federal Funds .................................................................................................232,801,611 13
From Federal Reimbursement Allowance Fund ........................................................21,102,611 14
From Ambulance Service Reimbursement Allowance Fund ..........................................300,000 15
For payments to providers of public ground emergency medical 16
transportation, pursuant to Sections 208.1030 and 208.1032 17
RSMo., when providing services to persons paid for under this 18
section 19
From Federal Funds .....................................................................................................1,760,313 20
From Ground Emergency Medical Transportation Fund ..................................... 927,188 21
Total .......................................................................................................................$389,440,787 22 HB 11 56
Section 11.780. To the Department of Social Services 1
For the MO HealthNet Division 2
For hospital care under the MO HealthNet fee-for-service program, 3
graduate medical education, and for a comprehensive chronic 4
care risk management program, provided that the MO HealthNet 5
Division shall track payments to out-of-state hospitals by 6
location, and further provided the department seek a waiver of 7
the institutions for mental disease (IMD) exclusion for inpatient 8
mental health treatment for MO HealthNet participants in 9
psychiatric hospitals pursuant to Section 12003 of the 21
st
10
Century Cures Act with the state share through the federal 11
reimbursement allowance, and further provided ten percent 12
(10%) flexibility is allowed between this subsection and Sections 13
11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 14
11.770, 11.775, 11.780, 11.810, 11.825, 11.830, and 11.840 15
From General Revenue Fund ...................................................................................$77,826,935 16
From Federal Funds .................................................................................................399,892,208 17
From Federal Reimbursement Allowance Fund ......................................................112,216,293 18
From Pharmacy Reimbursement Allowance Fund ...........................................................15,709 19
For rate increases for inpatient hospital psychiatric care 20
From General Revenue Fund .......................................................................................8,000,000 21
From Federal Funds ...................................................................................................16,500,000 22
From Federal Reimbursement Allowance Fund .............................................................500,000 23
For Safety Net Payments 24
From Healthy Families Trust Fund ............................................................................30,365,444 25
For the Remote Patient Monitoring program that includes in-home visits 26
and/or phone contact by a nurse care manager or electronic 27
monitor; the purpose of such program shall be to ensure that 28
patients are discharged from hospitals to an appropriate level of 29
care and services and that targeted MO HealthNet beneficiaries 30
with chronic illnesses and high-risk pregnancies receive care in 31
the most cost-effective setting 32
From Federal Funds ........................................................................................................200,000 33
From Federal Reimbursement Allowance Fund .............................................................200,000 34
HB 11 57
For the Rx Reminder program, facilitating medication compliance for 35
chronically ill MO HealthNet participants identified by the 36
division as having high utilization of acute care because of poor 37
management of their condition 38
From Federal Funds ........................................................................................................215,000 39
From Federal Reimbursement Allowance Fund .................................................. 215,000
40
Total .......................................................................................................................$646,146,589 41
Section 11.785. To the Department of Social Services 1
For the MO HealthNet Division 2
For Transformation of Rural Community Health 3
For the Transformation of Rural Community Health (ToRCH) Rural 4
Hospital Health Hub 5
From General Revenue Fund .....................................................................................$3,750,000 6
From Federal Funds .....................................................................................................7,500,000 7
From Federal Reimbursement Allowance Fund .................................................. 3,750,000 8
Total .........................................................................................................................$15,000,000 9
Section 11.790. To the Department of Social Services 1
For the MO HealthNet Division 2
For payments to Tier 1 Safety Net Hospitals for enhanced rates to 3
providers and to plan and develop a regional Barriers to Care 4
proposal while maximizing eligible costs for federal Medicaid 5
funds, utilizing current state and local funding sources as match 6
for services that are not currently matched with federal Medicaid 7
payments 8
From Federal Funds .................................................................................................$17,613,590 9
From Department of Social Services Intergovernmental Transfer Fund ............. 1,709,202 10
Total .........................................................................................................................$19,322,792 11
Section 11.795. To the Department of Social Services 1
For the MO HealthNet Division, provided three percent (3%) flexibility 2
is allowed from this section to Section 11.905 3
For Federally Qualified Health Centers (FQHCs) 4
For grants to Federally Qualified Health Centers 5
From General Revenue Fund ........................................................................................$257,732 6
For a community health worker initiative that focuses on providing 7
casework services to high utilizers of MO HealthNet Services 8 HB 11 58
From General Revenue Fund .......................................................................................2,500,000 9
From Federal Funds .....................................................................................................2,500,000 10
For statewide women and minority health care outreach programs 11
Expense and Equipment 12
From General Revenue Fund .......................................................................................2,029,796 13
From Federal Funds ............................................................................................. 2,029,796
14
Total ...........................................................................................................................$9,317,324 15
Section 11.800. To the Department of Social Services 1
For the MO HealthNet Division 2
For Federally Qualified Health Centers (FQHCs) 3
For a grant program for a substance abuse prevention network for a 4
FQHC located in a county with more than two hundred sixty 5
thousand but fewer than three hundred thousand inhabitants 6
From General Revenue Fund .....................................................................................$1,000,000 7
From Federal Funds ........................................................................................................250,000 8
From Opioid Addiction Treatment and Recovery Fund ..............................................1,100,000 9
For a grant program for a substance abuse prevention network 10
From General Revenue Fund .......................................................................................1,000,000 11
From Federal Funds ........................................................................................................250,000 12
From Opioid Addiction Treatment and Recovery Fund ...................................... 2,100,000 13
Total ...........................................................................................................................$5,700,000 14
Section 11.805. To the Department of Social Services 1
For the MO HealthNet Division 2
For payments to technical assistance contractors under Section 330(l) or 3
330(m) of the Public Health Services Act to assist Federally 4
Qualified Health Centers (FQHCs) with outreach and 5
engagement of Medicaid beneficiaries assigned to FQHCs, for 6
addressing gaps in preventive services and management of 7
chronic conditions, and for incentive payments 8
From General Revenue Fund .....................................................................................$1,918,645 9
From Federal Funds ............................................................................................. 1,918,645 10
Total ...........................................................................................................................$3,837,290 11
Section 11.810. To the Department of Social Services 1
For the MO HealthNet Division 2 HB 11 59
For health homes, provided ten percent (10%) flexibility is allowed 3
between this section and Sections 11.700, 11.715, 11.720, 4
11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 11.775, 11.780, 5
11.810, 11.825, 11.830, and 11.840 6
From General Revenue Fund .....................................................................................$6,631,240 7
From Federal Funds ...................................................................................................25,588,250 8
From Federal Reimbursement Allowance Fund .................................................. 7,893,011
9
Total .........................................................................................................................$40,112,501 10
Section 11.815. To the Department of Social Services 1
For the MO HealthNet Division 2
For a health home for children with medically complex conditions 3
pursuant to the Medicaid Services Investment and Accountability 4
Act of 2019 H.R.1839 otherwise known as Advancing Care for 5
Exceptional (ACE) Kids Act 6
From General Revenue Fund ........................................................................................$404,685 7
From Federal Funds ............................................................................................. 740,353 8
Total ...........................................................................................................................$1,145,038 9
Section 11.820. To the Department of Social Services 1
For the MO HealthNet Division 2
For payments to hospitals under the Federal Reimbursement Allowance 3
Program including state costs to pay for an independent audit of 4
Disproportionate Share Hospital payments as required by the 5
Centers for Medicare and Medicaid Services, for the expenses of 6
the Poison Control Center in order to provide services to all 7
hospitals within the state 8
For a continuation of the services provided through Medicaid Emergency 9
Psychiatric Demonstration as required by Section 208.152(16), 10
RSMo 11
From Federal Funds ............................................................................................$1,115,449,321 12
From Federal Reimbursement Allowance Fund .................................................. 539,738,730 13
Total ....................................................................................................................$1,655,188,051 14
Section 11.825. To the Department of Social Services 1
For the MO HealthNet Division 2
For funding programs to enhance access to care for uninsured children 3
using fee-for-service, prepaid health plans, or other alternative 4
service delivery and reimbursement methodology approved by 5 HB 11 60
the director of the Department of Social Services, provided that 6
families of children receiving services under this section shall pay 7
the following premiums to be eligible to receive such services: 8
zero percent on the amount of a family's income which is less 9
than or equal to 150 percent of the federal poverty level; four 10
percent on the amount of a family's income which is less than or 11
equal to 185 percent of the federal poverty level but greater than 12
150 percent of the federal poverty level; eight percent on the 13
amount of a family's income which is less than or equal to 225 14
percent of the federal poverty level but greater than 185 percent 15
of the federal poverty level; fourteen percent on the amount of a 16
family's income which is less than or equal to 300 percent of the 17
federal poverty level but greater than 225 percent of the federal 18
poverty level not to exceed five percent of total income; families 19
with an annual income of more than 300 percent of the federal 20
poverty level are ineligible for this program, provided ten percent 21
(10%) flexibility is allowed between this section and Sections 22
11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 11.765, 23
11.770, 11.775, 11.780, 11.810, 11.825, 11.830, and 11.840 24
From General Revenue Fund .................................................................................$128,005,425 25
From Federal Funds .................................................................................................405,212,624 26
From Federal Reimbursement Allowance Fund ..........................................................7,719,204 27
For payments to providers of public ground emergency medical 28
transportation, pursuant to Sections 208.1030 and 208.1032 29
RSMo., when providing services to persons paid for under this 30
section 31
From Federal Funds .....................................................................................................1,896,325 32
From Ground Emergency Medical Transportation Fund ..................................... 603,675
33
Total .......................................................................................................................$543,437,25334
Section 11.830. To the Department of Social Services 1
For the MO HealthNet Division 2
For the Show-Me Healthy Babies Program authorized by Section 3
208.662, RSMo, provided ten percent (10%) flexibility is allowed 4
between this section and Sections 11.700, 11.715, 11.720, 5
11.725, 11.730, 11.735, 11.755, 11.765, 11.770, 11.775, 11.780, 6
11.810, 11.825, 11.830, and 11.840, and further provided three 7 HB 11 61
percent (3%) flexibility is allowed from this section to Section 8
11.905 9
From General Revenue Fund ...................................................................................$28,333,477 10
From Federal Funds ............................................................................................. 85,416,670
11
Total .......................................................................................................................$113,750,147 12
Section 11.835. To the Department of Social Services 1
For the MO HealthNet Division 2
For MO HealthNet services for the Department of Elementary and 3
Secondary Education under the MO HealthNet fee-for-service 4
program 5
From General Revenue Fund ........................................................................................$242,525 6
From Federal Funds ............................................................................................. 139,864,081 7
Total .......................................................................................................................$140,106,606 8
Section 11.840. To the Department of Social Services 1
For the MO HealthNet Division 2
For medical benefits for blind individuals ineligible for MO HealthNet 3
coverage who receive the Missouri Blind Pension cash grant, 4
provided that individuals under this section shall pay the 5
following premiums to be eligible to receive such services: zero 6
percent on the amount of a family's income which is less than 150 7
percent of the federal poverty level; four percent on the amount 8
of a family's income which is less than 185 percent of the federal 9
poverty level but greater than or equal to 150 percent of the 10
federal poverty level; eight percent of the amount on a family's 11
income which is less than 225 percent of the federal poverty level 12
but greater than or equal to 185 percent of the federal poverty 13
level; fourteen percent on the amount of a family's income which 14
is less than 300 percent of the federal poverty level but greater 15
than or equal to 225 percent of the federal poverty level not to 16
exceed five percent of total income; families with an annual 17
income equal to or greater than 300 percent of the federal poverty 18
level are ineligible for this program, and further provided ten 19
percent (10%) flexibility is allowed between this section and 20
Sections 11.700, 11.715, 11.720, 11.725, 11.730, 11.735, 11.755, 21
11.765, 11.770, 11.775, 11.780, 11.810, 11.825, 11.830, and 22
11.840, and further provided three percent (3%) flexibility is 23
allowed from this section to Section 11.905 24 HB 11 62
From General Revenue Fund ...................................................................................$25,108,287 25
Section 11.845. To the Department of Social Services 1
For the MO HealthNet Division 2
For program distributions related to Section 36(c) of Article IV of the 3
Missouri Constitution 4
From Federal Funds ............................................................................................$3,906,026,799 5
From FMAP Enhancement – Expansion Fund ........................................................368,148,509 6
From Pharmacy Reimbursement Allowance Fund ......................................................1,693,020 7
From Nursing Facility Reimbursement Allowance Fund ............................................1,580,152 8
From Ambulance Service Reimbursement Allowance Fund ..........................................565,267 9
From Federal Reimbursement Allowance Fund ........................................................62,129,825 10
For supplemental payments to Tier 1 Safety Net Hospitals, or to any 11
affiliated physician group that provides physicians for any Tier 1 12
Safety Net Hospital, for physician and other healthcare 13
professional services as approved by the Centers for Medicare 14
and Medicaid Services 15
From Federal Funds ...................................................................................................43,697,736 16
From Department of Social Services Intergovernmental Transfer Fund .....................4,855,304 17
For payments to the Department of Mental Health for Community 18
Psychiatric Rehabilitation (CPR) services, Comprehensive 19
Substance Abuse Treatment and Rehabilitation (CSTAR) 20
services, Targeted Case Management (TCM) for behavioral 21
health services, and Certified Community Behavioral Health 22
Organizations (CCBHO) for MO HealthNet participants and the 23
uninsured 24
From Federal Funds .................................................................................................286,209,702 25
From Department of Social Services Intergovernmental Transfer Fund ...................31,801,078 26
For payments to providers of public ground emergency medical 27
transportation, pursuant to Sections 208.1030 and 208.1032 28
RSMo., when providing services to persons paid for under this 29
section 30
From Federal Funds ...................................................................................................15,918,750 31
From Ground Emergency Medical Transportation Fund ..................................... 1,768,750
32
Total ....................................................................................................................$4,724,394,892 33
Section 11.850. To the Department of Social Services 1 HB 11 63
Funds are to be transferred out of the State Treasury to the 2
General Revenue Fund for the purpose of providing the state 3
match for Medicaid payments 4
From Department of Social Services Intergovernmental Transfer Fund ...............$137,074,165 5
Section 11.855. To the Department of Social Services 1
For the MO HealthNet Division 2
For payments to the Department of Mental Health for Community 3
Psychiatric Rehabilitation (CPR) services, Comprehensive 4
Substance Abuse Treatment and Rehabilitation (CSTAR) 5
services, Targeted Case Management (TCM) for behavioral 6
health services, and Certified Community Behavioral Health 7
Organizations (CCBHO) for MO HealthNet participants and the 8
uninsured 9
From Federal Funds ...............................................................................................$613,086,698 10
From Department of Social Services Intergovernmental Transfer Fund ............. 312,731,712
11
Total .......................................................................................................................$925,818,410 12
Section 11.860. To the Department of Social Services 1
Funds are to be transferred out of the State Treasury to the 2
Pharmacy Reimbursement Allowance Fund 3
From General Revenue Fund ...................................................................................$38,737,1114
Section 11.865. To the Department of Social Services 1
Funds are to be transferred out of the State Treasury to the 2
General Revenue Fund 3
From Pharmacy Reimbursement Allowance Fund ..................................................$38,737,111 4
Section 11.870. To the Department of Social Services 1
Funds are to be transferred out of the State Treasury to the 2
Ambulance Service Reimbursement Allowance Fund 3
From General Revenue Fund ...................................................................................$20,837,332 4
Section 11.875. To the Department of Social Services 1
Funds are to be transferred out of the State Treasury to the 2
General Revenue Fund 3
From Ambulance Service Reimbursement Allowance Fund ...................................$20,837,332 4
Section 11.880. To the Department of Social Services 1 HB 11 64
Funds are to be transferred out of the State Treasury to the Federal 2
Reimbursement Allowance Fund 3
From General Revenue Fund .................................................................................$718,701,3784
Section 11.885. To the Department of Social Services 1
Funds are to be transferred out of the State Treasury to the 2
General Revenue Fund 3
From Federal Reimbursement Allowance Fund ....................................................$718,701,378 4
Section 11.890. To the Department of Social Services 1
Funds are to be transferred out of the State Treasury to the 2
Nursing Facility Reimbursement Allowance Fund 3
From General Revenue Fund .................................................................................$210,950,510 4
Section 11.895. To the Department of Social Services 1
Funds are to be transferred out of the State Treasury to the 2
General Revenue Fund 3
From Nursing Facility Reimbursement Allowance Fund ......................................$210,950,510 4
Section 11.900. To the Department of Social Services 1
Funds are to be transferred out of the State Treasury to the 2
Nursing Facility Quality of Care Fund in accordance with Section 3
198.418.1, RSMo., to be used by the Department of Health and 4
Senior Services for conducting inspections and surveys and 5
providing training and technical assistance to facilities licensed 6
under the provisions of Chapter 198 7
From Nursing Facility Reimbursement Allowance Fund ..........................................$1,500,000 8
Section 11.905. To the Department of Social Services 1
Funds are to be transferred out of the State Treasury, for the 2
payment of claims, premiums, and expenses as provided by 3
Section 105.711 through 105.726, RSMo, to the State Legal 4
Expense Fund 5
From General Revenue Fund ...................................................................................................$1 6